10A NCAC 09 .0601 · Violation

Name of Operation: SOUTH GREENE HEAD START Facility ID: 40000044 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 3/31/2025 Number Present: 56 Completed Date: 3/31/2025 Age: From 3 To 5 Total Minutes: 255 Time In: 08:55 AM Time Out: 01:10 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 this program for compliance with applicable child care requirements during an annual compliance visit. A. Shepherd, Administrator, was present and assisted with the visit. This center currently operates with a five-star license, earning seven points in education standards, seven points in program standards and 1 quality point for offering a staff benefits package and an infrastructure of parent involvement. The last annual compliance visit was completed on May 2, 2024. The last sanitation inspection was completed on December 9, 2024, earning a “Superior” classification. The last fire inspection was completed on December 30, 2024, and the center was approved for daytime care only. Thirty-six (36) children ranging from ages three (3) to five (5) years old were observed in care today. Children were engaged in morning routine/activities, free-choice play, outdoor play, eating breakfast and lunch, completing hand washing, and toileting routines, and interacting with teachers. Breakfast consisted of muffins, cereal, peaches and milk. Lunch consisted of grilled chicken, sweet potatoes, pineapple, rolls and milk. The following violations were documented. Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. A staff/child ratio chart was not posted in classroom #1 during the observation. .0713(a)(10), (c) & (f)(3); .2818(e) 807 A safe indoor and outdoor environment was not provided for the children. A bucket of Mapei Ultra Bound ECO 711 product labeled “keep out of reach of children with additional warning was on the cleaning cart in the girl’s bathroom used by children in building #1. 10A NCAC 09 .0601(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Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Medication onsite for one preschool child was not discarded when the child was no longer enrolled. The last date of enrollment date was in December 2024. .0803(12) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Documentation was not on file verifying the emergency medical care plan was reviewed annually with one staff member. The last review date recorded was August 21, 2023. 10A NCAC 09 .0802(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Documentation of the annual EPR plan review was not on file for one staff member. The last review date recorded was August 21, 2023 .0607(f) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before April 14, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. The center’s compliance history score was reviewed with the operator. The program’s compliance history was 91% as of March 25, 2025. CORPORATION STATUS: Greene Lamp is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Greene Lamp remains current and active. Prior to making any changes in the ownership status contact me to discuss the change of ownership procedures. Failure to comply could impact the program license status. FACILITY CONTACT INFORMATION: You verified the facility's phone number, mailing address and email address was correct. If changes occur to your program's contact information. contact me at 252-214-2709. Upon arrival four children were observed in the administrator's office eating breakfast. It was reported the children were sent home because building #2 was locked and could not be accessed to due not having a key. During the visit, maintenance came and opened the door; however, the children had been sent home. I monitored building #2 today but no children were present. SAFE INDOOR/OUTDOOR ENVIRONMENT: During the observation, a cleaning product was found on the cleaning cart in the girl’s bathroom. You stated that you were not aware of the product being stored on the cart. In response, you removed the bucket and secured it inside a locked closet. I recommend instructing staff to thoroughly clean and inspect areas used by children to ensure that potentially hazardous items are not present or accessible. Additionally, while the playground had an adequate amount of surfacing materials overall, it had been piled up under the slides, leaving inadequate coverage at the exit points where children land. The surfacing should be maintenance and redistributed to ensure proper safety and compliance. I also brought to your attention that the bolts on the outdoor shed are protruding causing part of the shed to detach. I recommend that these bolts be reinserted and secure to maintain stability and safety. MEDICATION REQUIRMENTS: Medication was onsite for one child that did not include an authorization form. Staff stated the child was not longer enrolled in the program. I informed you the medication should have been returned to the parent or discarded within 72 hours for the last date of enrollment. I advised you to discard the medication is a safe manner. I suggest having staff develop a system for monitoring expiration dates on medication to ensure the medicine is not administered to children after it has expired. This will also help with determining when to return it to children’s parents or request updated medication. I shared the expiration date is not included on the permission forms for asthma medication onsite throughout the facility. Adding the expiration date to the authorization form is another way to track. ABCMS PORTAL: You stated you completed the webinar to access the ABCMS system; however, you were not sure the certificate was sent to the Division’s criminal background check unit. I advise you to submit a copy to the Division to access the portal that can be granted. Once granted you should review and add/remove staff for your program. For assistance or answers to your questions, please contact the Child Care Criminal Background Check Unit at (919) 814-6401 or Fax (919) 715-0987 or email at DHHS.CBC.Unit@dhhs.nc.gov HEALTHY SOCIAL BEHAVIORS WEBINAR: Helping Children Express Their Wants & Needs: Join a free webinar presented by the Healthy Social Behaviors Helpline advisors! Learn about the relationship between communication and behavior. Discuss strategies to facilitate a child’s communication skills and help prevent challenging behavior. Tuesday, April 15, 2025, | 7:00-8:00 p.m. Join the webinar: https://ccrinc.zoom.us/j/3677997738, Meeting ID: 367 799 7738 DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. At the conclusion of this visit, the visit summary report was completed, reviewed, and left with you. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0802 · Violation

Name of Operation: SOUTH GREENE HEAD START Facility ID: 40000044 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 3/31/2025 Number Present: 56 Completed Date: 3/31/2025 Age: From 3 To 5 Total Minutes: 255 Time In: 08:55 AM Time Out: 01:10 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 this program for compliance with applicable child care requirements during an annual compliance visit. A. Shepherd, Administrator, was present and assisted with the visit. This center currently operates with a five-star license, earning seven points in education standards, seven points in program standards and 1 quality point for offering a staff benefits package and an infrastructure of parent involvement. The last annual compliance visit was completed on May 2, 2024. The last sanitation inspection was completed on December 9, 2024, earning a “Superior” classification. The last fire inspection was completed on December 30, 2024, and the center was approved for daytime care only. Thirty-six (36) children ranging from ages three (3) to five (5) years old were observed in care today. Children were engaged in morning routine/activities, free-choice play, outdoor play, eating breakfast and lunch, completing hand washing, and toileting routines, and interacting with teachers. Breakfast consisted of muffins, cereal, peaches and milk. Lunch consisted of grilled chicken, sweet potatoes, pineapple, rolls and milk. The following violations were documented. Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. A staff/child ratio chart was not posted in classroom #1 during the observation. .0713(a)(10), (c) & (f)(3); .2818(e) 807 A safe indoor and outdoor environment was not provided for the children. A bucket of Mapei Ultra Bound ECO 711 product labeled “keep out of reach of children with additional warning was on the cleaning cart in the girl’s bathroom used by children in building #1. 10A NCAC 09 .0601(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. Medication onsite for one preschool child was not discarded when the child was no longer enrolled. The last date of enrollment date was in December 2024. .0803(12) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Documentation was not on file verifying the emergency medical care plan was reviewed annually with one staff member. The last review date recorded was August 21, 2023. 10A NCAC 09 .0802(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Documentation of the annual EPR plan review was not on file for one staff member. The last review date recorded was August 21, 2023 .0607(f) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before April 14, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. The center’s compliance history score was reviewed with the operator. The program’s compliance history was 91% as of March 25, 2025. CORPORATION STATUS: Greene Lamp is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Greene Lamp remains current and active. Prior to making any changes in the ownership status contact me to discuss the change of ownership procedures. Failure to comply could impact the program license status. FACILITY CONTACT INFORMATION: You verified the facility's phone number, mailing address and email address was correct. If changes occur to your program's contact information. contact me at 252-214-2709. Upon arrival four children were observed in the administrator's office eating breakfast. It was reported the children were sent home because building #2 was locked and could not be accessed to due not having a key. During the visit, maintenance came and opened the door; however, the children had been sent home. I monitored building #2 today but no children were present. SAFE INDOOR/OUTDOOR ENVIRONMENT: During the observation, a cleaning product was found on the cleaning cart in the girl’s bathroom. You stated that you were not aware of the product being stored on the cart. In response, you removed the bucket and secured it inside a locked closet. I recommend instructing staff to thoroughly clean and inspect areas used by children to ensure that potentially hazardous items are not present or accessible. Additionally, while the playground had an adequate amount of surfacing materials overall, it had been piled up under the slides, leaving inadequate coverage at the exit points where children land. The surfacing should be maintenance and redistributed to ensure proper safety and compliance. I also brought to your attention that the bolts on the outdoor shed are protruding causing part of the shed to detach. I recommend that these bolts be reinserted and secure to maintain stability and safety. MEDICATION REQUIRMENTS: Medication was onsite for one child that did not include an authorization form. Staff stated the child was not longer enrolled in the program. I informed you the medication should have been returned to the parent or discarded within 72 hours for the last date of enrollment. I advised you to discard the medication is a safe manner. I suggest having staff develop a system for monitoring expiration dates on medication to ensure the medicine is not administered to children after it has expired. This will also help with determining when to return it to children’s parents or request updated medication. I shared the expiration date is not included on the permission forms for asthma medication onsite throughout the facility. Adding the expiration date to the authorization form is another way to track. ABCMS PORTAL: You stated you completed the webinar to access the ABCMS system; however, you were not sure the certificate was sent to the Division’s criminal background check unit. I advise you to submit a copy to the Division to access the portal that can be granted. Once granted you should review and add/remove staff for your program. For assistance or answers to your questions, please contact the Child Care Criminal Background Check Unit at (919) 814-6401 or Fax (919) 715-0987 or email at DHHS.CBC.Unit@dhhs.nc.gov HEALTHY SOCIAL BEHAVIORS WEBINAR: Helping Children Express Their Wants & Needs: Join a free webinar presented by the Healthy Social Behaviors Helpline advisors! Learn about the relationship between communication and behavior. Discuss strategies to facilitate a child’s communication skills and help prevent challenging behavior. Tuesday, April 15, 2025, | 7:00-8:00 p.m. Join the webinar: https://ccrinc.zoom.us/j/3677997738, Meeting ID: 367 799 7738 DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. At the conclusion of this visit, the visit summary report was completed, reviewed, and left with you. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: SOUTH GREENE HEAD START Facility ID: 40000044 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 12/6/2024 Number Present: 38 Completed Date: 12/6/2024 Age: From 3 To 5 Total Minutes: 145 Time In: 08:05 AM Time Out: 10:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your facility for compliance with applicable child care requirements during a routine unannounced visit. A. Shepherd, Administrator assisted with the visit. Thirty-eight (38) children were observed in care today ranging from zero to four years old. Children were observed eating breakfast, interacting with the caregivers/peers, engaged morning routines, free-choice play activities and completing toileting, and hand washing routines and napping. Breakfast consisted of Cheerios, apple juice and milk. Currently this program operates with a five-star license. The program continues to meet reduced staff/child ratio and enhanced space requirements. The last sanitation inspection was completed on November 6, 2024, earning a superior classification. The last fire inspection was completed on December 20, 2024, and the center was approved for daytime care. The last annual compliance visit was completed on May 2, 2024. The following violations were documented today. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Documentation giving authorization to administer medication for one child enrolled in Space #1. 10A NCAC 09 .0803(1)(a & b) The violation documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before December 20, 2024. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. CORPORATION STATUS: Greene Lamp is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Greene Lamp remains current and active. I reminded you the corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You verified the phone number, email address and mailing address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. COMPLIANCE HISTORY: The program's compliance history was reviewed with the operator. The program’s compliance history was 96% percent as of December 5, 2024. STAFF/CHILD INTERACTIONS: Arrival and hand washing was observed upon entering the classrooms. Staff greeted parents and children when they came into the classroom. Children in all three spaces were served breakfast after hand washing. Staff talked to children about the food served. After breakfast some children engaged in free choice play using age-appropriate materials while other completed writing activities at the table and puzzles on the carpet. Children in classroom #3 completed toileting routines in bathrooms outside the classroom. The program's foster grandparent was also observed assisting in classroom #3. Children were cared for in a nurturing and positive environment. MEDICATION REQUIRMENTS: Documentation given written permission to administer medication for one child enrolled was not on file. The medical action plan was on file and available for review; however, the action plan did not include authorization to administer the medication. The action plan did state a permission form should be completed if the medication will be administered while in child care. It was suggested having staff review all documentation provided with medication to ensure the parents sign giving written permission to administer the medication The teacher stated the medical team sent over the medication permission form and the parent would be asked to complete it during departure. FIRE INSPECTION: I reminded you the fire inspection for your program is due on or before December 20, 2024. You stated contact has been made and the fire inspection is scheduled for completion prior to that date. CRIMINAL BABCKGROUND CHECK RENEWALS: I reminded you two staff are due to renew their criminal background check in January 2025. I recommended starting the process early to ensure their is no delay. I shared criminal background checks can be renewed at least six months early. LICENSE FEES: Invoices for license fees were emailed to the facility addresses on file November 30, 2024. Online payments will be due by December 31, 2024. In accordance with North Carolina General Statute § 110-90(1a), licensed child care facilities are assessed an annual license fee. The amount of your annual license fee is based on the licensed capacity printed on your license as of October 1, 2024, not the number of children enrolled at your facility. Please note that annual license fees do not apply to state or public school-operated child care facilities, or to religious-sponsored facilities operating under a Notice of Compliance. The Division of Child Development and Early Education remains available to assist you. For questions regarding license fees, visit the Frequently Asked Questions (FAQs) on our website. For further assistance regarding your annual license fee, please email DCDEE_LF@dhhs.nc.gov. CRIMINAL BACKGROUND CHECK REQUIREMENTS: As stated in G.S. 110-90.2 & .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 within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. QRIS UPDATE: GET READY for the 3’s Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. At the conclusion of today’s visit, the visit summary report was completed, reviewed, and left with you. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-90 · Violation

Name of Operation: SOUTH GREENE HEAD START Facility ID: 40000044 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 12/6/2024 Number Present: 38 Completed Date: 12/6/2024 Age: From 3 To 5 Total Minutes: 145 Time In: 08:05 AM Time Out: 10:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your facility for compliance with applicable child care requirements during a routine unannounced visit. A. Shepherd, Administrator assisted with the visit. Thirty-eight (38) children were observed in care today ranging from zero to four years old. Children were observed eating breakfast, interacting with the caregivers/peers, engaged morning routines, free-choice play activities and completing toileting, and hand washing routines and napping. Breakfast consisted of Cheerios, apple juice and milk. Currently this program operates with a five-star license. The program continues to meet reduced staff/child ratio and enhanced space requirements. The last sanitation inspection was completed on November 6, 2024, earning a superior classification. The last fire inspection was completed on December 20, 2024, and the center was approved for daytime care. The last annual compliance visit was completed on May 2, 2024. The following violations were documented today. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Documentation giving authorization to administer medication for one child enrolled in Space #1. 10A NCAC 09 .0803(1)(a & b) The violation documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before December 20, 2024. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. CORPORATION STATUS: Greene Lamp is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Greene Lamp remains current and active. I reminded you the corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You verified the phone number, email address and mailing address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. COMPLIANCE HISTORY: The program's compliance history was reviewed with the operator. The program’s compliance history was 96% percent as of December 5, 2024. STAFF/CHILD INTERACTIONS: Arrival and hand washing was observed upon entering the classrooms. Staff greeted parents and children when they came into the classroom. Children in all three spaces were served breakfast after hand washing. Staff talked to children about the food served. After breakfast some children engaged in free choice play using age-appropriate materials while other completed writing activities at the table and puzzles on the carpet. Children in classroom #3 completed toileting routines in bathrooms outside the classroom. The program's foster grandparent was also observed assisting in classroom #3. Children were cared for in a nurturing and positive environment. MEDICATION REQUIRMENTS: Documentation given written permission to administer medication for one child enrolled was not on file. The medical action plan was on file and available for review; however, the action plan did not include authorization to administer the medication. The action plan did state a permission form should be completed if the medication will be administered while in child care. It was suggested having staff review all documentation provided with medication to ensure the parents sign giving written permission to administer the medication The teacher stated the medical team sent over the medication permission form and the parent would be asked to complete it during departure. FIRE INSPECTION: I reminded you the fire inspection for your program is due on or before December 20, 2024. You stated contact has been made and the fire inspection is scheduled for completion prior to that date. CRIMINAL BABCKGROUND CHECK RENEWALS: I reminded you two staff are due to renew their criminal background check in January 2025. I recommended starting the process early to ensure their is no delay. I shared criminal background checks can be renewed at least six months early. LICENSE FEES: Invoices for license fees were emailed to the facility addresses on file November 30, 2024. Online payments will be due by December 31, 2024. In accordance with North Carolina General Statute § 110-90(1a), licensed child care facilities are assessed an annual license fee. The amount of your annual license fee is based on the licensed capacity printed on your license as of October 1, 2024, not the number of children enrolled at your facility. Please note that annual license fees do not apply to state or public school-operated child care facilities, or to religious-sponsored facilities operating under a Notice of Compliance. The Division of Child Development and Early Education remains available to assist you. For questions regarding license fees, visit the Frequently Asked Questions (FAQs) on our website. For further assistance regarding your annual license fee, please email DCDEE_LF@dhhs.nc.gov. CRIMINAL BACKGROUND CHECK REQUIREMENTS: As stated in G.S. 110-90.2 & .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 within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. QRIS UPDATE: GET READY for the 3’s Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. At the conclusion of today’s visit, the visit summary report was completed, reviewed, and left with you. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@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: SOUTH GREENE HEAD START Facility ID: 40000044 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 5/2/2024 Number Present: 40 Completed Date: 5/2/2024 Age: From 3 To 5 Total Minutes: 165 Time In: 09:20 AM Time Out: 12:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during an unannounced annual compliance visit. When I arrived, You Alexandria Smith, Education Specialist informed me that L. Villagran, Administrator was off-site; however, you were able to assist me with today’s visit. Your program operates as a Head Start Program with a five-star license issued on April 19, 2021, earning 7 points in the education component, 7 points in the program standards component and 1 quality point for having a staff benefits package and an infrastructure of parent involvement. The last annual compliance visit was conducted on September 6, 2023. The sanitation inspection was completed on April 4, 2024, with a “Superior” classification “0” demerits. The fire inspection was completed on December 12, 2023, and the center was approved for daytime care only. The license was posted, and the restrictions were in compliance. Fourty (40) children from ages three (3) to five (5) were present during the visit. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. The children were served the following for lunch: hamburger steak, rolls, mashed potatoes, mango, and milk. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space number two (#2) there was an albuterol inhaler with a permission to administer form on file and was signed on September 5, 2023; however, the permission to administer form needed to be updated and resigned on or prior to March 5, 2024. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before May 16, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 93%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. OWNER/FACILITY PROFILE INFORMATION: Greene Lamp is listed as the current owner of this facility. The NC Secretary of State website was reviewed on May 2, 2024, Green Lamp is listed as current an active. You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: CHILDREN AND STAFF RECORDS: Ten percent (10%) or more of children’s records were monitored. The children’s records reviewed were well organized and in compliance. Ten percent (10%) or more of existing staff files were monitored. The files were found to be in compliance. As a reminder, Shirley Hall will need to renew her criminal background check prior to October 17, 2024. Ms. Hall may begin this process up to six months prior to the expiration date. MEDICATION: In space number two (#2) there was an albuterol inhaler with a permission to administer form on file and was signed on September 5, 2023; however, the permission to administer form needed to be updated and resigned on or prior to March 5, 2024. Please remember all emergency medications such as inhalers and Epi Pens need permission to be administered forms updated and resigned every six (6) months. TRANSPORTATION: You informed me that you are not currently providing transportation. Please remember, if you begin to provide transportation again you must comply with all transportation requirements, such as having a current license, appropriate child safety restraints and seat belts, the vehicle must have a current safety inspection and current liability insurance, a first aid kit, and fire extinguisher must be in the vehicle. Each child being transported must have emergency information which includes a picture of the child. RESUMING START RATED LICENSE-COHORT TWO (2): You had questions about what cohort you were in for the Star Rated License Renewal. We discussed the following items since your child care center is in cohort two (2). Your preparation year will be July 1, 2024, through June 30, 2025. Your reassessment year will be July 1, 2025, through June 30, 2026. Updating DCDEE WORKS with any additional education you may have completed. To help your facility prepare for the environment rating scale, please review the North Carolina Rated License Assessment Project’s (NCRLAP) website: https://ncrlap.org/ for videos and written resources to help prepare you for the environment rating scale (ERS). DCDEE WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, or training. We discussed making sure the four new employees you hired submit any education transcripts to the “WORKS” system, so their education can be evaluated. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please contact the WORKS department if you have questions on what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. CLEAN WATER FOR CAROLINA KIDS: We discussed the Clean Water for Carolina Kids program and what that means for you as a child care center. I also informed you that I sent an email to you on March 5, 2024, with the following information included. I also attached to that email three (3) flyers that discuss the process for testing, for lead in the water, lead in paint, and asbestos. According to the Clean Water for Us Kids, the test kits were lost during shipping and more have been requested. RTI is in the process of reviewing the survey submitted for the lead paint and asbestos testing. Please review the Clean Water for US Kids website to monitor your facilities progress. The Clean Water for Carolina Kids program is expanding to the Clean Classrooms for Carolina Kids program. This is a legislatively mandated effort to address lead and asbestos hazards in North Carolina public schools, licensed child care centers, and licensed family child care homes. Participation allows facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. Rules 10A NCAC 41C .1001 through .1007 require all programs to be free of lead and asbestos hazards. RTI is coordinating all the lead in water, paint and asbestos testing and remediation. There are webinars that child care providers can watch to get instructions. Go to https://www.cleanwaterforuskids.org/en/carolina/ for more information. Currently operating child care facilities are required to test for lead in paint and asbestos once unless the consultant notes a concern during a visit and refers the program to environmental health. All existing licensed programs must complete the application summary for their program regarding lead paint and asbestos by May 1, 2024. The application is on the https://www.cleanwaterforuskids.org/en/carolina/ website. Rule 15A NCAC 18A .2816 requires currently operating child care centers to test water initially and every three years. Most of you have completed your initial testing and now it is time for your three-year retest. Please log into https://www.cleanwaterforuskids.org/en/carolina/ to ensure you are meeting the requirements for Lead in Water / Paint/Asbestos testing. CHILD A CARE RULE CHANGES: The Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Consultants will assist as you begin to review and implement the changes, but please note, some of the rule changes may or may not impact your facility. An example is the rules in section .2600 for multi-unit child care center. These rules are specific to child care centers with multiple licensed centers within one building. Please ensure you are using the updated January 2024 rule book, and view information in the DCDEE Moodle (enroll if necessary). You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0601 · Violation

Name of Operation: SOUTH GREENE HEAD START Facility ID: 40000044 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 9/6/2023 Number Present: 15 Completed Date: 9/6/2023 Age: From 3 To 4 Total Minutes: 235 Time In: 09:05 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during an unannounced annual compliance visit. When I arrived, Z. Wilson, Lead Teacher informed me that Ms. Villagran, administrator was not on the premises, however she called Ms. Villagran to notify her of my presents. During my walk-through Ms. A. Smith, Education Specialist joined me and assisted with today’s visit. Ms. Villagran did arrive and also assisted with today’s visit. You stated today was your second day of staggered enrollment. The program does not provide care through he months of June-August. Your program operates as a Head Start Program with a five-star license issued on April 19, 2021, earning 7 points in the education component, 7 points in the program standards component and 1 quality point for having a staff benefits package and an infrastructure of parent involvement. The last annual compliance visit was conducted on September 14, 2022. The sanitation inspection was completed on April 24, 2023, with a “Superior” classification “5” demerits. The fire inspection was completed on November 21, 2022, and the center was approved for daytime care only. The license was posted, and the restrictions were in compliance. Sixteen (16) children from ages three (3) to five (4) were present during the visit. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. The children were observed eating the following: Peanut and butter jelly sandwiches, peaches, green beans, and milk. There were two (2) grandparent volunteers, one volunteer in space number two (2) and in space number (three) each volunteer had a folder with the required information to be a volunteer. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In the outdoor environment where the children play there was one (1) active ant hill, a tree limb that had fallen onto the fence and had a sharp protruding limb sticking out into the playground area where the children play. There was also a large cobweb blocking the slide on the climbing equipment. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space two (2) there was an electrical outlet to the right of the entrance door that did not have a safety plug. In space three (3) there was an electrical outlet in the dramatic play area that did not have a safety cover. The teachers in both spaces covered the outlets. 10A NCAC 09 .0604(c) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 20, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 92%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. OWNER/FACILITY PROFILE INFORMATION: Greene Lamp is listed as the current owner of this facility. The NC Secretary of State website was reviewed on September 6, 2023, Green Lamp is listed as current an active. You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: CHILDREN AND STAFF RECORDS: Ten percent (10%) or more of children’s records were monitored. The children’s records reviewed were in compliance. Ten percent (10%) or more of existing staff files were monitored. The files were found to be in compliance. As a reminder your employee with the hire date of August 26, 2016, has health and safety trainings that will need to be completed prior to October 2, 2023. Health and safety trainings need to be completed every five years. SAFETY AND HEALTH (ELECTRICAL OUTLETS): In space two (2) there was an electrical outlet to the right of the door that did not have a safety cover and in space three (3) there was one electrical outlet in the dramatic play area that was not covered by a safety cover. Both teachers immediately cover the outlets with a safety plug. This item was corrected during the visit. SAFETY AND HEALTH (OUTDOOR ENVIRONMENT): In the outdoor environment, the playground had one active ant hill, a large tree branch that was on top of the fence, with a sharp edge protruding into the play arear that could cause a child to get hurt, and cobwebs on the climbing equipment blocking the slide. You tried to remove the tree branch out of the area, but it was too heavy. You stated you would be put in a work request to have the tree branch removed. These items pose a safety risk to the children who play on the playground, these items need to be corrected immediately. Please make sure someone is reviewing the playground before children play to make sure the play area is safe. TRANSPORTATION: You informed me that you are not currently providing transportation. Please remember, if you begin to provide transportation again you must comply with all transportation requirements, such as having a current license, appropriate child safety restraints and seat belts, the vehicle must have a current safety inspection and current liability insurance, a first aid kit, and fire extinguisher must be in the vehicle. Each child being transported must have emergency information which includes a picture of the child. COHORT TWO (2): You had questions about what cohort you were in for the Star Rated License Renewal. We discussed the following items since your child care center is in cohort two (2). Your preparation year will be July 1, 2024, through June 30, 2025. Your reassessment year will be July 1, 2025, through June 30, 2026. Updating DCDEE WORKS with any additional education you may have completed. To help your facility prepare for the environment rating scale, please review the North Carolina Rated License Assessment Project’s (NCRLAP) website: https://ncrlap.org/ for videos and written resources to help prepare you for the environment rating scale (ERS). DCDEE WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, or training. We discussed making sure the four new employees you hired submit any education transcripts to the “WORKS” system, so their education can be evaluated. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please contact the WORKS department if you have questions on what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. WORKFORCE-REVISED ‘IN THE FIELD” DEGREES The NCDHHS Division of Child Development and Early Education (DCDEE) is updating the list of degrees counted as degree in the field for both early childhood/child development and school age. Effective Monday, May 8, 2023, the DCDEE Workforce Education Unit’s determination of degree in the field will now include: For Early Childhood/Child Development • Elementary Education • Psychology • Sociology For School Age • Children and Nature • Outdoor Leadership • Trauma Informed Social Work in Children For NC Pre-K • These changes do not affect any lead NC Pre-K teacher. DCDEE must continue to follow DPI licensure requirements for lead teachers seeking licensure. • These changes do impact NC Pre-K teacher assistants in the NC Pre-K program. More detailed information will be shared as NC Pre-K updates program-related information to reflect this change. Evaluation of degrees will continue to be based on the position(s) requested, coursework completed, and the documented degree(s) awarded on official transcripts. More information will be distributed as the Workforce Education Unit moves towards implementation. Once fully implemented, documentation of the degree type and course of study will display in the individual’s DCDEE WORKS account and on their status letter. For general questions related to this change, please contact the Workforce Education Unit at 919-814-6350. EARLY CHILDHOOD EQUIVALENCY EXAM NOW ON DCDEE MOODLE: The North Carolina Early Childhood Equivalency Exam is a new pathway option comparable to a NC Early Childhood Credential. Applicants who achieve a score of 80% or higher on the NC Early Childhood Equivalency Exam earn the new North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to a North Carolina Early Childhood Credential and will qualify the individual to be a lead teacher in an early childhood classroom. To take the exam, go to DCDEE Moodle and select Early Childhood Professional Development/Child Care and Development Fund (CCDF)/North Carolina Early Childhood Equivalency Exam: https://www.dcdee.moodle.nc.gov/login/index.php NEW SANITATION RULES: DCDEE and the Department of Public Health have received feedback from child care programs that additional guidance would be helpful in implementing the child care sanitation rules that the Public Health Commission readopted effective July 1, 2023. Please know that no demerits will be taken for new requirements of these rules until January 2024. Until then, DPH and DCDEE will work together to make sure NC child care centers have the necessary training, technical assistance, and operational support needed to meet the new requirements. Trainings specifically for child care center operators will be hosted in the coming months. Stay tuned! TRAINING MODULES AVAIALABLE IN DCDEE MOODLE: The Division of Child Development and Early Education (DCDEE) is excited to share information about the July 2023 child care rule changes. The Child Care Commission revised rules related to staff/child ratios for multi-age groups; cooperative arrangements; and enhanced space requirements. These rule changes may or may not impact your facility. The multi-age group staff/child ratio changes support a previous rule change submitted by Early Head Start and the new rule for defining cooperative arrangements provides clarification to a previous change in statute. Consultants will assist facilities impacted by the changes to the enhanced space requirements. A summary of the changes can be accessed here, but for specific details regarding these changes, please ensure you are using the updated July 1, 2023, rules, and enroll, if necessary, and view information in the DCDEE Moodle. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle, learn how to navigate Moodle. To access Moodle, you will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, register for an individual NCID at https://ncid.nc.gov/ncidsspr/. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. RESOURCES: DIVISION OF CHILD DEVELOPMENT AND EARLY EDUCATION: • The most current provider documents, forms, checklist, and the new child care rules effective July 1, 2023, can be found on the Division of Child Development and Early’s website at https://ncchildcarencdhhs.gov . WRITTEN ITEMS GIVEN DURING VISIT: -EARLY CHILDHOOD EDUCATORS FLYER CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: SOUTH GREENE HEAD START Facility ID: 40000044 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 9/6/2023 Number Present: 15 Completed Date: 9/6/2023 Age: From 3 To 4 Total Minutes: 235 Time In: 09:05 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during an unannounced annual compliance visit. When I arrived, Z. Wilson, Lead Teacher informed me that Ms. Villagran, administrator was not on the premises, however she called Ms. Villagran to notify her of my presents. During my walk-through Ms. A. Smith, Education Specialist joined me and assisted with today’s visit. Ms. Villagran did arrive and also assisted with today’s visit. You stated today was your second day of staggered enrollment. The program does not provide care through he months of June-August. Your program operates as a Head Start Program with a five-star license issued on April 19, 2021, earning 7 points in the education component, 7 points in the program standards component and 1 quality point for having a staff benefits package and an infrastructure of parent involvement. The last annual compliance visit was conducted on September 14, 2022. The sanitation inspection was completed on April 24, 2023, with a “Superior” classification “5” demerits. The fire inspection was completed on November 21, 2022, and the center was approved for daytime care only. The license was posted, and the restrictions were in compliance. Sixteen (16) children from ages three (3) to five (4) were present during the visit. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. The children were observed eating the following: Peanut and butter jelly sandwiches, peaches, green beans, and milk. There were two (2) grandparent volunteers, one volunteer in space number two (2) and in space number (three) each volunteer had a folder with the required information to be a volunteer. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In the outdoor environment where the children play there was one (1) active ant hill, a tree limb that had fallen onto the fence and had a sharp protruding limb sticking out into the playground area where the children play. There was also a large cobweb blocking the slide on the climbing equipment. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space two (2) there was an electrical outlet to the right of the entrance door that did not have a safety plug. In space three (3) there was an electrical outlet in the dramatic play area that did not have a safety cover. The teachers in both spaces covered the outlets. 10A NCAC 09 .0604(c) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 20, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 92%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. OWNER/FACILITY PROFILE INFORMATION: Greene Lamp is listed as the current owner of this facility. The NC Secretary of State website was reviewed on September 6, 2023, Green Lamp is listed as current an active. You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: CHILDREN AND STAFF RECORDS: Ten percent (10%) or more of children’s records were monitored. The children’s records reviewed were in compliance. Ten percent (10%) or more of existing staff files were monitored. The files were found to be in compliance. As a reminder your employee with the hire date of August 26, 2016, has health and safety trainings that will need to be completed prior to October 2, 2023. Health and safety trainings need to be completed every five years. SAFETY AND HEALTH (ELECTRICAL OUTLETS): In space two (2) there was an electrical outlet to the right of the door that did not have a safety cover and in space three (3) there was one electrical outlet in the dramatic play area that was not covered by a safety cover. Both teachers immediately cover the outlets with a safety plug. This item was corrected during the visit. SAFETY AND HEALTH (OUTDOOR ENVIRONMENT): In the outdoor environment, the playground had one active ant hill, a large tree branch that was on top of the fence, with a sharp edge protruding into the play arear that could cause a child to get hurt, and cobwebs on the climbing equipment blocking the slide. You tried to remove the tree branch out of the area, but it was too heavy. You stated you would be put in a work request to have the tree branch removed. These items pose a safety risk to the children who play on the playground, these items need to be corrected immediately. Please make sure someone is reviewing the playground before children play to make sure the play area is safe. TRANSPORTATION: You informed me that you are not currently providing transportation. Please remember, if you begin to provide transportation again you must comply with all transportation requirements, such as having a current license, appropriate child safety restraints and seat belts, the vehicle must have a current safety inspection and current liability insurance, a first aid kit, and fire extinguisher must be in the vehicle. Each child being transported must have emergency information which includes a picture of the child. COHORT TWO (2): You had questions about what cohort you were in for the Star Rated License Renewal. We discussed the following items since your child care center is in cohort two (2). Your preparation year will be July 1, 2024, through June 30, 2025. Your reassessment year will be July 1, 2025, through June 30, 2026. Updating DCDEE WORKS with any additional education you may have completed. To help your facility prepare for the environment rating scale, please review the North Carolina Rated License Assessment Project’s (NCRLAP) website: https://ncrlap.org/ for videos and written resources to help prepare you for the environment rating scale (ERS). DCDEE WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, or training. We discussed making sure the four new employees you hired submit any education transcripts to the “WORKS” system, so their education can be evaluated. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please contact the WORKS department if you have questions on what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. WORKFORCE-REVISED ‘IN THE FIELD” DEGREES The NCDHHS Division of Child Development and Early Education (DCDEE) is updating the list of degrees counted as degree in the field for both early childhood/child development and school age. Effective Monday, May 8, 2023, the DCDEE Workforce Education Unit’s determination of degree in the field will now include: For Early Childhood/Child Development • Elementary Education • Psychology • Sociology For School Age • Children and Nature • Outdoor Leadership • Trauma Informed Social Work in Children For NC Pre-K • These changes do not affect any lead NC Pre-K teacher. DCDEE must continue to follow DPI licensure requirements for lead teachers seeking licensure. • These changes do impact NC Pre-K teacher assistants in the NC Pre-K program. More detailed information will be shared as NC Pre-K updates program-related information to reflect this change. Evaluation of degrees will continue to be based on the position(s) requested, coursework completed, and the documented degree(s) awarded on official transcripts. More information will be distributed as the Workforce Education Unit moves towards implementation. Once fully implemented, documentation of the degree type and course of study will display in the individual’s DCDEE WORKS account and on their status letter. For general questions related to this change, please contact the Workforce Education Unit at 919-814-6350. EARLY CHILDHOOD EQUIVALENCY EXAM NOW ON DCDEE MOODLE: The North Carolina Early Childhood Equivalency Exam is a new pathway option comparable to a NC Early Childhood Credential. Applicants who achieve a score of 80% or higher on the NC Early Childhood Equivalency Exam earn the new North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to a North Carolina Early Childhood Credential and will qualify the individual to be a lead teacher in an early childhood classroom. To take the exam, go to DCDEE Moodle and select Early Childhood Professional Development/Child Care and Development Fund (CCDF)/North Carolina Early Childhood Equivalency Exam: https://www.dcdee.moodle.nc.gov/login/index.php NEW SANITATION RULES: DCDEE and the Department of Public Health have received feedback from child care programs that additional guidance would be helpful in implementing the child care sanitation rules that the Public Health Commission readopted effective July 1, 2023. Please know that no demerits will be taken for new requirements of these rules until January 2024. Until then, DPH and DCDEE will work together to make sure NC child care centers have the necessary training, technical assistance, and operational support needed to meet the new requirements. Trainings specifically for child care center operators will be hosted in the coming months. Stay tuned! TRAINING MODULES AVAIALABLE IN DCDEE MOODLE: The Division of Child Development and Early Education (DCDEE) is excited to share information about the July 2023 child care rule changes. The Child Care Commission revised rules related to staff/child ratios for multi-age groups; cooperative arrangements; and enhanced space requirements. These rule changes may or may not impact your facility. The multi-age group staff/child ratio changes support a previous rule change submitted by Early Head Start and the new rule for defining cooperative arrangements provides clarification to a previous change in statute. Consultants will assist facilities impacted by the changes to the enhanced space requirements. A summary of the changes can be accessed here, but for specific details regarding these changes, please ensure you are using the updated July 1, 2023, rules, and enroll, if necessary, and view information in the DCDEE Moodle. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle, learn how to navigate Moodle. To access Moodle, you will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, register for an individual NCID at https://ncid.nc.gov/ncidsspr/. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. RESOURCES: DIVISION OF CHILD DEVELOPMENT AND EARLY EDUCATION: • The most current provider documents, forms, checklist, and the new child care rules effective July 1, 2023, can be found on the Division of Child Development and Early’s website at https://ncchildcarencdhhs.gov . WRITTEN ITEMS GIVEN DURING VISIT: -EARLY CHILDHOOD EDUCATORS FLYER CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@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: SOUTH GREENE HEAD START Facility ID: 40000044 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 9/6/2023 Number Present: 15 Completed Date: 9/6/2023 Age: From 3 To 4 Total Minutes: 235 Time In: 09:05 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during an unannounced annual compliance visit. When I arrived, Z. Wilson, Lead Teacher informed me that Ms. Villagran, administrator was not on the premises, however she called Ms. Villagran to notify her of my presents. During my walk-through Ms. A. Smith, Education Specialist joined me and assisted with today’s visit. Ms. Villagran did arrive and also assisted with today’s visit. You stated today was your second day of staggered enrollment. The program does not provide care through he months of June-August. Your program operates as a Head Start Program with a five-star license issued on April 19, 2021, earning 7 points in the education component, 7 points in the program standards component and 1 quality point for having a staff benefits package and an infrastructure of parent involvement. The last annual compliance visit was conducted on September 14, 2022. The sanitation inspection was completed on April 24, 2023, with a “Superior” classification “5” demerits. The fire inspection was completed on November 21, 2022, and the center was approved for daytime care only. The license was posted, and the restrictions were in compliance. Sixteen (16) children from ages three (3) to five (4) were present during the visit. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. The children were observed eating the following: Peanut and butter jelly sandwiches, peaches, green beans, and milk. There were two (2) grandparent volunteers, one volunteer in space number two (2) and in space number (three) each volunteer had a folder with the required information to be a volunteer. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In the outdoor environment where the children play there was one (1) active ant hill, a tree limb that had fallen onto the fence and had a sharp protruding limb sticking out into the playground area where the children play. There was also a large cobweb blocking the slide on the climbing equipment. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space two (2) there was an electrical outlet to the right of the entrance door that did not have a safety plug. In space three (3) there was an electrical outlet in the dramatic play area that did not have a safety cover. The teachers in both spaces covered the outlets. 10A NCAC 09 .0604(c) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 20, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 92%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. OWNER/FACILITY PROFILE INFORMATION: Greene Lamp is listed as the current owner of this facility. The NC Secretary of State website was reviewed on September 6, 2023, Green Lamp is listed as current an active. You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: CHILDREN AND STAFF RECORDS: Ten percent (10%) or more of children’s records were monitored. The children’s records reviewed were in compliance. Ten percent (10%) or more of existing staff files were monitored. The files were found to be in compliance. As a reminder your employee with the hire date of August 26, 2016, has health and safety trainings that will need to be completed prior to October 2, 2023. Health and safety trainings need to be completed every five years. SAFETY AND HEALTH (ELECTRICAL OUTLETS): In space two (2) there was an electrical outlet to the right of the door that did not have a safety cover and in space three (3) there was one electrical outlet in the dramatic play area that was not covered by a safety cover. Both teachers immediately cover the outlets with a safety plug. This item was corrected during the visit. SAFETY AND HEALTH (OUTDOOR ENVIRONMENT): In the outdoor environment, the playground had one active ant hill, a large tree branch that was on top of the fence, with a sharp edge protruding into the play arear that could cause a child to get hurt, and cobwebs on the climbing equipment blocking the slide. You tried to remove the tree branch out of the area, but it was too heavy. You stated you would be put in a work request to have the tree branch removed. These items pose a safety risk to the children who play on the playground, these items need to be corrected immediately. Please make sure someone is reviewing the playground before children play to make sure the play area is safe. TRANSPORTATION: You informed me that you are not currently providing transportation. Please remember, if you begin to provide transportation again you must comply with all transportation requirements, such as having a current license, appropriate child safety restraints and seat belts, the vehicle must have a current safety inspection and current liability insurance, a first aid kit, and fire extinguisher must be in the vehicle. Each child being transported must have emergency information which includes a picture of the child. COHORT TWO (2): You had questions about what cohort you were in for the Star Rated License Renewal. We discussed the following items since your child care center is in cohort two (2). Your preparation year will be July 1, 2024, through June 30, 2025. Your reassessment year will be July 1, 2025, through June 30, 2026. Updating DCDEE WORKS with any additional education you may have completed. To help your facility prepare for the environment rating scale, please review the North Carolina Rated License Assessment Project’s (NCRLAP) website: https://ncrlap.org/ for videos and written resources to help prepare you for the environment rating scale (ERS). DCDEE WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, or training. We discussed making sure the four new employees you hired submit any education transcripts to the “WORKS” system, so their education can be evaluated. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please contact the WORKS department if you have questions on what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. WORKFORCE-REVISED ‘IN THE FIELD” DEGREES The NCDHHS Division of Child Development and Early Education (DCDEE) is updating the list of degrees counted as degree in the field for both early childhood/child development and school age. Effective Monday, May 8, 2023, the DCDEE Workforce Education Unit’s determination of degree in the field will now include: For Early Childhood/Child Development • Elementary Education • Psychology • Sociology For School Age • Children and Nature • Outdoor Leadership • Trauma Informed Social Work in Children For NC Pre-K • These changes do not affect any lead NC Pre-K teacher. DCDEE must continue to follow DPI licensure requirements for lead teachers seeking licensure. • These changes do impact NC Pre-K teacher assistants in the NC Pre-K program. More detailed information will be shared as NC Pre-K updates program-related information to reflect this change. Evaluation of degrees will continue to be based on the position(s) requested, coursework completed, and the documented degree(s) awarded on official transcripts. More information will be distributed as the Workforce Education Unit moves towards implementation. Once fully implemented, documentation of the degree type and course of study will display in the individual’s DCDEE WORKS account and on their status letter. For general questions related to this change, please contact the Workforce Education Unit at 919-814-6350. EARLY CHILDHOOD EQUIVALENCY EXAM NOW ON DCDEE MOODLE: The North Carolina Early Childhood Equivalency Exam is a new pathway option comparable to a NC Early Childhood Credential. Applicants who achieve a score of 80% or higher on the NC Early Childhood Equivalency Exam earn the new North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to a North Carolina Early Childhood Credential and will qualify the individual to be a lead teacher in an early childhood classroom. To take the exam, go to DCDEE Moodle and select Early Childhood Professional Development/Child Care and Development Fund (CCDF)/North Carolina Early Childhood Equivalency Exam: https://www.dcdee.moodle.nc.gov/login/index.php NEW SANITATION RULES: DCDEE and the Department of Public Health have received feedback from child care programs that additional guidance would be helpful in implementing the child care sanitation rules that the Public Health Commission readopted effective July 1, 2023. Please know that no demerits will be taken for new requirements of these rules until January 2024. Until then, DPH and DCDEE will work together to make sure NC child care centers have the necessary training, technical assistance, and operational support needed to meet the new requirements. Trainings specifically for child care center operators will be hosted in the coming months. Stay tuned! TRAINING MODULES AVAIALABLE IN DCDEE MOODLE: The Division of Child Development and Early Education (DCDEE) is excited to share information about the July 2023 child care rule changes. The Child Care Commission revised rules related to staff/child ratios for multi-age groups; cooperative arrangements; and enhanced space requirements. These rule changes may or may not impact your facility. The multi-age group staff/child ratio changes support a previous rule change submitted by Early Head Start and the new rule for defining cooperative arrangements provides clarification to a previous change in statute. Consultants will assist facilities impacted by the changes to the enhanced space requirements. A summary of the changes can be accessed here, but for specific details regarding these changes, please ensure you are using the updated July 1, 2023, rules, and enroll, if necessary, and view information in the DCDEE Moodle. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle, learn how to navigate Moodle. To access Moodle, you will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, register for an individual NCID at https://ncid.nc.gov/ncidsspr/. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. RESOURCES: DIVISION OF CHILD DEVELOPMENT AND EARLY EDUCATION: • The most current provider documents, forms, checklist, and the new child care rules effective July 1, 2023, can be found on the Division of Child Development and Early’s website at https://ncchildcarencdhhs.gov . WRITTEN ITEMS GIVEN DURING VISIT: -EARLY CHILDHOOD EDUCATORS FLYER CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@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