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Home › NC › Southern Shores › THE ALL Saints School
40 Pintail Trail, Southern Shores NC 27949 · License #28000259 · Center · Child Care Center
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10A NCAC 09 .0304 · Violation
Name of Operation: THE ALL SAINTS SCHOOL Facility ID: 28000259 Consultant: MARJORIE WHITE Operation Type: Center Case Number: Visit Date: 10/20/2025 Number Present: 14 Completed Date: 10/20/2025 Age: From 1 To 3 Total Minutes: 420 Time In: 09:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced * The purpose of today’s Annual Compliance visit was to monitor compliance with applicable child care requirements and provide Technical Assistance on the QRIS rules in Section .3200. Last Annual Compliance visit – 11/19/24 18-month compliance history from 4/18/24 – 10/17/25 = 91% Last Sanitation Inspection – 6/16/25 - Superior Last Fire Inspection – 9/30/25 – Satisfactory; Daytime Care Only but expired on 7/31/25 *Sanitation and fire inspections are required at least annually by the end of the month of the previous inspection. Send fire inspections to me within seven (7) days of the inspection. Required Water, Lead Paint, and Asbestos Testing - The Clean Classrooms for Carolina Kids website reflects the following information about your center’s required three-year water testing and one-time lead paint testing, and asbestos testing: Three-year Water Testing – 3/20/25; due again 3/20/28 Lead Paint Testing –enrollment started Asbestos Testing –enrollment started *The Clean Water for Carolina Kids website still reflects that you have started enrollment but are not in the survey review phase of the project. This facility was built after 1988 and will likely be exempt from lead paint and asbestos testing when you complete enrollment and upload documentation such as property tax records to verify date building was built. This needs to be done as soon as possible. Maintain any paperwork received by mail or email in your Program Records file. *For more information check out the FAQ page at https://www.cleanwaterforuskids.org/en/carolina/. Go to the Contact Us tab if you need assistance or have questions. D. Lee, Administrator, was present and assisted me with the visit. The facility currently operates with a Four-Star Center License, issued 2/27/23. The next rated license assessment is due by 12/31/26. The Child Care Commission adopted the QRIS Modernization rules (Pathways to Stars), and the Division is moving forward with using the new QRIS rules found in Section .3200 of the NC Child Care Requirements to assess rated licenses. See QRIS Technical Assistance for more information about the transition. Note that the current program assessment tool is changing from the Early Childhood Environment Rating Scale – Revised (ECERS-R) to the Early Childhood Environment Rating Scale – 3 (ECERS-3) and the ITERS-R to the ITERS-3. Information and training on the new program assessment tool is available on the NC Rating License Assessment Project website at https://ncrlap.org/. This facility is owned by All Saints Episcopal – Southern Shores. According to the NC Secretary of State's website, this non-incorporated non-profit is current and active as of 10/17/25. License and contact information were current. Please contact me prior to any information change regarding the ownership of this facility, license updates, or contact information (address, phone, or email). I monitored the classrooms and spaces used for child care and outdoor play areas for applicable child care center requirements using the Child Care Center Requirements, effective 7/1/2025 and Item Numbers Listing, effective 4/2025. I monitored three staff records, three children’s records and all program records. The facility does not offer transportation. Center Observations: I completed a walk-through of the facility and monitored all indoor and outdoor spaces. I observed children participating in routines and developmentally appropriate activities both indoors and outdoors. Staff/child ratios and supervision were in compliance. The children in Space 1 were transitioning from breakfast to morning activities. Children in Space 2 were heading outdoors to play on the playground. They played on the smaller portable climber and swings. They used sand toys in the sandbox. The children in Space 3 were returning indoors. They put away their coats and water bottles before washing hands and moving to the tables for lunch. Lunches were brought from home. All appeared to meet USDA nutritional guidelines. After lunch, children rested on linen-covered cots.. I observed and documented the following violations during today’s visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The previous fire inspection expired on July 31, 2025. A new fire inspection was not completed until September 30, 2025. 10A NCAC 09 .0304(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The large complex climber had a purple metal plate that connected the purple ladder to the lower deck. The paint on the purple metal connector plate was peeling exposing rust underneath. .0601(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Documentation of a monthly fire drill for June 2025 was not available. .0604(t); .0302(d)(5) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Six (6) incident reports were observed in two (2) children's files. They did not include all required information such as Facility ID#, FCCH or Center, Name of Consultant, checked boxes describing the incident, location, or signature of parent and date signed. .0802 (e) 853 Incident logs were not completed and maintained as required. Six (6) incident reports were observed in two (2) children's files but were not documented on the Incident Log. .0802(g)(1-6) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A new staff member hired on May 12, 2025 did not have documentation of a negative TB test on file until May 16, 2025. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). A five-year criminal background check for a staff member expired on August 21, 2025 and was not renewed until August 27, 2025 G.S. 110-90.2(b) & .2703(n)&(o) * Child care programs are expected to achieve and always maintain compliance and are required by NC GS 110-90(4)(d) to achieve and maintain an 18-month compliance history score of at least 75%. Any violations documented may impact the compliance history score. I completed an electronic copy of the visit summary and provided a printed copy of it to you, D. Lee. I will send an electronic copy to S. Ackley, Program Manager, and All Saints Episcopal Church, Owner. We reviewed the visit summary and violation(s) documented during today’s visit. You have already corrected four of the seven violations. Correct the other three violations immediately. Send evidence of correction to me so that I receive it no later than 11/3/25. Your compliance verification letter needs to state your facility name and license number and list each violation by Item # and describe in detail when and how each violation has been corrected. Send compliance verification letter in an email from your center’s official email address, tass.hpms@gmail.com to my email address, Marjorie.White@dhhs.nc.gov. You may include the compliance verification as an attachment or in the body of the email. I will email a sample compliance verification letter to you. If sufficient information is not received by the due date, a follow-up visit may be conducted. Please be aware that any information submitted by you is legal documentation. If it is determined the information provided in the compliance letter is not true, this may be considered falsification of information. If I may be of further assistance, please contact me by phone at (252) 373-9385, by e-mail at Marjorie.White@dhhs.nc.gov. You may also call Jennifer Linhardt, Licensing Supervisor, at (252) 373-4199. Technical Assistance With Documented Violations: Annual Fire Inspection – Annual fire inspections ensure that the building meets fire codes and that your fire detection and alarm systems are operating correctly in the event of a fire. The fire inspector completed a fire inspection on 9/30/25; however, the previous fire inspection expired on 7/31/25. You stated that an initial fire inspection was completed in late July, but the church needed to fix some items and the inspector was not able to return before it expired. Have your fire and electrical systems tests and annual fire safety training completed before the inspection so that documentation is available for the fire inspector. Consider beginning this process at least three months before the actual fire inspection is due to ensure the final inspection is completed on time. This item has been corrected so no further action is required except to ensure that fire inspections are completed annually before they expire. Outdoor Equipment – Maintaining playground equipment helps to keep it safe for children and extends its life. The large complex climber had a purple metal plate that connected the purple “S” ladder to the lower deck. The paint on the purple metal connector plate was peeling exposing rust underneath. I gave this as technical assistance last spring. You stated that you had mentioned it to the church maintenance staff. You said you will make a request to sand and repaint it to maintain the integrity of the structure and to prevent children from picking at the flaking paint and possibly ingesting it. For your compliance letter, state the date when the metal plate is repaired. *The chains on the left swing are starting to rust but the rust is not flaking. Consider replacing that chain with ones similar to the swing on the right where the bottom part of the chains has a vinyl coating. Fire Drills – Regular fire and emergency drills constitute an important safety practice. The routine practice of such drills fosters a calm, competent response to an emergency when it occurs. Documentation of a monthly fire drill was not available for June 2025. You stated that the church member who completes the fire and emergency drills was out of town and a June fire drill was not scheduled. You can always do a “soft drill” and just practice with your staff. This item has been corrected. Incident Report and Incident Log – Incident Reports keep parents informed of injuries their child has at your facility and provide an opportunity for you and your staff to review your own safety and supervision practices to prevent similar injuries in the future. The center Incident Log helps to track the completion of Incident Reports since the original copy of the Incident Report is required to be maintained in the child’s file. Six incident reports observed in two children’s files (MG – Space1, CA -Space 3) did not include all required information such as Facility ID#, FCCH or Center, Name of Consultant, checked boxes describing the incident, location, or signature of parent and date signed. They were also not documented on the Incident Log. You stated that you did not review them closely enough and forgot to update the incident log. You will make a template that includes Name of Center, Facility ID, check box for Center, Consultant Name and Dare County. Review the updated Incident report with staff, reminding them to completely fill it out before having parents review. Go back through the children’s files and ensure that current incident reports have been added to the Incident Log. For your compliance letter, state when you reviewed incident report requirements with staff so that incident reports are maintained in children’s files and updated your Incident Log. TB Test - Documentation of a negative TB Test or a TB Screening received from new staff by their first day of working in your center verifies that they are free of Tuberculosis and healthy enough to work with children and other staff. L. Rock’s date of employment on the staff worksheet and in the files was listed 5/12/25, but the date of the TB test was s 5/16/25. You stated that she initially provided her TB test from her previous employer, and you did not initially notice the expired date. Once you saw that it was more than 12 months old, you had her get a new TB test. Look at all documents received from both staff and parents to ensure that all information is complete and current. This violation has been corrected. Five-Year Criminal Background Check (CBC) – Criminal Background Checks ensure that staff have not committed any crimes which could potentially make them unsafe to be around children and other staff. Because Abuse and Neglect registries are also checked, it helps to ensure that children are protected from physical, mental, and sexual abuse. Performing diligent background screenings also protects the child care facility against future legal challenges. S. Ackley, Program Manager was due for her five-year CBC check by 8/21/25 but did not complete it and receive her Qualifying Letter until 8/27/25. You stated that she was trying to get it completed before it expired but could not get a fingerprint appointment. This violation has been corrected, but I encourage you to track expiration dates for staff CBCs and have staff complete them prior to expiration with a little extra time in case there are any issues that could delay the process. *The following staff members are due for their five-year CBC in the next year: L. Rock (expires 5/5/26); D. Lee (expires 7/9/26); C. McLain (expires 9/3/26) General Visit Information: As a licensed child care facility, it is your responsibility to be knowledgeable of the child care laws and rules and to teach your staff the rules to ensure your center remains in compliance. The most recent versions of laws and rules regarding child care facilities in North Carolina are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. You can also review the “What’s New” section and download a copy of the Items Number Listing which you can use as a checklist for your program. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. Your local and regional Smart Start Partnerships and Child Care Resource and Referral Agencies and Child Care Health Consultants provide general training to meet on-going training hours, health and safety training requirements, Environment Rating Scale training and training specific to your center’s needs. They can also work with you to provide on-site technical assistance. *Children & Youth Partnership for Dare County: Phone - (252) 441-0614; website - www.darekids.org. *Albemarle Alliance for Children and Families (AACF) and Region 1 Child Care Resource and Referral: Phone – (252) 333-1233; website - www.aacfnc.org . *Healthy Behaviors Specialist: P. White – Phone (252) 333-1233; pam@aacfnc.org *The North Carolina Rated License Assessment Project (NCRLAP), www.ncrlap.org , has resources to help you and your staff prepare for the third editions of the Environment Rating Scales (ECERS-3 and ITERS-3). Visit the website for more information about updated resources, credit hour trainings, self-assessments and outreach assessment opportunities to help you become familiar with these tools. At this time the SACERS-U will continue to be the program assessment tool for school-age programs and classrooms. *Southwestern Child Development Commission, www.swcdcinc.org, Child Care Resources Inc., https://www.childcareresourcesinc.org/ and Early Years, https://www.earlyyearsnc.org/ offer DCDEE approved, on-line, self-paced and virtual real-time training and CEUs. SWCDC also offers affordable annual packages allowing you to take as many courses as you need or want for one price. Reminders: ABCMS Portal – You are working diligently to connect your staff to your facility in the ABCMS Provider Portal. You have completed the training again and are going through the process step-by-step. Staff Worksheets – We reviewed your staff worksheet. I highlighted items that were delinquent and items that are coming due in the next year. *Health and Safety Training and Five (5) Year Cycle Tracking Requirements – All staff have current H&S Training. Because L. Rock completed H&S Training in 2022 at her previous center and provided you with her log and training certificates, she does not have to complete it again until it is due in 2027. * On-going Training Hours – Review Row 18 (# hours to carry over) on the Staff Worksheets to determine how many on-going training hours returning staff will need by 11/19/25 (anniversary of last Annual Compliance visit) or by 10/20/26 anniversary of today’s Annual Compliance visit). If they have not completed the required number of on-going training hours, they have until 11/19/25 to complete them and I will check at the next monitoring visit. *C. McLain needs 1-hour on-going training by 11/19/25. Staff Education and Works – C. McLain needs to submit her transcripts to Works to see if any of her college coursework counts as ECE credits. E. Beatson has completed four classes and needs to send her updated transcripts to Works. This will move her from a QRIS 3 Star Level to a 4 Star Level. Emergency Preparedness – Your Emergency Preparedness and Response Plan (EPR) along with your Ready-to-Go File, Emergency Medical Care Plan (EMCP) and consistent practice of Fire and Emergency Drills are your center’s foundation for emergency preparedness. Fire and Emergency Drills – current Emergency Medical Care Plan – current and posted EPR Plan – updated in the Emergency Management Portal and printed 4/15/25 Additional Comments: Annual Licensing Fee - All licensed child care facilities, except for school or church-sponsored centers, that have a current license (whether active or inactive) on October 1st of each year will receive an invoice for a licensing fee based on their permitted capacity. 12 or fewer children - $52 13 – 50 children - $187 51 – 100 children - $375 101 or more children - $600 This must be paid annually. Payments must be made online by December 2025. Go to www.ncchildcare.ncdhhs.gov. Failure to pay on time may result in additional fees and/or an administrative action. Raise NC Newsletter – If you are not receiving and reading the Raise NC Newsletter, you are missing out on current relevant information about early childhood issues in North Carolina, information about proposed rules, available trainings and other information that may be of interest to you and your staff. The Raise NC Newsletter is typically sent out weekly to all facility contact email addresses, but if your email is not the facility contact email address, you can go to the DCDEE Website, https://ncchildcare.ncdhhs.gov/ and click on the “What’s New” tab. Click on “What’s New” and enter your email address and name under “Sign Up for Updates”. As an early learning professional, you need to stay in the know about issues in North Carolina that affect you and your business. Share with your staff so they can be in the know too! Keep Your NCID Active - Did you know that if you do not login on to any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. *Pro Tip: Set your calendar to remind you, your staff and your household members (CLIAR only) every 6 months to log in and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. *For assistance with NCID, contact ncid.nc.gov or 919.754.6000. Sex Offender Registry and Notification Email - North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. QRIS (Quality Rating Improvement System) Technical Assistance: During today’s visit, D. Lee and I reviewed section .3200 of the child care rules was provided using the QRIS Conversation Template and resources available on the QRIS Modernization Page https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. All the newest information on the QRIS rated license assessments and documents will be posted here and will also be provided through emails and Raise NC newsletters. Pathway 1 – Program Assessment: Since The All Saints School is electing to complete Pathway 1, we focused on those components: We reviewed current staff education to determine the facility’s expected star level based on education is 4 – 5 Stars. We walked through the CQI forms (individual and center) and Family and Community Engagement Plan. D. Lee checked items that are already met and those that she feels they can meet. We discussed information available on the NC Rated License Assessment website, www.ncrlap.org,including training and forms for the three-month self-study and other resources (videos, documents, live and recorded training) and opportunities for an outreach assessment. We completed the QRIS Conversation Template reviewing documents and resources available to you and you listed the areas where you feel you need support. Submit any education needed to be assessed to DCDEE Works by February 2026. You would like to work on your three-month Self-Assessment so that it is completed by March 2026. Your preferred window is May 2026. Action Items: 1. Prepare for the ITERS-3 assessment. Each classroom needs to complete an ITERS-3 Self-Assessment. Check out the Self-Assessment Guidelines and step-by-step process available on the NC Rated License Assessment website, www.ncrlap.org. Staff can take advantage of videos, documents, live and recorded training, and outreach assessments using the ECERS-3. Consider contacting NCRLAP and request an Outreach Assessment. Send them an email at ncrlap@uncg.edu or call at (866) 362-7527. 2. The administrator, lead teachers and teachers will complete an individual Continuous Quality Improvement Plan (CQI Plan) annually that will be reviewed and updated annually. (Doubles as Annual Professional Development Plan.) The administrator will also complete a Center Continuous Quality Improvement Plan. 3. Review the Family and Community Engagement Plan to verify that you are meeting the foundational practices and three- four of the optional practices (one from each category and the fourth from any category). D. Lee wants to meet all of them. Thank you for your time and assistance today. Refer to this visit summary for a refresher of our discussions today, and I encourage you to share with staff and use the information as a teaching tool. If you have any questions, do not hesitate to call or email me at the contact information listed above. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Generated from this facility's specific inspection record
Data synced from North Carolina's child care licensing agency on Jul 9, 2026 · Report an error
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
G.S. 110-90 · Violation
Name of Operation: THE ALL SAINTS SCHOOL Facility ID: 28000259 Consultant: MARJORIE WHITE Operation Type: Center Case Number: Visit Date: 10/20/2025 Number Present: 14 Completed Date: 10/20/2025 Age: From 1 To 3 Total Minutes: 420 Time In: 09:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced * The purpose of today’s Annual Compliance visit was to monitor compliance with applicable child care requirements and provide Technical Assistance on the QRIS rules in Section .3200. Last Annual Compliance visit – 11/19/24 18-month compliance history from 4/18/24 – 10/17/25 = 91% Last Sanitation Inspection – 6/16/25 - Superior Last Fire Inspection – 9/30/25 – Satisfactory; Daytime Care Only but expired on 7/31/25 *Sanitation and fire inspections are required at least annually by the end of the month of the previous inspection. Send fire inspections to me within seven (7) days of the inspection. Required Water, Lead Paint, and Asbestos Testing - The Clean Classrooms for Carolina Kids website reflects the following information about your center’s required three-year water testing and one-time lead paint testing, and asbestos testing: Three-year Water Testing – 3/20/25; due again 3/20/28 Lead Paint Testing –enrollment started Asbestos Testing –enrollment started *The Clean Water for Carolina Kids website still reflects that you have started enrollment but are not in the survey review phase of the project. This facility was built after 1988 and will likely be exempt from lead paint and asbestos testing when you complete enrollment and upload documentation such as property tax records to verify date building was built. This needs to be done as soon as possible. Maintain any paperwork received by mail or email in your Program Records file. *For more information check out the FAQ page at https://www.cleanwaterforuskids.org/en/carolina/. Go to the Contact Us tab if you need assistance or have questions. D. Lee, Administrator, was present and assisted me with the visit. The facility currently operates with a Four-Star Center License, issued 2/27/23. The next rated license assessment is due by 12/31/26. The Child Care Commission adopted the QRIS Modernization rules (Pathways to Stars), and the Division is moving forward with using the new QRIS rules found in Section .3200 of the NC Child Care Requirements to assess rated licenses. See QRIS Technical Assistance for more information about the transition. Note that the current program assessment tool is changing from the Early Childhood Environment Rating Scale – Revised (ECERS-R) to the Early Childhood Environment Rating Scale – 3 (ECERS-3) and the ITERS-R to the ITERS-3. Information and training on the new program assessment tool is available on the NC Rating License Assessment Project website at https://ncrlap.org/. This facility is owned by All Saints Episcopal – Southern Shores. According to the NC Secretary of State's website, this non-incorporated non-profit is current and active as of 10/17/25. License and contact information were current. Please contact me prior to any information change regarding the ownership of this facility, license updates, or contact information (address, phone, or email). I monitored the classrooms and spaces used for child care and outdoor play areas for applicable child care center requirements using the Child Care Center Requirements, effective 7/1/2025 and Item Numbers Listing, effective 4/2025. I monitored three staff records, three children’s records and all program records. The facility does not offer transportation. Center Observations: I completed a walk-through of the facility and monitored all indoor and outdoor spaces. I observed children participating in routines and developmentally appropriate activities both indoors and outdoors. Staff/child ratios and supervision were in compliance. The children in Space 1 were transitioning from breakfast to morning activities. Children in Space 2 were heading outdoors to play on the playground. They played on the smaller portable climber and swings. They used sand toys in the sandbox. The children in Space 3 were returning indoors. They put away their coats and water bottles before washing hands and moving to the tables for lunch. Lunches were brought from home. All appeared to meet USDA nutritional guidelines. After lunch, children rested on linen-covered cots.. I observed and documented the following violations during today’s visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The previous fire inspection expired on July 31, 2025. A new fire inspection was not completed until September 30, 2025. 10A NCAC 09 .0304(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The large complex climber had a purple metal plate that connected the purple ladder to the lower deck. The paint on the purple metal connector plate was peeling exposing rust underneath. .0601(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Documentation of a monthly fire drill for June 2025 was not available. .0604(t); .0302(d)(5) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Six (6) incident reports were observed in two (2) children's files. They did not include all required information such as Facility ID#, FCCH or Center, Name of Consultant, checked boxes describing the incident, location, or signature of parent and date signed. .0802 (e) 853 Incident logs were not completed and maintained as required. Six (6) incident reports were observed in two (2) children's files but were not documented on the Incident Log. .0802(g)(1-6) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A new staff member hired on May 12, 2025 did not have documentation of a negative TB test on file until May 16, 2025. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). A five-year criminal background check for a staff member expired on August 21, 2025 and was not renewed until August 27, 2025 G.S. 110-90.2(b) & .2703(n)&(o) * Child care programs are expected to achieve and always maintain compliance and are required by NC GS 110-90(4)(d) to achieve and maintain an 18-month compliance history score of at least 75%. Any violations documented may impact the compliance history score. I completed an electronic copy of the visit summary and provided a printed copy of it to you, D. Lee. I will send an electronic copy to S. Ackley, Program Manager, and All Saints Episcopal Church, Owner. We reviewed the visit summary and violation(s) documented during today’s visit. You have already corrected four of the seven violations. Correct the other three violations immediately. Send evidence of correction to me so that I receive it no later than 11/3/25. Your compliance verification letter needs to state your facility name and license number and list each violation by Item # and describe in detail when and how each violation has been corrected. Send compliance verification letter in an email from your center’s official email address, tass.hpms@gmail.com to my email address, Marjorie.White@dhhs.nc.gov. You may include the compliance verification as an attachment or in the body of the email. I will email a sample compliance verification letter to you. If sufficient information is not received by the due date, a follow-up visit may be conducted. Please be aware that any information submitted by you is legal documentation. If it is determined the information provided in the compliance letter is not true, this may be considered falsification of information. If I may be of further assistance, please contact me by phone at (252) 373-9385, by e-mail at Marjorie.White@dhhs.nc.gov. You may also call Jennifer Linhardt, Licensing Supervisor, at (252) 373-4199. Technical Assistance With Documented Violations: Annual Fire Inspection – Annual fire inspections ensure that the building meets fire codes and that your fire detection and alarm systems are operating correctly in the event of a fire. The fire inspector completed a fire inspection on 9/30/25; however, the previous fire inspection expired on 7/31/25. You stated that an initial fire inspection was completed in late July, but the church needed to fix some items and the inspector was not able to return before it expired. Have your fire and electrical systems tests and annual fire safety training completed before the inspection so that documentation is available for the fire inspector. Consider beginning this process at least three months before the actual fire inspection is due to ensure the final inspection is completed on time. This item has been corrected so no further action is required except to ensure that fire inspections are completed annually before they expire. Outdoor Equipment – Maintaining playground equipment helps to keep it safe for children and extends its life. The large complex climber had a purple metal plate that connected the purple “S” ladder to the lower deck. The paint on the purple metal connector plate was peeling exposing rust underneath. I gave this as technical assistance last spring. You stated that you had mentioned it to the church maintenance staff. You said you will make a request to sand and repaint it to maintain the integrity of the structure and to prevent children from picking at the flaking paint and possibly ingesting it. For your compliance letter, state the date when the metal plate is repaired. *The chains on the left swing are starting to rust but the rust is not flaking. Consider replacing that chain with ones similar to the swing on the right where the bottom part of the chains has a vinyl coating. Fire Drills – Regular fire and emergency drills constitute an important safety practice. The routine practice of such drills fosters a calm, competent response to an emergency when it occurs. Documentation of a monthly fire drill was not available for June 2025. You stated that the church member who completes the fire and emergency drills was out of town and a June fire drill was not scheduled. You can always do a “soft drill” and just practice with your staff. This item has been corrected. Incident Report and Incident Log – Incident Reports keep parents informed of injuries their child has at your facility and provide an opportunity for you and your staff to review your own safety and supervision practices to prevent similar injuries in the future. The center Incident Log helps to track the completion of Incident Reports since the original copy of the Incident Report is required to be maintained in the child’s file. Six incident reports observed in two children’s files (MG – Space1, CA -Space 3) did not include all required information such as Facility ID#, FCCH or Center, Name of Consultant, checked boxes describing the incident, location, or signature of parent and date signed. They were also not documented on the Incident Log. You stated that you did not review them closely enough and forgot to update the incident log. You will make a template that includes Name of Center, Facility ID, check box for Center, Consultant Name and Dare County. Review the updated Incident report with staff, reminding them to completely fill it out before having parents review. Go back through the children’s files and ensure that current incident reports have been added to the Incident Log. For your compliance letter, state when you reviewed incident report requirements with staff so that incident reports are maintained in children’s files and updated your Incident Log. TB Test - Documentation of a negative TB Test or a TB Screening received from new staff by their first day of working in your center verifies that they are free of Tuberculosis and healthy enough to work with children and other staff. L. Rock’s date of employment on the staff worksheet and in the files was listed 5/12/25, but the date of the TB test was s 5/16/25. You stated that she initially provided her TB test from her previous employer, and you did not initially notice the expired date. Once you saw that it was more than 12 months old, you had her get a new TB test. Look at all documents received from both staff and parents to ensure that all information is complete and current. This violation has been corrected. Five-Year Criminal Background Check (CBC) – Criminal Background Checks ensure that staff have not committed any crimes which could potentially make them unsafe to be around children and other staff. Because Abuse and Neglect registries are also checked, it helps to ensure that children are protected from physical, mental, and sexual abuse. Performing diligent background screenings also protects the child care facility against future legal challenges. S. Ackley, Program Manager was due for her five-year CBC check by 8/21/25 but did not complete it and receive her Qualifying Letter until 8/27/25. You stated that she was trying to get it completed before it expired but could not get a fingerprint appointment. This violation has been corrected, but I encourage you to track expiration dates for staff CBCs and have staff complete them prior to expiration with a little extra time in case there are any issues that could delay the process. *The following staff members are due for their five-year CBC in the next year: L. Rock (expires 5/5/26); D. Lee (expires 7/9/26); C. McLain (expires 9/3/26) General Visit Information: As a licensed child care facility, it is your responsibility to be knowledgeable of the child care laws and rules and to teach your staff the rules to ensure your center remains in compliance. The most recent versions of laws and rules regarding child care facilities in North Carolina are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. You can also review the “What’s New” section and download a copy of the Items Number Listing which you can use as a checklist for your program. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. Your local and regional Smart Start Partnerships and Child Care Resource and Referral Agencies and Child Care Health Consultants provide general training to meet on-going training hours, health and safety training requirements, Environment Rating Scale training and training specific to your center’s needs. They can also work with you to provide on-site technical assistance. *Children & Youth Partnership for Dare County: Phone - (252) 441-0614; website - www.darekids.org. *Albemarle Alliance for Children and Families (AACF) and Region 1 Child Care Resource and Referral: Phone – (252) 333-1233; website - www.aacfnc.org . *Healthy Behaviors Specialist: P. White – Phone (252) 333-1233; pam@aacfnc.org *The North Carolina Rated License Assessment Project (NCRLAP), www.ncrlap.org , has resources to help you and your staff prepare for the third editions of the Environment Rating Scales (ECERS-3 and ITERS-3). Visit the website for more information about updated resources, credit hour trainings, self-assessments and outreach assessment opportunities to help you become familiar with these tools. At this time the SACERS-U will continue to be the program assessment tool for school-age programs and classrooms. *Southwestern Child Development Commission, www.swcdcinc.org, Child Care Resources Inc., https://www.childcareresourcesinc.org/ and Early Years, https://www.earlyyearsnc.org/ offer DCDEE approved, on-line, self-paced and virtual real-time training and CEUs. SWCDC also offers affordable annual packages allowing you to take as many courses as you need or want for one price. Reminders: ABCMS Portal – You are working diligently to connect your staff to your facility in the ABCMS Provider Portal. You have completed the training again and are going through the process step-by-step. Staff Worksheets – We reviewed your staff worksheet. I highlighted items that were delinquent and items that are coming due in the next year. *Health and Safety Training and Five (5) Year Cycle Tracking Requirements – All staff have current H&S Training. Because L. Rock completed H&S Training in 2022 at her previous center and provided you with her log and training certificates, she does not have to complete it again until it is due in 2027. * On-going Training Hours – Review Row 18 (# hours to carry over) on the Staff Worksheets to determine how many on-going training hours returning staff will need by 11/19/25 (anniversary of last Annual Compliance visit) or by 10/20/26 anniversary of today’s Annual Compliance visit). If they have not completed the required number of on-going training hours, they have until 11/19/25 to complete them and I will check at the next monitoring visit. *C. McLain needs 1-hour on-going training by 11/19/25. Staff Education and Works – C. McLain needs to submit her transcripts to Works to see if any of her college coursework counts as ECE credits. E. Beatson has completed four classes and needs to send her updated transcripts to Works. This will move her from a QRIS 3 Star Level to a 4 Star Level. Emergency Preparedness – Your Emergency Preparedness and Response Plan (EPR) along with your Ready-to-Go File, Emergency Medical Care Plan (EMCP) and consistent practice of Fire and Emergency Drills are your center’s foundation for emergency preparedness. Fire and Emergency Drills – current Emergency Medical Care Plan – current and posted EPR Plan – updated in the Emergency Management Portal and printed 4/15/25 Additional Comments: Annual Licensing Fee - All licensed child care facilities, except for school or church-sponsored centers, that have a current license (whether active or inactive) on October 1st of each year will receive an invoice for a licensing fee based on their permitted capacity. 12 or fewer children - $52 13 – 50 children - $187 51 – 100 children - $375 101 or more children - $600 This must be paid annually. Payments must be made online by December 2025. Go to www.ncchildcare.ncdhhs.gov. Failure to pay on time may result in additional fees and/or an administrative action. Raise NC Newsletter – If you are not receiving and reading the Raise NC Newsletter, you are missing out on current relevant information about early childhood issues in North Carolina, information about proposed rules, available trainings and other information that may be of interest to you and your staff. The Raise NC Newsletter is typically sent out weekly to all facility contact email addresses, but if your email is not the facility contact email address, you can go to the DCDEE Website, https://ncchildcare.ncdhhs.gov/ and click on the “What’s New” tab. Click on “What’s New” and enter your email address and name under “Sign Up for Updates”. As an early learning professional, you need to stay in the know about issues in North Carolina that affect you and your business. Share with your staff so they can be in the know too! Keep Your NCID Active - Did you know that if you do not login on to any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. *Pro Tip: Set your calendar to remind you, your staff and your household members (CLIAR only) every 6 months to log in and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. *For assistance with NCID, contact ncid.nc.gov or 919.754.6000. Sex Offender Registry and Notification Email - North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. QRIS (Quality Rating Improvement System) Technical Assistance: During today’s visit, D. Lee and I reviewed section .3200 of the child care rules was provided using the QRIS Conversation Template and resources available on the QRIS Modernization Page https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. All the newest information on the QRIS rated license assessments and documents will be posted here and will also be provided through emails and Raise NC newsletters. Pathway 1 – Program Assessment: Since The All Saints School is electing to complete Pathway 1, we focused on those components: We reviewed current staff education to determine the facility’s expected star level based on education is 4 – 5 Stars. We walked through the CQI forms (individual and center) and Family and Community Engagement Plan. D. Lee checked items that are already met and those that she feels they can meet. We discussed information available on the NC Rated License Assessment website, www.ncrlap.org,including training and forms for the three-month self-study and other resources (videos, documents, live and recorded training) and opportunities for an outreach assessment. We completed the QRIS Conversation Template reviewing documents and resources available to you and you listed the areas where you feel you need support. Submit any education needed to be assessed to DCDEE Works by February 2026. You would like to work on your three-month Self-Assessment so that it is completed by March 2026. Your preferred window is May 2026. Action Items: 1. Prepare for the ITERS-3 assessment. Each classroom needs to complete an ITERS-3 Self-Assessment. Check out the Self-Assessment Guidelines and step-by-step process available on the NC Rated License Assessment website, www.ncrlap.org. Staff can take advantage of videos, documents, live and recorded training, and outreach assessments using the ECERS-3. Consider contacting NCRLAP and request an Outreach Assessment. Send them an email at ncrlap@uncg.edu or call at (866) 362-7527. 2. The administrator, lead teachers and teachers will complete an individual Continuous Quality Improvement Plan (CQI Plan) annually that will be reviewed and updated annually. (Doubles as Annual Professional Development Plan.) The administrator will also complete a Center Continuous Quality Improvement Plan. 3. Review the Family and Community Engagement Plan to verify that you are meeting the foundational practices and three- four of the optional practices (one from each category and the fourth from any category). D. Lee wants to meet all of them. Thank you for your time and assistance today. Refer to this visit summary for a refresher of our discussions today, and I encourage you to share with staff and use the information as a teaching tool. If you have any questions, do not hesitate to call or email me at the contact information listed above. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
NC GS 110-90 · Violation
Name of Operation: THE ALL SAINTS SCHOOL Facility ID: 28000259 Consultant: MARJORIE WHITE Operation Type: Center Case Number: Visit Date: 10/20/2025 Number Present: 14 Completed Date: 10/20/2025 Age: From 1 To 3 Total Minutes: 420 Time In: 09:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced * The purpose of today’s Annual Compliance visit was to monitor compliance with applicable child care requirements and provide Technical Assistance on the QRIS rules in Section .3200. Last Annual Compliance visit – 11/19/24 18-month compliance history from 4/18/24 – 10/17/25 = 91% Last Sanitation Inspection – 6/16/25 - Superior Last Fire Inspection – 9/30/25 – Satisfactory; Daytime Care Only but expired on 7/31/25 *Sanitation and fire inspections are required at least annually by the end of the month of the previous inspection. Send fire inspections to me within seven (7) days of the inspection. Required Water, Lead Paint, and Asbestos Testing - The Clean Classrooms for Carolina Kids website reflects the following information about your center’s required three-year water testing and one-time lead paint testing, and asbestos testing: Three-year Water Testing – 3/20/25; due again 3/20/28 Lead Paint Testing –enrollment started Asbestos Testing –enrollment started *The Clean Water for Carolina Kids website still reflects that you have started enrollment but are not in the survey review phase of the project. This facility was built after 1988 and will likely be exempt from lead paint and asbestos testing when you complete enrollment and upload documentation such as property tax records to verify date building was built. This needs to be done as soon as possible. Maintain any paperwork received by mail or email in your Program Records file. *For more information check out the FAQ page at https://www.cleanwaterforuskids.org/en/carolina/. Go to the Contact Us tab if you need assistance or have questions. D. Lee, Administrator, was present and assisted me with the visit. The facility currently operates with a Four-Star Center License, issued 2/27/23. The next rated license assessment is due by 12/31/26. The Child Care Commission adopted the QRIS Modernization rules (Pathways to Stars), and the Division is moving forward with using the new QRIS rules found in Section .3200 of the NC Child Care Requirements to assess rated licenses. See QRIS Technical Assistance for more information about the transition. Note that the current program assessment tool is changing from the Early Childhood Environment Rating Scale – Revised (ECERS-R) to the Early Childhood Environment Rating Scale – 3 (ECERS-3) and the ITERS-R to the ITERS-3. Information and training on the new program assessment tool is available on the NC Rating License Assessment Project website at https://ncrlap.org/. This facility is owned by All Saints Episcopal – Southern Shores. According to the NC Secretary of State's website, this non-incorporated non-profit is current and active as of 10/17/25. License and contact information were current. Please contact me prior to any information change regarding the ownership of this facility, license updates, or contact information (address, phone, or email). I monitored the classrooms and spaces used for child care and outdoor play areas for applicable child care center requirements using the Child Care Center Requirements, effective 7/1/2025 and Item Numbers Listing, effective 4/2025. I monitored three staff records, three children’s records and all program records. The facility does not offer transportation. Center Observations: I completed a walk-through of the facility and monitored all indoor and outdoor spaces. I observed children participating in routines and developmentally appropriate activities both indoors and outdoors. Staff/child ratios and supervision were in compliance. The children in Space 1 were transitioning from breakfast to morning activities. Children in Space 2 were heading outdoors to play on the playground. They played on the smaller portable climber and swings. They used sand toys in the sandbox. The children in Space 3 were returning indoors. They put away their coats and water bottles before washing hands and moving to the tables for lunch. Lunches were brought from home. All appeared to meet USDA nutritional guidelines. After lunch, children rested on linen-covered cots.. I observed and documented the following violations during today’s visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The previous fire inspection expired on July 31, 2025. A new fire inspection was not completed until September 30, 2025. 10A NCAC 09 .0304(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The large complex climber had a purple metal plate that connected the purple ladder to the lower deck. The paint on the purple metal connector plate was peeling exposing rust underneath. .0601(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Documentation of a monthly fire drill for June 2025 was not available. .0604(t); .0302(d)(5) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Six (6) incident reports were observed in two (2) children's files. They did not include all required information such as Facility ID#, FCCH or Center, Name of Consultant, checked boxes describing the incident, location, or signature of parent and date signed. .0802 (e) 853 Incident logs were not completed and maintained as required. Six (6) incident reports were observed in two (2) children's files but were not documented on the Incident Log. .0802(g)(1-6) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A new staff member hired on May 12, 2025 did not have documentation of a negative TB test on file until May 16, 2025. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). A five-year criminal background check for a staff member expired on August 21, 2025 and was not renewed until August 27, 2025 G.S. 110-90.2(b) & .2703(n)&(o) * Child care programs are expected to achieve and always maintain compliance and are required by NC GS 110-90(4)(d) to achieve and maintain an 18-month compliance history score of at least 75%. Any violations documented may impact the compliance history score. I completed an electronic copy of the visit summary and provided a printed copy of it to you, D. Lee. I will send an electronic copy to S. Ackley, Program Manager, and All Saints Episcopal Church, Owner. We reviewed the visit summary and violation(s) documented during today’s visit. You have already corrected four of the seven violations. Correct the other three violations immediately. Send evidence of correction to me so that I receive it no later than 11/3/25. Your compliance verification letter needs to state your facility name and license number and list each violation by Item # and describe in detail when and how each violation has been corrected. Send compliance verification letter in an email from your center’s official email address, tass.hpms@gmail.com to my email address, Marjorie.White@dhhs.nc.gov. You may include the compliance verification as an attachment or in the body of the email. I will email a sample compliance verification letter to you. If sufficient information is not received by the due date, a follow-up visit may be conducted. Please be aware that any information submitted by you is legal documentation. If it is determined the information provided in the compliance letter is not true, this may be considered falsification of information. If I may be of further assistance, please contact me by phone at (252) 373-9385, by e-mail at Marjorie.White@dhhs.nc.gov. You may also call Jennifer Linhardt, Licensing Supervisor, at (252) 373-4199. Technical Assistance With Documented Violations: Annual Fire Inspection – Annual fire inspections ensure that the building meets fire codes and that your fire detection and alarm systems are operating correctly in the event of a fire. The fire inspector completed a fire inspection on 9/30/25; however, the previous fire inspection expired on 7/31/25. You stated that an initial fire inspection was completed in late July, but the church needed to fix some items and the inspector was not able to return before it expired. Have your fire and electrical systems tests and annual fire safety training completed before the inspection so that documentation is available for the fire inspector. Consider beginning this process at least three months before the actual fire inspection is due to ensure the final inspection is completed on time. This item has been corrected so no further action is required except to ensure that fire inspections are completed annually before they expire. Outdoor Equipment – Maintaining playground equipment helps to keep it safe for children and extends its life. The large complex climber had a purple metal plate that connected the purple “S” ladder to the lower deck. The paint on the purple metal connector plate was peeling exposing rust underneath. I gave this as technical assistance last spring. You stated that you had mentioned it to the church maintenance staff. You said you will make a request to sand and repaint it to maintain the integrity of the structure and to prevent children from picking at the flaking paint and possibly ingesting it. For your compliance letter, state the date when the metal plate is repaired. *The chains on the left swing are starting to rust but the rust is not flaking. Consider replacing that chain with ones similar to the swing on the right where the bottom part of the chains has a vinyl coating. Fire Drills – Regular fire and emergency drills constitute an important safety practice. The routine practice of such drills fosters a calm, competent response to an emergency when it occurs. Documentation of a monthly fire drill was not available for June 2025. You stated that the church member who completes the fire and emergency drills was out of town and a June fire drill was not scheduled. You can always do a “soft drill” and just practice with your staff. This item has been corrected. Incident Report and Incident Log – Incident Reports keep parents informed of injuries their child has at your facility and provide an opportunity for you and your staff to review your own safety and supervision practices to prevent similar injuries in the future. The center Incident Log helps to track the completion of Incident Reports since the original copy of the Incident Report is required to be maintained in the child’s file. Six incident reports observed in two children’s files (MG – Space1, CA -Space 3) did not include all required information such as Facility ID#, FCCH or Center, Name of Consultant, checked boxes describing the incident, location, or signature of parent and date signed. They were also not documented on the Incident Log. You stated that you did not review them closely enough and forgot to update the incident log. You will make a template that includes Name of Center, Facility ID, check box for Center, Consultant Name and Dare County. Review the updated Incident report with staff, reminding them to completely fill it out before having parents review. Go back through the children’s files and ensure that current incident reports have been added to the Incident Log. For your compliance letter, state when you reviewed incident report requirements with staff so that incident reports are maintained in children’s files and updated your Incident Log. TB Test - Documentation of a negative TB Test or a TB Screening received from new staff by their first day of working in your center verifies that they are free of Tuberculosis and healthy enough to work with children and other staff. L. Rock’s date of employment on the staff worksheet and in the files was listed 5/12/25, but the date of the TB test was s 5/16/25. You stated that she initially provided her TB test from her previous employer, and you did not initially notice the expired date. Once you saw that it was more than 12 months old, you had her get a new TB test. Look at all documents received from both staff and parents to ensure that all information is complete and current. This violation has been corrected. Five-Year Criminal Background Check (CBC) – Criminal Background Checks ensure that staff have not committed any crimes which could potentially make them unsafe to be around children and other staff. Because Abuse and Neglect registries are also checked, it helps to ensure that children are protected from physical, mental, and sexual abuse. Performing diligent background screenings also protects the child care facility against future legal challenges. S. Ackley, Program Manager was due for her five-year CBC check by 8/21/25 but did not complete it and receive her Qualifying Letter until 8/27/25. You stated that she was trying to get it completed before it expired but could not get a fingerprint appointment. This violation has been corrected, but I encourage you to track expiration dates for staff CBCs and have staff complete them prior to expiration with a little extra time in case there are any issues that could delay the process. *The following staff members are due for their five-year CBC in the next year: L. Rock (expires 5/5/26); D. Lee (expires 7/9/26); C. McLain (expires 9/3/26) General Visit Information: As a licensed child care facility, it is your responsibility to be knowledgeable of the child care laws and rules and to teach your staff the rules to ensure your center remains in compliance. The most recent versions of laws and rules regarding child care facilities in North Carolina are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. You can also review the “What’s New” section and download a copy of the Items Number Listing which you can use as a checklist for your program. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. Your local and regional Smart Start Partnerships and Child Care Resource and Referral Agencies and Child Care Health Consultants provide general training to meet on-going training hours, health and safety training requirements, Environment Rating Scale training and training specific to your center’s needs. They can also work with you to provide on-site technical assistance. *Children & Youth Partnership for Dare County: Phone - (252) 441-0614; website - www.darekids.org. *Albemarle Alliance for Children and Families (AACF) and Region 1 Child Care Resource and Referral: Phone – (252) 333-1233; website - www.aacfnc.org . *Healthy Behaviors Specialist: P. White – Phone (252) 333-1233; pam@aacfnc.org *The North Carolina Rated License Assessment Project (NCRLAP), www.ncrlap.org , has resources to help you and your staff prepare for the third editions of the Environment Rating Scales (ECERS-3 and ITERS-3). Visit the website for more information about updated resources, credit hour trainings, self-assessments and outreach assessment opportunities to help you become familiar with these tools. At this time the SACERS-U will continue to be the program assessment tool for school-age programs and classrooms. *Southwestern Child Development Commission, www.swcdcinc.org, Child Care Resources Inc., https://www.childcareresourcesinc.org/ and Early Years, https://www.earlyyearsnc.org/ offer DCDEE approved, on-line, self-paced and virtual real-time training and CEUs. SWCDC also offers affordable annual packages allowing you to take as many courses as you need or want for one price. Reminders: ABCMS Portal – You are working diligently to connect your staff to your facility in the ABCMS Provider Portal. You have completed the training again and are going through the process step-by-step. Staff Worksheets – We reviewed your staff worksheet. I highlighted items that were delinquent and items that are coming due in the next year. *Health and Safety Training and Five (5) Year Cycle Tracking Requirements – All staff have current H&S Training. Because L. Rock completed H&S Training in 2022 at her previous center and provided you with her log and training certificates, she does not have to complete it again until it is due in 2027. * On-going Training Hours – Review Row 18 (# hours to carry over) on the Staff Worksheets to determine how many on-going training hours returning staff will need by 11/19/25 (anniversary of last Annual Compliance visit) or by 10/20/26 anniversary of today’s Annual Compliance visit). If they have not completed the required number of on-going training hours, they have until 11/19/25 to complete them and I will check at the next monitoring visit. *C. McLain needs 1-hour on-going training by 11/19/25. Staff Education and Works – C. McLain needs to submit her transcripts to Works to see if any of her college coursework counts as ECE credits. E. Beatson has completed four classes and needs to send her updated transcripts to Works. This will move her from a QRIS 3 Star Level to a 4 Star Level. Emergency Preparedness – Your Emergency Preparedness and Response Plan (EPR) along with your Ready-to-Go File, Emergency Medical Care Plan (EMCP) and consistent practice of Fire and Emergency Drills are your center’s foundation for emergency preparedness. Fire and Emergency Drills – current Emergency Medical Care Plan – current and posted EPR Plan – updated in the Emergency Management Portal and printed 4/15/25 Additional Comments: Annual Licensing Fee - All licensed child care facilities, except for school or church-sponsored centers, that have a current license (whether active or inactive) on October 1st of each year will receive an invoice for a licensing fee based on their permitted capacity. 12 or fewer children - $52 13 – 50 children - $187 51 – 100 children - $375 101 or more children - $600 This must be paid annually. Payments must be made online by December 2025. Go to www.ncchildcare.ncdhhs.gov. Failure to pay on time may result in additional fees and/or an administrative action. Raise NC Newsletter – If you are not receiving and reading the Raise NC Newsletter, you are missing out on current relevant information about early childhood issues in North Carolina, information about proposed rules, available trainings and other information that may be of interest to you and your staff. The Raise NC Newsletter is typically sent out weekly to all facility contact email addresses, but if your email is not the facility contact email address, you can go to the DCDEE Website, https://ncchildcare.ncdhhs.gov/ and click on the “What’s New” tab. Click on “What’s New” and enter your email address and name under “Sign Up for Updates”. As an early learning professional, you need to stay in the know about issues in North Carolina that affect you and your business. Share with your staff so they can be in the know too! Keep Your NCID Active - Did you know that if you do not login on to any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. *Pro Tip: Set your calendar to remind you, your staff and your household members (CLIAR only) every 6 months to log in and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. *For assistance with NCID, contact ncid.nc.gov or 919.754.6000. Sex Offender Registry and Notification Email - North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. QRIS (Quality Rating Improvement System) Technical Assistance: During today’s visit, D. Lee and I reviewed section .3200 of the child care rules was provided using the QRIS Conversation Template and resources available on the QRIS Modernization Page https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. All the newest information on the QRIS rated license assessments and documents will be posted here and will also be provided through emails and Raise NC newsletters. Pathway 1 – Program Assessment: Since The All Saints School is electing to complete Pathway 1, we focused on those components: We reviewed current staff education to determine the facility’s expected star level based on education is 4 – 5 Stars. We walked through the CQI forms (individual and center) and Family and Community Engagement Plan. D. Lee checked items that are already met and those that she feels they can meet. We discussed information available on the NC Rated License Assessment website, www.ncrlap.org,including training and forms for the three-month self-study and other resources (videos, documents, live and recorded training) and opportunities for an outreach assessment. We completed the QRIS Conversation Template reviewing documents and resources available to you and you listed the areas where you feel you need support. Submit any education needed to be assessed to DCDEE Works by February 2026. You would like to work on your three-month Self-Assessment so that it is completed by March 2026. Your preferred window is May 2026. Action Items: 1. Prepare for the ITERS-3 assessment. Each classroom needs to complete an ITERS-3 Self-Assessment. Check out the Self-Assessment Guidelines and step-by-step process available on the NC Rated License Assessment website, www.ncrlap.org. Staff can take advantage of videos, documents, live and recorded training, and outreach assessments using the ECERS-3. Consider contacting NCRLAP and request an Outreach Assessment. Send them an email at ncrlap@uncg.edu or call at (866) 362-7527. 2. The administrator, lead teachers and teachers will complete an individual Continuous Quality Improvement Plan (CQI Plan) annually that will be reviewed and updated annually. (Doubles as Annual Professional Development Plan.) The administrator will also complete a Center Continuous Quality Improvement Plan. 3. Review the Family and Community Engagement Plan to verify that you are meeting the foundational practices and three- four of the optional practices (one from each category and the fourth from any category). D. Lee wants to meet all of them. Thank you for your time and assistance today. Refer to this visit summary for a refresher of our discussions today, and I encourage you to share with staff and use the information as a teaching tool. If you have any questions, do not hesitate to call or email me at the contact information listed above. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0803 · Violation
Name of Operation: THE ALL SAINTS SCHOOL Facility ID: 28000259 Consultant: MARJORIE WHITE Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 16 Completed Date: 4/15/2025 Age: From 1 To 3 Total Minutes: 315 Time In: 09:15 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced * The purpose of today’s Routine Unannounced visit was to monitor compliance with applicable child care requirements. Last Annual Compliance visit – 11/19/24 18-month compliance history from 10/12/23– 4/11/25 = 91% Last Sanitation Inspection – 12/18/24 - Superior Last Fire Inspection – 7/18/24 – Satisfactory; Daytime Care Only *Sanitation and fire inspections are required at least annually by the end of the month of the previous inspection. Send fire inspections to me within seven (7) days of the inspection. Required Water, Lead Paint, and Asbestos Testing - The Clean Classrooms for Carolina Kids website reflects the following information about your center’s required three-year water testing and one-time lead paint testing, and asbestos testing: Three-year Water Testing – 3/25/25; due again 3/25/28 Lead Paint Testing – enrollment started; continue to next steps to complete the process Asbestos Testing – enrollment started; continue to next steps to complete the process Maintain any paperwork received by mail or email in your Program Records file. *For more information check out the FAQ page at https://www.cleanwaterforuskids.org/en/carolina/ D. Lee, Administrator, was present and assisted me with the visit. The facility currently operates with a Four-Star Center License, issued 2/27/23, earning points in the following components: Program (2 PTS) + Education (7 PTS) + Quality Point (1 PT) = 10 Points = 4 Stars *Quality Point met and remains in effect: Staff Benefits and Parent Involvement *The next rated license assessment is due by 2/27/2026. The proposed QRIS Modernization rules have been published and are pending adoption. Note that the current program assessment tools have changed from the Early Childhood Environment Rating Scale – Revised (ECERS-R) to the Early Childhood Environment Rating Scale – 3 (ECERS-3) and from the ITERS-R to the ITERS-3. Information and training on the new program assessment tool is available on the NC Rating License Assessment Project website at https://ncrlap.org/. This facility is owned by All Saints Episcopal – Southern Shores. According to the NC Secretary of State's website, this non-incorporated non-profit is current and active as of 4/11/25. Rev. T. Drake is the new pastor and authorized individual. Thank you for helping him complete his DHHS Criminal Background Check which is required for the pastor of any church that owns and operators a religious-sponsored child care. I also provided you with a copy of Appendix F-1 Application – Non-Profit, Unincorporated to complete and return to me. Please contact me prior to any information change regarding the ownership of this facility. License information was current. Contact me to make any changes to address, phone, or email or to request changes to the license. I monitored the classrooms and spaces used for child care and outdoor play areas for applicable child care center requirements using the Child Care Center Requirements, effective 11/1/2024 and Item Numbers Listing, effective 3/2024. I monitored three staff records and all program records. The facility does not offer transportation. Center Observations: Sixteen children, one through three years of age, were present in three classrooms with three teachers. They engaged in short group times and indoor and outdoor free play with developmentally appropriate toys and materials. Lunches were brought from home. Parents complete Nutrition Opt-out forms. After lunch, the children rested on linen-covered cots. I observed and documented the following violations during today’s visit. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. A medication permission form for Diazepaam and a medication permission form for Auvi-Q did not include the six-month authorization time frame. 10A NCAC 09 .0803(4)(6-9) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. A large directional sign stating, "Nursery & Sunday School" is being stored on the steps from Space 1 to the playground which is also used as a fire exit. GS 110-91 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. A staff member did not complete ten hours of on-going training between January 17, 2024 and January 17, 2025. .1103(a) * Child care programs are expected to achieve and always maintain compliance and are required by NC GS 110-90(4)(d) to achieve and maintain an 18-month compliance history score of at least 75%. Any violations documented may impact the compliance history score. I completed an electronic copy of the visit summary and provided a printed copy of it to you, D. Lee. We reviewed the visit summary, and the three violations documented during today’s visit. You corrected one of the violations today. Correct the other two immediately. Send evidence of correction to me so that I receive it no later than 4/29/25. Your compliance verification letter needs to state your facility name and license number and list each violation by Item # and describe in detail when and how each violation has been corrected. Do not include names of children in the compliance letter. Use their initials. Also include the following documents/pictures to verify compliance: picture of steps without the sign; copy of C. McLain’s last two-hour training certificate. Send compliance verification letter in an email from your center’s official email address, tass.hpms@gmail.com, to my email address, Marjorie.White@dhhs.nc.gov. You may include the compliance verification as an attachment or in the body of the email. I will email a sample compliance verification letter to you. If sufficient information is not received by the due date, a follow-up visit may be conducted. Please be aware that any information submitted by you is legal documentation. If it is determined the information provided in the compliance letter is not true, this may be considered falsification of information. If I may be of further assistance, please contact me by phone at (252) 373-9385, by e-mail at Marjorie.White@dhhs.nc.gov. You may also call Jennifer Linhardt, Licensing Supervisor, at (252) 373-4199. Technical Assistance with Documented Violations: Medication Permission Forms - All medications for children present at the center must have a current, completed medication permission form even if there is a Medical Action Plan. A child in Space 3 had a Medical Action Plan for diazepam with a medication permission form. Another child in Space 3 had a Medical Action Plan for Auvi-Q with a medication permission form. Neither permission form included the six-month authorization period: diazepam – 11/19/24 – 5/19/25; Auvi-q – 3/17/25 – 9/17/25. The administrator stated that she had reviewed the medication permission forms but had not paid attention to the six-month authorization at the top. Medication permission forms are valid for a defined length of time and must be updated, if needed. During the visit you contacted each of the parents to get their permission to add the six-month authorization period to the forms. They verified and you updated the forms. Note that the diazepam will need to be updated by 5/19/25 for another six months through 11/19/25. Medical Action Plans must be updated at least annually. You have corrected this today but note that this is a repeat violation from your Annual Compliance visit on 11/19/24. Fire Exits – All fire exits must always be fully accessible for safe evacuation in an emergency. A large directional sign stating “Nursery & Sunday School” is being stored on the steps leading from Space 1 to the playground which is also used as a fire exit. You stated that the church put this sign there when they took it down. You stated that you will ask them to move it. In the event of a fire or emergency that requires you to safely evacuate the building, all fire exits must be unblocked and free of materials that could slow down or impede safe evacuation of the building. For your compliance letter state the date when the sign is removed and include a picture of the back steps minus the sign. On-going Training – On-going training and professional development provides early learning staff opportunities to learn new skills and/or refresh previously learned skills. C. McLain did not complete the required number of on-going trainings hours for training cycle 1/17/24 – 1/17/25. She needed 10 hours. Documentation of 8 hours completed in April 2025 was available in her file. You stated that she only needs two more hours and is registered for ITS/SIDS Training next week.. On-going training is tracked from the Annual Compliance visit to the one- year anniversary. Planning for on-going training as part of the annual Professional Development Plan helps the administrator and staff person map out completion of on-going training for the upcoming year. For your compliance letter, state the date when C. McLain has completed her last two hours and include a copy of the training certificate. *The Health and Safety Training available on Moodle on the DCDEE website and other free training courses can also be used to help staff meet on-going training hours. *Also available on Moodle is a 14-hour Infant/Toddler Orientation that you can complete for on-going training hours and training on Supporting Children and Families Experiencing Homelessness. *ECE college coursework or coursework leading to an ECE degree counts towards on-going training hours. Each semester credit counts as 16 hours so a 3-credit class also earns 48 hours of on-going training. *Check with your local Child Care Resource & Referral for available training. *The following offer on-line training opportunities at reasonable prices and accessible at times for your busy schedules: Southwestern Child Development Commission, www.swcdcinc.org – offers individual and group packages also ProSolutions courses are still available for a fee – offers individual and group packages also *Use the On-going Training Log to document training annually. Attach copies of certificates. General Visit Information: As a licensed child care facility, it is your responsibility to be knowledgeable of the child care laws and rules and to teach your staff the rules to ensure your center remains in compliance. The most recent versions of laws and rules regarding child care facilities in North Carolina are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. You can also review the “What’s New” section and download a copy of the Items Number Listing which you can use as a checklist for your program. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. Your local and regional Smart Start Partnerships and Child Care Resource and Referral Agencies and Child Care Health Consultants provide general training to meet on-going training hours, health and safety training requirements, Environment Rating Scale training and training specific to your center’s needs. They can also work with you to provide on-site technical assistance. *Children & Youth Partnership for Dare County: Phone - (252) 441-0614; website - www.darekids.org. *Child Care Health Consultant – S. Rosser - Office: (252) 557-4208 or stacy_rosser@unc.edu *Albemarle Alliance for Children and Families (AACF) and Region 1 Child Care Resource and Referral: Phone – (252) 333-1233; website - www.aacfnc.org . *Healthy Behaviors Specialist: P. White – Phone (252) 333-1233; pam@aacfnc.org *Birth – 3 Quality Specialist: J. Davidson – Phone (252) 333-1233; joy@aacfnc.org *Southwestern Child Development Commission, www.swcdcinc.org - offers DCDEE approved, on-line, self-paced training with affordable annual packages allowing you to take as many courses as you need or want for one price. *NC Health and Safety Resource Center, https://healthychildcare.unc.edu/ - has trainers approved to offer Medication Administration, ITS/SIDS, Emergency Preparedness and Response, and required Health & Safety Trainings (in-person) and more. They also publish a quarterly E-Newsletter with an array of topics to help you provide a healthy and safe early learning and out of school environment. Reminders: ABCMS Portal - The process of notifying the Division when you have new staff (or household members for family child care homes and centers licensed in a residence) has changed and is now captured in ABCMS, the new Criminal Background Check portal. You and S. Ackley have completed the ABCMS Provider Portal Training; however, you are having difficulty accessing the ABCMS Provider Portal. Contact the Criminal Background Check Unit to request technical assistance with the ABCMS Provider Portal. Once you have access you can do the following: *In the portal, you can locate your provider codes (Provider Pay Code or Applicant Pay Code), select which code staff will use when completing an initial CBC application, five-year CBC renewal, or a Connecting Application. Print an Instruction Letter with the code and step-by-step instructions on how they complete a Connecting Application. (Potential hires and renewals can use this code as part of the application process.) *Complete your own Connecting Application so that you can learn how to do it and assist staff. Log back into the ABCMS Applicant Portal https://ncabcms.nc.gov/DCDEE/Applicant and complete your Connecting Application (no fee, no fingerprints) using either your Applicant Pay Code or Provider Pay Code. *Assist your staff with completing their Connecting Applications. Once staff are “connected” to your center, they will appear in the ABCMS Provider Portal under Applications tab -> Determination Available where you can “hire” them to your roster. *Moving forward, you will update this information in ABCMS within five days as staff members are hired or terminated. This is a child care requirement that you notify the Division (through this new process) within five days when new staff are hired. *Staff can be connected to multiple facilities. A staff person who manages multiple facilities can receive multiple facility access codes. • If you need assistance using the ABCMS Provider Portal, contact the Criminal Background Check Unit at (919) 814-6401 or DCDEE_ABCMS_Provider@dhhs.nc.gov and someone will assist you. • If you or your staff need assistance with your NCID, contact https://myNCID.nc.gov or (919) 754-6000. I will review your facility roster to verify that current staff are listed at your next visit. Staff Worksheets – We reviewed your staff worksheet. I highlighted items that were delinquent and items that are coming due in the next year. *Schedule annual staff evaluations and professional development plans for May 2025. *Update Staff Emergency Forms and Health Questionnaires in July 2025 *CPR/First Aid due for new staff, C. Meekins, by 5/5/25 *You currently do not have any infants enrolled, but ITS/SIDS training is expiring or getting ready to expire for C. McLain (exp 2/17/25); E. Beatson (exp 5/25/25) Health and Safety Training and Five (5) Year Cycle Tracking Requirements – Review Row 17 on Staff Worksheet for initial and five-year H&S Training renewal dates. New staff need to complete Recognizing and Responding to Suspicions of Child Maltreatment and CPR/First Aid within three months of hire and the rest of the training modules within twelve months. On-going Training Hours – Review Row 18 (# hours to carry over) on the Staff Worksheets to determine how many on-going training hours returning staff will need by 11/19/25 (anniversary of last Annual Compliance visit). Fire and Emergency Drills – current Emergency Medical Care Plan – current and posted EPR Plan – updated in the Emergency Management Portal and printed 4/15/25 Bottle Preparation – Children in Space 1 are one-year of age, but one is still being fed a bottle. You may not do bottle prep in that classroom because there is not a designated food prep sink. Bottles must be labeled with the child’s name and dated. Once a bottle is served to a child, it may not be served again. Outdoor Play Equipment – Outdoor play equipment takes a beating from the sun and elements and the children. Inspecting play equipment and removing it from the playground when broken keeps children safe. On the playground a red tricycle has a broken plastic seat creating sharp edges that could cut or scrape a child especially with “short” season arriving. The tricycle is also rusty. Discard by removing it from the play area and the premises. The plate connecting the “S” ladder to the lower platform has peeling purple paint that is flaking off and exposing rust underneath. Sand and repaint it to maintain the integrity of the structure and to prevent children from picking at the flaking paint and possibly ingesting it. You stated that you will inform the church of the flaking paint on the climber and will check all portable play equipment and dispose of, as needed. *When items on the playground are broken, remove them from the play area immediately and dispose of them as soon as possible to prevent a pile of broken toys from becoming a hiding place for vermin. *Watch the chain on the left swing and the purple bell on climber. They are starting to rust. Replace it soon. *It’s spring. Time to keep the outdoor play space mowed and trimmed along the fence. Also check for wasp nests on play equipment. Keep a check for ant hills on the playground. Additional Comments: Raise NC Newsletter – If you are not receiving and reading the Raise NC Newsletter, you are missing out on current relevant information about early childhood issues in North Carolina, information about proposed rules, available trainings and other information that may be of interest to you. The Raise NC Newsletter is typically sent out weekly to all facility contact email addresses, but if your email is not the facility contact email address, you can go to the DCDEE Website, https://ncchildcare.ncdhhs.gov/ and click on the “What’s New” tab. Click on “What’s New” and enter your email address and name under “Sign Up for Updates”. As an early learning professional, you need to stay in the know about issues in North Carolina that affect you and your business. I shared information on the following topics and emailed the information to you after the visit: 1. Free Training – Healthy Social Behaviors Webinar: Helping Children Express Their Wants and Needs 2. Important! NCID Password Rule Changing and Tips to Keep NCID Updated 3. Update on QRIS Modernization – Proposed Rules pending adoption 4. Moodle Helpful Hints 5. Environment Rating Scales – Get Ready for the 3’s! Thank you for your time and assistance today. Refer to this visit summary for a refresher of our discussions today, and I encourage you to share with staff and use the information as a teaching tool. If you have any questions, do not hesitate to call or email me at the contact information listed above. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
GS 110-91 · Violation
Name of Operation: THE ALL SAINTS SCHOOL Facility ID: 28000259 Consultant: MARJORIE WHITE Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 16 Completed Date: 4/15/2025 Age: From 1 To 3 Total Minutes: 315 Time In: 09:15 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced * The purpose of today’s Routine Unannounced visit was to monitor compliance with applicable child care requirements. Last Annual Compliance visit – 11/19/24 18-month compliance history from 10/12/23– 4/11/25 = 91% Last Sanitation Inspection – 12/18/24 - Superior Last Fire Inspection – 7/18/24 – Satisfactory; Daytime Care Only *Sanitation and fire inspections are required at least annually by the end of the month of the previous inspection. Send fire inspections to me within seven (7) days of the inspection. Required Water, Lead Paint, and Asbestos Testing - The Clean Classrooms for Carolina Kids website reflects the following information about your center’s required three-year water testing and one-time lead paint testing, and asbestos testing: Three-year Water Testing – 3/25/25; due again 3/25/28 Lead Paint Testing – enrollment started; continue to next steps to complete the process Asbestos Testing – enrollment started; continue to next steps to complete the process Maintain any paperwork received by mail or email in your Program Records file. *For more information check out the FAQ page at https://www.cleanwaterforuskids.org/en/carolina/ D. Lee, Administrator, was present and assisted me with the visit. The facility currently operates with a Four-Star Center License, issued 2/27/23, earning points in the following components: Program (2 PTS) + Education (7 PTS) + Quality Point (1 PT) = 10 Points = 4 Stars *Quality Point met and remains in effect: Staff Benefits and Parent Involvement *The next rated license assessment is due by 2/27/2026. The proposed QRIS Modernization rules have been published and are pending adoption. Note that the current program assessment tools have changed from the Early Childhood Environment Rating Scale – Revised (ECERS-R) to the Early Childhood Environment Rating Scale – 3 (ECERS-3) and from the ITERS-R to the ITERS-3. Information and training on the new program assessment tool is available on the NC Rating License Assessment Project website at https://ncrlap.org/. This facility is owned by All Saints Episcopal – Southern Shores. According to the NC Secretary of State's website, this non-incorporated non-profit is current and active as of 4/11/25. Rev. T. Drake is the new pastor and authorized individual. Thank you for helping him complete his DHHS Criminal Background Check which is required for the pastor of any church that owns and operators a religious-sponsored child care. I also provided you with a copy of Appendix F-1 Application – Non-Profit, Unincorporated to complete and return to me. Please contact me prior to any information change regarding the ownership of this facility. License information was current. Contact me to make any changes to address, phone, or email or to request changes to the license. I monitored the classrooms and spaces used for child care and outdoor play areas for applicable child care center requirements using the Child Care Center Requirements, effective 11/1/2024 and Item Numbers Listing, effective 3/2024. I monitored three staff records and all program records. The facility does not offer transportation. Center Observations: Sixteen children, one through three years of age, were present in three classrooms with three teachers. They engaged in short group times and indoor and outdoor free play with developmentally appropriate toys and materials. Lunches were brought from home. Parents complete Nutrition Opt-out forms. After lunch, the children rested on linen-covered cots. I observed and documented the following violations during today’s visit. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. A medication permission form for Diazepaam and a medication permission form for Auvi-Q did not include the six-month authorization time frame. 10A NCAC 09 .0803(4)(6-9) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. A large directional sign stating, "Nursery & Sunday School" is being stored on the steps from Space 1 to the playground which is also used as a fire exit. GS 110-91 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. A staff member did not complete ten hours of on-going training between January 17, 2024 and January 17, 2025. .1103(a) * Child care programs are expected to achieve and always maintain compliance and are required by NC GS 110-90(4)(d) to achieve and maintain an 18-month compliance history score of at least 75%. Any violations documented may impact the compliance history score. I completed an electronic copy of the visit summary and provided a printed copy of it to you, D. Lee. We reviewed the visit summary, and the three violations documented during today’s visit. You corrected one of the violations today. Correct the other two immediately. Send evidence of correction to me so that I receive it no later than 4/29/25. Your compliance verification letter needs to state your facility name and license number and list each violation by Item # and describe in detail when and how each violation has been corrected. Do not include names of children in the compliance letter. Use their initials. Also include the following documents/pictures to verify compliance: picture of steps without the sign; copy of C. McLain’s last two-hour training certificate. Send compliance verification letter in an email from your center’s official email address, tass.hpms@gmail.com, to my email address, Marjorie.White@dhhs.nc.gov. You may include the compliance verification as an attachment or in the body of the email. I will email a sample compliance verification letter to you. If sufficient information is not received by the due date, a follow-up visit may be conducted. Please be aware that any information submitted by you is legal documentation. If it is determined the information provided in the compliance letter is not true, this may be considered falsification of information. If I may be of further assistance, please contact me by phone at (252) 373-9385, by e-mail at Marjorie.White@dhhs.nc.gov. You may also call Jennifer Linhardt, Licensing Supervisor, at (252) 373-4199. Technical Assistance with Documented Violations: Medication Permission Forms - All medications for children present at the center must have a current, completed medication permission form even if there is a Medical Action Plan. A child in Space 3 had a Medical Action Plan for diazepam with a medication permission form. Another child in Space 3 had a Medical Action Plan for Auvi-Q with a medication permission form. Neither permission form included the six-month authorization period: diazepam – 11/19/24 – 5/19/25; Auvi-q – 3/17/25 – 9/17/25. The administrator stated that she had reviewed the medication permission forms but had not paid attention to the six-month authorization at the top. Medication permission forms are valid for a defined length of time and must be updated, if needed. During the visit you contacted each of the parents to get their permission to add the six-month authorization period to the forms. They verified and you updated the forms. Note that the diazepam will need to be updated by 5/19/25 for another six months through 11/19/25. Medical Action Plans must be updated at least annually. You have corrected this today but note that this is a repeat violation from your Annual Compliance visit on 11/19/24. Fire Exits – All fire exits must always be fully accessible for safe evacuation in an emergency. A large directional sign stating “Nursery & Sunday School” is being stored on the steps leading from Space 1 to the playground which is also used as a fire exit. You stated that the church put this sign there when they took it down. You stated that you will ask them to move it. In the event of a fire or emergency that requires you to safely evacuate the building, all fire exits must be unblocked and free of materials that could slow down or impede safe evacuation of the building. For your compliance letter state the date when the sign is removed and include a picture of the back steps minus the sign. On-going Training – On-going training and professional development provides early learning staff opportunities to learn new skills and/or refresh previously learned skills. C. McLain did not complete the required number of on-going trainings hours for training cycle 1/17/24 – 1/17/25. She needed 10 hours. Documentation of 8 hours completed in April 2025 was available in her file. You stated that she only needs two more hours and is registered for ITS/SIDS Training next week.. On-going training is tracked from the Annual Compliance visit to the one- year anniversary. Planning for on-going training as part of the annual Professional Development Plan helps the administrator and staff person map out completion of on-going training for the upcoming year. For your compliance letter, state the date when C. McLain has completed her last two hours and include a copy of the training certificate. *The Health and Safety Training available on Moodle on the DCDEE website and other free training courses can also be used to help staff meet on-going training hours. *Also available on Moodle is a 14-hour Infant/Toddler Orientation that you can complete for on-going training hours and training on Supporting Children and Families Experiencing Homelessness. *ECE college coursework or coursework leading to an ECE degree counts towards on-going training hours. Each semester credit counts as 16 hours so a 3-credit class also earns 48 hours of on-going training. *Check with your local Child Care Resource & Referral for available training. *The following offer on-line training opportunities at reasonable prices and accessible at times for your busy schedules: Southwestern Child Development Commission, www.swcdcinc.org – offers individual and group packages also ProSolutions courses are still available for a fee – offers individual and group packages also *Use the On-going Training Log to document training annually. Attach copies of certificates. General Visit Information: As a licensed child care facility, it is your responsibility to be knowledgeable of the child care laws and rules and to teach your staff the rules to ensure your center remains in compliance. The most recent versions of laws and rules regarding child care facilities in North Carolina are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. You can also review the “What’s New” section and download a copy of the Items Number Listing which you can use as a checklist for your program. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. Your local and regional Smart Start Partnerships and Child Care Resource and Referral Agencies and Child Care Health Consultants provide general training to meet on-going training hours, health and safety training requirements, Environment Rating Scale training and training specific to your center’s needs. They can also work with you to provide on-site technical assistance. *Children & Youth Partnership for Dare County: Phone - (252) 441-0614; website - www.darekids.org. *Child Care Health Consultant – S. Rosser - Office: (252) 557-4208 or stacy_rosser@unc.edu *Albemarle Alliance for Children and Families (AACF) and Region 1 Child Care Resource and Referral: Phone – (252) 333-1233; website - www.aacfnc.org . *Healthy Behaviors Specialist: P. White – Phone (252) 333-1233; pam@aacfnc.org *Birth – 3 Quality Specialist: J. Davidson – Phone (252) 333-1233; joy@aacfnc.org *Southwestern Child Development Commission, www.swcdcinc.org - offers DCDEE approved, on-line, self-paced training with affordable annual packages allowing you to take as many courses as you need or want for one price. *NC Health and Safety Resource Center, https://healthychildcare.unc.edu/ - has trainers approved to offer Medication Administration, ITS/SIDS, Emergency Preparedness and Response, and required Health & Safety Trainings (in-person) and more. They also publish a quarterly E-Newsletter with an array of topics to help you provide a healthy and safe early learning and out of school environment. Reminders: ABCMS Portal - The process of notifying the Division when you have new staff (or household members for family child care homes and centers licensed in a residence) has changed and is now captured in ABCMS, the new Criminal Background Check portal. You and S. Ackley have completed the ABCMS Provider Portal Training; however, you are having difficulty accessing the ABCMS Provider Portal. Contact the Criminal Background Check Unit to request technical assistance with the ABCMS Provider Portal. Once you have access you can do the following: *In the portal, you can locate your provider codes (Provider Pay Code or Applicant Pay Code), select which code staff will use when completing an initial CBC application, five-year CBC renewal, or a Connecting Application. Print an Instruction Letter with the code and step-by-step instructions on how they complete a Connecting Application. (Potential hires and renewals can use this code as part of the application process.) *Complete your own Connecting Application so that you can learn how to do it and assist staff. Log back into the ABCMS Applicant Portal https://ncabcms.nc.gov/DCDEE/Applicant and complete your Connecting Application (no fee, no fingerprints) using either your Applicant Pay Code or Provider Pay Code. *Assist your staff with completing their Connecting Applications. Once staff are “connected” to your center, they will appear in the ABCMS Provider Portal under Applications tab -> Determination Available where you can “hire” them to your roster. *Moving forward, you will update this information in ABCMS within five days as staff members are hired or terminated. This is a child care requirement that you notify the Division (through this new process) within five days when new staff are hired. *Staff can be connected to multiple facilities. A staff person who manages multiple facilities can receive multiple facility access codes. • If you need assistance using the ABCMS Provider Portal, contact the Criminal Background Check Unit at (919) 814-6401 or DCDEE_ABCMS_Provider@dhhs.nc.gov and someone will assist you. • If you or your staff need assistance with your NCID, contact https://myNCID.nc.gov or (919) 754-6000. I will review your facility roster to verify that current staff are listed at your next visit. Staff Worksheets – We reviewed your staff worksheet. I highlighted items that were delinquent and items that are coming due in the next year. *Schedule annual staff evaluations and professional development plans for May 2025. *Update Staff Emergency Forms and Health Questionnaires in July 2025 *CPR/First Aid due for new staff, C. Meekins, by 5/5/25 *You currently do not have any infants enrolled, but ITS/SIDS training is expiring or getting ready to expire for C. McLain (exp 2/17/25); E. Beatson (exp 5/25/25) Health and Safety Training and Five (5) Year Cycle Tracking Requirements – Review Row 17 on Staff Worksheet for initial and five-year H&S Training renewal dates. New staff need to complete Recognizing and Responding to Suspicions of Child Maltreatment and CPR/First Aid within three months of hire and the rest of the training modules within twelve months. On-going Training Hours – Review Row 18 (# hours to carry over) on the Staff Worksheets to determine how many on-going training hours returning staff will need by 11/19/25 (anniversary of last Annual Compliance visit). Fire and Emergency Drills – current Emergency Medical Care Plan – current and posted EPR Plan – updated in the Emergency Management Portal and printed 4/15/25 Bottle Preparation – Children in Space 1 are one-year of age, but one is still being fed a bottle. You may not do bottle prep in that classroom because there is not a designated food prep sink. Bottles must be labeled with the child’s name and dated. Once a bottle is served to a child, it may not be served again. Outdoor Play Equipment – Outdoor play equipment takes a beating from the sun and elements and the children. Inspecting play equipment and removing it from the playground when broken keeps children safe. On the playground a red tricycle has a broken plastic seat creating sharp edges that could cut or scrape a child especially with “short” season arriving. The tricycle is also rusty. Discard by removing it from the play area and the premises. The plate connecting the “S” ladder to the lower platform has peeling purple paint that is flaking off and exposing rust underneath. Sand and repaint it to maintain the integrity of the structure and to prevent children from picking at the flaking paint and possibly ingesting it. You stated that you will inform the church of the flaking paint on the climber and will check all portable play equipment and dispose of, as needed. *When items on the playground are broken, remove them from the play area immediately and dispose of them as soon as possible to prevent a pile of broken toys from becoming a hiding place for vermin. *Watch the chain on the left swing and the purple bell on climber. They are starting to rust. Replace it soon. *It’s spring. Time to keep the outdoor play space mowed and trimmed along the fence. Also check for wasp nests on play equipment. Keep a check for ant hills on the playground. Additional Comments: Raise NC Newsletter – If you are not receiving and reading the Raise NC Newsletter, you are missing out on current relevant information about early childhood issues in North Carolina, information about proposed rules, available trainings and other information that may be of interest to you. The Raise NC Newsletter is typically sent out weekly to all facility contact email addresses, but if your email is not the facility contact email address, you can go to the DCDEE Website, https://ncchildcare.ncdhhs.gov/ and click on the “What’s New” tab. Click on “What’s New” and enter your email address and name under “Sign Up for Updates”. As an early learning professional, you need to stay in the know about issues in North Carolina that affect you and your business. I shared information on the following topics and emailed the information to you after the visit: 1. Free Training – Healthy Social Behaviors Webinar: Helping Children Express Their Wants and Needs 2. Important! NCID Password Rule Changing and Tips to Keep NCID Updated 3. Update on QRIS Modernization – Proposed Rules pending adoption 4. Moodle Helpful Hints 5. Environment Rating Scales – Get Ready for the 3’s! Thank you for your time and assistance today. Refer to this visit summary for a refresher of our discussions today, and I encourage you to share with staff and use the information as a teaching tool. If you have any questions, do not hesitate to call or email me at the contact information listed above. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
NC GS 110-90 · Violation
Name of Operation: THE ALL SAINTS SCHOOL Facility ID: 28000259 Consultant: MARJORIE WHITE Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 16 Completed Date: 4/15/2025 Age: From 1 To 3 Total Minutes: 315 Time In: 09:15 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced * The purpose of today’s Routine Unannounced visit was to monitor compliance with applicable child care requirements. Last Annual Compliance visit – 11/19/24 18-month compliance history from 10/12/23– 4/11/25 = 91% Last Sanitation Inspection – 12/18/24 - Superior Last Fire Inspection – 7/18/24 – Satisfactory; Daytime Care Only *Sanitation and fire inspections are required at least annually by the end of the month of the previous inspection. Send fire inspections to me within seven (7) days of the inspection. Required Water, Lead Paint, and Asbestos Testing - The Clean Classrooms for Carolina Kids website reflects the following information about your center’s required three-year water testing and one-time lead paint testing, and asbestos testing: Three-year Water Testing – 3/25/25; due again 3/25/28 Lead Paint Testing – enrollment started; continue to next steps to complete the process Asbestos Testing – enrollment started; continue to next steps to complete the process Maintain any paperwork received by mail or email in your Program Records file. *For more information check out the FAQ page at https://www.cleanwaterforuskids.org/en/carolina/ D. Lee, Administrator, was present and assisted me with the visit. The facility currently operates with a Four-Star Center License, issued 2/27/23, earning points in the following components: Program (2 PTS) + Education (7 PTS) + Quality Point (1 PT) = 10 Points = 4 Stars *Quality Point met and remains in effect: Staff Benefits and Parent Involvement *The next rated license assessment is due by 2/27/2026. The proposed QRIS Modernization rules have been published and are pending adoption. Note that the current program assessment tools have changed from the Early Childhood Environment Rating Scale – Revised (ECERS-R) to the Early Childhood Environment Rating Scale – 3 (ECERS-3) and from the ITERS-R to the ITERS-3. Information and training on the new program assessment tool is available on the NC Rating License Assessment Project website at https://ncrlap.org/. This facility is owned by All Saints Episcopal – Southern Shores. According to the NC Secretary of State's website, this non-incorporated non-profit is current and active as of 4/11/25. Rev. T. Drake is the new pastor and authorized individual. Thank you for helping him complete his DHHS Criminal Background Check which is required for the pastor of any church that owns and operators a religious-sponsored child care. I also provided you with a copy of Appendix F-1 Application – Non-Profit, Unincorporated to complete and return to me. Please contact me prior to any information change regarding the ownership of this facility. License information was current. Contact me to make any changes to address, phone, or email or to request changes to the license. I monitored the classrooms and spaces used for child care and outdoor play areas for applicable child care center requirements using the Child Care Center Requirements, effective 11/1/2024 and Item Numbers Listing, effective 3/2024. I monitored three staff records and all program records. The facility does not offer transportation. Center Observations: Sixteen children, one through three years of age, were present in three classrooms with three teachers. They engaged in short group times and indoor and outdoor free play with developmentally appropriate toys and materials. Lunches were brought from home. Parents complete Nutrition Opt-out forms. After lunch, the children rested on linen-covered cots. I observed and documented the following violations during today’s visit. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. A medication permission form for Diazepaam and a medication permission form for Auvi-Q did not include the six-month authorization time frame. 10A NCAC 09 .0803(4)(6-9) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. A large directional sign stating, "Nursery & Sunday School" is being stored on the steps from Space 1 to the playground which is also used as a fire exit. GS 110-91 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. A staff member did not complete ten hours of on-going training between January 17, 2024 and January 17, 2025. .1103(a) * Child care programs are expected to achieve and always maintain compliance and are required by NC GS 110-90(4)(d) to achieve and maintain an 18-month compliance history score of at least 75%. Any violations documented may impact the compliance history score. I completed an electronic copy of the visit summary and provided a printed copy of it to you, D. Lee. We reviewed the visit summary, and the three violations documented during today’s visit. You corrected one of the violations today. Correct the other two immediately. Send evidence of correction to me so that I receive it no later than 4/29/25. Your compliance verification letter needs to state your facility name and license number and list each violation by Item # and describe in detail when and how each violation has been corrected. Do not include names of children in the compliance letter. Use their initials. Also include the following documents/pictures to verify compliance: picture of steps without the sign; copy of C. McLain’s last two-hour training certificate. Send compliance verification letter in an email from your center’s official email address, tass.hpms@gmail.com, to my email address, Marjorie.White@dhhs.nc.gov. You may include the compliance verification as an attachment or in the body of the email. I will email a sample compliance verification letter to you. If sufficient information is not received by the due date, a follow-up visit may be conducted. Please be aware that any information submitted by you is legal documentation. If it is determined the information provided in the compliance letter is not true, this may be considered falsification of information. If I may be of further assistance, please contact me by phone at (252) 373-9385, by e-mail at Marjorie.White@dhhs.nc.gov. You may also call Jennifer Linhardt, Licensing Supervisor, at (252) 373-4199. Technical Assistance with Documented Violations: Medication Permission Forms - All medications for children present at the center must have a current, completed medication permission form even if there is a Medical Action Plan. A child in Space 3 had a Medical Action Plan for diazepam with a medication permission form. Another child in Space 3 had a Medical Action Plan for Auvi-Q with a medication permission form. Neither permission form included the six-month authorization period: diazepam – 11/19/24 – 5/19/25; Auvi-q – 3/17/25 – 9/17/25. The administrator stated that she had reviewed the medication permission forms but had not paid attention to the six-month authorization at the top. Medication permission forms are valid for a defined length of time and must be updated, if needed. During the visit you contacted each of the parents to get their permission to add the six-month authorization period to the forms. They verified and you updated the forms. Note that the diazepam will need to be updated by 5/19/25 for another six months through 11/19/25. Medical Action Plans must be updated at least annually. You have corrected this today but note that this is a repeat violation from your Annual Compliance visit on 11/19/24. Fire Exits – All fire exits must always be fully accessible for safe evacuation in an emergency. A large directional sign stating “Nursery & Sunday School” is being stored on the steps leading from Space 1 to the playground which is also used as a fire exit. You stated that the church put this sign there when they took it down. You stated that you will ask them to move it. In the event of a fire or emergency that requires you to safely evacuate the building, all fire exits must be unblocked and free of materials that could slow down or impede safe evacuation of the building. For your compliance letter state the date when the sign is removed and include a picture of the back steps minus the sign. On-going Training – On-going training and professional development provides early learning staff opportunities to learn new skills and/or refresh previously learned skills. C. McLain did not complete the required number of on-going trainings hours for training cycle 1/17/24 – 1/17/25. She needed 10 hours. Documentation of 8 hours completed in April 2025 was available in her file. You stated that she only needs two more hours and is registered for ITS/SIDS Training next week.. On-going training is tracked from the Annual Compliance visit to the one- year anniversary. Planning for on-going training as part of the annual Professional Development Plan helps the administrator and staff person map out completion of on-going training for the upcoming year. For your compliance letter, state the date when C. McLain has completed her last two hours and include a copy of the training certificate. *The Health and Safety Training available on Moodle on the DCDEE website and other free training courses can also be used to help staff meet on-going training hours. *Also available on Moodle is a 14-hour Infant/Toddler Orientation that you can complete for on-going training hours and training on Supporting Children and Families Experiencing Homelessness. *ECE college coursework or coursework leading to an ECE degree counts towards on-going training hours. Each semester credit counts as 16 hours so a 3-credit class also earns 48 hours of on-going training. *Check with your local Child Care Resource & Referral for available training. *The following offer on-line training opportunities at reasonable prices and accessible at times for your busy schedules: Southwestern Child Development Commission, www.swcdcinc.org – offers individual and group packages also ProSolutions courses are still available for a fee – offers individual and group packages also *Use the On-going Training Log to document training annually. Attach copies of certificates. General Visit Information: As a licensed child care facility, it is your responsibility to be knowledgeable of the child care laws and rules and to teach your staff the rules to ensure your center remains in compliance. The most recent versions of laws and rules regarding child care facilities in North Carolina are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. You can also review the “What’s New” section and download a copy of the Items Number Listing which you can use as a checklist for your program. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. Your local and regional Smart Start Partnerships and Child Care Resource and Referral Agencies and Child Care Health Consultants provide general training to meet on-going training hours, health and safety training requirements, Environment Rating Scale training and training specific to your center’s needs. They can also work with you to provide on-site technical assistance. *Children & Youth Partnership for Dare County: Phone - (252) 441-0614; website - www.darekids.org. *Child Care Health Consultant – S. Rosser - Office: (252) 557-4208 or stacy_rosser@unc.edu *Albemarle Alliance for Children and Families (AACF) and Region 1 Child Care Resource and Referral: Phone – (252) 333-1233; website - www.aacfnc.org . *Healthy Behaviors Specialist: P. White – Phone (252) 333-1233; pam@aacfnc.org *Birth – 3 Quality Specialist: J. Davidson – Phone (252) 333-1233; joy@aacfnc.org *Southwestern Child Development Commission, www.swcdcinc.org - offers DCDEE approved, on-line, self-paced training with affordable annual packages allowing you to take as many courses as you need or want for one price. *NC Health and Safety Resource Center, https://healthychildcare.unc.edu/ - has trainers approved to offer Medication Administration, ITS/SIDS, Emergency Preparedness and Response, and required Health & Safety Trainings (in-person) and more. They also publish a quarterly E-Newsletter with an array of topics to help you provide a healthy and safe early learning and out of school environment. Reminders: ABCMS Portal - The process of notifying the Division when you have new staff (or household members for family child care homes and centers licensed in a residence) has changed and is now captured in ABCMS, the new Criminal Background Check portal. You and S. Ackley have completed the ABCMS Provider Portal Training; however, you are having difficulty accessing the ABCMS Provider Portal. Contact the Criminal Background Check Unit to request technical assistance with the ABCMS Provider Portal. Once you have access you can do the following: *In the portal, you can locate your provider codes (Provider Pay Code or Applicant Pay Code), select which code staff will use when completing an initial CBC application, five-year CBC renewal, or a Connecting Application. Print an Instruction Letter with the code and step-by-step instructions on how they complete a Connecting Application. (Potential hires and renewals can use this code as part of the application process.) *Complete your own Connecting Application so that you can learn how to do it and assist staff. Log back into the ABCMS Applicant Portal https://ncabcms.nc.gov/DCDEE/Applicant and complete your Connecting Application (no fee, no fingerprints) using either your Applicant Pay Code or Provider Pay Code. *Assist your staff with completing their Connecting Applications. Once staff are “connected” to your center, they will appear in the ABCMS Provider Portal under Applications tab -> Determination Available where you can “hire” them to your roster. *Moving forward, you will update this information in ABCMS within five days as staff members are hired or terminated. This is a child care requirement that you notify the Division (through this new process) within five days when new staff are hired. *Staff can be connected to multiple facilities. A staff person who manages multiple facilities can receive multiple facility access codes. • If you need assistance using the ABCMS Provider Portal, contact the Criminal Background Check Unit at (919) 814-6401 or DCDEE_ABCMS_Provider@dhhs.nc.gov and someone will assist you. • If you or your staff need assistance with your NCID, contact https://myNCID.nc.gov or (919) 754-6000. I will review your facility roster to verify that current staff are listed at your next visit. Staff Worksheets – We reviewed your staff worksheet. I highlighted items that were delinquent and items that are coming due in the next year. *Schedule annual staff evaluations and professional development plans for May 2025. *Update Staff Emergency Forms and Health Questionnaires in July 2025 *CPR/First Aid due for new staff, C. Meekins, by 5/5/25 *You currently do not have any infants enrolled, but ITS/SIDS training is expiring or getting ready to expire for C. McLain (exp 2/17/25); E. Beatson (exp 5/25/25) Health and Safety Training and Five (5) Year Cycle Tracking Requirements – Review Row 17 on Staff Worksheet for initial and five-year H&S Training renewal dates. New staff need to complete Recognizing and Responding to Suspicions of Child Maltreatment and CPR/First Aid within three months of hire and the rest of the training modules within twelve months. On-going Training Hours – Review Row 18 (# hours to carry over) on the Staff Worksheets to determine how many on-going training hours returning staff will need by 11/19/25 (anniversary of last Annual Compliance visit). Fire and Emergency Drills – current Emergency Medical Care Plan – current and posted EPR Plan – updated in the Emergency Management Portal and printed 4/15/25 Bottle Preparation – Children in Space 1 are one-year of age, but one is still being fed a bottle. You may not do bottle prep in that classroom because there is not a designated food prep sink. Bottles must be labeled with the child’s name and dated. Once a bottle is served to a child, it may not be served again. Outdoor Play Equipment – Outdoor play equipment takes a beating from the sun and elements and the children. Inspecting play equipment and removing it from the playground when broken keeps children safe. On the playground a red tricycle has a broken plastic seat creating sharp edges that could cut or scrape a child especially with “short” season arriving. The tricycle is also rusty. Discard by removing it from the play area and the premises. The plate connecting the “S” ladder to the lower platform has peeling purple paint that is flaking off and exposing rust underneath. Sand and repaint it to maintain the integrity of the structure and to prevent children from picking at the flaking paint and possibly ingesting it. You stated that you will inform the church of the flaking paint on the climber and will check all portable play equipment and dispose of, as needed. *When items on the playground are broken, remove them from the play area immediately and dispose of them as soon as possible to prevent a pile of broken toys from becoming a hiding place for vermin. *Watch the chain on the left swing and the purple bell on climber. They are starting to rust. Replace it soon. *It’s spring. Time to keep the outdoor play space mowed and trimmed along the fence. Also check for wasp nests on play equipment. Keep a check for ant hills on the playground. Additional Comments: Raise NC Newsletter – If you are not receiving and reading the Raise NC Newsletter, you are missing out on current relevant information about early childhood issues in North Carolina, information about proposed rules, available trainings and other information that may be of interest to you. The Raise NC Newsletter is typically sent out weekly to all facility contact email addresses, but if your email is not the facility contact email address, you can go to the DCDEE Website, https://ncchildcare.ncdhhs.gov/ and click on the “What’s New” tab. Click on “What’s New” and enter your email address and name under “Sign Up for Updates”. As an early learning professional, you need to stay in the know about issues in North Carolina that affect you and your business. I shared information on the following topics and emailed the information to you after the visit: 1. Free Training – Healthy Social Behaviors Webinar: Helping Children Express Their Wants and Needs 2. Important! NCID Password Rule Changing and Tips to Keep NCID Updated 3. Update on QRIS Modernization – Proposed Rules pending adoption 4. Moodle Helpful Hints 5. Environment Rating Scales – Get Ready for the 3’s! Thank you for your time and assistance today. Refer to this visit summary for a refresher of our discussions today, and I encourage you to share with staff and use the information as a teaching tool. If you have any questions, do not hesitate to call or email me at the contact information listed above. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0803 · Violation
Name of Operation: THE ALL SAINTS SCHOOL Facility ID: 28000259 Consultant: MARJORIE WHITE Operation Type: Center Case Number: Visit Date: 11/19/2024 Number Present: 17 Completed Date: 11/19/2024 Age: From 0 To 3 Total Minutes: 375 Time In: 09:00 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced * The purpose of today’s Annual Compliance visit was to monitor compliance with applicable child care requirements. Last Annual Compliance visit – 1/17/24 18-month compliance history from 5/14/23 – 11/13/24 = 95% Last Sanitation Inspection – 4/10/24 - Superior Last Fire Inspection – 7/18/24 – Satisfactory Daytime Care Only *Sanitation and fire inspections are required at least annually by the date of the previous inspection. Send fire inspections to me within seven (7) days of the inspection. Required Water, Lead Paint, and Asbestos Testing - The Clean Classrooms for Carolina Kids website reflects the following information about your center’s required three-year water testing and one-time lead paint testing, and asbestos testing: Three-year Water Testing – 5/18/21; was due again 5/18/24; not started; due 12/31/24 Lead Paint Testing – Enrollment started; due 12/31/24 Asbestos Testing – Enrollment started; due 12/31/24; Enrollment started Maintain any paperwork received by mail or email in your Program Records file. *For more information check out the FAQ page at https://www.cleanwaterforuskids.org/en/carolina/. D. Lee, Administrator, was present and assisted me with the visit. The facility currently operates with a Four-Star Center License, issued 2/27/2023, earning points in the following components: Program (2 PTS) + Education (7 PTS) + Quality Point (1 PT) = 10 Points = 4 Stars *Quality Point met and remains in effect: Staff Benefits and Parent Involvement *The next rated license assessment is due by 2/27/2026, but new legislation (Senate Bill 425) has extended the “hold harmless” period until the new Quality Rating Improvement System (QRIS) is implemented. Note that the current program assessment tool is changing from the Early Childhood Environment Rating Scale – Revised (ECERS-R) to the Early Childhood Environment Rating Scale – 3 (ECERS-3). The Infant/Toddler Environment Rating Scale – Revised (ITERS-R) is changing to the ITERS-3. Information and training on the new program assessment tool is available on the NC Rating License Assessment Project website at https://ncrlap.org/. See Additional Comments for updates on the modernized QRIS. This facility is owned by All Saints Episcopal – Southern Shores. According to the NC Secretary of State's website, this non-incorporated non-profit is current and active as of 11/13/24. Please contact me prior to any information change regarding the ownership of this facility. The church is currently looking for a new minister. Inform me when the new minister is hired. She/he will need to complete a DHHS Criminal Background Check. Other facility contact information and license information were current. Contact me to make any changes to address, phone, or email or to request changes to the license. I monitored the classrooms and spaces used for child care and outdoor play area for applicable child care center requirements using the Child Care Center Requirements, effective 1/1/2024 and Item Numbers Listing, effective 3/2024. I monitored two staff records, two children’s records and all program records. The facility does not offer transportation. Center Observations: Children in the three classrooms were finishing snack and moving to free choice activities before going outdoors. The two infants from Space 6 were grouped with three toddlers in Space 5 to cover an absent staff member. A toddler from Space 5 was participating with the children in Space 2 to prepare him for an upcoming transition to that classroom. Activity plans were posted. Fall was the theme which was reflected in the current art work. Fall items were also added to the centers to carry the theme through the children’s daily activities. Outdoors the children had ample space to run on the fenced playground. They used the swings, climbed on the complex climber, played in the sand, and played make believe. Teachers spread themselves around the playground and provided supervision and positive interactions. When they returned inside, they washed hands and ate lunch. Lunches are brought from home. They are labeled and dated and stored in classroom refrigerators. Lunch was relaxed and pleasant. After lunch the children rested on linen-covered cots. The two infants slept in cribs. Documentation of safe sleep checks was available. Interactions were warm, respectful and nurturing. I observed and documented the following violations during today’s visit. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. A parent completed a medical action plan for a child needing diazepam, but the medical action plan did not include the six-month authorization time frame and the medication administration log that are part of a medication permission form. 10A NCAC 09 .0803(4)(6-9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A new staff member was required to complete First Aid by September 17, 2024 but did not complete it until November 10, 2024. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A new staff member was required to complete CPR by September 17, 2024 but did not complete it until November 10, 2024. .1102(d) * Child care programs are expected to achieve and always maintain compliance and are required by NC GS 110-90(4)(d) to achieve and maintain an 18-month compliance history score of at least 75%. Any violations documented may impact the compliance history score. I completed an electronic copy of the visit summary and reviewed it on my tablet with you, D. Lee. Because my printer was not operating, I provided you with a one-page visit summary which you signed. I will email an electronic copy of the visit summary, enrollment page, and any other visit documents to you, S. Ackley, Program Manager, and All Saints Episcopal – Southern Shores, Owner. Please respond that you receive the email and are able to print the documents. We reviewed the three violations documented during today’s visit. Two were corrected prior to the visit. One item regarding a medication permission form still needed to be corrected. Send evidence of correction to me so that I receive it no later than 12/3/2024. Your compliance verification letter needs to state your facility name and license number and list each violation by Item # and describe in detail when and how each violation has been corrected. Do not include names of children in the compliance letter. Use their initials. Send compliance verification letter in an email from your center’s official email address, tass.hpms@gmail.com to my email address, Marjorie.White@dhhs.nc.gov. You may include the compliance verification as an attachment or in the body of the email. I will email a sample compliance verification letter to you. If sufficient information is not received by the due date, a follow-up visit may be conducted. Please be aware that any information submitted by you is legal documentation. If it is determined the information provided in the compliance letter is not true, this may be considered falsification of information. If I may be of further assistance, please contact me by phone at (252) 373-9385, by e-mail at Marjorie.White@dhhs.nc.gov. You may also call Jennifer Linhardt, Licensing Supervisor, at (252) 373-4199. Technical Assistance With Documented Violations: Medication Permission Forms - All medications for children present at the center must have a current, completed medication permission form even if there is a Medical Action Plan. A child in Space 3 had a Medical Action Plan for diazepam but did not have a completed and signed medication permission form. The administrator stated that because the parent completed the comprehensive medical action plan created by the NC Health & Safety Resource Center and available on the DCDEE website, she did not think a medication permission form was needed. The medication permission forms provide additional information that could be critical to the administration of the medication and the care of the child. Medication permission forms for OTC, prescription, and emergency medication have an administration log as part of the form. This must be completed any time the medication is given. Medication permission forms are valid for a defined length of time and must be updated, if needed. During the visit you printed a medication permission form to have the parent complete. Authorization for emergency medication is up to six months (11/19/24 – 5/19/25). Then renew it in May for another six months. Medical Action Plans must be updated at least annually. For your compliance letter, state the date the parent provided you with a current, completed medication permission form. *Ask the parent about the Tylenol listed on the medical action plan. You stated that she has not provided you with Tylenol. First Aid and CPR – Early care and education programs with staff trained in pediatric first aid and CPR can mitigate the consequences of injury and reduce the potential for death from life-threatening conditions and emergencies. Repetitive training, coupled with the confidence to use these skills, is critically important to the outcome of an emergency. (Caring for Our Children, 4th Edition). A. Woickelman was required to complete an approved First Aid and CPR training course by 9/17/24 but did not complete it until 11/10/24. You stated that she was aware of the deadline but did not attend the class in which she was originally enrolled. Blended classes with on-line instruction and face-to-face skills test are now allowed if provided by approved agency and trainer. This has been corrected. No further action or documentation in required except to maintain current First Aid and CPR in the future. Repeated CPR/First Aid violations may result in an Administrative Action. General Visit Information: As a licensed child care facility, it is your responsibility to be knowledgeable of the child care laws and rules and to teach your staff the rules to ensure your center remains in compliance. The most recent versions of laws and rules regarding child care facilities in North Carolina are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. You can also review the “What’s New” section and download a copy of the Items Number Listing which you can use as a checklist for your program. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. Your local and regional Smart Start Partnerships and Child Care Resource and Referral Agencies and Child Care Health Consultants provide general training to meet on-going training hours, health and safety training requirements, Environment Rating Scale training and training specific to your center’s needs. They can also work with you to provide on-site technical assistance. *Children & Youth Partnership for Dare County: Phone - (252) 441-0614; website - www.darekids.org. *Child Care Health Consultant – S. Rosser - Office: (252) 557-4208 or stacy_rosser@unc.edu *Albemarle Alliance for Children and Families (AACF) and Region 1 Child Care Resource and Referral: Phone – (252) 333-1233; website - www.aacfnc.org . *Healthy Behaviors Specialist: P. White – Phone (252) 333-1233; pam@aacfnc.org *Birth – 3 Quality Specialist: J. Davidson – Phone (252) 333-1233; joy@aacfnc.org *Southwestern Child Development Commission, www.swcdcinc.org - offers DCDEE approved, on-line, self-paced training with affordable annual packages allowing you to take as many courses as you need or want for one price. Reminders: ***CBC Provider Portal - Technical Assistance & Notification to the Division of New Hires or Residents 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 ABCMS 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. Then you will update this information 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. Staff Worksheets – Your Staff Worksheets are a great tool to help you track when items such as Criminal Background Checks, required trainings and staff forms expire and need to be updated. I encourage you to update information on the staff worksheets throughout the year as items are updated and/or staff change. *Make it easier on yourself and schedule annual updates for staff evaluations and professional development plans; health questionnaires and emergency information forms; EPR Plan and Emergency Medical Care Plan at the same time to streamline your staff updates. (Example, even if an employee was hired in January, and you update health questionnaires and emergency forms in August, have this employee go ahead and update in August with the rest of the staff to jump into the same cycle!) *We reviewed your staff worksheet. I highlighted items that were delinquent and items that are coming due in the next year. *Five-year Criminal Background Check due for E. Beatson by 12/19/24. *T. Norris needs to renew CPR/First Aid training by 2/28/25 *ITS/SIDS training due C. McLain by 2/17/25; T. Norris and N. Osterdahl by 3/31/25; and E. Beatson by 5/25/25 – Have them take before 1/17/25 to renew and also count towards on-going training hours. *Update and review Emergency Medical Care Plans and EPR Plans in January/February. *Update annual evaluations and professional development plans in May/June. *Update annual health questionnaires and staff emergency forms in July. Health and Safety Training and Five (5) Year Cycle Tracking Requirements – current for all staff. Review Row 17 on Staff Worksheet for five-year H&S Training renewal dates. On-going Training Hours – Review Row 18 (# hours to carry over) on the Staff Worksheets to determine how many on-going training hours returning staff will need by 1/17/25 (anniversary of last Annual Compliance visit) or by 11/19/25 (anniversary to today’s Annual Compliance visit). If staff do not currently have enough required on-going training, they have until 1/17/25 to complete them. I will review at next visit. *C. McLain – needs 10 on-going training hours by 1/17/25 *N. Osterdahl - needs 7 on-going training hours by 1/17/25 *E. Beatson - needs 6 on-going training hours by 1/17/25 *ECE college coursework or coursework leading to an ECE degree counts towards on-going training hours. Each semester credit counts as 16 hours so a 3-credit classes also earns 48 hours of on-going training. *Free training is available on Moodle. *Check with your local Child Care Resource & Referral for available training. *The following offer on-line training opportunities at reasonable prices and accessible at times for your busy schedules: Southwestern Child Development Commission, www.swcdcinc.org – offers individual and group packages also ProSolutions courses are still available for a fee – offers individual and group packages also *Use the On-going Training Log to document training annually. Attach copies of certificates. Staff Education and Works – A. Woickelman needs to finish Works. Log into Works. Lead Teacher Requirements – Lead Teachers who do not have the NC Early Childhood Credential (NCECC) or higher have six months to enroll in coursework that will lead to the NCECC (EDU 119 at the local community college) and eighteen months to complete it after enrollment. A. Woickelman needs to complete EDU 119 to earn her NCECC and remain qualified as lead teacher. Fire and Emergency Drills – current Emergency Medical Care Plan – current and posted EPR Plan – last updated 1/2024; update by 1/2025 and review with staff in February. Playground – Fluff the mulch to maintain its resiliency. There are a few spots on the large climber that need to be sanded and painted to prevent paint from peeling and exposed rust. Net on soccer goal is torn and needs to be replaced. Watch chains on the swings and purple bell on climber. They are starting to rust. Additional Comments: Annual License Fees - Keep an eye on your inbox for the 2024 annual license fee invoice. Invoices will be emailed to the facility addresses on file by 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. I shared information on the following topics and emailed the information to you after the visit: 1. Free Webinar: Emotional Literacy 2. CBC Provider Portal – New Way to Attach Staff to Your License 3. Five-year Criminal Background Check 4. Environment Rating Scales – Get Ready for the 3’s! 5. QRIS Update 6. Moodle Support 7. NCID – Keep it active! Thank you for your time and assistance today. Refer to this visit summary for a refresher of our discussions today, and I encourage you to share with staff and use the information as a teaching tool. If you have any questions, do not hesitate to call or email me at the contact information listed above. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
G.S. 110-90 · Violation
Name of Operation: THE ALL SAINTS SCHOOL Facility ID: 28000259 Consultant: MARJORIE WHITE Operation Type: Center Case Number: Visit Date: 11/19/2024 Number Present: 17 Completed Date: 11/19/2024 Age: From 0 To 3 Total Minutes: 375 Time In: 09:00 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced * The purpose of today’s Annual Compliance visit was to monitor compliance with applicable child care requirements. Last Annual Compliance visit – 1/17/24 18-month compliance history from 5/14/23 – 11/13/24 = 95% Last Sanitation Inspection – 4/10/24 - Superior Last Fire Inspection – 7/18/24 – Satisfactory Daytime Care Only *Sanitation and fire inspections are required at least annually by the date of the previous inspection. Send fire inspections to me within seven (7) days of the inspection. Required Water, Lead Paint, and Asbestos Testing - The Clean Classrooms for Carolina Kids website reflects the following information about your center’s required three-year water testing and one-time lead paint testing, and asbestos testing: Three-year Water Testing – 5/18/21; was due again 5/18/24; not started; due 12/31/24 Lead Paint Testing – Enrollment started; due 12/31/24 Asbestos Testing – Enrollment started; due 12/31/24; Enrollment started Maintain any paperwork received by mail or email in your Program Records file. *For more information check out the FAQ page at https://www.cleanwaterforuskids.org/en/carolina/. D. Lee, Administrator, was present and assisted me with the visit. The facility currently operates with a Four-Star Center License, issued 2/27/2023, earning points in the following components: Program (2 PTS) + Education (7 PTS) + Quality Point (1 PT) = 10 Points = 4 Stars *Quality Point met and remains in effect: Staff Benefits and Parent Involvement *The next rated license assessment is due by 2/27/2026, but new legislation (Senate Bill 425) has extended the “hold harmless” period until the new Quality Rating Improvement System (QRIS) is implemented. Note that the current program assessment tool is changing from the Early Childhood Environment Rating Scale – Revised (ECERS-R) to the Early Childhood Environment Rating Scale – 3 (ECERS-3). The Infant/Toddler Environment Rating Scale – Revised (ITERS-R) is changing to the ITERS-3. Information and training on the new program assessment tool is available on the NC Rating License Assessment Project website at https://ncrlap.org/. See Additional Comments for updates on the modernized QRIS. This facility is owned by All Saints Episcopal – Southern Shores. According to the NC Secretary of State's website, this non-incorporated non-profit is current and active as of 11/13/24. Please contact me prior to any information change regarding the ownership of this facility. The church is currently looking for a new minister. Inform me when the new minister is hired. She/he will need to complete a DHHS Criminal Background Check. Other facility contact information and license information were current. Contact me to make any changes to address, phone, or email or to request changes to the license. I monitored the classrooms and spaces used for child care and outdoor play area for applicable child care center requirements using the Child Care Center Requirements, effective 1/1/2024 and Item Numbers Listing, effective 3/2024. I monitored two staff records, two children’s records and all program records. The facility does not offer transportation. Center Observations: Children in the three classrooms were finishing snack and moving to free choice activities before going outdoors. The two infants from Space 6 were grouped with three toddlers in Space 5 to cover an absent staff member. A toddler from Space 5 was participating with the children in Space 2 to prepare him for an upcoming transition to that classroom. Activity plans were posted. Fall was the theme which was reflected in the current art work. Fall items were also added to the centers to carry the theme through the children’s daily activities. Outdoors the children had ample space to run on the fenced playground. They used the swings, climbed on the complex climber, played in the sand, and played make believe. Teachers spread themselves around the playground and provided supervision and positive interactions. When they returned inside, they washed hands and ate lunch. Lunches are brought from home. They are labeled and dated and stored in classroom refrigerators. Lunch was relaxed and pleasant. After lunch the children rested on linen-covered cots. The two infants slept in cribs. Documentation of safe sleep checks was available. Interactions were warm, respectful and nurturing. I observed and documented the following violations during today’s visit. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. A parent completed a medical action plan for a child needing diazepam, but the medical action plan did not include the six-month authorization time frame and the medication administration log that are part of a medication permission form. 10A NCAC 09 .0803(4)(6-9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A new staff member was required to complete First Aid by September 17, 2024 but did not complete it until November 10, 2024. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A new staff member was required to complete CPR by September 17, 2024 but did not complete it until November 10, 2024. .1102(d) * Child care programs are expected to achieve and always maintain compliance and are required by NC GS 110-90(4)(d) to achieve and maintain an 18-month compliance history score of at least 75%. Any violations documented may impact the compliance history score. I completed an electronic copy of the visit summary and reviewed it on my tablet with you, D. Lee. Because my printer was not operating, I provided you with a one-page visit summary which you signed. I will email an electronic copy of the visit summary, enrollment page, and any other visit documents to you, S. Ackley, Program Manager, and All Saints Episcopal – Southern Shores, Owner. Please respond that you receive the email and are able to print the documents. We reviewed the three violations documented during today’s visit. Two were corrected prior to the visit. One item regarding a medication permission form still needed to be corrected. Send evidence of correction to me so that I receive it no later than 12/3/2024. Your compliance verification letter needs to state your facility name and license number and list each violation by Item # and describe in detail when and how each violation has been corrected. Do not include names of children in the compliance letter. Use their initials. Send compliance verification letter in an email from your center’s official email address, tass.hpms@gmail.com to my email address, Marjorie.White@dhhs.nc.gov. You may include the compliance verification as an attachment or in the body of the email. I will email a sample compliance verification letter to you. If sufficient information is not received by the due date, a follow-up visit may be conducted. Please be aware that any information submitted by you is legal documentation. If it is determined the information provided in the compliance letter is not true, this may be considered falsification of information. If I may be of further assistance, please contact me by phone at (252) 373-9385, by e-mail at Marjorie.White@dhhs.nc.gov. You may also call Jennifer Linhardt, Licensing Supervisor, at (252) 373-4199. Technical Assistance With Documented Violations: Medication Permission Forms - All medications for children present at the center must have a current, completed medication permission form even if there is a Medical Action Plan. A child in Space 3 had a Medical Action Plan for diazepam but did not have a completed and signed medication permission form. The administrator stated that because the parent completed the comprehensive medical action plan created by the NC Health & Safety Resource Center and available on the DCDEE website, she did not think a medication permission form was needed. The medication permission forms provide additional information that could be critical to the administration of the medication and the care of the child. Medication permission forms for OTC, prescription, and emergency medication have an administration log as part of the form. This must be completed any time the medication is given. Medication permission forms are valid for a defined length of time and must be updated, if needed. During the visit you printed a medication permission form to have the parent complete. Authorization for emergency medication is up to six months (11/19/24 – 5/19/25). Then renew it in May for another six months. Medical Action Plans must be updated at least annually. For your compliance letter, state the date the parent provided you with a current, completed medication permission form. *Ask the parent about the Tylenol listed on the medical action plan. You stated that she has not provided you with Tylenol. First Aid and CPR – Early care and education programs with staff trained in pediatric first aid and CPR can mitigate the consequences of injury and reduce the potential for death from life-threatening conditions and emergencies. Repetitive training, coupled with the confidence to use these skills, is critically important to the outcome of an emergency. (Caring for Our Children, 4th Edition). A. Woickelman was required to complete an approved First Aid and CPR training course by 9/17/24 but did not complete it until 11/10/24. You stated that she was aware of the deadline but did not attend the class in which she was originally enrolled. Blended classes with on-line instruction and face-to-face skills test are now allowed if provided by approved agency and trainer. This has been corrected. No further action or documentation in required except to maintain current First Aid and CPR in the future. Repeated CPR/First Aid violations may result in an Administrative Action. General Visit Information: As a licensed child care facility, it is your responsibility to be knowledgeable of the child care laws and rules and to teach your staff the rules to ensure your center remains in compliance. The most recent versions of laws and rules regarding child care facilities in North Carolina are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. You can also review the “What’s New” section and download a copy of the Items Number Listing which you can use as a checklist for your program. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. Your local and regional Smart Start Partnerships and Child Care Resource and Referral Agencies and Child Care Health Consultants provide general training to meet on-going training hours, health and safety training requirements, Environment Rating Scale training and training specific to your center’s needs. They can also work with you to provide on-site technical assistance. *Children & Youth Partnership for Dare County: Phone - (252) 441-0614; website - www.darekids.org. *Child Care Health Consultant – S. Rosser - Office: (252) 557-4208 or stacy_rosser@unc.edu *Albemarle Alliance for Children and Families (AACF) and Region 1 Child Care Resource and Referral: Phone – (252) 333-1233; website - www.aacfnc.org . *Healthy Behaviors Specialist: P. White – Phone (252) 333-1233; pam@aacfnc.org *Birth – 3 Quality Specialist: J. Davidson – Phone (252) 333-1233; joy@aacfnc.org *Southwestern Child Development Commission, www.swcdcinc.org - offers DCDEE approved, on-line, self-paced training with affordable annual packages allowing you to take as many courses as you need or want for one price. Reminders: ***CBC Provider Portal - Technical Assistance & Notification to the Division of New Hires or Residents 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 ABCMS 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. Then you will update this information 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. Staff Worksheets – Your Staff Worksheets are a great tool to help you track when items such as Criminal Background Checks, required trainings and staff forms expire and need to be updated. I encourage you to update information on the staff worksheets throughout the year as items are updated and/or staff change. *Make it easier on yourself and schedule annual updates for staff evaluations and professional development plans; health questionnaires and emergency information forms; EPR Plan and Emergency Medical Care Plan at the same time to streamline your staff updates. (Example, even if an employee was hired in January, and you update health questionnaires and emergency forms in August, have this employee go ahead and update in August with the rest of the staff to jump into the same cycle!) *We reviewed your staff worksheet. I highlighted items that were delinquent and items that are coming due in the next year. *Five-year Criminal Background Check due for E. Beatson by 12/19/24. *T. Norris needs to renew CPR/First Aid training by 2/28/25 *ITS/SIDS training due C. McLain by 2/17/25; T. Norris and N. Osterdahl by 3/31/25; and E. Beatson by 5/25/25 – Have them take before 1/17/25 to renew and also count towards on-going training hours. *Update and review Emergency Medical Care Plans and EPR Plans in January/February. *Update annual evaluations and professional development plans in May/June. *Update annual health questionnaires and staff emergency forms in July. Health and Safety Training and Five (5) Year Cycle Tracking Requirements – current for all staff. Review Row 17 on Staff Worksheet for five-year H&S Training renewal dates. On-going Training Hours – Review Row 18 (# hours to carry over) on the Staff Worksheets to determine how many on-going training hours returning staff will need by 1/17/25 (anniversary of last Annual Compliance visit) or by 11/19/25 (anniversary to today’s Annual Compliance visit). If staff do not currently have enough required on-going training, they have until 1/17/25 to complete them. I will review at next visit. *C. McLain – needs 10 on-going training hours by 1/17/25 *N. Osterdahl - needs 7 on-going training hours by 1/17/25 *E. Beatson - needs 6 on-going training hours by 1/17/25 *ECE college coursework or coursework leading to an ECE degree counts towards on-going training hours. Each semester credit counts as 16 hours so a 3-credit classes also earns 48 hours of on-going training. *Free training is available on Moodle. *Check with your local Child Care Resource & Referral for available training. *The following offer on-line training opportunities at reasonable prices and accessible at times for your busy schedules: Southwestern Child Development Commission, www.swcdcinc.org – offers individual and group packages also ProSolutions courses are still available for a fee – offers individual and group packages also *Use the On-going Training Log to document training annually. Attach copies of certificates. Staff Education and Works – A. Woickelman needs to finish Works. Log into Works. Lead Teacher Requirements – Lead Teachers who do not have the NC Early Childhood Credential (NCECC) or higher have six months to enroll in coursework that will lead to the NCECC (EDU 119 at the local community college) and eighteen months to complete it after enrollment. A. Woickelman needs to complete EDU 119 to earn her NCECC and remain qualified as lead teacher. Fire and Emergency Drills – current Emergency Medical Care Plan – current and posted EPR Plan – last updated 1/2024; update by 1/2025 and review with staff in February. Playground – Fluff the mulch to maintain its resiliency. There are a few spots on the large climber that need to be sanded and painted to prevent paint from peeling and exposed rust. Net on soccer goal is torn and needs to be replaced. Watch chains on the swings and purple bell on climber. They are starting to rust. Additional Comments: Annual License Fees - Keep an eye on your inbox for the 2024 annual license fee invoice. Invoices will be emailed to the facility addresses on file by 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. I shared information on the following topics and emailed the information to you after the visit: 1. Free Webinar: Emotional Literacy 2. CBC Provider Portal – New Way to Attach Staff to Your License 3. Five-year Criminal Background Check 4. Environment Rating Scales – Get Ready for the 3’s! 5. QRIS Update 6. Moodle Support 7. NCID – Keep it active! Thank you for your time and assistance today. Refer to this visit summary for a refresher of our discussions today, and I encourage you to share with staff and use the information as a teaching tool. If you have any questions, do not hesitate to call or email me at the contact information listed above. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
NC GS 110-90 · Violation
Name of Operation: THE ALL SAINTS SCHOOL Facility ID: 28000259 Consultant: MARJORIE WHITE Operation Type: Center Case Number: Visit Date: 11/19/2024 Number Present: 17 Completed Date: 11/19/2024 Age: From 0 To 3 Total Minutes: 375 Time In: 09:00 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced * The purpose of today’s Annual Compliance visit was to monitor compliance with applicable child care requirements. Last Annual Compliance visit – 1/17/24 18-month compliance history from 5/14/23 – 11/13/24 = 95% Last Sanitation Inspection – 4/10/24 - Superior Last Fire Inspection – 7/18/24 – Satisfactory Daytime Care Only *Sanitation and fire inspections are required at least annually by the date of the previous inspection. Send fire inspections to me within seven (7) days of the inspection. Required Water, Lead Paint, and Asbestos Testing - The Clean Classrooms for Carolina Kids website reflects the following information about your center’s required three-year water testing and one-time lead paint testing, and asbestos testing: Three-year Water Testing – 5/18/21; was due again 5/18/24; not started; due 12/31/24 Lead Paint Testing – Enrollment started; due 12/31/24 Asbestos Testing – Enrollment started; due 12/31/24; Enrollment started Maintain any paperwork received by mail or email in your Program Records file. *For more information check out the FAQ page at https://www.cleanwaterforuskids.org/en/carolina/. D. Lee, Administrator, was present and assisted me with the visit. The facility currently operates with a Four-Star Center License, issued 2/27/2023, earning points in the following components: Program (2 PTS) + Education (7 PTS) + Quality Point (1 PT) = 10 Points = 4 Stars *Quality Point met and remains in effect: Staff Benefits and Parent Involvement *The next rated license assessment is due by 2/27/2026, but new legislation (Senate Bill 425) has extended the “hold harmless” period until the new Quality Rating Improvement System (QRIS) is implemented. Note that the current program assessment tool is changing from the Early Childhood Environment Rating Scale – Revised (ECERS-R) to the Early Childhood Environment Rating Scale – 3 (ECERS-3). The Infant/Toddler Environment Rating Scale – Revised (ITERS-R) is changing to the ITERS-3. Information and training on the new program assessment tool is available on the NC Rating License Assessment Project website at https://ncrlap.org/. See Additional Comments for updates on the modernized QRIS. This facility is owned by All Saints Episcopal – Southern Shores. According to the NC Secretary of State's website, this non-incorporated non-profit is current and active as of 11/13/24. Please contact me prior to any information change regarding the ownership of this facility. The church is currently looking for a new minister. Inform me when the new minister is hired. She/he will need to complete a DHHS Criminal Background Check. Other facility contact information and license information were current. Contact me to make any changes to address, phone, or email or to request changes to the license. I monitored the classrooms and spaces used for child care and outdoor play area for applicable child care center requirements using the Child Care Center Requirements, effective 1/1/2024 and Item Numbers Listing, effective 3/2024. I monitored two staff records, two children’s records and all program records. The facility does not offer transportation. Center Observations: Children in the three classrooms were finishing snack and moving to free choice activities before going outdoors. The two infants from Space 6 were grouped with three toddlers in Space 5 to cover an absent staff member. A toddler from Space 5 was participating with the children in Space 2 to prepare him for an upcoming transition to that classroom. Activity plans were posted. Fall was the theme which was reflected in the current art work. Fall items were also added to the centers to carry the theme through the children’s daily activities. Outdoors the children had ample space to run on the fenced playground. They used the swings, climbed on the complex climber, played in the sand, and played make believe. Teachers spread themselves around the playground and provided supervision and positive interactions. When they returned inside, they washed hands and ate lunch. Lunches are brought from home. They are labeled and dated and stored in classroom refrigerators. Lunch was relaxed and pleasant. After lunch the children rested on linen-covered cots. The two infants slept in cribs. Documentation of safe sleep checks was available. Interactions were warm, respectful and nurturing. I observed and documented the following violations during today’s visit. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. A parent completed a medical action plan for a child needing diazepam, but the medical action plan did not include the six-month authorization time frame and the medication administration log that are part of a medication permission form. 10A NCAC 09 .0803(4)(6-9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A new staff member was required to complete First Aid by September 17, 2024 but did not complete it until November 10, 2024. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A new staff member was required to complete CPR by September 17, 2024 but did not complete it until November 10, 2024. .1102(d) * Child care programs are expected to achieve and always maintain compliance and are required by NC GS 110-90(4)(d) to achieve and maintain an 18-month compliance history score of at least 75%. Any violations documented may impact the compliance history score. I completed an electronic copy of the visit summary and reviewed it on my tablet with you, D. Lee. Because my printer was not operating, I provided you with a one-page visit summary which you signed. I will email an electronic copy of the visit summary, enrollment page, and any other visit documents to you, S. Ackley, Program Manager, and All Saints Episcopal – Southern Shores, Owner. Please respond that you receive the email and are able to print the documents. We reviewed the three violations documented during today’s visit. Two were corrected prior to the visit. One item regarding a medication permission form still needed to be corrected. Send evidence of correction to me so that I receive it no later than 12/3/2024. Your compliance verification letter needs to state your facility name and license number and list each violation by Item # and describe in detail when and how each violation has been corrected. Do not include names of children in the compliance letter. Use their initials. Send compliance verification letter in an email from your center’s official email address, tass.hpms@gmail.com to my email address, Marjorie.White@dhhs.nc.gov. You may include the compliance verification as an attachment or in the body of the email. I will email a sample compliance verification letter to you. If sufficient information is not received by the due date, a follow-up visit may be conducted. Please be aware that any information submitted by you is legal documentation. If it is determined the information provided in the compliance letter is not true, this may be considered falsification of information. If I may be of further assistance, please contact me by phone at (252) 373-9385, by e-mail at Marjorie.White@dhhs.nc.gov. You may also call Jennifer Linhardt, Licensing Supervisor, at (252) 373-4199. Technical Assistance With Documented Violations: Medication Permission Forms - All medications for children present at the center must have a current, completed medication permission form even if there is a Medical Action Plan. A child in Space 3 had a Medical Action Plan for diazepam but did not have a completed and signed medication permission form. The administrator stated that because the parent completed the comprehensive medical action plan created by the NC Health & Safety Resource Center and available on the DCDEE website, she did not think a medication permission form was needed. The medication permission forms provide additional information that could be critical to the administration of the medication and the care of the child. Medication permission forms for OTC, prescription, and emergency medication have an administration log as part of the form. This must be completed any time the medication is given. Medication permission forms are valid for a defined length of time and must be updated, if needed. During the visit you printed a medication permission form to have the parent complete. Authorization for emergency medication is up to six months (11/19/24 – 5/19/25). Then renew it in May for another six months. Medical Action Plans must be updated at least annually. For your compliance letter, state the date the parent provided you with a current, completed medication permission form. *Ask the parent about the Tylenol listed on the medical action plan. You stated that she has not provided you with Tylenol. First Aid and CPR – Early care and education programs with staff trained in pediatric first aid and CPR can mitigate the consequences of injury and reduce the potential for death from life-threatening conditions and emergencies. Repetitive training, coupled with the confidence to use these skills, is critically important to the outcome of an emergency. (Caring for Our Children, 4th Edition). A. Woickelman was required to complete an approved First Aid and CPR training course by 9/17/24 but did not complete it until 11/10/24. You stated that she was aware of the deadline but did not attend the class in which she was originally enrolled. Blended classes with on-line instruction and face-to-face skills test are now allowed if provided by approved agency and trainer. This has been corrected. No further action or documentation in required except to maintain current First Aid and CPR in the future. Repeated CPR/First Aid violations may result in an Administrative Action. General Visit Information: As a licensed child care facility, it is your responsibility to be knowledgeable of the child care laws and rules and to teach your staff the rules to ensure your center remains in compliance. The most recent versions of laws and rules regarding child care facilities in North Carolina are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. You can also review the “What’s New” section and download a copy of the Items Number Listing which you can use as a checklist for your program. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. Your local and regional Smart Start Partnerships and Child Care Resource and Referral Agencies and Child Care Health Consultants provide general training to meet on-going training hours, health and safety training requirements, Environment Rating Scale training and training specific to your center’s needs. They can also work with you to provide on-site technical assistance. *Children & Youth Partnership for Dare County: Phone - (252) 441-0614; website - www.darekids.org. *Child Care Health Consultant – S. Rosser - Office: (252) 557-4208 or stacy_rosser@unc.edu *Albemarle Alliance for Children and Families (AACF) and Region 1 Child Care Resource and Referral: Phone – (252) 333-1233; website - www.aacfnc.org . *Healthy Behaviors Specialist: P. White – Phone (252) 333-1233; pam@aacfnc.org *Birth – 3 Quality Specialist: J. Davidson – Phone (252) 333-1233; joy@aacfnc.org *Southwestern Child Development Commission, www.swcdcinc.org - offers DCDEE approved, on-line, self-paced training with affordable annual packages allowing you to take as many courses as you need or want for one price. Reminders: ***CBC Provider Portal - Technical Assistance & Notification to the Division of New Hires or Residents 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 ABCMS 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. Then you will update this information 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. Staff Worksheets – Your Staff Worksheets are a great tool to help you track when items such as Criminal Background Checks, required trainings and staff forms expire and need to be updated. I encourage you to update information on the staff worksheets throughout the year as items are updated and/or staff change. *Make it easier on yourself and schedule annual updates for staff evaluations and professional development plans; health questionnaires and emergency information forms; EPR Plan and Emergency Medical Care Plan at the same time to streamline your staff updates. (Example, even if an employee was hired in January, and you update health questionnaires and emergency forms in August, have this employee go ahead and update in August with the rest of the staff to jump into the same cycle!) *We reviewed your staff worksheet. I highlighted items that were delinquent and items that are coming due in the next year. *Five-year Criminal Background Check due for E. Beatson by 12/19/24. *T. Norris needs to renew CPR/First Aid training by 2/28/25 *ITS/SIDS training due C. McLain by 2/17/25; T. Norris and N. Osterdahl by 3/31/25; and E. Beatson by 5/25/25 – Have them take before 1/17/25 to renew and also count towards on-going training hours. *Update and review Emergency Medical Care Plans and EPR Plans in January/February. *Update annual evaluations and professional development plans in May/June. *Update annual health questionnaires and staff emergency forms in July. Health and Safety Training and Five (5) Year Cycle Tracking Requirements – current for all staff. Review Row 17 on Staff Worksheet for five-year H&S Training renewal dates. On-going Training Hours – Review Row 18 (# hours to carry over) on the Staff Worksheets to determine how many on-going training hours returning staff will need by 1/17/25 (anniversary of last Annual Compliance visit) or by 11/19/25 (anniversary to today’s Annual Compliance visit). If staff do not currently have enough required on-going training, they have until 1/17/25 to complete them. I will review at next visit. *C. McLain – needs 10 on-going training hours by 1/17/25 *N. Osterdahl - needs 7 on-going training hours by 1/17/25 *E. Beatson - needs 6 on-going training hours by 1/17/25 *ECE college coursework or coursework leading to an ECE degree counts towards on-going training hours. Each semester credit counts as 16 hours so a 3-credit classes also earns 48 hours of on-going training. *Free training is available on Moodle. *Check with your local Child Care Resource & Referral for available training. *The following offer on-line training opportunities at reasonable prices and accessible at times for your busy schedules: Southwestern Child Development Commission, www.swcdcinc.org – offers individual and group packages also ProSolutions courses are still available for a fee – offers individual and group packages also *Use the On-going Training Log to document training annually. Attach copies of certificates. Staff Education and Works – A. Woickelman needs to finish Works. Log into Works. Lead Teacher Requirements – Lead Teachers who do not have the NC Early Childhood Credential (NCECC) or higher have six months to enroll in coursework that will lead to the NCECC (EDU 119 at the local community college) and eighteen months to complete it after enrollment. A. Woickelman needs to complete EDU 119 to earn her NCECC and remain qualified as lead teacher. Fire and Emergency Drills – current Emergency Medical Care Plan – current and posted EPR Plan – last updated 1/2024; update by 1/2025 and review with staff in February. Playground – Fluff the mulch to maintain its resiliency. There are a few spots on the large climber that need to be sanded and painted to prevent paint from peeling and exposed rust. Net on soccer goal is torn and needs to be replaced. Watch chains on the swings and purple bell on climber. They are starting to rust. Additional Comments: Annual License Fees - Keep an eye on your inbox for the 2024 annual license fee invoice. Invoices will be emailed to the facility addresses on file by 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. I shared information on the following topics and emailed the information to you after the visit: 1. Free Webinar: Emotional Literacy 2. CBC Provider Portal – New Way to Attach Staff to Your License 3. Five-year Criminal Background Check 4. Environment Rating Scales – Get Ready for the 3’s! 5. QRIS Update 6. Moodle Support 7. NCID – Keep it active! Thank you for your time and assistance today. Refer to this visit summary for a refresher of our discussions today, and I encourage you to share with staff and use the information as a teaching tool. If you have any questions, do not hesitate to call or email me at the contact information listed above. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0604 · Violation
Name of Operation: THE ALL SAINTS SCHOOL Facility ID: 28000259 Consultant: MARJORIE WHITE Operation Type: Center Case Number: Visit Date: 1/17/2024 Number Present: 18 Completed Date: 1/17/2024 Age: From 0 To 3 Total Minutes: 435 Time In: 09:00 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced * The purpose of today’s Annual Compliance visit was to monitor compliance with applicable child care requirements. Last Annual Compliance visit – 2/27/23 Last Sanitation Inspection – 10/18/23 with a Superior Rating Last Fire Inspection – 8/1/23 with Satisfactory rating, day time care only but not received until 9/28/23 *Sanitation and fire inspections are required at least annually by the date of the previous inspection. Send fire inspections to me within seven (7) days of the inspection. 18-month compliance history from 7/16/22 – 1/16/24= 96% D. Lee, Administrator, and S. Ackley, Manager, were present and assisted me with the visit. The facility currently operates with a Four-Star Center License, issued 2/27/2023, earning points in the following components: Program (2 PTS) + Education (7 PTS) + Quality Point (1 PT) = 10 Points = 4 Stars *Quality Point met and remains in effect: Staff Benefits and Parent Involvement *The program was also monitored for compliance with implementing an approved curriculum (Creative Curriculum and Montessori) as required for all four and five star facilities where four-year old children are enrolled. The next rated license assessment is due by 2/27/2026. See below for more information about the Division’s plan to return to rated license assessments. This facility is owned by All Saints Episcopal – Southern Shores. According to the NC Secretary of State's website, this non incorporated non-profit is current and active as of 1/16/24. Please contact me prior to any information change regarding the ownership of this facility. Facility contact information and license information were current. Contact me to make any changes to address, phone, or email or to request changes to the license. I monitored the classrooms and spaces used for child care, kitchen, and outdoor play area for applicable child care center requirements using the Child Care Center Requirements, effective 7/1/2023 and Item Number Listing, effective 8/2023. I monitored three children’s records, all staff records and all program records. The facility does not offer transportation. Center Observations: It was frigidly cold today and between the temperature and the wind, outdoor play was prohibited. Children participated in indoor free play but also spent time doing gross motor activities. The two infants and one toddler in Space 6 played on the floor but also ate and slept on their own schedules. Documentation of safe sleep checks and feeding plans was available. The three toddlers were drawing with chunky crayons and creating colorful pictures. One child was playing with a manipulative toy. As he put different items in his mouth and finished playing with them, the teacher placed them in the mouthed toys bucket to be cleaned and sanitized. The children Spaces 2 and 3 were doing their “work” playing with Montessori materials. Lunches and snacks are brought from home and all appeared to meet nutritional requirements; however, nutrition opt-out forms were also available in each child’s file. After lunch, children rested on linen-covered cots. The two infants slept in their cribs. I observed and documented the following violations during today’s visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection was completed on August 1, 2023 but was not sent to the child care consultant until September 28, 2023. 10A NCAC 09 .0304(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. An outlet in Space 5 and multiple outlets in the sanctuary space outside the classrooms were not protected with outlet covers. 10A NCAC 09 .0604(c) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A Staff Medical Report was not available for a staff member hired on January 8, 2024. 10A NCAC 09 .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid expired on May 31, 2023 for a staff member and was not renewed. Two other staff members completed American Red Cross BLS training on February 16, 2023, but the certification card did not reflect completion of First Aid. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. CPR expired on May 31, 2023 for a staff member and was not renewed. .1102(d) * Child care programs are expected to achieve and always maintain compliance and are required by NC GS 110-90(4)(d) to achieve and maintain an 18-month compliance history score of at least 75%. Any violations documented may impact the compliance history score. I completed an electronic copy of the visit summary and provided a printed copy of it to D. Lee, Administrator. We reviewed the visit summary and violation(s) documented during today’s visit. You corrected three of the violations during the visit and have a scheduled CPR/First Aid class to correct the remaining two. Send evidence of correction to me so that I receive it no later than 1/31/2024. I will request an extension because the CPR/First Aid class is not scheduled until 2/3/2024. The compliance verification letter needs to state the facility name and license number and list each violation by Item # and describe in detail when and how each violation has been corrected. If referring to staff or children in your compliance letter, refer to them by initials or position. Send compliance verification letter in an email from the center’s official email address, tass.hpms@gmail.com to my email address, Marjorie.White@dhhs.nc.gov. If sent from another email address, the center’s official address must be Cc’d in the compliance email. You may include the compliance verification as an attachment or in the body of the email. If sufficient information is not received by the due date, a follow-up visit may be conducted. *I will email a sample compliance verification letter to you. *Please be aware that any information submitted by you is legal documentation. If it is determined the information provided in the compliance letter is not true, this may be considered falsification of information. If I may be of further assistance, please contact me by phone at (252) 373-9385, by e-mail at Marjorie.White@dhhs.nc.gov. You may also call Jennifer Linhardt, Licensing Supervisor, at (252) 373-4199 or Jennifer.Linhardt@dhhs.nc.gov. Technical Assistance With Documented Violations: Annual Fire Inspections – Annual fire inspections ensure that the building follows fire codes and that your fire detection and alarm systems operate correctly in the event of a fire. The fire inspector completed a fire inspection on 8/1/2023; however, you did not send the fire inspection to me until 9/28/2023. You stated that the church received the fire inspection and forgot to share it with you. You will discuss this with them and remind them to share a copy of the fire inspection with you when completed. This item has been corrected. Outlets - Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. The majority of these injuries involve children under the age of six. An outlet in Space 5 was not protected with an outlet cover. The teacher was not sure how it became uncovered. You corrected it during the visit by covering the outlet and will remember to cover outlets when not in use. Because children are now waiting in the large sanctuary space, the outlets need to be protected. You covered these also today. Because that is a common space for the church, check outlets daily to ensure that they remain covered. Staff Medical Report - Receipt of a Staff Medical Report and Documentation of a negative TB Test or a TB Screening received from new staff by their first day of working in your center verifies that they are healthy enough to work with children and other staff and complete the physical responsibilities needed to work in child care. A. Drayer, a new teacher, started on 1/8/24 and provided you with documentation of a negative TB Test but did not provide you with a current Staff Medical Report. You stated that you thought it was in her medical file. The employee’s medical provider emailed a copy to her for her file. This violation is corrected. Use a Staff File Check list to track receipt of required documents at employment helps you ensure required forms are received before a new employee starts. First Aid and CPR – Early care and education programs with staff trained in pediatric first aid and CPR can mitigate the consequences of injury and reduce the potential for death from life-threatening conditions and emergencies. (Caring for Our Children, 4th Edition). Two staff, D. Lee (CPR/First Aid due 5/31/23) and M. Zoebel (CPR/First Aid due 9/7/23) completed CPR/First Aid on 2/16/23; however, even though the administrator stated that the course included First Aid only an American Heart Association BLS card was issued which does not reflect completion of First Aid. A third staff person, C. Craigo, was due for a CPR/First Aid recertification by 5/31/23 and has not successfully completed a new course. You stated that you just found out that the BLS card does not include First Aid. A new CPR/First Aid course is scheduled for 2/3/24. C. Craigo is terminating her position on 1/27/24 and will not be completing CPR/First Aid. When registering for a CPR/First Aid class, verify that it includes Pediatric Adult/Child/Infant CPR and First Aid and that the certification card will reflect this. Blended classes with on-line instruction and face-to-face skills test are now allowed if provided by approved agency and trainer. Send a copy of the Pediatric CPR/First Aid cards for D. Lee and M. Zoebel with the compliance letter. Plastic Bags – Make plastic bags of any type (grocery, trash, Ziploc) inaccessible to children younger than three years of age by storing them five feet or higher. If stored below five feet off the floor, they need to be locked. Playground – The fence, stationary equipment and portable gross motor equipment were in good repair on the playground. The surfacing is currently frozen solid due to the freezing temperatures. I was able to use a probe to measure the mulch and it measured six inches as required. When the ground softens up, rake and fluff the mulch under the to and fro swings. Storage of hazardous materials – All hazardous items were locked. General Visit Information: Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules (updated 7/1/23) and environmental health rules (updated 7/1/23) in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. Your local and regional Smart Start Partnerships and Child Care Resource and Referral Agencies are available to assist you with technical assistance and training on a multitude of topics including but not limited to: Environment Rating Scales, infant/toddler practices, healthy behaviors and classroom management, developmentally appropriate practice, EPR plans, activity plans, NC Foundations for Early Learning (developmental domains), etc. Child Care Health Consultants can provide training and technical assistance on topics related to health and safety such as sanitation, handwashing, diapering, illness policies, etc. *Children & Youth Partnership for Dare County: Phone - (252) 441-0614; website - www.darekids.org. *Child Care Health Consultant – S. Rosser - Office: (252) 557-4208 or stacy_rosser@unc.edu *Albemarle Alliance for Children and Families (AACF) and Region 1 Child Care Resource and Referral: Phone (252) 333-1233; website - www.aacfnc.org . Consultation: You switched the infant and toddler classrooms. Infants and their cribs are now in Space 6 which does not have a direct exit to the ramp; however, it opens into Space 5 which does have a direct exit. I contacted K. Clark, Building and Fire Inspector for the Town of Southern Shores. He approved the arrangement stating that the evacuation crib can be moved through the internal door between Spaces 6 and 5 and then through the exit door in Space 5 and down the ramp. The doorway between Spaces 6 and 5 must remain unobstructed so that the door can open freely. The crib must be able to fit through the door. Reminders: Health and Safety Training and Five (5) Year Cycle Tracking Requirements – Review Row 17 on Staff Worksheet for staff members needing initial H&S Training. *C. Craigo was due to renew H&S Training by August 2023 and completed it in July 2023. M. Zoebel only needs First Aid Training by 6/7/24 to complete H&S Training. A. Drayer needs initial H&S Training by 1/8/25. All other staff have current H&S Training. On-going Training Hours – Review Row 18 (# hours to carry over) on the Staff Worksheets to determine how many on-going training hours returning staff will need by 2/27/24 (anniversary of last Annual Compliance visit) and by 1/17/25 (anniversary of today’s Annual Compliance visit). New staff will complete Health & Safety in their first year and then will complete on-going training annually based upon their level of education posted in DCDEE Works. *The following staff have not met the required on-going training hours that are due by 2/27/24, I will review at the next visit. C. McLain – needs 5 hrs N. Osterdahl - needs 2 hrs E. Beatson – needs 3 hrs Ideas for On-going Training - *Also available on Moodle is a training course on Supporting Children and Families Experiencing Homelessness. *ECE college coursework or coursework leading to an ECE degree counts towards on-going training hours. Each semester credit counts as 16 hours so a 3-credit classes also earns 48 hours of on-going training. *Southwestern Child Development Commission, www.swcdcinc.org - offers DCDEE approved, on-line, self-paced training with affordable annual packages allowing you to take as many courses as you need or want for one price. *Use the On-going Training Log to document training annually. Attach copies of certificates. Staff Education and Works – M. Zoebel has an AAS-General Education with at least four classes that will count towards ECE. Help her register for Works and mail unopened, original, official transcripts to DCDEE. Fire and Emergency Drills - current Emergency Preparedness and Response (EPR) Requirements, Emergency Medical Care Plan (EMCP) and Ready-to-Go File – updated 1/17/24 Nutrition – Staff are required to model healthy eating habits when consuming food and beverages in front of children. Cans or bottles of soda pop or energy drinks (or cups from fast food restaurants) may not be visible in the classroom or in front of children. Staff may use opaque cups, if needed. Storage of Hazardous Items – All cleaning supplies and hazardous items were stored appropriately. No medications are currently being used at the center. Additional Comments: Medicaid Expansion – Share with your staff! - Studies show that at least 25% of people working in child care in North Carolina do not have health insurance. Starting 12/1/2023, more North Carolinians can now get health coverage through Medicaid even if they haven’t qualified before. Medicaid pays for doctor visits, yearly check-ups, emergency care, mental health services and more – at little or no cost to beneficiaries. Most people can get health care coverage through Medicaid if they meet the criteria below. • Live in North Carolina • Age 19 through 64 • Are a citizen. Some non-U.S. citizens can get health care coverage through Medicaid. • Have a household income that is below 138% of the federal poverty level. That’s about $20,000 for a single adult or about $34,000 for a family of three. If you were eligible for Medicaid prior to Dec 1, 2023, you still are. To learn more, go to Medicaid.nc.gov. I shared information on the following topics and emailed the information to you after the visit: 1. Early Childhood Leadership Academy 2. Clean Classrooms for Carolina Kids – required testing for lead in water, lead paint, asbestos 3. Free On-line Teacher Professional Development Memberships 4. How is it Going? We Want to Hear from You! 5. Unpacking ITERS-R: An Overview of the Infant/Toddler Environment Rating Scale 6. Resources from Health and Safety Resource Center! 7. Environmental Health Rules Update 8. Moodle Support Email and Phone Contact 9. NC Early Childhood Credential (NCECC) Equivalency Exam - Available on Moodle! 10. Challenging Behaviors Helpline! 11. Military Child Care in Your Neighborhood-Plus (MCCYN-PLUS) 12. NC Rated License Assessment Project (NCRLAP) Resources 13. NCID – Keep it active! Transition Back To Rated License Assessments And Cohorts To transition back to rated license assessments, the Division has created a two-year Cohort Model. All facilities are assigned to one of three cohorts based on their current rated license assessment due date. Each cohort will have a year for preparation and a year for assessment. (However, you are encouraged to begin preparations now so that you are ready when your cohort group is due!) Your child care center is due for a three-year rated license reassessment 2/27/26 and has been assigned to Cohort 3. I will share more information when your cohort year is closer. The Cohort 3 Rated License Preparation Year is from 7/1/2025 – 6/30/2026. Because you are in Cohort 3, you may also want to take advantage of having an Outreach Assessment completed this year or next year. This is a full ITERS-R and ECERS-R assessment from NCRLAP that does not count towards your rated license but will give you beneficial feedback and insight on the two scales. I provided you with flyers explaining the process and how to request an Outreach Assessment. The Cohort 3 Rated License Assessment Year is from 7/1/2026 – 6/30/2027. Thank you for your time and assistance today. Refer to this visit summary for a refresher of our discussions today, and I encourage you to share with staff and use the information as a teaching tool. If you have any questions, do not hesitate to call or email me at the contact information listed above. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0304 · Violation
Name of Operation: THE ALL SAINTS SCHOOL Facility ID: 28000259 Consultant: MARJORIE WHITE Operation Type: Center Case Number: Visit Date: 1/17/2024 Number Present: 18 Completed Date: 1/17/2024 Age: From 0 To 3 Total Minutes: 435 Time In: 09:00 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced * The purpose of today’s Annual Compliance visit was to monitor compliance with applicable child care requirements. Last Annual Compliance visit – 2/27/23 Last Sanitation Inspection – 10/18/23 with a Superior Rating Last Fire Inspection – 8/1/23 with Satisfactory rating, day time care only but not received until 9/28/23 *Sanitation and fire inspections are required at least annually by the date of the previous inspection. Send fire inspections to me within seven (7) days of the inspection. 18-month compliance history from 7/16/22 – 1/16/24= 96% D. Lee, Administrator, and S. Ackley, Manager, were present and assisted me with the visit. The facility currently operates with a Four-Star Center License, issued 2/27/2023, earning points in the following components: Program (2 PTS) + Education (7 PTS) + Quality Point (1 PT) = 10 Points = 4 Stars *Quality Point met and remains in effect: Staff Benefits and Parent Involvement *The program was also monitored for compliance with implementing an approved curriculum (Creative Curriculum and Montessori) as required for all four and five star facilities where four-year old children are enrolled. The next rated license assessment is due by 2/27/2026. See below for more information about the Division’s plan to return to rated license assessments. This facility is owned by All Saints Episcopal – Southern Shores. According to the NC Secretary of State's website, this non incorporated non-profit is current and active as of 1/16/24. Please contact me prior to any information change regarding the ownership of this facility. Facility contact information and license information were current. Contact me to make any changes to address, phone, or email or to request changes to the license. I monitored the classrooms and spaces used for child care, kitchen, and outdoor play area for applicable child care center requirements using the Child Care Center Requirements, effective 7/1/2023 and Item Number Listing, effective 8/2023. I monitored three children’s records, all staff records and all program records. The facility does not offer transportation. Center Observations: It was frigidly cold today and between the temperature and the wind, outdoor play was prohibited. Children participated in indoor free play but also spent time doing gross motor activities. The two infants and one toddler in Space 6 played on the floor but also ate and slept on their own schedules. Documentation of safe sleep checks and feeding plans was available. The three toddlers were drawing with chunky crayons and creating colorful pictures. One child was playing with a manipulative toy. As he put different items in his mouth and finished playing with them, the teacher placed them in the mouthed toys bucket to be cleaned and sanitized. The children Spaces 2 and 3 were doing their “work” playing with Montessori materials. Lunches and snacks are brought from home and all appeared to meet nutritional requirements; however, nutrition opt-out forms were also available in each child’s file. After lunch, children rested on linen-covered cots. The two infants slept in their cribs. I observed and documented the following violations during today’s visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection was completed on August 1, 2023 but was not sent to the child care consultant until September 28, 2023. 10A NCAC 09 .0304(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. An outlet in Space 5 and multiple outlets in the sanctuary space outside the classrooms were not protected with outlet covers. 10A NCAC 09 .0604(c) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A Staff Medical Report was not available for a staff member hired on January 8, 2024. 10A NCAC 09 .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid expired on May 31, 2023 for a staff member and was not renewed. Two other staff members completed American Red Cross BLS training on February 16, 2023, but the certification card did not reflect completion of First Aid. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. CPR expired on May 31, 2023 for a staff member and was not renewed. .1102(d) * Child care programs are expected to achieve and always maintain compliance and are required by NC GS 110-90(4)(d) to achieve and maintain an 18-month compliance history score of at least 75%. Any violations documented may impact the compliance history score. I completed an electronic copy of the visit summary and provided a printed copy of it to D. Lee, Administrator. We reviewed the visit summary and violation(s) documented during today’s visit. You corrected three of the violations during the visit and have a scheduled CPR/First Aid class to correct the remaining two. Send evidence of correction to me so that I receive it no later than 1/31/2024. I will request an extension because the CPR/First Aid class is not scheduled until 2/3/2024. The compliance verification letter needs to state the facility name and license number and list each violation by Item # and describe in detail when and how each violation has been corrected. If referring to staff or children in your compliance letter, refer to them by initials or position. Send compliance verification letter in an email from the center’s official email address, tass.hpms@gmail.com to my email address, Marjorie.White@dhhs.nc.gov. If sent from another email address, the center’s official address must be Cc’d in the compliance email. You may include the compliance verification as an attachment or in the body of the email. If sufficient information is not received by the due date, a follow-up visit may be conducted. *I will email a sample compliance verification letter to you. *Please be aware that any information submitted by you is legal documentation. If it is determined the information provided in the compliance letter is not true, this may be considered falsification of information. If I may be of further assistance, please contact me by phone at (252) 373-9385, by e-mail at Marjorie.White@dhhs.nc.gov. You may also call Jennifer Linhardt, Licensing Supervisor, at (252) 373-4199 or Jennifer.Linhardt@dhhs.nc.gov. Technical Assistance With Documented Violations: Annual Fire Inspections – Annual fire inspections ensure that the building follows fire codes and that your fire detection and alarm systems operate correctly in the event of a fire. The fire inspector completed a fire inspection on 8/1/2023; however, you did not send the fire inspection to me until 9/28/2023. You stated that the church received the fire inspection and forgot to share it with you. You will discuss this with them and remind them to share a copy of the fire inspection with you when completed. This item has been corrected. Outlets - Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. The majority of these injuries involve children under the age of six. An outlet in Space 5 was not protected with an outlet cover. The teacher was not sure how it became uncovered. You corrected it during the visit by covering the outlet and will remember to cover outlets when not in use. Because children are now waiting in the large sanctuary space, the outlets need to be protected. You covered these also today. Because that is a common space for the church, check outlets daily to ensure that they remain covered. Staff Medical Report - Receipt of a Staff Medical Report and Documentation of a negative TB Test or a TB Screening received from new staff by their first day of working in your center verifies that they are healthy enough to work with children and other staff and complete the physical responsibilities needed to work in child care. A. Drayer, a new teacher, started on 1/8/24 and provided you with documentation of a negative TB Test but did not provide you with a current Staff Medical Report. You stated that you thought it was in her medical file. The employee’s medical provider emailed a copy to her for her file. This violation is corrected. Use a Staff File Check list to track receipt of required documents at employment helps you ensure required forms are received before a new employee starts. First Aid and CPR – Early care and education programs with staff trained in pediatric first aid and CPR can mitigate the consequences of injury and reduce the potential for death from life-threatening conditions and emergencies. (Caring for Our Children, 4th Edition). Two staff, D. Lee (CPR/First Aid due 5/31/23) and M. Zoebel (CPR/First Aid due 9/7/23) completed CPR/First Aid on 2/16/23; however, even though the administrator stated that the course included First Aid only an American Heart Association BLS card was issued which does not reflect completion of First Aid. A third staff person, C. Craigo, was due for a CPR/First Aid recertification by 5/31/23 and has not successfully completed a new course. You stated that you just found out that the BLS card does not include First Aid. A new CPR/First Aid course is scheduled for 2/3/24. C. Craigo is terminating her position on 1/27/24 and will not be completing CPR/First Aid. When registering for a CPR/First Aid class, verify that it includes Pediatric Adult/Child/Infant CPR and First Aid and that the certification card will reflect this. Blended classes with on-line instruction and face-to-face skills test are now allowed if provided by approved agency and trainer. Send a copy of the Pediatric CPR/First Aid cards for D. Lee and M. Zoebel with the compliance letter. Plastic Bags – Make plastic bags of any type (grocery, trash, Ziploc) inaccessible to children younger than three years of age by storing them five feet or higher. If stored below five feet off the floor, they need to be locked. Playground – The fence, stationary equipment and portable gross motor equipment were in good repair on the playground. The surfacing is currently frozen solid due to the freezing temperatures. I was able to use a probe to measure the mulch and it measured six inches as required. When the ground softens up, rake and fluff the mulch under the to and fro swings. Storage of hazardous materials – All hazardous items were locked. General Visit Information: Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules (updated 7/1/23) and environmental health rules (updated 7/1/23) in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. Your local and regional Smart Start Partnerships and Child Care Resource and Referral Agencies are available to assist you with technical assistance and training on a multitude of topics including but not limited to: Environment Rating Scales, infant/toddler practices, healthy behaviors and classroom management, developmentally appropriate practice, EPR plans, activity plans, NC Foundations for Early Learning (developmental domains), etc. Child Care Health Consultants can provide training and technical assistance on topics related to health and safety such as sanitation, handwashing, diapering, illness policies, etc. *Children & Youth Partnership for Dare County: Phone - (252) 441-0614; website - www.darekids.org. *Child Care Health Consultant – S. Rosser - Office: (252) 557-4208 or stacy_rosser@unc.edu *Albemarle Alliance for Children and Families (AACF) and Region 1 Child Care Resource and Referral: Phone (252) 333-1233; website - www.aacfnc.org . Consultation: You switched the infant and toddler classrooms. Infants and their cribs are now in Space 6 which does not have a direct exit to the ramp; however, it opens into Space 5 which does have a direct exit. I contacted K. Clark, Building and Fire Inspector for the Town of Southern Shores. He approved the arrangement stating that the evacuation crib can be moved through the internal door between Spaces 6 and 5 and then through the exit door in Space 5 and down the ramp. The doorway between Spaces 6 and 5 must remain unobstructed so that the door can open freely. The crib must be able to fit through the door. Reminders: Health and Safety Training and Five (5) Year Cycle Tracking Requirements – Review Row 17 on Staff Worksheet for staff members needing initial H&S Training. *C. Craigo was due to renew H&S Training by August 2023 and completed it in July 2023. M. Zoebel only needs First Aid Training by 6/7/24 to complete H&S Training. A. Drayer needs initial H&S Training by 1/8/25. All other staff have current H&S Training. On-going Training Hours – Review Row 18 (# hours to carry over) on the Staff Worksheets to determine how many on-going training hours returning staff will need by 2/27/24 (anniversary of last Annual Compliance visit) and by 1/17/25 (anniversary of today’s Annual Compliance visit). New staff will complete Health & Safety in their first year and then will complete on-going training annually based upon their level of education posted in DCDEE Works. *The following staff have not met the required on-going training hours that are due by 2/27/24, I will review at the next visit. C. McLain – needs 5 hrs N. Osterdahl - needs 2 hrs E. Beatson – needs 3 hrs Ideas for On-going Training - *Also available on Moodle is a training course on Supporting Children and Families Experiencing Homelessness. *ECE college coursework or coursework leading to an ECE degree counts towards on-going training hours. Each semester credit counts as 16 hours so a 3-credit classes also earns 48 hours of on-going training. *Southwestern Child Development Commission, www.swcdcinc.org - offers DCDEE approved, on-line, self-paced training with affordable annual packages allowing you to take as many courses as you need or want for one price. *Use the On-going Training Log to document training annually. Attach copies of certificates. Staff Education and Works – M. Zoebel has an AAS-General Education with at least four classes that will count towards ECE. Help her register for Works and mail unopened, original, official transcripts to DCDEE. Fire and Emergency Drills - current Emergency Preparedness and Response (EPR) Requirements, Emergency Medical Care Plan (EMCP) and Ready-to-Go File – updated 1/17/24 Nutrition – Staff are required to model healthy eating habits when consuming food and beverages in front of children. Cans or bottles of soda pop or energy drinks (or cups from fast food restaurants) may not be visible in the classroom or in front of children. Staff may use opaque cups, if needed. Storage of Hazardous Items – All cleaning supplies and hazardous items were stored appropriately. No medications are currently being used at the center. Additional Comments: Medicaid Expansion – Share with your staff! - Studies show that at least 25% of people working in child care in North Carolina do not have health insurance. Starting 12/1/2023, more North Carolinians can now get health coverage through Medicaid even if they haven’t qualified before. Medicaid pays for doctor visits, yearly check-ups, emergency care, mental health services and more – at little or no cost to beneficiaries. Most people can get health care coverage through Medicaid if they meet the criteria below. • Live in North Carolina • Age 19 through 64 • Are a citizen. Some non-U.S. citizens can get health care coverage through Medicaid. • Have a household income that is below 138% of the federal poverty level. That’s about $20,000 for a single adult or about $34,000 for a family of three. If you were eligible for Medicaid prior to Dec 1, 2023, you still are. To learn more, go to Medicaid.nc.gov. I shared information on the following topics and emailed the information to you after the visit: 1. Early Childhood Leadership Academy 2. Clean Classrooms for Carolina Kids – required testing for lead in water, lead paint, asbestos 3. Free On-line Teacher Professional Development Memberships 4. How is it Going? We Want to Hear from You! 5. Unpacking ITERS-R: An Overview of the Infant/Toddler Environment Rating Scale 6. Resources from Health and Safety Resource Center! 7. Environmental Health Rules Update 8. Moodle Support Email and Phone Contact 9. NC Early Childhood Credential (NCECC) Equivalency Exam - Available on Moodle! 10. Challenging Behaviors Helpline! 11. Military Child Care in Your Neighborhood-Plus (MCCYN-PLUS) 12. NC Rated License Assessment Project (NCRLAP) Resources 13. NCID – Keep it active! Transition Back To Rated License Assessments And Cohorts To transition back to rated license assessments, the Division has created a two-year Cohort Model. All facilities are assigned to one of three cohorts based on their current rated license assessment due date. Each cohort will have a year for preparation and a year for assessment. (However, you are encouraged to begin preparations now so that you are ready when your cohort group is due!) Your child care center is due for a three-year rated license reassessment 2/27/26 and has been assigned to Cohort 3. I will share more information when your cohort year is closer. The Cohort 3 Rated License Preparation Year is from 7/1/2025 – 6/30/2026. Because you are in Cohort 3, you may also want to take advantage of having an Outreach Assessment completed this year or next year. This is a full ITERS-R and ECERS-R assessment from NCRLAP that does not count towards your rated license but will give you beneficial feedback and insight on the two scales. I provided you with flyers explaining the process and how to request an Outreach Assessment. The Cohort 3 Rated License Assessment Year is from 7/1/2026 – 6/30/2027. Thank you for your time and assistance today. Refer to this visit summary for a refresher of our discussions today, and I encourage you to share with staff and use the information as a teaching tool. If you have any questions, do not hesitate to call or email me at the contact information listed above. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0701 · Violation
Name of Operation: THE ALL SAINTS SCHOOL Facility ID: 28000259 Consultant: MARJORIE WHITE Operation Type: Center Case Number: Visit Date: 1/17/2024 Number Present: 18 Completed Date: 1/17/2024 Age: From 0 To 3 Total Minutes: 435 Time In: 09:00 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced * The purpose of today’s Annual Compliance visit was to monitor compliance with applicable child care requirements. Last Annual Compliance visit – 2/27/23 Last Sanitation Inspection – 10/18/23 with a Superior Rating Last Fire Inspection – 8/1/23 with Satisfactory rating, day time care only but not received until 9/28/23 *Sanitation and fire inspections are required at least annually by the date of the previous inspection. Send fire inspections to me within seven (7) days of the inspection. 18-month compliance history from 7/16/22 – 1/16/24= 96% D. Lee, Administrator, and S. Ackley, Manager, were present and assisted me with the visit. The facility currently operates with a Four-Star Center License, issued 2/27/2023, earning points in the following components: Program (2 PTS) + Education (7 PTS) + Quality Point (1 PT) = 10 Points = 4 Stars *Quality Point met and remains in effect: Staff Benefits and Parent Involvement *The program was also monitored for compliance with implementing an approved curriculum (Creative Curriculum and Montessori) as required for all four and five star facilities where four-year old children are enrolled. The next rated license assessment is due by 2/27/2026. See below for more information about the Division’s plan to return to rated license assessments. This facility is owned by All Saints Episcopal – Southern Shores. According to the NC Secretary of State's website, this non incorporated non-profit is current and active as of 1/16/24. Please contact me prior to any information change regarding the ownership of this facility. Facility contact information and license information were current. Contact me to make any changes to address, phone, or email or to request changes to the license. I monitored the classrooms and spaces used for child care, kitchen, and outdoor play area for applicable child care center requirements using the Child Care Center Requirements, effective 7/1/2023 and Item Number Listing, effective 8/2023. I monitored three children’s records, all staff records and all program records. The facility does not offer transportation. Center Observations: It was frigidly cold today and between the temperature and the wind, outdoor play was prohibited. Children participated in indoor free play but also spent time doing gross motor activities. The two infants and one toddler in Space 6 played on the floor but also ate and slept on their own schedules. Documentation of safe sleep checks and feeding plans was available. The three toddlers were drawing with chunky crayons and creating colorful pictures. One child was playing with a manipulative toy. As he put different items in his mouth and finished playing with them, the teacher placed them in the mouthed toys bucket to be cleaned and sanitized. The children Spaces 2 and 3 were doing their “work” playing with Montessori materials. Lunches and snacks are brought from home and all appeared to meet nutritional requirements; however, nutrition opt-out forms were also available in each child’s file. After lunch, children rested on linen-covered cots. The two infants slept in their cribs. I observed and documented the following violations during today’s visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection was completed on August 1, 2023 but was not sent to the child care consultant until September 28, 2023. 10A NCAC 09 .0304(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. An outlet in Space 5 and multiple outlets in the sanctuary space outside the classrooms were not protected with outlet covers. 10A NCAC 09 .0604(c) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A Staff Medical Report was not available for a staff member hired on January 8, 2024. 10A NCAC 09 .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid expired on May 31, 2023 for a staff member and was not renewed. Two other staff members completed American Red Cross BLS training on February 16, 2023, but the certification card did not reflect completion of First Aid. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. CPR expired on May 31, 2023 for a staff member and was not renewed. .1102(d) * Child care programs are expected to achieve and always maintain compliance and are required by NC GS 110-90(4)(d) to achieve and maintain an 18-month compliance history score of at least 75%. Any violations documented may impact the compliance history score. I completed an electronic copy of the visit summary and provided a printed copy of it to D. Lee, Administrator. We reviewed the visit summary and violation(s) documented during today’s visit. You corrected three of the violations during the visit and have a scheduled CPR/First Aid class to correct the remaining two. Send evidence of correction to me so that I receive it no later than 1/31/2024. I will request an extension because the CPR/First Aid class is not scheduled until 2/3/2024. The compliance verification letter needs to state the facility name and license number and list each violation by Item # and describe in detail when and how each violation has been corrected. If referring to staff or children in your compliance letter, refer to them by initials or position. Send compliance verification letter in an email from the center’s official email address, tass.hpms@gmail.com to my email address, Marjorie.White@dhhs.nc.gov. If sent from another email address, the center’s official address must be Cc’d in the compliance email. You may include the compliance verification as an attachment or in the body of the email. If sufficient information is not received by the due date, a follow-up visit may be conducted. *I will email a sample compliance verification letter to you. *Please be aware that any information submitted by you is legal documentation. If it is determined the information provided in the compliance letter is not true, this may be considered falsification of information. If I may be of further assistance, please contact me by phone at (252) 373-9385, by e-mail at Marjorie.White@dhhs.nc.gov. You may also call Jennifer Linhardt, Licensing Supervisor, at (252) 373-4199 or Jennifer.Linhardt@dhhs.nc.gov. Technical Assistance With Documented Violations: Annual Fire Inspections – Annual fire inspections ensure that the building follows fire codes and that your fire detection and alarm systems operate correctly in the event of a fire. The fire inspector completed a fire inspection on 8/1/2023; however, you did not send the fire inspection to me until 9/28/2023. You stated that the church received the fire inspection and forgot to share it with you. You will discuss this with them and remind them to share a copy of the fire inspection with you when completed. This item has been corrected. Outlets - Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. The majority of these injuries involve children under the age of six. An outlet in Space 5 was not protected with an outlet cover. The teacher was not sure how it became uncovered. You corrected it during the visit by covering the outlet and will remember to cover outlets when not in use. Because children are now waiting in the large sanctuary space, the outlets need to be protected. You covered these also today. Because that is a common space for the church, check outlets daily to ensure that they remain covered. Staff Medical Report - Receipt of a Staff Medical Report and Documentation of a negative TB Test or a TB Screening received from new staff by their first day of working in your center verifies that they are healthy enough to work with children and other staff and complete the physical responsibilities needed to work in child care. A. Drayer, a new teacher, started on 1/8/24 and provided you with documentation of a negative TB Test but did not provide you with a current Staff Medical Report. You stated that you thought it was in her medical file. The employee’s medical provider emailed a copy to her for her file. This violation is corrected. Use a Staff File Check list to track receipt of required documents at employment helps you ensure required forms are received before a new employee starts. First Aid and CPR – Early care and education programs with staff trained in pediatric first aid and CPR can mitigate the consequences of injury and reduce the potential for death from life-threatening conditions and emergencies. (Caring for Our Children, 4th Edition). Two staff, D. Lee (CPR/First Aid due 5/31/23) and M. Zoebel (CPR/First Aid due 9/7/23) completed CPR/First Aid on 2/16/23; however, even though the administrator stated that the course included First Aid only an American Heart Association BLS card was issued which does not reflect completion of First Aid. A third staff person, C. Craigo, was due for a CPR/First Aid recertification by 5/31/23 and has not successfully completed a new course. You stated that you just found out that the BLS card does not include First Aid. A new CPR/First Aid course is scheduled for 2/3/24. C. Craigo is terminating her position on 1/27/24 and will not be completing CPR/First Aid. When registering for a CPR/First Aid class, verify that it includes Pediatric Adult/Child/Infant CPR and First Aid and that the certification card will reflect this. Blended classes with on-line instruction and face-to-face skills test are now allowed if provided by approved agency and trainer. Send a copy of the Pediatric CPR/First Aid cards for D. Lee and M. Zoebel with the compliance letter. Plastic Bags – Make plastic bags of any type (grocery, trash, Ziploc) inaccessible to children younger than three years of age by storing them five feet or higher. If stored below five feet off the floor, they need to be locked. Playground – The fence, stationary equipment and portable gross motor equipment were in good repair on the playground. The surfacing is currently frozen solid due to the freezing temperatures. I was able to use a probe to measure the mulch and it measured six inches as required. When the ground softens up, rake and fluff the mulch under the to and fro swings. Storage of hazardous materials – All hazardous items were locked. General Visit Information: Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules (updated 7/1/23) and environmental health rules (updated 7/1/23) in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. Your local and regional Smart Start Partnerships and Child Care Resource and Referral Agencies are available to assist you with technical assistance and training on a multitude of topics including but not limited to: Environment Rating Scales, infant/toddler practices, healthy behaviors and classroom management, developmentally appropriate practice, EPR plans, activity plans, NC Foundations for Early Learning (developmental domains), etc. Child Care Health Consultants can provide training and technical assistance on topics related to health and safety such as sanitation, handwashing, diapering, illness policies, etc. *Children & Youth Partnership for Dare County: Phone - (252) 441-0614; website - www.darekids.org. *Child Care Health Consultant – S. Rosser - Office: (252) 557-4208 or stacy_rosser@unc.edu *Albemarle Alliance for Children and Families (AACF) and Region 1 Child Care Resource and Referral: Phone (252) 333-1233; website - www.aacfnc.org . Consultation: You switched the infant and toddler classrooms. Infants and their cribs are now in Space 6 which does not have a direct exit to the ramp; however, it opens into Space 5 which does have a direct exit. I contacted K. Clark, Building and Fire Inspector for the Town of Southern Shores. He approved the arrangement stating that the evacuation crib can be moved through the internal door between Spaces 6 and 5 and then through the exit door in Space 5 and down the ramp. The doorway between Spaces 6 and 5 must remain unobstructed so that the door can open freely. The crib must be able to fit through the door. Reminders: Health and Safety Training and Five (5) Year Cycle Tracking Requirements – Review Row 17 on Staff Worksheet for staff members needing initial H&S Training. *C. Craigo was due to renew H&S Training by August 2023 and completed it in July 2023. M. Zoebel only needs First Aid Training by 6/7/24 to complete H&S Training. A. Drayer needs initial H&S Training by 1/8/25. All other staff have current H&S Training. On-going Training Hours – Review Row 18 (# hours to carry over) on the Staff Worksheets to determine how many on-going training hours returning staff will need by 2/27/24 (anniversary of last Annual Compliance visit) and by 1/17/25 (anniversary of today’s Annual Compliance visit). New staff will complete Health & Safety in their first year and then will complete on-going training annually based upon their level of education posted in DCDEE Works. *The following staff have not met the required on-going training hours that are due by 2/27/24, I will review at the next visit. C. McLain – needs 5 hrs N. Osterdahl - needs 2 hrs E. Beatson – needs 3 hrs Ideas for On-going Training - *Also available on Moodle is a training course on Supporting Children and Families Experiencing Homelessness. *ECE college coursework or coursework leading to an ECE degree counts towards on-going training hours. Each semester credit counts as 16 hours so a 3-credit classes also earns 48 hours of on-going training. *Southwestern Child Development Commission, www.swcdcinc.org - offers DCDEE approved, on-line, self-paced training with affordable annual packages allowing you to take as many courses as you need or want for one price. *Use the On-going Training Log to document training annually. Attach copies of certificates. Staff Education and Works – M. Zoebel has an AAS-General Education with at least four classes that will count towards ECE. Help her register for Works and mail unopened, original, official transcripts to DCDEE. Fire and Emergency Drills - current Emergency Preparedness and Response (EPR) Requirements, Emergency Medical Care Plan (EMCP) and Ready-to-Go File – updated 1/17/24 Nutrition – Staff are required to model healthy eating habits when consuming food and beverages in front of children. Cans or bottles of soda pop or energy drinks (or cups from fast food restaurants) may not be visible in the classroom or in front of children. Staff may use opaque cups, if needed. Storage of Hazardous Items – All cleaning supplies and hazardous items were stored appropriately. No medications are currently being used at the center. Additional Comments: Medicaid Expansion – Share with your staff! - Studies show that at least 25% of people working in child care in North Carolina do not have health insurance. Starting 12/1/2023, more North Carolinians can now get health coverage through Medicaid even if they haven’t qualified before. Medicaid pays for doctor visits, yearly check-ups, emergency care, mental health services and more – at little or no cost to beneficiaries. Most people can get health care coverage through Medicaid if they meet the criteria below. • Live in North Carolina • Age 19 through 64 • Are a citizen. Some non-U.S. citizens can get health care coverage through Medicaid. • Have a household income that is below 138% of the federal poverty level. That’s about $20,000 for a single adult or about $34,000 for a family of three. If you were eligible for Medicaid prior to Dec 1, 2023, you still are. To learn more, go to Medicaid.nc.gov. I shared information on the following topics and emailed the information to you after the visit: 1. Early Childhood Leadership Academy 2. Clean Classrooms for Carolina Kids – required testing for lead in water, lead paint, asbestos 3. Free On-line Teacher Professional Development Memberships 4. How is it Going? We Want to Hear from You! 5. Unpacking ITERS-R: An Overview of the Infant/Toddler Environment Rating Scale 6. Resources from Health and Safety Resource Center! 7. Environmental Health Rules Update 8. Moodle Support Email and Phone Contact 9. NC Early Childhood Credential (NCECC) Equivalency Exam - Available on Moodle! 10. Challenging Behaviors Helpline! 11. Military Child Care in Your Neighborhood-Plus (MCCYN-PLUS) 12. NC Rated License Assessment Project (NCRLAP) Resources 13. NCID – Keep it active! Transition Back To Rated License Assessments And Cohorts To transition back to rated license assessments, the Division has created a two-year Cohort Model. All facilities are assigned to one of three cohorts based on their current rated license assessment due date. Each cohort will have a year for preparation and a year for assessment. (However, you are encouraged to begin preparations now so that you are ready when your cohort group is due!) Your child care center is due for a three-year rated license reassessment 2/27/26 and has been assigned to Cohort 3. I will share more information when your cohort year is closer. The Cohort 3 Rated License Preparation Year is from 7/1/2025 – 6/30/2026. Because you are in Cohort 3, you may also want to take advantage of having an Outreach Assessment completed this year or next year. This is a full ITERS-R and ECERS-R assessment from NCRLAP that does not count towards your rated license but will give you beneficial feedback and insight on the two scales. I provided you with flyers explaining the process and how to request an Outreach Assessment. The Cohort 3 Rated License Assessment Year is from 7/1/2026 – 6/30/2027. Thank you for your time and assistance today. Refer to this visit summary for a refresher of our discussions today, and I encourage you to share with staff and use the information as a teaching tool. If you have any questions, do not hesitate to call or email me at the contact information listed above. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
NC GS 110-90 · Violation
Name of Operation: THE ALL SAINTS SCHOOL Facility ID: 28000259 Consultant: MARJORIE WHITE Operation Type: Center Case Number: Visit Date: 1/17/2024 Number Present: 18 Completed Date: 1/17/2024 Age: From 0 To 3 Total Minutes: 435 Time In: 09:00 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced * The purpose of today’s Annual Compliance visit was to monitor compliance with applicable child care requirements. Last Annual Compliance visit – 2/27/23 Last Sanitation Inspection – 10/18/23 with a Superior Rating Last Fire Inspection – 8/1/23 with Satisfactory rating, day time care only but not received until 9/28/23 *Sanitation and fire inspections are required at least annually by the date of the previous inspection. Send fire inspections to me within seven (7) days of the inspection. 18-month compliance history from 7/16/22 – 1/16/24= 96% D. Lee, Administrator, and S. Ackley, Manager, were present and assisted me with the visit. The facility currently operates with a Four-Star Center License, issued 2/27/2023, earning points in the following components: Program (2 PTS) + Education (7 PTS) + Quality Point (1 PT) = 10 Points = 4 Stars *Quality Point met and remains in effect: Staff Benefits and Parent Involvement *The program was also monitored for compliance with implementing an approved curriculum (Creative Curriculum and Montessori) as required for all four and five star facilities where four-year old children are enrolled. The next rated license assessment is due by 2/27/2026. See below for more information about the Division’s plan to return to rated license assessments. This facility is owned by All Saints Episcopal – Southern Shores. According to the NC Secretary of State's website, this non incorporated non-profit is current and active as of 1/16/24. Please contact me prior to any information change regarding the ownership of this facility. Facility contact information and license information were current. Contact me to make any changes to address, phone, or email or to request changes to the license. I monitored the classrooms and spaces used for child care, kitchen, and outdoor play area for applicable child care center requirements using the Child Care Center Requirements, effective 7/1/2023 and Item Number Listing, effective 8/2023. I monitored three children’s records, all staff records and all program records. The facility does not offer transportation. Center Observations: It was frigidly cold today and between the temperature and the wind, outdoor play was prohibited. Children participated in indoor free play but also spent time doing gross motor activities. The two infants and one toddler in Space 6 played on the floor but also ate and slept on their own schedules. Documentation of safe sleep checks and feeding plans was available. The three toddlers were drawing with chunky crayons and creating colorful pictures. One child was playing with a manipulative toy. As he put different items in his mouth and finished playing with them, the teacher placed them in the mouthed toys bucket to be cleaned and sanitized. The children Spaces 2 and 3 were doing their “work” playing with Montessori materials. Lunches and snacks are brought from home and all appeared to meet nutritional requirements; however, nutrition opt-out forms were also available in each child’s file. After lunch, children rested on linen-covered cots. The two infants slept in their cribs. I observed and documented the following violations during today’s visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection was completed on August 1, 2023 but was not sent to the child care consultant until September 28, 2023. 10A NCAC 09 .0304(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. An outlet in Space 5 and multiple outlets in the sanctuary space outside the classrooms were not protected with outlet covers. 10A NCAC 09 .0604(c) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A Staff Medical Report was not available for a staff member hired on January 8, 2024. 10A NCAC 09 .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid expired on May 31, 2023 for a staff member and was not renewed. Two other staff members completed American Red Cross BLS training on February 16, 2023, but the certification card did not reflect completion of First Aid. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. CPR expired on May 31, 2023 for a staff member and was not renewed. .1102(d) * Child care programs are expected to achieve and always maintain compliance and are required by NC GS 110-90(4)(d) to achieve and maintain an 18-month compliance history score of at least 75%. Any violations documented may impact the compliance history score. I completed an electronic copy of the visit summary and provided a printed copy of it to D. Lee, Administrator. We reviewed the visit summary and violation(s) documented during today’s visit. You corrected three of the violations during the visit and have a scheduled CPR/First Aid class to correct the remaining two. Send evidence of correction to me so that I receive it no later than 1/31/2024. I will request an extension because the CPR/First Aid class is not scheduled until 2/3/2024. The compliance verification letter needs to state the facility name and license number and list each violation by Item # and describe in detail when and how each violation has been corrected. If referring to staff or children in your compliance letter, refer to them by initials or position. Send compliance verification letter in an email from the center’s official email address, tass.hpms@gmail.com to my email address, Marjorie.White@dhhs.nc.gov. If sent from another email address, the center’s official address must be Cc’d in the compliance email. You may include the compliance verification as an attachment or in the body of the email. If sufficient information is not received by the due date, a follow-up visit may be conducted. *I will email a sample compliance verification letter to you. *Please be aware that any information submitted by you is legal documentation. If it is determined the information provided in the compliance letter is not true, this may be considered falsification of information. If I may be of further assistance, please contact me by phone at (252) 373-9385, by e-mail at Marjorie.White@dhhs.nc.gov. You may also call Jennifer Linhardt, Licensing Supervisor, at (252) 373-4199 or Jennifer.Linhardt@dhhs.nc.gov. Technical Assistance With Documented Violations: Annual Fire Inspections – Annual fire inspections ensure that the building follows fire codes and that your fire detection and alarm systems operate correctly in the event of a fire. The fire inspector completed a fire inspection on 8/1/2023; however, you did not send the fire inspection to me until 9/28/2023. You stated that the church received the fire inspection and forgot to share it with you. You will discuss this with them and remind them to share a copy of the fire inspection with you when completed. This item has been corrected. Outlets - Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. The majority of these injuries involve children under the age of six. An outlet in Space 5 was not protected with an outlet cover. The teacher was not sure how it became uncovered. You corrected it during the visit by covering the outlet and will remember to cover outlets when not in use. Because children are now waiting in the large sanctuary space, the outlets need to be protected. You covered these also today. Because that is a common space for the church, check outlets daily to ensure that they remain covered. Staff Medical Report - Receipt of a Staff Medical Report and Documentation of a negative TB Test or a TB Screening received from new staff by their first day of working in your center verifies that they are healthy enough to work with children and other staff and complete the physical responsibilities needed to work in child care. A. Drayer, a new teacher, started on 1/8/24 and provided you with documentation of a negative TB Test but did not provide you with a current Staff Medical Report. You stated that you thought it was in her medical file. The employee’s medical provider emailed a copy to her for her file. This violation is corrected. Use a Staff File Check list to track receipt of required documents at employment helps you ensure required forms are received before a new employee starts. First Aid and CPR – Early care and education programs with staff trained in pediatric first aid and CPR can mitigate the consequences of injury and reduce the potential for death from life-threatening conditions and emergencies. (Caring for Our Children, 4th Edition). Two staff, D. Lee (CPR/First Aid due 5/31/23) and M. Zoebel (CPR/First Aid due 9/7/23) completed CPR/First Aid on 2/16/23; however, even though the administrator stated that the course included First Aid only an American Heart Association BLS card was issued which does not reflect completion of First Aid. A third staff person, C. Craigo, was due for a CPR/First Aid recertification by 5/31/23 and has not successfully completed a new course. You stated that you just found out that the BLS card does not include First Aid. A new CPR/First Aid course is scheduled for 2/3/24. C. Craigo is terminating her position on 1/27/24 and will not be completing CPR/First Aid. When registering for a CPR/First Aid class, verify that it includes Pediatric Adult/Child/Infant CPR and First Aid and that the certification card will reflect this. Blended classes with on-line instruction and face-to-face skills test are now allowed if provided by approved agency and trainer. Send a copy of the Pediatric CPR/First Aid cards for D. Lee and M. Zoebel with the compliance letter. Plastic Bags – Make plastic bags of any type (grocery, trash, Ziploc) inaccessible to children younger than three years of age by storing them five feet or higher. If stored below five feet off the floor, they need to be locked. Playground – The fence, stationary equipment and portable gross motor equipment were in good repair on the playground. The surfacing is currently frozen solid due to the freezing temperatures. I was able to use a probe to measure the mulch and it measured six inches as required. When the ground softens up, rake and fluff the mulch under the to and fro swings. Storage of hazardous materials – All hazardous items were locked. General Visit Information: Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules (updated 7/1/23) and environmental health rules (updated 7/1/23) in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. Your local and regional Smart Start Partnerships and Child Care Resource and Referral Agencies are available to assist you with technical assistance and training on a multitude of topics including but not limited to: Environment Rating Scales, infant/toddler practices, healthy behaviors and classroom management, developmentally appropriate practice, EPR plans, activity plans, NC Foundations for Early Learning (developmental domains), etc. Child Care Health Consultants can provide training and technical assistance on topics related to health and safety such as sanitation, handwashing, diapering, illness policies, etc. *Children & Youth Partnership for Dare County: Phone - (252) 441-0614; website - www.darekids.org. *Child Care Health Consultant – S. Rosser - Office: (252) 557-4208 or stacy_rosser@unc.edu *Albemarle Alliance for Children and Families (AACF) and Region 1 Child Care Resource and Referral: Phone (252) 333-1233; website - www.aacfnc.org . Consultation: You switched the infant and toddler classrooms. Infants and their cribs are now in Space 6 which does not have a direct exit to the ramp; however, it opens into Space 5 which does have a direct exit. I contacted K. Clark, Building and Fire Inspector for the Town of Southern Shores. He approved the arrangement stating that the evacuation crib can be moved through the internal door between Spaces 6 and 5 and then through the exit door in Space 5 and down the ramp. The doorway between Spaces 6 and 5 must remain unobstructed so that the door can open freely. The crib must be able to fit through the door. Reminders: Health and Safety Training and Five (5) Year Cycle Tracking Requirements – Review Row 17 on Staff Worksheet for staff members needing initial H&S Training. *C. Craigo was due to renew H&S Training by August 2023 and completed it in July 2023. M. Zoebel only needs First Aid Training by 6/7/24 to complete H&S Training. A. Drayer needs initial H&S Training by 1/8/25. All other staff have current H&S Training. On-going Training Hours – Review Row 18 (# hours to carry over) on the Staff Worksheets to determine how many on-going training hours returning staff will need by 2/27/24 (anniversary of last Annual Compliance visit) and by 1/17/25 (anniversary of today’s Annual Compliance visit). New staff will complete Health & Safety in their first year and then will complete on-going training annually based upon their level of education posted in DCDEE Works. *The following staff have not met the required on-going training hours that are due by 2/27/24, I will review at the next visit. C. McLain – needs 5 hrs N. Osterdahl - needs 2 hrs E. Beatson – needs 3 hrs Ideas for On-going Training - *Also available on Moodle is a training course on Supporting Children and Families Experiencing Homelessness. *ECE college coursework or coursework leading to an ECE degree counts towards on-going training hours. Each semester credit counts as 16 hours so a 3-credit classes also earns 48 hours of on-going training. *Southwestern Child Development Commission, www.swcdcinc.org - offers DCDEE approved, on-line, self-paced training with affordable annual packages allowing you to take as many courses as you need or want for one price. *Use the On-going Training Log to document training annually. Attach copies of certificates. Staff Education and Works – M. Zoebel has an AAS-General Education with at least four classes that will count towards ECE. Help her register for Works and mail unopened, original, official transcripts to DCDEE. Fire and Emergency Drills - current Emergency Preparedness and Response (EPR) Requirements, Emergency Medical Care Plan (EMCP) and Ready-to-Go File – updated 1/17/24 Nutrition – Staff are required to model healthy eating habits when consuming food and beverages in front of children. Cans or bottles of soda pop or energy drinks (or cups from fast food restaurants) may not be visible in the classroom or in front of children. Staff may use opaque cups, if needed. Storage of Hazardous Items – All cleaning supplies and hazardous items were stored appropriately. No medications are currently being used at the center. Additional Comments: Medicaid Expansion – Share with your staff! - Studies show that at least 25% of people working in child care in North Carolina do not have health insurance. Starting 12/1/2023, more North Carolinians can now get health coverage through Medicaid even if they haven’t qualified before. Medicaid pays for doctor visits, yearly check-ups, emergency care, mental health services and more – at little or no cost to beneficiaries. Most people can get health care coverage through Medicaid if they meet the criteria below. • Live in North Carolina • Age 19 through 64 • Are a citizen. Some non-U.S. citizens can get health care coverage through Medicaid. • Have a household income that is below 138% of the federal poverty level. That’s about $20,000 for a single adult or about $34,000 for a family of three. If you were eligible for Medicaid prior to Dec 1, 2023, you still are. To learn more, go to Medicaid.nc.gov. I shared information on the following topics and emailed the information to you after the visit: 1. Early Childhood Leadership Academy 2. Clean Classrooms for Carolina Kids – required testing for lead in water, lead paint, asbestos 3. Free On-line Teacher Professional Development Memberships 4. How is it Going? We Want to Hear from You! 5. Unpacking ITERS-R: An Overview of the Infant/Toddler Environment Rating Scale 6. Resources from Health and Safety Resource Center! 7. Environmental Health Rules Update 8. Moodle Support Email and Phone Contact 9. NC Early Childhood Credential (NCECC) Equivalency Exam - Available on Moodle! 10. Challenging Behaviors Helpline! 11. Military Child Care in Your Neighborhood-Plus (MCCYN-PLUS) 12. NC Rated License Assessment Project (NCRLAP) Resources 13. NCID – Keep it active! Transition Back To Rated License Assessments And Cohorts To transition back to rated license assessments, the Division has created a two-year Cohort Model. All facilities are assigned to one of three cohorts based on their current rated license assessment due date. Each cohort will have a year for preparation and a year for assessment. (However, you are encouraged to begin preparations now so that you are ready when your cohort group is due!) Your child care center is due for a three-year rated license reassessment 2/27/26 and has been assigned to Cohort 3. I will share more information when your cohort year is closer. The Cohort 3 Rated License Preparation Year is from 7/1/2025 – 6/30/2026. Because you are in Cohort 3, you may also want to take advantage of having an Outreach Assessment completed this year or next year. This is a full ITERS-R and ECERS-R assessment from NCRLAP that does not count towards your rated license but will give you beneficial feedback and insight on the two scales. I provided you with flyers explaining the process and how to request an Outreach Assessment. The Cohort 3 Rated License Assessment Year is from 7/1/2026 – 6/30/2027. Thank you for your time and assistance today. Refer to this visit summary for a refresher of our discussions today, and I encourage you to share with staff and use the information as a teaching tool. If you have any questions, do not hesitate to call or email me at the contact information listed above. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
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