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Home › NC › Spindale › Carver Head Start
141 Carver ST, Spindale NC 28160 · License #81000052 · Center · Child Care Center
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10A NCAC 09 .0604 · Violation
Name of Operation: CARVER HEAD START Facility ID: 81000052 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 4/28/2026 Number Present: 114 Completed Date: 4/28/2026 Age: From 1 To 5 Total Minutes: 342 Time In: 10:18 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 unannounced visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit, including health and safety. The visit was conducted with you, Ausjanet Bayne, NC Pre K contact. This program currently operates with a Five star rated license effective September 25, 2024. The permit restrictions include 1st shift, meets enhanced ratios, meets enhanced space, and children under 2 ½ years in rooms with direct exits only. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year -old children are enrolled. The last annual compliance visit was conducted on May 13, 2025. The most recent sanitation inspection for your facility was conducted on December 9, 2025. A superior sanitation classification was issued with thirteen demerits noted on the grade card. The most recent approved fire inspection for your facility was conducted on August 4, 2025 for daytime care only. The most recent monthly fire drill was conducted on March 23, 2026. The most recent quarterly lockdown drill was conducted on March 3, 2026. The Rutherford County Schools Critical Response Plan serves as the facility’s EPR Plan. The most recent monthly playground inspection was completed on April 3, 2026. The center's compliance history was reviewed with the operator. The program’s compliance history was 83 percent as of April 28, 2026. You visited each indoor and outdoor space with me. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in group educational screen time, handwashing protocols, lunch, and rest time. The caregivers were interacting and meeting the developmental needs for each of the children. A checklist was used to note the requirements I monitored today. The analysis date for the most recent lead water test was October 14, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated the required assessment for asbestos hazards was completed on March 17, 2025 and for lead-based paint hazards was completed February 3, 2025. You provided me with applicable program and children’s records for review. A sample of twelve children’s records were reviewed. NC Pre-K requirements were monitored today. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. A selection of files were monitored for completed health assessments and developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The review of staff files was unable to be completed during today’s visit due to time of day. A visit to complete the review of staff files was scheduled for May 1, 2026. Any staff file violations observed will be added to today’s Annual Compliance visit summary. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space 302, the posted activity plan was dated March 2026. GS 110-91(12); .0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 302, there was one electrical outlet without a safety plug in the art activity center. 10A NCAC 09 .0604(c) 815 Electrical cords were accessible to infants and toddlers. In space 202, there was an electrical cord for the remote radio accessible to toddlers. 10A NCAC 09 .0604(f) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 107, there was one aerosol can of Lysol spray in an unlocked cabinet. .2820(b) 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. An incident report dated January 7, 2026 for a one year old child did not include the date/time that the parent was notified of the incident. .0802 (e) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space 202, there were multiple markers with removeable lids accessible to children under three years of age. In space 302, there were two plastic Huggies wipe packages with suffocation warnings accessible to children under three years of age. .0604(q) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child, one year of age who enrolled on August 11, 2025, had a medical exam on file that was dated September 16, 2025. GS110-91(1) 1767 The health assessment did not include a vision screening. One child, five years of age who enrolled in NC PreK on October 14, 2025, did not have a completed vision screening on file. .3005 (a)(3) 1768 The health assessment did not include a hearing screening. One child, five years of age who enrolled in NC PreK on October 14, 2025, did not have a completed hearing screening on file. .3005 (a)(4) 1769 The health assessment did not include a dental screening. One child, five years of age that enrolled in NC PreK on February 26, 2026, did not have a dental screening on file. .3005 (a)(5) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One child four years of age with a chronic medical condition requiring special health services had a medical action plan on file that was not signed by a parent or healthcare professional. .0801(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One substitute employee who began work in the classroom on 8/18/25 had verification of the completed Recognizing and Responding to Suspicions of Child Maltreatment training on file dated 5/5/26. Another substitute employee who also began work in the classroom on 8/18/25 had verification of the completed Recognizing and Responding to Suspicions of Child Maltreatment training on file dated 5/6/26. .1102(g) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before May 12, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Beth Archer, Child Care Consultant PO Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance was provided on the following: All centers must have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers.. For each group of children in care, the activity plan must include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: emotional and social development; health and physical development; approaches to play and learning; language development and communication; and cognitive development. I suggested you have staff members post the following weeks’ activity plan at the end of the day on the previous Friday to ensure a current activity plan is posted. I also suggested you remind teachers that a current activity plan and schedule must be posted at all times. All electrical outlets and power strips not in use must be kept covered with outlet covers at all times unless located behind furniture that cannot be moved by a child. I suggested that staff members conduct a daily safety check prior to children arriving each day to include ensuring all electrical outlets are covered. Staff members should also scan outlets throughout the day to ensure they remain covered. I suggested you keep extra outlet covers in each classroom to ensure outlets and power strips are kept covered at all times when not in use. This violation was corrected when the lead teacher placed a safety plug in the outlet that was uncovered. Electrical cords may not be accessible to infants and toddlers. I suggested that staff members conduct a daily safety check prior to children arriving each day and throughout the day to include ensuring all electrical cords are not accessible to infants and toddlers. This violation was corrected during today’s visit by moving the electrical cord behind a shelf making it inaccessible to the toddlers in the classroom. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings may be stored five (5) feet off the ground. Have staff check their classroom thoroughly each morning to ensure all hazardous products are stored properly. I suggested you have staff members check the classrooms thoroughly each morning, prior to children arriving, to ensure all items are stored properly. I also suggested you review this information with all staff members to ensure they can understand which items need to be locked based on warning labels. The can of Lysol was removed during the classroom during today’s walk through. Incident reports must be completed each time that a child is injured with all the required information in rule, including the time and date that the parent was notified of the injury. I suggested that staff send all incident reports to the facility health consultant to review for completion of all required information. Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed must be inaccessible to children under three (3) years of age. Jump ropes and rubber bands may not be accessible to children under five (5) years of age without adult supervision. You may keep these items on higher shelves (more than five feet off the ground) in classrooms used for care for children under three (3) years of age. Small toys, foam items and sponges may be used during supervised activities. I suggested you remind staff members assigned to classrooms for children under three (3) years of age to check drawers and cabinets that are accessible to children under three for items that are small enough to go through a choking tube, causing them to become a choking hazard. Items stored in plastic bags should be removed from the bags, stored in an area more than five (5) feet from the ground or in a locked area. I suggested you purchase small plastic containers to use to store wipes to eliminate the packaging with suffocation hazards. Choking and suffocation hazards were removed from both classrooms during the visit. All children must have a medical exam on file within the first thirty (30) days of enrollment. I suggested that the family advocate enrolling the child ask parents to provide the medical exam during the enrollment process to ensure the documentation is on file in a timely manner. I also suggested you use the children’s file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file in a timely manner. A copy of the medical exam for the child enrolled on August 11, 2025 was on file for review during today's visit. A health assessment must be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment must include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. The hearing and vision screening must be completed and can not be marked on the form as “N/A”. The boxes for hearing and vision screening must be checked either “yes” or “no” by the health care professional completing the assessment to confirm the testing was completed. “Unable to perform” documented on a health assessment form does not meet the rule requirement. A dental screening may be completed on a separate form and must also be on file within 30 days after a child enters the NC Pre-K program. I suggested you review all medical exams for NC Pre-K students as soon as they are turned into the facility to ensure all required assessments, including hearing screening, vision screening, and dental screening have been completed. For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan must be attached to the application. The medical action plan is to be completed by the child's parent or a health care professional and may include the following: a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; contact information for the child's health care professional(s); medications to be administered on a scheduled basis; and medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan is to be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. In addition to attaching a copy of the medical action plan to the child’s application, I also suggested you keep a copy of the medical action plans with the medications to ensure the correct response and care is given to any emergent situations. I suggested you review all medical action plans for children diagnosed with chronic illnesses at least once every six (6) months to ensure information on the medical action plan is current and accurate. All staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training can be found at https://www.preventchildabusenc.org/resource-hub/recognizing-responding-to-child-maltreatment/. I suggested you set calendar reminders to ensure all new staff complete this training within the first 90 days of employment including substitute staff members. Consultation: Your program will be due a rated license reassessment before September 25, 2027. The ABCMS provider portal facility roster should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Due to connectivity issues, violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you. If you have questions you may contact me, Beth Archer Child Care Consultant 828-748-7893, Beth.Archer@dhhs.nc.gov or my supervisor, Tammy McGalliard Tammy.McGalliard@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
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.
GS 110-91 · Violation
Name of Operation: CARVER HEAD START Facility ID: 81000052 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 4/28/2026 Number Present: 114 Completed Date: 4/28/2026 Age: From 1 To 5 Total Minutes: 342 Time In: 10:18 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 unannounced visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit, including health and safety. The visit was conducted with you, Ausjanet Bayne, NC Pre K contact. This program currently operates with a Five star rated license effective September 25, 2024. The permit restrictions include 1st shift, meets enhanced ratios, meets enhanced space, and children under 2 ½ years in rooms with direct exits only. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year -old children are enrolled. The last annual compliance visit was conducted on May 13, 2025. The most recent sanitation inspection for your facility was conducted on December 9, 2025. A superior sanitation classification was issued with thirteen demerits noted on the grade card. The most recent approved fire inspection for your facility was conducted on August 4, 2025 for daytime care only. The most recent monthly fire drill was conducted on March 23, 2026. The most recent quarterly lockdown drill was conducted on March 3, 2026. The Rutherford County Schools Critical Response Plan serves as the facility’s EPR Plan. The most recent monthly playground inspection was completed on April 3, 2026. The center's compliance history was reviewed with the operator. The program’s compliance history was 83 percent as of April 28, 2026. You visited each indoor and outdoor space with me. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in group educational screen time, handwashing protocols, lunch, and rest time. The caregivers were interacting and meeting the developmental needs for each of the children. A checklist was used to note the requirements I monitored today. The analysis date for the most recent lead water test was October 14, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated the required assessment for asbestos hazards was completed on March 17, 2025 and for lead-based paint hazards was completed February 3, 2025. You provided me with applicable program and children’s records for review. A sample of twelve children’s records were reviewed. NC Pre-K requirements were monitored today. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. A selection of files were monitored for completed health assessments and developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The review of staff files was unable to be completed during today’s visit due to time of day. A visit to complete the review of staff files was scheduled for May 1, 2026. Any staff file violations observed will be added to today’s Annual Compliance visit summary. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space 302, the posted activity plan was dated March 2026. GS 110-91(12); .0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 302, there was one electrical outlet without a safety plug in the art activity center. 10A NCAC 09 .0604(c) 815 Electrical cords were accessible to infants and toddlers. In space 202, there was an electrical cord for the remote radio accessible to toddlers. 10A NCAC 09 .0604(f) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 107, there was one aerosol can of Lysol spray in an unlocked cabinet. .2820(b) 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. An incident report dated January 7, 2026 for a one year old child did not include the date/time that the parent was notified of the incident. .0802 (e) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space 202, there were multiple markers with removeable lids accessible to children under three years of age. In space 302, there were two plastic Huggies wipe packages with suffocation warnings accessible to children under three years of age. .0604(q) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child, one year of age who enrolled on August 11, 2025, had a medical exam on file that was dated September 16, 2025. GS110-91(1) 1767 The health assessment did not include a vision screening. One child, five years of age who enrolled in NC PreK on October 14, 2025, did not have a completed vision screening on file. .3005 (a)(3) 1768 The health assessment did not include a hearing screening. One child, five years of age who enrolled in NC PreK on October 14, 2025, did not have a completed hearing screening on file. .3005 (a)(4) 1769 The health assessment did not include a dental screening. One child, five years of age that enrolled in NC PreK on February 26, 2026, did not have a dental screening on file. .3005 (a)(5) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One child four years of age with a chronic medical condition requiring special health services had a medical action plan on file that was not signed by a parent or healthcare professional. .0801(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One substitute employee who began work in the classroom on 8/18/25 had verification of the completed Recognizing and Responding to Suspicions of Child Maltreatment training on file dated 5/5/26. Another substitute employee who also began work in the classroom on 8/18/25 had verification of the completed Recognizing and Responding to Suspicions of Child Maltreatment training on file dated 5/6/26. .1102(g) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before May 12, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Beth Archer, Child Care Consultant PO Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance was provided on the following: All centers must have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers.. For each group of children in care, the activity plan must include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: emotional and social development; health and physical development; approaches to play and learning; language development and communication; and cognitive development. I suggested you have staff members post the following weeks’ activity plan at the end of the day on the previous Friday to ensure a current activity plan is posted. I also suggested you remind teachers that a current activity plan and schedule must be posted at all times. All electrical outlets and power strips not in use must be kept covered with outlet covers at all times unless located behind furniture that cannot be moved by a child. I suggested that staff members conduct a daily safety check prior to children arriving each day to include ensuring all electrical outlets are covered. Staff members should also scan outlets throughout the day to ensure they remain covered. I suggested you keep extra outlet covers in each classroom to ensure outlets and power strips are kept covered at all times when not in use. This violation was corrected when the lead teacher placed a safety plug in the outlet that was uncovered. Electrical cords may not be accessible to infants and toddlers. I suggested that staff members conduct a daily safety check prior to children arriving each day and throughout the day to include ensuring all electrical cords are not accessible to infants and toddlers. This violation was corrected during today’s visit by moving the electrical cord behind a shelf making it inaccessible to the toddlers in the classroom. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings may be stored five (5) feet off the ground. Have staff check their classroom thoroughly each morning to ensure all hazardous products are stored properly. I suggested you have staff members check the classrooms thoroughly each morning, prior to children arriving, to ensure all items are stored properly. I also suggested you review this information with all staff members to ensure they can understand which items need to be locked based on warning labels. The can of Lysol was removed during the classroom during today’s walk through. Incident reports must be completed each time that a child is injured with all the required information in rule, including the time and date that the parent was notified of the injury. I suggested that staff send all incident reports to the facility health consultant to review for completion of all required information. Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed must be inaccessible to children under three (3) years of age. Jump ropes and rubber bands may not be accessible to children under five (5) years of age without adult supervision. You may keep these items on higher shelves (more than five feet off the ground) in classrooms used for care for children under three (3) years of age. Small toys, foam items and sponges may be used during supervised activities. I suggested you remind staff members assigned to classrooms for children under three (3) years of age to check drawers and cabinets that are accessible to children under three for items that are small enough to go through a choking tube, causing them to become a choking hazard. Items stored in plastic bags should be removed from the bags, stored in an area more than five (5) feet from the ground or in a locked area. I suggested you purchase small plastic containers to use to store wipes to eliminate the packaging with suffocation hazards. Choking and suffocation hazards were removed from both classrooms during the visit. All children must have a medical exam on file within the first thirty (30) days of enrollment. I suggested that the family advocate enrolling the child ask parents to provide the medical exam during the enrollment process to ensure the documentation is on file in a timely manner. I also suggested you use the children’s file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file in a timely manner. A copy of the medical exam for the child enrolled on August 11, 2025 was on file for review during today's visit. A health assessment must be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment must include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. The hearing and vision screening must be completed and can not be marked on the form as “N/A”. The boxes for hearing and vision screening must be checked either “yes” or “no” by the health care professional completing the assessment to confirm the testing was completed. “Unable to perform” documented on a health assessment form does not meet the rule requirement. A dental screening may be completed on a separate form and must also be on file within 30 days after a child enters the NC Pre-K program. I suggested you review all medical exams for NC Pre-K students as soon as they are turned into the facility to ensure all required assessments, including hearing screening, vision screening, and dental screening have been completed. For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan must be attached to the application. The medical action plan is to be completed by the child's parent or a health care professional and may include the following: a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; contact information for the child's health care professional(s); medications to be administered on a scheduled basis; and medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan is to be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. In addition to attaching a copy of the medical action plan to the child’s application, I also suggested you keep a copy of the medical action plans with the medications to ensure the correct response and care is given to any emergent situations. I suggested you review all medical action plans for children diagnosed with chronic illnesses at least once every six (6) months to ensure information on the medical action plan is current and accurate. All staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training can be found at https://www.preventchildabusenc.org/resource-hub/recognizing-responding-to-child-maltreatment/. I suggested you set calendar reminders to ensure all new staff complete this training within the first 90 days of employment including substitute staff members. Consultation: Your program will be due a rated license reassessment before September 25, 2027. The ABCMS provider portal facility roster should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Due to connectivity issues, violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you. If you have questions you may contact me, Beth Archer Child Care Consultant 828-748-7893, Beth.Archer@dhhs.nc.gov or my supervisor, Tammy McGalliard Tammy.McGalliard@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
GS110-91 · Violation
Name of Operation: CARVER HEAD START Facility ID: 81000052 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 4/28/2026 Number Present: 114 Completed Date: 4/28/2026 Age: From 1 To 5 Total Minutes: 342 Time In: 10:18 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 unannounced visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit, including health and safety. The visit was conducted with you, Ausjanet Bayne, NC Pre K contact. This program currently operates with a Five star rated license effective September 25, 2024. The permit restrictions include 1st shift, meets enhanced ratios, meets enhanced space, and children under 2 ½ years in rooms with direct exits only. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year -old children are enrolled. The last annual compliance visit was conducted on May 13, 2025. The most recent sanitation inspection for your facility was conducted on December 9, 2025. A superior sanitation classification was issued with thirteen demerits noted on the grade card. The most recent approved fire inspection for your facility was conducted on August 4, 2025 for daytime care only. The most recent monthly fire drill was conducted on March 23, 2026. The most recent quarterly lockdown drill was conducted on March 3, 2026. The Rutherford County Schools Critical Response Plan serves as the facility’s EPR Plan. The most recent monthly playground inspection was completed on April 3, 2026. The center's compliance history was reviewed with the operator. The program’s compliance history was 83 percent as of April 28, 2026. You visited each indoor and outdoor space with me. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in group educational screen time, handwashing protocols, lunch, and rest time. The caregivers were interacting and meeting the developmental needs for each of the children. A checklist was used to note the requirements I monitored today. The analysis date for the most recent lead water test was October 14, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated the required assessment for asbestos hazards was completed on March 17, 2025 and for lead-based paint hazards was completed February 3, 2025. You provided me with applicable program and children’s records for review. A sample of twelve children’s records were reviewed. NC Pre-K requirements were monitored today. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. A selection of files were monitored for completed health assessments and developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The review of staff files was unable to be completed during today’s visit due to time of day. A visit to complete the review of staff files was scheduled for May 1, 2026. Any staff file violations observed will be added to today’s Annual Compliance visit summary. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space 302, the posted activity plan was dated March 2026. GS 110-91(12); .0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 302, there was one electrical outlet without a safety plug in the art activity center. 10A NCAC 09 .0604(c) 815 Electrical cords were accessible to infants and toddlers. In space 202, there was an electrical cord for the remote radio accessible to toddlers. 10A NCAC 09 .0604(f) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 107, there was one aerosol can of Lysol spray in an unlocked cabinet. .2820(b) 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. An incident report dated January 7, 2026 for a one year old child did not include the date/time that the parent was notified of the incident. .0802 (e) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space 202, there were multiple markers with removeable lids accessible to children under three years of age. In space 302, there were two plastic Huggies wipe packages with suffocation warnings accessible to children under three years of age. .0604(q) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child, one year of age who enrolled on August 11, 2025, had a medical exam on file that was dated September 16, 2025. GS110-91(1) 1767 The health assessment did not include a vision screening. One child, five years of age who enrolled in NC PreK on October 14, 2025, did not have a completed vision screening on file. .3005 (a)(3) 1768 The health assessment did not include a hearing screening. One child, five years of age who enrolled in NC PreK on October 14, 2025, did not have a completed hearing screening on file. .3005 (a)(4) 1769 The health assessment did not include a dental screening. One child, five years of age that enrolled in NC PreK on February 26, 2026, did not have a dental screening on file. .3005 (a)(5) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One child four years of age with a chronic medical condition requiring special health services had a medical action plan on file that was not signed by a parent or healthcare professional. .0801(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One substitute employee who began work in the classroom on 8/18/25 had verification of the completed Recognizing and Responding to Suspicions of Child Maltreatment training on file dated 5/5/26. Another substitute employee who also began work in the classroom on 8/18/25 had verification of the completed Recognizing and Responding to Suspicions of Child Maltreatment training on file dated 5/6/26. .1102(g) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before May 12, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Beth Archer, Child Care Consultant PO Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance was provided on the following: All centers must have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers.. For each group of children in care, the activity plan must include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: emotional and social development; health and physical development; approaches to play and learning; language development and communication; and cognitive development. I suggested you have staff members post the following weeks’ activity plan at the end of the day on the previous Friday to ensure a current activity plan is posted. I also suggested you remind teachers that a current activity plan and schedule must be posted at all times. All electrical outlets and power strips not in use must be kept covered with outlet covers at all times unless located behind furniture that cannot be moved by a child. I suggested that staff members conduct a daily safety check prior to children arriving each day to include ensuring all electrical outlets are covered. Staff members should also scan outlets throughout the day to ensure they remain covered. I suggested you keep extra outlet covers in each classroom to ensure outlets and power strips are kept covered at all times when not in use. This violation was corrected when the lead teacher placed a safety plug in the outlet that was uncovered. Electrical cords may not be accessible to infants and toddlers. I suggested that staff members conduct a daily safety check prior to children arriving each day and throughout the day to include ensuring all electrical cords are not accessible to infants and toddlers. This violation was corrected during today’s visit by moving the electrical cord behind a shelf making it inaccessible to the toddlers in the classroom. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings may be stored five (5) feet off the ground. Have staff check their classroom thoroughly each morning to ensure all hazardous products are stored properly. I suggested you have staff members check the classrooms thoroughly each morning, prior to children arriving, to ensure all items are stored properly. I also suggested you review this information with all staff members to ensure they can understand which items need to be locked based on warning labels. The can of Lysol was removed during the classroom during today’s walk through. Incident reports must be completed each time that a child is injured with all the required information in rule, including the time and date that the parent was notified of the injury. I suggested that staff send all incident reports to the facility health consultant to review for completion of all required information. Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed must be inaccessible to children under three (3) years of age. Jump ropes and rubber bands may not be accessible to children under five (5) years of age without adult supervision. You may keep these items on higher shelves (more than five feet off the ground) in classrooms used for care for children under three (3) years of age. Small toys, foam items and sponges may be used during supervised activities. I suggested you remind staff members assigned to classrooms for children under three (3) years of age to check drawers and cabinets that are accessible to children under three for items that are small enough to go through a choking tube, causing them to become a choking hazard. Items stored in plastic bags should be removed from the bags, stored in an area more than five (5) feet from the ground or in a locked area. I suggested you purchase small plastic containers to use to store wipes to eliminate the packaging with suffocation hazards. Choking and suffocation hazards were removed from both classrooms during the visit. All children must have a medical exam on file within the first thirty (30) days of enrollment. I suggested that the family advocate enrolling the child ask parents to provide the medical exam during the enrollment process to ensure the documentation is on file in a timely manner. I also suggested you use the children’s file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file in a timely manner. A copy of the medical exam for the child enrolled on August 11, 2025 was on file for review during today's visit. A health assessment must be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment must include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. The hearing and vision screening must be completed and can not be marked on the form as “N/A”. The boxes for hearing and vision screening must be checked either “yes” or “no” by the health care professional completing the assessment to confirm the testing was completed. “Unable to perform” documented on a health assessment form does not meet the rule requirement. A dental screening may be completed on a separate form and must also be on file within 30 days after a child enters the NC Pre-K program. I suggested you review all medical exams for NC Pre-K students as soon as they are turned into the facility to ensure all required assessments, including hearing screening, vision screening, and dental screening have been completed. For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan must be attached to the application. The medical action plan is to be completed by the child's parent or a health care professional and may include the following: a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; contact information for the child's health care professional(s); medications to be administered on a scheduled basis; and medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan is to be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. In addition to attaching a copy of the medical action plan to the child’s application, I also suggested you keep a copy of the medical action plans with the medications to ensure the correct response and care is given to any emergent situations. I suggested you review all medical action plans for children diagnosed with chronic illnesses at least once every six (6) months to ensure information on the medical action plan is current and accurate. All staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training can be found at https://www.preventchildabusenc.org/resource-hub/recognizing-responding-to-child-maltreatment/. I suggested you set calendar reminders to ensure all new staff complete this training within the first 90 days of employment including substitute staff members. Consultation: Your program will be due a rated license reassessment before September 25, 2027. The ABCMS provider portal facility roster should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Due to connectivity issues, violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you. If you have questions you may contact me, Beth Archer Child Care Consultant 828-748-7893, Beth.Archer@dhhs.nc.gov or my supervisor, Tammy McGalliard Tammy.McGalliard@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
NC GS 110-90 · Violation
Name of Operation: CARVER HEAD START Facility ID: 81000052 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 4/28/2026 Number Present: 114 Completed Date: 4/28/2026 Age: From 1 To 5 Total Minutes: 342 Time In: 10:18 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 unannounced visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit, including health and safety. The visit was conducted with you, Ausjanet Bayne, NC Pre K contact. This program currently operates with a Five star rated license effective September 25, 2024. The permit restrictions include 1st shift, meets enhanced ratios, meets enhanced space, and children under 2 ½ years in rooms with direct exits only. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year -old children are enrolled. The last annual compliance visit was conducted on May 13, 2025. The most recent sanitation inspection for your facility was conducted on December 9, 2025. A superior sanitation classification was issued with thirteen demerits noted on the grade card. The most recent approved fire inspection for your facility was conducted on August 4, 2025 for daytime care only. The most recent monthly fire drill was conducted on March 23, 2026. The most recent quarterly lockdown drill was conducted on March 3, 2026. The Rutherford County Schools Critical Response Plan serves as the facility’s EPR Plan. The most recent monthly playground inspection was completed on April 3, 2026. The center's compliance history was reviewed with the operator. The program’s compliance history was 83 percent as of April 28, 2026. You visited each indoor and outdoor space with me. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in group educational screen time, handwashing protocols, lunch, and rest time. The caregivers were interacting and meeting the developmental needs for each of the children. A checklist was used to note the requirements I monitored today. The analysis date for the most recent lead water test was October 14, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated the required assessment for asbestos hazards was completed on March 17, 2025 and for lead-based paint hazards was completed February 3, 2025. You provided me with applicable program and children’s records for review. A sample of twelve children’s records were reviewed. NC Pre-K requirements were monitored today. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. A selection of files were monitored for completed health assessments and developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The review of staff files was unable to be completed during today’s visit due to time of day. A visit to complete the review of staff files was scheduled for May 1, 2026. Any staff file violations observed will be added to today’s Annual Compliance visit summary. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space 302, the posted activity plan was dated March 2026. GS 110-91(12); .0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 302, there was one electrical outlet without a safety plug in the art activity center. 10A NCAC 09 .0604(c) 815 Electrical cords were accessible to infants and toddlers. In space 202, there was an electrical cord for the remote radio accessible to toddlers. 10A NCAC 09 .0604(f) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 107, there was one aerosol can of Lysol spray in an unlocked cabinet. .2820(b) 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. An incident report dated January 7, 2026 for a one year old child did not include the date/time that the parent was notified of the incident. .0802 (e) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space 202, there were multiple markers with removeable lids accessible to children under three years of age. In space 302, there were two plastic Huggies wipe packages with suffocation warnings accessible to children under three years of age. .0604(q) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child, one year of age who enrolled on August 11, 2025, had a medical exam on file that was dated September 16, 2025. GS110-91(1) 1767 The health assessment did not include a vision screening. One child, five years of age who enrolled in NC PreK on October 14, 2025, did not have a completed vision screening on file. .3005 (a)(3) 1768 The health assessment did not include a hearing screening. One child, five years of age who enrolled in NC PreK on October 14, 2025, did not have a completed hearing screening on file. .3005 (a)(4) 1769 The health assessment did not include a dental screening. One child, five years of age that enrolled in NC PreK on February 26, 2026, did not have a dental screening on file. .3005 (a)(5) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One child four years of age with a chronic medical condition requiring special health services had a medical action plan on file that was not signed by a parent or healthcare professional. .0801(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One substitute employee who began work in the classroom on 8/18/25 had verification of the completed Recognizing and Responding to Suspicions of Child Maltreatment training on file dated 5/5/26. Another substitute employee who also began work in the classroom on 8/18/25 had verification of the completed Recognizing and Responding to Suspicions of Child Maltreatment training on file dated 5/6/26. .1102(g) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before May 12, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Beth Archer, Child Care Consultant PO Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance was provided on the following: All centers must have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers.. For each group of children in care, the activity plan must include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: emotional and social development; health and physical development; approaches to play and learning; language development and communication; and cognitive development. I suggested you have staff members post the following weeks’ activity plan at the end of the day on the previous Friday to ensure a current activity plan is posted. I also suggested you remind teachers that a current activity plan and schedule must be posted at all times. All electrical outlets and power strips not in use must be kept covered with outlet covers at all times unless located behind furniture that cannot be moved by a child. I suggested that staff members conduct a daily safety check prior to children arriving each day to include ensuring all electrical outlets are covered. Staff members should also scan outlets throughout the day to ensure they remain covered. I suggested you keep extra outlet covers in each classroom to ensure outlets and power strips are kept covered at all times when not in use. This violation was corrected when the lead teacher placed a safety plug in the outlet that was uncovered. Electrical cords may not be accessible to infants and toddlers. I suggested that staff members conduct a daily safety check prior to children arriving each day and throughout the day to include ensuring all electrical cords are not accessible to infants and toddlers. This violation was corrected during today’s visit by moving the electrical cord behind a shelf making it inaccessible to the toddlers in the classroom. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings may be stored five (5) feet off the ground. Have staff check their classroom thoroughly each morning to ensure all hazardous products are stored properly. I suggested you have staff members check the classrooms thoroughly each morning, prior to children arriving, to ensure all items are stored properly. I also suggested you review this information with all staff members to ensure they can understand which items need to be locked based on warning labels. The can of Lysol was removed during the classroom during today’s walk through. Incident reports must be completed each time that a child is injured with all the required information in rule, including the time and date that the parent was notified of the injury. I suggested that staff send all incident reports to the facility health consultant to review for completion of all required information. Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed must be inaccessible to children under three (3) years of age. Jump ropes and rubber bands may not be accessible to children under five (5) years of age without adult supervision. You may keep these items on higher shelves (more than five feet off the ground) in classrooms used for care for children under three (3) years of age. Small toys, foam items and sponges may be used during supervised activities. I suggested you remind staff members assigned to classrooms for children under three (3) years of age to check drawers and cabinets that are accessible to children under three for items that are small enough to go through a choking tube, causing them to become a choking hazard. Items stored in plastic bags should be removed from the bags, stored in an area more than five (5) feet from the ground or in a locked area. I suggested you purchase small plastic containers to use to store wipes to eliminate the packaging with suffocation hazards. Choking and suffocation hazards were removed from both classrooms during the visit. All children must have a medical exam on file within the first thirty (30) days of enrollment. I suggested that the family advocate enrolling the child ask parents to provide the medical exam during the enrollment process to ensure the documentation is on file in a timely manner. I also suggested you use the children’s file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file in a timely manner. A copy of the medical exam for the child enrolled on August 11, 2025 was on file for review during today's visit. A health assessment must be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment must include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. The hearing and vision screening must be completed and can not be marked on the form as “N/A”. The boxes for hearing and vision screening must be checked either “yes” or “no” by the health care professional completing the assessment to confirm the testing was completed. “Unable to perform” documented on a health assessment form does not meet the rule requirement. A dental screening may be completed on a separate form and must also be on file within 30 days after a child enters the NC Pre-K program. I suggested you review all medical exams for NC Pre-K students as soon as they are turned into the facility to ensure all required assessments, including hearing screening, vision screening, and dental screening have been completed. For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan must be attached to the application. The medical action plan is to be completed by the child's parent or a health care professional and may include the following: a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; contact information for the child's health care professional(s); medications to be administered on a scheduled basis; and medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan is to be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. In addition to attaching a copy of the medical action plan to the child’s application, I also suggested you keep a copy of the medical action plans with the medications to ensure the correct response and care is given to any emergent situations. I suggested you review all medical action plans for children diagnosed with chronic illnesses at least once every six (6) months to ensure information on the medical action plan is current and accurate. All staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training can be found at https://www.preventchildabusenc.org/resource-hub/recognizing-responding-to-child-maltreatment/. I suggested you set calendar reminders to ensure all new staff complete this training within the first 90 days of employment including substitute staff members. Consultation: Your program will be due a rated license reassessment before September 25, 2027. The ABCMS provider portal facility roster should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Due to connectivity issues, violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you. If you have questions you may contact me, Beth Archer Child Care Consultant 828-748-7893, Beth.Archer@dhhs.nc.gov or my supervisor, Tammy McGalliard Tammy.McGalliard@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09.1803 · Violation
Name of Operation: CARVER HEAD START Facility ID: 81000052 Consultant: BETH ARCHER Operation Type: Center Case Number: 0326-156L Visit Date: 3/19/2026 Number Present: 107 Completed Date: 3/19/2026 Age: From 0 To 5 Total Minutes: 140 Time In: 12:10 PM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information related to a self-report received by the Division. You, Tarah Simmons, Education and Disabilities Services Coordinator, assisted me with the visit. The program’s compliance history was 82 percent prior to today's visit. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4)(c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to administrative action. The allegations were discussed with three staff members. You and staff members had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegation. A walk through of the facility and entire premises were completed. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions, and discipline were monitored. Staff and children were observed during rest time. Based on information provided, on March 11, 2026, in space #108, a five-year-old child was crying and yelling out when asked to complete a task. A classroom staff member encouraged the child to calm down and offered self-regulation techniques. The child’s behaviors continued to escalate and the child hit a staff member on the forearm. The staff member in immediate response popped the child on the forearm. The staff member contacted administrative staff to visit with the child one on one. The child was allowed time to calm down with an administrative staff member and returned to the classroom without any further incident. The staff member met with administrative staff regarding the incident before returning to the classroom. There was no injury to the child or staff member. The parent of the child was notified of the incident at the time of departure. During today’s visit, appropriate discipline of children was observed throughout the facility. The following violation was confirmed during today’s visit. Violation Number Comment Rule 904 A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. On 3/10/26 in space #108, One child five years of age was popped on the forearm by a staff member. .1803(a)(1) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 2, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Beth Archer, Child Care Consultant PO Box 64 Rutherfordton, NC zip Beth.Archer@dhhs.nc.gov. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance was provided on the following: No child shall be handled roughly in any way, including shaking pushing, shoving, pinch, slapping, biting, kicking, or spanking per 10A NCAC 09.1803 (a)(1). I suggested that you review your discipline policy with all staff to ensure appropriate understanding. I also suggested you review with staff members appropriate behavior management techniques including encouraging staff to ask for assistance when difficult behaviors are being displayed. A follow-up visit may be conducted in the near future to monitor compliance with child care requirements. Consultation: Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me Beth Archer, Child Care Consultant at (828)748-7893 or Beth.Archer@dhhs.nc.gov or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov if you have questions. . If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
G.S. 110-90 · Violation
Name of Operation: CARVER HEAD START Facility ID: 81000052 Consultant: BETH ARCHER Operation Type: Center Case Number: 0326-156L Visit Date: 3/19/2026 Number Present: 107 Completed Date: 3/19/2026 Age: From 0 To 5 Total Minutes: 140 Time In: 12:10 PM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information related to a self-report received by the Division. You, Tarah Simmons, Education and Disabilities Services Coordinator, assisted me with the visit. The program’s compliance history was 82 percent prior to today's visit. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4)(c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to administrative action. The allegations were discussed with three staff members. You and staff members had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegation. A walk through of the facility and entire premises were completed. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions, and discipline were monitored. Staff and children were observed during rest time. Based on information provided, on March 11, 2026, in space #108, a five-year-old child was crying and yelling out when asked to complete a task. A classroom staff member encouraged the child to calm down and offered self-regulation techniques. The child’s behaviors continued to escalate and the child hit a staff member on the forearm. The staff member in immediate response popped the child on the forearm. The staff member contacted administrative staff to visit with the child one on one. The child was allowed time to calm down with an administrative staff member and returned to the classroom without any further incident. The staff member met with administrative staff regarding the incident before returning to the classroom. There was no injury to the child or staff member. The parent of the child was notified of the incident at the time of departure. During today’s visit, appropriate discipline of children was observed throughout the facility. The following violation was confirmed during today’s visit. Violation Number Comment Rule 904 A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. On 3/10/26 in space #108, One child five years of age was popped on the forearm by a staff member. .1803(a)(1) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 2, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Beth Archer, Child Care Consultant PO Box 64 Rutherfordton, NC zip Beth.Archer@dhhs.nc.gov. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance was provided on the following: No child shall be handled roughly in any way, including shaking pushing, shoving, pinch, slapping, biting, kicking, or spanking per 10A NCAC 09.1803 (a)(1). I suggested that you review your discipline policy with all staff to ensure appropriate understanding. I also suggested you review with staff members appropriate behavior management techniques including encouraging staff to ask for assistance when difficult behaviors are being displayed. A follow-up visit may be conducted in the near future to monitor compliance with child care requirements. Consultation: Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me Beth Archer, Child Care Consultant at (828)748-7893 or Beth.Archer@dhhs.nc.gov or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov if you have questions. . If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
NC GS 110-90 · Violation
Name of Operation: CARVER HEAD START Facility ID: 81000052 Consultant: BETH ARCHER Operation Type: Center Case Number: 0326-156L Visit Date: 3/19/2026 Number Present: 107 Completed Date: 3/19/2026 Age: From 0 To 5 Total Minutes: 140 Time In: 12:10 PM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information related to a self-report received by the Division. You, Tarah Simmons, Education and Disabilities Services Coordinator, assisted me with the visit. The program’s compliance history was 82 percent prior to today's visit. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4)(c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to administrative action. The allegations were discussed with three staff members. You and staff members had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegation. A walk through of the facility and entire premises were completed. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions, and discipline were monitored. Staff and children were observed during rest time. Based on information provided, on March 11, 2026, in space #108, a five-year-old child was crying and yelling out when asked to complete a task. A classroom staff member encouraged the child to calm down and offered self-regulation techniques. The child’s behaviors continued to escalate and the child hit a staff member on the forearm. The staff member in immediate response popped the child on the forearm. The staff member contacted administrative staff to visit with the child one on one. The child was allowed time to calm down with an administrative staff member and returned to the classroom without any further incident. The staff member met with administrative staff regarding the incident before returning to the classroom. There was no injury to the child or staff member. The parent of the child was notified of the incident at the time of departure. During today’s visit, appropriate discipline of children was observed throughout the facility. The following violation was confirmed during today’s visit. Violation Number Comment Rule 904 A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. On 3/10/26 in space #108, One child five years of age was popped on the forearm by a staff member. .1803(a)(1) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 2, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Beth Archer, Child Care Consultant PO Box 64 Rutherfordton, NC zip Beth.Archer@dhhs.nc.gov. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance was provided on the following: No child shall be handled roughly in any way, including shaking pushing, shoving, pinch, slapping, biting, kicking, or spanking per 10A NCAC 09.1803 (a)(1). I suggested that you review your discipline policy with all staff to ensure appropriate understanding. I also suggested you review with staff members appropriate behavior management techniques including encouraging staff to ask for assistance when difficult behaviors are being displayed. A follow-up visit may be conducted in the near future to monitor compliance with child care requirements. Consultation: Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me Beth Archer, Child Care Consultant at (828)748-7893 or Beth.Archer@dhhs.nc.gov or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov if you have questions. . If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0713 · Violation
Name of Operation: CARVER HEAD START Facility ID: 81000052 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 12/4/2025 Number Present: 104 Completed Date: 12/4/2025 Age: From 0 To 5 Total Minutes: 285 Time In: 10:30 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on November 20, 2025. You, Molly Roberson, Administrator, assisted with today’s visit. Ausjanet Bayne, NC Pre K coordinator, was also present for the visit. This program currently operates with a Five star rated license effective September 25, 2024. The permit restrictions include 1st shift, meets enhanced ratios, meets enhanced space, and children under 2 ½ years in rooms with direct exits only. The center's compliance history was reviewed with the operator. The program’s compliance history was 80 percent as of December 1, 2025. You reported to me that you had not yet received the Administrative Action paperwork in the mail. I gave you a copy of the Administrative Action and reviewed it with both of you during today’s visit. You stated that the program does not have plans to appeal and would like to begin working on the Corrective Action Plan. I reminded you that the Administrative Action, cover letter, and the Corrective Action Plan must be posted for three months and until receipt of a closure letter from the Division stating the Corrective Action Plan has been completed. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision in compliance. Children throughout the facility were participating in free play activities indoors, handwashing routines, lunch, and rest time. The caregivers were interacting and meeting the developmental needs for each of the children. The following was monitored for compliance with 10A NCAC 09.2201(j) including: Supervision, Discipline, Nurture, Care and Treatment of Children, Staff Child Ratio, Group Size, Licensed Capacity, Permit Restrictions, CPR/First Aid training, ITS/SIDS training, and Criminal record check requirements. You must follow and complete the Corrective Action Plan within the designated timeframe listed for each Corrective Action Plan item. Corrective Action Plan (CAP) Status: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to the following: • Child Care Rule 10A NCAC 09 .2506(d)(1-3) regarding supervision. • North Carolina General Statue § 110-91(1) and (4-5) regarding adequate/approved space • Child Care Rule 10A NCAC 09 .0713 (a)(6) and regarding staff child ratios. We discussed that follow-up visits will be conducted throughout the Administrative Action period. 2.Within one (1) week after this Notice is received, Molly Roberson, administrator, shall contact Beth Archer, Child Care Consultant, PO Box 64, Rutherfordton, NC 28139, telephone number 828- 748-7893, email Beth.Archer@dhhs.nc.gov, to arrange for a complete review of all child care requirements. All staff members, including full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory training. Special emphasis shall be placed on the repeated violations documented in this Notice. The training must be scheduled to start no earlier than 9:00 am and end no later than 4:00 pm. No children shall be present or in care during this training. The mandatory review of child care requirements was scheduled for January 2, 2026 at 1:00pm at the Carver Head Start facility. 3.Within two (2) weeks after stipulation #2 has been completed, Ms. Roberson shall review and revise the facility’s supervision policy and procedures. The written policy and procedures shall include, but not be limited to, the following: • Implementation of a name-to-face supervision record • When children are arriving and departing from the facility each day • During toileting routines • When children are in the outdoor learning environment • When more than one group of children is combined • When children are transitioned from one space to another • When children are transitioned from one caregiver to another • When children are transitioned from inside the classroom to the outdoor playground, and then from the outdoor playground to inside the classroom • Procedures for responding when a child is missing, including immediate reporting of the missing child • Procedures for supervisory staff members to visit each classroom and monitor staff members’ implementation of the supervision plan • Procedures for periodic review of the supervision plan with all staff members, including the review of the plan in the orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators when an incident occurs • Consequences of staff members’ non-compliance with policies and procedures The written policy and procedures shall be submitted to Ms. Archer for review. Ms. Archer shall notify Ms. Roberson, orally and in writing, as to whether the written policy and procedures meet the requirements of this stipulation or if modifications are needed. Once notification of the stipulation being met is received, the written policy and procedures shall be immediately implemented and incorporated into the operating procedures. A copy of the written policy and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. 4. Within one (1) week after notification from the Division that the stipulation has been met for the written policy and procedures related to supervision, Ms. Roberson shall conduct a staff meeting with all staff members to discuss the supervision written policy and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Violations observed today were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violations were observed during the visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #121, one spray bottle of Uplift Room Spray, with double warnings, was in an unlocked cabinet by the sink. .2820(b) 1756 Enhanced staff/child ratios and group sizes were not met. In space #109, one staff member was responsible for a group of ten children, three, four, and five years of age, while another staff member was in the bathroom next door responsible for a group of three children, three, four, and five years of age. 10A NCAC 09 .2818 Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 17, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Beth Archer, Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was provided on the following: All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings may be stored five (5) feet off the ground I suggested you have staff members check the classrooms thoroughly each morning, prior to children arriving, to ensure all items are stored properly. I also suggested you review this information with all staff members to ensure they can understand which items need to be locked based on warning labels. The staff/child ratio for the youngest member in each group must be maintained at all times. We discussed that during transitions to the bathroom that each staff member responsible for a group of children maintain the required ratios of the age-group served. I suggested you create the staff schedule to ensure ample staff members are on-site throughout the day during transition times to ensure staff/child ratios are met. Consultation: We discussed that small art/office supplies must be kept inaccessible to children under three years of age. Electrical cords must also be inaccessible to infants and toddlers. I encouraged you to discuss with staff proper storage of items that may be a choking or strangulation hazards. We reviewed that electrical appliances with heating elements must be not be accessible to preschool age children. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time and assistance today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance , you may contact me at Beth.Archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .2506 · Violation
Name of Operation: CARVER HEAD START Facility ID: 81000052 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 12/4/2025 Number Present: 104 Completed Date: 12/4/2025 Age: From 0 To 5 Total Minutes: 285 Time In: 10:30 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on November 20, 2025. You, Molly Roberson, Administrator, assisted with today’s visit. Ausjanet Bayne, NC Pre K coordinator, was also present for the visit. This program currently operates with a Five star rated license effective September 25, 2024. The permit restrictions include 1st shift, meets enhanced ratios, meets enhanced space, and children under 2 ½ years in rooms with direct exits only. The center's compliance history was reviewed with the operator. The program’s compliance history was 80 percent as of December 1, 2025. You reported to me that you had not yet received the Administrative Action paperwork in the mail. I gave you a copy of the Administrative Action and reviewed it with both of you during today’s visit. You stated that the program does not have plans to appeal and would like to begin working on the Corrective Action Plan. I reminded you that the Administrative Action, cover letter, and the Corrective Action Plan must be posted for three months and until receipt of a closure letter from the Division stating the Corrective Action Plan has been completed. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision in compliance. Children throughout the facility were participating in free play activities indoors, handwashing routines, lunch, and rest time. The caregivers were interacting and meeting the developmental needs for each of the children. The following was monitored for compliance with 10A NCAC 09.2201(j) including: Supervision, Discipline, Nurture, Care and Treatment of Children, Staff Child Ratio, Group Size, Licensed Capacity, Permit Restrictions, CPR/First Aid training, ITS/SIDS training, and Criminal record check requirements. You must follow and complete the Corrective Action Plan within the designated timeframe listed for each Corrective Action Plan item. Corrective Action Plan (CAP) Status: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to the following: • Child Care Rule 10A NCAC 09 .2506(d)(1-3) regarding supervision. • North Carolina General Statue § 110-91(1) and (4-5) regarding adequate/approved space • Child Care Rule 10A NCAC 09 .0713 (a)(6) and regarding staff child ratios. We discussed that follow-up visits will be conducted throughout the Administrative Action period. 2.Within one (1) week after this Notice is received, Molly Roberson, administrator, shall contact Beth Archer, Child Care Consultant, PO Box 64, Rutherfordton, NC 28139, telephone number 828- 748-7893, email Beth.Archer@dhhs.nc.gov, to arrange for a complete review of all child care requirements. All staff members, including full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory training. Special emphasis shall be placed on the repeated violations documented in this Notice. The training must be scheduled to start no earlier than 9:00 am and end no later than 4:00 pm. No children shall be present or in care during this training. The mandatory review of child care requirements was scheduled for January 2, 2026 at 1:00pm at the Carver Head Start facility. 3.Within two (2) weeks after stipulation #2 has been completed, Ms. Roberson shall review and revise the facility’s supervision policy and procedures. The written policy and procedures shall include, but not be limited to, the following: • Implementation of a name-to-face supervision record • When children are arriving and departing from the facility each day • During toileting routines • When children are in the outdoor learning environment • When more than one group of children is combined • When children are transitioned from one space to another • When children are transitioned from one caregiver to another • When children are transitioned from inside the classroom to the outdoor playground, and then from the outdoor playground to inside the classroom • Procedures for responding when a child is missing, including immediate reporting of the missing child • Procedures for supervisory staff members to visit each classroom and monitor staff members’ implementation of the supervision plan • Procedures for periodic review of the supervision plan with all staff members, including the review of the plan in the orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators when an incident occurs • Consequences of staff members’ non-compliance with policies and procedures The written policy and procedures shall be submitted to Ms. Archer for review. Ms. Archer shall notify Ms. Roberson, orally and in writing, as to whether the written policy and procedures meet the requirements of this stipulation or if modifications are needed. Once notification of the stipulation being met is received, the written policy and procedures shall be immediately implemented and incorporated into the operating procedures. A copy of the written policy and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. 4. Within one (1) week after notification from the Division that the stipulation has been met for the written policy and procedures related to supervision, Ms. Roberson shall conduct a staff meeting with all staff members to discuss the supervision written policy and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Violations observed today were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violations were observed during the visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #121, one spray bottle of Uplift Room Spray, with double warnings, was in an unlocked cabinet by the sink. .2820(b) 1756 Enhanced staff/child ratios and group sizes were not met. In space #109, one staff member was responsible for a group of ten children, three, four, and five years of age, while another staff member was in the bathroom next door responsible for a group of three children, three, four, and five years of age. 10A NCAC 09 .2818 Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 17, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Beth Archer, Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was provided on the following: All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings may be stored five (5) feet off the ground I suggested you have staff members check the classrooms thoroughly each morning, prior to children arriving, to ensure all items are stored properly. I also suggested you review this information with all staff members to ensure they can understand which items need to be locked based on warning labels. The staff/child ratio for the youngest member in each group must be maintained at all times. We discussed that during transitions to the bathroom that each staff member responsible for a group of children maintain the required ratios of the age-group served. I suggested you create the staff schedule to ensure ample staff members are on-site throughout the day during transition times to ensure staff/child ratios are met. Consultation: We discussed that small art/office supplies must be kept inaccessible to children under three years of age. Electrical cords must also be inaccessible to infants and toddlers. I encouraged you to discuss with staff proper storage of items that may be a choking or strangulation hazards. We reviewed that electrical appliances with heating elements must be not be accessible to preschool age children. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time and assistance today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance , you may contact me at Beth.Archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .2818 · Violation
Name of Operation: CARVER HEAD START Facility ID: 81000052 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 12/4/2025 Number Present: 104 Completed Date: 12/4/2025 Age: From 0 To 5 Total Minutes: 285 Time In: 10:30 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on November 20, 2025. You, Molly Roberson, Administrator, assisted with today’s visit. Ausjanet Bayne, NC Pre K coordinator, was also present for the visit. This program currently operates with a Five star rated license effective September 25, 2024. The permit restrictions include 1st shift, meets enhanced ratios, meets enhanced space, and children under 2 ½ years in rooms with direct exits only. The center's compliance history was reviewed with the operator. The program’s compliance history was 80 percent as of December 1, 2025. You reported to me that you had not yet received the Administrative Action paperwork in the mail. I gave you a copy of the Administrative Action and reviewed it with both of you during today’s visit. You stated that the program does not have plans to appeal and would like to begin working on the Corrective Action Plan. I reminded you that the Administrative Action, cover letter, and the Corrective Action Plan must be posted for three months and until receipt of a closure letter from the Division stating the Corrective Action Plan has been completed. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision in compliance. Children throughout the facility were participating in free play activities indoors, handwashing routines, lunch, and rest time. The caregivers were interacting and meeting the developmental needs for each of the children. The following was monitored for compliance with 10A NCAC 09.2201(j) including: Supervision, Discipline, Nurture, Care and Treatment of Children, Staff Child Ratio, Group Size, Licensed Capacity, Permit Restrictions, CPR/First Aid training, ITS/SIDS training, and Criminal record check requirements. You must follow and complete the Corrective Action Plan within the designated timeframe listed for each Corrective Action Plan item. Corrective Action Plan (CAP) Status: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to the following: • Child Care Rule 10A NCAC 09 .2506(d)(1-3) regarding supervision. • North Carolina General Statue § 110-91(1) and (4-5) regarding adequate/approved space • Child Care Rule 10A NCAC 09 .0713 (a)(6) and regarding staff child ratios. We discussed that follow-up visits will be conducted throughout the Administrative Action period. 2.Within one (1) week after this Notice is received, Molly Roberson, administrator, shall contact Beth Archer, Child Care Consultant, PO Box 64, Rutherfordton, NC 28139, telephone number 828- 748-7893, email Beth.Archer@dhhs.nc.gov, to arrange for a complete review of all child care requirements. All staff members, including full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory training. Special emphasis shall be placed on the repeated violations documented in this Notice. The training must be scheduled to start no earlier than 9:00 am and end no later than 4:00 pm. No children shall be present or in care during this training. The mandatory review of child care requirements was scheduled for January 2, 2026 at 1:00pm at the Carver Head Start facility. 3.Within two (2) weeks after stipulation #2 has been completed, Ms. Roberson shall review and revise the facility’s supervision policy and procedures. The written policy and procedures shall include, but not be limited to, the following: • Implementation of a name-to-face supervision record • When children are arriving and departing from the facility each day • During toileting routines • When children are in the outdoor learning environment • When more than one group of children is combined • When children are transitioned from one space to another • When children are transitioned from one caregiver to another • When children are transitioned from inside the classroom to the outdoor playground, and then from the outdoor playground to inside the classroom • Procedures for responding when a child is missing, including immediate reporting of the missing child • Procedures for supervisory staff members to visit each classroom and monitor staff members’ implementation of the supervision plan • Procedures for periodic review of the supervision plan with all staff members, including the review of the plan in the orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators when an incident occurs • Consequences of staff members’ non-compliance with policies and procedures The written policy and procedures shall be submitted to Ms. Archer for review. Ms. Archer shall notify Ms. Roberson, orally and in writing, as to whether the written policy and procedures meet the requirements of this stipulation or if modifications are needed. Once notification of the stipulation being met is received, the written policy and procedures shall be immediately implemented and incorporated into the operating procedures. A copy of the written policy and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. 4. Within one (1) week after notification from the Division that the stipulation has been met for the written policy and procedures related to supervision, Ms. Roberson shall conduct a staff meeting with all staff members to discuss the supervision written policy and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Violations observed today were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violations were observed during the visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #121, one spray bottle of Uplift Room Spray, with double warnings, was in an unlocked cabinet by the sink. .2820(b) 1756 Enhanced staff/child ratios and group sizes were not met. In space #109, one staff member was responsible for a group of ten children, three, four, and five years of age, while another staff member was in the bathroom next door responsible for a group of three children, three, four, and five years of age. 10A NCAC 09 .2818 Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 17, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Beth Archer, Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was provided on the following: All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings may be stored five (5) feet off the ground I suggested you have staff members check the classrooms thoroughly each morning, prior to children arriving, to ensure all items are stored properly. I also suggested you review this information with all staff members to ensure they can understand which items need to be locked based on warning labels. The staff/child ratio for the youngest member in each group must be maintained at all times. We discussed that during transitions to the bathroom that each staff member responsible for a group of children maintain the required ratios of the age-group served. I suggested you create the staff schedule to ensure ample staff members are on-site throughout the day during transition times to ensure staff/child ratios are met. Consultation: We discussed that small art/office supplies must be kept inaccessible to children under three years of age. Electrical cords must also be inaccessible to infants and toddlers. I encouraged you to discuss with staff proper storage of items that may be a choking or strangulation hazards. We reviewed that electrical appliances with heating elements must be not be accessible to preschool age children. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time and assistance today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance , you may contact me at Beth.Archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09.2201 · Violation
Name of Operation: CARVER HEAD START Facility ID: 81000052 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 12/4/2025 Number Present: 104 Completed Date: 12/4/2025 Age: From 0 To 5 Total Minutes: 285 Time In: 10:30 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on November 20, 2025. You, Molly Roberson, Administrator, assisted with today’s visit. Ausjanet Bayne, NC Pre K coordinator, was also present for the visit. This program currently operates with a Five star rated license effective September 25, 2024. The permit restrictions include 1st shift, meets enhanced ratios, meets enhanced space, and children under 2 ½ years in rooms with direct exits only. The center's compliance history was reviewed with the operator. The program’s compliance history was 80 percent as of December 1, 2025. You reported to me that you had not yet received the Administrative Action paperwork in the mail. I gave you a copy of the Administrative Action and reviewed it with both of you during today’s visit. You stated that the program does not have plans to appeal and would like to begin working on the Corrective Action Plan. I reminded you that the Administrative Action, cover letter, and the Corrective Action Plan must be posted for three months and until receipt of a closure letter from the Division stating the Corrective Action Plan has been completed. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision in compliance. Children throughout the facility were participating in free play activities indoors, handwashing routines, lunch, and rest time. The caregivers were interacting and meeting the developmental needs for each of the children. The following was monitored for compliance with 10A NCAC 09.2201(j) including: Supervision, Discipline, Nurture, Care and Treatment of Children, Staff Child Ratio, Group Size, Licensed Capacity, Permit Restrictions, CPR/First Aid training, ITS/SIDS training, and Criminal record check requirements. You must follow and complete the Corrective Action Plan within the designated timeframe listed for each Corrective Action Plan item. Corrective Action Plan (CAP) Status: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to the following: • Child Care Rule 10A NCAC 09 .2506(d)(1-3) regarding supervision. • North Carolina General Statue § 110-91(1) and (4-5) regarding adequate/approved space • Child Care Rule 10A NCAC 09 .0713 (a)(6) and regarding staff child ratios. We discussed that follow-up visits will be conducted throughout the Administrative Action period. 2.Within one (1) week after this Notice is received, Molly Roberson, administrator, shall contact Beth Archer, Child Care Consultant, PO Box 64, Rutherfordton, NC 28139, telephone number 828- 748-7893, email Beth.Archer@dhhs.nc.gov, to arrange for a complete review of all child care requirements. All staff members, including full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory training. Special emphasis shall be placed on the repeated violations documented in this Notice. The training must be scheduled to start no earlier than 9:00 am and end no later than 4:00 pm. No children shall be present or in care during this training. The mandatory review of child care requirements was scheduled for January 2, 2026 at 1:00pm at the Carver Head Start facility. 3.Within two (2) weeks after stipulation #2 has been completed, Ms. Roberson shall review and revise the facility’s supervision policy and procedures. The written policy and procedures shall include, but not be limited to, the following: • Implementation of a name-to-face supervision record • When children are arriving and departing from the facility each day • During toileting routines • When children are in the outdoor learning environment • When more than one group of children is combined • When children are transitioned from one space to another • When children are transitioned from one caregiver to another • When children are transitioned from inside the classroom to the outdoor playground, and then from the outdoor playground to inside the classroom • Procedures for responding when a child is missing, including immediate reporting of the missing child • Procedures for supervisory staff members to visit each classroom and monitor staff members’ implementation of the supervision plan • Procedures for periodic review of the supervision plan with all staff members, including the review of the plan in the orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators when an incident occurs • Consequences of staff members’ non-compliance with policies and procedures The written policy and procedures shall be submitted to Ms. Archer for review. Ms. Archer shall notify Ms. Roberson, orally and in writing, as to whether the written policy and procedures meet the requirements of this stipulation or if modifications are needed. Once notification of the stipulation being met is received, the written policy and procedures shall be immediately implemented and incorporated into the operating procedures. A copy of the written policy and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. 4. Within one (1) week after notification from the Division that the stipulation has been met for the written policy and procedures related to supervision, Ms. Roberson shall conduct a staff meeting with all staff members to discuss the supervision written policy and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Violations observed today were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violations were observed during the visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #121, one spray bottle of Uplift Room Spray, with double warnings, was in an unlocked cabinet by the sink. .2820(b) 1756 Enhanced staff/child ratios and group sizes were not met. In space #109, one staff member was responsible for a group of ten children, three, four, and five years of age, while another staff member was in the bathroom next door responsible for a group of three children, three, four, and five years of age. 10A NCAC 09 .2818 Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 17, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Beth Archer, Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was provided on the following: All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings may be stored five (5) feet off the ground I suggested you have staff members check the classrooms thoroughly each morning, prior to children arriving, to ensure all items are stored properly. I also suggested you review this information with all staff members to ensure they can understand which items need to be locked based on warning labels. The staff/child ratio for the youngest member in each group must be maintained at all times. We discussed that during transitions to the bathroom that each staff member responsible for a group of children maintain the required ratios of the age-group served. I suggested you create the staff schedule to ensure ample staff members are on-site throughout the day during transition times to ensure staff/child ratios are met. Consultation: We discussed that small art/office supplies must be kept inaccessible to children under three years of age. Electrical cords must also be inaccessible to infants and toddlers. I encouraged you to discuss with staff proper storage of items that may be a choking or strangulation hazards. We reviewed that electrical appliances with heating elements must be not be accessible to preschool age children. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time and assistance today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance , you may contact me at Beth.Archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
NC GS 110-90 · Violation
Name of Operation: CARVER HEAD START Facility ID: 81000052 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 12/4/2025 Number Present: 104 Completed Date: 12/4/2025 Age: From 0 To 5 Total Minutes: 285 Time In: 10:30 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on November 20, 2025. You, Molly Roberson, Administrator, assisted with today’s visit. Ausjanet Bayne, NC Pre K coordinator, was also present for the visit. This program currently operates with a Five star rated license effective September 25, 2024. The permit restrictions include 1st shift, meets enhanced ratios, meets enhanced space, and children under 2 ½ years in rooms with direct exits only. The center's compliance history was reviewed with the operator. The program’s compliance history was 80 percent as of December 1, 2025. You reported to me that you had not yet received the Administrative Action paperwork in the mail. I gave you a copy of the Administrative Action and reviewed it with both of you during today’s visit. You stated that the program does not have plans to appeal and would like to begin working on the Corrective Action Plan. I reminded you that the Administrative Action, cover letter, and the Corrective Action Plan must be posted for three months and until receipt of a closure letter from the Division stating the Corrective Action Plan has been completed. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision in compliance. Children throughout the facility were participating in free play activities indoors, handwashing routines, lunch, and rest time. The caregivers were interacting and meeting the developmental needs for each of the children. The following was monitored for compliance with 10A NCAC 09.2201(j) including: Supervision, Discipline, Nurture, Care and Treatment of Children, Staff Child Ratio, Group Size, Licensed Capacity, Permit Restrictions, CPR/First Aid training, ITS/SIDS training, and Criminal record check requirements. You must follow and complete the Corrective Action Plan within the designated timeframe listed for each Corrective Action Plan item. Corrective Action Plan (CAP) Status: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to the following: • Child Care Rule 10A NCAC 09 .2506(d)(1-3) regarding supervision. • North Carolina General Statue § 110-91(1) and (4-5) regarding adequate/approved space • Child Care Rule 10A NCAC 09 .0713 (a)(6) and regarding staff child ratios. We discussed that follow-up visits will be conducted throughout the Administrative Action period. 2.Within one (1) week after this Notice is received, Molly Roberson, administrator, shall contact Beth Archer, Child Care Consultant, PO Box 64, Rutherfordton, NC 28139, telephone number 828- 748-7893, email Beth.Archer@dhhs.nc.gov, to arrange for a complete review of all child care requirements. All staff members, including full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory training. Special emphasis shall be placed on the repeated violations documented in this Notice. The training must be scheduled to start no earlier than 9:00 am and end no later than 4:00 pm. No children shall be present or in care during this training. The mandatory review of child care requirements was scheduled for January 2, 2026 at 1:00pm at the Carver Head Start facility. 3.Within two (2) weeks after stipulation #2 has been completed, Ms. Roberson shall review and revise the facility’s supervision policy and procedures. The written policy and procedures shall include, but not be limited to, the following: • Implementation of a name-to-face supervision record • When children are arriving and departing from the facility each day • During toileting routines • When children are in the outdoor learning environment • When more than one group of children is combined • When children are transitioned from one space to another • When children are transitioned from one caregiver to another • When children are transitioned from inside the classroom to the outdoor playground, and then from the outdoor playground to inside the classroom • Procedures for responding when a child is missing, including immediate reporting of the missing child • Procedures for supervisory staff members to visit each classroom and monitor staff members’ implementation of the supervision plan • Procedures for periodic review of the supervision plan with all staff members, including the review of the plan in the orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators when an incident occurs • Consequences of staff members’ non-compliance with policies and procedures The written policy and procedures shall be submitted to Ms. Archer for review. Ms. Archer shall notify Ms. Roberson, orally and in writing, as to whether the written policy and procedures meet the requirements of this stipulation or if modifications are needed. Once notification of the stipulation being met is received, the written policy and procedures shall be immediately implemented and incorporated into the operating procedures. A copy of the written policy and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. 4. Within one (1) week after notification from the Division that the stipulation has been met for the written policy and procedures related to supervision, Ms. Roberson shall conduct a staff meeting with all staff members to discuss the supervision written policy and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Violations observed today were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violations were observed during the visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #121, one spray bottle of Uplift Room Spray, with double warnings, was in an unlocked cabinet by the sink. .2820(b) 1756 Enhanced staff/child ratios and group sizes were not met. In space #109, one staff member was responsible for a group of ten children, three, four, and five years of age, while another staff member was in the bathroom next door responsible for a group of three children, three, four, and five years of age. 10A NCAC 09 .2818 Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 17, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Beth Archer, Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was provided on the following: All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings may be stored five (5) feet off the ground I suggested you have staff members check the classrooms thoroughly each morning, prior to children arriving, to ensure all items are stored properly. I also suggested you review this information with all staff members to ensure they can understand which items need to be locked based on warning labels. The staff/child ratio for the youngest member in each group must be maintained at all times. We discussed that during transitions to the bathroom that each staff member responsible for a group of children maintain the required ratios of the age-group served. I suggested you create the staff schedule to ensure ample staff members are on-site throughout the day during transition times to ensure staff/child ratios are met. Consultation: We discussed that small art/office supplies must be kept inaccessible to children under three years of age. Electrical cords must also be inaccessible to infants and toddlers. I encouraged you to discuss with staff proper storage of items that may be a choking or strangulation hazards. We reviewed that electrical appliances with heating elements must be not be accessible to preschool age children. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time and assistance today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance , you may contact me at Beth.Archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0713 · Violation
Name of Operation: CARVER HEAD START Facility ID: 81000052 Consultant: BETH ARCHER Operation Type: Center Case Number: 0925-360L Visit Date: 10/9/2025 Number Present: 28 Completed Date: 10/9/2025 Age: From 0 To 5 Total Minutes: 114 Time In: 02:36 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today's unannounced follow-up visit was to monitor your compliance with all applicable child care requirements, including health and safety. The visit was conducted with you, Molly Roberson, Director. Ausjanet Bayne, NC Pre K Coordinator, was present for a portion of the visit. This program currently operates with a Five star rated license effective September 25, 2024. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space, and children under 2 ½ years in rooms with direct exits only. The program’s compliance history was 79 percent prior to today's visit. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4)(c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. On September 25, 2025, the following allegation was received: There are allegations of violations of child care requirements. The allegations were regarding supervision. On October 2, 2025, a complaint visit was completed and violations of child care requirements regarding supervision and unapproved space were observed. The allegation regarding supervision was confirmed, therefore substantiated. A walk through of the facility was completed. Staff and children were observed during infant tummy time and outdoor gross motor play. In space 111, the classroom for children infant to one year of age, there was one child, three years of age in the classroom. Documentation was on file for the child from a physician that certified that the developmental age of the child made this placement appropriate. Requirements regarding Supervision, Staff/Child Ratios, Approved Space, and Permit Restrictions were monitored today. The following violation was observed: Violation Number Comment Rule 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. In space 106, there was one child, one year of age grouped with eight children, two years of age, and three children, three years of age with two staff. 10A NCAC 09 .0713(a)(6) The violation documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by October 23, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Children between the ages of 12 months and 24 months may not be grouped with older children unless all children in the group are less than three years of age. I suggested wrap around staff discuss ages of children prior to combining age groups to ensure compliance with the requirement. Consultation: For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893. Beth Archer, Child Care Consultant PO Box 64 Rutherfordton, NC 28139 Beth.Archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
G.S. 110-90 · Violation
Name of Operation: CARVER HEAD START Facility ID: 81000052 Consultant: BETH ARCHER Operation Type: Center Case Number: 0925-360L Visit Date: 10/9/2025 Number Present: 28 Completed Date: 10/9/2025 Age: From 0 To 5 Total Minutes: 114 Time In: 02:36 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today's unannounced follow-up visit was to monitor your compliance with all applicable child care requirements, including health and safety. The visit was conducted with you, Molly Roberson, Director. Ausjanet Bayne, NC Pre K Coordinator, was present for a portion of the visit. This program currently operates with a Five star rated license effective September 25, 2024. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space, and children under 2 ½ years in rooms with direct exits only. The program’s compliance history was 79 percent prior to today's visit. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4)(c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. On September 25, 2025, the following allegation was received: There are allegations of violations of child care requirements. The allegations were regarding supervision. On October 2, 2025, a complaint visit was completed and violations of child care requirements regarding supervision and unapproved space were observed. The allegation regarding supervision was confirmed, therefore substantiated. A walk through of the facility was completed. Staff and children were observed during infant tummy time and outdoor gross motor play. In space 111, the classroom for children infant to one year of age, there was one child, three years of age in the classroom. Documentation was on file for the child from a physician that certified that the developmental age of the child made this placement appropriate. Requirements regarding Supervision, Staff/Child Ratios, Approved Space, and Permit Restrictions were monitored today. The following violation was observed: Violation Number Comment Rule 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. In space 106, there was one child, one year of age grouped with eight children, two years of age, and three children, three years of age with two staff. 10A NCAC 09 .0713(a)(6) The violation documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by October 23, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Children between the ages of 12 months and 24 months may not be grouped with older children unless all children in the group are less than three years of age. I suggested wrap around staff discuss ages of children prior to combining age groups to ensure compliance with the requirement. Consultation: For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893. Beth Archer, Child Care Consultant PO Box 64 Rutherfordton, NC 28139 Beth.Archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
G.S. 110-90 · Violation
Name of Operation: CARVER HEAD START Facility ID: 81000052 Consultant: BETH ARCHER Operation Type: Center Case Number: 0925-360L Visit Date: 10/2/2025 Number Present: 28 Completed Date: 10/2/2025 Age: From 0 To 5 Total Minutes: 170 Time In: 01:25 PM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a report alleging violations of child care requirements. The visit was conducted with you, Ausjanet Bayne, NC Pre K Coordinator. Tarah Simmons, RCS Preschool Disabilities & Education Coordinator, also assisted with a portion of the visit. The program’s compliance history was 82 percent prior to today's visit. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4)(c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. On September 25, 2025, the following allegation was received: There is an allegation of a violation of child care requirements. The allegation was regarding supervision. The allegation was discussed with four staff members. You and staff members had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegation. Staff reported that a supervision incident occurred on September 18, 2025 or September 19, 2025. Staff also reported multiple lengths of time that the child was left alone and unattended from five to ten minutes. There were video cameras in the facility but no staff present had access to video footage. A walk through of the facility was completed. Staff and children were observed during free play in activity centers and outdoor gross motor time. Records of arrival and departure, attendance, and supervision checklists were reviewed. Based on the walk through of the facility, records reviewed and staff interviews, the allegation regarding supervision was confirmed, therefore substantiated. One additional violation regarding unapproved space was observed during the visit. The following violations were observed: Violation Number Comment Rule 209 Children used space that was not approved. Thirteen children, three, four, and five years of age were being cared for in room 107 that was not licensed space. GS 110-91(1)&(4-5) 303 Children were not adequately supervised at all times. In space 107, one child, four years of age, was left alone and unattended on 9/18/25 or 9/19/25 for approximately 5-10 minutes per staff report. .1801(a)(1-5) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by October 16, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Children must be adequately supervised at all times in child care centers. Adequate supervision means that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. I suggested you review this rule with all staff members at this time, and annually at a staff meeting. I also suggested you revise your supervision checklist to include sufficient information to identify staff who are responsible for the children. All staff members should be aware of the number of children they are responsible for at all times. Additionally, I suggested you remind staff to be extra cautious during transitions to ensure all children are accounted for. Children are not permitted to occupy space that is not approved for child care. In order to add approved space, you must obtain approved building, fire, and sanitation inspections stating the space is approved for child care. Once these approved inspections are obtained, you may contact your child care consultant to measure and approve the additional space. I suggested you contact me immediately if you would like to add licensed space to the facility, or begin using space that was not previously licensed. Room 107 was removed from licensed space on May 10, 2016. Consultation: For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893. Beth Archer, Child Care Consultant PO Box 64 Rutherfordton, NC 28139 Beth.Archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
GS 110-91 · Violation
Name of Operation: CARVER HEAD START Facility ID: 81000052 Consultant: BETH ARCHER Operation Type: Center Case Number: 0925-360L Visit Date: 10/2/2025 Number Present: 28 Completed Date: 10/2/2025 Age: From 0 To 5 Total Minutes: 170 Time In: 01:25 PM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a report alleging violations of child care requirements. The visit was conducted with you, Ausjanet Bayne, NC Pre K Coordinator. Tarah Simmons, RCS Preschool Disabilities & Education Coordinator, also assisted with a portion of the visit. The program’s compliance history was 82 percent prior to today's visit. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4)(c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. On September 25, 2025, the following allegation was received: There is an allegation of a violation of child care requirements. The allegation was regarding supervision. The allegation was discussed with four staff members. You and staff members had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegation. Staff reported that a supervision incident occurred on September 18, 2025 or September 19, 2025. Staff also reported multiple lengths of time that the child was left alone and unattended from five to ten minutes. There were video cameras in the facility but no staff present had access to video footage. A walk through of the facility was completed. Staff and children were observed during free play in activity centers and outdoor gross motor time. Records of arrival and departure, attendance, and supervision checklists were reviewed. Based on the walk through of the facility, records reviewed and staff interviews, the allegation regarding supervision was confirmed, therefore substantiated. One additional violation regarding unapproved space was observed during the visit. The following violations were observed: Violation Number Comment Rule 209 Children used space that was not approved. Thirteen children, three, four, and five years of age were being cared for in room 107 that was not licensed space. GS 110-91(1)&(4-5) 303 Children were not adequately supervised at all times. In space 107, one child, four years of age, was left alone and unattended on 9/18/25 or 9/19/25 for approximately 5-10 minutes per staff report. .1801(a)(1-5) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by October 16, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Children must be adequately supervised at all times in child care centers. Adequate supervision means that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. I suggested you review this rule with all staff members at this time, and annually at a staff meeting. I also suggested you revise your supervision checklist to include sufficient information to identify staff who are responsible for the children. All staff members should be aware of the number of children they are responsible for at all times. Additionally, I suggested you remind staff to be extra cautious during transitions to ensure all children are accounted for. Children are not permitted to occupy space that is not approved for child care. In order to add approved space, you must obtain approved building, fire, and sanitation inspections stating the space is approved for child care. Once these approved inspections are obtained, you may contact your child care consultant to measure and approve the additional space. I suggested you contact me immediately if you would like to add licensed space to the facility, or begin using space that was not previously licensed. Room 107 was removed from licensed space on May 10, 2016. Consultation: For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893. Beth Archer, Child Care Consultant PO Box 64 Rutherfordton, NC 28139 Beth.Archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0604 · Violation
Name of Operation: CARVER HEAD START Facility ID: 81000052 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 5/13/2025 Number Present: 98 Completed Date: 5/13/2025 Age: From 0 To 5 Total Minutes: 335 Time In: 09:40 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 unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Ausjanet Bayne, NC PreK contact. You provided me with applicable program, staff, and children’s records for review. Tammy McGalliard, Licensing Supervisor, accompanied me on the visit today. This program currently operates with a Five star rated license effective September 25, 2024. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space, and children under 2 ½ years in rooms with direct exits only. The program’s compliance history was 83 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements I monitored today. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. We observed children in the indoor learning environment and found staff/child ratios in compliance. Children and staff were participating in free play in activity areas, indoor gross motor activities, large group time, and rest time. The last monthly fire drill was practiced on April 28, 2025. The last shelter-in-place drill was practiced on March 6, 2025. The program follows the DPI critical response plan and practices drills as directed in that plan. The last monthly playground inspection was completed on May 6, 2025. A sample of twelve children’s records were reviewed. Four new staff and four existing staff files were reviewed. NC Pre K requirements were monitored. The most recent sanitation inspection for your facility was conducted on May 1, 2025. A approved sanitation classification was issued with 17 demerits noted on the grade card. The most recent lead water test results were completed on October 14, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated assessment completed for required asbestos testing on February 3, 2025 and lead paint testing on March 17, 2025. The most recent approved fire inspection for your facility was conducted on August 15, 2024. Due to printer issues, the violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you. The following violations were observed: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A summary of the NC Child Care Law was not given to parents of two enrolled children. One child was enrolled 10/24/24 and the other child was enrolled 11/1/24. GS 110-102 303 Children were not adequately supervised at all times. In space 109, two preschool-aged children were left unattended in the bathroom that is separated by a half wall within the classroom. One staff member was positioned on the opposite side of the classroom. A second staff member was in the middle of the classroom, with back turned away from the bathroom area, attending to other needs. .1801(a)(1-5) 415 A current schedule was not posted for each group of children for reference. In space 109, the posted activity plan was dated 5/5/25-5/9/25. GS 110-91(12);.0508(a) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. There were multiple snack menus with different components posted throughout the facility that were missing specify information to verify nutritional content and without a second component for the snack requirement. The posted lunch menu did not list milk and did not provide specific information for cereal, fruit, or juice components to verify nutritional content. 10A NCAC 09 .0901(a) 536 Formula and other beverages which require refrigeration were not identified for each child or properly refrigerated. In space 110, there was a bottle of Similac Pro formula that was not labeled with the child's name. 15A NCAC 18A .2804(d) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 108, one uncovered electrical outlet did not have a safety plug. 10A NCAC 09 .0604(c) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 1/27/25, did not have verification of current First Aid certification on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed 1/27/25, did not have verification of current CPR certification on file. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child that enrolled 4/8/25, did not have a medical exam on file. GS110-91(1) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by May 27, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Supervision: Children must be adequately supervised at all times. You must be able to see, hear and respond to the needs of the children. In space 109, a half privacy wall divides the bathroom area from the rest of the classroom. We discussed that when children are in the bathroom area, staff must position themselves in a way that children who are in the classroom area and in the bathroom area are supervised at all times. We discussed techniques for staff positioning to allow for appropriate supervision. NC Summary of the Law: A summary of the NC Child Care Law must be given to the parent of each child enrolled in care. The program has a verification form for a review of multiple pre-enrollment information requirements. A date is listed by staff to verify the review of information for each requirement was completed and the parent signs the form. Two children’s files did not have a date listed to verify that a review of the NC Summary of the Child Care Law was completed. Activity Plan: A current schedule must be post of each group of children in care. In space 109, staff reported that they had not yet printed out the activity plan for this week. We encouraged you to work on the next week’s activity plan during the current week. You can then post the plan at the end of the day on Friday for next week’s use. Menus: The posted breakfast menu listed cereal, fruit, and juice without specific information to verify that the items met nutritional guidelines. The lunch menu listed fruit without specific information to verify that the item met nutritional guidelines and did not list milk. You reported that your breakfast and lunch meals are prepared at a nearby elementary school and are transported to your facility. The elementary school provides you with the menu. We discussed that you will need to talk with the school to get the specific nutrition information to add to your posted menu to encourage compliance with the meal patterns for children in child care programs. We discussed that there are multiple versions of the snack menus posted throughout the facility. The prepared snack menu for the entire program must include two components that are listed on the prepared snack menu. Formula: Formula or other refrigerated beverages must be identified for each child. In space 110, the non-labeled formula was discarded during the visit. You may choose to have tape and/or a marker placed next to the refrigerator for easy labeling when formula is opened for use. Electrical Outlets: Electrical outlets, when not in use, must be covered with safety plugs unless behind furniture. In space 108, you place a safety plug in the exposed electrical outlet during the visit. I encouraged you to keep extra safety plugs in each classroom for easy replacement. CPR/First Aid Training: Verification must be on file of a staff member’s current certification in CPR and First Aid Training. The staff member employed 1/27/25, had paperwork about a CPR/First Aid training course but did not include training cards or certificates to verify successful completion of the courses. You reported that the staff member brought the training paperwork from a previous employment. You stated you will work with the staff member to get the needed cards or certifications for verification within the next 2 weeks. Child Medical Exam: A medical exam or health assessment must be on file within 30 days of enrollment. One child who enrolled on 4/8/25, did not have a medical exam on file. You reported that you will work with the parent to get the needed information within the next 2 weeks. We discussed calendaring the due dates for medical exams to track the requirement deadline. Consultation: -We discussed making sure to have sufficient materials available in all activity centers for multiple children to play. -We discussed your current safe sleep policy and need for an updated policy to revise to reflect current rule requirements. -Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement 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. Reminders and Resources: Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 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 .0901 · Violation
Name of Operation: CARVER HEAD START Facility ID: 81000052 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 5/13/2025 Number Present: 98 Completed Date: 5/13/2025 Age: From 0 To 5 Total Minutes: 335 Time In: 09:40 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 unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Ausjanet Bayne, NC PreK contact. You provided me with applicable program, staff, and children’s records for review. Tammy McGalliard, Licensing Supervisor, accompanied me on the visit today. This program currently operates with a Five star rated license effective September 25, 2024. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space, and children under 2 ½ years in rooms with direct exits only. The program’s compliance history was 83 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements I monitored today. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. We observed children in the indoor learning environment and found staff/child ratios in compliance. Children and staff were participating in free play in activity areas, indoor gross motor activities, large group time, and rest time. The last monthly fire drill was practiced on April 28, 2025. The last shelter-in-place drill was practiced on March 6, 2025. The program follows the DPI critical response plan and practices drills as directed in that plan. The last monthly playground inspection was completed on May 6, 2025. A sample of twelve children’s records were reviewed. Four new staff and four existing staff files were reviewed. NC Pre K requirements were monitored. The most recent sanitation inspection for your facility was conducted on May 1, 2025. A approved sanitation classification was issued with 17 demerits noted on the grade card. The most recent lead water test results were completed on October 14, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated assessment completed for required asbestos testing on February 3, 2025 and lead paint testing on March 17, 2025. The most recent approved fire inspection for your facility was conducted on August 15, 2024. Due to printer issues, the violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you. The following violations were observed: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A summary of the NC Child Care Law was not given to parents of two enrolled children. One child was enrolled 10/24/24 and the other child was enrolled 11/1/24. GS 110-102 303 Children were not adequately supervised at all times. In space 109, two preschool-aged children were left unattended in the bathroom that is separated by a half wall within the classroom. One staff member was positioned on the opposite side of the classroom. A second staff member was in the middle of the classroom, with back turned away from the bathroom area, attending to other needs. .1801(a)(1-5) 415 A current schedule was not posted for each group of children for reference. In space 109, the posted activity plan was dated 5/5/25-5/9/25. GS 110-91(12);.0508(a) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. There were multiple snack menus with different components posted throughout the facility that were missing specify information to verify nutritional content and without a second component for the snack requirement. The posted lunch menu did not list milk and did not provide specific information for cereal, fruit, or juice components to verify nutritional content. 10A NCAC 09 .0901(a) 536 Formula and other beverages which require refrigeration were not identified for each child or properly refrigerated. In space 110, there was a bottle of Similac Pro formula that was not labeled with the child's name. 15A NCAC 18A .2804(d) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 108, one uncovered electrical outlet did not have a safety plug. 10A NCAC 09 .0604(c) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 1/27/25, did not have verification of current First Aid certification on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed 1/27/25, did not have verification of current CPR certification on file. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child that enrolled 4/8/25, did not have a medical exam on file. GS110-91(1) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by May 27, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Supervision: Children must be adequately supervised at all times. You must be able to see, hear and respond to the needs of the children. In space 109, a half privacy wall divides the bathroom area from the rest of the classroom. We discussed that when children are in the bathroom area, staff must position themselves in a way that children who are in the classroom area and in the bathroom area are supervised at all times. We discussed techniques for staff positioning to allow for appropriate supervision. NC Summary of the Law: A summary of the NC Child Care Law must be given to the parent of each child enrolled in care. The program has a verification form for a review of multiple pre-enrollment information requirements. A date is listed by staff to verify the review of information for each requirement was completed and the parent signs the form. Two children’s files did not have a date listed to verify that a review of the NC Summary of the Child Care Law was completed. Activity Plan: A current schedule must be post of each group of children in care. In space 109, staff reported that they had not yet printed out the activity plan for this week. We encouraged you to work on the next week’s activity plan during the current week. You can then post the plan at the end of the day on Friday for next week’s use. Menus: The posted breakfast menu listed cereal, fruit, and juice without specific information to verify that the items met nutritional guidelines. The lunch menu listed fruit without specific information to verify that the item met nutritional guidelines and did not list milk. You reported that your breakfast and lunch meals are prepared at a nearby elementary school and are transported to your facility. The elementary school provides you with the menu. We discussed that you will need to talk with the school to get the specific nutrition information to add to your posted menu to encourage compliance with the meal patterns for children in child care programs. We discussed that there are multiple versions of the snack menus posted throughout the facility. The prepared snack menu for the entire program must include two components that are listed on the prepared snack menu. Formula: Formula or other refrigerated beverages must be identified for each child. In space 110, the non-labeled formula was discarded during the visit. You may choose to have tape and/or a marker placed next to the refrigerator for easy labeling when formula is opened for use. Electrical Outlets: Electrical outlets, when not in use, must be covered with safety plugs unless behind furniture. In space 108, you place a safety plug in the exposed electrical outlet during the visit. I encouraged you to keep extra safety plugs in each classroom for easy replacement. CPR/First Aid Training: Verification must be on file of a staff member’s current certification in CPR and First Aid Training. The staff member employed 1/27/25, had paperwork about a CPR/First Aid training course but did not include training cards or certificates to verify successful completion of the courses. You reported that the staff member brought the training paperwork from a previous employment. You stated you will work with the staff member to get the needed cards or certifications for verification within the next 2 weeks. Child Medical Exam: A medical exam or health assessment must be on file within 30 days of enrollment. One child who enrolled on 4/8/25, did not have a medical exam on file. You reported that you will work with the parent to get the needed information within the next 2 weeks. We discussed calendaring the due dates for medical exams to track the requirement deadline. Consultation: -We discussed making sure to have sufficient materials available in all activity centers for multiple children to play. -We discussed your current safe sleep policy and need for an updated policy to revise to reflect current rule requirements. -Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement 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. Reminders and Resources: Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
GS 110-102 · Violation
Name of Operation: CARVER HEAD START Facility ID: 81000052 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 5/13/2025 Number Present: 98 Completed Date: 5/13/2025 Age: From 0 To 5 Total Minutes: 335 Time In: 09:40 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 unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Ausjanet Bayne, NC PreK contact. You provided me with applicable program, staff, and children’s records for review. Tammy McGalliard, Licensing Supervisor, accompanied me on the visit today. This program currently operates with a Five star rated license effective September 25, 2024. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space, and children under 2 ½ years in rooms with direct exits only. The program’s compliance history was 83 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements I monitored today. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. We observed children in the indoor learning environment and found staff/child ratios in compliance. Children and staff were participating in free play in activity areas, indoor gross motor activities, large group time, and rest time. The last monthly fire drill was practiced on April 28, 2025. The last shelter-in-place drill was practiced on March 6, 2025. The program follows the DPI critical response plan and practices drills as directed in that plan. The last monthly playground inspection was completed on May 6, 2025. A sample of twelve children’s records were reviewed. Four new staff and four existing staff files were reviewed. NC Pre K requirements were monitored. The most recent sanitation inspection for your facility was conducted on May 1, 2025. A approved sanitation classification was issued with 17 demerits noted on the grade card. The most recent lead water test results were completed on October 14, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated assessment completed for required asbestos testing on February 3, 2025 and lead paint testing on March 17, 2025. The most recent approved fire inspection for your facility was conducted on August 15, 2024. Due to printer issues, the violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you. The following violations were observed: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A summary of the NC Child Care Law was not given to parents of two enrolled children. One child was enrolled 10/24/24 and the other child was enrolled 11/1/24. GS 110-102 303 Children were not adequately supervised at all times. In space 109, two preschool-aged children were left unattended in the bathroom that is separated by a half wall within the classroom. One staff member was positioned on the opposite side of the classroom. A second staff member was in the middle of the classroom, with back turned away from the bathroom area, attending to other needs. .1801(a)(1-5) 415 A current schedule was not posted for each group of children for reference. In space 109, the posted activity plan was dated 5/5/25-5/9/25. GS 110-91(12);.0508(a) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. There were multiple snack menus with different components posted throughout the facility that were missing specify information to verify nutritional content and without a second component for the snack requirement. The posted lunch menu did not list milk and did not provide specific information for cereal, fruit, or juice components to verify nutritional content. 10A NCAC 09 .0901(a) 536 Formula and other beverages which require refrigeration were not identified for each child or properly refrigerated. In space 110, there was a bottle of Similac Pro formula that was not labeled with the child's name. 15A NCAC 18A .2804(d) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 108, one uncovered electrical outlet did not have a safety plug. 10A NCAC 09 .0604(c) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 1/27/25, did not have verification of current First Aid certification on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed 1/27/25, did not have verification of current CPR certification on file. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child that enrolled 4/8/25, did not have a medical exam on file. GS110-91(1) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by May 27, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Supervision: Children must be adequately supervised at all times. You must be able to see, hear and respond to the needs of the children. In space 109, a half privacy wall divides the bathroom area from the rest of the classroom. We discussed that when children are in the bathroom area, staff must position themselves in a way that children who are in the classroom area and in the bathroom area are supervised at all times. We discussed techniques for staff positioning to allow for appropriate supervision. NC Summary of the Law: A summary of the NC Child Care Law must be given to the parent of each child enrolled in care. The program has a verification form for a review of multiple pre-enrollment information requirements. A date is listed by staff to verify the review of information for each requirement was completed and the parent signs the form. Two children’s files did not have a date listed to verify that a review of the NC Summary of the Child Care Law was completed. Activity Plan: A current schedule must be post of each group of children in care. In space 109, staff reported that they had not yet printed out the activity plan for this week. We encouraged you to work on the next week’s activity plan during the current week. You can then post the plan at the end of the day on Friday for next week’s use. Menus: The posted breakfast menu listed cereal, fruit, and juice without specific information to verify that the items met nutritional guidelines. The lunch menu listed fruit without specific information to verify that the item met nutritional guidelines and did not list milk. You reported that your breakfast and lunch meals are prepared at a nearby elementary school and are transported to your facility. The elementary school provides you with the menu. We discussed that you will need to talk with the school to get the specific nutrition information to add to your posted menu to encourage compliance with the meal patterns for children in child care programs. We discussed that there are multiple versions of the snack menus posted throughout the facility. The prepared snack menu for the entire program must include two components that are listed on the prepared snack menu. Formula: Formula or other refrigerated beverages must be identified for each child. In space 110, the non-labeled formula was discarded during the visit. You may choose to have tape and/or a marker placed next to the refrigerator for easy labeling when formula is opened for use. Electrical Outlets: Electrical outlets, when not in use, must be covered with safety plugs unless behind furniture. In space 108, you place a safety plug in the exposed electrical outlet during the visit. I encouraged you to keep extra safety plugs in each classroom for easy replacement. CPR/First Aid Training: Verification must be on file of a staff member’s current certification in CPR and First Aid Training. The staff member employed 1/27/25, had paperwork about a CPR/First Aid training course but did not include training cards or certificates to verify successful completion of the courses. You reported that the staff member brought the training paperwork from a previous employment. You stated you will work with the staff member to get the needed cards or certifications for verification within the next 2 weeks. Child Medical Exam: A medical exam or health assessment must be on file within 30 days of enrollment. One child who enrolled on 4/8/25, did not have a medical exam on file. You reported that you will work with the parent to get the needed information within the next 2 weeks. We discussed calendaring the due dates for medical exams to track the requirement deadline. Consultation: -We discussed making sure to have sufficient materials available in all activity centers for multiple children to play. -We discussed your current safe sleep policy and need for an updated policy to revise to reflect current rule requirements. -Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement 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. Reminders and Resources: Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
GS 110-91 · Violation
Name of Operation: CARVER HEAD START Facility ID: 81000052 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 5/13/2025 Number Present: 98 Completed Date: 5/13/2025 Age: From 0 To 5 Total Minutes: 335 Time In: 09:40 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 unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Ausjanet Bayne, NC PreK contact. You provided me with applicable program, staff, and children’s records for review. Tammy McGalliard, Licensing Supervisor, accompanied me on the visit today. This program currently operates with a Five star rated license effective September 25, 2024. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space, and children under 2 ½ years in rooms with direct exits only. The program’s compliance history was 83 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements I monitored today. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. We observed children in the indoor learning environment and found staff/child ratios in compliance. Children and staff were participating in free play in activity areas, indoor gross motor activities, large group time, and rest time. The last monthly fire drill was practiced on April 28, 2025. The last shelter-in-place drill was practiced on March 6, 2025. The program follows the DPI critical response plan and practices drills as directed in that plan. The last monthly playground inspection was completed on May 6, 2025. A sample of twelve children’s records were reviewed. Four new staff and four existing staff files were reviewed. NC Pre K requirements were monitored. The most recent sanitation inspection for your facility was conducted on May 1, 2025. A approved sanitation classification was issued with 17 demerits noted on the grade card. The most recent lead water test results were completed on October 14, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated assessment completed for required asbestos testing on February 3, 2025 and lead paint testing on March 17, 2025. The most recent approved fire inspection for your facility was conducted on August 15, 2024. Due to printer issues, the violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you. The following violations were observed: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A summary of the NC Child Care Law was not given to parents of two enrolled children. One child was enrolled 10/24/24 and the other child was enrolled 11/1/24. GS 110-102 303 Children were not adequately supervised at all times. In space 109, two preschool-aged children were left unattended in the bathroom that is separated by a half wall within the classroom. One staff member was positioned on the opposite side of the classroom. A second staff member was in the middle of the classroom, with back turned away from the bathroom area, attending to other needs. .1801(a)(1-5) 415 A current schedule was not posted for each group of children for reference. In space 109, the posted activity plan was dated 5/5/25-5/9/25. GS 110-91(12);.0508(a) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. There were multiple snack menus with different components posted throughout the facility that were missing specify information to verify nutritional content and without a second component for the snack requirement. The posted lunch menu did not list milk and did not provide specific information for cereal, fruit, or juice components to verify nutritional content. 10A NCAC 09 .0901(a) 536 Formula and other beverages which require refrigeration were not identified for each child or properly refrigerated. In space 110, there was a bottle of Similac Pro formula that was not labeled with the child's name. 15A NCAC 18A .2804(d) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 108, one uncovered electrical outlet did not have a safety plug. 10A NCAC 09 .0604(c) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 1/27/25, did not have verification of current First Aid certification on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed 1/27/25, did not have verification of current CPR certification on file. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child that enrolled 4/8/25, did not have a medical exam on file. GS110-91(1) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by May 27, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Supervision: Children must be adequately supervised at all times. You must be able to see, hear and respond to the needs of the children. In space 109, a half privacy wall divides the bathroom area from the rest of the classroom. We discussed that when children are in the bathroom area, staff must position themselves in a way that children who are in the classroom area and in the bathroom area are supervised at all times. We discussed techniques for staff positioning to allow for appropriate supervision. NC Summary of the Law: A summary of the NC Child Care Law must be given to the parent of each child enrolled in care. The program has a verification form for a review of multiple pre-enrollment information requirements. A date is listed by staff to verify the review of information for each requirement was completed and the parent signs the form. Two children’s files did not have a date listed to verify that a review of the NC Summary of the Child Care Law was completed. Activity Plan: A current schedule must be post of each group of children in care. In space 109, staff reported that they had not yet printed out the activity plan for this week. We encouraged you to work on the next week’s activity plan during the current week. You can then post the plan at the end of the day on Friday for next week’s use. Menus: The posted breakfast menu listed cereal, fruit, and juice without specific information to verify that the items met nutritional guidelines. The lunch menu listed fruit without specific information to verify that the item met nutritional guidelines and did not list milk. You reported that your breakfast and lunch meals are prepared at a nearby elementary school and are transported to your facility. The elementary school provides you with the menu. We discussed that you will need to talk with the school to get the specific nutrition information to add to your posted menu to encourage compliance with the meal patterns for children in child care programs. We discussed that there are multiple versions of the snack menus posted throughout the facility. The prepared snack menu for the entire program must include two components that are listed on the prepared snack menu. Formula: Formula or other refrigerated beverages must be identified for each child. In space 110, the non-labeled formula was discarded during the visit. You may choose to have tape and/or a marker placed next to the refrigerator for easy labeling when formula is opened for use. Electrical Outlets: Electrical outlets, when not in use, must be covered with safety plugs unless behind furniture. In space 108, you place a safety plug in the exposed electrical outlet during the visit. I encouraged you to keep extra safety plugs in each classroom for easy replacement. CPR/First Aid Training: Verification must be on file of a staff member’s current certification in CPR and First Aid Training. The staff member employed 1/27/25, had paperwork about a CPR/First Aid training course but did not include training cards or certificates to verify successful completion of the courses. You reported that the staff member brought the training paperwork from a previous employment. You stated you will work with the staff member to get the needed cards or certifications for verification within the next 2 weeks. Child Medical Exam: A medical exam or health assessment must be on file within 30 days of enrollment. One child who enrolled on 4/8/25, did not have a medical exam on file. You reported that you will work with the parent to get the needed information within the next 2 weeks. We discussed calendaring the due dates for medical exams to track the requirement deadline. Consultation: -We discussed making sure to have sufficient materials available in all activity centers for multiple children to play. -We discussed your current safe sleep policy and need for an updated policy to revise to reflect current rule requirements. -Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement 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. Reminders and Resources: Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 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
GS110-91 · Violation
Name of Operation: CARVER HEAD START Facility ID: 81000052 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 5/13/2025 Number Present: 98 Completed Date: 5/13/2025 Age: From 0 To 5 Total Minutes: 335 Time In: 09:40 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 unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Ausjanet Bayne, NC PreK contact. You provided me with applicable program, staff, and children’s records for review. Tammy McGalliard, Licensing Supervisor, accompanied me on the visit today. This program currently operates with a Five star rated license effective September 25, 2024. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space, and children under 2 ½ years in rooms with direct exits only. The program’s compliance history was 83 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements I monitored today. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. We observed children in the indoor learning environment and found staff/child ratios in compliance. Children and staff were participating in free play in activity areas, indoor gross motor activities, large group time, and rest time. The last monthly fire drill was practiced on April 28, 2025. The last shelter-in-place drill was practiced on March 6, 2025. The program follows the DPI critical response plan and practices drills as directed in that plan. The last monthly playground inspection was completed on May 6, 2025. A sample of twelve children’s records were reviewed. Four new staff and four existing staff files were reviewed. NC Pre K requirements were monitored. The most recent sanitation inspection for your facility was conducted on May 1, 2025. A approved sanitation classification was issued with 17 demerits noted on the grade card. The most recent lead water test results were completed on October 14, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated assessment completed for required asbestos testing on February 3, 2025 and lead paint testing on March 17, 2025. The most recent approved fire inspection for your facility was conducted on August 15, 2024. Due to printer issues, the violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you. The following violations were observed: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A summary of the NC Child Care Law was not given to parents of two enrolled children. One child was enrolled 10/24/24 and the other child was enrolled 11/1/24. GS 110-102 303 Children were not adequately supervised at all times. In space 109, two preschool-aged children were left unattended in the bathroom that is separated by a half wall within the classroom. One staff member was positioned on the opposite side of the classroom. A second staff member was in the middle of the classroom, with back turned away from the bathroom area, attending to other needs. .1801(a)(1-5) 415 A current schedule was not posted for each group of children for reference. In space 109, the posted activity plan was dated 5/5/25-5/9/25. GS 110-91(12);.0508(a) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. There were multiple snack menus with different components posted throughout the facility that were missing specify information to verify nutritional content and without a second component for the snack requirement. The posted lunch menu did not list milk and did not provide specific information for cereal, fruit, or juice components to verify nutritional content. 10A NCAC 09 .0901(a) 536 Formula and other beverages which require refrigeration were not identified for each child or properly refrigerated. In space 110, there was a bottle of Similac Pro formula that was not labeled with the child's name. 15A NCAC 18A .2804(d) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 108, one uncovered electrical outlet did not have a safety plug. 10A NCAC 09 .0604(c) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 1/27/25, did not have verification of current First Aid certification on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed 1/27/25, did not have verification of current CPR certification on file. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child that enrolled 4/8/25, did not have a medical exam on file. GS110-91(1) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by May 27, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Supervision: Children must be adequately supervised at all times. You must be able to see, hear and respond to the needs of the children. In space 109, a half privacy wall divides the bathroom area from the rest of the classroom. We discussed that when children are in the bathroom area, staff must position themselves in a way that children who are in the classroom area and in the bathroom area are supervised at all times. We discussed techniques for staff positioning to allow for appropriate supervision. NC Summary of the Law: A summary of the NC Child Care Law must be given to the parent of each child enrolled in care. The program has a verification form for a review of multiple pre-enrollment information requirements. A date is listed by staff to verify the review of information for each requirement was completed and the parent signs the form. Two children’s files did not have a date listed to verify that a review of the NC Summary of the Child Care Law was completed. Activity Plan: A current schedule must be post of each group of children in care. In space 109, staff reported that they had not yet printed out the activity plan for this week. We encouraged you to work on the next week’s activity plan during the current week. You can then post the plan at the end of the day on Friday for next week’s use. Menus: The posted breakfast menu listed cereal, fruit, and juice without specific information to verify that the items met nutritional guidelines. The lunch menu listed fruit without specific information to verify that the item met nutritional guidelines and did not list milk. You reported that your breakfast and lunch meals are prepared at a nearby elementary school and are transported to your facility. The elementary school provides you with the menu. We discussed that you will need to talk with the school to get the specific nutrition information to add to your posted menu to encourage compliance with the meal patterns for children in child care programs. We discussed that there are multiple versions of the snack menus posted throughout the facility. The prepared snack menu for the entire program must include two components that are listed on the prepared snack menu. Formula: Formula or other refrigerated beverages must be identified for each child. In space 110, the non-labeled formula was discarded during the visit. You may choose to have tape and/or a marker placed next to the refrigerator for easy labeling when formula is opened for use. Electrical Outlets: Electrical outlets, when not in use, must be covered with safety plugs unless behind furniture. In space 108, you place a safety plug in the exposed electrical outlet during the visit. I encouraged you to keep extra safety plugs in each classroom for easy replacement. CPR/First Aid Training: Verification must be on file of a staff member’s current certification in CPR and First Aid Training. The staff member employed 1/27/25, had paperwork about a CPR/First Aid training course but did not include training cards or certificates to verify successful completion of the courses. You reported that the staff member brought the training paperwork from a previous employment. You stated you will work with the staff member to get the needed cards or certifications for verification within the next 2 weeks. Child Medical Exam: A medical exam or health assessment must be on file within 30 days of enrollment. One child who enrolled on 4/8/25, did not have a medical exam on file. You reported that you will work with the parent to get the needed information within the next 2 weeks. We discussed calendaring the due dates for medical exams to track the requirement deadline. Consultation: -We discussed making sure to have sufficient materials available in all activity centers for multiple children to play. -We discussed your current safe sleep policy and need for an updated policy to revise to reflect current rule requirements. -Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement 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. Reminders and Resources: Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 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: CARVER HEAD START Facility ID: 81000052 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 5/13/2025 Number Present: 98 Completed Date: 5/13/2025 Age: From 0 To 5 Total Minutes: 335 Time In: 09:40 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 unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Ausjanet Bayne, NC PreK contact. You provided me with applicable program, staff, and children’s records for review. Tammy McGalliard, Licensing Supervisor, accompanied me on the visit today. This program currently operates with a Five star rated license effective September 25, 2024. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space, and children under 2 ½ years in rooms with direct exits only. The program’s compliance history was 83 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements I monitored today. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. We observed children in the indoor learning environment and found staff/child ratios in compliance. Children and staff were participating in free play in activity areas, indoor gross motor activities, large group time, and rest time. The last monthly fire drill was practiced on April 28, 2025. The last shelter-in-place drill was practiced on March 6, 2025. The program follows the DPI critical response plan and practices drills as directed in that plan. The last monthly playground inspection was completed on May 6, 2025. A sample of twelve children’s records were reviewed. Four new staff and four existing staff files were reviewed. NC Pre K requirements were monitored. The most recent sanitation inspection for your facility was conducted on May 1, 2025. A approved sanitation classification was issued with 17 demerits noted on the grade card. The most recent lead water test results were completed on October 14, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated assessment completed for required asbestos testing on February 3, 2025 and lead paint testing on March 17, 2025. The most recent approved fire inspection for your facility was conducted on August 15, 2024. Due to printer issues, the violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you. The following violations were observed: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A summary of the NC Child Care Law was not given to parents of two enrolled children. One child was enrolled 10/24/24 and the other child was enrolled 11/1/24. GS 110-102 303 Children were not adequately supervised at all times. In space 109, two preschool-aged children were left unattended in the bathroom that is separated by a half wall within the classroom. One staff member was positioned on the opposite side of the classroom. A second staff member was in the middle of the classroom, with back turned away from the bathroom area, attending to other needs. .1801(a)(1-5) 415 A current schedule was not posted for each group of children for reference. In space 109, the posted activity plan was dated 5/5/25-5/9/25. GS 110-91(12);.0508(a) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. There were multiple snack menus with different components posted throughout the facility that were missing specify information to verify nutritional content and without a second component for the snack requirement. The posted lunch menu did not list milk and did not provide specific information for cereal, fruit, or juice components to verify nutritional content. 10A NCAC 09 .0901(a) 536 Formula and other beverages which require refrigeration were not identified for each child or properly refrigerated. In space 110, there was a bottle of Similac Pro formula that was not labeled with the child's name. 15A NCAC 18A .2804(d) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 108, one uncovered electrical outlet did not have a safety plug. 10A NCAC 09 .0604(c) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 1/27/25, did not have verification of current First Aid certification on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed 1/27/25, did not have verification of current CPR certification on file. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child that enrolled 4/8/25, did not have a medical exam on file. GS110-91(1) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by May 27, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Supervision: Children must be adequately supervised at all times. You must be able to see, hear and respond to the needs of the children. In space 109, a half privacy wall divides the bathroom area from the rest of the classroom. We discussed that when children are in the bathroom area, staff must position themselves in a way that children who are in the classroom area and in the bathroom area are supervised at all times. We discussed techniques for staff positioning to allow for appropriate supervision. NC Summary of the Law: A summary of the NC Child Care Law must be given to the parent of each child enrolled in care. The program has a verification form for a review of multiple pre-enrollment information requirements. A date is listed by staff to verify the review of information for each requirement was completed and the parent signs the form. Two children’s files did not have a date listed to verify that a review of the NC Summary of the Child Care Law was completed. Activity Plan: A current schedule must be post of each group of children in care. In space 109, staff reported that they had not yet printed out the activity plan for this week. We encouraged you to work on the next week’s activity plan during the current week. You can then post the plan at the end of the day on Friday for next week’s use. Menus: The posted breakfast menu listed cereal, fruit, and juice without specific information to verify that the items met nutritional guidelines. The lunch menu listed fruit without specific information to verify that the item met nutritional guidelines and did not list milk. You reported that your breakfast and lunch meals are prepared at a nearby elementary school and are transported to your facility. The elementary school provides you with the menu. We discussed that you will need to talk with the school to get the specific nutrition information to add to your posted menu to encourage compliance with the meal patterns for children in child care programs. We discussed that there are multiple versions of the snack menus posted throughout the facility. The prepared snack menu for the entire program must include two components that are listed on the prepared snack menu. Formula: Formula or other refrigerated beverages must be identified for each child. In space 110, the non-labeled formula was discarded during the visit. You may choose to have tape and/or a marker placed next to the refrigerator for easy labeling when formula is opened for use. Electrical Outlets: Electrical outlets, when not in use, must be covered with safety plugs unless behind furniture. In space 108, you place a safety plug in the exposed electrical outlet during the visit. I encouraged you to keep extra safety plugs in each classroom for easy replacement. CPR/First Aid Training: Verification must be on file of a staff member’s current certification in CPR and First Aid Training. The staff member employed 1/27/25, had paperwork about a CPR/First Aid training course but did not include training cards or certificates to verify successful completion of the courses. You reported that the staff member brought the training paperwork from a previous employment. You stated you will work with the staff member to get the needed cards or certifications for verification within the next 2 weeks. Child Medical Exam: A medical exam or health assessment must be on file within 30 days of enrollment. One child who enrolled on 4/8/25, did not have a medical exam on file. You reported that you will work with the parent to get the needed information within the next 2 weeks. We discussed calendaring the due dates for medical exams to track the requirement deadline. Consultation: -We discussed making sure to have sufficient materials available in all activity centers for multiple children to play. -We discussed your current safe sleep policy and need for an updated policy to revise to reflect current rule requirements. -Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement 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. Reminders and Resources: Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 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 .0601 · Violation
Name of Operation: CARVER HEAD START Facility ID: 81000052 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 8/26/2024 Number Present: 95 Completed Date: 8/26/2024 Age: From 0 To 5 Total Minutes: 399 Time In: 09:21 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Ausjanet Bayne, NC PreK contact, assisted me with the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five star license effective July 18, 2018. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space, direct exits for children under 2 ½, and enhanced ratios minus one. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in group time, outdoor playtime, and lunch time. In Space #110, the classroom for infants, there was a two year old child present. We discussed and reviewed 10A NCAC 09 .713(a)(3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate. This two year old child had a letter from a medical professional on file for review. The center's compliance history was at 78% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A sample of eleven children’s files were reviewed. Five new staff files were reviewed. A sample of three existing staff files were reviewed. The last monthly fire drill was practiced on 7/25/24. The last lockdown drill was practiced during the previous school year. You were reminded that a drill must be completed every 3 months while the children are in care. The last monthly playground inspection was completed on 7/16/24. NC Pre K requirements were monitored. The most recent lead water testing results were completed on July 14, 2021. Lead testing must be completed every three years. Contact the Clean Water for US Kids program to get a testing kit to complete the required lead water testing. The most recent sanitation inspection for your facility was conducted on June 18, 2024. A superior sanitation classification was issued with six demerits. The most recent fire inspection for your facility was conducted on August 15, 2024. The facility was approved for daytime care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. On 8/12/24, 5 children were not signed out of care. On 8/16/24, one child was not signed out of care. On 8/22/24, 4 children were not signed out of care. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Space 108, the activity plan posted was dated April 2024. In Space 120, the activity plan posted was dated for the week of 8/19/24-8/23/24. GS 110-91(12); .0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In Space 109, the children were participating in screen time and no screen time log was available for review. .0510(d)(2)(A-C) 807 A safe indoor and outdoor environment was not provided for the children. In space #110, the classroom for infants, there was a bottle warmer with an electrical cord sitting on a low countertop within reach of older, mobile infants. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. In Space 204C, one child, four years of age had a bottle of Methylphenilate 5MG prescribed that had no permission to administer form available for review. In Space 121 one child, one year of age, had a tube of Destin that did not have a permission to administer form on file. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 110, where children under 3 years of age were being served, there were 2 plastic packages of wipes and 2 plastic packages of diapers with suffocation warnings in an unlocked cabinet under the changing table. .0604(q) 1314 Emergency information did not name childs health care professional. One child, three year of age, that enrolled on 8/19/24, did not have a responsible party’s choice of health care professional on file. .0802(c)(2) The violation(s) documented must be corrected immediately. On or September 9, 2024 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send the information to beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: We discussed that specific arrival and departure times are required. For children who are arriving from or departing to wrap around care, make sure that staff is noting the specific time of the exchange. Current activity plans must be posted for all groups of children in care. We discussed that if activity plan goals are carried over from one week to the next, the activity plan must have the date revised to reflect the correct dates for usage. All screen time must be documented on a cumulative log or the activity plan and made available for review by the Division. The teacher in Space 109 reported that she did not have her screen time log available while I was visiting the classroom. Later in the visit, the teacher was able to provide the screen time log verifying the screen time recorded for the past two weeks. This violation was corrected during the visit. You must have written authorization with the required information on file for prescription medications and topical ointments. We discussed that if a parent wants to give a classroom teacher a prescription medication or a topical ointment but does not also provide written authorization, the medication should not be accepted. Plastic packaging must be inaccessible to children under three years of age. I encouraged you to make sure that changing table cabinets are locked if extra supplies in plastic packaging are stored there. You locked the cabinet where the plastic packaging was located. This violation was corrected during the visit. Bottle warmers must be inaccessible to preschool-age children. We discussed that you may want to place the bottle warmer on a shelf that would be 5 feet from the floor if needed in the classroom. We discussed that you must have a responsibility party’s choice of a health care professional on file at the time of enrollment. The caregiver was contacted during the visit and the health care professional choice was added to the child’s file. This violation was corrected during the visit. Consultation or other topics discussed today: We discussed that Staff/Child ratio forms must be posted in all classrooms and indicate the correct information for the group of children being served in the classroom. One of the gates in the outdoor play space for NC Pre K children was tied with string to provide closure to the gate. The installed fence gate latch was not working. I encouraged you to report this fencing issue to school maintenance for repair. RATED LICENSE: A copy of the Application for Assessment for a Two Component Star Rated License was given to you during today’s visit. You will give this form to the Administrator for signature and return to me. Your program completed a preparatory year reassessment scale in May 2024. You have decided to use these scores and move forward with a rated license reassessment. Program Standards: 6 points Education Points will be assessed once all staff education has been completed in WORKS. Quality Point: 1 point Meeting the following: ___x__Staff Benefits Package (having a staff benefits package that offers at least four of the following benefits: paid leave for professional development, paid planning time, vacation, sick time, retirement, or health insurance ___x___Infrastructure of Parent Involvement (at least two of the following: Quarterly newsletter, parent advisory board, periodic conferences for all children, or quarterly parent meetings) You stated, and I observed, that you have six rooms for infants and toddlers and four rooms for preschoolers, all of which are NC Pre-K classrooms. Lead & Asbestos Testing The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket cost to child care centers and public schools. Enroll today at www.cleanwaterforuskids.org/carolina. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar. Facilities that have not yet enrolled should complete the online process by November 1, 2024. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement. You must enroll in both sections including lead based paint and asbestos testing to comply with the rule requirements. As a reminder: The required water testing for child care centers is not affected by the November 1, 2024 deadline. Lead testing must be completed every three years. You complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/ For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0302 · Violation
Name of Operation: CARVER HEAD START Facility ID: 81000052 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 8/26/2024 Number Present: 95 Completed Date: 8/26/2024 Age: From 0 To 5 Total Minutes: 399 Time In: 09:21 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Ausjanet Bayne, NC PreK contact, assisted me with the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five star license effective July 18, 2018. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space, direct exits for children under 2 ½, and enhanced ratios minus one. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in group time, outdoor playtime, and lunch time. In Space #110, the classroom for infants, there was a two year old child present. We discussed and reviewed 10A NCAC 09 .713(a)(3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate. This two year old child had a letter from a medical professional on file for review. The center's compliance history was at 78% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A sample of eleven children’s files were reviewed. Five new staff files were reviewed. A sample of three existing staff files were reviewed. The last monthly fire drill was practiced on 7/25/24. The last lockdown drill was practiced during the previous school year. You were reminded that a drill must be completed every 3 months while the children are in care. The last monthly playground inspection was completed on 7/16/24. NC Pre K requirements were monitored. The most recent lead water testing results were completed on July 14, 2021. Lead testing must be completed every three years. Contact the Clean Water for US Kids program to get a testing kit to complete the required lead water testing. The most recent sanitation inspection for your facility was conducted on June 18, 2024. A superior sanitation classification was issued with six demerits. The most recent fire inspection for your facility was conducted on August 15, 2024. The facility was approved for daytime care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. On 8/12/24, 5 children were not signed out of care. On 8/16/24, one child was not signed out of care. On 8/22/24, 4 children were not signed out of care. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Space 108, the activity plan posted was dated April 2024. In Space 120, the activity plan posted was dated for the week of 8/19/24-8/23/24. GS 110-91(12); .0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In Space 109, the children were participating in screen time and no screen time log was available for review. .0510(d)(2)(A-C) 807 A safe indoor and outdoor environment was not provided for the children. In space #110, the classroom for infants, there was a bottle warmer with an electrical cord sitting on a low countertop within reach of older, mobile infants. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. In Space 204C, one child, four years of age had a bottle of Methylphenilate 5MG prescribed that had no permission to administer form available for review. In Space 121 one child, one year of age, had a tube of Destin that did not have a permission to administer form on file. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 110, where children under 3 years of age were being served, there were 2 plastic packages of wipes and 2 plastic packages of diapers with suffocation warnings in an unlocked cabinet under the changing table. .0604(q) 1314 Emergency information did not name childs health care professional. One child, three year of age, that enrolled on 8/19/24, did not have a responsible party’s choice of health care professional on file. .0802(c)(2) The violation(s) documented must be corrected immediately. On or September 9, 2024 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send the information to beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: We discussed that specific arrival and departure times are required. For children who are arriving from or departing to wrap around care, make sure that staff is noting the specific time of the exchange. Current activity plans must be posted for all groups of children in care. We discussed that if activity plan goals are carried over from one week to the next, the activity plan must have the date revised to reflect the correct dates for usage. All screen time must be documented on a cumulative log or the activity plan and made available for review by the Division. The teacher in Space 109 reported that she did not have her screen time log available while I was visiting the classroom. Later in the visit, the teacher was able to provide the screen time log verifying the screen time recorded for the past two weeks. This violation was corrected during the visit. You must have written authorization with the required information on file for prescription medications and topical ointments. We discussed that if a parent wants to give a classroom teacher a prescription medication or a topical ointment but does not also provide written authorization, the medication should not be accepted. Plastic packaging must be inaccessible to children under three years of age. I encouraged you to make sure that changing table cabinets are locked if extra supplies in plastic packaging are stored there. You locked the cabinet where the plastic packaging was located. This violation was corrected during the visit. Bottle warmers must be inaccessible to preschool-age children. We discussed that you may want to place the bottle warmer on a shelf that would be 5 feet from the floor if needed in the classroom. We discussed that you must have a responsibility party’s choice of a health care professional on file at the time of enrollment. The caregiver was contacted during the visit and the health care professional choice was added to the child’s file. This violation was corrected during the visit. Consultation or other topics discussed today: We discussed that Staff/Child ratio forms must be posted in all classrooms and indicate the correct information for the group of children being served in the classroom. One of the gates in the outdoor play space for NC Pre K children was tied with string to provide closure to the gate. The installed fence gate latch was not working. I encouraged you to report this fencing issue to school maintenance for repair. RATED LICENSE: A copy of the Application for Assessment for a Two Component Star Rated License was given to you during today’s visit. You will give this form to the Administrator for signature and return to me. Your program completed a preparatory year reassessment scale in May 2024. You have decided to use these scores and move forward with a rated license reassessment. Program Standards: 6 points Education Points will be assessed once all staff education has been completed in WORKS. Quality Point: 1 point Meeting the following: ___x__Staff Benefits Package (having a staff benefits package that offers at least four of the following benefits: paid leave for professional development, paid planning time, vacation, sick time, retirement, or health insurance ___x___Infrastructure of Parent Involvement (at least two of the following: Quarterly newsletter, parent advisory board, periodic conferences for all children, or quarterly parent meetings) You stated, and I observed, that you have six rooms for infants and toddlers and four rooms for preschoolers, all of which are NC Pre-K classrooms. Lead & Asbestos Testing The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket cost to child care centers and public schools. Enroll today at www.cleanwaterforuskids.org/carolina. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar. Facilities that have not yet enrolled should complete the online process by November 1, 2024. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement. You must enroll in both sections including lead based paint and asbestos testing to comply with the rule requirements. As a reminder: The required water testing for child care centers is not affected by the November 1, 2024 deadline. Lead testing must be completed every three years. You complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/ For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0803 · Violation
Name of Operation: CARVER HEAD START Facility ID: 81000052 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 8/26/2024 Number Present: 95 Completed Date: 8/26/2024 Age: From 0 To 5 Total Minutes: 399 Time In: 09:21 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Ausjanet Bayne, NC PreK contact, assisted me with the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five star license effective July 18, 2018. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space, direct exits for children under 2 ½, and enhanced ratios minus one. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in group time, outdoor playtime, and lunch time. In Space #110, the classroom for infants, there was a two year old child present. We discussed and reviewed 10A NCAC 09 .713(a)(3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate. This two year old child had a letter from a medical professional on file for review. The center's compliance history was at 78% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A sample of eleven children’s files were reviewed. Five new staff files were reviewed. A sample of three existing staff files were reviewed. The last monthly fire drill was practiced on 7/25/24. The last lockdown drill was practiced during the previous school year. You were reminded that a drill must be completed every 3 months while the children are in care. The last monthly playground inspection was completed on 7/16/24. NC Pre K requirements were monitored. The most recent lead water testing results were completed on July 14, 2021. Lead testing must be completed every three years. Contact the Clean Water for US Kids program to get a testing kit to complete the required lead water testing. The most recent sanitation inspection for your facility was conducted on June 18, 2024. A superior sanitation classification was issued with six demerits. The most recent fire inspection for your facility was conducted on August 15, 2024. The facility was approved for daytime care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. On 8/12/24, 5 children were not signed out of care. On 8/16/24, one child was not signed out of care. On 8/22/24, 4 children were not signed out of care. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Space 108, the activity plan posted was dated April 2024. In Space 120, the activity plan posted was dated for the week of 8/19/24-8/23/24. GS 110-91(12); .0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In Space 109, the children were participating in screen time and no screen time log was available for review. .0510(d)(2)(A-C) 807 A safe indoor and outdoor environment was not provided for the children. In space #110, the classroom for infants, there was a bottle warmer with an electrical cord sitting on a low countertop within reach of older, mobile infants. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. In Space 204C, one child, four years of age had a bottle of Methylphenilate 5MG prescribed that had no permission to administer form available for review. In Space 121 one child, one year of age, had a tube of Destin that did not have a permission to administer form on file. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 110, where children under 3 years of age were being served, there were 2 plastic packages of wipes and 2 plastic packages of diapers with suffocation warnings in an unlocked cabinet under the changing table. .0604(q) 1314 Emergency information did not name childs health care professional. One child, three year of age, that enrolled on 8/19/24, did not have a responsible party’s choice of health care professional on file. .0802(c)(2) The violation(s) documented must be corrected immediately. On or September 9, 2024 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send the information to beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: We discussed that specific arrival and departure times are required. For children who are arriving from or departing to wrap around care, make sure that staff is noting the specific time of the exchange. Current activity plans must be posted for all groups of children in care. We discussed that if activity plan goals are carried over from one week to the next, the activity plan must have the date revised to reflect the correct dates for usage. All screen time must be documented on a cumulative log or the activity plan and made available for review by the Division. The teacher in Space 109 reported that she did not have her screen time log available while I was visiting the classroom. Later in the visit, the teacher was able to provide the screen time log verifying the screen time recorded for the past two weeks. This violation was corrected during the visit. You must have written authorization with the required information on file for prescription medications and topical ointments. We discussed that if a parent wants to give a classroom teacher a prescription medication or a topical ointment but does not also provide written authorization, the medication should not be accepted. Plastic packaging must be inaccessible to children under three years of age. I encouraged you to make sure that changing table cabinets are locked if extra supplies in plastic packaging are stored there. You locked the cabinet where the plastic packaging was located. This violation was corrected during the visit. Bottle warmers must be inaccessible to preschool-age children. We discussed that you may want to place the bottle warmer on a shelf that would be 5 feet from the floor if needed in the classroom. We discussed that you must have a responsibility party’s choice of a health care professional on file at the time of enrollment. The caregiver was contacted during the visit and the health care professional choice was added to the child’s file. This violation was corrected during the visit. Consultation or other topics discussed today: We discussed that Staff/Child ratio forms must be posted in all classrooms and indicate the correct information for the group of children being served in the classroom. One of the gates in the outdoor play space for NC Pre K children was tied with string to provide closure to the gate. The installed fence gate latch was not working. I encouraged you to report this fencing issue to school maintenance for repair. RATED LICENSE: A copy of the Application for Assessment for a Two Component Star Rated License was given to you during today’s visit. You will give this form to the Administrator for signature and return to me. Your program completed a preparatory year reassessment scale in May 2024. You have decided to use these scores and move forward with a rated license reassessment. Program Standards: 6 points Education Points will be assessed once all staff education has been completed in WORKS. Quality Point: 1 point Meeting the following: ___x__Staff Benefits Package (having a staff benefits package that offers at least four of the following benefits: paid leave for professional development, paid planning time, vacation, sick time, retirement, or health insurance ___x___Infrastructure of Parent Involvement (at least two of the following: Quarterly newsletter, parent advisory board, periodic conferences for all children, or quarterly parent meetings) You stated, and I observed, that you have six rooms for infants and toddlers and four rooms for preschoolers, all of which are NC Pre-K classrooms. Lead & Asbestos Testing The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket cost to child care centers and public schools. Enroll today at www.cleanwaterforuskids.org/carolina. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar. Facilities that have not yet enrolled should complete the online process by November 1, 2024. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement. You must enroll in both sections including lead based paint and asbestos testing to comply with the rule requirements. As a reminder: The required water testing for child care centers is not affected by the November 1, 2024 deadline. Lead testing must be completed every three years. You complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/ For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .713 · Violation
Name of Operation: CARVER HEAD START Facility ID: 81000052 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 8/26/2024 Number Present: 95 Completed Date: 8/26/2024 Age: From 0 To 5 Total Minutes: 399 Time In: 09:21 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Ausjanet Bayne, NC PreK contact, assisted me with the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five star license effective July 18, 2018. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space, direct exits for children under 2 ½, and enhanced ratios minus one. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in group time, outdoor playtime, and lunch time. In Space #110, the classroom for infants, there was a two year old child present. We discussed and reviewed 10A NCAC 09 .713(a)(3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate. This two year old child had a letter from a medical professional on file for review. The center's compliance history was at 78% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A sample of eleven children’s files were reviewed. Five new staff files were reviewed. A sample of three existing staff files were reviewed. The last monthly fire drill was practiced on 7/25/24. The last lockdown drill was practiced during the previous school year. You were reminded that a drill must be completed every 3 months while the children are in care. The last monthly playground inspection was completed on 7/16/24. NC Pre K requirements were monitored. The most recent lead water testing results were completed on July 14, 2021. Lead testing must be completed every three years. Contact the Clean Water for US Kids program to get a testing kit to complete the required lead water testing. The most recent sanitation inspection for your facility was conducted on June 18, 2024. A superior sanitation classification was issued with six demerits. The most recent fire inspection for your facility was conducted on August 15, 2024. The facility was approved for daytime care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. On 8/12/24, 5 children were not signed out of care. On 8/16/24, one child was not signed out of care. On 8/22/24, 4 children were not signed out of care. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Space 108, the activity plan posted was dated April 2024. In Space 120, the activity plan posted was dated for the week of 8/19/24-8/23/24. GS 110-91(12); .0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In Space 109, the children were participating in screen time and no screen time log was available for review. .0510(d)(2)(A-C) 807 A safe indoor and outdoor environment was not provided for the children. In space #110, the classroom for infants, there was a bottle warmer with an electrical cord sitting on a low countertop within reach of older, mobile infants. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. In Space 204C, one child, four years of age had a bottle of Methylphenilate 5MG prescribed that had no permission to administer form available for review. In Space 121 one child, one year of age, had a tube of Destin that did not have a permission to administer form on file. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 110, where children under 3 years of age were being served, there were 2 plastic packages of wipes and 2 plastic packages of diapers with suffocation warnings in an unlocked cabinet under the changing table. .0604(q) 1314 Emergency information did not name childs health care professional. One child, three year of age, that enrolled on 8/19/24, did not have a responsible party’s choice of health care professional on file. .0802(c)(2) The violation(s) documented must be corrected immediately. On or September 9, 2024 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send the information to beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: We discussed that specific arrival and departure times are required. For children who are arriving from or departing to wrap around care, make sure that staff is noting the specific time of the exchange. Current activity plans must be posted for all groups of children in care. We discussed that if activity plan goals are carried over from one week to the next, the activity plan must have the date revised to reflect the correct dates for usage. All screen time must be documented on a cumulative log or the activity plan and made available for review by the Division. The teacher in Space 109 reported that she did not have her screen time log available while I was visiting the classroom. Later in the visit, the teacher was able to provide the screen time log verifying the screen time recorded for the past two weeks. This violation was corrected during the visit. You must have written authorization with the required information on file for prescription medications and topical ointments. We discussed that if a parent wants to give a classroom teacher a prescription medication or a topical ointment but does not also provide written authorization, the medication should not be accepted. Plastic packaging must be inaccessible to children under three years of age. I encouraged you to make sure that changing table cabinets are locked if extra supplies in plastic packaging are stored there. You locked the cabinet where the plastic packaging was located. This violation was corrected during the visit. Bottle warmers must be inaccessible to preschool-age children. We discussed that you may want to place the bottle warmer on a shelf that would be 5 feet from the floor if needed in the classroom. We discussed that you must have a responsibility party’s choice of a health care professional on file at the time of enrollment. The caregiver was contacted during the visit and the health care professional choice was added to the child’s file. This violation was corrected during the visit. Consultation or other topics discussed today: We discussed that Staff/Child ratio forms must be posted in all classrooms and indicate the correct information for the group of children being served in the classroom. One of the gates in the outdoor play space for NC Pre K children was tied with string to provide closure to the gate. The installed fence gate latch was not working. I encouraged you to report this fencing issue to school maintenance for repair. RATED LICENSE: A copy of the Application for Assessment for a Two Component Star Rated License was given to you during today’s visit. You will give this form to the Administrator for signature and return to me. Your program completed a preparatory year reassessment scale in May 2024. You have decided to use these scores and move forward with a rated license reassessment. Program Standards: 6 points Education Points will be assessed once all staff education has been completed in WORKS. Quality Point: 1 point Meeting the following: ___x__Staff Benefits Package (having a staff benefits package that offers at least four of the following benefits: paid leave for professional development, paid planning time, vacation, sick time, retirement, or health insurance ___x___Infrastructure of Parent Involvement (at least two of the following: Quarterly newsletter, parent advisory board, periodic conferences for all children, or quarterly parent meetings) You stated, and I observed, that you have six rooms for infants and toddlers and four rooms for preschoolers, all of which are NC Pre-K classrooms. Lead & Asbestos Testing The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket cost to child care centers and public schools. Enroll today at www.cleanwaterforuskids.org/carolina. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar. Facilities that have not yet enrolled should complete the online process by November 1, 2024. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement. You must enroll in both sections including lead based paint and asbestos testing to comply with the rule requirements. As a reminder: The required water testing for child care centers is not affected by the November 1, 2024 deadline. Lead testing must be completed every three years. You complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/ For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
GS 110-91 · Violation
Name of Operation: CARVER HEAD START Facility ID: 81000052 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 8/26/2024 Number Present: 95 Completed Date: 8/26/2024 Age: From 0 To 5 Total Minutes: 399 Time In: 09:21 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Ausjanet Bayne, NC PreK contact, assisted me with the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five star license effective July 18, 2018. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space, direct exits for children under 2 ½, and enhanced ratios minus one. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in group time, outdoor playtime, and lunch time. In Space #110, the classroom for infants, there was a two year old child present. We discussed and reviewed 10A NCAC 09 .713(a)(3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate. This two year old child had a letter from a medical professional on file for review. The center's compliance history was at 78% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A sample of eleven children’s files were reviewed. Five new staff files were reviewed. A sample of three existing staff files were reviewed. The last monthly fire drill was practiced on 7/25/24. The last lockdown drill was practiced during the previous school year. You were reminded that a drill must be completed every 3 months while the children are in care. The last monthly playground inspection was completed on 7/16/24. NC Pre K requirements were monitored. The most recent lead water testing results were completed on July 14, 2021. Lead testing must be completed every three years. Contact the Clean Water for US Kids program to get a testing kit to complete the required lead water testing. The most recent sanitation inspection for your facility was conducted on June 18, 2024. A superior sanitation classification was issued with six demerits. The most recent fire inspection for your facility was conducted on August 15, 2024. The facility was approved for daytime care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. On 8/12/24, 5 children were not signed out of care. On 8/16/24, one child was not signed out of care. On 8/22/24, 4 children were not signed out of care. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Space 108, the activity plan posted was dated April 2024. In Space 120, the activity plan posted was dated for the week of 8/19/24-8/23/24. GS 110-91(12); .0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In Space 109, the children were participating in screen time and no screen time log was available for review. .0510(d)(2)(A-C) 807 A safe indoor and outdoor environment was not provided for the children. In space #110, the classroom for infants, there was a bottle warmer with an electrical cord sitting on a low countertop within reach of older, mobile infants. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. In Space 204C, one child, four years of age had a bottle of Methylphenilate 5MG prescribed that had no permission to administer form available for review. In Space 121 one child, one year of age, had a tube of Destin that did not have a permission to administer form on file. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 110, where children under 3 years of age were being served, there were 2 plastic packages of wipes and 2 plastic packages of diapers with suffocation warnings in an unlocked cabinet under the changing table. .0604(q) 1314 Emergency information did not name childs health care professional. One child, three year of age, that enrolled on 8/19/24, did not have a responsible party’s choice of health care professional on file. .0802(c)(2) The violation(s) documented must be corrected immediately. On or September 9, 2024 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send the information to beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: We discussed that specific arrival and departure times are required. For children who are arriving from or departing to wrap around care, make sure that staff is noting the specific time of the exchange. Current activity plans must be posted for all groups of children in care. We discussed that if activity plan goals are carried over from one week to the next, the activity plan must have the date revised to reflect the correct dates for usage. All screen time must be documented on a cumulative log or the activity plan and made available for review by the Division. The teacher in Space 109 reported that she did not have her screen time log available while I was visiting the classroom. Later in the visit, the teacher was able to provide the screen time log verifying the screen time recorded for the past two weeks. This violation was corrected during the visit. You must have written authorization with the required information on file for prescription medications and topical ointments. We discussed that if a parent wants to give a classroom teacher a prescription medication or a topical ointment but does not also provide written authorization, the medication should not be accepted. Plastic packaging must be inaccessible to children under three years of age. I encouraged you to make sure that changing table cabinets are locked if extra supplies in plastic packaging are stored there. You locked the cabinet where the plastic packaging was located. This violation was corrected during the visit. Bottle warmers must be inaccessible to preschool-age children. We discussed that you may want to place the bottle warmer on a shelf that would be 5 feet from the floor if needed in the classroom. We discussed that you must have a responsibility party’s choice of a health care professional on file at the time of enrollment. The caregiver was contacted during the visit and the health care professional choice was added to the child’s file. This violation was corrected during the visit. Consultation or other topics discussed today: We discussed that Staff/Child ratio forms must be posted in all classrooms and indicate the correct information for the group of children being served in the classroom. One of the gates in the outdoor play space for NC Pre K children was tied with string to provide closure to the gate. The installed fence gate latch was not working. I encouraged you to report this fencing issue to school maintenance for repair. RATED LICENSE: A copy of the Application for Assessment for a Two Component Star Rated License was given to you during today’s visit. You will give this form to the Administrator for signature and return to me. Your program completed a preparatory year reassessment scale in May 2024. You have decided to use these scores and move forward with a rated license reassessment. Program Standards: 6 points Education Points will be assessed once all staff education has been completed in WORKS. Quality Point: 1 point Meeting the following: ___x__Staff Benefits Package (having a staff benefits package that offers at least four of the following benefits: paid leave for professional development, paid planning time, vacation, sick time, retirement, or health insurance ___x___Infrastructure of Parent Involvement (at least two of the following: Quarterly newsletter, parent advisory board, periodic conferences for all children, or quarterly parent meetings) You stated, and I observed, that you have six rooms for infants and toddlers and four rooms for preschoolers, all of which are NC Pre-K classrooms. Lead & Asbestos Testing The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket cost to child care centers and public schools. Enroll today at www.cleanwaterforuskids.org/carolina. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar. Facilities that have not yet enrolled should complete the online process by November 1, 2024. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement. You must enroll in both sections including lead based paint and asbestos testing to comply with the rule requirements. As a reminder: The required water testing for child care centers is not affected by the November 1, 2024 deadline. Lead testing must be completed every three years. You complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/ For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
NC GS 110-90 · Violation
Name of Operation: CARVER HEAD START Facility ID: 81000052 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 8/26/2024 Number Present: 95 Completed Date: 8/26/2024 Age: From 0 To 5 Total Minutes: 399 Time In: 09:21 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Ausjanet Bayne, NC PreK contact, assisted me with the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five star license effective July 18, 2018. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space, direct exits for children under 2 ½, and enhanced ratios minus one. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in group time, outdoor playtime, and lunch time. In Space #110, the classroom for infants, there was a two year old child present. We discussed and reviewed 10A NCAC 09 .713(a)(3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate. This two year old child had a letter from a medical professional on file for review. The center's compliance history was at 78% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A sample of eleven children’s files were reviewed. Five new staff files were reviewed. A sample of three existing staff files were reviewed. The last monthly fire drill was practiced on 7/25/24. The last lockdown drill was practiced during the previous school year. You were reminded that a drill must be completed every 3 months while the children are in care. The last monthly playground inspection was completed on 7/16/24. NC Pre K requirements were monitored. The most recent lead water testing results were completed on July 14, 2021. Lead testing must be completed every three years. Contact the Clean Water for US Kids program to get a testing kit to complete the required lead water testing. The most recent sanitation inspection for your facility was conducted on June 18, 2024. A superior sanitation classification was issued with six demerits. The most recent fire inspection for your facility was conducted on August 15, 2024. The facility was approved for daytime care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. On 8/12/24, 5 children were not signed out of care. On 8/16/24, one child was not signed out of care. On 8/22/24, 4 children were not signed out of care. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Space 108, the activity plan posted was dated April 2024. In Space 120, the activity plan posted was dated for the week of 8/19/24-8/23/24. GS 110-91(12); .0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In Space 109, the children were participating in screen time and no screen time log was available for review. .0510(d)(2)(A-C) 807 A safe indoor and outdoor environment was not provided for the children. In space #110, the classroom for infants, there was a bottle warmer with an electrical cord sitting on a low countertop within reach of older, mobile infants. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. In Space 204C, one child, four years of age had a bottle of Methylphenilate 5MG prescribed that had no permission to administer form available for review. In Space 121 one child, one year of age, had a tube of Destin that did not have a permission to administer form on file. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 110, where children under 3 years of age were being served, there were 2 plastic packages of wipes and 2 plastic packages of diapers with suffocation warnings in an unlocked cabinet under the changing table. .0604(q) 1314 Emergency information did not name childs health care professional. One child, three year of age, that enrolled on 8/19/24, did not have a responsible party’s choice of health care professional on file. .0802(c)(2) The violation(s) documented must be corrected immediately. On or September 9, 2024 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send the information to beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: We discussed that specific arrival and departure times are required. For children who are arriving from or departing to wrap around care, make sure that staff is noting the specific time of the exchange. Current activity plans must be posted for all groups of children in care. We discussed that if activity plan goals are carried over from one week to the next, the activity plan must have the date revised to reflect the correct dates for usage. All screen time must be documented on a cumulative log or the activity plan and made available for review by the Division. The teacher in Space 109 reported that she did not have her screen time log available while I was visiting the classroom. Later in the visit, the teacher was able to provide the screen time log verifying the screen time recorded for the past two weeks. This violation was corrected during the visit. You must have written authorization with the required information on file for prescription medications and topical ointments. We discussed that if a parent wants to give a classroom teacher a prescription medication or a topical ointment but does not also provide written authorization, the medication should not be accepted. Plastic packaging must be inaccessible to children under three years of age. I encouraged you to make sure that changing table cabinets are locked if extra supplies in plastic packaging are stored there. You locked the cabinet where the plastic packaging was located. This violation was corrected during the visit. Bottle warmers must be inaccessible to preschool-age children. We discussed that you may want to place the bottle warmer on a shelf that would be 5 feet from the floor if needed in the classroom. We discussed that you must have a responsibility party’s choice of a health care professional on file at the time of enrollment. The caregiver was contacted during the visit and the health care professional choice was added to the child’s file. This violation was corrected during the visit. Consultation or other topics discussed today: We discussed that Staff/Child ratio forms must be posted in all classrooms and indicate the correct information for the group of children being served in the classroom. One of the gates in the outdoor play space for NC Pre K children was tied with string to provide closure to the gate. The installed fence gate latch was not working. I encouraged you to report this fencing issue to school maintenance for repair. RATED LICENSE: A copy of the Application for Assessment for a Two Component Star Rated License was given to you during today’s visit. You will give this form to the Administrator for signature and return to me. Your program completed a preparatory year reassessment scale in May 2024. You have decided to use these scores and move forward with a rated license reassessment. Program Standards: 6 points Education Points will be assessed once all staff education has been completed in WORKS. Quality Point: 1 point Meeting the following: ___x__Staff Benefits Package (having a staff benefits package that offers at least four of the following benefits: paid leave for professional development, paid planning time, vacation, sick time, retirement, or health insurance ___x___Infrastructure of Parent Involvement (at least two of the following: Quarterly newsletter, parent advisory board, periodic conferences for all children, or quarterly parent meetings) You stated, and I observed, that you have six rooms for infants and toddlers and four rooms for preschoolers, all of which are NC Pre-K classrooms. Lead & Asbestos Testing The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket cost to child care centers and public schools. Enroll today at www.cleanwaterforuskids.org/carolina. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar. Facilities that have not yet enrolled should complete the online process by November 1, 2024. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement. You must enroll in both sections including lead based paint and asbestos testing to comply with the rule requirements. As a reminder: The required water testing for child care centers is not affected by the November 1, 2024 deadline. Lead testing must be completed every three years. You complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/ For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0508 · Violation
Name of Operation: CARVER HEAD START Facility ID: 81000052 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 98 Completed Date: 3/7/2024 Age: From 0 To 5 Total Minutes: 310 Time In: 09:15 AM Time Out: 01:40 PM Time In: 03:15 PM Time Out: 04:00 PM List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Ausjanet Bayne, NC Pre K program contact. Your program currently operates with a five star license effective July 18, 2018. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space, meets ratios reduced by one in each group and children under 2 ½ in rooms with direct exits only. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in outdoor gross motor time, group indoor gross motor time, free play in activity areas, lunchtime and rest time. Infants were engaged in handwashing protocols and feeding time. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 75% as of March 7, 2024. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Two new staff file and one existing staff member , who is now in a full time role, had files reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The most recent sanitation inspection for your facility was conducted on December 5, 2023. A supervisor sanitation classification was issued with eight demerits. The most recent fire inspection for your facility was conducted on August 21, 2023. The facility was approved for day time care. The following violation(s) were observed today: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #111, there was no posted activity plan in the classroom. In space #112, the posted activity plan was for February 2024. GS 110-91(12); .0508(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #120, an authorization for Tylenol and an authorization for a prescription inhaler expired in 2/2024. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #120, there were marker lids and small plastic tabs in a drawer accessible to children under 3 years of age. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space #110, the last completed sleep checks were dated 12/19/23. .0606(g) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. In space #111, there was a bottle warmer with electrical cords accessible to children. .0604(e) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed 12/1/23, had not completed recognizing and responding to suspicions of child maltreatment training. .1102(g) The violation(s) documented must be corrected immediately. On or before March 21, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical assistance on violations was reviewed with you. Areas discussed included: Item #428 I recommend that you check each classroom to ensure the current activity plan is posted. You may consider having staff to turn in activity plans on Friday for review and then post first thing on Monday morning. 10A NCAC 09 .0508(a). Space #112 had two substitutes in the classroom today. The permanently assigned staff for the classroom was out today. You plan to have the permanent staff to post a current activity plan when they return. Space #111 is a wraparound classroom. You plan to meet with wraparound staff to review requirements for the activity plan. Item # 849 Medicines must be returned to the parent or discarded within 72 hours after the authorization has expired. If the medication is still being used, a new/updated permission form must be signed every 6 months. 10A NCAC 09.0803(12) Item #858 Have staff complete daily safety checks before children arrive and remove any safety hazards such as small toy parts and other possible choking hazards. 10A NCAC 09 .0604(q). The marker lids and small plastic tab were removed from the accessible drawer. This violation was corrected during visit. Item #887 Safe Sleep Check documentation must be completed for infants at least every fifteen minutes when they sleep. Staff reported that they are busy and forgot to document the checks. I suggested that you consider placing the sleep check charts nearby each crib to make documentation easier. Item #898 Appliances with heating elements, such as bottle warmers, and/or their cords may not be accessible to children. 10A NCAC 09 .0604(e). We discussed that if the bottle warmer continues to be needed, it can be brought down to counter height during supervised use but then needs to be returned to an inaccessible height. The cords need to be placed behind equipment/furniture to be inaccessible. Item #1897 Recognizing and Responding to Suspicions of Child Maltreatment training is required for all employees within 90 days of employment. I recommended that new staff complete this training during the first two weeks of orientation. 10A NCAC 09 .1102(g) You reported that this staff member was just recently hired as a substitute and the training requirement was overlooked. This training must be completed within the next 2 weeks. Consultation or other topics discussed today: We reviewed the requirement for screen time logs. I encouraged you to make sure that substitute staff have understanding of screen time rules and the need to record screen time on the classroom screen time log. We discussed that on the walkway to playground #4, there were multiple mounds with flying insects surrounding both sides of the walkway. I encouraged you to have maintenance look at the area for possible solutions to prevent the flying insects from being in the area that the children use to travel to the playground. We discussed that teacher bathrooms and the teacher lounge area have doorways that open into the hallway that children use for arrival and departure. Since both areas are not intended for children, but have unlocked doors, you will need to either lock these doors for ensure that all materials in these areas are appropriate for children. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 1 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2023, through June 30, 2024. Your child care program’s reassessment year will begin on July 1, 2024, through June 30, 2025. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License. The program has interest in completing a prep-year environment rating scale. You reported that you are planning to send in the Rated License Request Review form to me before the end of the week. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0604 · Violation
Name of Operation: CARVER HEAD START Facility ID: 81000052 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 98 Completed Date: 3/7/2024 Age: From 0 To 5 Total Minutes: 310 Time In: 09:15 AM Time Out: 01:40 PM Time In: 03:15 PM Time Out: 04:00 PM List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Ausjanet Bayne, NC Pre K program contact. Your program currently operates with a five star license effective July 18, 2018. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space, meets ratios reduced by one in each group and children under 2 ½ in rooms with direct exits only. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in outdoor gross motor time, group indoor gross motor time, free play in activity areas, lunchtime and rest time. Infants were engaged in handwashing protocols and feeding time. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 75% as of March 7, 2024. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Two new staff file and one existing staff member , who is now in a full time role, had files reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The most recent sanitation inspection for your facility was conducted on December 5, 2023. A supervisor sanitation classification was issued with eight demerits. The most recent fire inspection for your facility was conducted on August 21, 2023. The facility was approved for day time care. The following violation(s) were observed today: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #111, there was no posted activity plan in the classroom. In space #112, the posted activity plan was for February 2024. GS 110-91(12); .0508(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #120, an authorization for Tylenol and an authorization for a prescription inhaler expired in 2/2024. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #120, there were marker lids and small plastic tabs in a drawer accessible to children under 3 years of age. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space #110, the last completed sleep checks were dated 12/19/23. .0606(g) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. In space #111, there was a bottle warmer with electrical cords accessible to children. .0604(e) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed 12/1/23, had not completed recognizing and responding to suspicions of child maltreatment training. .1102(g) The violation(s) documented must be corrected immediately. On or before March 21, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical assistance on violations was reviewed with you. Areas discussed included: Item #428 I recommend that you check each classroom to ensure the current activity plan is posted. You may consider having staff to turn in activity plans on Friday for review and then post first thing on Monday morning. 10A NCAC 09 .0508(a). Space #112 had two substitutes in the classroom today. The permanently assigned staff for the classroom was out today. You plan to have the permanent staff to post a current activity plan when they return. Space #111 is a wraparound classroom. You plan to meet with wraparound staff to review requirements for the activity plan. Item # 849 Medicines must be returned to the parent or discarded within 72 hours after the authorization has expired. If the medication is still being used, a new/updated permission form must be signed every 6 months. 10A NCAC 09.0803(12) Item #858 Have staff complete daily safety checks before children arrive and remove any safety hazards such as small toy parts and other possible choking hazards. 10A NCAC 09 .0604(q). The marker lids and small plastic tab were removed from the accessible drawer. This violation was corrected during visit. Item #887 Safe Sleep Check documentation must be completed for infants at least every fifteen minutes when they sleep. Staff reported that they are busy and forgot to document the checks. I suggested that you consider placing the sleep check charts nearby each crib to make documentation easier. Item #898 Appliances with heating elements, such as bottle warmers, and/or their cords may not be accessible to children. 10A NCAC 09 .0604(e). We discussed that if the bottle warmer continues to be needed, it can be brought down to counter height during supervised use but then needs to be returned to an inaccessible height. The cords need to be placed behind equipment/furniture to be inaccessible. Item #1897 Recognizing and Responding to Suspicions of Child Maltreatment training is required for all employees within 90 days of employment. I recommended that new staff complete this training during the first two weeks of orientation. 10A NCAC 09 .1102(g) You reported that this staff member was just recently hired as a substitute and the training requirement was overlooked. This training must be completed within the next 2 weeks. Consultation or other topics discussed today: We reviewed the requirement for screen time logs. I encouraged you to make sure that substitute staff have understanding of screen time rules and the need to record screen time on the classroom screen time log. We discussed that on the walkway to playground #4, there were multiple mounds with flying insects surrounding both sides of the walkway. I encouraged you to have maintenance look at the area for possible solutions to prevent the flying insects from being in the area that the children use to travel to the playground. We discussed that teacher bathrooms and the teacher lounge area have doorways that open into the hallway that children use for arrival and departure. Since both areas are not intended for children, but have unlocked doors, you will need to either lock these doors for ensure that all materials in these areas are appropriate for children. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 1 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2023, through June 30, 2024. Your child care program’s reassessment year will begin on July 1, 2024, through June 30, 2025. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License. The program has interest in completing a prep-year environment rating scale. You reported that you are planning to send in the Rated License Request Review form to me before the end of the week. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .1102 · Violation
Name of Operation: CARVER HEAD START Facility ID: 81000052 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 98 Completed Date: 3/7/2024 Age: From 0 To 5 Total Minutes: 310 Time In: 09:15 AM Time Out: 01:40 PM Time In: 03:15 PM Time Out: 04:00 PM List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Ausjanet Bayne, NC Pre K program contact. Your program currently operates with a five star license effective July 18, 2018. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space, meets ratios reduced by one in each group and children under 2 ½ in rooms with direct exits only. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in outdoor gross motor time, group indoor gross motor time, free play in activity areas, lunchtime and rest time. Infants were engaged in handwashing protocols and feeding time. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 75% as of March 7, 2024. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Two new staff file and one existing staff member , who is now in a full time role, had files reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The most recent sanitation inspection for your facility was conducted on December 5, 2023. A supervisor sanitation classification was issued with eight demerits. The most recent fire inspection for your facility was conducted on August 21, 2023. The facility was approved for day time care. The following violation(s) were observed today: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #111, there was no posted activity plan in the classroom. In space #112, the posted activity plan was for February 2024. GS 110-91(12); .0508(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #120, an authorization for Tylenol and an authorization for a prescription inhaler expired in 2/2024. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #120, there were marker lids and small plastic tabs in a drawer accessible to children under 3 years of age. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space #110, the last completed sleep checks were dated 12/19/23. .0606(g) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. In space #111, there was a bottle warmer with electrical cords accessible to children. .0604(e) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed 12/1/23, had not completed recognizing and responding to suspicions of child maltreatment training. .1102(g) The violation(s) documented must be corrected immediately. On or before March 21, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical assistance on violations was reviewed with you. Areas discussed included: Item #428 I recommend that you check each classroom to ensure the current activity plan is posted. You may consider having staff to turn in activity plans on Friday for review and then post first thing on Monday morning. 10A NCAC 09 .0508(a). Space #112 had two substitutes in the classroom today. The permanently assigned staff for the classroom was out today. You plan to have the permanent staff to post a current activity plan when they return. Space #111 is a wraparound classroom. You plan to meet with wraparound staff to review requirements for the activity plan. Item # 849 Medicines must be returned to the parent or discarded within 72 hours after the authorization has expired. If the medication is still being used, a new/updated permission form must be signed every 6 months. 10A NCAC 09.0803(12) Item #858 Have staff complete daily safety checks before children arrive and remove any safety hazards such as small toy parts and other possible choking hazards. 10A NCAC 09 .0604(q). The marker lids and small plastic tab were removed from the accessible drawer. This violation was corrected during visit. Item #887 Safe Sleep Check documentation must be completed for infants at least every fifteen minutes when they sleep. Staff reported that they are busy and forgot to document the checks. I suggested that you consider placing the sleep check charts nearby each crib to make documentation easier. Item #898 Appliances with heating elements, such as bottle warmers, and/or their cords may not be accessible to children. 10A NCAC 09 .0604(e). We discussed that if the bottle warmer continues to be needed, it can be brought down to counter height during supervised use but then needs to be returned to an inaccessible height. The cords need to be placed behind equipment/furniture to be inaccessible. Item #1897 Recognizing and Responding to Suspicions of Child Maltreatment training is required for all employees within 90 days of employment. I recommended that new staff complete this training during the first two weeks of orientation. 10A NCAC 09 .1102(g) You reported that this staff member was just recently hired as a substitute and the training requirement was overlooked. This training must be completed within the next 2 weeks. Consultation or other topics discussed today: We reviewed the requirement for screen time logs. I encouraged you to make sure that substitute staff have understanding of screen time rules and the need to record screen time on the classroom screen time log. We discussed that on the walkway to playground #4, there were multiple mounds with flying insects surrounding both sides of the walkway. I encouraged you to have maintenance look at the area for possible solutions to prevent the flying insects from being in the area that the children use to travel to the playground. We discussed that teacher bathrooms and the teacher lounge area have doorways that open into the hallway that children use for arrival and departure. Since both areas are not intended for children, but have unlocked doors, you will need to either lock these doors for ensure that all materials in these areas are appropriate for children. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 1 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2023, through June 30, 2024. Your child care program’s reassessment year will begin on July 1, 2024, through June 30, 2025. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License. The program has interest in completing a prep-year environment rating scale. You reported that you are planning to send in the Rated License Request Review form to me before the end of the week. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09.0304 · Violation
Name of Operation: CARVER HEAD START Facility ID: 81000052 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 98 Completed Date: 3/7/2024 Age: From 0 To 5 Total Minutes: 310 Time In: 09:15 AM Time Out: 01:40 PM Time In: 03:15 PM Time Out: 04:00 PM List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Ausjanet Bayne, NC Pre K program contact. Your program currently operates with a five star license effective July 18, 2018. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space, meets ratios reduced by one in each group and children under 2 ½ in rooms with direct exits only. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in outdoor gross motor time, group indoor gross motor time, free play in activity areas, lunchtime and rest time. Infants were engaged in handwashing protocols and feeding time. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 75% as of March 7, 2024. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Two new staff file and one existing staff member , who is now in a full time role, had files reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The most recent sanitation inspection for your facility was conducted on December 5, 2023. A supervisor sanitation classification was issued with eight demerits. The most recent fire inspection for your facility was conducted on August 21, 2023. The facility was approved for day time care. The following violation(s) were observed today: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #111, there was no posted activity plan in the classroom. In space #112, the posted activity plan was for February 2024. GS 110-91(12); .0508(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #120, an authorization for Tylenol and an authorization for a prescription inhaler expired in 2/2024. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #120, there were marker lids and small plastic tabs in a drawer accessible to children under 3 years of age. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space #110, the last completed sleep checks were dated 12/19/23. .0606(g) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. In space #111, there was a bottle warmer with electrical cords accessible to children. .0604(e) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed 12/1/23, had not completed recognizing and responding to suspicions of child maltreatment training. .1102(g) The violation(s) documented must be corrected immediately. On or before March 21, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical assistance on violations was reviewed with you. Areas discussed included: Item #428 I recommend that you check each classroom to ensure the current activity plan is posted. You may consider having staff to turn in activity plans on Friday for review and then post first thing on Monday morning. 10A NCAC 09 .0508(a). Space #112 had two substitutes in the classroom today. The permanently assigned staff for the classroom was out today. You plan to have the permanent staff to post a current activity plan when they return. Space #111 is a wraparound classroom. You plan to meet with wraparound staff to review requirements for the activity plan. Item # 849 Medicines must be returned to the parent or discarded within 72 hours after the authorization has expired. If the medication is still being used, a new/updated permission form must be signed every 6 months. 10A NCAC 09.0803(12) Item #858 Have staff complete daily safety checks before children arrive and remove any safety hazards such as small toy parts and other possible choking hazards. 10A NCAC 09 .0604(q). The marker lids and small plastic tab were removed from the accessible drawer. This violation was corrected during visit. Item #887 Safe Sleep Check documentation must be completed for infants at least every fifteen minutes when they sleep. Staff reported that they are busy and forgot to document the checks. I suggested that you consider placing the sleep check charts nearby each crib to make documentation easier. Item #898 Appliances with heating elements, such as bottle warmers, and/or their cords may not be accessible to children. 10A NCAC 09 .0604(e). We discussed that if the bottle warmer continues to be needed, it can be brought down to counter height during supervised use but then needs to be returned to an inaccessible height. The cords need to be placed behind equipment/furniture to be inaccessible. Item #1897 Recognizing and Responding to Suspicions of Child Maltreatment training is required for all employees within 90 days of employment. I recommended that new staff complete this training during the first two weeks of orientation. 10A NCAC 09 .1102(g) You reported that this staff member was just recently hired as a substitute and the training requirement was overlooked. This training must be completed within the next 2 weeks. Consultation or other topics discussed today: We reviewed the requirement for screen time logs. I encouraged you to make sure that substitute staff have understanding of screen time rules and the need to record screen time on the classroom screen time log. We discussed that on the walkway to playground #4, there were multiple mounds with flying insects surrounding both sides of the walkway. I encouraged you to have maintenance look at the area for possible solutions to prevent the flying insects from being in the area that the children use to travel to the playground. We discussed that teacher bathrooms and the teacher lounge area have doorways that open into the hallway that children use for arrival and departure. Since both areas are not intended for children, but have unlocked doors, you will need to either lock these doors for ensure that all materials in these areas are appropriate for children. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 1 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2023, through June 30, 2024. Your child care program’s reassessment year will begin on July 1, 2024, through June 30, 2025. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License. The program has interest in completing a prep-year environment rating scale. You reported that you are planning to send in the Rated License Request Review form to me before the end of the week. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09.0803 · Violation
Name of Operation: CARVER HEAD START Facility ID: 81000052 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 98 Completed Date: 3/7/2024 Age: From 0 To 5 Total Minutes: 310 Time In: 09:15 AM Time Out: 01:40 PM Time In: 03:15 PM Time Out: 04:00 PM List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Ausjanet Bayne, NC Pre K program contact. Your program currently operates with a five star license effective July 18, 2018. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space, meets ratios reduced by one in each group and children under 2 ½ in rooms with direct exits only. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in outdoor gross motor time, group indoor gross motor time, free play in activity areas, lunchtime and rest time. Infants were engaged in handwashing protocols and feeding time. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 75% as of March 7, 2024. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Two new staff file and one existing staff member , who is now in a full time role, had files reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The most recent sanitation inspection for your facility was conducted on December 5, 2023. A supervisor sanitation classification was issued with eight demerits. The most recent fire inspection for your facility was conducted on August 21, 2023. The facility was approved for day time care. The following violation(s) were observed today: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #111, there was no posted activity plan in the classroom. In space #112, the posted activity plan was for February 2024. GS 110-91(12); .0508(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #120, an authorization for Tylenol and an authorization for a prescription inhaler expired in 2/2024. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #120, there were marker lids and small plastic tabs in a drawer accessible to children under 3 years of age. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space #110, the last completed sleep checks were dated 12/19/23. .0606(g) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. In space #111, there was a bottle warmer with electrical cords accessible to children. .0604(e) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed 12/1/23, had not completed recognizing and responding to suspicions of child maltreatment training. .1102(g) The violation(s) documented must be corrected immediately. On or before March 21, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical assistance on violations was reviewed with you. Areas discussed included: Item #428 I recommend that you check each classroom to ensure the current activity plan is posted. You may consider having staff to turn in activity plans on Friday for review and then post first thing on Monday morning. 10A NCAC 09 .0508(a). Space #112 had two substitutes in the classroom today. The permanently assigned staff for the classroom was out today. You plan to have the permanent staff to post a current activity plan when they return. Space #111 is a wraparound classroom. You plan to meet with wraparound staff to review requirements for the activity plan. Item # 849 Medicines must be returned to the parent or discarded within 72 hours after the authorization has expired. If the medication is still being used, a new/updated permission form must be signed every 6 months. 10A NCAC 09.0803(12) Item #858 Have staff complete daily safety checks before children arrive and remove any safety hazards such as small toy parts and other possible choking hazards. 10A NCAC 09 .0604(q). The marker lids and small plastic tab were removed from the accessible drawer. This violation was corrected during visit. Item #887 Safe Sleep Check documentation must be completed for infants at least every fifteen minutes when they sleep. Staff reported that they are busy and forgot to document the checks. I suggested that you consider placing the sleep check charts nearby each crib to make documentation easier. Item #898 Appliances with heating elements, such as bottle warmers, and/or their cords may not be accessible to children. 10A NCAC 09 .0604(e). We discussed that if the bottle warmer continues to be needed, it can be brought down to counter height during supervised use but then needs to be returned to an inaccessible height. The cords need to be placed behind equipment/furniture to be inaccessible. Item #1897 Recognizing and Responding to Suspicions of Child Maltreatment training is required for all employees within 90 days of employment. I recommended that new staff complete this training during the first two weeks of orientation. 10A NCAC 09 .1102(g) You reported that this staff member was just recently hired as a substitute and the training requirement was overlooked. This training must be completed within the next 2 weeks. Consultation or other topics discussed today: We reviewed the requirement for screen time logs. I encouraged you to make sure that substitute staff have understanding of screen time rules and the need to record screen time on the classroom screen time log. We discussed that on the walkway to playground #4, there were multiple mounds with flying insects surrounding both sides of the walkway. I encouraged you to have maintenance look at the area for possible solutions to prevent the flying insects from being in the area that the children use to travel to the playground. We discussed that teacher bathrooms and the teacher lounge area have doorways that open into the hallway that children use for arrival and departure. Since both areas are not intended for children, but have unlocked doors, you will need to either lock these doors for ensure that all materials in these areas are appropriate for children. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 1 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2023, through June 30, 2024. Your child care program’s reassessment year will begin on July 1, 2024, through June 30, 2025. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License. The program has interest in completing a prep-year environment rating scale. You reported that you are planning to send in the Rated License Request Review form to me before the end of the week. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
GS 110-91 · Violation
Name of Operation: CARVER HEAD START Facility ID: 81000052 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 98 Completed Date: 3/7/2024 Age: From 0 To 5 Total Minutes: 310 Time In: 09:15 AM Time Out: 01:40 PM Time In: 03:15 PM Time Out: 04:00 PM List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Ausjanet Bayne, NC Pre K program contact. Your program currently operates with a five star license effective July 18, 2018. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space, meets ratios reduced by one in each group and children under 2 ½ in rooms with direct exits only. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in outdoor gross motor time, group indoor gross motor time, free play in activity areas, lunchtime and rest time. Infants were engaged in handwashing protocols and feeding time. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 75% as of March 7, 2024. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Two new staff file and one existing staff member , who is now in a full time role, had files reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The most recent sanitation inspection for your facility was conducted on December 5, 2023. A supervisor sanitation classification was issued with eight demerits. The most recent fire inspection for your facility was conducted on August 21, 2023. The facility was approved for day time care. The following violation(s) were observed today: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #111, there was no posted activity plan in the classroom. In space #112, the posted activity plan was for February 2024. GS 110-91(12); .0508(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #120, an authorization for Tylenol and an authorization for a prescription inhaler expired in 2/2024. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #120, there were marker lids and small plastic tabs in a drawer accessible to children under 3 years of age. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space #110, the last completed sleep checks were dated 12/19/23. .0606(g) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. In space #111, there was a bottle warmer with electrical cords accessible to children. .0604(e) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed 12/1/23, had not completed recognizing and responding to suspicions of child maltreatment training. .1102(g) The violation(s) documented must be corrected immediately. On or before March 21, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical assistance on violations was reviewed with you. Areas discussed included: Item #428 I recommend that you check each classroom to ensure the current activity plan is posted. You may consider having staff to turn in activity plans on Friday for review and then post first thing on Monday morning. 10A NCAC 09 .0508(a). Space #112 had two substitutes in the classroom today. The permanently assigned staff for the classroom was out today. You plan to have the permanent staff to post a current activity plan when they return. Space #111 is a wraparound classroom. You plan to meet with wraparound staff to review requirements for the activity plan. Item # 849 Medicines must be returned to the parent or discarded within 72 hours after the authorization has expired. If the medication is still being used, a new/updated permission form must be signed every 6 months. 10A NCAC 09.0803(12) Item #858 Have staff complete daily safety checks before children arrive and remove any safety hazards such as small toy parts and other possible choking hazards. 10A NCAC 09 .0604(q). The marker lids and small plastic tab were removed from the accessible drawer. This violation was corrected during visit. Item #887 Safe Sleep Check documentation must be completed for infants at least every fifteen minutes when they sleep. Staff reported that they are busy and forgot to document the checks. I suggested that you consider placing the sleep check charts nearby each crib to make documentation easier. Item #898 Appliances with heating elements, such as bottle warmers, and/or their cords may not be accessible to children. 10A NCAC 09 .0604(e). We discussed that if the bottle warmer continues to be needed, it can be brought down to counter height during supervised use but then needs to be returned to an inaccessible height. The cords need to be placed behind equipment/furniture to be inaccessible. Item #1897 Recognizing and Responding to Suspicions of Child Maltreatment training is required for all employees within 90 days of employment. I recommended that new staff complete this training during the first two weeks of orientation. 10A NCAC 09 .1102(g) You reported that this staff member was just recently hired as a substitute and the training requirement was overlooked. This training must be completed within the next 2 weeks. Consultation or other topics discussed today: We reviewed the requirement for screen time logs. I encouraged you to make sure that substitute staff have understanding of screen time rules and the need to record screen time on the classroom screen time log. We discussed that on the walkway to playground #4, there were multiple mounds with flying insects surrounding both sides of the walkway. I encouraged you to have maintenance look at the area for possible solutions to prevent the flying insects from being in the area that the children use to travel to the playground. We discussed that teacher bathrooms and the teacher lounge area have doorways that open into the hallway that children use for arrival and departure. Since both areas are not intended for children, but have unlocked doors, you will need to either lock these doors for ensure that all materials in these areas are appropriate for children. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 1 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2023, through June 30, 2024. Your child care program’s reassessment year will begin on July 1, 2024, through June 30, 2025. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License. The program has interest in completing a prep-year environment rating scale. You reported that you are planning to send in the Rated License Request Review form to me before the end of the week. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
NC GS 110-90 · Violation
Name of Operation: CARVER HEAD START Facility ID: 81000052 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 98 Completed Date: 3/7/2024 Age: From 0 To 5 Total Minutes: 310 Time In: 09:15 AM Time Out: 01:40 PM Time In: 03:15 PM Time Out: 04:00 PM List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Ausjanet Bayne, NC Pre K program contact. Your program currently operates with a five star license effective July 18, 2018. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space, meets ratios reduced by one in each group and children under 2 ½ in rooms with direct exits only. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in outdoor gross motor time, group indoor gross motor time, free play in activity areas, lunchtime and rest time. Infants were engaged in handwashing protocols and feeding time. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 75% as of March 7, 2024. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Two new staff file and one existing staff member , who is now in a full time role, had files reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The most recent sanitation inspection for your facility was conducted on December 5, 2023. A supervisor sanitation classification was issued with eight demerits. The most recent fire inspection for your facility was conducted on August 21, 2023. The facility was approved for day time care. The following violation(s) were observed today: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #111, there was no posted activity plan in the classroom. In space #112, the posted activity plan was for February 2024. GS 110-91(12); .0508(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #120, an authorization for Tylenol and an authorization for a prescription inhaler expired in 2/2024. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #120, there were marker lids and small plastic tabs in a drawer accessible to children under 3 years of age. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space #110, the last completed sleep checks were dated 12/19/23. .0606(g) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. In space #111, there was a bottle warmer with electrical cords accessible to children. .0604(e) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed 12/1/23, had not completed recognizing and responding to suspicions of child maltreatment training. .1102(g) The violation(s) documented must be corrected immediately. On or before March 21, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical assistance on violations was reviewed with you. Areas discussed included: Item #428 I recommend that you check each classroom to ensure the current activity plan is posted. You may consider having staff to turn in activity plans on Friday for review and then post first thing on Monday morning. 10A NCAC 09 .0508(a). Space #112 had two substitutes in the classroom today. The permanently assigned staff for the classroom was out today. You plan to have the permanent staff to post a current activity plan when they return. Space #111 is a wraparound classroom. You plan to meet with wraparound staff to review requirements for the activity plan. Item # 849 Medicines must be returned to the parent or discarded within 72 hours after the authorization has expired. If the medication is still being used, a new/updated permission form must be signed every 6 months. 10A NCAC 09.0803(12) Item #858 Have staff complete daily safety checks before children arrive and remove any safety hazards such as small toy parts and other possible choking hazards. 10A NCAC 09 .0604(q). The marker lids and small plastic tab were removed from the accessible drawer. This violation was corrected during visit. Item #887 Safe Sleep Check documentation must be completed for infants at least every fifteen minutes when they sleep. Staff reported that they are busy and forgot to document the checks. I suggested that you consider placing the sleep check charts nearby each crib to make documentation easier. Item #898 Appliances with heating elements, such as bottle warmers, and/or their cords may not be accessible to children. 10A NCAC 09 .0604(e). We discussed that if the bottle warmer continues to be needed, it can be brought down to counter height during supervised use but then needs to be returned to an inaccessible height. The cords need to be placed behind equipment/furniture to be inaccessible. Item #1897 Recognizing and Responding to Suspicions of Child Maltreatment training is required for all employees within 90 days of employment. I recommended that new staff complete this training during the first two weeks of orientation. 10A NCAC 09 .1102(g) You reported that this staff member was just recently hired as a substitute and the training requirement was overlooked. This training must be completed within the next 2 weeks. Consultation or other topics discussed today: We reviewed the requirement for screen time logs. I encouraged you to make sure that substitute staff have understanding of screen time rules and the need to record screen time on the classroom screen time log. We discussed that on the walkway to playground #4, there were multiple mounds with flying insects surrounding both sides of the walkway. I encouraged you to have maintenance look at the area for possible solutions to prevent the flying insects from being in the area that the children use to travel to the playground. We discussed that teacher bathrooms and the teacher lounge area have doorways that open into the hallway that children use for arrival and departure. Since both areas are not intended for children, but have unlocked doors, you will need to either lock these doors for ensure that all materials in these areas are appropriate for children. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 1 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2023, through June 30, 2024. Your child care program’s reassessment year will begin on July 1, 2024, through June 30, 2025. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License. The program has interest in completing a prep-year environment rating scale. You reported that you are planning to send in the Rated License Request Review form to me before the end of the week. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0902 · Violation
Name of Operation: CARVER HEAD START Facility ID: 81000052 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 9/25/2023 Number Present: 98 Completed Date: 9/25/2023 Age: From 0 To 5 Total Minutes: 350 Time In: 09:30 AM Time Out: 12:50 PM Time In: 02:15 PM Time Out: 04:45 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Dinah Brown, Child Care Consultant, accompanied me on the visit. Upon arrival you, Robin Tate, Program Design Management Coordinator, assisted me with the visit. A checklist was used to note the requirements we monitored today. Your program currently operates with a five star license effective July 18, 2018. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space, meets enhanced ratios minus one and children under 2 ½ year of age in rooms with direct exits only. The Rutherford County Schools are not listed on the Secretary of State website. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas and personal care routines. Infants were engaged in napping, and diapering routines. The caregivers were interacting and meeting the developmental needs for each of the children. The center's compliance history was at 78% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The Staff and Training Worksheets were not completed nor available during the annual compliance visit conducted today, therefore, an announced follow-up visit will be conducted on September 26, 2023 to review staff files and health and safety trainings. Any additional violation sited during the follow up visit will be added to the original Annual Compliance visit. A sample of eleven children’s files were reviewed. The last monthly fire drill was practiced on August 29, 2023. The Rutherford County Schools use a critical response plan in place of an EPR plan/drill. The last monthly playground inspection was completed on September 18, 2023. The most recent sanitation inspection for your facility was conducted on December 13, 2022. A superior sanitation classification was issued with four demerits. The most recent fire inspection for your facility was conducted on August 21, 2023. The facility was approved for day time care. The following violation(s) were observed and discussed with you today Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Six children were not signed out of Rm 111 morning wraparound care on 9/25/23. 10A NCAC 09 .0302(d)(4) 482 For children under three years of age, the caregiver did not provide developmentally appropriate activities that support health and physical development, on a daily basis. No activity plan was posted for children in Space #106 and Space #111. .0510(e)(4) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. No current menu was posted in the facility during the visit. 10A NCAC 09 .0901(b) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). In Space # 110, one 14 month old child did not have a feeding plan posted in Space # 110. 10A NCAC 09 .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space # 108, two bottles of Febreeze Air original, with double warnings, were in an unlocked cabinet. In Space # 202, there was one bottle of Cozy Evening body spray, one bottle of Butterfly body spray, one aerosol bottle of Frosted Cranberry air freshener, two bottles of Odo-Ban disinfectant, one aerosol bottle of Lysol on the go and one bottle of Good Scents put a lid on it spray, all with double warnings, were in an unlocked cabinet. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space # 202, there was one container of Goody powders over the counter medication, that belonged to a staff member, in an unlocked cabinet. 15A NCAC 18A .2820(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space # 110, a package of Cuties diapers was in plastic packaging with suffocation warnings and 3 rolls of changing table plastic rolls were in an unlocked cabinet under the changing table, accessible to children under three years of age. In Space # 301, one closet in the classroom was unlocked and had art supplies that were choking hazards, accessible to children under three years of age. .0604(q) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member hired 2/12/18 did not have verification of any trainings since 2021. .1103(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child enrolled 8/21/23 did not have a medical exam on file. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled 8/21/23 did not have immunizations on file. 10A NCAC 09 .0302(d)(2) 1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. One child enrolled in NC Pre K 8/21/23, did not have a completed health assessment and immunizations on file. .3005(a) 1864 Outdoor play equipment was not age and developmentally appropriate.The outdoor playground being used by children ages 2 and 3 years old, had a play structure labelled for use of children ages 6 months-23 months. .0605(a) 1889 Individuals that did not meet the staff qualifications as required by G.S. 110-91(8) did not submit to the Division documentation of completed coursework or credential to be considered for equivalency within six months of assuming duties. One staff member hired 2/12/18 last completed health and safety training 5/1/17. One staff member hired 10/1/97 last completed health and safety training 6/30/17. .0703(d) The violation(s) documented must be corrected immediately. On or before October 9, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Arrival/Departure Records: Specific arrival and departure times are needed to ensure safe tracking of the children. We discussed that children leaving the early morning wrap around care to go to their school day classroom will need to be signed out of their wrap around classroom and signed into care into their school day classroom by the staff responsible for taking children from one classroom program to another classroom program. 10A NCAC 09 .0302(d)(4) Menu: We reviewed requirements for posting the menu in the front of the center where parents can view. The menu must have a current date including the month, day, and year. 10A NCAC 09 .0901(b) Feeding Plan: Children under 15 months of age must have an individual written feeding plan. This plan must be followed at the center and posted. The plan must include the child's name, be signed by the parent or health care provider and be dated when received by the center. 10A NCAC 09 .0902 Hazardous Products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Items labeled “keep out of reach of children” with no other warnings can be stored five feet off the ground. Have teachers check the labels on all items to assure they are properly stored. 15A NCAC 18A .2820(b). In both classrooms, the hazardous products were moved to locked storage. This violation was corrected during the visit. Unlocked Medication: Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container. Teachers should keep their personal bags containing medication or hazardous items in locked storage at all times. 15A NCAC 18A.2820(d) The staff member’s Goody powders were moved to a locked cabinet. This violation was corrected during the visit. Plastic Packaging/Choking Hazards: Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. 10A NCAC 09 .0604(q) Space # 110 staff locked the cabinet under the changing table to make it inaccessible to children under three years of age. You reported that staff for Space #301 will move the choking hazards to 5 feet or higher to make them inaccessible to children under three years of age, until the closet door lock can be repaired. Age Appropriate Outdoor Play Equipment: You plan to discuss this with the administrator and make a plan to either change the group of children that will use the play area to be infant up to 2 years of age or may consider moving the piece of equipment to another playground area. Consultation or other topics discussed today: You were encouraged to clean out refrigerators to avoid any food/milk products from being past their expiration dates. We reviewed the requirements that activity plans must be posted for review by parents or other visitors to the class. We discussed that in Room 201, that there is a dip in the floor that needs to have caution markings to prevent injury. Staff Lounge areas that have doorways into classrooms or hallways that are used by children, will need to be locked while children are in care. Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. Resuming Star Rated License Reassessment Information: As a reminder your facility is in Cohort 1 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2023, through June 30, 2024. Your child care program’s reassessment year will begin on July 1, 2024, through June 30, 2025. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, a handwritten visit summary was prepared, reviewed and a copy given to you for your records. You will receive a computer generated visit summary within 24 hours. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0302 · Violation
Name of Operation: CARVER HEAD START Facility ID: 81000052 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 9/25/2023 Number Present: 98 Completed Date: 9/25/2023 Age: From 0 To 5 Total Minutes: 350 Time In: 09:30 AM Time Out: 12:50 PM Time In: 02:15 PM Time Out: 04:45 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Dinah Brown, Child Care Consultant, accompanied me on the visit. Upon arrival you, Robin Tate, Program Design Management Coordinator, assisted me with the visit. A checklist was used to note the requirements we monitored today. Your program currently operates with a five star license effective July 18, 2018. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space, meets enhanced ratios minus one and children under 2 ½ year of age in rooms with direct exits only. The Rutherford County Schools are not listed on the Secretary of State website. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas and personal care routines. Infants were engaged in napping, and diapering routines. The caregivers were interacting and meeting the developmental needs for each of the children. The center's compliance history was at 78% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The Staff and Training Worksheets were not completed nor available during the annual compliance visit conducted today, therefore, an announced follow-up visit will be conducted on September 26, 2023 to review staff files and health and safety trainings. Any additional violation sited during the follow up visit will be added to the original Annual Compliance visit. A sample of eleven children’s files were reviewed. The last monthly fire drill was practiced on August 29, 2023. The Rutherford County Schools use a critical response plan in place of an EPR plan/drill. The last monthly playground inspection was completed on September 18, 2023. The most recent sanitation inspection for your facility was conducted on December 13, 2022. A superior sanitation classification was issued with four demerits. The most recent fire inspection for your facility was conducted on August 21, 2023. The facility was approved for day time care. The following violation(s) were observed and discussed with you today Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Six children were not signed out of Rm 111 morning wraparound care on 9/25/23. 10A NCAC 09 .0302(d)(4) 482 For children under three years of age, the caregiver did not provide developmentally appropriate activities that support health and physical development, on a daily basis. No activity plan was posted for children in Space #106 and Space #111. .0510(e)(4) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. No current menu was posted in the facility during the visit. 10A NCAC 09 .0901(b) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). In Space # 110, one 14 month old child did not have a feeding plan posted in Space # 110. 10A NCAC 09 .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space # 108, two bottles of Febreeze Air original, with double warnings, were in an unlocked cabinet. In Space # 202, there was one bottle of Cozy Evening body spray, one bottle of Butterfly body spray, one aerosol bottle of Frosted Cranberry air freshener, two bottles of Odo-Ban disinfectant, one aerosol bottle of Lysol on the go and one bottle of Good Scents put a lid on it spray, all with double warnings, were in an unlocked cabinet. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space # 202, there was one container of Goody powders over the counter medication, that belonged to a staff member, in an unlocked cabinet. 15A NCAC 18A .2820(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space # 110, a package of Cuties diapers was in plastic packaging with suffocation warnings and 3 rolls of changing table plastic rolls were in an unlocked cabinet under the changing table, accessible to children under three years of age. In Space # 301, one closet in the classroom was unlocked and had art supplies that were choking hazards, accessible to children under three years of age. .0604(q) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member hired 2/12/18 did not have verification of any trainings since 2021. .1103(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child enrolled 8/21/23 did not have a medical exam on file. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled 8/21/23 did not have immunizations on file. 10A NCAC 09 .0302(d)(2) 1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. One child enrolled in NC Pre K 8/21/23, did not have a completed health assessment and immunizations on file. .3005(a) 1864 Outdoor play equipment was not age and developmentally appropriate.The outdoor playground being used by children ages 2 and 3 years old, had a play structure labelled for use of children ages 6 months-23 months. .0605(a) 1889 Individuals that did not meet the staff qualifications as required by G.S. 110-91(8) did not submit to the Division documentation of completed coursework or credential to be considered for equivalency within six months of assuming duties. One staff member hired 2/12/18 last completed health and safety training 5/1/17. One staff member hired 10/1/97 last completed health and safety training 6/30/17. .0703(d) The violation(s) documented must be corrected immediately. On or before October 9, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Arrival/Departure Records: Specific arrival and departure times are needed to ensure safe tracking of the children. We discussed that children leaving the early morning wrap around care to go to their school day classroom will need to be signed out of their wrap around classroom and signed into care into their school day classroom by the staff responsible for taking children from one classroom program to another classroom program. 10A NCAC 09 .0302(d)(4) Menu: We reviewed requirements for posting the menu in the front of the center where parents can view. The menu must have a current date including the month, day, and year. 10A NCAC 09 .0901(b) Feeding Plan: Children under 15 months of age must have an individual written feeding plan. This plan must be followed at the center and posted. The plan must include the child's name, be signed by the parent or health care provider and be dated when received by the center. 10A NCAC 09 .0902 Hazardous Products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Items labeled “keep out of reach of children” with no other warnings can be stored five feet off the ground. Have teachers check the labels on all items to assure they are properly stored. 15A NCAC 18A .2820(b). In both classrooms, the hazardous products were moved to locked storage. This violation was corrected during the visit. Unlocked Medication: Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container. Teachers should keep their personal bags containing medication or hazardous items in locked storage at all times. 15A NCAC 18A.2820(d) The staff member’s Goody powders were moved to a locked cabinet. This violation was corrected during the visit. Plastic Packaging/Choking Hazards: Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. 10A NCAC 09 .0604(q) Space # 110 staff locked the cabinet under the changing table to make it inaccessible to children under three years of age. You reported that staff for Space #301 will move the choking hazards to 5 feet or higher to make them inaccessible to children under three years of age, until the closet door lock can be repaired. Age Appropriate Outdoor Play Equipment: You plan to discuss this with the administrator and make a plan to either change the group of children that will use the play area to be infant up to 2 years of age or may consider moving the piece of equipment to another playground area. Consultation or other topics discussed today: You were encouraged to clean out refrigerators to avoid any food/milk products from being past their expiration dates. We reviewed the requirements that activity plans must be posted for review by parents or other visitors to the class. We discussed that in Room 201, that there is a dip in the floor that needs to have caution markings to prevent injury. Staff Lounge areas that have doorways into classrooms or hallways that are used by children, will need to be locked while children are in care. Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. Resuming Star Rated License Reassessment Information: As a reminder your facility is in Cohort 1 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2023, through June 30, 2024. Your child care program’s reassessment year will begin on July 1, 2024, through June 30, 2025. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, a handwritten visit summary was prepared, reviewed and a copy given to you for your records. You will receive a computer generated visit summary within 24 hours. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0604 · Violation
Name of Operation: CARVER HEAD START Facility ID: 81000052 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 9/25/2023 Number Present: 98 Completed Date: 9/25/2023 Age: From 0 To 5 Total Minutes: 350 Time In: 09:30 AM Time Out: 12:50 PM Time In: 02:15 PM Time Out: 04:45 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Dinah Brown, Child Care Consultant, accompanied me on the visit. Upon arrival you, Robin Tate, Program Design Management Coordinator, assisted me with the visit. A checklist was used to note the requirements we monitored today. Your program currently operates with a five star license effective July 18, 2018. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space, meets enhanced ratios minus one and children under 2 ½ year of age in rooms with direct exits only. The Rutherford County Schools are not listed on the Secretary of State website. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas and personal care routines. Infants were engaged in napping, and diapering routines. The caregivers were interacting and meeting the developmental needs for each of the children. The center's compliance history was at 78% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The Staff and Training Worksheets were not completed nor available during the annual compliance visit conducted today, therefore, an announced follow-up visit will be conducted on September 26, 2023 to review staff files and health and safety trainings. Any additional violation sited during the follow up visit will be added to the original Annual Compliance visit. A sample of eleven children’s files were reviewed. The last monthly fire drill was practiced on August 29, 2023. The Rutherford County Schools use a critical response plan in place of an EPR plan/drill. The last monthly playground inspection was completed on September 18, 2023. The most recent sanitation inspection for your facility was conducted on December 13, 2022. A superior sanitation classification was issued with four demerits. The most recent fire inspection for your facility was conducted on August 21, 2023. The facility was approved for day time care. The following violation(s) were observed and discussed with you today Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Six children were not signed out of Rm 111 morning wraparound care on 9/25/23. 10A NCAC 09 .0302(d)(4) 482 For children under three years of age, the caregiver did not provide developmentally appropriate activities that support health and physical development, on a daily basis. No activity plan was posted for children in Space #106 and Space #111. .0510(e)(4) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. No current menu was posted in the facility during the visit. 10A NCAC 09 .0901(b) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). In Space # 110, one 14 month old child did not have a feeding plan posted in Space # 110. 10A NCAC 09 .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space # 108, two bottles of Febreeze Air original, with double warnings, were in an unlocked cabinet. In Space # 202, there was one bottle of Cozy Evening body spray, one bottle of Butterfly body spray, one aerosol bottle of Frosted Cranberry air freshener, two bottles of Odo-Ban disinfectant, one aerosol bottle of Lysol on the go and one bottle of Good Scents put a lid on it spray, all with double warnings, were in an unlocked cabinet. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space # 202, there was one container of Goody powders over the counter medication, that belonged to a staff member, in an unlocked cabinet. 15A NCAC 18A .2820(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space # 110, a package of Cuties diapers was in plastic packaging with suffocation warnings and 3 rolls of changing table plastic rolls were in an unlocked cabinet under the changing table, accessible to children under three years of age. In Space # 301, one closet in the classroom was unlocked and had art supplies that were choking hazards, accessible to children under three years of age. .0604(q) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member hired 2/12/18 did not have verification of any trainings since 2021. .1103(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child enrolled 8/21/23 did not have a medical exam on file. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled 8/21/23 did not have immunizations on file. 10A NCAC 09 .0302(d)(2) 1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. One child enrolled in NC Pre K 8/21/23, did not have a completed health assessment and immunizations on file. .3005(a) 1864 Outdoor play equipment was not age and developmentally appropriate.The outdoor playground being used by children ages 2 and 3 years old, had a play structure labelled for use of children ages 6 months-23 months. .0605(a) 1889 Individuals that did not meet the staff qualifications as required by G.S. 110-91(8) did not submit to the Division documentation of completed coursework or credential to be considered for equivalency within six months of assuming duties. One staff member hired 2/12/18 last completed health and safety training 5/1/17. One staff member hired 10/1/97 last completed health and safety training 6/30/17. .0703(d) The violation(s) documented must be corrected immediately. On or before October 9, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Arrival/Departure Records: Specific arrival and departure times are needed to ensure safe tracking of the children. We discussed that children leaving the early morning wrap around care to go to their school day classroom will need to be signed out of their wrap around classroom and signed into care into their school day classroom by the staff responsible for taking children from one classroom program to another classroom program. 10A NCAC 09 .0302(d)(4) Menu: We reviewed requirements for posting the menu in the front of the center where parents can view. The menu must have a current date including the month, day, and year. 10A NCAC 09 .0901(b) Feeding Plan: Children under 15 months of age must have an individual written feeding plan. This plan must be followed at the center and posted. The plan must include the child's name, be signed by the parent or health care provider and be dated when received by the center. 10A NCAC 09 .0902 Hazardous Products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Items labeled “keep out of reach of children” with no other warnings can be stored five feet off the ground. Have teachers check the labels on all items to assure they are properly stored. 15A NCAC 18A .2820(b). In both classrooms, the hazardous products were moved to locked storage. This violation was corrected during the visit. Unlocked Medication: Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container. Teachers should keep their personal bags containing medication or hazardous items in locked storage at all times. 15A NCAC 18A.2820(d) The staff member’s Goody powders were moved to a locked cabinet. This violation was corrected during the visit. Plastic Packaging/Choking Hazards: Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. 10A NCAC 09 .0604(q) Space # 110 staff locked the cabinet under the changing table to make it inaccessible to children under three years of age. You reported that staff for Space #301 will move the choking hazards to 5 feet or higher to make them inaccessible to children under three years of age, until the closet door lock can be repaired. Age Appropriate Outdoor Play Equipment: You plan to discuss this with the administrator and make a plan to either change the group of children that will use the play area to be infant up to 2 years of age or may consider moving the piece of equipment to another playground area. Consultation or other topics discussed today: You were encouraged to clean out refrigerators to avoid any food/milk products from being past their expiration dates. We reviewed the requirements that activity plans must be posted for review by parents or other visitors to the class. We discussed that in Room 201, that there is a dip in the floor that needs to have caution markings to prevent injury. Staff Lounge areas that have doorways into classrooms or hallways that are used by children, will need to be locked while children are in care. Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. Resuming Star Rated License Reassessment Information: As a reminder your facility is in Cohort 1 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2023, through June 30, 2024. Your child care program’s reassessment year will begin on July 1, 2024, through June 30, 2025. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, a handwritten visit summary was prepared, reviewed and a copy given to you for your records. You will receive a computer generated visit summary within 24 hours. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0901 · Violation
Name of Operation: CARVER HEAD START Facility ID: 81000052 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 9/25/2023 Number Present: 98 Completed Date: 9/25/2023 Age: From 0 To 5 Total Minutes: 350 Time In: 09:30 AM Time Out: 12:50 PM Time In: 02:15 PM Time Out: 04:45 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Dinah Brown, Child Care Consultant, accompanied me on the visit. Upon arrival you, Robin Tate, Program Design Management Coordinator, assisted me with the visit. A checklist was used to note the requirements we monitored today. Your program currently operates with a five star license effective July 18, 2018. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space, meets enhanced ratios minus one and children under 2 ½ year of age in rooms with direct exits only. The Rutherford County Schools are not listed on the Secretary of State website. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas and personal care routines. Infants were engaged in napping, and diapering routines. The caregivers were interacting and meeting the developmental needs for each of the children. The center's compliance history was at 78% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The Staff and Training Worksheets were not completed nor available during the annual compliance visit conducted today, therefore, an announced follow-up visit will be conducted on September 26, 2023 to review staff files and health and safety trainings. Any additional violation sited during the follow up visit will be added to the original Annual Compliance visit. A sample of eleven children’s files were reviewed. The last monthly fire drill was practiced on August 29, 2023. The Rutherford County Schools use a critical response plan in place of an EPR plan/drill. The last monthly playground inspection was completed on September 18, 2023. The most recent sanitation inspection for your facility was conducted on December 13, 2022. A superior sanitation classification was issued with four demerits. The most recent fire inspection for your facility was conducted on August 21, 2023. The facility was approved for day time care. The following violation(s) were observed and discussed with you today Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Six children were not signed out of Rm 111 morning wraparound care on 9/25/23. 10A NCAC 09 .0302(d)(4) 482 For children under three years of age, the caregiver did not provide developmentally appropriate activities that support health and physical development, on a daily basis. No activity plan was posted for children in Space #106 and Space #111. .0510(e)(4) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. No current menu was posted in the facility during the visit. 10A NCAC 09 .0901(b) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). In Space # 110, one 14 month old child did not have a feeding plan posted in Space # 110. 10A NCAC 09 .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space # 108, two bottles of Febreeze Air original, with double warnings, were in an unlocked cabinet. In Space # 202, there was one bottle of Cozy Evening body spray, one bottle of Butterfly body spray, one aerosol bottle of Frosted Cranberry air freshener, two bottles of Odo-Ban disinfectant, one aerosol bottle of Lysol on the go and one bottle of Good Scents put a lid on it spray, all with double warnings, were in an unlocked cabinet. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space # 202, there was one container of Goody powders over the counter medication, that belonged to a staff member, in an unlocked cabinet. 15A NCAC 18A .2820(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space # 110, a package of Cuties diapers was in plastic packaging with suffocation warnings and 3 rolls of changing table plastic rolls were in an unlocked cabinet under the changing table, accessible to children under three years of age. In Space # 301, one closet in the classroom was unlocked and had art supplies that were choking hazards, accessible to children under three years of age. .0604(q) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member hired 2/12/18 did not have verification of any trainings since 2021. .1103(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child enrolled 8/21/23 did not have a medical exam on file. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled 8/21/23 did not have immunizations on file. 10A NCAC 09 .0302(d)(2) 1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. One child enrolled in NC Pre K 8/21/23, did not have a completed health assessment and immunizations on file. .3005(a) 1864 Outdoor play equipment was not age and developmentally appropriate.The outdoor playground being used by children ages 2 and 3 years old, had a play structure labelled for use of children ages 6 months-23 months. .0605(a) 1889 Individuals that did not meet the staff qualifications as required by G.S. 110-91(8) did not submit to the Division documentation of completed coursework or credential to be considered for equivalency within six months of assuming duties. One staff member hired 2/12/18 last completed health and safety training 5/1/17. One staff member hired 10/1/97 last completed health and safety training 6/30/17. .0703(d) The violation(s) documented must be corrected immediately. On or before October 9, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Arrival/Departure Records: Specific arrival and departure times are needed to ensure safe tracking of the children. We discussed that children leaving the early morning wrap around care to go to their school day classroom will need to be signed out of their wrap around classroom and signed into care into their school day classroom by the staff responsible for taking children from one classroom program to another classroom program. 10A NCAC 09 .0302(d)(4) Menu: We reviewed requirements for posting the menu in the front of the center where parents can view. The menu must have a current date including the month, day, and year. 10A NCAC 09 .0901(b) Feeding Plan: Children under 15 months of age must have an individual written feeding plan. This plan must be followed at the center and posted. The plan must include the child's name, be signed by the parent or health care provider and be dated when received by the center. 10A NCAC 09 .0902 Hazardous Products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Items labeled “keep out of reach of children” with no other warnings can be stored five feet off the ground. Have teachers check the labels on all items to assure they are properly stored. 15A NCAC 18A .2820(b). In both classrooms, the hazardous products were moved to locked storage. This violation was corrected during the visit. Unlocked Medication: Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container. Teachers should keep their personal bags containing medication or hazardous items in locked storage at all times. 15A NCAC 18A.2820(d) The staff member’s Goody powders were moved to a locked cabinet. This violation was corrected during the visit. Plastic Packaging/Choking Hazards: Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. 10A NCAC 09 .0604(q) Space # 110 staff locked the cabinet under the changing table to make it inaccessible to children under three years of age. You reported that staff for Space #301 will move the choking hazards to 5 feet or higher to make them inaccessible to children under three years of age, until the closet door lock can be repaired. Age Appropriate Outdoor Play Equipment: You plan to discuss this with the administrator and make a plan to either change the group of children that will use the play area to be infant up to 2 years of age or may consider moving the piece of equipment to another playground area. Consultation or other topics discussed today: You were encouraged to clean out refrigerators to avoid any food/milk products from being past their expiration dates. We reviewed the requirements that activity plans must be posted for review by parents or other visitors to the class. We discussed that in Room 201, that there is a dip in the floor that needs to have caution markings to prevent injury. Staff Lounge areas that have doorways into classrooms or hallways that are used by children, will need to be locked while children are in care. Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. Resuming Star Rated License Reassessment Information: As a reminder your facility is in Cohort 1 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2023, through June 30, 2024. Your child care program’s reassessment year will begin on July 1, 2024, through June 30, 2025. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, a handwritten visit summary was prepared, reviewed and a copy given to you for your records. You will receive a computer generated visit summary within 24 hours. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0902 · Violation
Name of Operation: CARVER HEAD START Facility ID: 81000052 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 9/25/2023 Number Present: 98 Completed Date: 9/25/2023 Age: From 0 To 5 Total Minutes: 350 Time In: 09:30 AM Time Out: 12:50 PM Time In: 02:15 PM Time Out: 04:45 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Dinah Brown, Child Care Consultant, accompanied me on the visit. Upon arrival you, Robin Tate, Program Design Management Coordinator, assisted me with the visit. A checklist was used to note the requirements we monitored today. Your program currently operates with a five star license effective July 18, 2018. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space, meets enhanced ratios minus one and children under 2 ½ year of age in rooms with direct exits only. The Rutherford County Schools are not listed on the Secretary of State website. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas and personal care routines. Infants were engaged in napping, and diapering routines. The caregivers were interacting and meeting the developmental needs for each of the children. The center's compliance history was at 78% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The Staff and Training Worksheets were not completed nor available during the annual compliance visit conducted today, therefore, an announced follow-up visit will be conducted on September 26, 2023 to review staff files and health and safety trainings. Any additional violation sited during the follow up visit will be added to the original Annual Compliance visit. A sample of eleven children’s files were reviewed. The last monthly fire drill was practiced on August 29, 2023. The Rutherford County Schools use a critical response plan in place of an EPR plan/drill. The last monthly playground inspection was completed on September 18, 2023. The most recent sanitation inspection for your facility was conducted on December 13, 2022. A superior sanitation classification was issued with four demerits. The most recent fire inspection for your facility was conducted on August 21, 2023. The facility was approved for day time care. The following violation(s) were observed and discussed with you today Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Six children were not signed out of Rm 111 morning wraparound care on 9/25/23. 10A NCAC 09 .0302(d)(4) 482 For children under three years of age, the caregiver did not provide developmentally appropriate activities that support health and physical development, on a daily basis. No activity plan was posted for children in Space #106 and Space #111. .0510(e)(4) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. No current menu was posted in the facility during the visit. 10A NCAC 09 .0901(b) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). In Space # 110, one 14 month old child did not have a feeding plan posted in Space # 110. 10A NCAC 09 .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space # 108, two bottles of Febreeze Air original, with double warnings, were in an unlocked cabinet. In Space # 202, there was one bottle of Cozy Evening body spray, one bottle of Butterfly body spray, one aerosol bottle of Frosted Cranberry air freshener, two bottles of Odo-Ban disinfectant, one aerosol bottle of Lysol on the go and one bottle of Good Scents put a lid on it spray, all with double warnings, were in an unlocked cabinet. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space # 202, there was one container of Goody powders over the counter medication, that belonged to a staff member, in an unlocked cabinet. 15A NCAC 18A .2820(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space # 110, a package of Cuties diapers was in plastic packaging with suffocation warnings and 3 rolls of changing table plastic rolls were in an unlocked cabinet under the changing table, accessible to children under three years of age. In Space # 301, one closet in the classroom was unlocked and had art supplies that were choking hazards, accessible to children under three years of age. .0604(q) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member hired 2/12/18 did not have verification of any trainings since 2021. .1103(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child enrolled 8/21/23 did not have a medical exam on file. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled 8/21/23 did not have immunizations on file. 10A NCAC 09 .0302(d)(2) 1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. One child enrolled in NC Pre K 8/21/23, did not have a completed health assessment and immunizations on file. .3005(a) 1864 Outdoor play equipment was not age and developmentally appropriate.The outdoor playground being used by children ages 2 and 3 years old, had a play structure labelled for use of children ages 6 months-23 months. .0605(a) 1889 Individuals that did not meet the staff qualifications as required by G.S. 110-91(8) did not submit to the Division documentation of completed coursework or credential to be considered for equivalency within six months of assuming duties. One staff member hired 2/12/18 last completed health and safety training 5/1/17. One staff member hired 10/1/97 last completed health and safety training 6/30/17. .0703(d) The violation(s) documented must be corrected immediately. On or before October 9, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Arrival/Departure Records: Specific arrival and departure times are needed to ensure safe tracking of the children. We discussed that children leaving the early morning wrap around care to go to their school day classroom will need to be signed out of their wrap around classroom and signed into care into their school day classroom by the staff responsible for taking children from one classroom program to another classroom program. 10A NCAC 09 .0302(d)(4) Menu: We reviewed requirements for posting the menu in the front of the center where parents can view. The menu must have a current date including the month, day, and year. 10A NCAC 09 .0901(b) Feeding Plan: Children under 15 months of age must have an individual written feeding plan. This plan must be followed at the center and posted. The plan must include the child's name, be signed by the parent or health care provider and be dated when received by the center. 10A NCAC 09 .0902 Hazardous Products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Items labeled “keep out of reach of children” with no other warnings can be stored five feet off the ground. Have teachers check the labels on all items to assure they are properly stored. 15A NCAC 18A .2820(b). In both classrooms, the hazardous products were moved to locked storage. This violation was corrected during the visit. Unlocked Medication: Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container. Teachers should keep their personal bags containing medication or hazardous items in locked storage at all times. 15A NCAC 18A.2820(d) The staff member’s Goody powders were moved to a locked cabinet. This violation was corrected during the visit. Plastic Packaging/Choking Hazards: Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. 10A NCAC 09 .0604(q) Space # 110 staff locked the cabinet under the changing table to make it inaccessible to children under three years of age. You reported that staff for Space #301 will move the choking hazards to 5 feet or higher to make them inaccessible to children under three years of age, until the closet door lock can be repaired. Age Appropriate Outdoor Play Equipment: You plan to discuss this with the administrator and make a plan to either change the group of children that will use the play area to be infant up to 2 years of age or may consider moving the piece of equipment to another playground area. Consultation or other topics discussed today: You were encouraged to clean out refrigerators to avoid any food/milk products from being past their expiration dates. We reviewed the requirements that activity plans must be posted for review by parents or other visitors to the class. We discussed that in Room 201, that there is a dip in the floor that needs to have caution markings to prevent injury. Staff Lounge areas that have doorways into classrooms or hallways that are used by children, will need to be locked while children are in care. Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. Resuming Star Rated License Reassessment Information: As a reminder your facility is in Cohort 1 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2023, through June 30, 2024. Your child care program’s reassessment year will begin on July 1, 2024, through June 30, 2025. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, a handwritten visit summary was prepared, reviewed and a copy given to you for your records. You will receive a computer generated visit summary within 24 hours. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
G.S. 110-91 · Violation
Name of Operation: CARVER HEAD START Facility ID: 81000052 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 9/25/2023 Number Present: 98 Completed Date: 9/25/2023 Age: From 0 To 5 Total Minutes: 350 Time In: 09:30 AM Time Out: 12:50 PM Time In: 02:15 PM Time Out: 04:45 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Dinah Brown, Child Care Consultant, accompanied me on the visit. Upon arrival you, Robin Tate, Program Design Management Coordinator, assisted me with the visit. A checklist was used to note the requirements we monitored today. Your program currently operates with a five star license effective July 18, 2018. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space, meets enhanced ratios minus one and children under 2 ½ year of age in rooms with direct exits only. The Rutherford County Schools are not listed on the Secretary of State website. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas and personal care routines. Infants were engaged in napping, and diapering routines. The caregivers were interacting and meeting the developmental needs for each of the children. The center's compliance history was at 78% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The Staff and Training Worksheets were not completed nor available during the annual compliance visit conducted today, therefore, an announced follow-up visit will be conducted on September 26, 2023 to review staff files and health and safety trainings. Any additional violation sited during the follow up visit will be added to the original Annual Compliance visit. A sample of eleven children’s files were reviewed. The last monthly fire drill was practiced on August 29, 2023. The Rutherford County Schools use a critical response plan in place of an EPR plan/drill. The last monthly playground inspection was completed on September 18, 2023. The most recent sanitation inspection for your facility was conducted on December 13, 2022. A superior sanitation classification was issued with four demerits. The most recent fire inspection for your facility was conducted on August 21, 2023. The facility was approved for day time care. The following violation(s) were observed and discussed with you today Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Six children were not signed out of Rm 111 morning wraparound care on 9/25/23. 10A NCAC 09 .0302(d)(4) 482 For children under three years of age, the caregiver did not provide developmentally appropriate activities that support health and physical development, on a daily basis. No activity plan was posted for children in Space #106 and Space #111. .0510(e)(4) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. No current menu was posted in the facility during the visit. 10A NCAC 09 .0901(b) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). In Space # 110, one 14 month old child did not have a feeding plan posted in Space # 110. 10A NCAC 09 .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space # 108, two bottles of Febreeze Air original, with double warnings, were in an unlocked cabinet. In Space # 202, there was one bottle of Cozy Evening body spray, one bottle of Butterfly body spray, one aerosol bottle of Frosted Cranberry air freshener, two bottles of Odo-Ban disinfectant, one aerosol bottle of Lysol on the go and one bottle of Good Scents put a lid on it spray, all with double warnings, were in an unlocked cabinet. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space # 202, there was one container of Goody powders over the counter medication, that belonged to a staff member, in an unlocked cabinet. 15A NCAC 18A .2820(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space # 110, a package of Cuties diapers was in plastic packaging with suffocation warnings and 3 rolls of changing table plastic rolls were in an unlocked cabinet under the changing table, accessible to children under three years of age. In Space # 301, one closet in the classroom was unlocked and had art supplies that were choking hazards, accessible to children under three years of age. .0604(q) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member hired 2/12/18 did not have verification of any trainings since 2021. .1103(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child enrolled 8/21/23 did not have a medical exam on file. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled 8/21/23 did not have immunizations on file. 10A NCAC 09 .0302(d)(2) 1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. One child enrolled in NC Pre K 8/21/23, did not have a completed health assessment and immunizations on file. .3005(a) 1864 Outdoor play equipment was not age and developmentally appropriate.The outdoor playground being used by children ages 2 and 3 years old, had a play structure labelled for use of children ages 6 months-23 months. .0605(a) 1889 Individuals that did not meet the staff qualifications as required by G.S. 110-91(8) did not submit to the Division documentation of completed coursework or credential to be considered for equivalency within six months of assuming duties. One staff member hired 2/12/18 last completed health and safety training 5/1/17. One staff member hired 10/1/97 last completed health and safety training 6/30/17. .0703(d) The violation(s) documented must be corrected immediately. On or before October 9, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Arrival/Departure Records: Specific arrival and departure times are needed to ensure safe tracking of the children. We discussed that children leaving the early morning wrap around care to go to their school day classroom will need to be signed out of their wrap around classroom and signed into care into their school day classroom by the staff responsible for taking children from one classroom program to another classroom program. 10A NCAC 09 .0302(d)(4) Menu: We reviewed requirements for posting the menu in the front of the center where parents can view. The menu must have a current date including the month, day, and year. 10A NCAC 09 .0901(b) Feeding Plan: Children under 15 months of age must have an individual written feeding plan. This plan must be followed at the center and posted. The plan must include the child's name, be signed by the parent or health care provider and be dated when received by the center. 10A NCAC 09 .0902 Hazardous Products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Items labeled “keep out of reach of children” with no other warnings can be stored five feet off the ground. Have teachers check the labels on all items to assure they are properly stored. 15A NCAC 18A .2820(b). In both classrooms, the hazardous products were moved to locked storage. This violation was corrected during the visit. Unlocked Medication: Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container. Teachers should keep their personal bags containing medication or hazardous items in locked storage at all times. 15A NCAC 18A.2820(d) The staff member’s Goody powders were moved to a locked cabinet. This violation was corrected during the visit. Plastic Packaging/Choking Hazards: Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. 10A NCAC 09 .0604(q) Space # 110 staff locked the cabinet under the changing table to make it inaccessible to children under three years of age. You reported that staff for Space #301 will move the choking hazards to 5 feet or higher to make them inaccessible to children under three years of age, until the closet door lock can be repaired. Age Appropriate Outdoor Play Equipment: You plan to discuss this with the administrator and make a plan to either change the group of children that will use the play area to be infant up to 2 years of age or may consider moving the piece of equipment to another playground area. Consultation or other topics discussed today: You were encouraged to clean out refrigerators to avoid any food/milk products from being past their expiration dates. We reviewed the requirements that activity plans must be posted for review by parents or other visitors to the class. We discussed that in Room 201, that there is a dip in the floor that needs to have caution markings to prevent injury. Staff Lounge areas that have doorways into classrooms or hallways that are used by children, will need to be locked while children are in care. Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. Resuming Star Rated License Reassessment Information: As a reminder your facility is in Cohort 1 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2023, through June 30, 2024. Your child care program’s reassessment year will begin on July 1, 2024, through June 30, 2025. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, a handwritten visit summary was prepared, reviewed and a copy given to you for your records. You will receive a computer generated visit summary within 24 hours. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
GS110-91 · Violation
Name of Operation: CARVER HEAD START Facility ID: 81000052 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 9/25/2023 Number Present: 98 Completed Date: 9/25/2023 Age: From 0 To 5 Total Minutes: 350 Time In: 09:30 AM Time Out: 12:50 PM Time In: 02:15 PM Time Out: 04:45 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Dinah Brown, Child Care Consultant, accompanied me on the visit. Upon arrival you, Robin Tate, Program Design Management Coordinator, assisted me with the visit. A checklist was used to note the requirements we monitored today. Your program currently operates with a five star license effective July 18, 2018. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space, meets enhanced ratios minus one and children under 2 ½ year of age in rooms with direct exits only. The Rutherford County Schools are not listed on the Secretary of State website. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas and personal care routines. Infants were engaged in napping, and diapering routines. The caregivers were interacting and meeting the developmental needs for each of the children. The center's compliance history was at 78% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The Staff and Training Worksheets were not completed nor available during the annual compliance visit conducted today, therefore, an announced follow-up visit will be conducted on September 26, 2023 to review staff files and health and safety trainings. Any additional violation sited during the follow up visit will be added to the original Annual Compliance visit. A sample of eleven children’s files were reviewed. The last monthly fire drill was practiced on August 29, 2023. The Rutherford County Schools use a critical response plan in place of an EPR plan/drill. The last monthly playground inspection was completed on September 18, 2023. The most recent sanitation inspection for your facility was conducted on December 13, 2022. A superior sanitation classification was issued with four demerits. The most recent fire inspection for your facility was conducted on August 21, 2023. The facility was approved for day time care. The following violation(s) were observed and discussed with you today Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Six children were not signed out of Rm 111 morning wraparound care on 9/25/23. 10A NCAC 09 .0302(d)(4) 482 For children under three years of age, the caregiver did not provide developmentally appropriate activities that support health and physical development, on a daily basis. No activity plan was posted for children in Space #106 and Space #111. .0510(e)(4) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. No current menu was posted in the facility during the visit. 10A NCAC 09 .0901(b) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). In Space # 110, one 14 month old child did not have a feeding plan posted in Space # 110. 10A NCAC 09 .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space # 108, two bottles of Febreeze Air original, with double warnings, were in an unlocked cabinet. In Space # 202, there was one bottle of Cozy Evening body spray, one bottle of Butterfly body spray, one aerosol bottle of Frosted Cranberry air freshener, two bottles of Odo-Ban disinfectant, one aerosol bottle of Lysol on the go and one bottle of Good Scents put a lid on it spray, all with double warnings, were in an unlocked cabinet. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space # 202, there was one container of Goody powders over the counter medication, that belonged to a staff member, in an unlocked cabinet. 15A NCAC 18A .2820(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space # 110, a package of Cuties diapers was in plastic packaging with suffocation warnings and 3 rolls of changing table plastic rolls were in an unlocked cabinet under the changing table, accessible to children under three years of age. In Space # 301, one closet in the classroom was unlocked and had art supplies that were choking hazards, accessible to children under three years of age. .0604(q) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member hired 2/12/18 did not have verification of any trainings since 2021. .1103(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child enrolled 8/21/23 did not have a medical exam on file. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled 8/21/23 did not have immunizations on file. 10A NCAC 09 .0302(d)(2) 1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. One child enrolled in NC Pre K 8/21/23, did not have a completed health assessment and immunizations on file. .3005(a) 1864 Outdoor play equipment was not age and developmentally appropriate.The outdoor playground being used by children ages 2 and 3 years old, had a play structure labelled for use of children ages 6 months-23 months. .0605(a) 1889 Individuals that did not meet the staff qualifications as required by G.S. 110-91(8) did not submit to the Division documentation of completed coursework or credential to be considered for equivalency within six months of assuming duties. One staff member hired 2/12/18 last completed health and safety training 5/1/17. One staff member hired 10/1/97 last completed health and safety training 6/30/17. .0703(d) The violation(s) documented must be corrected immediately. On or before October 9, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Arrival/Departure Records: Specific arrival and departure times are needed to ensure safe tracking of the children. We discussed that children leaving the early morning wrap around care to go to their school day classroom will need to be signed out of their wrap around classroom and signed into care into their school day classroom by the staff responsible for taking children from one classroom program to another classroom program. 10A NCAC 09 .0302(d)(4) Menu: We reviewed requirements for posting the menu in the front of the center where parents can view. The menu must have a current date including the month, day, and year. 10A NCAC 09 .0901(b) Feeding Plan: Children under 15 months of age must have an individual written feeding plan. This plan must be followed at the center and posted. The plan must include the child's name, be signed by the parent or health care provider and be dated when received by the center. 10A NCAC 09 .0902 Hazardous Products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Items labeled “keep out of reach of children” with no other warnings can be stored five feet off the ground. Have teachers check the labels on all items to assure they are properly stored. 15A NCAC 18A .2820(b). In both classrooms, the hazardous products were moved to locked storage. This violation was corrected during the visit. Unlocked Medication: Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container. Teachers should keep their personal bags containing medication or hazardous items in locked storage at all times. 15A NCAC 18A.2820(d) The staff member’s Goody powders were moved to a locked cabinet. This violation was corrected during the visit. Plastic Packaging/Choking Hazards: Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. 10A NCAC 09 .0604(q) Space # 110 staff locked the cabinet under the changing table to make it inaccessible to children under three years of age. You reported that staff for Space #301 will move the choking hazards to 5 feet or higher to make them inaccessible to children under three years of age, until the closet door lock can be repaired. Age Appropriate Outdoor Play Equipment: You plan to discuss this with the administrator and make a plan to either change the group of children that will use the play area to be infant up to 2 years of age or may consider moving the piece of equipment to another playground area. Consultation or other topics discussed today: You were encouraged to clean out refrigerators to avoid any food/milk products from being past their expiration dates. We reviewed the requirements that activity plans must be posted for review by parents or other visitors to the class. We discussed that in Room 201, that there is a dip in the floor that needs to have caution markings to prevent injury. Staff Lounge areas that have doorways into classrooms or hallways that are used by children, will need to be locked while children are in care. Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. Resuming Star Rated License Reassessment Information: As a reminder your facility is in Cohort 1 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2023, through June 30, 2024. Your child care program’s reassessment year will begin on July 1, 2024, through June 30, 2025. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, a handwritten visit summary was prepared, reviewed and a copy given to you for your records. You will receive a computer generated visit summary within 24 hours. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
NC GS 110-90 · Violation
Name of Operation: CARVER HEAD START Facility ID: 81000052 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 9/25/2023 Number Present: 98 Completed Date: 9/25/2023 Age: From 0 To 5 Total Minutes: 350 Time In: 09:30 AM Time Out: 12:50 PM Time In: 02:15 PM Time Out: 04:45 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Dinah Brown, Child Care Consultant, accompanied me on the visit. Upon arrival you, Robin Tate, Program Design Management Coordinator, assisted me with the visit. A checklist was used to note the requirements we monitored today. Your program currently operates with a five star license effective July 18, 2018. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space, meets enhanced ratios minus one and children under 2 ½ year of age in rooms with direct exits only. The Rutherford County Schools are not listed on the Secretary of State website. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas and personal care routines. Infants were engaged in napping, and diapering routines. The caregivers were interacting and meeting the developmental needs for each of the children. The center's compliance history was at 78% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The Staff and Training Worksheets were not completed nor available during the annual compliance visit conducted today, therefore, an announced follow-up visit will be conducted on September 26, 2023 to review staff files and health and safety trainings. Any additional violation sited during the follow up visit will be added to the original Annual Compliance visit. A sample of eleven children’s files were reviewed. The last monthly fire drill was practiced on August 29, 2023. The Rutherford County Schools use a critical response plan in place of an EPR plan/drill. The last monthly playground inspection was completed on September 18, 2023. The most recent sanitation inspection for your facility was conducted on December 13, 2022. A superior sanitation classification was issued with four demerits. The most recent fire inspection for your facility was conducted on August 21, 2023. The facility was approved for day time care. The following violation(s) were observed and discussed with you today Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Six children were not signed out of Rm 111 morning wraparound care on 9/25/23. 10A NCAC 09 .0302(d)(4) 482 For children under three years of age, the caregiver did not provide developmentally appropriate activities that support health and physical development, on a daily basis. No activity plan was posted for children in Space #106 and Space #111. .0510(e)(4) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. No current menu was posted in the facility during the visit. 10A NCAC 09 .0901(b) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). In Space # 110, one 14 month old child did not have a feeding plan posted in Space # 110. 10A NCAC 09 .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space # 108, two bottles of Febreeze Air original, with double warnings, were in an unlocked cabinet. In Space # 202, there was one bottle of Cozy Evening body spray, one bottle of Butterfly body spray, one aerosol bottle of Frosted Cranberry air freshener, two bottles of Odo-Ban disinfectant, one aerosol bottle of Lysol on the go and one bottle of Good Scents put a lid on it spray, all with double warnings, were in an unlocked cabinet. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space # 202, there was one container of Goody powders over the counter medication, that belonged to a staff member, in an unlocked cabinet. 15A NCAC 18A .2820(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space # 110, a package of Cuties diapers was in plastic packaging with suffocation warnings and 3 rolls of changing table plastic rolls were in an unlocked cabinet under the changing table, accessible to children under three years of age. In Space # 301, one closet in the classroom was unlocked and had art supplies that were choking hazards, accessible to children under three years of age. .0604(q) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member hired 2/12/18 did not have verification of any trainings since 2021. .1103(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child enrolled 8/21/23 did not have a medical exam on file. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled 8/21/23 did not have immunizations on file. 10A NCAC 09 .0302(d)(2) 1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. One child enrolled in NC Pre K 8/21/23, did not have a completed health assessment and immunizations on file. .3005(a) 1864 Outdoor play equipment was not age and developmentally appropriate.The outdoor playground being used by children ages 2 and 3 years old, had a play structure labelled for use of children ages 6 months-23 months. .0605(a) 1889 Individuals that did not meet the staff qualifications as required by G.S. 110-91(8) did not submit to the Division documentation of completed coursework or credential to be considered for equivalency within six months of assuming duties. One staff member hired 2/12/18 last completed health and safety training 5/1/17. One staff member hired 10/1/97 last completed health and safety training 6/30/17. .0703(d) The violation(s) documented must be corrected immediately. On or before October 9, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Arrival/Departure Records: Specific arrival and departure times are needed to ensure safe tracking of the children. We discussed that children leaving the early morning wrap around care to go to their school day classroom will need to be signed out of their wrap around classroom and signed into care into their school day classroom by the staff responsible for taking children from one classroom program to another classroom program. 10A NCAC 09 .0302(d)(4) Menu: We reviewed requirements for posting the menu in the front of the center where parents can view. The menu must have a current date including the month, day, and year. 10A NCAC 09 .0901(b) Feeding Plan: Children under 15 months of age must have an individual written feeding plan. This plan must be followed at the center and posted. The plan must include the child's name, be signed by the parent or health care provider and be dated when received by the center. 10A NCAC 09 .0902 Hazardous Products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Items labeled “keep out of reach of children” with no other warnings can be stored five feet off the ground. Have teachers check the labels on all items to assure they are properly stored. 15A NCAC 18A .2820(b). In both classrooms, the hazardous products were moved to locked storage. This violation was corrected during the visit. Unlocked Medication: Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container. Teachers should keep their personal bags containing medication or hazardous items in locked storage at all times. 15A NCAC 18A.2820(d) The staff member’s Goody powders were moved to a locked cabinet. This violation was corrected during the visit. Plastic Packaging/Choking Hazards: Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. 10A NCAC 09 .0604(q) Space # 110 staff locked the cabinet under the changing table to make it inaccessible to children under three years of age. You reported that staff for Space #301 will move the choking hazards to 5 feet or higher to make them inaccessible to children under three years of age, until the closet door lock can be repaired. Age Appropriate Outdoor Play Equipment: You plan to discuss this with the administrator and make a plan to either change the group of children that will use the play area to be infant up to 2 years of age or may consider moving the piece of equipment to another playground area. Consultation or other topics discussed today: You were encouraged to clean out refrigerators to avoid any food/milk products from being past their expiration dates. We reviewed the requirements that activity plans must be posted for review by parents or other visitors to the class. We discussed that in Room 201, that there is a dip in the floor that needs to have caution markings to prevent injury. Staff Lounge areas that have doorways into classrooms or hallways that are used by children, will need to be locked while children are in care. Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. Resuming Star Rated License Reassessment Information: As a reminder your facility is in Cohort 1 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2023, through June 30, 2024. Your child care program’s reassessment year will begin on July 1, 2024, through June 30, 2025. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, a handwritten visit summary was prepared, reviewed and a copy given to you for your records. You will receive a computer generated visit summary within 24 hours. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
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