10A NCAC 09 .0601 · Violation

Name of Operation: JULIA HAMMOND'S HEAD START Facility ID: 3355033 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 11/14/2024 Number Present: 11 Completed Date: 11/14/2024 Age: From 1 To 3 Total Minutes: 110 Time In: 08:10 AM Time Out: 10:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements during a routine unannounced visit. T. Avery, Administrator assisted with the visit. Eleven (11) children were observed in care today ranging from ages one to three years old. Children were engaged in morning activities, free-choice play, completing toileting, diapering, and hand washing routines, interacting with the caregiver and eating breakfast. Breakfast consisted of bagels, apples and milk. Currently this program operates with a five-star License earning seven points in education, six points in program standards and one quality point for offering a staff benefits package and infrastructure of parent involvement. The following violations were documented today. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Four tubes of toothpaste labeled “keep out of reach of children was observed in an unlocked drawer less than 5ft. from the finished floor and accessible to children. 10A NCAC 09 .0601(a) 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. Plastic bags were in the refrigerator and unlocked cabinet accessible to children in Space #1. .0604(q) The violations documented were corrected during the visit. The toothpaste was removed from the drawer and placed on a shelf higher than 5ft from the finished floor. The plastic bags were removed from the refrigerator and made inaccessible to children. You stated you understand the environment must remain safe for children in care. COMPLIANCE HISTORY: The program's compliance history was reviewed with the operator. The program’s compliance history was 94% percent as of November 28, 2024. CORPORATION STATUS: Nash Edgecombe Wilson Community Action, Inc. is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Nash Edgecombe Wilson Community Action, Inc. remains current and active. I reminded you the corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You stated the mailing address, phone number and email address listed for your program are correct. If changes in your facility information occurs, please contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure the information is updated in the system. STAFF/CHILD INTERACTIONS: Children were observed serving and eating breakfast. Food was placed on the tables and children in Space #2 were allowed to serve themselves. Children were allowed to clean up their spaces and place their cups in the refrigerator independently. Staff interacted with children while eating. Younger children in Space #1 were constantly reminded and reassured they were in a safe space and visitors were their friends. Staff in Space #1 sat on the floor near children and assisted while eating breakfast. Children played in various interest areas using developmentally age-appropriate materials. Diaper changing was observed. The step for wiping the child and staff member’s hand with a clean wipe prior to putting on the clean diaper was skipped. We discussed ensuring staff complete the diaper changing process as required step by step. Staff can refer to diaper changing chart for reference to ensure all steps are followed. Children were cared for in a safe and nurturing environment. SAFE ENVIRONMENT: I informed you plastic bags should be stored in spaces inaccessible to children under the age of three. Also, items labeled “keep out of reach of children must be stored at least 5ft. from the finished floor. It was recommended reading labels of items brought into the classroom to ensure they are stored correctly. Be reminded you and staff are responsible for always providing a safe environment for children in care. 2024 ANNUAL LICENSE FEE INVOICES: COMING SOON! Keep an eye on your inbox for the 2024 annual license fee invoice. Invoices will be emailed to the facility addresses on file by November 30, 2024. Online payments will be due by December 31, 2024. In accordance with North Carolina General Statute § 110-90(1a), licensed child care facilities are assessed an annual license fee. The amount of your annual license fee is based on the licensed capacity printed on your license as of October 1, 2024, not the number of children enrolled at your facility. Please note that annual license fees do not apply to state or public school-operated child care facilities, or to religious-sponsored facilities operating under a Notice of Compliance. The Division of Child Development and Early Education remains available to assist you. For questions regarding license fees, visit the Frequently Asked Questions (FAQs) on our website. For further assistance regarding your annual license fee, please email DCDEE_LF@dhhs.nc.gov. Thank you for your continued partnership! IMMUNIZATION REPORT: The reporting period for child care immunizations is now open. Reporting for 2024-2025 has been extended due to Hurricane Helene. Children have a grace period from requirements until November 30, 2024, and reports will be accepted until January 15, 2025. Click here to submit your report. The Immunization Branch will host a webinar 11/13/24 at 1pm ET to provide instructions and answer questions on reporting. Register here in advance to attend. Send any questions regarding child care immunization reporting to immunization.reports@dhhs.nc.gov. QUALITY RATING IMPROVEMENT SYSTEM: The Governor signed Senate Bill 425 (now Session Law 2024-34), Health and Human Services Omnibus Bill, which includes the Quality Rating Improvement System (QRIS) Modifications recommended to the Legislature by the NC Child Care Commission to update QRIS and create additional pathways for licensed child care facilities to earn star rated licenses. Hold Harmless provisions have been extended and star rated license assessments for licensed child care providers will be conducted by provider request only, until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. This legislation also provides a pathway for child care programs currently accredited through the approved accrediting bodies to move to a 3 or 5 star license if they are not already at this star level. Providers will need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form QRIS UPDATE: GET READY for the 3’s Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. CRIMINAL BACKGROUND REQUIREMENTS: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. TAKE THE EARLY EDUCATORS CERTIFICATION/ENDORSEMENT SURVEY: The NC Institute for Child Development Professionals needs your help! Please complete the Early Educator Certification (EEC)/Endorsement Survey. Your input is needed to help them plan next steps for the Early Educator Certification System. EEC is a professional recognition system developed by and for the early childhood workforce. Since 1993, the NC Institute for Child Development Professionals (NCICDP or Institute) has been cultivating a high performing professional development system and fair compensation for all early childhood educators. Take the survey on surveymonkey.com: https://www.surveymonkey.com/r/SJYY87G Information was retrieved form the Raising North Carolina newsletter. At the conclusion of today’s visit, the visit summary report was completed, reviewed, and left with you. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-90 · Violation

Name of Operation: JULIA HAMMOND'S HEAD START Facility ID: 3355033 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 11/14/2024 Number Present: 11 Completed Date: 11/14/2024 Age: From 1 To 3 Total Minutes: 110 Time In: 08:10 AM Time Out: 10:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements during a routine unannounced visit. T. Avery, Administrator assisted with the visit. Eleven (11) children were observed in care today ranging from ages one to three years old. Children were engaged in morning activities, free-choice play, completing toileting, diapering, and hand washing routines, interacting with the caregiver and eating breakfast. Breakfast consisted of bagels, apples and milk. Currently this program operates with a five-star License earning seven points in education, six points in program standards and one quality point for offering a staff benefits package and infrastructure of parent involvement. The following violations were documented today. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Four tubes of toothpaste labeled “keep out of reach of children was observed in an unlocked drawer less than 5ft. from the finished floor and accessible to children. 10A NCAC 09 .0601(a) 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. Plastic bags were in the refrigerator and unlocked cabinet accessible to children in Space #1. .0604(q) The violations documented were corrected during the visit. The toothpaste was removed from the drawer and placed on a shelf higher than 5ft from the finished floor. The plastic bags were removed from the refrigerator and made inaccessible to children. You stated you understand the environment must remain safe for children in care. COMPLIANCE HISTORY: The program's compliance history was reviewed with the operator. The program’s compliance history was 94% percent as of November 28, 2024. CORPORATION STATUS: Nash Edgecombe Wilson Community Action, Inc. is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Nash Edgecombe Wilson Community Action, Inc. remains current and active. I reminded you the corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You stated the mailing address, phone number and email address listed for your program are correct. If changes in your facility information occurs, please contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure the information is updated in the system. STAFF/CHILD INTERACTIONS: Children were observed serving and eating breakfast. Food was placed on the tables and children in Space #2 were allowed to serve themselves. Children were allowed to clean up their spaces and place their cups in the refrigerator independently. Staff interacted with children while eating. Younger children in Space #1 were constantly reminded and reassured they were in a safe space and visitors were their friends. Staff in Space #1 sat on the floor near children and assisted while eating breakfast. Children played in various interest areas using developmentally age-appropriate materials. Diaper changing was observed. The step for wiping the child and staff member’s hand with a clean wipe prior to putting on the clean diaper was skipped. We discussed ensuring staff complete the diaper changing process as required step by step. Staff can refer to diaper changing chart for reference to ensure all steps are followed. Children were cared for in a safe and nurturing environment. SAFE ENVIRONMENT: I informed you plastic bags should be stored in spaces inaccessible to children under the age of three. Also, items labeled “keep out of reach of children must be stored at least 5ft. from the finished floor. It was recommended reading labels of items brought into the classroom to ensure they are stored correctly. Be reminded you and staff are responsible for always providing a safe environment for children in care. 2024 ANNUAL LICENSE FEE INVOICES: COMING SOON! Keep an eye on your inbox for the 2024 annual license fee invoice. Invoices will be emailed to the facility addresses on file by November 30, 2024. Online payments will be due by December 31, 2024. In accordance with North Carolina General Statute § 110-90(1a), licensed child care facilities are assessed an annual license fee. The amount of your annual license fee is based on the licensed capacity printed on your license as of October 1, 2024, not the number of children enrolled at your facility. Please note that annual license fees do not apply to state or public school-operated child care facilities, or to religious-sponsored facilities operating under a Notice of Compliance. The Division of Child Development and Early Education remains available to assist you. For questions regarding license fees, visit the Frequently Asked Questions (FAQs) on our website. For further assistance regarding your annual license fee, please email DCDEE_LF@dhhs.nc.gov. Thank you for your continued partnership! IMMUNIZATION REPORT: The reporting period for child care immunizations is now open. Reporting for 2024-2025 has been extended due to Hurricane Helene. Children have a grace period from requirements until November 30, 2024, and reports will be accepted until January 15, 2025. Click here to submit your report. The Immunization Branch will host a webinar 11/13/24 at 1pm ET to provide instructions and answer questions on reporting. Register here in advance to attend. Send any questions regarding child care immunization reporting to immunization.reports@dhhs.nc.gov. QUALITY RATING IMPROVEMENT SYSTEM: The Governor signed Senate Bill 425 (now Session Law 2024-34), Health and Human Services Omnibus Bill, which includes the Quality Rating Improvement System (QRIS) Modifications recommended to the Legislature by the NC Child Care Commission to update QRIS and create additional pathways for licensed child care facilities to earn star rated licenses. Hold Harmless provisions have been extended and star rated license assessments for licensed child care providers will be conducted by provider request only, until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. This legislation also provides a pathway for child care programs currently accredited through the approved accrediting bodies to move to a 3 or 5 star license if they are not already at this star level. Providers will need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form QRIS UPDATE: GET READY for the 3’s Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. CRIMINAL BACKGROUND REQUIREMENTS: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. TAKE THE EARLY EDUCATORS CERTIFICATION/ENDORSEMENT SURVEY: The NC Institute for Child Development Professionals needs your help! Please complete the Early Educator Certification (EEC)/Endorsement Survey. Your input is needed to help them plan next steps for the Early Educator Certification System. EEC is a professional recognition system developed by and for the early childhood workforce. Since 1993, the NC Institute for Child Development Professionals (NCICDP or Institute) has been cultivating a high performing professional development system and fair compensation for all early childhood educators. Take the survey on surveymonkey.com: https://www.surveymonkey.com/r/SJYY87G Information was retrieved form the Raising North Carolina newsletter. At the conclusion of today’s visit, the visit summary report was completed, reviewed, and left with you. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0902 · Violation

Name of Operation: JULIA HAMMOND'S HEAD START Facility ID: 3355033 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 5/28/2024 Number Present: 10 Completed Date: 5/28/2024 Age: From 0 To 2 Total Minutes: 175 Time In: 09:50 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor this program for compliance with applicable child care requirements during an annual compliance visit. T. Avery, Administrator assisted with the visit. This center currently operates with a five-star license, earning seven points in staff education, six points in program standards and one quality point for offering a staff benefits package and infrastructure of parent involvement. The center’s last annual compliance visit was completed on September 12, 2023. The sanitation inspection was completed on May 7, 2024, earning a “Superior” classification. The fire inspection was completed on April 29, 2024, and the center was approved for daytime care only. The center continues to meet enhanced space and enhanced ratios. Ten (10) children were observed in care today. Children were engaged in outdoor play, free choice play, completing toileting, diapering, and hand washing routines, napping, interacting with caregivers and eating lunch. Lunch consisted of cheeseburgers, potato wedges, seasoned apples and milk. Infants were served formula for meals. The following violations were documented. 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. Departure times were not documented for two children present on May 14, 2024. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. An activity plan was not posted in Space #2 during the observation. GS 110-91(12); .0508(a) 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) Documentation of an infant feeding plan was not on file for an eight month old infant enrolled. 10A NCAC 09 .0902(a) 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. Documentation was not on file verifying caregivers conducted visual safe sleep checks for infants enrolled. .0606(g) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Documentation was not on file verifying the programs operational policies were reviewed with the parent of one child enrolled. 10A NCAC 09 .0514(b) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before June 11, 2024. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. The center’s compliance history score was reviewed with the operator. The program’s compliance history was 100% as of May 27, 2024. CORPORATION STATUS: Nash Edgecombe Wilson Community Action, Inc is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Nash Edgecombe Wilson Community Action, Inc remains current and active. I reminded you the corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You verified the phone number email address and mailing address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. ARRIVAL/DEPARTURE: Departure times were not documented on May 14, 2024, for two children on enrolled. I informed you arrival and departure times must be documented when children enter the center and depart at the end of the day. It is your responsibility to maintain accurate records. SAFE SLEEP CHECKS: Safe sleep checks were not completed for infants under the age of twelve months. I assisted you with finding the safe sleep forms from the Division’s website. You printed a copy of the safe sleep check form and we reviewed how to complete it with staff during the visit. I advised staff to begin a safe sleep check form for the nine-month-old infant observed napping upon arrival. Be reminded visual safe sleep checks should be completed every fifteen minutes for infants twelve months and under. Information of the visual safe sleep checks should be recorded on the safe sleep check form for each child. Thirty days of safe sleep check records for each child should be retained for monitoring. INFANT FEEDING PLAN: An infant feeding plan was not on file for one child enrolled. I assisted you with finding the infant feeding plan form from the Division’s website. You stated the plan would be completed by the parent immediately and placed in the child’s file. A checklist should be used to help ensure required documents are completed by parents during enrollment and placed in chldren's files. RECORDKEEPING: An infant feeding plan was not on file for one child enrolled. I recommended you utilize the children’s file checklist when setting children records upon enrollment to ensure required documentation is received and placed in the file. A review of the files should be completed periodically to ensure they remain in compliance with recordkeeping requirements. RATED LICENSE ASSESSMENT: Your facility is in cohort one; therefore, your reassessment year will begin July 1, 2024. If possible, the reassessment will be aligned with your annual compliance visit timeframe. I recommended you consider completing the following tasks and activities that will help prepare you for your reassessment: •Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) •Request technical assistance with your child care consultant and local partners •Participate in local CCR&R and NCPC quality related training/workshops •Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. I will reach out to you to start the rated license and environment rating scale assessment process in the upcoming months. If you have questions about the rated license process, contact me to further discuss. LEAD WATER/PAINT AND ASBESTOS: We discussed the rule requirements and information concerning Lead in Water/Paint and Asbestos. The Clean Water for Carolina Kids program is expanding to the Clean Classrooms for Carolina Kids program. This is a legislatively mandated effort to address lead and asbestos hazards in North Carolina public schools, licensed child care centers, and licensed family child care homes. Participation allows facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. Rules 10A NCAC 41C .1001 through .1007 require all programs to be free of lead and asbestos hazards. RTI is coordinating all the lead in water, paint and asbestos testing and remediation. There are webinars that child care providers can watch to get instructions. Go to https://www.cleanwaterforuskids.org/en/carolina/ for more information. Currently operating child care facilities are required to test for lead in paint and asbestos once unless the consultant notes a concern during a visit and refers the program to environmental health. All existing licensed programs must complete the registration and application summary for their program regarding lead paint and asbestos by May 1, 2024. The application is on the https://www.cleanwaterforuskids.org/en/carolina/ website. CHILD CARE RULE UPDATES EFFECTIVE JANUARY 2024: Please ensure you are using the updated rule book dated January 1, 2024, and review information in the DCDEE Moodle regarding the updated rule changes. You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. PROVIDER ACCESS to the BACKGROUND CHECK MANAGEMENT SYSTEM DCDEE has launched the Provider Portal for ABCMS effective February 1, 2024. This access will allow providers to: •See applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster •See the real-time background check status of staff members •Run a printable report of the staff roster to assist with compliance visits To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. The training consists of watching a short video then taking a test about the video. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. We will grant your access within 2 business days. Please do not use this email account to ask background check questions. If you have general questions, please continue to use DHHS.CBC.Unit@dhhs.nc.gov. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0302 · Violation

Name of Operation: JULIA HAMMOND'S HEAD START Facility ID: 3355033 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 5/28/2024 Number Present: 10 Completed Date: 5/28/2024 Age: From 0 To 2 Total Minutes: 175 Time In: 09:50 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor this program for compliance with applicable child care requirements during an annual compliance visit. T. Avery, Administrator assisted with the visit. This center currently operates with a five-star license, earning seven points in staff education, six points in program standards and one quality point for offering a staff benefits package and infrastructure of parent involvement. The center’s last annual compliance visit was completed on September 12, 2023. The sanitation inspection was completed on May 7, 2024, earning a “Superior” classification. The fire inspection was completed on April 29, 2024, and the center was approved for daytime care only. The center continues to meet enhanced space and enhanced ratios. Ten (10) children were observed in care today. Children were engaged in outdoor play, free choice play, completing toileting, diapering, and hand washing routines, napping, interacting with caregivers and eating lunch. Lunch consisted of cheeseburgers, potato wedges, seasoned apples and milk. Infants were served formula for meals. The following violations were documented. 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. Departure times were not documented for two children present on May 14, 2024. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. An activity plan was not posted in Space #2 during the observation. GS 110-91(12); .0508(a) 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) Documentation of an infant feeding plan was not on file for an eight month old infant enrolled. 10A NCAC 09 .0902(a) 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. Documentation was not on file verifying caregivers conducted visual safe sleep checks for infants enrolled. .0606(g) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Documentation was not on file verifying the programs operational policies were reviewed with the parent of one child enrolled. 10A NCAC 09 .0514(b) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before June 11, 2024. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. The center’s compliance history score was reviewed with the operator. The program’s compliance history was 100% as of May 27, 2024. CORPORATION STATUS: Nash Edgecombe Wilson Community Action, Inc is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Nash Edgecombe Wilson Community Action, Inc remains current and active. I reminded you the corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You verified the phone number email address and mailing address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. ARRIVAL/DEPARTURE: Departure times were not documented on May 14, 2024, for two children on enrolled. I informed you arrival and departure times must be documented when children enter the center and depart at the end of the day. It is your responsibility to maintain accurate records. SAFE SLEEP CHECKS: Safe sleep checks were not completed for infants under the age of twelve months. I assisted you with finding the safe sleep forms from the Division’s website. You printed a copy of the safe sleep check form and we reviewed how to complete it with staff during the visit. I advised staff to begin a safe sleep check form for the nine-month-old infant observed napping upon arrival. Be reminded visual safe sleep checks should be completed every fifteen minutes for infants twelve months and under. Information of the visual safe sleep checks should be recorded on the safe sleep check form for each child. Thirty days of safe sleep check records for each child should be retained for monitoring. INFANT FEEDING PLAN: An infant feeding plan was not on file for one child enrolled. I assisted you with finding the infant feeding plan form from the Division’s website. You stated the plan would be completed by the parent immediately and placed in the child’s file. A checklist should be used to help ensure required documents are completed by parents during enrollment and placed in chldren's files. RECORDKEEPING: An infant feeding plan was not on file for one child enrolled. I recommended you utilize the children’s file checklist when setting children records upon enrollment to ensure required documentation is received and placed in the file. A review of the files should be completed periodically to ensure they remain in compliance with recordkeeping requirements. RATED LICENSE ASSESSMENT: Your facility is in cohort one; therefore, your reassessment year will begin July 1, 2024. If possible, the reassessment will be aligned with your annual compliance visit timeframe. I recommended you consider completing the following tasks and activities that will help prepare you for your reassessment: •Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) •Request technical assistance with your child care consultant and local partners •Participate in local CCR&R and NCPC quality related training/workshops •Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. I will reach out to you to start the rated license and environment rating scale assessment process in the upcoming months. If you have questions about the rated license process, contact me to further discuss. LEAD WATER/PAINT AND ASBESTOS: We discussed the rule requirements and information concerning Lead in Water/Paint and Asbestos. The Clean Water for Carolina Kids program is expanding to the Clean Classrooms for Carolina Kids program. This is a legislatively mandated effort to address lead and asbestos hazards in North Carolina public schools, licensed child care centers, and licensed family child care homes. Participation allows facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. Rules 10A NCAC 41C .1001 through .1007 require all programs to be free of lead and asbestos hazards. RTI is coordinating all the lead in water, paint and asbestos testing and remediation. There are webinars that child care providers can watch to get instructions. Go to https://www.cleanwaterforuskids.org/en/carolina/ for more information. Currently operating child care facilities are required to test for lead in paint and asbestos once unless the consultant notes a concern during a visit and refers the program to environmental health. All existing licensed programs must complete the registration and application summary for their program regarding lead paint and asbestos by May 1, 2024. The application is on the https://www.cleanwaterforuskids.org/en/carolina/ website. CHILD CARE RULE UPDATES EFFECTIVE JANUARY 2024: Please ensure you are using the updated rule book dated January 1, 2024, and review information in the DCDEE Moodle regarding the updated rule changes. You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. PROVIDER ACCESS to the BACKGROUND CHECK MANAGEMENT SYSTEM DCDEE has launched the Provider Portal for ABCMS effective February 1, 2024. This access will allow providers to: •See applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster •See the real-time background check status of staff members •Run a printable report of the staff roster to assist with compliance visits To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. The training consists of watching a short video then taking a test about the video. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. We will grant your access within 2 business days. Please do not use this email account to ask background check questions. If you have general questions, please continue to use DHHS.CBC.Unit@dhhs.nc.gov. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0514 · Violation

Name of Operation: JULIA HAMMOND'S HEAD START Facility ID: 3355033 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 5/28/2024 Number Present: 10 Completed Date: 5/28/2024 Age: From 0 To 2 Total Minutes: 175 Time In: 09:50 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor this program for compliance with applicable child care requirements during an annual compliance visit. T. Avery, Administrator assisted with the visit. This center currently operates with a five-star license, earning seven points in staff education, six points in program standards and one quality point for offering a staff benefits package and infrastructure of parent involvement. The center’s last annual compliance visit was completed on September 12, 2023. The sanitation inspection was completed on May 7, 2024, earning a “Superior” classification. The fire inspection was completed on April 29, 2024, and the center was approved for daytime care only. The center continues to meet enhanced space and enhanced ratios. Ten (10) children were observed in care today. Children were engaged in outdoor play, free choice play, completing toileting, diapering, and hand washing routines, napping, interacting with caregivers and eating lunch. Lunch consisted of cheeseburgers, potato wedges, seasoned apples and milk. Infants were served formula for meals. The following violations were documented. 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. Departure times were not documented for two children present on May 14, 2024. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. An activity plan was not posted in Space #2 during the observation. GS 110-91(12); .0508(a) 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) Documentation of an infant feeding plan was not on file for an eight month old infant enrolled. 10A NCAC 09 .0902(a) 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. Documentation was not on file verifying caregivers conducted visual safe sleep checks for infants enrolled. .0606(g) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Documentation was not on file verifying the programs operational policies were reviewed with the parent of one child enrolled. 10A NCAC 09 .0514(b) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before June 11, 2024. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. The center’s compliance history score was reviewed with the operator. The program’s compliance history was 100% as of May 27, 2024. CORPORATION STATUS: Nash Edgecombe Wilson Community Action, Inc is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Nash Edgecombe Wilson Community Action, Inc remains current and active. I reminded you the corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You verified the phone number email address and mailing address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. ARRIVAL/DEPARTURE: Departure times were not documented on May 14, 2024, for two children on enrolled. I informed you arrival and departure times must be documented when children enter the center and depart at the end of the day. It is your responsibility to maintain accurate records. SAFE SLEEP CHECKS: Safe sleep checks were not completed for infants under the age of twelve months. I assisted you with finding the safe sleep forms from the Division’s website. You printed a copy of the safe sleep check form and we reviewed how to complete it with staff during the visit. I advised staff to begin a safe sleep check form for the nine-month-old infant observed napping upon arrival. Be reminded visual safe sleep checks should be completed every fifteen minutes for infants twelve months and under. Information of the visual safe sleep checks should be recorded on the safe sleep check form for each child. Thirty days of safe sleep check records for each child should be retained for monitoring. INFANT FEEDING PLAN: An infant feeding plan was not on file for one child enrolled. I assisted you with finding the infant feeding plan form from the Division’s website. You stated the plan would be completed by the parent immediately and placed in the child’s file. A checklist should be used to help ensure required documents are completed by parents during enrollment and placed in chldren's files. RECORDKEEPING: An infant feeding plan was not on file for one child enrolled. I recommended you utilize the children’s file checklist when setting children records upon enrollment to ensure required documentation is received and placed in the file. A review of the files should be completed periodically to ensure they remain in compliance with recordkeeping requirements. RATED LICENSE ASSESSMENT: Your facility is in cohort one; therefore, your reassessment year will begin July 1, 2024. If possible, the reassessment will be aligned with your annual compliance visit timeframe. I recommended you consider completing the following tasks and activities that will help prepare you for your reassessment: •Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) •Request technical assistance with your child care consultant and local partners •Participate in local CCR&R and NCPC quality related training/workshops •Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. I will reach out to you to start the rated license and environment rating scale assessment process in the upcoming months. If you have questions about the rated license process, contact me to further discuss. LEAD WATER/PAINT AND ASBESTOS: We discussed the rule requirements and information concerning Lead in Water/Paint and Asbestos. The Clean Water for Carolina Kids program is expanding to the Clean Classrooms for Carolina Kids program. This is a legislatively mandated effort to address lead and asbestos hazards in North Carolina public schools, licensed child care centers, and licensed family child care homes. Participation allows facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. Rules 10A NCAC 41C .1001 through .1007 require all programs to be free of lead and asbestos hazards. RTI is coordinating all the lead in water, paint and asbestos testing and remediation. There are webinars that child care providers can watch to get instructions. Go to https://www.cleanwaterforuskids.org/en/carolina/ for more information. Currently operating child care facilities are required to test for lead in paint and asbestos once unless the consultant notes a concern during a visit and refers the program to environmental health. All existing licensed programs must complete the registration and application summary for their program regarding lead paint and asbestos by May 1, 2024. The application is on the https://www.cleanwaterforuskids.org/en/carolina/ website. CHILD CARE RULE UPDATES EFFECTIVE JANUARY 2024: Please ensure you are using the updated rule book dated January 1, 2024, and review information in the DCDEE Moodle regarding the updated rule changes. You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. PROVIDER ACCESS to the BACKGROUND CHECK MANAGEMENT SYSTEM DCDEE has launched the Provider Portal for ABCMS effective February 1, 2024. This access will allow providers to: •See applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster •See the real-time background check status of staff members •Run a printable report of the staff roster to assist with compliance visits To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. The training consists of watching a short video then taking a test about the video. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. We will grant your access within 2 business days. Please do not use this email account to ask background check questions. If you have general questions, please continue to use DHHS.CBC.Unit@dhhs.nc.gov. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: JULIA HAMMOND'S HEAD START Facility ID: 3355033 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 5/28/2024 Number Present: 10 Completed Date: 5/28/2024 Age: From 0 To 2 Total Minutes: 175 Time In: 09:50 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor this program for compliance with applicable child care requirements during an annual compliance visit. T. Avery, Administrator assisted with the visit. This center currently operates with a five-star license, earning seven points in staff education, six points in program standards and one quality point for offering a staff benefits package and infrastructure of parent involvement. The center’s last annual compliance visit was completed on September 12, 2023. The sanitation inspection was completed on May 7, 2024, earning a “Superior” classification. The fire inspection was completed on April 29, 2024, and the center was approved for daytime care only. The center continues to meet enhanced space and enhanced ratios. Ten (10) children were observed in care today. Children were engaged in outdoor play, free choice play, completing toileting, diapering, and hand washing routines, napping, interacting with caregivers and eating lunch. Lunch consisted of cheeseburgers, potato wedges, seasoned apples and milk. Infants were served formula for meals. The following violations were documented. 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. Departure times were not documented for two children present on May 14, 2024. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. An activity plan was not posted in Space #2 during the observation. GS 110-91(12); .0508(a) 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) Documentation of an infant feeding plan was not on file for an eight month old infant enrolled. 10A NCAC 09 .0902(a) 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. Documentation was not on file verifying caregivers conducted visual safe sleep checks for infants enrolled. .0606(g) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Documentation was not on file verifying the programs operational policies were reviewed with the parent of one child enrolled. 10A NCAC 09 .0514(b) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before June 11, 2024. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. The center’s compliance history score was reviewed with the operator. The program’s compliance history was 100% as of May 27, 2024. CORPORATION STATUS: Nash Edgecombe Wilson Community Action, Inc is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Nash Edgecombe Wilson Community Action, Inc remains current and active. I reminded you the corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You verified the phone number email address and mailing address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. ARRIVAL/DEPARTURE: Departure times were not documented on May 14, 2024, for two children on enrolled. I informed you arrival and departure times must be documented when children enter the center and depart at the end of the day. It is your responsibility to maintain accurate records. SAFE SLEEP CHECKS: Safe sleep checks were not completed for infants under the age of twelve months. I assisted you with finding the safe sleep forms from the Division’s website. You printed a copy of the safe sleep check form and we reviewed how to complete it with staff during the visit. I advised staff to begin a safe sleep check form for the nine-month-old infant observed napping upon arrival. Be reminded visual safe sleep checks should be completed every fifteen minutes for infants twelve months and under. Information of the visual safe sleep checks should be recorded on the safe sleep check form for each child. Thirty days of safe sleep check records for each child should be retained for monitoring. INFANT FEEDING PLAN: An infant feeding plan was not on file for one child enrolled. I assisted you with finding the infant feeding plan form from the Division’s website. You stated the plan would be completed by the parent immediately and placed in the child’s file. A checklist should be used to help ensure required documents are completed by parents during enrollment and placed in chldren's files. RECORDKEEPING: An infant feeding plan was not on file for one child enrolled. I recommended you utilize the children’s file checklist when setting children records upon enrollment to ensure required documentation is received and placed in the file. A review of the files should be completed periodically to ensure they remain in compliance with recordkeeping requirements. RATED LICENSE ASSESSMENT: Your facility is in cohort one; therefore, your reassessment year will begin July 1, 2024. If possible, the reassessment will be aligned with your annual compliance visit timeframe. I recommended you consider completing the following tasks and activities that will help prepare you for your reassessment: •Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) •Request technical assistance with your child care consultant and local partners •Participate in local CCR&R and NCPC quality related training/workshops •Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. I will reach out to you to start the rated license and environment rating scale assessment process in the upcoming months. If you have questions about the rated license process, contact me to further discuss. LEAD WATER/PAINT AND ASBESTOS: We discussed the rule requirements and information concerning Lead in Water/Paint and Asbestos. The Clean Water for Carolina Kids program is expanding to the Clean Classrooms for Carolina Kids program. This is a legislatively mandated effort to address lead and asbestos hazards in North Carolina public schools, licensed child care centers, and licensed family child care homes. Participation allows facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. Rules 10A NCAC 41C .1001 through .1007 require all programs to be free of lead and asbestos hazards. RTI is coordinating all the lead in water, paint and asbestos testing and remediation. There are webinars that child care providers can watch to get instructions. Go to https://www.cleanwaterforuskids.org/en/carolina/ for more information. Currently operating child care facilities are required to test for lead in paint and asbestos once unless the consultant notes a concern during a visit and refers the program to environmental health. All existing licensed programs must complete the registration and application summary for their program regarding lead paint and asbestos by May 1, 2024. The application is on the https://www.cleanwaterforuskids.org/en/carolina/ website. CHILD CARE RULE UPDATES EFFECTIVE JANUARY 2024: Please ensure you are using the updated rule book dated January 1, 2024, and review information in the DCDEE Moodle regarding the updated rule changes. You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. PROVIDER ACCESS to the BACKGROUND CHECK MANAGEMENT SYSTEM DCDEE has launched the Provider Portal for ABCMS effective February 1, 2024. This access will allow providers to: •See applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster •See the real-time background check status of staff members •Run a printable report of the staff roster to assist with compliance visits To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. The training consists of watching a short video then taking a test about the video. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. We will grant your access within 2 business days. Please do not use this email account to ask background check questions. If you have general questions, please continue to use DHHS.CBC.Unit@dhhs.nc.gov. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times