G.S. 110-90 · Violation

Name of Operation: TAYLORSVILLE ELEMENTARY CHILD CARE Facility ID: 02000092 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 12/5/2024 Number Present: 36 Completed Date: 12/5/2024 Age: From 5 To 11 Total Minutes: 120 Time In: 02:30 PM Time Out: 04:30 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 for compliance during an Annual Compliance Visit. You, Rosalind, Site Coordinator, assisted me with today’s visit. I reviewed the facility information that was found in our system with you today. Your last annual compliance visit was conducted on October 25, 2023. Your facilities compliance history score prior to today’s visit was 89%. I used the Annual Compliance Monitoring Visit Checklist for Child Care Centers” during today’s visit. The following required postings were prominently posted in the hallway: Four License, NC Child Care Summary of the Law, Safe Procedures for Arrival & Departure, current menus, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, daily schedules, activity plans, staff-child ratio worksheet, tobacco free signage, menu, and First Aid poster. Your facility currently operates with a three-star rated license that was issued on August 9, 2021, and earned the following: 2 points in program standards, 4 points in staff education and 1 quality point. Your facility operates with the following permit restrictions: daytime care only, school age only, meets enhanced space, and playground does not meet playground safety standards. Adequate/approved space, space capacity, supervision, staff/child ratios, group size, and appropriate discipline were observed today. The most recent fire inspection was conducted on September 26, 2024, and the most recent sanitation inspection was conducted on November 25, 2024. Your most recent fire drill was conducted on December 4, 2024, and the most recent shelter in place emergency drill was conducted on October 30, 2024. You stated that your program does not provide screen time or transportation. Your incident report log was monitored during today’s visit. Daily attendance and arrival/departure records were monitored. Snack today consisted of whole grain rich mozzarella cheese sticks and goldfish crackers and 1% unflavored white milk as listed on the menu. I monitored your program’s EPR plan that was dated for September 13, 2023. Your indoor and outdoor space was monitored. Children were observed to be engaged in free choice play, transitions, toileting routines, outdoors play and eating snack. Although your playground does not meet child care safety standards, I monitored the outdoor play area for general safety. I observed the mulch to be sufficient depth for stationary structures. I observed the fence to of adequate height and in good repair. Developmentally appropriate materials were provided that were of sufficient quantities and in good repair. No potentially hazardous items were accessible to the children. All program records were monitored, random sampling of 5 children’s records were monitored, 2 new staff files and 1 existing staff file was monitored. You stated there were no medications and no medication permission to administer forms to monitor. During today’s visit I monitored for all health and safety requirements. The following violations were cited during this visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. During the month of November, a fire drill was not conducted. .0604(t); .0302(d)(5) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One staff member with a hire date of 3/18/2024 had an Emergency Information form that did not have the date completed listed. .0701(a) Technical Assistance: Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. • One staff member with a hire date of 3/18/2024 had an Emergency Information form that did not have the date completed listed. As discussed, all information on the Emergency Information form should be filled in completely without blank spaces. I suggest that staff files must be gone through in detail to ensure that all required paperwork is on file, accurate, and complete according to the File Checklist for Staff Files form. It is important that the staff and training worksheet is complete and accurate at all times. Create a system for reviewing and following-up on missing paperwork in staff files. • During the month of November, a fire drill was not conducted. As discussed, fire drills should be completed monthly. I suggest that you set a reminder on a calendar as a reminder monthly to complete fire drills to ensure compliance with child care rules. Consultation: • 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. • Stay updated with changes and new rule updates by visiting DCDEE new website at http://ncchildcare.nc.gov/general/home.asp. • Referral agencies to provide technical assistance and help you prepare for reassessment. • Although not an issue today, remember fire inspection reports are required to be sent to the consultant within 7 business days of the inspection being completed. If the fire inspection report is not sent to the consultant within 7 business days a violation will be cited at the next monitoring visit. • Although not an issue today, on the DCDEE there is an editable form of the staff and training worksheet. This document can be downloaded and completed electronically. Compliance Plan: All violations cited during today’s visit must be corrected immediately. A signed and dated letter of compliance must be received by me no later than December 24, 2024, stating how each violation was corrected and how compliance will be maintained in the future. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you wrote the letter. 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, et. should I request them in order to clarify or verify compliance. Please mail or email me a signed copy of the letter to meria.wilder@dhhs.nc.gov or P.O. Box 6591, Statesville, NC 28677. 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. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A https://www.msn.com/enus/feedNCAC 09 Section .2200, the Division of Child Development and Early Education 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 Note: Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Your visit summary report was reviewed with you and a copy was printed and left with you for your records at the end of today’s visit Contact me at meria.wilder@dhhs.nc.gov or 980-434-3877 or Erin Pickard, Licensing Supervisor at erin.pickard@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: TAYLORSVILLE ELEMENTARY CHILD CARE Facility ID: 02000092 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 3/26/2024 Number Present: 39 Completed Date: 3/26/2024 Age: From 5 To 11 Total Minutes: 145 Time In: 02:15 PM Time Out: 04:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit is to monitor your program for compliance with applicable child care requirements during a routine unannounced visit. You, Sandra Miller, Director, and Rosalind Linney Program Coordinator, assisted me, Meria Wilder, Child Care Consultant, with today’s visit. Your program operates with a Three Star rated license that was issued on August 9, 2021, and earned 2 points in program standards, 4 points in staff education, and 1 quality point. Your program operates with the following restrictions: Daytime care, school age only, meets enhanced space, and playground does not meet child care safety standards. Your compliance history score was 95% prior to today’s visit. I observed the following required postings to be prominently posted: Three-Star rated license, NC Summary of Child Care Law, Emergency Information, safe arrival and departure procedures, tobacco free signage, Emergency Medical Care Plan, and Emergency Phone Numbers. Your incident report log, current menu, daily schedule, emergency drill log, and Emergency Preparedness and Response plan. The snack menu was posted and current. Your sanitation inspection, fire inspection and emergency inspection were monitored and in compliance. Sign in/out sheets and attendance records were current. During today’s visit I monitored your indoor and outdoor spaces for health and safety requirements. Materials, and furnishing were of sufficient quality and in good repair. Children were being cared for in a nurturing way. There was adequate supervision, staff child ratios were being met, appropriate group sizes were being met, adequate and approved spaces were being used and appropriate discipline. You stated that there are no children’s medications to monitor at this time. There was 1 new staff file to monitor, and 4 existing staff files were monitored for the following: criminal background qualification letters, First Aid Certification, CPR certification, BSAC, Recognizing and Responding to Suspicions of Child Maltreatment. No children’s records were monitored today. You stated you do not offer screen time. You stated your program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Today I received the fire inspection report that was completed on 10/2/2023 and was not sent to me. 10A NCAC 09 .0304(a) 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. There was no staff child ratio worksheet posted in the gym where children are cared for. .0713(a)(10), (c) & (f)(3); .2818(e) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. During today’s visit 1 staff member with a hire date of 3/18/24 had health information stored with their personnel file. .0701(d) Technical Assistance: • Today I received the fire inspection report that was completed on 10/2/2023 and was not sent to me. As discussed, fire inspection reports are required to be sent to the consultant within 7 business days of the inspection being completed. I suggest that you remind your school principal to let you when fire inspections are completed to be able to send me a copy of the report within the specified timeframe to remain in compliance with child care rules. • One staff member with a hire date of 3/18/2024 had health information stored with their staff personnel file. As discussed, all health information must be stored in a file separate from the personnel file. I suggest that you monitor staff files quarterly to ensure that all required information is maintained in staff files as required by child care rules. • There was no staff child ratio worksheet posted in the gym where children are cared for. As discussed, in all spaces that children are cared for there must be a staff child ratio worksheet posted. I suggest that a walkthrough of all of the spaces that have been approved for child care be completed to ensure that all spaces have a current staff child ratio worksheet posted with the correct age group, capacity, space number and the type of ratios are being met. Child care facilities must comply with all state laws, federal laws and local ordinances that pertain to child health, safety, and welfare of children (GS110-91 – Mandatory standards for a license). Failure to comply may lead to an administrative action (General statue 110-102-2- Administrative penalties). You must maintain at least 75% Compliance History for each 18-month period as required by GS110-90(4)(c). Please note any violations cited during future visits may negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Also, please remember in order to maintain an enhanced rated license your compliance history must remain above 75% at all times. Consultation: • Your program is in Cohort 2 for the rated license reassessment. Your program’s planning year will be from July 1, 2024, to June 30, 2025. Your program’s reassessment year will be 2025 to 2026 and the month of your reassessment will be the month that your current rated license expires. As you plan for the reassessment of the rated license, please be sure that all staff has their most recent education updated and verified in WORKS and that you are in touch with your local Partnership and Resource and Referral agencies to provide technical assistance and help you prepare for reassessment. • When reviewing staff files, you may utilize the schools Off Site Verification Forms which identifies information that is stored off site. The bulleted items identified on the form is not required to be maintained in the file of that staff member as long as that staff members name and date of employment is listed on the employee roster that should be attached to the form. The information that is stored “off-site” should be available upon the consultant’s request in the event that the consultant would need to verify that information. That Off Site Verification Form should be updated annually and/or as staff members are hired. • When reviewing Staff Files, Children’s Files, and Program Records utilize the Staff Files Checklist, Children’s File Checklist, Volunteer Files Checklist and the Program Records File Checklist to ensure that you are maintaining compliance with all of the files that are being maintained and that all of the documents within those files are current, accurate and relevant. These forms should be used annually to review files and can be found on the DCDEE website under provider documents. • Stay updated with changes and new rule updates by visiting DCDEE new website at http://ncchildcare.nc.gov/general/home.asp. All violations cited must be corrected immediately. Email information to: Meria Wilder, Child Care Consultant P.O. Box 6591 Statesville, NC 28677 Email: meria.wilder@dhhs.nc.gov Your compliance letter must be sent to me by April 9, 2024, from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: Name, position, Facility name, Facility ID number Violation Item number Date of violation correction How the violation was corrected How the violation will be prevented in the future You may contact me by phone at (980) 434-3877 or by email at meria.wilder@dhhs.nc.gov or Erin Pickard by email at erin.pickard@dhhs.nc.gov, if you have questions. A copy of today’s visit summary was printed, signed and left with you to day for you to keep for your records. Thank you for your time and assistance today! 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.

GS110-90 · Violation

Name of Operation: TAYLORSVILLE ELEMENTARY CHILD CARE Facility ID: 02000092 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 3/26/2024 Number Present: 39 Completed Date: 3/26/2024 Age: From 5 To 11 Total Minutes: 145 Time In: 02:15 PM Time Out: 04:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit is to monitor your program for compliance with applicable child care requirements during a routine unannounced visit. You, Sandra Miller, Director, and Rosalind Linney Program Coordinator, assisted me, Meria Wilder, Child Care Consultant, with today’s visit. Your program operates with a Three Star rated license that was issued on August 9, 2021, and earned 2 points in program standards, 4 points in staff education, and 1 quality point. Your program operates with the following restrictions: Daytime care, school age only, meets enhanced space, and playground does not meet child care safety standards. Your compliance history score was 95% prior to today’s visit. I observed the following required postings to be prominently posted: Three-Star rated license, NC Summary of Child Care Law, Emergency Information, safe arrival and departure procedures, tobacco free signage, Emergency Medical Care Plan, and Emergency Phone Numbers. Your incident report log, current menu, daily schedule, emergency drill log, and Emergency Preparedness and Response plan. The snack menu was posted and current. Your sanitation inspection, fire inspection and emergency inspection were monitored and in compliance. Sign in/out sheets and attendance records were current. During today’s visit I monitored your indoor and outdoor spaces for health and safety requirements. Materials, and furnishing were of sufficient quality and in good repair. Children were being cared for in a nurturing way. There was adequate supervision, staff child ratios were being met, appropriate group sizes were being met, adequate and approved spaces were being used and appropriate discipline. You stated that there are no children’s medications to monitor at this time. There was 1 new staff file to monitor, and 4 existing staff files were monitored for the following: criminal background qualification letters, First Aid Certification, CPR certification, BSAC, Recognizing and Responding to Suspicions of Child Maltreatment. No children’s records were monitored today. You stated you do not offer screen time. You stated your program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Today I received the fire inspection report that was completed on 10/2/2023 and was not sent to me. 10A NCAC 09 .0304(a) 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. There was no staff child ratio worksheet posted in the gym where children are cared for. .0713(a)(10), (c) & (f)(3); .2818(e) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. During today’s visit 1 staff member with a hire date of 3/18/24 had health information stored with their personnel file. .0701(d) Technical Assistance: • Today I received the fire inspection report that was completed on 10/2/2023 and was not sent to me. As discussed, fire inspection reports are required to be sent to the consultant within 7 business days of the inspection being completed. I suggest that you remind your school principal to let you when fire inspections are completed to be able to send me a copy of the report within the specified timeframe to remain in compliance with child care rules. • One staff member with a hire date of 3/18/2024 had health information stored with their staff personnel file. As discussed, all health information must be stored in a file separate from the personnel file. I suggest that you monitor staff files quarterly to ensure that all required information is maintained in staff files as required by child care rules. • There was no staff child ratio worksheet posted in the gym where children are cared for. As discussed, in all spaces that children are cared for there must be a staff child ratio worksheet posted. I suggest that a walkthrough of all of the spaces that have been approved for child care be completed to ensure that all spaces have a current staff child ratio worksheet posted with the correct age group, capacity, space number and the type of ratios are being met. Child care facilities must comply with all state laws, federal laws and local ordinances that pertain to child health, safety, and welfare of children (GS110-91 – Mandatory standards for a license). Failure to comply may lead to an administrative action (General statue 110-102-2- Administrative penalties). You must maintain at least 75% Compliance History for each 18-month period as required by GS110-90(4)(c). Please note any violations cited during future visits may negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Also, please remember in order to maintain an enhanced rated license your compliance history must remain above 75% at all times. Consultation: • Your program is in Cohort 2 for the rated license reassessment. Your program’s planning year will be from July 1, 2024, to June 30, 2025. Your program’s reassessment year will be 2025 to 2026 and the month of your reassessment will be the month that your current rated license expires. As you plan for the reassessment of the rated license, please be sure that all staff has their most recent education updated and verified in WORKS and that you are in touch with your local Partnership and Resource and Referral agencies to provide technical assistance and help you prepare for reassessment. • When reviewing staff files, you may utilize the schools Off Site Verification Forms which identifies information that is stored off site. The bulleted items identified on the form is not required to be maintained in the file of that staff member as long as that staff members name and date of employment is listed on the employee roster that should be attached to the form. The information that is stored “off-site” should be available upon the consultant’s request in the event that the consultant would need to verify that information. That Off Site Verification Form should be updated annually and/or as staff members are hired. • When reviewing Staff Files, Children’s Files, and Program Records utilize the Staff Files Checklist, Children’s File Checklist, Volunteer Files Checklist and the Program Records File Checklist to ensure that you are maintaining compliance with all of the files that are being maintained and that all of the documents within those files are current, accurate and relevant. These forms should be used annually to review files and can be found on the DCDEE website under provider documents. • Stay updated with changes and new rule updates by visiting DCDEE new website at http://ncchildcare.nc.gov/general/home.asp. All violations cited must be corrected immediately. Email information to: Meria Wilder, Child Care Consultant P.O. Box 6591 Statesville, NC 28677 Email: meria.wilder@dhhs.nc.gov Your compliance letter must be sent to me by April 9, 2024, from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: Name, position, Facility name, Facility ID number Violation Item number Date of violation correction How the violation was corrected How the violation will be prevented in the future You may contact me by phone at (980) 434-3877 or by email at meria.wilder@dhhs.nc.gov or Erin Pickard by email at erin.pickard@dhhs.nc.gov, if you have questions. A copy of today’s visit summary was printed, signed and left with you to day for you to keep for your records. Thank you for your time and assistance today! 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: TAYLORSVILLE ELEMENTARY CHILD CARE Facility ID: 02000092 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 3/26/2024 Number Present: 39 Completed Date: 3/26/2024 Age: From 5 To 11 Total Minutes: 145 Time In: 02:15 PM Time Out: 04:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit is to monitor your program for compliance with applicable child care requirements during a routine unannounced visit. You, Sandra Miller, Director, and Rosalind Linney Program Coordinator, assisted me, Meria Wilder, Child Care Consultant, with today’s visit. Your program operates with a Three Star rated license that was issued on August 9, 2021, and earned 2 points in program standards, 4 points in staff education, and 1 quality point. Your program operates with the following restrictions: Daytime care, school age only, meets enhanced space, and playground does not meet child care safety standards. Your compliance history score was 95% prior to today’s visit. I observed the following required postings to be prominently posted: Three-Star rated license, NC Summary of Child Care Law, Emergency Information, safe arrival and departure procedures, tobacco free signage, Emergency Medical Care Plan, and Emergency Phone Numbers. Your incident report log, current menu, daily schedule, emergency drill log, and Emergency Preparedness and Response plan. The snack menu was posted and current. Your sanitation inspection, fire inspection and emergency inspection were monitored and in compliance. Sign in/out sheets and attendance records were current. During today’s visit I monitored your indoor and outdoor spaces for health and safety requirements. Materials, and furnishing were of sufficient quality and in good repair. Children were being cared for in a nurturing way. There was adequate supervision, staff child ratios were being met, appropriate group sizes were being met, adequate and approved spaces were being used and appropriate discipline. You stated that there are no children’s medications to monitor at this time. There was 1 new staff file to monitor, and 4 existing staff files were monitored for the following: criminal background qualification letters, First Aid Certification, CPR certification, BSAC, Recognizing and Responding to Suspicions of Child Maltreatment. No children’s records were monitored today. You stated you do not offer screen time. You stated your program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Today I received the fire inspection report that was completed on 10/2/2023 and was not sent to me. 10A NCAC 09 .0304(a) 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. There was no staff child ratio worksheet posted in the gym where children are cared for. .0713(a)(10), (c) & (f)(3); .2818(e) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. During today’s visit 1 staff member with a hire date of 3/18/24 had health information stored with their personnel file. .0701(d) Technical Assistance: • Today I received the fire inspection report that was completed on 10/2/2023 and was not sent to me. As discussed, fire inspection reports are required to be sent to the consultant within 7 business days of the inspection being completed. I suggest that you remind your school principal to let you when fire inspections are completed to be able to send me a copy of the report within the specified timeframe to remain in compliance with child care rules. • One staff member with a hire date of 3/18/2024 had health information stored with their staff personnel file. As discussed, all health information must be stored in a file separate from the personnel file. I suggest that you monitor staff files quarterly to ensure that all required information is maintained in staff files as required by child care rules. • There was no staff child ratio worksheet posted in the gym where children are cared for. As discussed, in all spaces that children are cared for there must be a staff child ratio worksheet posted. I suggest that a walkthrough of all of the spaces that have been approved for child care be completed to ensure that all spaces have a current staff child ratio worksheet posted with the correct age group, capacity, space number and the type of ratios are being met. Child care facilities must comply with all state laws, federal laws and local ordinances that pertain to child health, safety, and welfare of children (GS110-91 – Mandatory standards for a license). Failure to comply may lead to an administrative action (General statue 110-102-2- Administrative penalties). You must maintain at least 75% Compliance History for each 18-month period as required by GS110-90(4)(c). Please note any violations cited during future visits may negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Also, please remember in order to maintain an enhanced rated license your compliance history must remain above 75% at all times. Consultation: • Your program is in Cohort 2 for the rated license reassessment. Your program’s planning year will be from July 1, 2024, to June 30, 2025. Your program’s reassessment year will be 2025 to 2026 and the month of your reassessment will be the month that your current rated license expires. As you plan for the reassessment of the rated license, please be sure that all staff has their most recent education updated and verified in WORKS and that you are in touch with your local Partnership and Resource and Referral agencies to provide technical assistance and help you prepare for reassessment. • When reviewing staff files, you may utilize the schools Off Site Verification Forms which identifies information that is stored off site. The bulleted items identified on the form is not required to be maintained in the file of that staff member as long as that staff members name and date of employment is listed on the employee roster that should be attached to the form. The information that is stored “off-site” should be available upon the consultant’s request in the event that the consultant would need to verify that information. That Off Site Verification Form should be updated annually and/or as staff members are hired. • When reviewing Staff Files, Children’s Files, and Program Records utilize the Staff Files Checklist, Children’s File Checklist, Volunteer Files Checklist and the Program Records File Checklist to ensure that you are maintaining compliance with all of the files that are being maintained and that all of the documents within those files are current, accurate and relevant. These forms should be used annually to review files and can be found on the DCDEE website under provider documents. • Stay updated with changes and new rule updates by visiting DCDEE new website at http://ncchildcare.nc.gov/general/home.asp. All violations cited must be corrected immediately. Email information to: Meria Wilder, Child Care Consultant P.O. Box 6591 Statesville, NC 28677 Email: meria.wilder@dhhs.nc.gov Your compliance letter must be sent to me by April 9, 2024, from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: Name, position, Facility name, Facility ID number Violation Item number Date of violation correction How the violation was corrected How the violation will be prevented in the future You may contact me by phone at (980) 434-3877 or by email at meria.wilder@dhhs.nc.gov or Erin Pickard by email at erin.pickard@dhhs.nc.gov, if you have questions. A copy of today’s visit summary was printed, signed and left with you to day for you to keep for your records. Thank you for your time and assistance today! 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: TAYLORSVILLE ELEMENTARY CHILD CARE Facility ID: 02000092 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 10/25/2023 Number Present: 30 Completed Date: 10/25/2023 Age: From 5 To 11 Total Minutes: 123 Time In: 02:07 PM Time Out: 04:10 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 applicable child care requirements during an annual compliance visit. You, Sandra Miller, Program Director, and Rosiland Linney, Site Coordinator, assisted me with today’s visit. Your before and after school care program operates with a three-star rated license that was issued on August 9, 2021, with the following restrictions: daytime care only, school-age children only, playground does not meet child care safety standards, and meets enhanced space. Your program earned 4 points in staff education standards, 2 points in program standards and 1 quality point. Your last annual compliance visit was conducted on November 17, 2022. Prior to today’s visit your program’s compliance history was 99%. The following required postings was prominently posted at the entrance to the classroom: 3 star rated license, Summary of NC Child Care Law dated September 2023, First Aid Information Sheet, Emergency phone numbers safe arrival and departure procedures, tobacco free signage, emergency medical care plan, Sanitation placard, daily schedule, activity plan, menu and Emergency Preparedness and Response plan. I observed your most recent sanitation inspection dated April 3, 2023, your most recent fire inspection report dated October 2, 2023, your most recent fire drill dated October 13, 2023, and the most recent lockdown emergency drill to be conducted October 4, 2023. I observed your Emergency Preparedness and Response plan to be posted and dated September 13, 2023. I observed your activity plan to be posted and current including 4 activities and outdoor activities daily. I observed your menu to be posted, current, and meeting nutritional meal pattern guidelines. I observed adequate group sizes, supervision, staff child ratios, permit restrictions and approved space. I observed children being cared for in a positive and nurturing way. I observed all children being signed in and attendance records to be current. I observed children participating in handwashing routines, toileting routines, having snacks while on the playground and transitioning to outside play. I monitored your incident log. I monitored (2) new staff files and (1) existing staff files and a sampling of children’s records. You stated that (2) children who each have (1) emergency medication that are “self-carry” medications that they bring daily. Both of those children were not in care during today’s visit. I monitored your indoor and the outdoor space had a variety of age-appropriate materials that were of substantial quantity, child size, and of sufficient quality. The following violations were observed during today’s visit: Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Two staff members with hire dates of 9/12/23 and 1/3/03 did not have documentation of reviewing the Emergency Medical Care Plan. 10A NCAC 09 .0802(a) 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 with a hire date of 1/3/03 did not complete at least 5 hours of on-going training. .1103(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. One staff member with a hire date of 9/12/23 did not have documentation of reviewing operational and personnel policies. 10A NCAC 09 .0514(g) 1314 Emergency information did not name childs health care professional. One child's children's records did not identify the responsible party's choice a dental health care professional on the application. .0802(c)(2) 1329 Application for enrollment did not include all required information. Children’s records for (2) children did not contain the name of the responsible party’s choice of dentist, fears, unique behaviors, and allergies. .0801(a)(1-7) 1432 Within the first 6 weeks of assuming responsibility for supervising group of children, each employee did not complete at least 3 additional clock hours of training on topics outlined in this rule. Two staff members did not complete 16 hours of orientation for orientation topics within the first 6 weeks of working with children. 10A NCAC 09 .2510(i)(2) 1449 Within the first two weeks of assuming responsibility for supervising a group of children, staff did not complete at least 6 hours of training on topics outlined in this rule. Two staff members did not complete 6 hours of orientation for orientation topics within the first 2 weeks of working with children. .2510(i)(1)(A-D) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Two staff members with hire dates of 9/12/23 and 1/3/03 did not have documentation of reviewing the Emergency Preparedness and Response Plan. .0607(f) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Three (3) staff members had health questionnaire forms stored with their personnel file and not in a separate location. .0701(d) Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 11/8/2023, stating how each violation was corrected and how compliance will be maintained in the future. 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: 1. The name of your center 2. The centers ID number 3. The date you wrote the letter. 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, should I request them in order to clarify or verify compliance. Please mail or email me a signed copy of the letter to meria.wilder@dhhs.nc.gov or P.O. Box 6591, Statesville, NC 28677. Please Note: Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A https://www.msn.com/enus/feedNCAC 09 Section .2200, the Division of Child Development and Early Education 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: • Fire inspections should be sent to me within (7) days of the inspection being conducted. I received your most recent fire inspection that was conducted on October 2, 2023, during today’s visit. Prior to today’s visit I sent an email requesting your most recent fire and sanitation inspection report to be sent to me prior to your visit. I recommend that you send the fire inspection report within (7) days of receiving it to prevent a violation being cited during your next monitoring visit. • Medical information should be stored in a separate location away from the staff personnel file. Three (3) staff members had health questionnaire forms stored with their personnel file and not in a separate location. I recommend that each staff member’s medical information be stored in a separate file in a location different from personnel files. • New staff members are required to complete 6 hours of orientation within the 1st 2 weeks of working with children. Two staff members did not complete 6 hours of orientation for orientation topics withing the first 2 weeks of working with children. • New staff members are required to complete 16 hours of orientation within the 1st 6 weeks of working with children. Two staff members did not complete 16 hours of orientation for orientation topics withing the first 6 weeks of working with children. • Staff required to receive on-going training did not complete the required number of training hours. One staff member with a hire date of 1/3/03 did not complete at least 5 hours of on-going training. I recommend that the staff file checklist be used to ensure that each staff file contains all required documentation and training. This staff file checklist can be found on the DCDEE website located under provider documents. • Children’s applications for enrollment should contain all required information. Children’s records for (2) children did not contain the name of the responsible party’s choice of dentist, fears, unique behaviors, allergies, and health concerns. I recommend that you go through all children’s records to ensure that all required information is completed without leaving any items blank and any items that does not apply should be identified as “N/A” or not applicable. • Each staff members personnel file should have documentation of staff’s review of operational and personnel policies and procedures. One staff member with a hire date of 9/12/23 did not have documentation of reviewing operational and personnel policies. I recommend that prior to allowing new staff members to begin working with children all required documentation be completed. I recommend using the staff file checklist located on the DCDEE website. This form should be used to review all files to ensure all required information is located in each staff file. • All staff members did not have documentation on file of reviewing the Emergency Medical Care Plan and the Emergency Preparedness and Response plan annually or as changes occurred. Two staff members with hire dates of 9/12/23 and 1/3/03 did not have documentation of reviewing the EMC and the EPR plan. Consultation: • Your program is in cohort 2 for reassessment of the rated license. Your reassessment planning year is from July 1, 2024, to June 30, 2025. During this time all staff should send all education in to WORKS to be uploaded and verified. During this time, you should contact your local Partnership and/or Resource and Referral Agencies to assist you with preparation for reassessment as well as utilizing the www.ncrlap.com website which contains information to help you prepare. • The Summary of NC Child Care Law was updated as of September 2023, be sure that all parents receive the updated information and sign/date the acknowledgement form as proof of receipt. Thank you for your time today. If I can be of assistance in the future, please feel free to contact me at (980) 434-3877 or email meria.wilder@dhhs.nc.gov or Erin Pickard, Lead Child Care consultant at erin.pickard@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0802 · Violation

Name of Operation: TAYLORSVILLE ELEMENTARY CHILD CARE Facility ID: 02000092 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 10/25/2023 Number Present: 30 Completed Date: 10/25/2023 Age: From 5 To 11 Total Minutes: 123 Time In: 02:07 PM Time Out: 04:10 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 applicable child care requirements during an annual compliance visit. You, Sandra Miller, Program Director, and Rosiland Linney, Site Coordinator, assisted me with today’s visit. Your before and after school care program operates with a three-star rated license that was issued on August 9, 2021, with the following restrictions: daytime care only, school-age children only, playground does not meet child care safety standards, and meets enhanced space. Your program earned 4 points in staff education standards, 2 points in program standards and 1 quality point. Your last annual compliance visit was conducted on November 17, 2022. Prior to today’s visit your program’s compliance history was 99%. The following required postings was prominently posted at the entrance to the classroom: 3 star rated license, Summary of NC Child Care Law dated September 2023, First Aid Information Sheet, Emergency phone numbers safe arrival and departure procedures, tobacco free signage, emergency medical care plan, Sanitation placard, daily schedule, activity plan, menu and Emergency Preparedness and Response plan. I observed your most recent sanitation inspection dated April 3, 2023, your most recent fire inspection report dated October 2, 2023, your most recent fire drill dated October 13, 2023, and the most recent lockdown emergency drill to be conducted October 4, 2023. I observed your Emergency Preparedness and Response plan to be posted and dated September 13, 2023. I observed your activity plan to be posted and current including 4 activities and outdoor activities daily. I observed your menu to be posted, current, and meeting nutritional meal pattern guidelines. I observed adequate group sizes, supervision, staff child ratios, permit restrictions and approved space. I observed children being cared for in a positive and nurturing way. I observed all children being signed in and attendance records to be current. I observed children participating in handwashing routines, toileting routines, having snacks while on the playground and transitioning to outside play. I monitored your incident log. I monitored (2) new staff files and (1) existing staff files and a sampling of children’s records. You stated that (2) children who each have (1) emergency medication that are “self-carry” medications that they bring daily. Both of those children were not in care during today’s visit. I monitored your indoor and the outdoor space had a variety of age-appropriate materials that were of substantial quantity, child size, and of sufficient quality. The following violations were observed during today’s visit: Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Two staff members with hire dates of 9/12/23 and 1/3/03 did not have documentation of reviewing the Emergency Medical Care Plan. 10A NCAC 09 .0802(a) 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 with a hire date of 1/3/03 did not complete at least 5 hours of on-going training. .1103(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. One staff member with a hire date of 9/12/23 did not have documentation of reviewing operational and personnel policies. 10A NCAC 09 .0514(g) 1314 Emergency information did not name childs health care professional. One child's children's records did not identify the responsible party's choice a dental health care professional on the application. .0802(c)(2) 1329 Application for enrollment did not include all required information. Children’s records for (2) children did not contain the name of the responsible party’s choice of dentist, fears, unique behaviors, and allergies. .0801(a)(1-7) 1432 Within the first 6 weeks of assuming responsibility for supervising group of children, each employee did not complete at least 3 additional clock hours of training on topics outlined in this rule. Two staff members did not complete 16 hours of orientation for orientation topics within the first 6 weeks of working with children. 10A NCAC 09 .2510(i)(2) 1449 Within the first two weeks of assuming responsibility for supervising a group of children, staff did not complete at least 6 hours of training on topics outlined in this rule. Two staff members did not complete 6 hours of orientation for orientation topics within the first 2 weeks of working with children. .2510(i)(1)(A-D) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Two staff members with hire dates of 9/12/23 and 1/3/03 did not have documentation of reviewing the Emergency Preparedness and Response Plan. .0607(f) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Three (3) staff members had health questionnaire forms stored with their personnel file and not in a separate location. .0701(d) Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 11/8/2023, stating how each violation was corrected and how compliance will be maintained in the future. 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: 1. The name of your center 2. The centers ID number 3. The date you wrote the letter. 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, should I request them in order to clarify or verify compliance. Please mail or email me a signed copy of the letter to meria.wilder@dhhs.nc.gov or P.O. Box 6591, Statesville, NC 28677. Please Note: Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A https://www.msn.com/enus/feedNCAC 09 Section .2200, the Division of Child Development and Early Education 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: • Fire inspections should be sent to me within (7) days of the inspection being conducted. I received your most recent fire inspection that was conducted on October 2, 2023, during today’s visit. Prior to today’s visit I sent an email requesting your most recent fire and sanitation inspection report to be sent to me prior to your visit. I recommend that you send the fire inspection report within (7) days of receiving it to prevent a violation being cited during your next monitoring visit. • Medical information should be stored in a separate location away from the staff personnel file. Three (3) staff members had health questionnaire forms stored with their personnel file and not in a separate location. I recommend that each staff member’s medical information be stored in a separate file in a location different from personnel files. • New staff members are required to complete 6 hours of orientation within the 1st 2 weeks of working with children. Two staff members did not complete 6 hours of orientation for orientation topics withing the first 2 weeks of working with children. • New staff members are required to complete 16 hours of orientation within the 1st 6 weeks of working with children. Two staff members did not complete 16 hours of orientation for orientation topics withing the first 6 weeks of working with children. • Staff required to receive on-going training did not complete the required number of training hours. One staff member with a hire date of 1/3/03 did not complete at least 5 hours of on-going training. I recommend that the staff file checklist be used to ensure that each staff file contains all required documentation and training. This staff file checklist can be found on the DCDEE website located under provider documents. • Children’s applications for enrollment should contain all required information. Children’s records for (2) children did not contain the name of the responsible party’s choice of dentist, fears, unique behaviors, allergies, and health concerns. I recommend that you go through all children’s records to ensure that all required information is completed without leaving any items blank and any items that does not apply should be identified as “N/A” or not applicable. • Each staff members personnel file should have documentation of staff’s review of operational and personnel policies and procedures. One staff member with a hire date of 9/12/23 did not have documentation of reviewing operational and personnel policies. I recommend that prior to allowing new staff members to begin working with children all required documentation be completed. I recommend using the staff file checklist located on the DCDEE website. This form should be used to review all files to ensure all required information is located in each staff file. • All staff members did not have documentation on file of reviewing the Emergency Medical Care Plan and the Emergency Preparedness and Response plan annually or as changes occurred. Two staff members with hire dates of 9/12/23 and 1/3/03 did not have documentation of reviewing the EMC and the EPR plan. Consultation: • Your program is in cohort 2 for reassessment of the rated license. Your reassessment planning year is from July 1, 2024, to June 30, 2025. During this time all staff should send all education in to WORKS to be uploaded and verified. During this time, you should contact your local Partnership and/or Resource and Referral Agencies to assist you with preparation for reassessment as well as utilizing the www.ncrlap.com website which contains information to help you prepare. • The Summary of NC Child Care Law was updated as of September 2023, be sure that all parents receive the updated information and sign/date the acknowledgement form as proof of receipt. Thank you for your time today. If I can be of assistance in the future, please feel free to contact me at (980) 434-3877 or email meria.wilder@dhhs.nc.gov or Erin Pickard, Lead Child Care consultant at erin.pickard@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 .2510 · Violation

Name of Operation: TAYLORSVILLE ELEMENTARY CHILD CARE Facility ID: 02000092 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 10/25/2023 Number Present: 30 Completed Date: 10/25/2023 Age: From 5 To 11 Total Minutes: 123 Time In: 02:07 PM Time Out: 04:10 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 applicable child care requirements during an annual compliance visit. You, Sandra Miller, Program Director, and Rosiland Linney, Site Coordinator, assisted me with today’s visit. Your before and after school care program operates with a three-star rated license that was issued on August 9, 2021, with the following restrictions: daytime care only, school-age children only, playground does not meet child care safety standards, and meets enhanced space. Your program earned 4 points in staff education standards, 2 points in program standards and 1 quality point. Your last annual compliance visit was conducted on November 17, 2022. Prior to today’s visit your program’s compliance history was 99%. The following required postings was prominently posted at the entrance to the classroom: 3 star rated license, Summary of NC Child Care Law dated September 2023, First Aid Information Sheet, Emergency phone numbers safe arrival and departure procedures, tobacco free signage, emergency medical care plan, Sanitation placard, daily schedule, activity plan, menu and Emergency Preparedness and Response plan. I observed your most recent sanitation inspection dated April 3, 2023, your most recent fire inspection report dated October 2, 2023, your most recent fire drill dated October 13, 2023, and the most recent lockdown emergency drill to be conducted October 4, 2023. I observed your Emergency Preparedness and Response plan to be posted and dated September 13, 2023. I observed your activity plan to be posted and current including 4 activities and outdoor activities daily. I observed your menu to be posted, current, and meeting nutritional meal pattern guidelines. I observed adequate group sizes, supervision, staff child ratios, permit restrictions and approved space. I observed children being cared for in a positive and nurturing way. I observed all children being signed in and attendance records to be current. I observed children participating in handwashing routines, toileting routines, having snacks while on the playground and transitioning to outside play. I monitored your incident log. I monitored (2) new staff files and (1) existing staff files and a sampling of children’s records. You stated that (2) children who each have (1) emergency medication that are “self-carry” medications that they bring daily. Both of those children were not in care during today’s visit. I monitored your indoor and the outdoor space had a variety of age-appropriate materials that were of substantial quantity, child size, and of sufficient quality. The following violations were observed during today’s visit: Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Two staff members with hire dates of 9/12/23 and 1/3/03 did not have documentation of reviewing the Emergency Medical Care Plan. 10A NCAC 09 .0802(a) 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 with a hire date of 1/3/03 did not complete at least 5 hours of on-going training. .1103(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. One staff member with a hire date of 9/12/23 did not have documentation of reviewing operational and personnel policies. 10A NCAC 09 .0514(g) 1314 Emergency information did not name childs health care professional. One child's children's records did not identify the responsible party's choice a dental health care professional on the application. .0802(c)(2) 1329 Application for enrollment did not include all required information. Children’s records for (2) children did not contain the name of the responsible party’s choice of dentist, fears, unique behaviors, and allergies. .0801(a)(1-7) 1432 Within the first 6 weeks of assuming responsibility for supervising group of children, each employee did not complete at least 3 additional clock hours of training on topics outlined in this rule. Two staff members did not complete 16 hours of orientation for orientation topics within the first 6 weeks of working with children. 10A NCAC 09 .2510(i)(2) 1449 Within the first two weeks of assuming responsibility for supervising a group of children, staff did not complete at least 6 hours of training on topics outlined in this rule. Two staff members did not complete 6 hours of orientation for orientation topics within the first 2 weeks of working with children. .2510(i)(1)(A-D) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Two staff members with hire dates of 9/12/23 and 1/3/03 did not have documentation of reviewing the Emergency Preparedness and Response Plan. .0607(f) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Three (3) staff members had health questionnaire forms stored with their personnel file and not in a separate location. .0701(d) Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 11/8/2023, stating how each violation was corrected and how compliance will be maintained in the future. 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: 1. The name of your center 2. The centers ID number 3. The date you wrote the letter. 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, should I request them in order to clarify or verify compliance. Please mail or email me a signed copy of the letter to meria.wilder@dhhs.nc.gov or P.O. Box 6591, Statesville, NC 28677. Please Note: Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A https://www.msn.com/enus/feedNCAC 09 Section .2200, the Division of Child Development and Early Education 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: • Fire inspections should be sent to me within (7) days of the inspection being conducted. I received your most recent fire inspection that was conducted on October 2, 2023, during today’s visit. Prior to today’s visit I sent an email requesting your most recent fire and sanitation inspection report to be sent to me prior to your visit. I recommend that you send the fire inspection report within (7) days of receiving it to prevent a violation being cited during your next monitoring visit. • Medical information should be stored in a separate location away from the staff personnel file. Three (3) staff members had health questionnaire forms stored with their personnel file and not in a separate location. I recommend that each staff member’s medical information be stored in a separate file in a location different from personnel files. • New staff members are required to complete 6 hours of orientation within the 1st 2 weeks of working with children. Two staff members did not complete 6 hours of orientation for orientation topics withing the first 2 weeks of working with children. • New staff members are required to complete 16 hours of orientation within the 1st 6 weeks of working with children. Two staff members did not complete 16 hours of orientation for orientation topics withing the first 6 weeks of working with children. • Staff required to receive on-going training did not complete the required number of training hours. One staff member with a hire date of 1/3/03 did not complete at least 5 hours of on-going training. I recommend that the staff file checklist be used to ensure that each staff file contains all required documentation and training. This staff file checklist can be found on the DCDEE website located under provider documents. • Children’s applications for enrollment should contain all required information. Children’s records for (2) children did not contain the name of the responsible party’s choice of dentist, fears, unique behaviors, allergies, and health concerns. I recommend that you go through all children’s records to ensure that all required information is completed without leaving any items blank and any items that does not apply should be identified as “N/A” or not applicable. • Each staff members personnel file should have documentation of staff’s review of operational and personnel policies and procedures. One staff member with a hire date of 9/12/23 did not have documentation of reviewing operational and personnel policies. I recommend that prior to allowing new staff members to begin working with children all required documentation be completed. I recommend using the staff file checklist located on the DCDEE website. This form should be used to review all files to ensure all required information is located in each staff file. • All staff members did not have documentation on file of reviewing the Emergency Medical Care Plan and the Emergency Preparedness and Response plan annually or as changes occurred. Two staff members with hire dates of 9/12/23 and 1/3/03 did not have documentation of reviewing the EMC and the EPR plan. Consultation: • Your program is in cohort 2 for reassessment of the rated license. Your reassessment planning year is from July 1, 2024, to June 30, 2025. During this time all staff should send all education in to WORKS to be uploaded and verified. During this time, you should contact your local Partnership and/or Resource and Referral Agencies to assist you with preparation for reassessment as well as utilizing the www.ncrlap.com website which contains information to help you prepare. • The Summary of NC Child Care Law was updated as of September 2023, be sure that all parents receive the updated information and sign/date the acknowledgement form as proof of receipt. Thank you for your time today. If I can be of assistance in the future, please feel free to contact me at (980) 434-3877 or email meria.wilder@dhhs.nc.gov or Erin Pickard, Lead Child Care consultant at erin.pickard@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