10A NCAC 09 .0304 · Violation

Name of Operation: UNION GROVE ELEMENTARY SCHOOL Facility ID: 49000568 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 11/15/2024 Number Present: 15 Completed Date: 11/15/2024 Age: From 4 To 5 Total Minutes: 135 Time In: 09:45 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements during a Routine Unannounced Visit. You, Charsanda Gallmon, assisted me with today’s visit. The last annual compliance visit was conducted on May . The last sanitation inspection was completed on September 11, 2024, with a “Superior” classification. The last fire inspection was conducted October 3, 2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 97 percent prior to today’s visit. The center's four-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free choice activities, large group time, teacher directed activities, toileting and handwashing routines, and lunch. Fire drills were completed monthly as required. The last fire drill was completed on November 8, 2024. Emergency drills are being completed every three months as required. The last emergency drill was completed on September 3, 2024. Your playground meets child care safety standards. The last playground inspection was completed on October 30, 2024. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. I monitored one prescription emergency medication and its medical action plan. All staff files were monitored for a current criminal background qualification letter, current First Aid and CPR, and Recognizing and Responding to Suspicions of Child Maltreatment Training during today’s visit. The program does not provide transportation. The following violations were documented today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection completed on 10/3/24 was received during today's visit. 10A NCAC 09 .0304(a) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. An opened bag of potting soil was stored on the floor and a tube a E6000 was stored on the counter, accessible to children. .0604(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. An emergency medication expired on 10/19/24 according to the pharmacy label. .0803(12) 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. A volunteer present today did not have an Emergency Information form completed. .0701(a) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. A volunteer present today did not have documentation of being informed of the facility's EPR Plan. .0607(g) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. A volunteer present during the visit did not have a Health Questionnaire completed. 10A NCAC 09 .0701(a) Technical Assistance was provided on the following: 1. It is recommended that a reminder be set to notify staff to begin reaching out to the fire marshal to obtain a new fire inspection. Fire inspections must be completed within 364 days of the previous inspection. Fire inspections must be completed on the Adult Day Care & Child Care Fire Inspection Report form and sent to the consultant within 7 days. 2. We discussed staff conducting a walkthrough of their classroom prior to caring for children to ensure that hazardous products are properly stored. Items that are labeled “keep out of reach of children” should be stored at least 5 feet from the ground. 3. We discussed that staff should monitor the pharmacy label for a “discard after” date and the manufacturers expiration date on medications. The date that comes first is the date that staff members should go by when determining when a medication will expire. 4. We discussed that staff should utilize the Volunteer File Checklist when volunteers are present in the classroom to ensure that they have the required documents on file at the facility. Consultation was provided on the following: 1. 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 2. https://www.positivechildhoodalliancenc.org/online-trainings/ is the new website to complete the Recognizing and Responding to Suspicions of Child Maltreatment training. Please print a copy of the training certificate and place it in each staff members file. 3. Please ensure that staff and training worksheets are completed for each visit. Consultants are not permitted to complete or make changes to the worksheet. 4. Please ensure that all staff have a WORKS account and that they send in official transcripts to the Workforce Unit for evaluation. Once staff have received a status letter they should place a copy of their letter in their staff file. 5. As of July 8, 2024, the Senate Bill 425/Session Law 2024-34 for Hold harmless has been extended until the new QRIS is implemented. At this time providers are not required to go any further with a rated license assessment unless they want to. Please reach out to me if you would like to proceed with the Rated License Assessment. 6. Please ensure that you are utilizing the most recent forms for your facility. You can visit https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms to locate all required documents. 7. Please visit https://ncchildcare.ncdhhs.gov/ to sign up to receive DHHS updates. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 29, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time 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.

10A NCAC 09 .0701 · Violation

Name of Operation: UNION GROVE ELEMENTARY SCHOOL Facility ID: 49000568 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 11/15/2024 Number Present: 15 Completed Date: 11/15/2024 Age: From 4 To 5 Total Minutes: 135 Time In: 09:45 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements during a Routine Unannounced Visit. You, Charsanda Gallmon, assisted me with today’s visit. The last annual compliance visit was conducted on May . The last sanitation inspection was completed on September 11, 2024, with a “Superior” classification. The last fire inspection was conducted October 3, 2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 97 percent prior to today’s visit. The center's four-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free choice activities, large group time, teacher directed activities, toileting and handwashing routines, and lunch. Fire drills were completed monthly as required. The last fire drill was completed on November 8, 2024. Emergency drills are being completed every three months as required. The last emergency drill was completed on September 3, 2024. Your playground meets child care safety standards. The last playground inspection was completed on October 30, 2024. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. I monitored one prescription emergency medication and its medical action plan. All staff files were monitored for a current criminal background qualification letter, current First Aid and CPR, and Recognizing and Responding to Suspicions of Child Maltreatment Training during today’s visit. The program does not provide transportation. The following violations were documented today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection completed on 10/3/24 was received during today's visit. 10A NCAC 09 .0304(a) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. An opened bag of potting soil was stored on the floor and a tube a E6000 was stored on the counter, accessible to children. .0604(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. An emergency medication expired on 10/19/24 according to the pharmacy label. .0803(12) 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. A volunteer present today did not have an Emergency Information form completed. .0701(a) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. A volunteer present today did not have documentation of being informed of the facility's EPR Plan. .0607(g) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. A volunteer present during the visit did not have a Health Questionnaire completed. 10A NCAC 09 .0701(a) Technical Assistance was provided on the following: 1. It is recommended that a reminder be set to notify staff to begin reaching out to the fire marshal to obtain a new fire inspection. Fire inspections must be completed within 364 days of the previous inspection. Fire inspections must be completed on the Adult Day Care & Child Care Fire Inspection Report form and sent to the consultant within 7 days. 2. We discussed staff conducting a walkthrough of their classroom prior to caring for children to ensure that hazardous products are properly stored. Items that are labeled “keep out of reach of children” should be stored at least 5 feet from the ground. 3. We discussed that staff should monitor the pharmacy label for a “discard after” date and the manufacturers expiration date on medications. The date that comes first is the date that staff members should go by when determining when a medication will expire. 4. We discussed that staff should utilize the Volunteer File Checklist when volunteers are present in the classroom to ensure that they have the required documents on file at the facility. Consultation was provided on the following: 1. 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 2. https://www.positivechildhoodalliancenc.org/online-trainings/ is the new website to complete the Recognizing and Responding to Suspicions of Child Maltreatment training. Please print a copy of the training certificate and place it in each staff members file. 3. Please ensure that staff and training worksheets are completed for each visit. Consultants are not permitted to complete or make changes to the worksheet. 4. Please ensure that all staff have a WORKS account and that they send in official transcripts to the Workforce Unit for evaluation. Once staff have received a status letter they should place a copy of their letter in their staff file. 5. As of July 8, 2024, the Senate Bill 425/Session Law 2024-34 for Hold harmless has been extended until the new QRIS is implemented. At this time providers are not required to go any further with a rated license assessment unless they want to. Please reach out to me if you would like to proceed with the Rated License Assessment. 6. Please ensure that you are utilizing the most recent forms for your facility. You can visit https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms to locate all required documents. 7. Please visit https://ncchildcare.ncdhhs.gov/ to sign up to receive DHHS updates. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 29, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time 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

G.S. 110-90 · Violation

Name of Operation: UNION GROVE ELEMENTARY SCHOOL Facility ID: 49000568 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 11/15/2024 Number Present: 15 Completed Date: 11/15/2024 Age: From 4 To 5 Total Minutes: 135 Time In: 09:45 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements during a Routine Unannounced Visit. You, Charsanda Gallmon, assisted me with today’s visit. The last annual compliance visit was conducted on May . The last sanitation inspection was completed on September 11, 2024, with a “Superior” classification. The last fire inspection was conducted October 3, 2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 97 percent prior to today’s visit. The center's four-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free choice activities, large group time, teacher directed activities, toileting and handwashing routines, and lunch. Fire drills were completed monthly as required. The last fire drill was completed on November 8, 2024. Emergency drills are being completed every three months as required. The last emergency drill was completed on September 3, 2024. Your playground meets child care safety standards. The last playground inspection was completed on October 30, 2024. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. I monitored one prescription emergency medication and its medical action plan. All staff files were monitored for a current criminal background qualification letter, current First Aid and CPR, and Recognizing and Responding to Suspicions of Child Maltreatment Training during today’s visit. The program does not provide transportation. The following violations were documented today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection completed on 10/3/24 was received during today's visit. 10A NCAC 09 .0304(a) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. An opened bag of potting soil was stored on the floor and a tube a E6000 was stored on the counter, accessible to children. .0604(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. An emergency medication expired on 10/19/24 according to the pharmacy label. .0803(12) 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. A volunteer present today did not have an Emergency Information form completed. .0701(a) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. A volunteer present today did not have documentation of being informed of the facility's EPR Plan. .0607(g) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. A volunteer present during the visit did not have a Health Questionnaire completed. 10A NCAC 09 .0701(a) Technical Assistance was provided on the following: 1. It is recommended that a reminder be set to notify staff to begin reaching out to the fire marshal to obtain a new fire inspection. Fire inspections must be completed within 364 days of the previous inspection. Fire inspections must be completed on the Adult Day Care & Child Care Fire Inspection Report form and sent to the consultant within 7 days. 2. We discussed staff conducting a walkthrough of their classroom prior to caring for children to ensure that hazardous products are properly stored. Items that are labeled “keep out of reach of children” should be stored at least 5 feet from the ground. 3. We discussed that staff should monitor the pharmacy label for a “discard after” date and the manufacturers expiration date on medications. The date that comes first is the date that staff members should go by when determining when a medication will expire. 4. We discussed that staff should utilize the Volunteer File Checklist when volunteers are present in the classroom to ensure that they have the required documents on file at the facility. Consultation was provided on the following: 1. 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 2. https://www.positivechildhoodalliancenc.org/online-trainings/ is the new website to complete the Recognizing and Responding to Suspicions of Child Maltreatment training. Please print a copy of the training certificate and place it in each staff members file. 3. Please ensure that staff and training worksheets are completed for each visit. Consultants are not permitted to complete or make changes to the worksheet. 4. Please ensure that all staff have a WORKS account and that they send in official transcripts to the Workforce Unit for evaluation. Once staff have received a status letter they should place a copy of their letter in their staff file. 5. As of July 8, 2024, the Senate Bill 425/Session Law 2024-34 for Hold harmless has been extended until the new QRIS is implemented. At this time providers are not required to go any further with a rated license assessment unless they want to. Please reach out to me if you would like to proceed with the Rated License Assessment. 6. Please ensure that you are utilizing the most recent forms for your facility. You can visit https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms to locate all required documents. 7. Please visit https://ncchildcare.ncdhhs.gov/ to sign up to receive DHHS updates. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 29, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time 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

NC GS 110-90 · Violation

Name of Operation: UNION GROVE ELEMENTARY SCHOOL Facility ID: 49000568 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 11/15/2024 Number Present: 15 Completed Date: 11/15/2024 Age: From 4 To 5 Total Minutes: 135 Time In: 09:45 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements during a Routine Unannounced Visit. You, Charsanda Gallmon, assisted me with today’s visit. The last annual compliance visit was conducted on May . The last sanitation inspection was completed on September 11, 2024, with a “Superior” classification. The last fire inspection was conducted October 3, 2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 97 percent prior to today’s visit. The center's four-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free choice activities, large group time, teacher directed activities, toileting and handwashing routines, and lunch. Fire drills were completed monthly as required. The last fire drill was completed on November 8, 2024. Emergency drills are being completed every three months as required. The last emergency drill was completed on September 3, 2024. Your playground meets child care safety standards. The last playground inspection was completed on October 30, 2024. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. I monitored one prescription emergency medication and its medical action plan. All staff files were monitored for a current criminal background qualification letter, current First Aid and CPR, and Recognizing and Responding to Suspicions of Child Maltreatment Training during today’s visit. The program does not provide transportation. The following violations were documented today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection completed on 10/3/24 was received during today's visit. 10A NCAC 09 .0304(a) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. An opened bag of potting soil was stored on the floor and a tube a E6000 was stored on the counter, accessible to children. .0604(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. An emergency medication expired on 10/19/24 according to the pharmacy label. .0803(12) 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. A volunteer present today did not have an Emergency Information form completed. .0701(a) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. A volunteer present today did not have documentation of being informed of the facility's EPR Plan. .0607(g) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. A volunteer present during the visit did not have a Health Questionnaire completed. 10A NCAC 09 .0701(a) Technical Assistance was provided on the following: 1. It is recommended that a reminder be set to notify staff to begin reaching out to the fire marshal to obtain a new fire inspection. Fire inspections must be completed within 364 days of the previous inspection. Fire inspections must be completed on the Adult Day Care & Child Care Fire Inspection Report form and sent to the consultant within 7 days. 2. We discussed staff conducting a walkthrough of their classroom prior to caring for children to ensure that hazardous products are properly stored. Items that are labeled “keep out of reach of children” should be stored at least 5 feet from the ground. 3. We discussed that staff should monitor the pharmacy label for a “discard after” date and the manufacturers expiration date on medications. The date that comes first is the date that staff members should go by when determining when a medication will expire. 4. We discussed that staff should utilize the Volunteer File Checklist when volunteers are present in the classroom to ensure that they have the required documents on file at the facility. Consultation was provided on the following: 1. 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 2. https://www.positivechildhoodalliancenc.org/online-trainings/ is the new website to complete the Recognizing and Responding to Suspicions of Child Maltreatment training. Please print a copy of the training certificate and place it in each staff members file. 3. Please ensure that staff and training worksheets are completed for each visit. Consultants are not permitted to complete or make changes to the worksheet. 4. Please ensure that all staff have a WORKS account and that they send in official transcripts to the Workforce Unit for evaluation. Once staff have received a status letter they should place a copy of their letter in their staff file. 5. As of July 8, 2024, the Senate Bill 425/Session Law 2024-34 for Hold harmless has been extended until the new QRIS is implemented. At this time providers are not required to go any further with a rated license assessment unless they want to. Please reach out to me if you would like to proceed with the Rated License Assessment. 6. Please ensure that you are utilizing the most recent forms for your facility. You can visit https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms to locate all required documents. 7. Please visit https://ncchildcare.ncdhhs.gov/ to sign up to receive DHHS updates. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 29, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time 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: UNION GROVE ELEMENTARY SCHOOL Facility ID: 49000568 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 2/7/2024 Number Present: 17 Completed Date: 2/7/2024 Age: From 4 To 5 Total Minutes: 150 Time In: 09:40 AM Time Out: 12:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit, including compliance with requirements located in Child Care Rule Section .3000 in space A116, where children participating in the NC Pre-K program are cared for. You, Charsanda Gallman, Lead Teacher, assisted me with today’s visit. Your program currently operates with a four-star license, issued November 24, 2022, earning 3 points in the education component, 7 points in the program standards component and 1 quality point. Your program was also monitored for compliance with implementing an approved curriculum Creative Curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. The last sanitation inspection was completed on September 8, 2023, with a “Superior” classification. The last fire inspection was completed on May 15, 2023, and your facility was approved for daytime care only. I observed children adequately supervised, staff-child ratios maintained, adequate approved space use and permit restrictions maintained during today’s visit. I observed your Four-Star License, NC Child Care Summary of the Law, Sanitation placard, Emergency Medical Care Plan, daily schedule, activity plan, staff-child ratio worksheet, First Aid poster, tobacco free policy signage and evacuation plans posted as required. I observed children engaged in small group art activities, free choice activities, whole group, and lunch. Lunch was observed during today’s visit and included spaghetti with meat sauce, garden salad, craisins a breadstick, and milk. I observed toys, equipment, and materials throughout the facility to be of sufficient quantity, developmentally appropriate, and in good repair. I monitored your outdoor play spaces for general safety today. You stated that no children currently enrolled receive medications or have medical action plans. I observed your Incident Log to be current and up to date as required. I monitored a screen time log to be current that documented children’s limited time usage. I observed your monthly Fire Drill Log documenting drills for the past twelve months. I observed the last fire drill documented on this log dated February 5, 2024, at 1:35pm. I observed your Shelter-in-Place/Lockdown Drill Log documenting drills for the past twelve months. I observed the last emergency drill documented on this log was a lockdown dated January 16, 2024, at 10:07am. Emergency drills are being conducted every three months as required. You stated that you do not provide transportation. I monitored a selection of staff and children’s files during today’s visit. A substitute was present during today’s visit. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC PreK staff are lead teacher, Charsanda Gallmon and teachers, Jolanie Wilson. A selection of files were monitored for completed health assessments and developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year. The classroom operates from 7:30am to 2:00pm. Parent conferences are held three times per year. You stated that you use the Class DoJo app to communicate with parents. In addition, you use communication folders, and complete parent engagement activities. The environment rating scale score received on October 12, 2022 was 4.97. The following violation was documented during today’s visit: Violation Number Comment Rule 1030 Application for employment and date of birth was not on file for all staff. A substitute employed through the ESS agency did not have an application for employment. .0302(d)(1)(A) 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. A substitute employed through the ESS agency did not have an Emergency Information form on file. .0701(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. A substitute employed through the ESS agency did not have a signed statement of receiving a job description on file. 10A NCAC 09 .0514(g) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. Documentation of reviewing the center's EPR plan was not on file. .0607(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A substitute present did not have signed acknowledgement of Prevention of Shaken Baby Syndrome and Abusive Head Trauma. .0608(d)(1-4) 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. A substitute employed through the ESS agency did not have a TB screening on file. .0701(d) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. A health questionnaire for the substitute present was not on file. 10A NCAC 09 .0701(a) Technical assistance (TA) was provided on the following: 1. We discussed using the substitute file checklist to ensure that all substitutes that may work in the classroom have all applicable documents on file for review. I recommend having a list of approved substitutes that can be utilized in the classroom and making them a staff file to keep onsite. Consultation was provided on the following: 1. We discussed that your facility is listed in cohort 3 for resuming the star rated license. July 1, 2025, through June 30, 2026, will be your facility’s planning year. July 1, 2026, through June 30, 2027, will be your facility's reassessment year. 2. We discussed that Recognizing Suspicions of Child Maltreatment should be taken within 90 days of employment. A training on Child Maltreatment should be taken every five years thereafter. You may reach out to the local Partnership for Young Children or Department of Social Services to inquire about training opportunities related to this topic. If a training cannot be found, you may retake the Recognizing and Responding to Suspicions of Child Maltreatment training that can be located at www.preventchildabusenc.org. Please retain these certificates in your staff personnel file for review. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before February 21, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time 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.

10A NCAC 09 .0701 · Violation

Name of Operation: UNION GROVE ELEMENTARY SCHOOL Facility ID: 49000568 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 2/7/2024 Number Present: 17 Completed Date: 2/7/2024 Age: From 4 To 5 Total Minutes: 150 Time In: 09:40 AM Time Out: 12:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit, including compliance with requirements located in Child Care Rule Section .3000 in space A116, where children participating in the NC Pre-K program are cared for. You, Charsanda Gallman, Lead Teacher, assisted me with today’s visit. Your program currently operates with a four-star license, issued November 24, 2022, earning 3 points in the education component, 7 points in the program standards component and 1 quality point. Your program was also monitored for compliance with implementing an approved curriculum Creative Curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. The last sanitation inspection was completed on September 8, 2023, with a “Superior” classification. The last fire inspection was completed on May 15, 2023, and your facility was approved for daytime care only. I observed children adequately supervised, staff-child ratios maintained, adequate approved space use and permit restrictions maintained during today’s visit. I observed your Four-Star License, NC Child Care Summary of the Law, Sanitation placard, Emergency Medical Care Plan, daily schedule, activity plan, staff-child ratio worksheet, First Aid poster, tobacco free policy signage and evacuation plans posted as required. I observed children engaged in small group art activities, free choice activities, whole group, and lunch. Lunch was observed during today’s visit and included spaghetti with meat sauce, garden salad, craisins a breadstick, and milk. I observed toys, equipment, and materials throughout the facility to be of sufficient quantity, developmentally appropriate, and in good repair. I monitored your outdoor play spaces for general safety today. You stated that no children currently enrolled receive medications or have medical action plans. I observed your Incident Log to be current and up to date as required. I monitored a screen time log to be current that documented children’s limited time usage. I observed your monthly Fire Drill Log documenting drills for the past twelve months. I observed the last fire drill documented on this log dated February 5, 2024, at 1:35pm. I observed your Shelter-in-Place/Lockdown Drill Log documenting drills for the past twelve months. I observed the last emergency drill documented on this log was a lockdown dated January 16, 2024, at 10:07am. Emergency drills are being conducted every three months as required. You stated that you do not provide transportation. I monitored a selection of staff and children’s files during today’s visit. A substitute was present during today’s visit. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC PreK staff are lead teacher, Charsanda Gallmon and teachers, Jolanie Wilson. A selection of files were monitored for completed health assessments and developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year. The classroom operates from 7:30am to 2:00pm. Parent conferences are held three times per year. You stated that you use the Class DoJo app to communicate with parents. In addition, you use communication folders, and complete parent engagement activities. The environment rating scale score received on October 12, 2022 was 4.97. The following violation was documented during today’s visit: Violation Number Comment Rule 1030 Application for employment and date of birth was not on file for all staff. A substitute employed through the ESS agency did not have an application for employment. .0302(d)(1)(A) 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. A substitute employed through the ESS agency did not have an Emergency Information form on file. .0701(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. A substitute employed through the ESS agency did not have a signed statement of receiving a job description on file. 10A NCAC 09 .0514(g) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. Documentation of reviewing the center's EPR plan was not on file. .0607(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A substitute present did not have signed acknowledgement of Prevention of Shaken Baby Syndrome and Abusive Head Trauma. .0608(d)(1-4) 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. A substitute employed through the ESS agency did not have a TB screening on file. .0701(d) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. A health questionnaire for the substitute present was not on file. 10A NCAC 09 .0701(a) Technical assistance (TA) was provided on the following: 1. We discussed using the substitute file checklist to ensure that all substitutes that may work in the classroom have all applicable documents on file for review. I recommend having a list of approved substitutes that can be utilized in the classroom and making them a staff file to keep onsite. Consultation was provided on the following: 1. We discussed that your facility is listed in cohort 3 for resuming the star rated license. July 1, 2025, through June 30, 2026, will be your facility’s planning year. July 1, 2026, through June 30, 2027, will be your facility's reassessment year. 2. We discussed that Recognizing Suspicions of Child Maltreatment should be taken within 90 days of employment. A training on Child Maltreatment should be taken every five years thereafter. You may reach out to the local Partnership for Young Children or Department of Social Services to inquire about training opportunities related to this topic. If a training cannot be found, you may retake the Recognizing and Responding to Suspicions of Child Maltreatment training that can be located at www.preventchildabusenc.org. Please retain these certificates in your staff personnel file for review. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before February 21, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time 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 .3009 · Violation

Name of Operation: UNION GROVE ELEMENTARY SCHOOL Facility ID: 49000568 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 2/7/2024 Number Present: 17 Completed Date: 2/7/2024 Age: From 4 To 5 Total Minutes: 150 Time In: 09:40 AM Time Out: 12:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit, including compliance with requirements located in Child Care Rule Section .3000 in space A116, where children participating in the NC Pre-K program are cared for. You, Charsanda Gallman, Lead Teacher, assisted me with today’s visit. Your program currently operates with a four-star license, issued November 24, 2022, earning 3 points in the education component, 7 points in the program standards component and 1 quality point. Your program was also monitored for compliance with implementing an approved curriculum Creative Curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. The last sanitation inspection was completed on September 8, 2023, with a “Superior” classification. The last fire inspection was completed on May 15, 2023, and your facility was approved for daytime care only. I observed children adequately supervised, staff-child ratios maintained, adequate approved space use and permit restrictions maintained during today’s visit. I observed your Four-Star License, NC Child Care Summary of the Law, Sanitation placard, Emergency Medical Care Plan, daily schedule, activity plan, staff-child ratio worksheet, First Aid poster, tobacco free policy signage and evacuation plans posted as required. I observed children engaged in small group art activities, free choice activities, whole group, and lunch. Lunch was observed during today’s visit and included spaghetti with meat sauce, garden salad, craisins a breadstick, and milk. I observed toys, equipment, and materials throughout the facility to be of sufficient quantity, developmentally appropriate, and in good repair. I monitored your outdoor play spaces for general safety today. You stated that no children currently enrolled receive medications or have medical action plans. I observed your Incident Log to be current and up to date as required. I monitored a screen time log to be current that documented children’s limited time usage. I observed your monthly Fire Drill Log documenting drills for the past twelve months. I observed the last fire drill documented on this log dated February 5, 2024, at 1:35pm. I observed your Shelter-in-Place/Lockdown Drill Log documenting drills for the past twelve months. I observed the last emergency drill documented on this log was a lockdown dated January 16, 2024, at 10:07am. Emergency drills are being conducted every three months as required. You stated that you do not provide transportation. I monitored a selection of staff and children’s files during today’s visit. A substitute was present during today’s visit. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC PreK staff are lead teacher, Charsanda Gallmon and teachers, Jolanie Wilson. A selection of files were monitored for completed health assessments and developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year. The classroom operates from 7:30am to 2:00pm. Parent conferences are held three times per year. You stated that you use the Class DoJo app to communicate with parents. In addition, you use communication folders, and complete parent engagement activities. The environment rating scale score received on October 12, 2022 was 4.97. The following violation was documented during today’s visit: Violation Number Comment Rule 1030 Application for employment and date of birth was not on file for all staff. A substitute employed through the ESS agency did not have an application for employment. .0302(d)(1)(A) 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. A substitute employed through the ESS agency did not have an Emergency Information form on file. .0701(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. A substitute employed through the ESS agency did not have a signed statement of receiving a job description on file. 10A NCAC 09 .0514(g) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. Documentation of reviewing the center's EPR plan was not on file. .0607(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A substitute present did not have signed acknowledgement of Prevention of Shaken Baby Syndrome and Abusive Head Trauma. .0608(d)(1-4) 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. A substitute employed through the ESS agency did not have a TB screening on file. .0701(d) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. A health questionnaire for the substitute present was not on file. 10A NCAC 09 .0701(a) Technical assistance (TA) was provided on the following: 1. We discussed using the substitute file checklist to ensure that all substitutes that may work in the classroom have all applicable documents on file for review. I recommend having a list of approved substitutes that can be utilized in the classroom and making them a staff file to keep onsite. Consultation was provided on the following: 1. We discussed that your facility is listed in cohort 3 for resuming the star rated license. July 1, 2025, through June 30, 2026, will be your facility’s planning year. July 1, 2026, through June 30, 2027, will be your facility's reassessment year. 2. We discussed that Recognizing Suspicions of Child Maltreatment should be taken within 90 days of employment. A training on Child Maltreatment should be taken every five years thereafter. You may reach out to the local Partnership for Young Children or Department of Social Services to inquire about training opportunities related to this topic. If a training cannot be found, you may retake the Recognizing and Responding to Suspicions of Child Maltreatment training that can be located at www.preventchildabusenc.org. Please retain these certificates in your staff personnel file for review. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before February 21, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time 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

NC GS 110-90 · Violation

Name of Operation: UNION GROVE ELEMENTARY SCHOOL Facility ID: 49000568 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 2/7/2024 Number Present: 17 Completed Date: 2/7/2024 Age: From 4 To 5 Total Minutes: 150 Time In: 09:40 AM Time Out: 12:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit, including compliance with requirements located in Child Care Rule Section .3000 in space A116, where children participating in the NC Pre-K program are cared for. You, Charsanda Gallman, Lead Teacher, assisted me with today’s visit. Your program currently operates with a four-star license, issued November 24, 2022, earning 3 points in the education component, 7 points in the program standards component and 1 quality point. Your program was also monitored for compliance with implementing an approved curriculum Creative Curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. The last sanitation inspection was completed on September 8, 2023, with a “Superior” classification. The last fire inspection was completed on May 15, 2023, and your facility was approved for daytime care only. I observed children adequately supervised, staff-child ratios maintained, adequate approved space use and permit restrictions maintained during today’s visit. I observed your Four-Star License, NC Child Care Summary of the Law, Sanitation placard, Emergency Medical Care Plan, daily schedule, activity plan, staff-child ratio worksheet, First Aid poster, tobacco free policy signage and evacuation plans posted as required. I observed children engaged in small group art activities, free choice activities, whole group, and lunch. Lunch was observed during today’s visit and included spaghetti with meat sauce, garden salad, craisins a breadstick, and milk. I observed toys, equipment, and materials throughout the facility to be of sufficient quantity, developmentally appropriate, and in good repair. I monitored your outdoor play spaces for general safety today. You stated that no children currently enrolled receive medications or have medical action plans. I observed your Incident Log to be current and up to date as required. I monitored a screen time log to be current that documented children’s limited time usage. I observed your monthly Fire Drill Log documenting drills for the past twelve months. I observed the last fire drill documented on this log dated February 5, 2024, at 1:35pm. I observed your Shelter-in-Place/Lockdown Drill Log documenting drills for the past twelve months. I observed the last emergency drill documented on this log was a lockdown dated January 16, 2024, at 10:07am. Emergency drills are being conducted every three months as required. You stated that you do not provide transportation. I monitored a selection of staff and children’s files during today’s visit. A substitute was present during today’s visit. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC PreK staff are lead teacher, Charsanda Gallmon and teachers, Jolanie Wilson. A selection of files were monitored for completed health assessments and developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year. The classroom operates from 7:30am to 2:00pm. Parent conferences are held three times per year. You stated that you use the Class DoJo app to communicate with parents. In addition, you use communication folders, and complete parent engagement activities. The environment rating scale score received on October 12, 2022 was 4.97. The following violation was documented during today’s visit: Violation Number Comment Rule 1030 Application for employment and date of birth was not on file for all staff. A substitute employed through the ESS agency did not have an application for employment. .0302(d)(1)(A) 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. A substitute employed through the ESS agency did not have an Emergency Information form on file. .0701(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. A substitute employed through the ESS agency did not have a signed statement of receiving a job description on file. 10A NCAC 09 .0514(g) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. Documentation of reviewing the center's EPR plan was not on file. .0607(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A substitute present did not have signed acknowledgement of Prevention of Shaken Baby Syndrome and Abusive Head Trauma. .0608(d)(1-4) 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. A substitute employed through the ESS agency did not have a TB screening on file. .0701(d) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. A health questionnaire for the substitute present was not on file. 10A NCAC 09 .0701(a) Technical assistance (TA) was provided on the following: 1. We discussed using the substitute file checklist to ensure that all substitutes that may work in the classroom have all applicable documents on file for review. I recommend having a list of approved substitutes that can be utilized in the classroom and making them a staff file to keep onsite. Consultation was provided on the following: 1. We discussed that your facility is listed in cohort 3 for resuming the star rated license. July 1, 2025, through June 30, 2026, will be your facility’s planning year. July 1, 2026, through June 30, 2027, will be your facility's reassessment year. 2. We discussed that Recognizing Suspicions of Child Maltreatment should be taken within 90 days of employment. A training on Child Maltreatment should be taken every five years thereafter. You may reach out to the local Partnership for Young Children or Department of Social Services to inquire about training opportunities related to this topic. If a training cannot be found, you may retake the Recognizing and Responding to Suspicions of Child Maltreatment training that can be located at www.preventchildabusenc.org. Please retain these certificates in your staff personnel file for review. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before February 21, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time 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