10A NCAC 09 .0508 · Violation

Name of Operation: MIDDLE FORK ELEMENTARY PRE-K PROGRAM Facility ID: 34000874 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 3/4/2025 Number Present: 13 Completed Date: 3/4/2025 Age: From 4 To 5 Total Minutes: 90 Time In: 11:30 AM Time Out: 01:00 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 childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Laquetta Williams, Director. Your program currently operates with a 5-Star license effective 7/10/2019. Restrictions include 1st shift care, meets enhanced ratios; meets enhanced space; meets enhanced ratios minus one; and School Age equipment cannot be used by preschool children. The program’s compliance history was 93% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in conversations with their teachers, participating in general routines, and eating lunch during the visit. No new staff members were reported at this program. One long-term substitute was observed serving in the classroom today. The file for this staff member was reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, Special Trainings, and Criminal Background Checks. Storage and administration of medication and medication authorization were monitored. Storage of hazardous items was monitored today and found to be in compliance. A playground inspection was recorded 2/17/2025. A fire drill was recorded 2/26/2025. A shelter-in-place for the facility was recorded 1/08/2025. The most recent fire inspection was on 9/11/2024; a copy of this inspection was provided to me during the visit. I observed a sanitation inspection was last conducted on 12/11/2024 earning a Superior classification. The program does not participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In Room 109 (Space 1), the medication authorization for one child enrolled with an emergency medication was not observed to include the subject medical conditions or allergic reactions. 10A NCAC 09 .0803(4)(6-9) Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: In Room 109 (Space 1), the medication authorization for one child enrolled with an emergency medication was not observed to include the subject medical conditions or allergic reactions; this information was added to the medication authorization during the visit. Consultation Provided During Visit: The following Child Care Rule was discussed with Ms. Williams during the visit: • 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) regarding daily schedules - 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) regarding new staff orientation • The training for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment can be accessed at the following link: https://pcanc.quest4data.com/courses Please only take the course titled Recognizing and Responding to Suspicions of Child Abuse and Maltreatment; the course titled What Is Prevention? is not the same and cannot be completed as a substitute course. The Ready to Go file is only required to have emergency information for each staff member; this file does not include the health questionnaire for each staff member. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. 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. • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, a handwritten visit and enrollment worksheet was left with the provider due to technical issues. The visit summary was entered into the Regulatory system on the same day following the visit, and visit documentation was emailed to Ms. Williams. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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 .0803 · Violation

Name of Operation: MIDDLE FORK ELEMENTARY PRE-K PROGRAM Facility ID: 34000874 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 3/4/2025 Number Present: 13 Completed Date: 3/4/2025 Age: From 4 To 5 Total Minutes: 90 Time In: 11:30 AM Time Out: 01:00 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 childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Laquetta Williams, Director. Your program currently operates with a 5-Star license effective 7/10/2019. Restrictions include 1st shift care, meets enhanced ratios; meets enhanced space; meets enhanced ratios minus one; and School Age equipment cannot be used by preschool children. The program’s compliance history was 93% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in conversations with their teachers, participating in general routines, and eating lunch during the visit. No new staff members were reported at this program. One long-term substitute was observed serving in the classroom today. The file for this staff member was reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, Special Trainings, and Criminal Background Checks. Storage and administration of medication and medication authorization were monitored. Storage of hazardous items was monitored today and found to be in compliance. A playground inspection was recorded 2/17/2025. A fire drill was recorded 2/26/2025. A shelter-in-place for the facility was recorded 1/08/2025. The most recent fire inspection was on 9/11/2024; a copy of this inspection was provided to me during the visit. I observed a sanitation inspection was last conducted on 12/11/2024 earning a Superior classification. The program does not participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In Room 109 (Space 1), the medication authorization for one child enrolled with an emergency medication was not observed to include the subject medical conditions or allergic reactions. 10A NCAC 09 .0803(4)(6-9) Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: In Room 109 (Space 1), the medication authorization for one child enrolled with an emergency medication was not observed to include the subject medical conditions or allergic reactions; this information was added to the medication authorization during the visit. Consultation Provided During Visit: The following Child Care Rule was discussed with Ms. Williams during the visit: • 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) regarding daily schedules - 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) regarding new staff orientation • The training for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment can be accessed at the following link: https://pcanc.quest4data.com/courses Please only take the course titled Recognizing and Responding to Suspicions of Child Abuse and Maltreatment; the course titled What Is Prevention? is not the same and cannot be completed as a substitute course. The Ready to Go file is only required to have emergency information for each staff member; this file does not include the health questionnaire for each staff member. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. 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. • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, a handwritten visit and enrollment worksheet was left with the provider due to technical issues. The visit summary was entered into the Regulatory system on the same day following the visit, and visit documentation was emailed to Ms. Williams. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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 .1101 · Violation

Name of Operation: MIDDLE FORK ELEMENTARY PRE-K PROGRAM Facility ID: 34000874 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 3/4/2025 Number Present: 13 Completed Date: 3/4/2025 Age: From 4 To 5 Total Minutes: 90 Time In: 11:30 AM Time Out: 01:00 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 childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Laquetta Williams, Director. Your program currently operates with a 5-Star license effective 7/10/2019. Restrictions include 1st shift care, meets enhanced ratios; meets enhanced space; meets enhanced ratios minus one; and School Age equipment cannot be used by preschool children. The program’s compliance history was 93% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in conversations with their teachers, participating in general routines, and eating lunch during the visit. No new staff members were reported at this program. One long-term substitute was observed serving in the classroom today. The file for this staff member was reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, Special Trainings, and Criminal Background Checks. Storage and administration of medication and medication authorization were monitored. Storage of hazardous items was monitored today and found to be in compliance. A playground inspection was recorded 2/17/2025. A fire drill was recorded 2/26/2025. A shelter-in-place for the facility was recorded 1/08/2025. The most recent fire inspection was on 9/11/2024; a copy of this inspection was provided to me during the visit. I observed a sanitation inspection was last conducted on 12/11/2024 earning a Superior classification. The program does not participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In Room 109 (Space 1), the medication authorization for one child enrolled with an emergency medication was not observed to include the subject medical conditions or allergic reactions. 10A NCAC 09 .0803(4)(6-9) Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: In Room 109 (Space 1), the medication authorization for one child enrolled with an emergency medication was not observed to include the subject medical conditions or allergic reactions; this information was added to the medication authorization during the visit. Consultation Provided During Visit: The following Child Care Rule was discussed with Ms. Williams during the visit: • 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) regarding daily schedules - 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) regarding new staff orientation • The training for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment can be accessed at the following link: https://pcanc.quest4data.com/courses Please only take the course titled Recognizing and Responding to Suspicions of Child Abuse and Maltreatment; the course titled What Is Prevention? is not the same and cannot be completed as a substitute course. The Ready to Go file is only required to have emergency information for each staff member; this file does not include the health questionnaire for each staff member. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. 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. • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, a handwritten visit and enrollment worksheet was left with the provider due to technical issues. The visit summary was entered into the Regulatory system on the same day following the visit, and visit documentation was emailed to Ms. Williams. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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 .0601 · Violation

Name of Operation: MIDDLE FORK ELEMENTARY PRE-K PROGRAM Facility ID: 34000874 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/16/2024 Number Present: 15 Completed Date: 9/16/2024 Age: From 4 To 5 Total Minutes: 240 Time In: 10:00 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Room 109 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Sherri Sawyers, Lead Teacher and Director, Laquetta Williams. Your program currently operates with a 4-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age equipment cannot be used by preschoolers. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, playing outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 9/28/2023. A sanitation inspection was completed 2/09/2024 with a Superior classification. The last fire inspection was conducted on 2/21/2024. Program records and required postings were monitored. A fire drill was conducted on 8/22/2024. A lockdown drill was documented on 9/10/2024. An outdoor inspection was documented on 8/19/2024. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and found to be in compliance. One child enrolled was reported to have an emergency medication onsite during facility operating hours. Ms. Williams stated the program does not provide transportation to children in licensed classrooms at this time, or participate in off-premise activities or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Editions 2 and 3 are used as screening tools. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents are invited to Curriculum Nights, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held twice per year, and an onsite orientation with parents is held at the beginning of the school year. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie and Ready Freddy. Teachers reach out to parents on the first day a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today, as Ms. Williams stated it has not yet been received from the NCPK contractor; Ms. Williams shared she would email me a copy of this completed tool once it has been received. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teacher, Sherri Sawyers and teacher, Ericka Little. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were observed to be complete to date. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the first checkpoints for students enrolled will be completed in October. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/12/2024. The environment rating scale score received on 2/26/2019 was 6.0. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children enrolled, one cluster of small tree stumps located near the right side of the building (facing the parking lot from the playground, just behind the cluster of trees and teepee) contained two protruding stumps which were sharp to the touch. On the lower left-hand side/corner of the first shed (facing the parking lot from the playground), the siding was observed to be cracked and sharp to the touch. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. A medication authorization form for one child enrolled with an emergency medication did not include the subject medical conditions or allergic reactions. 10A NCAC 09 .0803(4)(6-9) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A medical action plan for an emergency medication was not observed on file for review for one child. .0801(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 9/30/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: A medication authorization form for one child enrolled with an emergency medication did not include the subject medical conditions or allergic reactions. A medical action plan for an emergency medication was not observed on file for review for one child. It is imperative that medication records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. Ms. Sawyers stated she was not aware these forms were not accurate or that they were not on file. You may consider thoroughly reviewing all requirements for medication authorization to ensure not only that all required documentation has been received from the parent, but also that all required information is included on forms received from parents and/or medical professionals. On the playground used by children enrolled, one cluster of small tree stumps located near the right side of the building (facing the parking lot from the playground, just behind the cluster of trees and teepee) contained two protruding stumps which were sharp to the touch. On the lower left-hand side/corner of the first shed (facing the parking lot from the playground), the siding was observed to be cracked and sharp to the touch. It is essential for the outdoor learning environment to be a safe place for children to explore in and engage with. Ms. Williams stated she was unaware these safety issues were present on the playground. She asked me to send her photographs of the issues to make these easier for maintenance to identify, and I emailed these pictures to Ms. Williams during the visit. You may consider adding these items to your monthly playground inspection. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Williams during the visit: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) (b) Please update the information in the NCPK Plan for the administrator for this facility. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@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 .0803 · Violation

Name of Operation: MIDDLE FORK ELEMENTARY PRE-K PROGRAM Facility ID: 34000874 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/16/2024 Number Present: 15 Completed Date: 9/16/2024 Age: From 4 To 5 Total Minutes: 240 Time In: 10:00 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Room 109 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Sherri Sawyers, Lead Teacher and Director, Laquetta Williams. Your program currently operates with a 4-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age equipment cannot be used by preschoolers. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, playing outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 9/28/2023. A sanitation inspection was completed 2/09/2024 with a Superior classification. The last fire inspection was conducted on 2/21/2024. Program records and required postings were monitored. A fire drill was conducted on 8/22/2024. A lockdown drill was documented on 9/10/2024. An outdoor inspection was documented on 8/19/2024. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and found to be in compliance. One child enrolled was reported to have an emergency medication onsite during facility operating hours. Ms. Williams stated the program does not provide transportation to children in licensed classrooms at this time, or participate in off-premise activities or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Editions 2 and 3 are used as screening tools. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents are invited to Curriculum Nights, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held twice per year, and an onsite orientation with parents is held at the beginning of the school year. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie and Ready Freddy. Teachers reach out to parents on the first day a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today, as Ms. Williams stated it has not yet been received from the NCPK contractor; Ms. Williams shared she would email me a copy of this completed tool once it has been received. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teacher, Sherri Sawyers and teacher, Ericka Little. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were observed to be complete to date. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the first checkpoints for students enrolled will be completed in October. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/12/2024. The environment rating scale score received on 2/26/2019 was 6.0. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children enrolled, one cluster of small tree stumps located near the right side of the building (facing the parking lot from the playground, just behind the cluster of trees and teepee) contained two protruding stumps which were sharp to the touch. On the lower left-hand side/corner of the first shed (facing the parking lot from the playground), the siding was observed to be cracked and sharp to the touch. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. A medication authorization form for one child enrolled with an emergency medication did not include the subject medical conditions or allergic reactions. 10A NCAC 09 .0803(4)(6-9) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A medical action plan for an emergency medication was not observed on file for review for one child. .0801(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 9/30/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: A medication authorization form for one child enrolled with an emergency medication did not include the subject medical conditions or allergic reactions. A medical action plan for an emergency medication was not observed on file for review for one child. It is imperative that medication records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. Ms. Sawyers stated she was not aware these forms were not accurate or that they were not on file. You may consider thoroughly reviewing all requirements for medication authorization to ensure not only that all required documentation has been received from the parent, but also that all required information is included on forms received from parents and/or medical professionals. On the playground used by children enrolled, one cluster of small tree stumps located near the right side of the building (facing the parking lot from the playground, just behind the cluster of trees and teepee) contained two protruding stumps which were sharp to the touch. On the lower left-hand side/corner of the first shed (facing the parking lot from the playground), the siding was observed to be cracked and sharp to the touch. It is essential for the outdoor learning environment to be a safe place for children to explore in and engage with. Ms. Williams stated she was unaware these safety issues were present on the playground. She asked me to send her photographs of the issues to make these easier for maintenance to identify, and I emailed these pictures to Ms. Williams during the visit. You may consider adding these items to your monthly playground inspection. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Williams during the visit: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) (b) Please update the information in the NCPK Plan for the administrator for this facility. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3009 · Violation

Name of Operation: MIDDLE FORK ELEMENTARY PRE-K PROGRAM Facility ID: 34000874 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/16/2024 Number Present: 15 Completed Date: 9/16/2024 Age: From 4 To 5 Total Minutes: 240 Time In: 10:00 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Room 109 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Sherri Sawyers, Lead Teacher and Director, Laquetta Williams. Your program currently operates with a 4-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age equipment cannot be used by preschoolers. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, playing outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 9/28/2023. A sanitation inspection was completed 2/09/2024 with a Superior classification. The last fire inspection was conducted on 2/21/2024. Program records and required postings were monitored. A fire drill was conducted on 8/22/2024. A lockdown drill was documented on 9/10/2024. An outdoor inspection was documented on 8/19/2024. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and found to be in compliance. One child enrolled was reported to have an emergency medication onsite during facility operating hours. Ms. Williams stated the program does not provide transportation to children in licensed classrooms at this time, or participate in off-premise activities or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Editions 2 and 3 are used as screening tools. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents are invited to Curriculum Nights, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held twice per year, and an onsite orientation with parents is held at the beginning of the school year. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie and Ready Freddy. Teachers reach out to parents on the first day a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today, as Ms. Williams stated it has not yet been received from the NCPK contractor; Ms. Williams shared she would email me a copy of this completed tool once it has been received. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teacher, Sherri Sawyers and teacher, Ericka Little. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were observed to be complete to date. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the first checkpoints for students enrolled will be completed in October. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/12/2024. The environment rating scale score received on 2/26/2019 was 6.0. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children enrolled, one cluster of small tree stumps located near the right side of the building (facing the parking lot from the playground, just behind the cluster of trees and teepee) contained two protruding stumps which were sharp to the touch. On the lower left-hand side/corner of the first shed (facing the parking lot from the playground), the siding was observed to be cracked and sharp to the touch. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. A medication authorization form for one child enrolled with an emergency medication did not include the subject medical conditions or allergic reactions. 10A NCAC 09 .0803(4)(6-9) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A medical action plan for an emergency medication was not observed on file for review for one child. .0801(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 9/30/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: A medication authorization form for one child enrolled with an emergency medication did not include the subject medical conditions or allergic reactions. A medical action plan for an emergency medication was not observed on file for review for one child. It is imperative that medication records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. Ms. Sawyers stated she was not aware these forms were not accurate or that they were not on file. You may consider thoroughly reviewing all requirements for medication authorization to ensure not only that all required documentation has been received from the parent, but also that all required information is included on forms received from parents and/or medical professionals. On the playground used by children enrolled, one cluster of small tree stumps located near the right side of the building (facing the parking lot from the playground, just behind the cluster of trees and teepee) contained two protruding stumps which were sharp to the touch. On the lower left-hand side/corner of the first shed (facing the parking lot from the playground), the siding was observed to be cracked and sharp to the touch. It is essential for the outdoor learning environment to be a safe place for children to explore in and engage with. Ms. Williams stated she was unaware these safety issues were present on the playground. She asked me to send her photographs of the issues to make these easier for maintenance to identify, and I emailed these pictures to Ms. Williams during the visit. You may consider adding these items to your monthly playground inspection. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Williams during the visit: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) (b) Please update the information in the NCPK Plan for the administrator for this facility. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: MIDDLE FORK ELEMENTARY PRE-K PROGRAM Facility ID: 34000874 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/28/2023 Number Present: 14 Completed Date: 9/28/2023 Age: From 4 To 5 Total Minutes: 375 Time In: 09:30 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Room 109 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Nichole Rose, Principal and Sherri Sawyers, Lead Teacher. Your program currently operates with a 4-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age Equipment cannot be used by preschoolers. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 92% prior to today’s visit. All programs are required to maintain at least 75% compliance. During a Courtesy Visit made on 8/21/2023, I observed each classroom (Rooms 105, 106, 107, 108, and 110). Rooms 105, 106, and 110 will be used for Developmental Day classrooms, and Room 107 will be used as an EC/ Pre-K classroom. I requested an update from Ms. Rose regarding these classrooms, as a building inspection and documentation of additional corrections are needed prior to the issuance of a Developmental Day permit to this facility. Ms. Rose provided me with documentation of the corrections made to each classroom following my visit on 8/21/2023. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. A piece of plastic underpinning located at the left base of the first shed on the back left of the playground (facing away from the building) was observed to be cracked and sharp to the touch in multiple places. A menu for the current week was not posted for breakfast, lunch, or snack; a breakfast and lunch menu for the week was posted during the visit. Baked ziti, a roll, seasoned zucchini, tropical mixed fruit, and milk were served to the children for lunch. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Two children enrolled did not have a recorded time of arrival. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, engaging in conversations and activities with their teachers, playing outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 10/11/2022. A sanitation inspection was completed 2/23/2023 with a Superior classification. The last fire inspection was conducted on 9/20/2023. Ms. Rose provided me a copy of this inspection during the visit. Program records and required postings were monitored. A fire drill was conducted on 9/25/2023. A lockdown drill was documented on 9/20/2023. An outdoor inspection was documented on 9/13/2023. Staff files and children’s records were monitored per DCDEE procedures. Health and Safety training topic #s 2, 7, and 10 were not current and/or on file for review for one existing staff member. The staff member completed topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment during the visit. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for two children enrolled. A copy of the Parent Participation Plan was also not posted in the classroom for review. Transportation permission/ authorization for once child enrolled was not on file for review. The Public School Offsite Records Verification forms for Transportation and the Requirements for Preschoolers on Public School Buses forms were not complete and available for review. Storage of hazardous items was monitored today and found to be in compliance. No children were reported to take medication during facility operating hours. The program does not participate in off-premise activities or aquatic activities. The program does transport one EC child enrolled; however buses were not monitored during the visit. Ms. Rose stated the child rides Bus # 440 regularly and Bus #443 (a substitute bus, when necessary) in the afternoons, but that buses are not kept onsite. Ms. Rose also stated the program will be completing all required Public School Offsite Records Verification forms for Transportation and the Requirements for Preschoolers on Public School Buses forms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five- star licensed facilities where four-year-old children are enrolled. The first day of school was 8/28/2023. The Environment Rating Scale score received on 3/25/2019 was 6. Your facility uses Creative Curriculum and implements the Teaching Strategies Gold activity plan format. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, January, and April). ASQ developmental screenings were observed to be conducted for children enrolled. To promote family engagement, the teachers hold parent-teacher conferences three times per year either in-person, via phone, or via Zoom, communicate to parents regularly through Class Dojo, face-to-face at drop-off each morning, Daily Folders, and via phone and email. Ms. Rose stated that parents also make donations to the classroom for events such as birthdays. Additionally, parents are invited to participate in small group activities and reading activities with the children in the classroom and share parent experiences related to curriculum content. Teachers reach out to families via phone call or Class Dojo on the third day that a child is absent to find out the reason for the absence, and they send Ready Rosie and Second Step at-home activities to families to support the home/school partnership. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not onsite for review today and is not due to be submitted to the NCPK contractor until 10/31/23. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified to be in compliance. The current NC Pre-K staff are lead teacher Sherri Sawyers and Assistant Teacher Erika Little. A selection of files was monitored for completed health assessments and developmental screenings. A copy of the dental screening was not observed on file for one child enrolled within thirty days of enrollment; the child was enrolled on 8/28/2023. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. The times of arrival were not recorded for two children enrolled. 10A NCAC 09 .0302(d)(4) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A menu for the current week was not posted for breakfast, lunch, or snack; a breakfast and lunch menu for the week was posted during the visit. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. A piece of plastic underpinning located at the left base of the first shed on the back left of the playground (facing away from the building) was observed to be cracked and sharp to the touch in multiple places. 10A NCAC 09 .0601(a) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Transportation permission/ authorization for once child enrolled was not on file for review. .1003(i)(j) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. A signed receipt of the Parent Participation Plan was not on file for two children enrolled. This plan was also not posted in the classroom. 10A NCAC 09 .0515(a) 1769 The health assessment did not include a dental screening. The dental screening for one child was not observed on file. .3005 (a)(5) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Health and Safety training topic #s 2, 7, and 10 were not current and/or on file for review for one existing staff member. .1103(b) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before October 12, 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional visits may be made during the year to monitor child care requirements. Technical assistance provided during today’s visit: • Please consider adding a copy of the site’s Critical Incident Plan (for Winston Salem Forsyth County Schools) to each classroom file containing lockdown procedures, tornado procedures, emergency protocol, etc. • Please review your Staff and Training worksheet and staff files in detail to ensure all recorded information is accurate and up to date. • Please correct the Capacity listed on the Staff: Child Ratio worksheet posted in Room 109 to reflect 15. • I provided Ms. Rose with a blank template for Appendix G to complete, update, and submit to me. • Please review all children’s files to ensure that all required documentation is present in each file. • Ms. Rose requested a training for New Administrators; I stated I would discuss this request with my supervisor regarding next steps. • Please ensure that the most updated education information is entered into DCDEE Works for all staff members. • Please also ensure that all NCPK staff members are entered into the NCPK Plan. • Please monitor the playground for mushrooms growing prior to children using the outdoor play area. • Please monitor the playground for trash and/or debris prior to the children’s use. • Please ensure menus are posted in each classroom no later than the beginning of the school day on the 1st of every month. • Please ensure each child has a hospital preference listed on his/her application. • Ms. Rose and I discussed sections .2900 and .3000 of Child Care Rule regarding Developmental Day and NCPK Requirements. • I recommend you have parents complete the Child’s Application for Enrollment form provided on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/childs_application_i.pdf?ver=vigZymZDo-BVdl6mjVN2WA%3d%3d - Please monitor the outdoor area for developing rust and for wasp/spider nests and hives prior to children using this space. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0302 · Violation

Name of Operation: MIDDLE FORK ELEMENTARY PRE-K PROGRAM Facility ID: 34000874 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/28/2023 Number Present: 14 Completed Date: 9/28/2023 Age: From 4 To 5 Total Minutes: 375 Time In: 09:30 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Room 109 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Nichole Rose, Principal and Sherri Sawyers, Lead Teacher. Your program currently operates with a 4-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age Equipment cannot be used by preschoolers. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 92% prior to today’s visit. All programs are required to maintain at least 75% compliance. During a Courtesy Visit made on 8/21/2023, I observed each classroom (Rooms 105, 106, 107, 108, and 110). Rooms 105, 106, and 110 will be used for Developmental Day classrooms, and Room 107 will be used as an EC/ Pre-K classroom. I requested an update from Ms. Rose regarding these classrooms, as a building inspection and documentation of additional corrections are needed prior to the issuance of a Developmental Day permit to this facility. Ms. Rose provided me with documentation of the corrections made to each classroom following my visit on 8/21/2023. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. A piece of plastic underpinning located at the left base of the first shed on the back left of the playground (facing away from the building) was observed to be cracked and sharp to the touch in multiple places. A menu for the current week was not posted for breakfast, lunch, or snack; a breakfast and lunch menu for the week was posted during the visit. Baked ziti, a roll, seasoned zucchini, tropical mixed fruit, and milk were served to the children for lunch. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Two children enrolled did not have a recorded time of arrival. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, engaging in conversations and activities with their teachers, playing outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 10/11/2022. A sanitation inspection was completed 2/23/2023 with a Superior classification. The last fire inspection was conducted on 9/20/2023. Ms. Rose provided me a copy of this inspection during the visit. Program records and required postings were monitored. A fire drill was conducted on 9/25/2023. A lockdown drill was documented on 9/20/2023. An outdoor inspection was documented on 9/13/2023. Staff files and children’s records were monitored per DCDEE procedures. Health and Safety training topic #s 2, 7, and 10 were not current and/or on file for review for one existing staff member. The staff member completed topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment during the visit. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for two children enrolled. A copy of the Parent Participation Plan was also not posted in the classroom for review. Transportation permission/ authorization for once child enrolled was not on file for review. The Public School Offsite Records Verification forms for Transportation and the Requirements for Preschoolers on Public School Buses forms were not complete and available for review. Storage of hazardous items was monitored today and found to be in compliance. No children were reported to take medication during facility operating hours. The program does not participate in off-premise activities or aquatic activities. The program does transport one EC child enrolled; however buses were not monitored during the visit. Ms. Rose stated the child rides Bus # 440 regularly and Bus #443 (a substitute bus, when necessary) in the afternoons, but that buses are not kept onsite. Ms. Rose also stated the program will be completing all required Public School Offsite Records Verification forms for Transportation and the Requirements for Preschoolers on Public School Buses forms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five- star licensed facilities where four-year-old children are enrolled. The first day of school was 8/28/2023. The Environment Rating Scale score received on 3/25/2019 was 6. Your facility uses Creative Curriculum and implements the Teaching Strategies Gold activity plan format. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, January, and April). ASQ developmental screenings were observed to be conducted for children enrolled. To promote family engagement, the teachers hold parent-teacher conferences three times per year either in-person, via phone, or via Zoom, communicate to parents regularly through Class Dojo, face-to-face at drop-off each morning, Daily Folders, and via phone and email. Ms. Rose stated that parents also make donations to the classroom for events such as birthdays. Additionally, parents are invited to participate in small group activities and reading activities with the children in the classroom and share parent experiences related to curriculum content. Teachers reach out to families via phone call or Class Dojo on the third day that a child is absent to find out the reason for the absence, and they send Ready Rosie and Second Step at-home activities to families to support the home/school partnership. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not onsite for review today and is not due to be submitted to the NCPK contractor until 10/31/23. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified to be in compliance. The current NC Pre-K staff are lead teacher Sherri Sawyers and Assistant Teacher Erika Little. A selection of files was monitored for completed health assessments and developmental screenings. A copy of the dental screening was not observed on file for one child enrolled within thirty days of enrollment; the child was enrolled on 8/28/2023. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. The times of arrival were not recorded for two children enrolled. 10A NCAC 09 .0302(d)(4) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A menu for the current week was not posted for breakfast, lunch, or snack; a breakfast and lunch menu for the week was posted during the visit. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. A piece of plastic underpinning located at the left base of the first shed on the back left of the playground (facing away from the building) was observed to be cracked and sharp to the touch in multiple places. 10A NCAC 09 .0601(a) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Transportation permission/ authorization for once child enrolled was not on file for review. .1003(i)(j) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. A signed receipt of the Parent Participation Plan was not on file for two children enrolled. This plan was also not posted in the classroom. 10A NCAC 09 .0515(a) 1769 The health assessment did not include a dental screening. The dental screening for one child was not observed on file. .3005 (a)(5) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Health and Safety training topic #s 2, 7, and 10 were not current and/or on file for review for one existing staff member. .1103(b) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before October 12, 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional visits may be made during the year to monitor child care requirements. Technical assistance provided during today’s visit: • Please consider adding a copy of the site’s Critical Incident Plan (for Winston Salem Forsyth County Schools) to each classroom file containing lockdown procedures, tornado procedures, emergency protocol, etc. • Please review your Staff and Training worksheet and staff files in detail to ensure all recorded information is accurate and up to date. • Please correct the Capacity listed on the Staff: Child Ratio worksheet posted in Room 109 to reflect 15. • I provided Ms. Rose with a blank template for Appendix G to complete, update, and submit to me. • Please review all children’s files to ensure that all required documentation is present in each file. • Ms. Rose requested a training for New Administrators; I stated I would discuss this request with my supervisor regarding next steps. • Please ensure that the most updated education information is entered into DCDEE Works for all staff members. • Please also ensure that all NCPK staff members are entered into the NCPK Plan. • Please monitor the playground for mushrooms growing prior to children using the outdoor play area. • Please monitor the playground for trash and/or debris prior to the children’s use. • Please ensure menus are posted in each classroom no later than the beginning of the school day on the 1st of every month. • Please ensure each child has a hospital preference listed on his/her application. • Ms. Rose and I discussed sections .2900 and .3000 of Child Care Rule regarding Developmental Day and NCPK Requirements. • I recommend you have parents complete the Child’s Application for Enrollment form provided on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/childs_application_i.pdf?ver=vigZymZDo-BVdl6mjVN2WA%3d%3d - Please monitor the outdoor area for developing rust and for wasp/spider nests and hives prior to children using this space. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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 .0515 · Violation

Name of Operation: MIDDLE FORK ELEMENTARY PRE-K PROGRAM Facility ID: 34000874 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/28/2023 Number Present: 14 Completed Date: 9/28/2023 Age: From 4 To 5 Total Minutes: 375 Time In: 09:30 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Room 109 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Nichole Rose, Principal and Sherri Sawyers, Lead Teacher. Your program currently operates with a 4-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age Equipment cannot be used by preschoolers. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 92% prior to today’s visit. All programs are required to maintain at least 75% compliance. During a Courtesy Visit made on 8/21/2023, I observed each classroom (Rooms 105, 106, 107, 108, and 110). Rooms 105, 106, and 110 will be used for Developmental Day classrooms, and Room 107 will be used as an EC/ Pre-K classroom. I requested an update from Ms. Rose regarding these classrooms, as a building inspection and documentation of additional corrections are needed prior to the issuance of a Developmental Day permit to this facility. Ms. Rose provided me with documentation of the corrections made to each classroom following my visit on 8/21/2023. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. A piece of plastic underpinning located at the left base of the first shed on the back left of the playground (facing away from the building) was observed to be cracked and sharp to the touch in multiple places. A menu for the current week was not posted for breakfast, lunch, or snack; a breakfast and lunch menu for the week was posted during the visit. Baked ziti, a roll, seasoned zucchini, tropical mixed fruit, and milk were served to the children for lunch. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Two children enrolled did not have a recorded time of arrival. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, engaging in conversations and activities with their teachers, playing outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 10/11/2022. A sanitation inspection was completed 2/23/2023 with a Superior classification. The last fire inspection was conducted on 9/20/2023. Ms. Rose provided me a copy of this inspection during the visit. Program records and required postings were monitored. A fire drill was conducted on 9/25/2023. A lockdown drill was documented on 9/20/2023. An outdoor inspection was documented on 9/13/2023. Staff files and children’s records were monitored per DCDEE procedures. Health and Safety training topic #s 2, 7, and 10 were not current and/or on file for review for one existing staff member. The staff member completed topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment during the visit. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for two children enrolled. A copy of the Parent Participation Plan was also not posted in the classroom for review. Transportation permission/ authorization for once child enrolled was not on file for review. The Public School Offsite Records Verification forms for Transportation and the Requirements for Preschoolers on Public School Buses forms were not complete and available for review. Storage of hazardous items was monitored today and found to be in compliance. No children were reported to take medication during facility operating hours. The program does not participate in off-premise activities or aquatic activities. The program does transport one EC child enrolled; however buses were not monitored during the visit. Ms. Rose stated the child rides Bus # 440 regularly and Bus #443 (a substitute bus, when necessary) in the afternoons, but that buses are not kept onsite. Ms. Rose also stated the program will be completing all required Public School Offsite Records Verification forms for Transportation and the Requirements for Preschoolers on Public School Buses forms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five- star licensed facilities where four-year-old children are enrolled. The first day of school was 8/28/2023. The Environment Rating Scale score received on 3/25/2019 was 6. Your facility uses Creative Curriculum and implements the Teaching Strategies Gold activity plan format. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, January, and April). ASQ developmental screenings were observed to be conducted for children enrolled. To promote family engagement, the teachers hold parent-teacher conferences three times per year either in-person, via phone, or via Zoom, communicate to parents regularly through Class Dojo, face-to-face at drop-off each morning, Daily Folders, and via phone and email. Ms. Rose stated that parents also make donations to the classroom for events such as birthdays. Additionally, parents are invited to participate in small group activities and reading activities with the children in the classroom and share parent experiences related to curriculum content. Teachers reach out to families via phone call or Class Dojo on the third day that a child is absent to find out the reason for the absence, and they send Ready Rosie and Second Step at-home activities to families to support the home/school partnership. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not onsite for review today and is not due to be submitted to the NCPK contractor until 10/31/23. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified to be in compliance. The current NC Pre-K staff are lead teacher Sherri Sawyers and Assistant Teacher Erika Little. A selection of files was monitored for completed health assessments and developmental screenings. A copy of the dental screening was not observed on file for one child enrolled within thirty days of enrollment; the child was enrolled on 8/28/2023. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. The times of arrival were not recorded for two children enrolled. 10A NCAC 09 .0302(d)(4) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A menu for the current week was not posted for breakfast, lunch, or snack; a breakfast and lunch menu for the week was posted during the visit. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. A piece of plastic underpinning located at the left base of the first shed on the back left of the playground (facing away from the building) was observed to be cracked and sharp to the touch in multiple places. 10A NCAC 09 .0601(a) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Transportation permission/ authorization for once child enrolled was not on file for review. .1003(i)(j) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. A signed receipt of the Parent Participation Plan was not on file for two children enrolled. This plan was also not posted in the classroom. 10A NCAC 09 .0515(a) 1769 The health assessment did not include a dental screening. The dental screening for one child was not observed on file. .3005 (a)(5) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Health and Safety training topic #s 2, 7, and 10 were not current and/or on file for review for one existing staff member. .1103(b) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before October 12, 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional visits may be made during the year to monitor child care requirements. Technical assistance provided during today’s visit: • Please consider adding a copy of the site’s Critical Incident Plan (for Winston Salem Forsyth County Schools) to each classroom file containing lockdown procedures, tornado procedures, emergency protocol, etc. • Please review your Staff and Training worksheet and staff files in detail to ensure all recorded information is accurate and up to date. • Please correct the Capacity listed on the Staff: Child Ratio worksheet posted in Room 109 to reflect 15. • I provided Ms. Rose with a blank template for Appendix G to complete, update, and submit to me. • Please review all children’s files to ensure that all required documentation is present in each file. • Ms. Rose requested a training for New Administrators; I stated I would discuss this request with my supervisor regarding next steps. • Please ensure that the most updated education information is entered into DCDEE Works for all staff members. • Please also ensure that all NCPK staff members are entered into the NCPK Plan. • Please monitor the playground for mushrooms growing prior to children using the outdoor play area. • Please monitor the playground for trash and/or debris prior to the children’s use. • Please ensure menus are posted in each classroom no later than the beginning of the school day on the 1st of every month. • Please ensure each child has a hospital preference listed on his/her application. • Ms. Rose and I discussed sections .2900 and .3000 of Child Care Rule regarding Developmental Day and NCPK Requirements. • I recommend you have parents complete the Child’s Application for Enrollment form provided on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/childs_application_i.pdf?ver=vigZymZDo-BVdl6mjVN2WA%3d%3d - Please monitor the outdoor area for developing rust and for wasp/spider nests and hives prior to children using this space. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: MIDDLE FORK ELEMENTARY PRE-K PROGRAM Facility ID: 34000874 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/28/2023 Number Present: 14 Completed Date: 9/28/2023 Age: From 4 To 5 Total Minutes: 375 Time In: 09:30 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Room 109 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Nichole Rose, Principal and Sherri Sawyers, Lead Teacher. Your program currently operates with a 4-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age Equipment cannot be used by preschoolers. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 92% prior to today’s visit. All programs are required to maintain at least 75% compliance. During a Courtesy Visit made on 8/21/2023, I observed each classroom (Rooms 105, 106, 107, 108, and 110). Rooms 105, 106, and 110 will be used for Developmental Day classrooms, and Room 107 will be used as an EC/ Pre-K classroom. I requested an update from Ms. Rose regarding these classrooms, as a building inspection and documentation of additional corrections are needed prior to the issuance of a Developmental Day permit to this facility. Ms. Rose provided me with documentation of the corrections made to each classroom following my visit on 8/21/2023. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. A piece of plastic underpinning located at the left base of the first shed on the back left of the playground (facing away from the building) was observed to be cracked and sharp to the touch in multiple places. A menu for the current week was not posted for breakfast, lunch, or snack; a breakfast and lunch menu for the week was posted during the visit. Baked ziti, a roll, seasoned zucchini, tropical mixed fruit, and milk were served to the children for lunch. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Two children enrolled did not have a recorded time of arrival. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, engaging in conversations and activities with their teachers, playing outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 10/11/2022. A sanitation inspection was completed 2/23/2023 with a Superior classification. The last fire inspection was conducted on 9/20/2023. Ms. Rose provided me a copy of this inspection during the visit. Program records and required postings were monitored. A fire drill was conducted on 9/25/2023. A lockdown drill was documented on 9/20/2023. An outdoor inspection was documented on 9/13/2023. Staff files and children’s records were monitored per DCDEE procedures. Health and Safety training topic #s 2, 7, and 10 were not current and/or on file for review for one existing staff member. The staff member completed topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment during the visit. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for two children enrolled. A copy of the Parent Participation Plan was also not posted in the classroom for review. Transportation permission/ authorization for once child enrolled was not on file for review. The Public School Offsite Records Verification forms for Transportation and the Requirements for Preschoolers on Public School Buses forms were not complete and available for review. Storage of hazardous items was monitored today and found to be in compliance. No children were reported to take medication during facility operating hours. The program does not participate in off-premise activities or aquatic activities. The program does transport one EC child enrolled; however buses were not monitored during the visit. Ms. Rose stated the child rides Bus # 440 regularly and Bus #443 (a substitute bus, when necessary) in the afternoons, but that buses are not kept onsite. Ms. Rose also stated the program will be completing all required Public School Offsite Records Verification forms for Transportation and the Requirements for Preschoolers on Public School Buses forms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five- star licensed facilities where four-year-old children are enrolled. The first day of school was 8/28/2023. The Environment Rating Scale score received on 3/25/2019 was 6. Your facility uses Creative Curriculum and implements the Teaching Strategies Gold activity plan format. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, January, and April). ASQ developmental screenings were observed to be conducted for children enrolled. To promote family engagement, the teachers hold parent-teacher conferences three times per year either in-person, via phone, or via Zoom, communicate to parents regularly through Class Dojo, face-to-face at drop-off each morning, Daily Folders, and via phone and email. Ms. Rose stated that parents also make donations to the classroom for events such as birthdays. Additionally, parents are invited to participate in small group activities and reading activities with the children in the classroom and share parent experiences related to curriculum content. Teachers reach out to families via phone call or Class Dojo on the third day that a child is absent to find out the reason for the absence, and they send Ready Rosie and Second Step at-home activities to families to support the home/school partnership. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not onsite for review today and is not due to be submitted to the NCPK contractor until 10/31/23. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified to be in compliance. The current NC Pre-K staff are lead teacher Sherri Sawyers and Assistant Teacher Erika Little. A selection of files was monitored for completed health assessments and developmental screenings. A copy of the dental screening was not observed on file for one child enrolled within thirty days of enrollment; the child was enrolled on 8/28/2023. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. The times of arrival were not recorded for two children enrolled. 10A NCAC 09 .0302(d)(4) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A menu for the current week was not posted for breakfast, lunch, or snack; a breakfast and lunch menu for the week was posted during the visit. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. A piece of plastic underpinning located at the left base of the first shed on the back left of the playground (facing away from the building) was observed to be cracked and sharp to the touch in multiple places. 10A NCAC 09 .0601(a) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Transportation permission/ authorization for once child enrolled was not on file for review. .1003(i)(j) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. A signed receipt of the Parent Participation Plan was not on file for two children enrolled. This plan was also not posted in the classroom. 10A NCAC 09 .0515(a) 1769 The health assessment did not include a dental screening. The dental screening for one child was not observed on file. .3005 (a)(5) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Health and Safety training topic #s 2, 7, and 10 were not current and/or on file for review for one existing staff member. .1103(b) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before October 12, 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional visits may be made during the year to monitor child care requirements. Technical assistance provided during today’s visit: • Please consider adding a copy of the site’s Critical Incident Plan (for Winston Salem Forsyth County Schools) to each classroom file containing lockdown procedures, tornado procedures, emergency protocol, etc. • Please review your Staff and Training worksheet and staff files in detail to ensure all recorded information is accurate and up to date. • Please correct the Capacity listed on the Staff: Child Ratio worksheet posted in Room 109 to reflect 15. • I provided Ms. Rose with a blank template for Appendix G to complete, update, and submit to me. • Please review all children’s files to ensure that all required documentation is present in each file. • Ms. Rose requested a training for New Administrators; I stated I would discuss this request with my supervisor regarding next steps. • Please ensure that the most updated education information is entered into DCDEE Works for all staff members. • Please also ensure that all NCPK staff members are entered into the NCPK Plan. • Please monitor the playground for mushrooms growing prior to children using the outdoor play area. • Please monitor the playground for trash and/or debris prior to the children’s use. • Please ensure menus are posted in each classroom no later than the beginning of the school day on the 1st of every month. • Please ensure each child has a hospital preference listed on his/her application. • Ms. Rose and I discussed sections .2900 and .3000 of Child Care Rule regarding Developmental Day and NCPK Requirements. • I recommend you have parents complete the Child’s Application for Enrollment form provided on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/childs_application_i.pdf?ver=vigZymZDo-BVdl6mjVN2WA%3d%3d - Please monitor the outdoor area for developing rust and for wasp/spider nests and hives prior to children using this space. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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 .3009 · Violation

Name of Operation: MIDDLE FORK ELEMENTARY PRE-K PROGRAM Facility ID: 34000874 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/28/2023 Number Present: 14 Completed Date: 9/28/2023 Age: From 4 To 5 Total Minutes: 375 Time In: 09:30 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Room 109 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Nichole Rose, Principal and Sherri Sawyers, Lead Teacher. Your program currently operates with a 4-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age Equipment cannot be used by preschoolers. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 92% prior to today’s visit. All programs are required to maintain at least 75% compliance. During a Courtesy Visit made on 8/21/2023, I observed each classroom (Rooms 105, 106, 107, 108, and 110). Rooms 105, 106, and 110 will be used for Developmental Day classrooms, and Room 107 will be used as an EC/ Pre-K classroom. I requested an update from Ms. Rose regarding these classrooms, as a building inspection and documentation of additional corrections are needed prior to the issuance of a Developmental Day permit to this facility. Ms. Rose provided me with documentation of the corrections made to each classroom following my visit on 8/21/2023. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. A piece of plastic underpinning located at the left base of the first shed on the back left of the playground (facing away from the building) was observed to be cracked and sharp to the touch in multiple places. A menu for the current week was not posted for breakfast, lunch, or snack; a breakfast and lunch menu for the week was posted during the visit. Baked ziti, a roll, seasoned zucchini, tropical mixed fruit, and milk were served to the children for lunch. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Two children enrolled did not have a recorded time of arrival. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, engaging in conversations and activities with their teachers, playing outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 10/11/2022. A sanitation inspection was completed 2/23/2023 with a Superior classification. The last fire inspection was conducted on 9/20/2023. Ms. Rose provided me a copy of this inspection during the visit. Program records and required postings were monitored. A fire drill was conducted on 9/25/2023. A lockdown drill was documented on 9/20/2023. An outdoor inspection was documented on 9/13/2023. Staff files and children’s records were monitored per DCDEE procedures. Health and Safety training topic #s 2, 7, and 10 were not current and/or on file for review for one existing staff member. The staff member completed topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment during the visit. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for two children enrolled. A copy of the Parent Participation Plan was also not posted in the classroom for review. Transportation permission/ authorization for once child enrolled was not on file for review. The Public School Offsite Records Verification forms for Transportation and the Requirements for Preschoolers on Public School Buses forms were not complete and available for review. Storage of hazardous items was monitored today and found to be in compliance. No children were reported to take medication during facility operating hours. The program does not participate in off-premise activities or aquatic activities. The program does transport one EC child enrolled; however buses were not monitored during the visit. Ms. Rose stated the child rides Bus # 440 regularly and Bus #443 (a substitute bus, when necessary) in the afternoons, but that buses are not kept onsite. Ms. Rose also stated the program will be completing all required Public School Offsite Records Verification forms for Transportation and the Requirements for Preschoolers on Public School Buses forms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five- star licensed facilities where four-year-old children are enrolled. The first day of school was 8/28/2023. The Environment Rating Scale score received on 3/25/2019 was 6. Your facility uses Creative Curriculum and implements the Teaching Strategies Gold activity plan format. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, January, and April). ASQ developmental screenings were observed to be conducted for children enrolled. To promote family engagement, the teachers hold parent-teacher conferences three times per year either in-person, via phone, or via Zoom, communicate to parents regularly through Class Dojo, face-to-face at drop-off each morning, Daily Folders, and via phone and email. Ms. Rose stated that parents also make donations to the classroom for events such as birthdays. Additionally, parents are invited to participate in small group activities and reading activities with the children in the classroom and share parent experiences related to curriculum content. Teachers reach out to families via phone call or Class Dojo on the third day that a child is absent to find out the reason for the absence, and they send Ready Rosie and Second Step at-home activities to families to support the home/school partnership. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not onsite for review today and is not due to be submitted to the NCPK contractor until 10/31/23. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified to be in compliance. The current NC Pre-K staff are lead teacher Sherri Sawyers and Assistant Teacher Erika Little. A selection of files was monitored for completed health assessments and developmental screenings. A copy of the dental screening was not observed on file for one child enrolled within thirty days of enrollment; the child was enrolled on 8/28/2023. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. The times of arrival were not recorded for two children enrolled. 10A NCAC 09 .0302(d)(4) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A menu for the current week was not posted for breakfast, lunch, or snack; a breakfast and lunch menu for the week was posted during the visit. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. A piece of plastic underpinning located at the left base of the first shed on the back left of the playground (facing away from the building) was observed to be cracked and sharp to the touch in multiple places. 10A NCAC 09 .0601(a) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Transportation permission/ authorization for once child enrolled was not on file for review. .1003(i)(j) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. A signed receipt of the Parent Participation Plan was not on file for two children enrolled. This plan was also not posted in the classroom. 10A NCAC 09 .0515(a) 1769 The health assessment did not include a dental screening. The dental screening for one child was not observed on file. .3005 (a)(5) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Health and Safety training topic #s 2, 7, and 10 were not current and/or on file for review for one existing staff member. .1103(b) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before October 12, 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional visits may be made during the year to monitor child care requirements. Technical assistance provided during today’s visit: • Please consider adding a copy of the site’s Critical Incident Plan (for Winston Salem Forsyth County Schools) to each classroom file containing lockdown procedures, tornado procedures, emergency protocol, etc. • Please review your Staff and Training worksheet and staff files in detail to ensure all recorded information is accurate and up to date. • Please correct the Capacity listed on the Staff: Child Ratio worksheet posted in Room 109 to reflect 15. • I provided Ms. Rose with a blank template for Appendix G to complete, update, and submit to me. • Please review all children’s files to ensure that all required documentation is present in each file. • Ms. Rose requested a training for New Administrators; I stated I would discuss this request with my supervisor regarding next steps. • Please ensure that the most updated education information is entered into DCDEE Works for all staff members. • Please also ensure that all NCPK staff members are entered into the NCPK Plan. • Please monitor the playground for mushrooms growing prior to children using the outdoor play area. • Please monitor the playground for trash and/or debris prior to the children’s use. • Please ensure menus are posted in each classroom no later than the beginning of the school day on the 1st of every month. • Please ensure each child has a hospital preference listed on his/her application. • Ms. Rose and I discussed sections .2900 and .3000 of Child Care Rule regarding Developmental Day and NCPK Requirements. • I recommend you have parents complete the Child’s Application for Enrollment form provided on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/childs_application_i.pdf?ver=vigZymZDo-BVdl6mjVN2WA%3d%3d - Please monitor the outdoor area for developing rust and for wasp/spider nests and hives prior to children using this space. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: MIDDLE FORK ELEMENTARY PRE-K PROGRAM Facility ID: 34000874 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/28/2023 Number Present: 14 Completed Date: 9/28/2023 Age: From 4 To 5 Total Minutes: 375 Time In: 09:30 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Room 109 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Nichole Rose, Principal and Sherri Sawyers, Lead Teacher. Your program currently operates with a 4-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age Equipment cannot be used by preschoolers. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 92% prior to today’s visit. All programs are required to maintain at least 75% compliance. During a Courtesy Visit made on 8/21/2023, I observed each classroom (Rooms 105, 106, 107, 108, and 110). Rooms 105, 106, and 110 will be used for Developmental Day classrooms, and Room 107 will be used as an EC/ Pre-K classroom. I requested an update from Ms. Rose regarding these classrooms, as a building inspection and documentation of additional corrections are needed prior to the issuance of a Developmental Day permit to this facility. Ms. Rose provided me with documentation of the corrections made to each classroom following my visit on 8/21/2023. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. A piece of plastic underpinning located at the left base of the first shed on the back left of the playground (facing away from the building) was observed to be cracked and sharp to the touch in multiple places. A menu for the current week was not posted for breakfast, lunch, or snack; a breakfast and lunch menu for the week was posted during the visit. Baked ziti, a roll, seasoned zucchini, tropical mixed fruit, and milk were served to the children for lunch. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Two children enrolled did not have a recorded time of arrival. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, engaging in conversations and activities with their teachers, playing outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 10/11/2022. A sanitation inspection was completed 2/23/2023 with a Superior classification. The last fire inspection was conducted on 9/20/2023. Ms. Rose provided me a copy of this inspection during the visit. Program records and required postings were monitored. A fire drill was conducted on 9/25/2023. A lockdown drill was documented on 9/20/2023. An outdoor inspection was documented on 9/13/2023. Staff files and children’s records were monitored per DCDEE procedures. Health and Safety training topic #s 2, 7, and 10 were not current and/or on file for review for one existing staff member. The staff member completed topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment during the visit. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for two children enrolled. A copy of the Parent Participation Plan was also not posted in the classroom for review. Transportation permission/ authorization for once child enrolled was not on file for review. The Public School Offsite Records Verification forms for Transportation and the Requirements for Preschoolers on Public School Buses forms were not complete and available for review. Storage of hazardous items was monitored today and found to be in compliance. No children were reported to take medication during facility operating hours. The program does not participate in off-premise activities or aquatic activities. The program does transport one EC child enrolled; however buses were not monitored during the visit. Ms. Rose stated the child rides Bus # 440 regularly and Bus #443 (a substitute bus, when necessary) in the afternoons, but that buses are not kept onsite. Ms. Rose also stated the program will be completing all required Public School Offsite Records Verification forms for Transportation and the Requirements for Preschoolers on Public School Buses forms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five- star licensed facilities where four-year-old children are enrolled. The first day of school was 8/28/2023. The Environment Rating Scale score received on 3/25/2019 was 6. Your facility uses Creative Curriculum and implements the Teaching Strategies Gold activity plan format. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, January, and April). ASQ developmental screenings were observed to be conducted for children enrolled. To promote family engagement, the teachers hold parent-teacher conferences three times per year either in-person, via phone, or via Zoom, communicate to parents regularly through Class Dojo, face-to-face at drop-off each morning, Daily Folders, and via phone and email. Ms. Rose stated that parents also make donations to the classroom for events such as birthdays. Additionally, parents are invited to participate in small group activities and reading activities with the children in the classroom and share parent experiences related to curriculum content. Teachers reach out to families via phone call or Class Dojo on the third day that a child is absent to find out the reason for the absence, and they send Ready Rosie and Second Step at-home activities to families to support the home/school partnership. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not onsite for review today and is not due to be submitted to the NCPK contractor until 10/31/23. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified to be in compliance. The current NC Pre-K staff are lead teacher Sherri Sawyers and Assistant Teacher Erika Little. A selection of files was monitored for completed health assessments and developmental screenings. A copy of the dental screening was not observed on file for one child enrolled within thirty days of enrollment; the child was enrolled on 8/28/2023. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. The times of arrival were not recorded for two children enrolled. 10A NCAC 09 .0302(d)(4) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A menu for the current week was not posted for breakfast, lunch, or snack; a breakfast and lunch menu for the week was posted during the visit. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. A piece of plastic underpinning located at the left base of the first shed on the back left of the playground (facing away from the building) was observed to be cracked and sharp to the touch in multiple places. 10A NCAC 09 .0601(a) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Transportation permission/ authorization for once child enrolled was not on file for review. .1003(i)(j) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. A signed receipt of the Parent Participation Plan was not on file for two children enrolled. This plan was also not posted in the classroom. 10A NCAC 09 .0515(a) 1769 The health assessment did not include a dental screening. The dental screening for one child was not observed on file. .3005 (a)(5) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Health and Safety training topic #s 2, 7, and 10 were not current and/or on file for review for one existing staff member. .1103(b) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before October 12, 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional visits may be made during the year to monitor child care requirements. Technical assistance provided during today’s visit: • Please consider adding a copy of the site’s Critical Incident Plan (for Winston Salem Forsyth County Schools) to each classroom file containing lockdown procedures, tornado procedures, emergency protocol, etc. • Please review your Staff and Training worksheet and staff files in detail to ensure all recorded information is accurate and up to date. • Please correct the Capacity listed on the Staff: Child Ratio worksheet posted in Room 109 to reflect 15. • I provided Ms. Rose with a blank template for Appendix G to complete, update, and submit to me. • Please review all children’s files to ensure that all required documentation is present in each file. • Ms. Rose requested a training for New Administrators; I stated I would discuss this request with my supervisor regarding next steps. • Please ensure that the most updated education information is entered into DCDEE Works for all staff members. • Please also ensure that all NCPK staff members are entered into the NCPK Plan. • Please monitor the playground for mushrooms growing prior to children using the outdoor play area. • Please monitor the playground for trash and/or debris prior to the children’s use. • Please ensure menus are posted in each classroom no later than the beginning of the school day on the 1st of every month. • Please ensure each child has a hospital preference listed on his/her application. • Ms. Rose and I discussed sections .2900 and .3000 of Child Care Rule regarding Developmental Day and NCPK Requirements. • I recommend you have parents complete the Child’s Application for Enrollment form provided on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/childs_application_i.pdf?ver=vigZymZDo-BVdl6mjVN2WA%3d%3d - Please monitor the outdoor area for developing rust and for wasp/spider nests and hives prior to children using this space. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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