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Home › NC › Walkertown › Teddy Bear Tender Care
Walkertown NC 27051 · License #34000549 · Home-based · Family Child Care Home
Not published by the state. Owners can add hours via profile claim.
When they operate
Ages served
10A NCAC 09. 1707 · Violation
Name of Operation: TEDDY BEAR TENDER CARE Facility ID: 34000549 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 1/13/2026 Number Present: 2 Completed Date: 1/13/2026 Age: From 3 To 0 Total Minutes: 170 Time In: 09:10 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted with Patricia Redmon, Operator. Your program currently operates with a 3-Star license. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschoolers at any time; fuel burning stove not used during operating hours, and serves no more than two infants under age one. Ms. Redmon stated she is currently providing only first shift care. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Two children were present during the visit; they were observed playing with toys, participating in general routines, and engaging in activities with Ms. Redmon during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 2/04/2025. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The last fire drill was conducted on 12/17/25. The most recent lockdown drill was documented on 12/15/2024. The last outdoor inspection was documented on 12/18/2025. There are two pets located at the home, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. Ms. Redmon stated she does not transport children enrolled or participate in aquatic or off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 306 At least one 5 lb 2-A:10-B:C type fire extinguisher was not readily accessible for every 2500 square feet of floor space in the home. Two 2.5 lb. 1-A: 10-B: C type extinguishers were observed in the home, as opposed to one five pound 2-A: 10-B: C type extinguisher for every 2,500 square feet of floor area. 10A NCAC 09. 1707(4) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. A portion of the plastic window trim outside on the back porch (bottom of right window when facing the home) where children play was observed to be cracked and sharp to the touch. 10A NCAC 09 .1719 (a) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. One plastic grocery bag was observed hanging in a cubby and accessible to a child under the age of three. .1719(a)(18) 2048 Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care. 10A NCAC 09 .1719(a)(7) 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 2/27/2026. 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 4948 Martin View Lane 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 monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided following today’s visit: • Two 2.5 lb. 1-A: 10-B: C type extinguishers were observed in the home, as opposed to one five pound 2-A: 10-B: C type extinguisher for every 2,500 square feet of floor area. It is important that all fire safety requirements be maintained as required in Child Care Rule for the safety of children enrolled. Ms. Redmon stated she remembered we discussed this during her last AC visit, but this was accidentally overlooked. She place an order for a five pound 2-A: 10-B: C type extinguisher during the visit. • A portion of the plastic window trim outside on the back porch (bottom of right window when facing the home) where children play was observed to be cracked and sharp to the touch. It is important for the outdoor learning environment to be a safe place for children to explore and engage with at all times. Ms. Redmon stated she was unaware this was cracked and will ask her husband to remove this trim. Consultation provided following today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Consider participating in an outreach assessment: https://ncrlap.org/Resources/pages/outreachassessments/ • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ Additionally, you may consider reaching out to local partners at Child Care Resource Center and/or Smart Start of Forsyth County. Their teams are working diligently to support programs with training and more detailed information on the ERS-3 at this time. Beginning in October, child care consultants began discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. Mrs. Redmon stated she will be choosing the Classroom and Instructional Quality pathway for her FCCH and plans to submit required documentation for the Rated License in February, 2026. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov 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 (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.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
Generated from this facility's specific inspection record
Data synced from North Carolina's child care licensing agency on Jul 9, 2026 · Report an error
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .1719 · Violation
Name of Operation: TEDDY BEAR TENDER CARE Facility ID: 34000549 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 1/13/2026 Number Present: 2 Completed Date: 1/13/2026 Age: From 3 To 0 Total Minutes: 170 Time In: 09:10 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted with Patricia Redmon, Operator. Your program currently operates with a 3-Star license. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschoolers at any time; fuel burning stove not used during operating hours, and serves no more than two infants under age one. Ms. Redmon stated she is currently providing only first shift care. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Two children were present during the visit; they were observed playing with toys, participating in general routines, and engaging in activities with Ms. Redmon during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 2/04/2025. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The last fire drill was conducted on 12/17/25. The most recent lockdown drill was documented on 12/15/2024. The last outdoor inspection was documented on 12/18/2025. There are two pets located at the home, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. Ms. Redmon stated she does not transport children enrolled or participate in aquatic or off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 306 At least one 5 lb 2-A:10-B:C type fire extinguisher was not readily accessible for every 2500 square feet of floor space in the home. Two 2.5 lb. 1-A: 10-B: C type extinguishers were observed in the home, as opposed to one five pound 2-A: 10-B: C type extinguisher for every 2,500 square feet of floor area. 10A NCAC 09. 1707(4) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. A portion of the plastic window trim outside on the back porch (bottom of right window when facing the home) where children play was observed to be cracked and sharp to the touch. 10A NCAC 09 .1719 (a) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. One plastic grocery bag was observed hanging in a cubby and accessible to a child under the age of three. .1719(a)(18) 2048 Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care. 10A NCAC 09 .1719(a)(7) 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 2/27/2026. 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 4948 Martin View Lane 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 monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided following today’s visit: • Two 2.5 lb. 1-A: 10-B: C type extinguishers were observed in the home, as opposed to one five pound 2-A: 10-B: C type extinguisher for every 2,500 square feet of floor area. It is important that all fire safety requirements be maintained as required in Child Care Rule for the safety of children enrolled. Ms. Redmon stated she remembered we discussed this during her last AC visit, but this was accidentally overlooked. She place an order for a five pound 2-A: 10-B: C type extinguisher during the visit. • A portion of the plastic window trim outside on the back porch (bottom of right window when facing the home) where children play was observed to be cracked and sharp to the touch. It is important for the outdoor learning environment to be a safe place for children to explore and engage with at all times. Ms. Redmon stated she was unaware this was cracked and will ask her husband to remove this trim. Consultation provided following today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Consider participating in an outreach assessment: https://ncrlap.org/Resources/pages/outreachassessments/ • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ Additionally, you may consider reaching out to local partners at Child Care Resource Center and/or Smart Start of Forsyth County. Their teams are working diligently to support programs with training and more detailed information on the ERS-3 at this time. Beginning in October, child care consultants began discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. Mrs. Redmon stated she will be choosing the Classroom and Instructional Quality pathway for her FCCH and plans to submit required documentation for the Rated License in February, 2026. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov 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 (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.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.
NC GS 110-90 · Violation
Name of Operation: TEDDY BEAR TENDER CARE Facility ID: 34000549 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 1/13/2026 Number Present: 2 Completed Date: 1/13/2026 Age: From 3 To 0 Total Minutes: 170 Time In: 09:10 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted with Patricia Redmon, Operator. Your program currently operates with a 3-Star license. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschoolers at any time; fuel burning stove not used during operating hours, and serves no more than two infants under age one. Ms. Redmon stated she is currently providing only first shift care. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Two children were present during the visit; they were observed playing with toys, participating in general routines, and engaging in activities with Ms. Redmon during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 2/04/2025. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The last fire drill was conducted on 12/17/25. The most recent lockdown drill was documented on 12/15/2024. The last outdoor inspection was documented on 12/18/2025. There are two pets located at the home, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. Ms. Redmon stated she does not transport children enrolled or participate in aquatic or off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 306 At least one 5 lb 2-A:10-B:C type fire extinguisher was not readily accessible for every 2500 square feet of floor space in the home. Two 2.5 lb. 1-A: 10-B: C type extinguishers were observed in the home, as opposed to one five pound 2-A: 10-B: C type extinguisher for every 2,500 square feet of floor area. 10A NCAC 09. 1707(4) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. A portion of the plastic window trim outside on the back porch (bottom of right window when facing the home) where children play was observed to be cracked and sharp to the touch. 10A NCAC 09 .1719 (a) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. One plastic grocery bag was observed hanging in a cubby and accessible to a child under the age of three. .1719(a)(18) 2048 Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care. 10A NCAC 09 .1719(a)(7) 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 2/27/2026. 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 4948 Martin View Lane 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 monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided following today’s visit: • Two 2.5 lb. 1-A: 10-B: C type extinguishers were observed in the home, as opposed to one five pound 2-A: 10-B: C type extinguisher for every 2,500 square feet of floor area. It is important that all fire safety requirements be maintained as required in Child Care Rule for the safety of children enrolled. Ms. Redmon stated she remembered we discussed this during her last AC visit, but this was accidentally overlooked. She place an order for a five pound 2-A: 10-B: C type extinguisher during the visit. • A portion of the plastic window trim outside on the back porch (bottom of right window when facing the home) where children play was observed to be cracked and sharp to the touch. It is important for the outdoor learning environment to be a safe place for children to explore and engage with at all times. Ms. Redmon stated she was unaware this was cracked and will ask her husband to remove this trim. Consultation provided following today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Consider participating in an outreach assessment: https://ncrlap.org/Resources/pages/outreachassessments/ • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ Additionally, you may consider reaching out to local partners at Child Care Resource Center and/or Smart Start of Forsyth County. Their teams are working diligently to support programs with training and more detailed information on the ERS-3 at this time. Beginning in October, child care consultants began discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. Mrs. Redmon stated she will be choosing the Classroom and Instructional Quality pathway for her FCCH and plans to submit required documentation for the Rated License in February, 2026. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov 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 (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.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 .1719 · Violation
Name of Operation: TEDDY BEAR TENDER CARE Facility ID: 34000549 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 7/16/2025 Number Present: 4 Completed Date: 7/16/2025 Age: From 1 To 7 Total Minutes: 135 Time In: 10:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted Patricia Redmon, Operator. Your program currently operates with a 5-Star license effective 4/20/2018. Restrictions include 1st, 2nd, and 3rd shift care, a maximum of five preschool children at any time, and no more than two children less than one year of age. Ms. Redmon stated she is only operating first shift care at this time. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Ms. Redmon stated she and her husband are the only individuals living in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed the children in care playing with toys, engaging in conversations and activities with Mrs. Redmon, and participating in general routines during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, ITS-SIDS, and Criminal Background Checks. No medications were observed, nor reported. Storage of hazardous items was monitored today. The most recent playground inspection was recorded 6/21/2025. A fire drill was recorded on 6/23/2025. A lockdown drill for the facility was recorded on 6/30/2025. There are two pets inside the home, and all vaccinations were observed to be current and on file. The program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violation was cited during today’s visit: Violation Number Comment Rule 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Two rails of the outdoor stationary play structure were observed to have heavy rust; one of these rails was observed to have cracking paint as well. 10A NCAC 09 .1719 (a) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, the operator’s and her husband’s CBCs were also not yet linked to this profile. G.S. 110-90.2 & .2703(r) 2048 Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care. One spray bottle of insect repellant labeled Keep Out of Reach of Children with additional warnings was observed stored greater than five feet up, but in unlocked storage. 10A NCAC 09 .1719(a)(7) 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 7/30/2025. 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 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. You may email the letter to cara.mckeown-stewart@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 today’s visit: Two rails of the outdoor stationary play structure were observed to have heavy rust; one of these rails was observed to have cracking paint as well. For the safety of all children enrolled in care, cracking and/or peeling paint and rust should be inaccessible to children at all times. Ms. Redmon stated she is planning to fully remove this structure from the outdoor environment within the next several months, but stated she would cover the affected areas immediately until this can occur. We discussed considerations for temporary fixes regarding covering these areas temporarily. A facility profile for Criminal Background Checks had not been created; hence, the operator’s and her husband’s CBCs were also not yet linked to this profile. It is necessary for all staff members to be linked to the FCCH’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Ms. Redmon stated she has the instructions I sent via email to complete this process. I also stated I would resend all ABCMS emails to Ms. Redmon for easier reference following my visit. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Consultation provided during today’s visit: Remember to renew Mr. Redmon’s Criminal Background Check prior to 9/10/2025; you may consider beginning this process this month. The Winston-Salem/Forsyth County Unified Development Ordinances (UDO) are the compilation of regulations that govern land use, which include the Zoning Ordinance, the Environmental Ordinance, and the Subdivision Ordinance/Regulations. Chapter 5 Use Standards Section 5.2 Use-Specific Standards (WINSTON-SALEM/FORSYTH COUNTY UDO 5-27 LAST UPDATED: 7.27.23) states the following: 5.2.21 CHILD DAY CARE (SMALL HOME) C. OUTDOOR SPACE 1. Outdoor play area of one hundred (100) square feet for each child enrolled, with an eight hundred (800) square feet minimum, shall be provided. 2. Such outdoor play area shall be enclosed by a minimum four (4) foot tall security fence. 3. Outdoor activities shall be limited to the fenced area between 8:00 a.m. and 8:00 p.m. Please monitor the outdoor learning environment for developing rust and peeling, flaking paint on and beneath the wooden deck. Please monitor the latticed area for areas which may be sharp to the touch. A copy of the NC FELD was provided to Ms. Redmon during the visit. At the completion of the visit, this visit summary was reviewed with and provided to you, and you were given the opportunity to ask questions regarding the visit. 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@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
G.S. 110-90 · Violation
Name of Operation: TEDDY BEAR TENDER CARE Facility ID: 34000549 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 7/16/2025 Number Present: 4 Completed Date: 7/16/2025 Age: From 1 To 7 Total Minutes: 135 Time In: 10:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted Patricia Redmon, Operator. Your program currently operates with a 5-Star license effective 4/20/2018. Restrictions include 1st, 2nd, and 3rd shift care, a maximum of five preschool children at any time, and no more than two children less than one year of age. Ms. Redmon stated she is only operating first shift care at this time. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Ms. Redmon stated she and her husband are the only individuals living in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed the children in care playing with toys, engaging in conversations and activities with Mrs. Redmon, and participating in general routines during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, ITS-SIDS, and Criminal Background Checks. No medications were observed, nor reported. Storage of hazardous items was monitored today. The most recent playground inspection was recorded 6/21/2025. A fire drill was recorded on 6/23/2025. A lockdown drill for the facility was recorded on 6/30/2025. There are two pets inside the home, and all vaccinations were observed to be current and on file. The program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violation was cited during today’s visit: Violation Number Comment Rule 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Two rails of the outdoor stationary play structure were observed to have heavy rust; one of these rails was observed to have cracking paint as well. 10A NCAC 09 .1719 (a) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, the operator’s and her husband’s CBCs were also not yet linked to this profile. G.S. 110-90.2 & .2703(r) 2048 Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care. One spray bottle of insect repellant labeled Keep Out of Reach of Children with additional warnings was observed stored greater than five feet up, but in unlocked storage. 10A NCAC 09 .1719(a)(7) 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 7/30/2025. 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 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. You may email the letter to cara.mckeown-stewart@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 today’s visit: Two rails of the outdoor stationary play structure were observed to have heavy rust; one of these rails was observed to have cracking paint as well. For the safety of all children enrolled in care, cracking and/or peeling paint and rust should be inaccessible to children at all times. Ms. Redmon stated she is planning to fully remove this structure from the outdoor environment within the next several months, but stated she would cover the affected areas immediately until this can occur. We discussed considerations for temporary fixes regarding covering these areas temporarily. A facility profile for Criminal Background Checks had not been created; hence, the operator’s and her husband’s CBCs were also not yet linked to this profile. It is necessary for all staff members to be linked to the FCCH’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Ms. Redmon stated she has the instructions I sent via email to complete this process. I also stated I would resend all ABCMS emails to Ms. Redmon for easier reference following my visit. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Consultation provided during today’s visit: Remember to renew Mr. Redmon’s Criminal Background Check prior to 9/10/2025; you may consider beginning this process this month. The Winston-Salem/Forsyth County Unified Development Ordinances (UDO) are the compilation of regulations that govern land use, which include the Zoning Ordinance, the Environmental Ordinance, and the Subdivision Ordinance/Regulations. Chapter 5 Use Standards Section 5.2 Use-Specific Standards (WINSTON-SALEM/FORSYTH COUNTY UDO 5-27 LAST UPDATED: 7.27.23) states the following: 5.2.21 CHILD DAY CARE (SMALL HOME) C. OUTDOOR SPACE 1. Outdoor play area of one hundred (100) square feet for each child enrolled, with an eight hundred (800) square feet minimum, shall be provided. 2. Such outdoor play area shall be enclosed by a minimum four (4) foot tall security fence. 3. Outdoor activities shall be limited to the fenced area between 8:00 a.m. and 8:00 p.m. Please monitor the outdoor learning environment for developing rust and peeling, flaking paint on and beneath the wooden deck. Please monitor the latticed area for areas which may be sharp to the touch. A copy of the NC FELD was provided to Ms. Redmon during the visit. At the completion of the visit, this visit summary was reviewed with and provided to you, and you were given the opportunity to ask questions regarding the visit. 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@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
NC GS 110-90 · Violation
Name of Operation: TEDDY BEAR TENDER CARE Facility ID: 34000549 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 7/16/2025 Number Present: 4 Completed Date: 7/16/2025 Age: From 1 To 7 Total Minutes: 135 Time In: 10:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted Patricia Redmon, Operator. Your program currently operates with a 5-Star license effective 4/20/2018. Restrictions include 1st, 2nd, and 3rd shift care, a maximum of five preschool children at any time, and no more than two children less than one year of age. Ms. Redmon stated she is only operating first shift care at this time. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Ms. Redmon stated she and her husband are the only individuals living in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed the children in care playing with toys, engaging in conversations and activities with Mrs. Redmon, and participating in general routines during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, ITS-SIDS, and Criminal Background Checks. No medications were observed, nor reported. Storage of hazardous items was monitored today. The most recent playground inspection was recorded 6/21/2025. A fire drill was recorded on 6/23/2025. A lockdown drill for the facility was recorded on 6/30/2025. There are two pets inside the home, and all vaccinations were observed to be current and on file. The program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violation was cited during today’s visit: Violation Number Comment Rule 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Two rails of the outdoor stationary play structure were observed to have heavy rust; one of these rails was observed to have cracking paint as well. 10A NCAC 09 .1719 (a) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, the operator’s and her husband’s CBCs were also not yet linked to this profile. G.S. 110-90.2 & .2703(r) 2048 Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care. One spray bottle of insect repellant labeled Keep Out of Reach of Children with additional warnings was observed stored greater than five feet up, but in unlocked storage. 10A NCAC 09 .1719(a)(7) 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 7/30/2025. 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 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. You may email the letter to cara.mckeown-stewart@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 today’s visit: Two rails of the outdoor stationary play structure were observed to have heavy rust; one of these rails was observed to have cracking paint as well. For the safety of all children enrolled in care, cracking and/or peeling paint and rust should be inaccessible to children at all times. Ms. Redmon stated she is planning to fully remove this structure from the outdoor environment within the next several months, but stated she would cover the affected areas immediately until this can occur. We discussed considerations for temporary fixes regarding covering these areas temporarily. A facility profile for Criminal Background Checks had not been created; hence, the operator’s and her husband’s CBCs were also not yet linked to this profile. It is necessary for all staff members to be linked to the FCCH’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Ms. Redmon stated she has the instructions I sent via email to complete this process. I also stated I would resend all ABCMS emails to Ms. Redmon for easier reference following my visit. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Consultation provided during today’s visit: Remember to renew Mr. Redmon’s Criminal Background Check prior to 9/10/2025; you may consider beginning this process this month. The Winston-Salem/Forsyth County Unified Development Ordinances (UDO) are the compilation of regulations that govern land use, which include the Zoning Ordinance, the Environmental Ordinance, and the Subdivision Ordinance/Regulations. Chapter 5 Use Standards Section 5.2 Use-Specific Standards (WINSTON-SALEM/FORSYTH COUNTY UDO 5-27 LAST UPDATED: 7.27.23) states the following: 5.2.21 CHILD DAY CARE (SMALL HOME) C. OUTDOOR SPACE 1. Outdoor play area of one hundred (100) square feet for each child enrolled, with an eight hundred (800) square feet minimum, shall be provided. 2. Such outdoor play area shall be enclosed by a minimum four (4) foot tall security fence. 3. Outdoor activities shall be limited to the fenced area between 8:00 a.m. and 8:00 p.m. Please monitor the outdoor learning environment for developing rust and peeling, flaking paint on and beneath the wooden deck. Please monitor the latticed area for areas which may be sharp to the touch. A copy of the NC FELD was provided to Ms. Redmon during the visit. At the completion of the visit, this visit summary was reviewed with and provided to you, and you were given the opportunity to ask questions regarding the visit. 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@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
NC GS 110-90 · Violation
Name of Operation: TEDDY BEAR TENDER CARE Facility ID: 34000549 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 2/4/2025 Number Present: 1 Completed Date: 2/4/2025 Age: From 2 To 2 Total Minutes: 165 Time In: 10:45 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant, with Patricia Redmon, Operator. Your program currently operates with a 3-Star license. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschoolers at any time; fuel burning stove not used during operating hours, and serves no more than two infants under age one. Ms. Redmon stated she is currently providing only first shift care. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 88% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. One child was present during the visit; he was observed playing with toys, participating in general routines, engaging in activities with Ms. Redmon, eating lunch, and napping during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 2/14/2024. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The last fire drill was conducted on 1/21/25. The most recent lockdown drill was documented on 12/18/2024. The last outdoor inspection was documented on 1/24/2025. There are two pets inside the home, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and found to be in compliance. No medications were observed nor reported. Ms. Redmon stated she does not transport children enrolled or participate in aquatic or off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. The support poles of a small swing set located on the back porch utilized by children under the age of three years was observed to have a foam covering which is peeling, creating a potential choking hazard. .1719(a)(18) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. Health & Safety Training Topic #2 (Administration of medication, with standards for parental consent) was observed to have last been completed by the operator on 1/31/20. .1703(d)(2) 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 2/18/2025. 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: 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 monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided following today’s visit: • Health & Safety Training Topic #2 (Administration of medication, with standards for parental consent) was observed to have last been completed by the operator on 1/31/20. It is imperative that all required records are current and on file for review to ensure the health, safety, and quality of care for children enrolled. Ms. Redmon stated she was not aware this training had expired, but that she would retake it as soon as possible. You may consider creating a reminder system for when each of your Health & Safety trainings expires. • The support poles of a small swing set located on the back porch utilized by children under the age of three years was observed to have a foam covering which is peeling, creating a potential choking hazard. It is important for the outdoor learning environment to be a safe place for children to explore and engage with at all times. Ms. Redmon stated she will removed this foam covering completely from the swing set. Consultation provided following today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. 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. 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 (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.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 .1714 · Violation
Name of Operation: TEDDY BEAR TENDER CARE Facility ID: 34000549 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/19/2024 Number Present: 3 Completed Date: 8/19/2024 Age: From 0 To 2 Total Minutes: 160 Time In: 10:35 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Patricia Redmon, Operator, assisted me with the visit. A volunteer, McKenna Escamilla, was also present during the visit. Your program currently operates with a 3-Star license effective 8/01/2019. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschool children at any time; fuel burning stove not used during operating hours; and serves no more than two infants under age one. Ms. Redmon stated she is currently only operating first shift care. The program’s compliance history was 94 % prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Ms. Redmon stated she, her husband, her daughter, and her granddaughter are the only people living in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing with toys, engaging in conversations, general routines and other activities with Ms. Redmon, as well as eating lunch during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, and Criminal Background Checks. No medications were observed nor reported. Storage of hazardous items was monitored today. A playground inspection was recorded 7/27/2024. A fire drill was recorded 7/25/2024. The most recent lockdown drill for the facility was recorded 6/21/2024. There are currently two pets at the home, and all vaccinations were observed to be current and on file. The program does not provide transportation at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 716 Electrical outlets not in use were not covered. One outlet in the designated child care space was observed without a safety cover. 10A NCAC .1719(a)(27) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. On the playground, the section of fencing along the back side of the playground was observed to be leaning and unstable. Plastic weed block was observed emerging from the bedding to the left of the home (facing the home), presenting a potential choking hazard for children enrolled under the age of three years. 10A NCAC 09 .1719 (a) 1871 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The Emergency Preparedness and Response Plan was last updated on 4/05/2023. .1705(b)(8) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The application for one newly enrolled child was not observed in the Ready to Go file. .1714(d)(10) 1889 Products that are labeled "keep out of reach of children" without any other warnings, were not stored on a shelf or in an unlocked cabinet that is five feet above the finished floor. One bottle of Dove baby lotion was observed labeled Keep Out of Reach of Children and on a counter in the kitchen less than five feet from the ground. .1719(a)(7) 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 9/02/2024. 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: 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 monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided during today’s visit: One bottle of Dove baby lotion was observed labeled Keep Out of Reach of Children and on a counter in the kitchen less than five feet from the ground. This item was placed greater than five feet from the ground during the visit. One outlet in the designated child care space was observed without a safety cover; an infant swing was plugged into this outlet during the visit. The application for one newly enrolled child was not observed in the Ready to Go file. The Emergency Preparedness and Response Plan was last updated on 4/05/2023. Mrs. Redmon stated the new child had enrolled on Monday, and she had forgotten to add this child’s information to the Ready to Go file, but would as soon as possible. She also stated when she has recently attempted to update her EPR Plan online, she has been unable to log into the NCID site. Ms. Redmon and I discussed contacting NCID Technical Support for further guidance in resolving this issue. You may consider using your NCID username and password greater than once per year to avoid being locked out of the system. You may also consider beginning the process of updating your EPR plan one month prior to the annual due date. On the playground, the section of fencing along the back side of the playground was observed to be leaning and unstable. Plastic weed block was observed emerging from the bedding to the left of the home (facing the home), presenting a potential choking hazard for children enrolled under the age of three years. Mrs. Redmon stated she intends to replace this fencing completely, but will find a way to stabilize it as soon as possible until then. Ms. Redmon also stated recent large amounts of rain have washed the bedding materials away, exposing the weed block. It is important for all areas (indoor and outdoor) accessed by children to be safe for exploration. You may consider creating a plan for monitoring the indoor and outdoor learning environments daily, prior to children arriving for care or accessing the outdoor learning environment. Consultation provided during today’s visit: The following Child Care Rules were reviewed with Ms. Redmon during the visit: 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) (6) (b) 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (g) 10A NCAC 09 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS (c ) • Please regularly wipe down the stationary slide/ tunnel structure located at the back of the playground prior to use by children to remove all cobwebs/ dead insects. • For technical assistance with your NCID username and password, please contact the NC ITS Service Desk: o Phone: 919-754-6000 or Toll Free 1-800-722-3946 o Email: its.incidents@nc.gov 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-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .1719 · Violation
Name of Operation: TEDDY BEAR TENDER CARE Facility ID: 34000549 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/19/2024 Number Present: 3 Completed Date: 8/19/2024 Age: From 0 To 2 Total Minutes: 160 Time In: 10:35 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Patricia Redmon, Operator, assisted me with the visit. A volunteer, McKenna Escamilla, was also present during the visit. Your program currently operates with a 3-Star license effective 8/01/2019. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschool children at any time; fuel burning stove not used during operating hours; and serves no more than two infants under age one. Ms. Redmon stated she is currently only operating first shift care. The program’s compliance history was 94 % prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Ms. Redmon stated she, her husband, her daughter, and her granddaughter are the only people living in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing with toys, engaging in conversations, general routines and other activities with Ms. Redmon, as well as eating lunch during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, and Criminal Background Checks. No medications were observed nor reported. Storage of hazardous items was monitored today. A playground inspection was recorded 7/27/2024. A fire drill was recorded 7/25/2024. The most recent lockdown drill for the facility was recorded 6/21/2024. There are currently two pets at the home, and all vaccinations were observed to be current and on file. The program does not provide transportation at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 716 Electrical outlets not in use were not covered. One outlet in the designated child care space was observed without a safety cover. 10A NCAC .1719(a)(27) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. On the playground, the section of fencing along the back side of the playground was observed to be leaning and unstable. Plastic weed block was observed emerging from the bedding to the left of the home (facing the home), presenting a potential choking hazard for children enrolled under the age of three years. 10A NCAC 09 .1719 (a) 1871 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The Emergency Preparedness and Response Plan was last updated on 4/05/2023. .1705(b)(8) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The application for one newly enrolled child was not observed in the Ready to Go file. .1714(d)(10) 1889 Products that are labeled "keep out of reach of children" without any other warnings, were not stored on a shelf or in an unlocked cabinet that is five feet above the finished floor. One bottle of Dove baby lotion was observed labeled Keep Out of Reach of Children and on a counter in the kitchen less than five feet from the ground. .1719(a)(7) 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 9/02/2024. 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: 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 monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided during today’s visit: One bottle of Dove baby lotion was observed labeled Keep Out of Reach of Children and on a counter in the kitchen less than five feet from the ground. This item was placed greater than five feet from the ground during the visit. One outlet in the designated child care space was observed without a safety cover; an infant swing was plugged into this outlet during the visit. The application for one newly enrolled child was not observed in the Ready to Go file. The Emergency Preparedness and Response Plan was last updated on 4/05/2023. Mrs. Redmon stated the new child had enrolled on Monday, and she had forgotten to add this child’s information to the Ready to Go file, but would as soon as possible. She also stated when she has recently attempted to update her EPR Plan online, she has been unable to log into the NCID site. Ms. Redmon and I discussed contacting NCID Technical Support for further guidance in resolving this issue. You may consider using your NCID username and password greater than once per year to avoid being locked out of the system. You may also consider beginning the process of updating your EPR plan one month prior to the annual due date. On the playground, the section of fencing along the back side of the playground was observed to be leaning and unstable. Plastic weed block was observed emerging from the bedding to the left of the home (facing the home), presenting a potential choking hazard for children enrolled under the age of three years. Mrs. Redmon stated she intends to replace this fencing completely, but will find a way to stabilize it as soon as possible until then. Ms. Redmon also stated recent large amounts of rain have washed the bedding materials away, exposing the weed block. It is important for all areas (indoor and outdoor) accessed by children to be safe for exploration. You may consider creating a plan for monitoring the indoor and outdoor learning environments daily, prior to children arriving for care or accessing the outdoor learning environment. Consultation provided during today’s visit: The following Child Care Rules were reviewed with Ms. Redmon during the visit: 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) (6) (b) 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (g) 10A NCAC 09 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS (c ) • Please regularly wipe down the stationary slide/ tunnel structure located at the back of the playground prior to use by children to remove all cobwebs/ dead insects. • For technical assistance with your NCID username and password, please contact the NC ITS Service Desk: o Phone: 919-754-6000 or Toll Free 1-800-722-3946 o Email: its.incidents@nc.gov 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-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .1725 · Violation
Name of Operation: TEDDY BEAR TENDER CARE Facility ID: 34000549 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/19/2024 Number Present: 3 Completed Date: 8/19/2024 Age: From 0 To 2 Total Minutes: 160 Time In: 10:35 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Patricia Redmon, Operator, assisted me with the visit. A volunteer, McKenna Escamilla, was also present during the visit. Your program currently operates with a 3-Star license effective 8/01/2019. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschool children at any time; fuel burning stove not used during operating hours; and serves no more than two infants under age one. Ms. Redmon stated she is currently only operating first shift care. The program’s compliance history was 94 % prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Ms. Redmon stated she, her husband, her daughter, and her granddaughter are the only people living in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing with toys, engaging in conversations, general routines and other activities with Ms. Redmon, as well as eating lunch during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, and Criminal Background Checks. No medications were observed nor reported. Storage of hazardous items was monitored today. A playground inspection was recorded 7/27/2024. A fire drill was recorded 7/25/2024. The most recent lockdown drill for the facility was recorded 6/21/2024. There are currently two pets at the home, and all vaccinations were observed to be current and on file. The program does not provide transportation at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 716 Electrical outlets not in use were not covered. One outlet in the designated child care space was observed without a safety cover. 10A NCAC .1719(a)(27) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. On the playground, the section of fencing along the back side of the playground was observed to be leaning and unstable. Plastic weed block was observed emerging from the bedding to the left of the home (facing the home), presenting a potential choking hazard for children enrolled under the age of three years. 10A NCAC 09 .1719 (a) 1871 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The Emergency Preparedness and Response Plan was last updated on 4/05/2023. .1705(b)(8) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The application for one newly enrolled child was not observed in the Ready to Go file. .1714(d)(10) 1889 Products that are labeled "keep out of reach of children" without any other warnings, were not stored on a shelf or in an unlocked cabinet that is five feet above the finished floor. One bottle of Dove baby lotion was observed labeled Keep Out of Reach of Children and on a counter in the kitchen less than five feet from the ground. .1719(a)(7) 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 9/02/2024. 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: 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 monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided during today’s visit: One bottle of Dove baby lotion was observed labeled Keep Out of Reach of Children and on a counter in the kitchen less than five feet from the ground. This item was placed greater than five feet from the ground during the visit. One outlet in the designated child care space was observed without a safety cover; an infant swing was plugged into this outlet during the visit. The application for one newly enrolled child was not observed in the Ready to Go file. The Emergency Preparedness and Response Plan was last updated on 4/05/2023. Mrs. Redmon stated the new child had enrolled on Monday, and she had forgotten to add this child’s information to the Ready to Go file, but would as soon as possible. She also stated when she has recently attempted to update her EPR Plan online, she has been unable to log into the NCID site. Ms. Redmon and I discussed contacting NCID Technical Support for further guidance in resolving this issue. You may consider using your NCID username and password greater than once per year to avoid being locked out of the system. You may also consider beginning the process of updating your EPR plan one month prior to the annual due date. On the playground, the section of fencing along the back side of the playground was observed to be leaning and unstable. Plastic weed block was observed emerging from the bedding to the left of the home (facing the home), presenting a potential choking hazard for children enrolled under the age of three years. Mrs. Redmon stated she intends to replace this fencing completely, but will find a way to stabilize it as soon as possible until then. Ms. Redmon also stated recent large amounts of rain have washed the bedding materials away, exposing the weed block. It is important for all areas (indoor and outdoor) accessed by children to be safe for exploration. You may consider creating a plan for monitoring the indoor and outdoor learning environments daily, prior to children arriving for care or accessing the outdoor learning environment. Consultation provided during today’s visit: The following Child Care Rules were reviewed with Ms. Redmon during the visit: 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) (6) (b) 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (g) 10A NCAC 09 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS (c ) • Please regularly wipe down the stationary slide/ tunnel structure located at the back of the playground prior to use by children to remove all cobwebs/ dead insects. • For technical assistance with your NCID username and password, please contact the NC ITS Service Desk: o Phone: 919-754-6000 or Toll Free 1-800-722-3946 o Email: its.incidents@nc.gov 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-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .1729 · Violation
Name of Operation: TEDDY BEAR TENDER CARE Facility ID: 34000549 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/19/2024 Number Present: 3 Completed Date: 8/19/2024 Age: From 0 To 2 Total Minutes: 160 Time In: 10:35 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Patricia Redmon, Operator, assisted me with the visit. A volunteer, McKenna Escamilla, was also present during the visit. Your program currently operates with a 3-Star license effective 8/01/2019. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschool children at any time; fuel burning stove not used during operating hours; and serves no more than two infants under age one. Ms. Redmon stated she is currently only operating first shift care. The program’s compliance history was 94 % prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Ms. Redmon stated she, her husband, her daughter, and her granddaughter are the only people living in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing with toys, engaging in conversations, general routines and other activities with Ms. Redmon, as well as eating lunch during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, and Criminal Background Checks. No medications were observed nor reported. Storage of hazardous items was monitored today. A playground inspection was recorded 7/27/2024. A fire drill was recorded 7/25/2024. The most recent lockdown drill for the facility was recorded 6/21/2024. There are currently two pets at the home, and all vaccinations were observed to be current and on file. The program does not provide transportation at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 716 Electrical outlets not in use were not covered. One outlet in the designated child care space was observed without a safety cover. 10A NCAC .1719(a)(27) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. On the playground, the section of fencing along the back side of the playground was observed to be leaning and unstable. Plastic weed block was observed emerging from the bedding to the left of the home (facing the home), presenting a potential choking hazard for children enrolled under the age of three years. 10A NCAC 09 .1719 (a) 1871 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The Emergency Preparedness and Response Plan was last updated on 4/05/2023. .1705(b)(8) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The application for one newly enrolled child was not observed in the Ready to Go file. .1714(d)(10) 1889 Products that are labeled "keep out of reach of children" without any other warnings, were not stored on a shelf or in an unlocked cabinet that is five feet above the finished floor. One bottle of Dove baby lotion was observed labeled Keep Out of Reach of Children and on a counter in the kitchen less than five feet from the ground. .1719(a)(7) 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 9/02/2024. 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: 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 monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided during today’s visit: One bottle of Dove baby lotion was observed labeled Keep Out of Reach of Children and on a counter in the kitchen less than five feet from the ground. This item was placed greater than five feet from the ground during the visit. One outlet in the designated child care space was observed without a safety cover; an infant swing was plugged into this outlet during the visit. The application for one newly enrolled child was not observed in the Ready to Go file. The Emergency Preparedness and Response Plan was last updated on 4/05/2023. Mrs. Redmon stated the new child had enrolled on Monday, and she had forgotten to add this child’s information to the Ready to Go file, but would as soon as possible. She also stated when she has recently attempted to update her EPR Plan online, she has been unable to log into the NCID site. Ms. Redmon and I discussed contacting NCID Technical Support for further guidance in resolving this issue. You may consider using your NCID username and password greater than once per year to avoid being locked out of the system. You may also consider beginning the process of updating your EPR plan one month prior to the annual due date. On the playground, the section of fencing along the back side of the playground was observed to be leaning and unstable. Plastic weed block was observed emerging from the bedding to the left of the home (facing the home), presenting a potential choking hazard for children enrolled under the age of three years. Mrs. Redmon stated she intends to replace this fencing completely, but will find a way to stabilize it as soon as possible until then. Ms. Redmon also stated recent large amounts of rain have washed the bedding materials away, exposing the weed block. It is important for all areas (indoor and outdoor) accessed by children to be safe for exploration. You may consider creating a plan for monitoring the indoor and outdoor learning environments daily, prior to children arriving for care or accessing the outdoor learning environment. Consultation provided during today’s visit: The following Child Care Rules were reviewed with Ms. Redmon during the visit: 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) (6) (b) 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (g) 10A NCAC 09 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS (c ) • Please regularly wipe down the stationary slide/ tunnel structure located at the back of the playground prior to use by children to remove all cobwebs/ dead insects. • For technical assistance with your NCID username and password, please contact the NC ITS Service Desk: o Phone: 919-754-6000 or Toll Free 1-800-722-3946 o Email: its.incidents@nc.gov 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-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
NC GS 110-90 · Violation
Name of Operation: TEDDY BEAR TENDER CARE Facility ID: 34000549 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/19/2024 Number Present: 3 Completed Date: 8/19/2024 Age: From 0 To 2 Total Minutes: 160 Time In: 10:35 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Patricia Redmon, Operator, assisted me with the visit. A volunteer, McKenna Escamilla, was also present during the visit. Your program currently operates with a 3-Star license effective 8/01/2019. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschool children at any time; fuel burning stove not used during operating hours; and serves no more than two infants under age one. Ms. Redmon stated she is currently only operating first shift care. The program’s compliance history was 94 % prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Ms. Redmon stated she, her husband, her daughter, and her granddaughter are the only people living in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing with toys, engaging in conversations, general routines and other activities with Ms. Redmon, as well as eating lunch during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, and Criminal Background Checks. No medications were observed nor reported. Storage of hazardous items was monitored today. A playground inspection was recorded 7/27/2024. A fire drill was recorded 7/25/2024. The most recent lockdown drill for the facility was recorded 6/21/2024. There are currently two pets at the home, and all vaccinations were observed to be current and on file. The program does not provide transportation at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 716 Electrical outlets not in use were not covered. One outlet in the designated child care space was observed without a safety cover. 10A NCAC .1719(a)(27) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. On the playground, the section of fencing along the back side of the playground was observed to be leaning and unstable. Plastic weed block was observed emerging from the bedding to the left of the home (facing the home), presenting a potential choking hazard for children enrolled under the age of three years. 10A NCAC 09 .1719 (a) 1871 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The Emergency Preparedness and Response Plan was last updated on 4/05/2023. .1705(b)(8) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The application for one newly enrolled child was not observed in the Ready to Go file. .1714(d)(10) 1889 Products that are labeled "keep out of reach of children" without any other warnings, were not stored on a shelf or in an unlocked cabinet that is five feet above the finished floor. One bottle of Dove baby lotion was observed labeled Keep Out of Reach of Children and on a counter in the kitchen less than five feet from the ground. .1719(a)(7) 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 9/02/2024. 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: 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 monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided during today’s visit: One bottle of Dove baby lotion was observed labeled Keep Out of Reach of Children and on a counter in the kitchen less than five feet from the ground. This item was placed greater than five feet from the ground during the visit. One outlet in the designated child care space was observed without a safety cover; an infant swing was plugged into this outlet during the visit. The application for one newly enrolled child was not observed in the Ready to Go file. The Emergency Preparedness and Response Plan was last updated on 4/05/2023. Mrs. Redmon stated the new child had enrolled on Monday, and she had forgotten to add this child’s information to the Ready to Go file, but would as soon as possible. She also stated when she has recently attempted to update her EPR Plan online, she has been unable to log into the NCID site. Ms. Redmon and I discussed contacting NCID Technical Support for further guidance in resolving this issue. You may consider using your NCID username and password greater than once per year to avoid being locked out of the system. You may also consider beginning the process of updating your EPR plan one month prior to the annual due date. On the playground, the section of fencing along the back side of the playground was observed to be leaning and unstable. Plastic weed block was observed emerging from the bedding to the left of the home (facing the home), presenting a potential choking hazard for children enrolled under the age of three years. Mrs. Redmon stated she intends to replace this fencing completely, but will find a way to stabilize it as soon as possible until then. Ms. Redmon also stated recent large amounts of rain have washed the bedding materials away, exposing the weed block. It is important for all areas (indoor and outdoor) accessed by children to be safe for exploration. You may consider creating a plan for monitoring the indoor and outdoor learning environments daily, prior to children arriving for care or accessing the outdoor learning environment. Consultation provided during today’s visit: The following Child Care Rules were reviewed with Ms. Redmon during the visit: 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) (6) (b) 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (g) 10A NCAC 09 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS (c ) • Please regularly wipe down the stationary slide/ tunnel structure located at the back of the playground prior to use by children to remove all cobwebs/ dead insects. • For technical assistance with your NCID username and password, please contact the NC ITS Service Desk: o Phone: 919-754-6000 or Toll Free 1-800-722-3946 o Email: its.incidents@nc.gov 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-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09. 1707 · Violation
Name of Operation: TEDDY BEAR TENDER CARE Facility ID: 34000549 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 2/14/2024 Number Present: 2 Completed Date: 2/14/2024 Age: From 1 To 1 Total Minutes: 250 Time In: 08:10 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant, with Patricia Redmon. Your program currently operates with a 3-Star license. Restrictions include 1st, 2nd, and 3rd shift care; serves no more than two infants; fuel burning stove not used during operating hours; maximum of five preschoolers at any time. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 98% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. A plastic grocery bag was observed on the seat of an infant swing accessible to children. Ms. Redmon made this bag inaccessible to children during the visit. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed two children in care playing with toys, engaging in conversations and activities with Ms. Redmon, and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the child in the licensed space. The last annual compliance visit was conducted on 3/09/2023. A Verification of Required Information for Operator and Additional Caregivers form was submitted prior to the visit for the operator. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The last fire drill was conducted on 1/03/2024. The most recent lockdown drill was documented on 12/04/2023. The last outdoor inspection was documented on 1/31/2024. There are two pets at the home, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 306 At least one 5 lb 2-A:10-B:C type fire extinguisher was not readily accessible for every 2500 square feet of floor space in the home. The operator was observed to have a 2.5 lb. 1A 210 BC fire extinguisher, as opposed to a 5 lb. 2A:10B:C fire extinguisher. 10A NCAC 09. 1707(4) 816 Each child's hands were not washed before and after eating. The operator did not wash the hands of two children enrolled prior to providing them a snack before lunch and wiped each of their hands with wet paper towels before eating lunch. .1725(a)(7)(B) 920 Records were not made available for review. An infant feeding plan was not observed on file for one child enrolled. An Emergency Preparedness and Response Training certificate was not observed on file for the operator. A bacteriological well-water analysis was last conducted on 3/01/2021. The health assessment for one child enrolled on 10/19/2023 was completed on 11/20/2023. G.S. 110-91(9) 923 Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year. A playground inspection was not conducted during the month of December, 2023. .1721 (e)(7) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. A plastic grocery bag was observed on the seat of an infant swing accessible to children. 10A NCAC 09 .1719 (a) 1544 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. The height of the fence at the front left corner (facing the entrance to the playground) measured 45 inches in height, as opposed the required 48 inches. GS 110-91 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The Ready to Go File did not contain copies of blank incident reports. .1714(d)(10) 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 2/28/2024. 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: 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 monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • An infant feeding plan was not observed on file for one child enrolled. An Emergency Preparedness and Response Training certificate was not observed on file for the operator. A playground inspection was not conducted during the month of December, 2023. A bacteriological well-water analysis was last conducted on 3/01/2021. The Ready to Go File was not observed to contain blank incident reports. The health assessment for one child enrolled on 10/19/2023 was completed on 11/20/2023. Ms. Redmon stated these were oversights. She also stated she may have accidentally removed her initial EPR certificate when she updated her binder. Ms. Redmon further stated she thought the renewal of the bacteriological well-water analysis was due to every three years, as opposed to every two years. It is important to ensure all required documentation is updated, accurate, and on file for review to ensure the health, safety, and well-being of all children enrolled. I recommended Ms. Redmon consider creating a routine schedule for monitoring program, operator, and children’s files, as well as setting reminders via a calendar, computer, or phone of upcoming renewal dates for required documentation. • The operator was observed to have a 2.5 lb. 1A 210 BC fire extinguisher, as opposed to a 5 lb. 2A:10B:C fire extinguisher. It is important for fire extinguishers to meet rule requirements, as the 5 lb. extinguisher contains double the chemical content for putting out a potential fire than the 2.5 lb. extinguisher. Ms. Redmon stated she did not realize this fire extinguisher was not the required size and that she would replace it immediately. • The operator did not wash the hands of two children enrolled prior to providing them a snack before lunch and wiped each of their hands with wet paper towels before eating lunch. It is important to practice required handwashing routines to reduce the risk of spreading germs and/or infectious diseases. Ms. Redmon stated she normally washes each child’s hands prior to eating a meal. I reviewed Child Care Rule 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES thoroughly during the visit. • The height of the fence at the front right corner (facing the entrance to the playground) measured 45 inches in height. For the safety of all children enrolled in care, the height of the fence must measure at 48 inches in all areas. Ms. Redmon was not aware the fencing did not measure 48 inches in all areas. I recommended Ms. Redmon measure the fencing in different areas at different times throughout the year to ensure the fencing was not settling into the ground over time and remains at the required height in all areas. Consultation provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. 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 (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.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 .1719 · Violation
Name of Operation: TEDDY BEAR TENDER CARE Facility ID: 34000549 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 2/14/2024 Number Present: 2 Completed Date: 2/14/2024 Age: From 1 To 1 Total Minutes: 250 Time In: 08:10 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant, with Patricia Redmon. Your program currently operates with a 3-Star license. Restrictions include 1st, 2nd, and 3rd shift care; serves no more than two infants; fuel burning stove not used during operating hours; maximum of five preschoolers at any time. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 98% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. A plastic grocery bag was observed on the seat of an infant swing accessible to children. Ms. Redmon made this bag inaccessible to children during the visit. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed two children in care playing with toys, engaging in conversations and activities with Ms. Redmon, and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the child in the licensed space. The last annual compliance visit was conducted on 3/09/2023. A Verification of Required Information for Operator and Additional Caregivers form was submitted prior to the visit for the operator. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The last fire drill was conducted on 1/03/2024. The most recent lockdown drill was documented on 12/04/2023. The last outdoor inspection was documented on 1/31/2024. There are two pets at the home, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 306 At least one 5 lb 2-A:10-B:C type fire extinguisher was not readily accessible for every 2500 square feet of floor space in the home. The operator was observed to have a 2.5 lb. 1A 210 BC fire extinguisher, as opposed to a 5 lb. 2A:10B:C fire extinguisher. 10A NCAC 09. 1707(4) 816 Each child's hands were not washed before and after eating. The operator did not wash the hands of two children enrolled prior to providing them a snack before lunch and wiped each of their hands with wet paper towels before eating lunch. .1725(a)(7)(B) 920 Records were not made available for review. An infant feeding plan was not observed on file for one child enrolled. An Emergency Preparedness and Response Training certificate was not observed on file for the operator. A bacteriological well-water analysis was last conducted on 3/01/2021. The health assessment for one child enrolled on 10/19/2023 was completed on 11/20/2023. G.S. 110-91(9) 923 Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year. A playground inspection was not conducted during the month of December, 2023. .1721 (e)(7) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. A plastic grocery bag was observed on the seat of an infant swing accessible to children. 10A NCAC 09 .1719 (a) 1544 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. The height of the fence at the front left corner (facing the entrance to the playground) measured 45 inches in height, as opposed the required 48 inches. GS 110-91 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The Ready to Go File did not contain copies of blank incident reports. .1714(d)(10) 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 2/28/2024. 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: 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 monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • An infant feeding plan was not observed on file for one child enrolled. An Emergency Preparedness and Response Training certificate was not observed on file for the operator. A playground inspection was not conducted during the month of December, 2023. A bacteriological well-water analysis was last conducted on 3/01/2021. The Ready to Go File was not observed to contain blank incident reports. The health assessment for one child enrolled on 10/19/2023 was completed on 11/20/2023. Ms. Redmon stated these were oversights. She also stated she may have accidentally removed her initial EPR certificate when she updated her binder. Ms. Redmon further stated she thought the renewal of the bacteriological well-water analysis was due to every three years, as opposed to every two years. It is important to ensure all required documentation is updated, accurate, and on file for review to ensure the health, safety, and well-being of all children enrolled. I recommended Ms. Redmon consider creating a routine schedule for monitoring program, operator, and children’s files, as well as setting reminders via a calendar, computer, or phone of upcoming renewal dates for required documentation. • The operator was observed to have a 2.5 lb. 1A 210 BC fire extinguisher, as opposed to a 5 lb. 2A:10B:C fire extinguisher. It is important for fire extinguishers to meet rule requirements, as the 5 lb. extinguisher contains double the chemical content for putting out a potential fire than the 2.5 lb. extinguisher. Ms. Redmon stated she did not realize this fire extinguisher was not the required size and that she would replace it immediately. • The operator did not wash the hands of two children enrolled prior to providing them a snack before lunch and wiped each of their hands with wet paper towels before eating lunch. It is important to practice required handwashing routines to reduce the risk of spreading germs and/or infectious diseases. Ms. Redmon stated she normally washes each child’s hands prior to eating a meal. I reviewed Child Care Rule 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES thoroughly during the visit. • The height of the fence at the front right corner (facing the entrance to the playground) measured 45 inches in height. For the safety of all children enrolled in care, the height of the fence must measure at 48 inches in all areas. Ms. Redmon was not aware the fencing did not measure 48 inches in all areas. I recommended Ms. Redmon measure the fencing in different areas at different times throughout the year to ensure the fencing was not settling into the ground over time and remains at the required height in all areas. Consultation provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. 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 (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.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 .1725 · Violation
Name of Operation: TEDDY BEAR TENDER CARE Facility ID: 34000549 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 2/14/2024 Number Present: 2 Completed Date: 2/14/2024 Age: From 1 To 1 Total Minutes: 250 Time In: 08:10 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant, with Patricia Redmon. Your program currently operates with a 3-Star license. Restrictions include 1st, 2nd, and 3rd shift care; serves no more than two infants; fuel burning stove not used during operating hours; maximum of five preschoolers at any time. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 98% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. A plastic grocery bag was observed on the seat of an infant swing accessible to children. Ms. Redmon made this bag inaccessible to children during the visit. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed two children in care playing with toys, engaging in conversations and activities with Ms. Redmon, and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the child in the licensed space. The last annual compliance visit was conducted on 3/09/2023. A Verification of Required Information for Operator and Additional Caregivers form was submitted prior to the visit for the operator. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The last fire drill was conducted on 1/03/2024. The most recent lockdown drill was documented on 12/04/2023. The last outdoor inspection was documented on 1/31/2024. There are two pets at the home, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 306 At least one 5 lb 2-A:10-B:C type fire extinguisher was not readily accessible for every 2500 square feet of floor space in the home. The operator was observed to have a 2.5 lb. 1A 210 BC fire extinguisher, as opposed to a 5 lb. 2A:10B:C fire extinguisher. 10A NCAC 09. 1707(4) 816 Each child's hands were not washed before and after eating. The operator did not wash the hands of two children enrolled prior to providing them a snack before lunch and wiped each of their hands with wet paper towels before eating lunch. .1725(a)(7)(B) 920 Records were not made available for review. An infant feeding plan was not observed on file for one child enrolled. An Emergency Preparedness and Response Training certificate was not observed on file for the operator. A bacteriological well-water analysis was last conducted on 3/01/2021. The health assessment for one child enrolled on 10/19/2023 was completed on 11/20/2023. G.S. 110-91(9) 923 Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year. A playground inspection was not conducted during the month of December, 2023. .1721 (e)(7) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. A plastic grocery bag was observed on the seat of an infant swing accessible to children. 10A NCAC 09 .1719 (a) 1544 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. The height of the fence at the front left corner (facing the entrance to the playground) measured 45 inches in height, as opposed the required 48 inches. GS 110-91 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The Ready to Go File did not contain copies of blank incident reports. .1714(d)(10) 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 2/28/2024. 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: 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 monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • An infant feeding plan was not observed on file for one child enrolled. An Emergency Preparedness and Response Training certificate was not observed on file for the operator. A playground inspection was not conducted during the month of December, 2023. A bacteriological well-water analysis was last conducted on 3/01/2021. The Ready to Go File was not observed to contain blank incident reports. The health assessment for one child enrolled on 10/19/2023 was completed on 11/20/2023. Ms. Redmon stated these were oversights. She also stated she may have accidentally removed her initial EPR certificate when she updated her binder. Ms. Redmon further stated she thought the renewal of the bacteriological well-water analysis was due to every three years, as opposed to every two years. It is important to ensure all required documentation is updated, accurate, and on file for review to ensure the health, safety, and well-being of all children enrolled. I recommended Ms. Redmon consider creating a routine schedule for monitoring program, operator, and children’s files, as well as setting reminders via a calendar, computer, or phone of upcoming renewal dates for required documentation. • The operator was observed to have a 2.5 lb. 1A 210 BC fire extinguisher, as opposed to a 5 lb. 2A:10B:C fire extinguisher. It is important for fire extinguishers to meet rule requirements, as the 5 lb. extinguisher contains double the chemical content for putting out a potential fire than the 2.5 lb. extinguisher. Ms. Redmon stated she did not realize this fire extinguisher was not the required size and that she would replace it immediately. • The operator did not wash the hands of two children enrolled prior to providing them a snack before lunch and wiped each of their hands with wet paper towels before eating lunch. It is important to practice required handwashing routines to reduce the risk of spreading germs and/or infectious diseases. Ms. Redmon stated she normally washes each child’s hands prior to eating a meal. I reviewed Child Care Rule 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES thoroughly during the visit. • The height of the fence at the front right corner (facing the entrance to the playground) measured 45 inches in height. For the safety of all children enrolled in care, the height of the fence must measure at 48 inches in all areas. Ms. Redmon was not aware the fencing did not measure 48 inches in all areas. I recommended Ms. Redmon measure the fencing in different areas at different times throughout the year to ensure the fencing was not settling into the ground over time and remains at the required height in all areas. Consultation provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. 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 (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.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
G.S. 110-91 · Violation
Name of Operation: TEDDY BEAR TENDER CARE Facility ID: 34000549 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 2/14/2024 Number Present: 2 Completed Date: 2/14/2024 Age: From 1 To 1 Total Minutes: 250 Time In: 08:10 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant, with Patricia Redmon. Your program currently operates with a 3-Star license. Restrictions include 1st, 2nd, and 3rd shift care; serves no more than two infants; fuel burning stove not used during operating hours; maximum of five preschoolers at any time. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 98% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. A plastic grocery bag was observed on the seat of an infant swing accessible to children. Ms. Redmon made this bag inaccessible to children during the visit. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed two children in care playing with toys, engaging in conversations and activities with Ms. Redmon, and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the child in the licensed space. The last annual compliance visit was conducted on 3/09/2023. A Verification of Required Information for Operator and Additional Caregivers form was submitted prior to the visit for the operator. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The last fire drill was conducted on 1/03/2024. The most recent lockdown drill was documented on 12/04/2023. The last outdoor inspection was documented on 1/31/2024. There are two pets at the home, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 306 At least one 5 lb 2-A:10-B:C type fire extinguisher was not readily accessible for every 2500 square feet of floor space in the home. The operator was observed to have a 2.5 lb. 1A 210 BC fire extinguisher, as opposed to a 5 lb. 2A:10B:C fire extinguisher. 10A NCAC 09. 1707(4) 816 Each child's hands were not washed before and after eating. The operator did not wash the hands of two children enrolled prior to providing them a snack before lunch and wiped each of their hands with wet paper towels before eating lunch. .1725(a)(7)(B) 920 Records were not made available for review. An infant feeding plan was not observed on file for one child enrolled. An Emergency Preparedness and Response Training certificate was not observed on file for the operator. A bacteriological well-water analysis was last conducted on 3/01/2021. The health assessment for one child enrolled on 10/19/2023 was completed on 11/20/2023. G.S. 110-91(9) 923 Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year. A playground inspection was not conducted during the month of December, 2023. .1721 (e)(7) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. A plastic grocery bag was observed on the seat of an infant swing accessible to children. 10A NCAC 09 .1719 (a) 1544 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. The height of the fence at the front left corner (facing the entrance to the playground) measured 45 inches in height, as opposed the required 48 inches. GS 110-91 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The Ready to Go File did not contain copies of blank incident reports. .1714(d)(10) 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 2/28/2024. 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: 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 monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • An infant feeding plan was not observed on file for one child enrolled. An Emergency Preparedness and Response Training certificate was not observed on file for the operator. A playground inspection was not conducted during the month of December, 2023. A bacteriological well-water analysis was last conducted on 3/01/2021. The Ready to Go File was not observed to contain blank incident reports. The health assessment for one child enrolled on 10/19/2023 was completed on 11/20/2023. Ms. Redmon stated these were oversights. She also stated she may have accidentally removed her initial EPR certificate when she updated her binder. Ms. Redmon further stated she thought the renewal of the bacteriological well-water analysis was due to every three years, as opposed to every two years. It is important to ensure all required documentation is updated, accurate, and on file for review to ensure the health, safety, and well-being of all children enrolled. I recommended Ms. Redmon consider creating a routine schedule for monitoring program, operator, and children’s files, as well as setting reminders via a calendar, computer, or phone of upcoming renewal dates for required documentation. • The operator was observed to have a 2.5 lb. 1A 210 BC fire extinguisher, as opposed to a 5 lb. 2A:10B:C fire extinguisher. It is important for fire extinguishers to meet rule requirements, as the 5 lb. extinguisher contains double the chemical content for putting out a potential fire than the 2.5 lb. extinguisher. Ms. Redmon stated she did not realize this fire extinguisher was not the required size and that she would replace it immediately. • The operator did not wash the hands of two children enrolled prior to providing them a snack before lunch and wiped each of their hands with wet paper towels before eating lunch. It is important to practice required handwashing routines to reduce the risk of spreading germs and/or infectious diseases. Ms. Redmon stated she normally washes each child’s hands prior to eating a meal. I reviewed Child Care Rule 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES thoroughly during the visit. • The height of the fence at the front right corner (facing the entrance to the playground) measured 45 inches in height. For the safety of all children enrolled in care, the height of the fence must measure at 48 inches in all areas. Ms. Redmon was not aware the fencing did not measure 48 inches in all areas. I recommended Ms. Redmon measure the fencing in different areas at different times throughout the year to ensure the fencing was not settling into the ground over time and remains at the required height in all areas. Consultation provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. 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 (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.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
GS 110-91 · Violation
Name of Operation: TEDDY BEAR TENDER CARE Facility ID: 34000549 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 2/14/2024 Number Present: 2 Completed Date: 2/14/2024 Age: From 1 To 1 Total Minutes: 250 Time In: 08:10 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant, with Patricia Redmon. Your program currently operates with a 3-Star license. Restrictions include 1st, 2nd, and 3rd shift care; serves no more than two infants; fuel burning stove not used during operating hours; maximum of five preschoolers at any time. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 98% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. A plastic grocery bag was observed on the seat of an infant swing accessible to children. Ms. Redmon made this bag inaccessible to children during the visit. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed two children in care playing with toys, engaging in conversations and activities with Ms. Redmon, and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the child in the licensed space. The last annual compliance visit was conducted on 3/09/2023. A Verification of Required Information for Operator and Additional Caregivers form was submitted prior to the visit for the operator. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The last fire drill was conducted on 1/03/2024. The most recent lockdown drill was documented on 12/04/2023. The last outdoor inspection was documented on 1/31/2024. There are two pets at the home, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 306 At least one 5 lb 2-A:10-B:C type fire extinguisher was not readily accessible for every 2500 square feet of floor space in the home. The operator was observed to have a 2.5 lb. 1A 210 BC fire extinguisher, as opposed to a 5 lb. 2A:10B:C fire extinguisher. 10A NCAC 09. 1707(4) 816 Each child's hands were not washed before and after eating. The operator did not wash the hands of two children enrolled prior to providing them a snack before lunch and wiped each of their hands with wet paper towels before eating lunch. .1725(a)(7)(B) 920 Records were not made available for review. An infant feeding plan was not observed on file for one child enrolled. An Emergency Preparedness and Response Training certificate was not observed on file for the operator. A bacteriological well-water analysis was last conducted on 3/01/2021. The health assessment for one child enrolled on 10/19/2023 was completed on 11/20/2023. G.S. 110-91(9) 923 Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year. A playground inspection was not conducted during the month of December, 2023. .1721 (e)(7) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. A plastic grocery bag was observed on the seat of an infant swing accessible to children. 10A NCAC 09 .1719 (a) 1544 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. The height of the fence at the front left corner (facing the entrance to the playground) measured 45 inches in height, as opposed the required 48 inches. GS 110-91 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The Ready to Go File did not contain copies of blank incident reports. .1714(d)(10) 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 2/28/2024. 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: 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 monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • An infant feeding plan was not observed on file for one child enrolled. An Emergency Preparedness and Response Training certificate was not observed on file for the operator. A playground inspection was not conducted during the month of December, 2023. A bacteriological well-water analysis was last conducted on 3/01/2021. The Ready to Go File was not observed to contain blank incident reports. The health assessment for one child enrolled on 10/19/2023 was completed on 11/20/2023. Ms. Redmon stated these were oversights. She also stated she may have accidentally removed her initial EPR certificate when she updated her binder. Ms. Redmon further stated she thought the renewal of the bacteriological well-water analysis was due to every three years, as opposed to every two years. It is important to ensure all required documentation is updated, accurate, and on file for review to ensure the health, safety, and well-being of all children enrolled. I recommended Ms. Redmon consider creating a routine schedule for monitoring program, operator, and children’s files, as well as setting reminders via a calendar, computer, or phone of upcoming renewal dates for required documentation. • The operator was observed to have a 2.5 lb. 1A 210 BC fire extinguisher, as opposed to a 5 lb. 2A:10B:C fire extinguisher. It is important for fire extinguishers to meet rule requirements, as the 5 lb. extinguisher contains double the chemical content for putting out a potential fire than the 2.5 lb. extinguisher. Ms. Redmon stated she did not realize this fire extinguisher was not the required size and that she would replace it immediately. • The operator did not wash the hands of two children enrolled prior to providing them a snack before lunch and wiped each of their hands with wet paper towels before eating lunch. It is important to practice required handwashing routines to reduce the risk of spreading germs and/or infectious diseases. Ms. Redmon stated she normally washes each child’s hands prior to eating a meal. I reviewed Child Care Rule 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES thoroughly during the visit. • The height of the fence at the front right corner (facing the entrance to the playground) measured 45 inches in height. For the safety of all children enrolled in care, the height of the fence must measure at 48 inches in all areas. Ms. Redmon was not aware the fencing did not measure 48 inches in all areas. I recommended Ms. Redmon measure the fencing in different areas at different times throughout the year to ensure the fencing was not settling into the ground over time and remains at the required height in all areas. Consultation provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. 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 (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.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: TEDDY BEAR TENDER CARE Facility ID: 34000549 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 2/14/2024 Number Present: 2 Completed Date: 2/14/2024 Age: From 1 To 1 Total Minutes: 250 Time In: 08:10 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant, with Patricia Redmon. Your program currently operates with a 3-Star license. Restrictions include 1st, 2nd, and 3rd shift care; serves no more than two infants; fuel burning stove not used during operating hours; maximum of five preschoolers at any time. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 98% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. A plastic grocery bag was observed on the seat of an infant swing accessible to children. Ms. Redmon made this bag inaccessible to children during the visit. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed two children in care playing with toys, engaging in conversations and activities with Ms. Redmon, and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the child in the licensed space. The last annual compliance visit was conducted on 3/09/2023. A Verification of Required Information for Operator and Additional Caregivers form was submitted prior to the visit for the operator. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The last fire drill was conducted on 1/03/2024. The most recent lockdown drill was documented on 12/04/2023. The last outdoor inspection was documented on 1/31/2024. There are two pets at the home, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 306 At least one 5 lb 2-A:10-B:C type fire extinguisher was not readily accessible for every 2500 square feet of floor space in the home. The operator was observed to have a 2.5 lb. 1A 210 BC fire extinguisher, as opposed to a 5 lb. 2A:10B:C fire extinguisher. 10A NCAC 09. 1707(4) 816 Each child's hands were not washed before and after eating. The operator did not wash the hands of two children enrolled prior to providing them a snack before lunch and wiped each of their hands with wet paper towels before eating lunch. .1725(a)(7)(B) 920 Records were not made available for review. An infant feeding plan was not observed on file for one child enrolled. An Emergency Preparedness and Response Training certificate was not observed on file for the operator. A bacteriological well-water analysis was last conducted on 3/01/2021. The health assessment for one child enrolled on 10/19/2023 was completed on 11/20/2023. G.S. 110-91(9) 923 Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year. A playground inspection was not conducted during the month of December, 2023. .1721 (e)(7) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. A plastic grocery bag was observed on the seat of an infant swing accessible to children. 10A NCAC 09 .1719 (a) 1544 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. The height of the fence at the front left corner (facing the entrance to the playground) measured 45 inches in height, as opposed the required 48 inches. GS 110-91 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The Ready to Go File did not contain copies of blank incident reports. .1714(d)(10) 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 2/28/2024. 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: 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 monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • An infant feeding plan was not observed on file for one child enrolled. An Emergency Preparedness and Response Training certificate was not observed on file for the operator. A playground inspection was not conducted during the month of December, 2023. A bacteriological well-water analysis was last conducted on 3/01/2021. The Ready to Go File was not observed to contain blank incident reports. The health assessment for one child enrolled on 10/19/2023 was completed on 11/20/2023. Ms. Redmon stated these were oversights. She also stated she may have accidentally removed her initial EPR certificate when she updated her binder. Ms. Redmon further stated she thought the renewal of the bacteriological well-water analysis was due to every three years, as opposed to every two years. It is important to ensure all required documentation is updated, accurate, and on file for review to ensure the health, safety, and well-being of all children enrolled. I recommended Ms. Redmon consider creating a routine schedule for monitoring program, operator, and children’s files, as well as setting reminders via a calendar, computer, or phone of upcoming renewal dates for required documentation. • The operator was observed to have a 2.5 lb. 1A 210 BC fire extinguisher, as opposed to a 5 lb. 2A:10B:C fire extinguisher. It is important for fire extinguishers to meet rule requirements, as the 5 lb. extinguisher contains double the chemical content for putting out a potential fire than the 2.5 lb. extinguisher. Ms. Redmon stated she did not realize this fire extinguisher was not the required size and that she would replace it immediately. • The operator did not wash the hands of two children enrolled prior to providing them a snack before lunch and wiped each of their hands with wet paper towels before eating lunch. It is important to practice required handwashing routines to reduce the risk of spreading germs and/or infectious diseases. Ms. Redmon stated she normally washes each child’s hands prior to eating a meal. I reviewed Child Care Rule 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES thoroughly during the visit. • The height of the fence at the front right corner (facing the entrance to the playground) measured 45 inches in height. For the safety of all children enrolled in care, the height of the fence must measure at 48 inches in all areas. Ms. Redmon was not aware the fencing did not measure 48 inches in all areas. I recommended Ms. Redmon measure the fencing in different areas at different times throughout the year to ensure the fencing was not settling into the ground over time and remains at the required height in all areas. Consultation provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. 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 (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.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 .1714 · Violation
Name of Operation: TEDDY BEAR TENDER CARE Facility ID: 34000549 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/4/2023 Number Present: 1 Completed Date: 8/4/2023 Age: From 0 To 1 Total Minutes: 270 Time In: 09:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Family CC Home 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. You, Patricia Redmond, Operator, assisted me with the visit. Ms. Redmond does not currently use an Additional Caregiver or substitute; however, she stated both her daughters are in the process of attaining the requirements necessary to become additional caregivers. Ms. Redmond stated she would notify me when her daughters complete these requirements. Your program currently operates with a 3-Star license effective 8/01/2019. Restrictions include 1st, 2nd, and 3rd shift care; serves no more than two infants in approved spaces only, and maximum of five preschool children at any time. The program’s compliance history was 98% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Ms. Redmon stated the only persons living in the home with her are herself, her husband, her daughter, and her son during the week. Be reminded that you, your husband, your daughter, and your son must have criminal record checks conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. A large, upholstered chair located in the space designated for childcare had an 8-inch tear at the front of the right arm, exposing cushion filling, creating a potential choking hazard. Ms. Redmond stated she had recently sewn this area closed, but a child had accidentally re-opened the area during play. On the playground, two holes were observed (one on the left and one on the right side) beneath the fencing behind chicken house, allowing the children limited access to three potbellied pigs. A plastic bag and long, tangled piece of thin, orange rope was observed on the ground to the left of the chicken house near the potbellied pigs. Plastic weed block was observed emerging from the ground to the left of the house and stairway to the deck by the air conditioning unit presenting a potential choking hazard. The space between each step leading up to the deck measured 6 ¼ inches, creating a potential entrapment hazard. The spaces between the first and second hand rails (from the bottom on the left and right sides) of the stairs leading to the deck measured 7 inches, creating a potential entrapment hazard. Two triangular spaces beneath the stairs on the right side (going up the stairs) above and below the lattice measured 7 ½ x 14 inches and 5 x 6 inches respectively, creating a potential entrapment hazard. Two areas of lattice at the base of the deck were observed to be pointed and sharp to the touch. The metal mesh fencing to the right of the playground (facing away from the home) had become detached from the fence posts in two areas. The plastic connectors connecting a plastic bridge on a nonstationary play structure on the playground were observed to be cracked and in disrepair. The connector on the back was sharp to the touch and presented a potential pinching hazard. The lid to a green turtle sandbox located on the back deck of the home (used for play for toddlers) was observed to be cracked and sharp to the touch, also presenting a potential pinching hazard. A large plastic bin of broken toys was observed on the playground next to the stairs to the deck. A crawl space with a wooden door leading under the home was observed to have a lock, but the lock was unlocked. Ms. Redmond stated she is preparing to replace this lock, as it had become rusted and would not lock. The lower swing set located in the grassy area was observed to have two holes on the front left pole (facing away from the home) which were ¼ inch in diameter and sharp to the touch around the edges. A black cord was observed to be hanging from the top of the chicken coop (less than five feet from the ground) to the adjacent fencing. Ms. Redmon stated the children have not accessed or used this playground for the past two weeks, once she began to remove the chain link fencing initially separating the playground from the chickens and pigs. Ms. Redmond stated children enrolled have used the upper deck as an outdoor play space during that time. She plans to use the Expansion Grant to replace and/or upgrade both all areas of fencing, and the stairway to the deck used in the outdoor learning environment. Temporary options for repairs to bring the aforementioned issues into compliance were discussed during the visit. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed the one infant in care today playing with toys, interacting with Ms. Redmond, napping, and participating in general routines. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, and Criminal Background Checks. A current certificate for Health and Safety training topic number (6) Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants was not on file for review. No medications were observed nor reported. Ms. Redmon has one brand of 2-in-1 sunscreen/bug spray she uses for children in care; all necessary permission to administer forms for this topical spray were on file for review. Storage hazardous items was monitored today and found to be in compliance. A playground inspection was recorded on 7/28/2023. A fire drill was recorded on 7/26/2023. A shelter in place drill for the facility was recorded 6/15/2023. There are three pet dogs, one located inside the home outside of the designated space for childcare and two kept in a fenced-in area outside the home. All vaccinations and parent acknowledgement forms were monitored and in compliance. The program does not currently provide transportation or participate in off-premise activities. A pool is located in the back yard surrounded by a locked four-foot fence. Ms. Redmond stated children enrolled do not participate in any aquatic activites. The following violations were cited during today’s visit: Violation Number Comment Rule 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. A large, upholstered chair located in the space designated for childcare has an 8-inch tear at the front of the right arm, exposing cushion filling, creating a potential choking hazard. On the playground, two holes were observed (one on the left and one on the right side) beneath the fencing behind chicken house, allowing the children access to three potbellied pigs. A plastic bag and long piece of thin, orange rope was observed on the ground to the left of the chicken house near the potbellied pigs. Plastic weed block was observed emerging from the ground to the left of the house and stairway to the deck by the air conditioning unit presenting a potential choking hazard. The space between each step leading up to the deck measuring 6 ¼ inches, creating a potential entrapment hazard. The spaces between the first and second rails (from the bottom on the left and right sides) of the stairs leading to the deck measured 7 inches, creating a potential entrapment hazard. Two triangular spaces beneath the stairs on the right side (going up the stairs) above and below the lattice measured 7 ½ x 14 inches and 5 x 6 inches respectively, creating a potential entrapment hazard. Two areas of lattice at the base of the deck were observed to be pointed and sharp to the touch. The metal mesh fencing to the right of the playground (facing away from the home) had become detached from the fence posts in two areas. The plastic connectors connecting a plastic bridge on a nonstationary play structure on the playground were observed to be cracked and in disrepair. The connector on the back was sharp to the touch and presented a potential pinching hazard. The lid to a green turtle sandbox located on the back deck of the home (used for play for toddlers) was observed to be cracked and sharp to the touch. A large plastic bin of broken toys was observed on the playground next to the stairs to the deck. A crawl space with a wooden door leading under the home was observed to have a lock, but the lock was unlocked. The lower swing set located in the grassy area was observed to have two holes on the front left pole (facing away from the home) which were ¼ inch in diameter and sharp to the touch around the edges. A black cord was observed to be hanging from the top of the chicken coop (less than five feet from the ground) to the adjacent fencing, presenting a potential safety hazard. 10A NCAC 09 .1719 (a) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. A current certificate for Health and Safety training topic number(6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants was not on file for review. .1703(d)(2) 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 8/18/2023. 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 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. 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 today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following rules were thoroughly discussed with Ms. Redmon during the visit: 10A NCAC 09 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS (a) An individual who provides care for five hours or more in a week during planned absences of the family child care home operator shall: (c) The operator shall conduct 16 hours of orientation with all caregivers, prior to the individual caring for children, including substitute providers, volunteers, and uncompensated providers, who are providing care. The orientation shall include an overview of the following topics, specifically focusing on the operation of the facility: (1) recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (2) review of the home's operational policies, including the written plan of care, safe sleep policy, the transportation policy, identification of building and premises safety issues, the emergency medical care plan, and the Emergency Preparedness and Response Plan; (3) adequate supervision of children in accordance with Rule .1711(a) of this Section; (4) information regarding prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (5) prevention and control of infectious diseases, including immunization; (6) firsthand observation of the home's daily operations; (7) instruction regarding assigned duties; (8) instruction in the maintenance of a safe and healthy environment; (9) instruction in the administration of medication to children in accordance with Rule .1720(b) of this Section; (10) review of the home's purposes and goals; (11) review of G.S. 110, Article 7 and 10A NCAC 09; (12) review of Section .2800 of this Chapter if the operator has a two- through five- star license at the time of employment; (13) an explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; (14) an explanation of the individual's obligation to cooperate with representatives of State and local government agencies during visits and investigations; (15) prevention of and response to emergencies due to food and allergic reactions; and (16) review of the home's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. The operator and individual providing care shall sign and date a statement that attests that this review was completed. This statement shall be kept on file in the home and available for review by the Division. who are providing care. 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. (g) All substitute providers and volunteers who provide care to children shall be informed of the Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: (6) use sanitary procedures when preparing and serving food. The operator shall: (A) wash his or her hands before and after handling food and feeding the children; and (B) ensure the child's hands are washed before and after the child is fed; (7) wash his or her hands, and ensure the child's hands are washed, after toileting or handling bodily fluids; (8) handwashing procedures shall include: (A) using liquid soap and water; (B) rubbing hands vigorously with soap and water for 15 seconds; (C) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (D) rinsing well for 10 seconds; (E) drying hands with a paper towel or other hand drying device; and (F) turning off faucet with a paper towel or other method without recontaminating hands 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (1) Developmentally appropriate equipment and materials for a variety of outdoor activities that allow for vigorous play, large and small muscle development, and social, emotional, and intellectual development. For purposes of this Rule "vigorous" means done with force and energy. Each child shall have the opportunity for a minimum of one hour of outdoor play each day that weather conditions permit. The operator shall provide space and time for vigorous indoor activities when children cannot play outdoors; (14) have a First Aid information sheet posted in a place for quick referral by staff members. The information sheet shall include First Aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. A child care operator may request a First Aid information sheet from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229 • Please make the air conditioning unit and attached electrical cords alongside the home inaccessible to children in care. Please submit a plan for this to occur when you submit your Compliance Letter. • Please monitor all equipment and fencing on the playground for developing rust. • Please monitor all outdoor equipment and stationary structures for cobwebs prior to the children using the playground. • Please re-secure the bottom portion of the lattice on the left side of the stairs leading to the deck. • Please cut the grass as soon as possible, and please consider trimming the brush a minimum of one foot from the fencing on all sides of the outdoor learning environment that have brush bordering them. • Please retain all manufacturer’s instructions for playground equipment upon purchase. • Please ensure a copy of your Emergency Preparedness and Response training remains on file for review. • Keturah Oglesby of Smart Start of Forsyth County is the current Child Care Health Consultant for Forsyth County. She can contacted at: keturaho@smartstart-fc.org 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 (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.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 .1719 · Violation
Name of Operation: TEDDY BEAR TENDER CARE Facility ID: 34000549 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/4/2023 Number Present: 1 Completed Date: 8/4/2023 Age: From 0 To 1 Total Minutes: 270 Time In: 09:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Family CC Home 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. You, Patricia Redmond, Operator, assisted me with the visit. Ms. Redmond does not currently use an Additional Caregiver or substitute; however, she stated both her daughters are in the process of attaining the requirements necessary to become additional caregivers. Ms. Redmond stated she would notify me when her daughters complete these requirements. Your program currently operates with a 3-Star license effective 8/01/2019. Restrictions include 1st, 2nd, and 3rd shift care; serves no more than two infants in approved spaces only, and maximum of five preschool children at any time. The program’s compliance history was 98% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Ms. Redmon stated the only persons living in the home with her are herself, her husband, her daughter, and her son during the week. Be reminded that you, your husband, your daughter, and your son must have criminal record checks conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. A large, upholstered chair located in the space designated for childcare had an 8-inch tear at the front of the right arm, exposing cushion filling, creating a potential choking hazard. Ms. Redmond stated she had recently sewn this area closed, but a child had accidentally re-opened the area during play. On the playground, two holes were observed (one on the left and one on the right side) beneath the fencing behind chicken house, allowing the children limited access to three potbellied pigs. A plastic bag and long, tangled piece of thin, orange rope was observed on the ground to the left of the chicken house near the potbellied pigs. Plastic weed block was observed emerging from the ground to the left of the house and stairway to the deck by the air conditioning unit presenting a potential choking hazard. The space between each step leading up to the deck measured 6 ¼ inches, creating a potential entrapment hazard. The spaces between the first and second hand rails (from the bottom on the left and right sides) of the stairs leading to the deck measured 7 inches, creating a potential entrapment hazard. Two triangular spaces beneath the stairs on the right side (going up the stairs) above and below the lattice measured 7 ½ x 14 inches and 5 x 6 inches respectively, creating a potential entrapment hazard. Two areas of lattice at the base of the deck were observed to be pointed and sharp to the touch. The metal mesh fencing to the right of the playground (facing away from the home) had become detached from the fence posts in two areas. The plastic connectors connecting a plastic bridge on a nonstationary play structure on the playground were observed to be cracked and in disrepair. The connector on the back was sharp to the touch and presented a potential pinching hazard. The lid to a green turtle sandbox located on the back deck of the home (used for play for toddlers) was observed to be cracked and sharp to the touch, also presenting a potential pinching hazard. A large plastic bin of broken toys was observed on the playground next to the stairs to the deck. A crawl space with a wooden door leading under the home was observed to have a lock, but the lock was unlocked. Ms. Redmond stated she is preparing to replace this lock, as it had become rusted and would not lock. The lower swing set located in the grassy area was observed to have two holes on the front left pole (facing away from the home) which were ¼ inch in diameter and sharp to the touch around the edges. A black cord was observed to be hanging from the top of the chicken coop (less than five feet from the ground) to the adjacent fencing. Ms. Redmon stated the children have not accessed or used this playground for the past two weeks, once she began to remove the chain link fencing initially separating the playground from the chickens and pigs. Ms. Redmond stated children enrolled have used the upper deck as an outdoor play space during that time. She plans to use the Expansion Grant to replace and/or upgrade both all areas of fencing, and the stairway to the deck used in the outdoor learning environment. Temporary options for repairs to bring the aforementioned issues into compliance were discussed during the visit. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed the one infant in care today playing with toys, interacting with Ms. Redmond, napping, and participating in general routines. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, and Criminal Background Checks. A current certificate for Health and Safety training topic number (6) Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants was not on file for review. No medications were observed nor reported. Ms. Redmon has one brand of 2-in-1 sunscreen/bug spray she uses for children in care; all necessary permission to administer forms for this topical spray were on file for review. Storage hazardous items was monitored today and found to be in compliance. A playground inspection was recorded on 7/28/2023. A fire drill was recorded on 7/26/2023. A shelter in place drill for the facility was recorded 6/15/2023. There are three pet dogs, one located inside the home outside of the designated space for childcare and two kept in a fenced-in area outside the home. All vaccinations and parent acknowledgement forms were monitored and in compliance. The program does not currently provide transportation or participate in off-premise activities. A pool is located in the back yard surrounded by a locked four-foot fence. Ms. Redmond stated children enrolled do not participate in any aquatic activites. The following violations were cited during today’s visit: Violation Number Comment Rule 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. A large, upholstered chair located in the space designated for childcare has an 8-inch tear at the front of the right arm, exposing cushion filling, creating a potential choking hazard. On the playground, two holes were observed (one on the left and one on the right side) beneath the fencing behind chicken house, allowing the children access to three potbellied pigs. A plastic bag and long piece of thin, orange rope was observed on the ground to the left of the chicken house near the potbellied pigs. Plastic weed block was observed emerging from the ground to the left of the house and stairway to the deck by the air conditioning unit presenting a potential choking hazard. The space between each step leading up to the deck measuring 6 ¼ inches, creating a potential entrapment hazard. The spaces between the first and second rails (from the bottom on the left and right sides) of the stairs leading to the deck measured 7 inches, creating a potential entrapment hazard. Two triangular spaces beneath the stairs on the right side (going up the stairs) above and below the lattice measured 7 ½ x 14 inches and 5 x 6 inches respectively, creating a potential entrapment hazard. Two areas of lattice at the base of the deck were observed to be pointed and sharp to the touch. The metal mesh fencing to the right of the playground (facing away from the home) had become detached from the fence posts in two areas. The plastic connectors connecting a plastic bridge on a nonstationary play structure on the playground were observed to be cracked and in disrepair. The connector on the back was sharp to the touch and presented a potential pinching hazard. The lid to a green turtle sandbox located on the back deck of the home (used for play for toddlers) was observed to be cracked and sharp to the touch. A large plastic bin of broken toys was observed on the playground next to the stairs to the deck. A crawl space with a wooden door leading under the home was observed to have a lock, but the lock was unlocked. The lower swing set located in the grassy area was observed to have two holes on the front left pole (facing away from the home) which were ¼ inch in diameter and sharp to the touch around the edges. A black cord was observed to be hanging from the top of the chicken coop (less than five feet from the ground) to the adjacent fencing, presenting a potential safety hazard. 10A NCAC 09 .1719 (a) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. A current certificate for Health and Safety training topic number(6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants was not on file for review. .1703(d)(2) 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 8/18/2023. 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 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. 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 today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following rules were thoroughly discussed with Ms. Redmon during the visit: 10A NCAC 09 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS (a) An individual who provides care for five hours or more in a week during planned absences of the family child care home operator shall: (c) The operator shall conduct 16 hours of orientation with all caregivers, prior to the individual caring for children, including substitute providers, volunteers, and uncompensated providers, who are providing care. The orientation shall include an overview of the following topics, specifically focusing on the operation of the facility: (1) recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (2) review of the home's operational policies, including the written plan of care, safe sleep policy, the transportation policy, identification of building and premises safety issues, the emergency medical care plan, and the Emergency Preparedness and Response Plan; (3) adequate supervision of children in accordance with Rule .1711(a) of this Section; (4) information regarding prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (5) prevention and control of infectious diseases, including immunization; (6) firsthand observation of the home's daily operations; (7) instruction regarding assigned duties; (8) instruction in the maintenance of a safe and healthy environment; (9) instruction in the administration of medication to children in accordance with Rule .1720(b) of this Section; (10) review of the home's purposes and goals; (11) review of G.S. 110, Article 7 and 10A NCAC 09; (12) review of Section .2800 of this Chapter if the operator has a two- through five- star license at the time of employment; (13) an explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; (14) an explanation of the individual's obligation to cooperate with representatives of State and local government agencies during visits and investigations; (15) prevention of and response to emergencies due to food and allergic reactions; and (16) review of the home's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. The operator and individual providing care shall sign and date a statement that attests that this review was completed. This statement shall be kept on file in the home and available for review by the Division. who are providing care. 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. (g) All substitute providers and volunteers who provide care to children shall be informed of the Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: (6) use sanitary procedures when preparing and serving food. The operator shall: (A) wash his or her hands before and after handling food and feeding the children; and (B) ensure the child's hands are washed before and after the child is fed; (7) wash his or her hands, and ensure the child's hands are washed, after toileting or handling bodily fluids; (8) handwashing procedures shall include: (A) using liquid soap and water; (B) rubbing hands vigorously with soap and water for 15 seconds; (C) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (D) rinsing well for 10 seconds; (E) drying hands with a paper towel or other hand drying device; and (F) turning off faucet with a paper towel or other method without recontaminating hands 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (1) Developmentally appropriate equipment and materials for a variety of outdoor activities that allow for vigorous play, large and small muscle development, and social, emotional, and intellectual development. For purposes of this Rule "vigorous" means done with force and energy. Each child shall have the opportunity for a minimum of one hour of outdoor play each day that weather conditions permit. The operator shall provide space and time for vigorous indoor activities when children cannot play outdoors; (14) have a First Aid information sheet posted in a place for quick referral by staff members. The information sheet shall include First Aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. A child care operator may request a First Aid information sheet from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229 • Please make the air conditioning unit and attached electrical cords alongside the home inaccessible to children in care. Please submit a plan for this to occur when you submit your Compliance Letter. • Please monitor all equipment and fencing on the playground for developing rust. • Please monitor all outdoor equipment and stationary structures for cobwebs prior to the children using the playground. • Please re-secure the bottom portion of the lattice on the left side of the stairs leading to the deck. • Please cut the grass as soon as possible, and please consider trimming the brush a minimum of one foot from the fencing on all sides of the outdoor learning environment that have brush bordering them. • Please retain all manufacturer’s instructions for playground equipment upon purchase. • Please ensure a copy of your Emergency Preparedness and Response training remains on file for review. • Keturah Oglesby of Smart Start of Forsyth County is the current Child Care Health Consultant for Forsyth County. She can contacted at: keturaho@smartstart-fc.org 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 (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.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 .1725 · Violation
Name of Operation: TEDDY BEAR TENDER CARE Facility ID: 34000549 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/4/2023 Number Present: 1 Completed Date: 8/4/2023 Age: From 0 To 1 Total Minutes: 270 Time In: 09:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Family CC Home 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. You, Patricia Redmond, Operator, assisted me with the visit. Ms. Redmond does not currently use an Additional Caregiver or substitute; however, she stated both her daughters are in the process of attaining the requirements necessary to become additional caregivers. Ms. Redmond stated she would notify me when her daughters complete these requirements. Your program currently operates with a 3-Star license effective 8/01/2019. Restrictions include 1st, 2nd, and 3rd shift care; serves no more than two infants in approved spaces only, and maximum of five preschool children at any time. The program’s compliance history was 98% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Ms. Redmon stated the only persons living in the home with her are herself, her husband, her daughter, and her son during the week. Be reminded that you, your husband, your daughter, and your son must have criminal record checks conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. A large, upholstered chair located in the space designated for childcare had an 8-inch tear at the front of the right arm, exposing cushion filling, creating a potential choking hazard. Ms. Redmond stated she had recently sewn this area closed, but a child had accidentally re-opened the area during play. On the playground, two holes were observed (one on the left and one on the right side) beneath the fencing behind chicken house, allowing the children limited access to three potbellied pigs. A plastic bag and long, tangled piece of thin, orange rope was observed on the ground to the left of the chicken house near the potbellied pigs. Plastic weed block was observed emerging from the ground to the left of the house and stairway to the deck by the air conditioning unit presenting a potential choking hazard. The space between each step leading up to the deck measured 6 ¼ inches, creating a potential entrapment hazard. The spaces between the first and second hand rails (from the bottom on the left and right sides) of the stairs leading to the deck measured 7 inches, creating a potential entrapment hazard. Two triangular spaces beneath the stairs on the right side (going up the stairs) above and below the lattice measured 7 ½ x 14 inches and 5 x 6 inches respectively, creating a potential entrapment hazard. Two areas of lattice at the base of the deck were observed to be pointed and sharp to the touch. The metal mesh fencing to the right of the playground (facing away from the home) had become detached from the fence posts in two areas. The plastic connectors connecting a plastic bridge on a nonstationary play structure on the playground were observed to be cracked and in disrepair. The connector on the back was sharp to the touch and presented a potential pinching hazard. The lid to a green turtle sandbox located on the back deck of the home (used for play for toddlers) was observed to be cracked and sharp to the touch, also presenting a potential pinching hazard. A large plastic bin of broken toys was observed on the playground next to the stairs to the deck. A crawl space with a wooden door leading under the home was observed to have a lock, but the lock was unlocked. Ms. Redmond stated she is preparing to replace this lock, as it had become rusted and would not lock. The lower swing set located in the grassy area was observed to have two holes on the front left pole (facing away from the home) which were ¼ inch in diameter and sharp to the touch around the edges. A black cord was observed to be hanging from the top of the chicken coop (less than five feet from the ground) to the adjacent fencing. Ms. Redmon stated the children have not accessed or used this playground for the past two weeks, once she began to remove the chain link fencing initially separating the playground from the chickens and pigs. Ms. Redmond stated children enrolled have used the upper deck as an outdoor play space during that time. She plans to use the Expansion Grant to replace and/or upgrade both all areas of fencing, and the stairway to the deck used in the outdoor learning environment. Temporary options for repairs to bring the aforementioned issues into compliance were discussed during the visit. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed the one infant in care today playing with toys, interacting with Ms. Redmond, napping, and participating in general routines. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, and Criminal Background Checks. A current certificate for Health and Safety training topic number (6) Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants was not on file for review. No medications were observed nor reported. Ms. Redmon has one brand of 2-in-1 sunscreen/bug spray she uses for children in care; all necessary permission to administer forms for this topical spray were on file for review. Storage hazardous items was monitored today and found to be in compliance. A playground inspection was recorded on 7/28/2023. A fire drill was recorded on 7/26/2023. A shelter in place drill for the facility was recorded 6/15/2023. There are three pet dogs, one located inside the home outside of the designated space for childcare and two kept in a fenced-in area outside the home. All vaccinations and parent acknowledgement forms were monitored and in compliance. The program does not currently provide transportation or participate in off-premise activities. A pool is located in the back yard surrounded by a locked four-foot fence. Ms. Redmond stated children enrolled do not participate in any aquatic activites. The following violations were cited during today’s visit: Violation Number Comment Rule 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. A large, upholstered chair located in the space designated for childcare has an 8-inch tear at the front of the right arm, exposing cushion filling, creating a potential choking hazard. On the playground, two holes were observed (one on the left and one on the right side) beneath the fencing behind chicken house, allowing the children access to three potbellied pigs. A plastic bag and long piece of thin, orange rope was observed on the ground to the left of the chicken house near the potbellied pigs. Plastic weed block was observed emerging from the ground to the left of the house and stairway to the deck by the air conditioning unit presenting a potential choking hazard. The space between each step leading up to the deck measuring 6 ¼ inches, creating a potential entrapment hazard. The spaces between the first and second rails (from the bottom on the left and right sides) of the stairs leading to the deck measured 7 inches, creating a potential entrapment hazard. Two triangular spaces beneath the stairs on the right side (going up the stairs) above and below the lattice measured 7 ½ x 14 inches and 5 x 6 inches respectively, creating a potential entrapment hazard. Two areas of lattice at the base of the deck were observed to be pointed and sharp to the touch. The metal mesh fencing to the right of the playground (facing away from the home) had become detached from the fence posts in two areas. The plastic connectors connecting a plastic bridge on a nonstationary play structure on the playground were observed to be cracked and in disrepair. The connector on the back was sharp to the touch and presented a potential pinching hazard. The lid to a green turtle sandbox located on the back deck of the home (used for play for toddlers) was observed to be cracked and sharp to the touch. A large plastic bin of broken toys was observed on the playground next to the stairs to the deck. A crawl space with a wooden door leading under the home was observed to have a lock, but the lock was unlocked. The lower swing set located in the grassy area was observed to have two holes on the front left pole (facing away from the home) which were ¼ inch in diameter and sharp to the touch around the edges. A black cord was observed to be hanging from the top of the chicken coop (less than five feet from the ground) to the adjacent fencing, presenting a potential safety hazard. 10A NCAC 09 .1719 (a) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. A current certificate for Health and Safety training topic number(6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants was not on file for review. .1703(d)(2) 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 8/18/2023. 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 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. 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 today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following rules were thoroughly discussed with Ms. Redmon during the visit: 10A NCAC 09 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS (a) An individual who provides care for five hours or more in a week during planned absences of the family child care home operator shall: (c) The operator shall conduct 16 hours of orientation with all caregivers, prior to the individual caring for children, including substitute providers, volunteers, and uncompensated providers, who are providing care. The orientation shall include an overview of the following topics, specifically focusing on the operation of the facility: (1) recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (2) review of the home's operational policies, including the written plan of care, safe sleep policy, the transportation policy, identification of building and premises safety issues, the emergency medical care plan, and the Emergency Preparedness and Response Plan; (3) adequate supervision of children in accordance with Rule .1711(a) of this Section; (4) information regarding prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (5) prevention and control of infectious diseases, including immunization; (6) firsthand observation of the home's daily operations; (7) instruction regarding assigned duties; (8) instruction in the maintenance of a safe and healthy environment; (9) instruction in the administration of medication to children in accordance with Rule .1720(b) of this Section; (10) review of the home's purposes and goals; (11) review of G.S. 110, Article 7 and 10A NCAC 09; (12) review of Section .2800 of this Chapter if the operator has a two- through five- star license at the time of employment; (13) an explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; (14) an explanation of the individual's obligation to cooperate with representatives of State and local government agencies during visits and investigations; (15) prevention of and response to emergencies due to food and allergic reactions; and (16) review of the home's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. The operator and individual providing care shall sign and date a statement that attests that this review was completed. This statement shall be kept on file in the home and available for review by the Division. who are providing care. 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. (g) All substitute providers and volunteers who provide care to children shall be informed of the Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: (6) use sanitary procedures when preparing and serving food. The operator shall: (A) wash his or her hands before and after handling food and feeding the children; and (B) ensure the child's hands are washed before and after the child is fed; (7) wash his or her hands, and ensure the child's hands are washed, after toileting or handling bodily fluids; (8) handwashing procedures shall include: (A) using liquid soap and water; (B) rubbing hands vigorously with soap and water for 15 seconds; (C) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (D) rinsing well for 10 seconds; (E) drying hands with a paper towel or other hand drying device; and (F) turning off faucet with a paper towel or other method without recontaminating hands 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (1) Developmentally appropriate equipment and materials for a variety of outdoor activities that allow for vigorous play, large and small muscle development, and social, emotional, and intellectual development. For purposes of this Rule "vigorous" means done with force and energy. Each child shall have the opportunity for a minimum of one hour of outdoor play each day that weather conditions permit. The operator shall provide space and time for vigorous indoor activities when children cannot play outdoors; (14) have a First Aid information sheet posted in a place for quick referral by staff members. The information sheet shall include First Aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. A child care operator may request a First Aid information sheet from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229 • Please make the air conditioning unit and attached electrical cords alongside the home inaccessible to children in care. Please submit a plan for this to occur when you submit your Compliance Letter. • Please monitor all equipment and fencing on the playground for developing rust. • Please monitor all outdoor equipment and stationary structures for cobwebs prior to the children using the playground. • Please re-secure the bottom portion of the lattice on the left side of the stairs leading to the deck. • Please cut the grass as soon as possible, and please consider trimming the brush a minimum of one foot from the fencing on all sides of the outdoor learning environment that have brush bordering them. • Please retain all manufacturer’s instructions for playground equipment upon purchase. • Please ensure a copy of your Emergency Preparedness and Response training remains on file for review. • Keturah Oglesby of Smart Start of Forsyth County is the current Child Care Health Consultant for Forsyth County. She can contacted at: keturaho@smartstart-fc.org 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 (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.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 .1729 · Violation
Name of Operation: TEDDY BEAR TENDER CARE Facility ID: 34000549 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/4/2023 Number Present: 1 Completed Date: 8/4/2023 Age: From 0 To 1 Total Minutes: 270 Time In: 09:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Family CC Home 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. You, Patricia Redmond, Operator, assisted me with the visit. Ms. Redmond does not currently use an Additional Caregiver or substitute; however, she stated both her daughters are in the process of attaining the requirements necessary to become additional caregivers. Ms. Redmond stated she would notify me when her daughters complete these requirements. Your program currently operates with a 3-Star license effective 8/01/2019. Restrictions include 1st, 2nd, and 3rd shift care; serves no more than two infants in approved spaces only, and maximum of five preschool children at any time. The program’s compliance history was 98% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Ms. Redmon stated the only persons living in the home with her are herself, her husband, her daughter, and her son during the week. Be reminded that you, your husband, your daughter, and your son must have criminal record checks conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. A large, upholstered chair located in the space designated for childcare had an 8-inch tear at the front of the right arm, exposing cushion filling, creating a potential choking hazard. Ms. Redmond stated she had recently sewn this area closed, but a child had accidentally re-opened the area during play. On the playground, two holes were observed (one on the left and one on the right side) beneath the fencing behind chicken house, allowing the children limited access to three potbellied pigs. A plastic bag and long, tangled piece of thin, orange rope was observed on the ground to the left of the chicken house near the potbellied pigs. Plastic weed block was observed emerging from the ground to the left of the house and stairway to the deck by the air conditioning unit presenting a potential choking hazard. The space between each step leading up to the deck measured 6 ¼ inches, creating a potential entrapment hazard. The spaces between the first and second hand rails (from the bottom on the left and right sides) of the stairs leading to the deck measured 7 inches, creating a potential entrapment hazard. Two triangular spaces beneath the stairs on the right side (going up the stairs) above and below the lattice measured 7 ½ x 14 inches and 5 x 6 inches respectively, creating a potential entrapment hazard. Two areas of lattice at the base of the deck were observed to be pointed and sharp to the touch. The metal mesh fencing to the right of the playground (facing away from the home) had become detached from the fence posts in two areas. The plastic connectors connecting a plastic bridge on a nonstationary play structure on the playground were observed to be cracked and in disrepair. The connector on the back was sharp to the touch and presented a potential pinching hazard. The lid to a green turtle sandbox located on the back deck of the home (used for play for toddlers) was observed to be cracked and sharp to the touch, also presenting a potential pinching hazard. A large plastic bin of broken toys was observed on the playground next to the stairs to the deck. A crawl space with a wooden door leading under the home was observed to have a lock, but the lock was unlocked. Ms. Redmond stated she is preparing to replace this lock, as it had become rusted and would not lock. The lower swing set located in the grassy area was observed to have two holes on the front left pole (facing away from the home) which were ¼ inch in diameter and sharp to the touch around the edges. A black cord was observed to be hanging from the top of the chicken coop (less than five feet from the ground) to the adjacent fencing. Ms. Redmon stated the children have not accessed or used this playground for the past two weeks, once she began to remove the chain link fencing initially separating the playground from the chickens and pigs. Ms. Redmond stated children enrolled have used the upper deck as an outdoor play space during that time. She plans to use the Expansion Grant to replace and/or upgrade both all areas of fencing, and the stairway to the deck used in the outdoor learning environment. Temporary options for repairs to bring the aforementioned issues into compliance were discussed during the visit. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed the one infant in care today playing with toys, interacting with Ms. Redmond, napping, and participating in general routines. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, and Criminal Background Checks. A current certificate for Health and Safety training topic number (6) Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants was not on file for review. No medications were observed nor reported. Ms. Redmon has one brand of 2-in-1 sunscreen/bug spray she uses for children in care; all necessary permission to administer forms for this topical spray were on file for review. Storage hazardous items was monitored today and found to be in compliance. A playground inspection was recorded on 7/28/2023. A fire drill was recorded on 7/26/2023. A shelter in place drill for the facility was recorded 6/15/2023. There are three pet dogs, one located inside the home outside of the designated space for childcare and two kept in a fenced-in area outside the home. All vaccinations and parent acknowledgement forms were monitored and in compliance. The program does not currently provide transportation or participate in off-premise activities. A pool is located in the back yard surrounded by a locked four-foot fence. Ms. Redmond stated children enrolled do not participate in any aquatic activites. The following violations were cited during today’s visit: Violation Number Comment Rule 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. A large, upholstered chair located in the space designated for childcare has an 8-inch tear at the front of the right arm, exposing cushion filling, creating a potential choking hazard. On the playground, two holes were observed (one on the left and one on the right side) beneath the fencing behind chicken house, allowing the children access to three potbellied pigs. A plastic bag and long piece of thin, orange rope was observed on the ground to the left of the chicken house near the potbellied pigs. Plastic weed block was observed emerging from the ground to the left of the house and stairway to the deck by the air conditioning unit presenting a potential choking hazard. The space between each step leading up to the deck measuring 6 ¼ inches, creating a potential entrapment hazard. The spaces between the first and second rails (from the bottom on the left and right sides) of the stairs leading to the deck measured 7 inches, creating a potential entrapment hazard. Two triangular spaces beneath the stairs on the right side (going up the stairs) above and below the lattice measured 7 ½ x 14 inches and 5 x 6 inches respectively, creating a potential entrapment hazard. Two areas of lattice at the base of the deck were observed to be pointed and sharp to the touch. The metal mesh fencing to the right of the playground (facing away from the home) had become detached from the fence posts in two areas. The plastic connectors connecting a plastic bridge on a nonstationary play structure on the playground were observed to be cracked and in disrepair. The connector on the back was sharp to the touch and presented a potential pinching hazard. The lid to a green turtle sandbox located on the back deck of the home (used for play for toddlers) was observed to be cracked and sharp to the touch. A large plastic bin of broken toys was observed on the playground next to the stairs to the deck. A crawl space with a wooden door leading under the home was observed to have a lock, but the lock was unlocked. The lower swing set located in the grassy area was observed to have two holes on the front left pole (facing away from the home) which were ¼ inch in diameter and sharp to the touch around the edges. A black cord was observed to be hanging from the top of the chicken coop (less than five feet from the ground) to the adjacent fencing, presenting a potential safety hazard. 10A NCAC 09 .1719 (a) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. A current certificate for Health and Safety training topic number(6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants was not on file for review. .1703(d)(2) 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 8/18/2023. 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 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. 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 today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following rules were thoroughly discussed with Ms. Redmon during the visit: 10A NCAC 09 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS (a) An individual who provides care for five hours or more in a week during planned absences of the family child care home operator shall: (c) The operator shall conduct 16 hours of orientation with all caregivers, prior to the individual caring for children, including substitute providers, volunteers, and uncompensated providers, who are providing care. The orientation shall include an overview of the following topics, specifically focusing on the operation of the facility: (1) recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (2) review of the home's operational policies, including the written plan of care, safe sleep policy, the transportation policy, identification of building and premises safety issues, the emergency medical care plan, and the Emergency Preparedness and Response Plan; (3) adequate supervision of children in accordance with Rule .1711(a) of this Section; (4) information regarding prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (5) prevention and control of infectious diseases, including immunization; (6) firsthand observation of the home's daily operations; (7) instruction regarding assigned duties; (8) instruction in the maintenance of a safe and healthy environment; (9) instruction in the administration of medication to children in accordance with Rule .1720(b) of this Section; (10) review of the home's purposes and goals; (11) review of G.S. 110, Article 7 and 10A NCAC 09; (12) review of Section .2800 of this Chapter if the operator has a two- through five- star license at the time of employment; (13) an explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; (14) an explanation of the individual's obligation to cooperate with representatives of State and local government agencies during visits and investigations; (15) prevention of and response to emergencies due to food and allergic reactions; and (16) review of the home's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. The operator and individual providing care shall sign and date a statement that attests that this review was completed. This statement shall be kept on file in the home and available for review by the Division. who are providing care. 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. (g) All substitute providers and volunteers who provide care to children shall be informed of the Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: (6) use sanitary procedures when preparing and serving food. The operator shall: (A) wash his or her hands before and after handling food and feeding the children; and (B) ensure the child's hands are washed before and after the child is fed; (7) wash his or her hands, and ensure the child's hands are washed, after toileting or handling bodily fluids; (8) handwashing procedures shall include: (A) using liquid soap and water; (B) rubbing hands vigorously with soap and water for 15 seconds; (C) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (D) rinsing well for 10 seconds; (E) drying hands with a paper towel or other hand drying device; and (F) turning off faucet with a paper towel or other method without recontaminating hands 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (1) Developmentally appropriate equipment and materials for a variety of outdoor activities that allow for vigorous play, large and small muscle development, and social, emotional, and intellectual development. For purposes of this Rule "vigorous" means done with force and energy. Each child shall have the opportunity for a minimum of one hour of outdoor play each day that weather conditions permit. The operator shall provide space and time for vigorous indoor activities when children cannot play outdoors; (14) have a First Aid information sheet posted in a place for quick referral by staff members. The information sheet shall include First Aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. A child care operator may request a First Aid information sheet from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229 • Please make the air conditioning unit and attached electrical cords alongside the home inaccessible to children in care. Please submit a plan for this to occur when you submit your Compliance Letter. • Please monitor all equipment and fencing on the playground for developing rust. • Please monitor all outdoor equipment and stationary structures for cobwebs prior to the children using the playground. • Please re-secure the bottom portion of the lattice on the left side of the stairs leading to the deck. • Please cut the grass as soon as possible, and please consider trimming the brush a minimum of one foot from the fencing on all sides of the outdoor learning environment that have brush bordering them. • Please retain all manufacturer’s instructions for playground equipment upon purchase. • Please ensure a copy of your Emergency Preparedness and Response training remains on file for review. • Keturah Oglesby of Smart Start of Forsyth County is the current Child Care Health Consultant for Forsyth County. She can contacted at: keturaho@smartstart-fc.org 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 (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.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
G.S. 110-105 · Violation
Name of Operation: TEDDY BEAR TENDER CARE Facility ID: 34000549 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/4/2023 Number Present: 1 Completed Date: 8/4/2023 Age: From 0 To 1 Total Minutes: 270 Time In: 09:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Family CC Home 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. You, Patricia Redmond, Operator, assisted me with the visit. Ms. Redmond does not currently use an Additional Caregiver or substitute; however, she stated both her daughters are in the process of attaining the requirements necessary to become additional caregivers. Ms. Redmond stated she would notify me when her daughters complete these requirements. Your program currently operates with a 3-Star license effective 8/01/2019. Restrictions include 1st, 2nd, and 3rd shift care; serves no more than two infants in approved spaces only, and maximum of five preschool children at any time. The program’s compliance history was 98% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Ms. Redmon stated the only persons living in the home with her are herself, her husband, her daughter, and her son during the week. Be reminded that you, your husband, your daughter, and your son must have criminal record checks conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. A large, upholstered chair located in the space designated for childcare had an 8-inch tear at the front of the right arm, exposing cushion filling, creating a potential choking hazard. Ms. Redmond stated she had recently sewn this area closed, but a child had accidentally re-opened the area during play. On the playground, two holes were observed (one on the left and one on the right side) beneath the fencing behind chicken house, allowing the children limited access to three potbellied pigs. A plastic bag and long, tangled piece of thin, orange rope was observed on the ground to the left of the chicken house near the potbellied pigs. Plastic weed block was observed emerging from the ground to the left of the house and stairway to the deck by the air conditioning unit presenting a potential choking hazard. The space between each step leading up to the deck measured 6 ¼ inches, creating a potential entrapment hazard. The spaces between the first and second hand rails (from the bottom on the left and right sides) of the stairs leading to the deck measured 7 inches, creating a potential entrapment hazard. Two triangular spaces beneath the stairs on the right side (going up the stairs) above and below the lattice measured 7 ½ x 14 inches and 5 x 6 inches respectively, creating a potential entrapment hazard. Two areas of lattice at the base of the deck were observed to be pointed and sharp to the touch. The metal mesh fencing to the right of the playground (facing away from the home) had become detached from the fence posts in two areas. The plastic connectors connecting a plastic bridge on a nonstationary play structure on the playground were observed to be cracked and in disrepair. The connector on the back was sharp to the touch and presented a potential pinching hazard. The lid to a green turtle sandbox located on the back deck of the home (used for play for toddlers) was observed to be cracked and sharp to the touch, also presenting a potential pinching hazard. A large plastic bin of broken toys was observed on the playground next to the stairs to the deck. A crawl space with a wooden door leading under the home was observed to have a lock, but the lock was unlocked. Ms. Redmond stated she is preparing to replace this lock, as it had become rusted and would not lock. The lower swing set located in the grassy area was observed to have two holes on the front left pole (facing away from the home) which were ¼ inch in diameter and sharp to the touch around the edges. A black cord was observed to be hanging from the top of the chicken coop (less than five feet from the ground) to the adjacent fencing. Ms. Redmon stated the children have not accessed or used this playground for the past two weeks, once she began to remove the chain link fencing initially separating the playground from the chickens and pigs. Ms. Redmond stated children enrolled have used the upper deck as an outdoor play space during that time. She plans to use the Expansion Grant to replace and/or upgrade both all areas of fencing, and the stairway to the deck used in the outdoor learning environment. Temporary options for repairs to bring the aforementioned issues into compliance were discussed during the visit. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed the one infant in care today playing with toys, interacting with Ms. Redmond, napping, and participating in general routines. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, and Criminal Background Checks. A current certificate for Health and Safety training topic number (6) Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants was not on file for review. No medications were observed nor reported. Ms. Redmon has one brand of 2-in-1 sunscreen/bug spray she uses for children in care; all necessary permission to administer forms for this topical spray were on file for review. Storage hazardous items was monitored today and found to be in compliance. A playground inspection was recorded on 7/28/2023. A fire drill was recorded on 7/26/2023. A shelter in place drill for the facility was recorded 6/15/2023. There are three pet dogs, one located inside the home outside of the designated space for childcare and two kept in a fenced-in area outside the home. All vaccinations and parent acknowledgement forms were monitored and in compliance. The program does not currently provide transportation or participate in off-premise activities. A pool is located in the back yard surrounded by a locked four-foot fence. Ms. Redmond stated children enrolled do not participate in any aquatic activites. The following violations were cited during today’s visit: Violation Number Comment Rule 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. A large, upholstered chair located in the space designated for childcare has an 8-inch tear at the front of the right arm, exposing cushion filling, creating a potential choking hazard. On the playground, two holes were observed (one on the left and one on the right side) beneath the fencing behind chicken house, allowing the children access to three potbellied pigs. A plastic bag and long piece of thin, orange rope was observed on the ground to the left of the chicken house near the potbellied pigs. Plastic weed block was observed emerging from the ground to the left of the house and stairway to the deck by the air conditioning unit presenting a potential choking hazard. The space between each step leading up to the deck measuring 6 ¼ inches, creating a potential entrapment hazard. The spaces between the first and second rails (from the bottom on the left and right sides) of the stairs leading to the deck measured 7 inches, creating a potential entrapment hazard. Two triangular spaces beneath the stairs on the right side (going up the stairs) above and below the lattice measured 7 ½ x 14 inches and 5 x 6 inches respectively, creating a potential entrapment hazard. Two areas of lattice at the base of the deck were observed to be pointed and sharp to the touch. The metal mesh fencing to the right of the playground (facing away from the home) had become detached from the fence posts in two areas. The plastic connectors connecting a plastic bridge on a nonstationary play structure on the playground were observed to be cracked and in disrepair. The connector on the back was sharp to the touch and presented a potential pinching hazard. The lid to a green turtle sandbox located on the back deck of the home (used for play for toddlers) was observed to be cracked and sharp to the touch. A large plastic bin of broken toys was observed on the playground next to the stairs to the deck. A crawl space with a wooden door leading under the home was observed to have a lock, but the lock was unlocked. The lower swing set located in the grassy area was observed to have two holes on the front left pole (facing away from the home) which were ¼ inch in diameter and sharp to the touch around the edges. A black cord was observed to be hanging from the top of the chicken coop (less than five feet from the ground) to the adjacent fencing, presenting a potential safety hazard. 10A NCAC 09 .1719 (a) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. A current certificate for Health and Safety training topic number(6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants was not on file for review. .1703(d)(2) 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 8/18/2023. 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 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. 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 today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following rules were thoroughly discussed with Ms. Redmon during the visit: 10A NCAC 09 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS (a) An individual who provides care for five hours or more in a week during planned absences of the family child care home operator shall: (c) The operator shall conduct 16 hours of orientation with all caregivers, prior to the individual caring for children, including substitute providers, volunteers, and uncompensated providers, who are providing care. The orientation shall include an overview of the following topics, specifically focusing on the operation of the facility: (1) recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (2) review of the home's operational policies, including the written plan of care, safe sleep policy, the transportation policy, identification of building and premises safety issues, the emergency medical care plan, and the Emergency Preparedness and Response Plan; (3) adequate supervision of children in accordance with Rule .1711(a) of this Section; (4) information regarding prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (5) prevention and control of infectious diseases, including immunization; (6) firsthand observation of the home's daily operations; (7) instruction regarding assigned duties; (8) instruction in the maintenance of a safe and healthy environment; (9) instruction in the administration of medication to children in accordance with Rule .1720(b) of this Section; (10) review of the home's purposes and goals; (11) review of G.S. 110, Article 7 and 10A NCAC 09; (12) review of Section .2800 of this Chapter if the operator has a two- through five- star license at the time of employment; (13) an explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; (14) an explanation of the individual's obligation to cooperate with representatives of State and local government agencies during visits and investigations; (15) prevention of and response to emergencies due to food and allergic reactions; and (16) review of the home's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. The operator and individual providing care shall sign and date a statement that attests that this review was completed. This statement shall be kept on file in the home and available for review by the Division. who are providing care. 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. (g) All substitute providers and volunteers who provide care to children shall be informed of the Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: (6) use sanitary procedures when preparing and serving food. The operator shall: (A) wash his or her hands before and after handling food and feeding the children; and (B) ensure the child's hands are washed before and after the child is fed; (7) wash his or her hands, and ensure the child's hands are washed, after toileting or handling bodily fluids; (8) handwashing procedures shall include: (A) using liquid soap and water; (B) rubbing hands vigorously with soap and water for 15 seconds; (C) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (D) rinsing well for 10 seconds; (E) drying hands with a paper towel or other hand drying device; and (F) turning off faucet with a paper towel or other method without recontaminating hands 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (1) Developmentally appropriate equipment and materials for a variety of outdoor activities that allow for vigorous play, large and small muscle development, and social, emotional, and intellectual development. For purposes of this Rule "vigorous" means done with force and energy. Each child shall have the opportunity for a minimum of one hour of outdoor play each day that weather conditions permit. The operator shall provide space and time for vigorous indoor activities when children cannot play outdoors; (14) have a First Aid information sheet posted in a place for quick referral by staff members. The information sheet shall include First Aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. A child care operator may request a First Aid information sheet from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229 • Please make the air conditioning unit and attached electrical cords alongside the home inaccessible to children in care. Please submit a plan for this to occur when you submit your Compliance Letter. • Please monitor all equipment and fencing on the playground for developing rust. • Please monitor all outdoor equipment and stationary structures for cobwebs prior to the children using the playground. • Please re-secure the bottom portion of the lattice on the left side of the stairs leading to the deck. • Please cut the grass as soon as possible, and please consider trimming the brush a minimum of one foot from the fencing on all sides of the outdoor learning environment that have brush bordering them. • Please retain all manufacturer’s instructions for playground equipment upon purchase. • Please ensure a copy of your Emergency Preparedness and Response training remains on file for review. • Keturah Oglesby of Smart Start of Forsyth County is the current Child Care Health Consultant for Forsyth County. She can contacted at: keturaho@smartstart-fc.org 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 (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.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: TEDDY BEAR TENDER CARE Facility ID: 34000549 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/4/2023 Number Present: 1 Completed Date: 8/4/2023 Age: From 0 To 1 Total Minutes: 270 Time In: 09:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Family CC Home 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. You, Patricia Redmond, Operator, assisted me with the visit. Ms. Redmond does not currently use an Additional Caregiver or substitute; however, she stated both her daughters are in the process of attaining the requirements necessary to become additional caregivers. Ms. Redmond stated she would notify me when her daughters complete these requirements. Your program currently operates with a 3-Star license effective 8/01/2019. Restrictions include 1st, 2nd, and 3rd shift care; serves no more than two infants in approved spaces only, and maximum of five preschool children at any time. The program’s compliance history was 98% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Ms. Redmon stated the only persons living in the home with her are herself, her husband, her daughter, and her son during the week. Be reminded that you, your husband, your daughter, and your son must have criminal record checks conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. A large, upholstered chair located in the space designated for childcare had an 8-inch tear at the front of the right arm, exposing cushion filling, creating a potential choking hazard. Ms. Redmond stated she had recently sewn this area closed, but a child had accidentally re-opened the area during play. On the playground, two holes were observed (one on the left and one on the right side) beneath the fencing behind chicken house, allowing the children limited access to three potbellied pigs. A plastic bag and long, tangled piece of thin, orange rope was observed on the ground to the left of the chicken house near the potbellied pigs. Plastic weed block was observed emerging from the ground to the left of the house and stairway to the deck by the air conditioning unit presenting a potential choking hazard. The space between each step leading up to the deck measured 6 ¼ inches, creating a potential entrapment hazard. The spaces between the first and second hand rails (from the bottom on the left and right sides) of the stairs leading to the deck measured 7 inches, creating a potential entrapment hazard. Two triangular spaces beneath the stairs on the right side (going up the stairs) above and below the lattice measured 7 ½ x 14 inches and 5 x 6 inches respectively, creating a potential entrapment hazard. Two areas of lattice at the base of the deck were observed to be pointed and sharp to the touch. The metal mesh fencing to the right of the playground (facing away from the home) had become detached from the fence posts in two areas. The plastic connectors connecting a plastic bridge on a nonstationary play structure on the playground were observed to be cracked and in disrepair. The connector on the back was sharp to the touch and presented a potential pinching hazard. The lid to a green turtle sandbox located on the back deck of the home (used for play for toddlers) was observed to be cracked and sharp to the touch, also presenting a potential pinching hazard. A large plastic bin of broken toys was observed on the playground next to the stairs to the deck. A crawl space with a wooden door leading under the home was observed to have a lock, but the lock was unlocked. Ms. Redmond stated she is preparing to replace this lock, as it had become rusted and would not lock. The lower swing set located in the grassy area was observed to have two holes on the front left pole (facing away from the home) which were ¼ inch in diameter and sharp to the touch around the edges. A black cord was observed to be hanging from the top of the chicken coop (less than five feet from the ground) to the adjacent fencing. Ms. Redmon stated the children have not accessed or used this playground for the past two weeks, once she began to remove the chain link fencing initially separating the playground from the chickens and pigs. Ms. Redmond stated children enrolled have used the upper deck as an outdoor play space during that time. She plans to use the Expansion Grant to replace and/or upgrade both all areas of fencing, and the stairway to the deck used in the outdoor learning environment. Temporary options for repairs to bring the aforementioned issues into compliance were discussed during the visit. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed the one infant in care today playing with toys, interacting with Ms. Redmond, napping, and participating in general routines. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, and Criminal Background Checks. A current certificate for Health and Safety training topic number (6) Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants was not on file for review. No medications were observed nor reported. Ms. Redmon has one brand of 2-in-1 sunscreen/bug spray she uses for children in care; all necessary permission to administer forms for this topical spray were on file for review. Storage hazardous items was monitored today and found to be in compliance. A playground inspection was recorded on 7/28/2023. A fire drill was recorded on 7/26/2023. A shelter in place drill for the facility was recorded 6/15/2023. There are three pet dogs, one located inside the home outside of the designated space for childcare and two kept in a fenced-in area outside the home. All vaccinations and parent acknowledgement forms were monitored and in compliance. The program does not currently provide transportation or participate in off-premise activities. A pool is located in the back yard surrounded by a locked four-foot fence. Ms. Redmond stated children enrolled do not participate in any aquatic activites. The following violations were cited during today’s visit: Violation Number Comment Rule 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. A large, upholstered chair located in the space designated for childcare has an 8-inch tear at the front of the right arm, exposing cushion filling, creating a potential choking hazard. On the playground, two holes were observed (one on the left and one on the right side) beneath the fencing behind chicken house, allowing the children access to three potbellied pigs. A plastic bag and long piece of thin, orange rope was observed on the ground to the left of the chicken house near the potbellied pigs. Plastic weed block was observed emerging from the ground to the left of the house and stairway to the deck by the air conditioning unit presenting a potential choking hazard. The space between each step leading up to the deck measuring 6 ¼ inches, creating a potential entrapment hazard. The spaces between the first and second rails (from the bottom on the left and right sides) of the stairs leading to the deck measured 7 inches, creating a potential entrapment hazard. Two triangular spaces beneath the stairs on the right side (going up the stairs) above and below the lattice measured 7 ½ x 14 inches and 5 x 6 inches respectively, creating a potential entrapment hazard. Two areas of lattice at the base of the deck were observed to be pointed and sharp to the touch. The metal mesh fencing to the right of the playground (facing away from the home) had become detached from the fence posts in two areas. The plastic connectors connecting a plastic bridge on a nonstationary play structure on the playground were observed to be cracked and in disrepair. The connector on the back was sharp to the touch and presented a potential pinching hazard. The lid to a green turtle sandbox located on the back deck of the home (used for play for toddlers) was observed to be cracked and sharp to the touch. A large plastic bin of broken toys was observed on the playground next to the stairs to the deck. A crawl space with a wooden door leading under the home was observed to have a lock, but the lock was unlocked. The lower swing set located in the grassy area was observed to have two holes on the front left pole (facing away from the home) which were ¼ inch in diameter and sharp to the touch around the edges. A black cord was observed to be hanging from the top of the chicken coop (less than five feet from the ground) to the adjacent fencing, presenting a potential safety hazard. 10A NCAC 09 .1719 (a) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. A current certificate for Health and Safety training topic number(6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants was not on file for review. .1703(d)(2) 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 8/18/2023. 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 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. 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 today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following rules were thoroughly discussed with Ms. Redmon during the visit: 10A NCAC 09 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS (a) An individual who provides care for five hours or more in a week during planned absences of the family child care home operator shall: (c) The operator shall conduct 16 hours of orientation with all caregivers, prior to the individual caring for children, including substitute providers, volunteers, and uncompensated providers, who are providing care. The orientation shall include an overview of the following topics, specifically focusing on the operation of the facility: (1) recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (2) review of the home's operational policies, including the written plan of care, safe sleep policy, the transportation policy, identification of building and premises safety issues, the emergency medical care plan, and the Emergency Preparedness and Response Plan; (3) adequate supervision of children in accordance with Rule .1711(a) of this Section; (4) information regarding prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (5) prevention and control of infectious diseases, including immunization; (6) firsthand observation of the home's daily operations; (7) instruction regarding assigned duties; (8) instruction in the maintenance of a safe and healthy environment; (9) instruction in the administration of medication to children in accordance with Rule .1720(b) of this Section; (10) review of the home's purposes and goals; (11) review of G.S. 110, Article 7 and 10A NCAC 09; (12) review of Section .2800 of this Chapter if the operator has a two- through five- star license at the time of employment; (13) an explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; (14) an explanation of the individual's obligation to cooperate with representatives of State and local government agencies during visits and investigations; (15) prevention of and response to emergencies due to food and allergic reactions; and (16) review of the home's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. The operator and individual providing care shall sign and date a statement that attests that this review was completed. This statement shall be kept on file in the home and available for review by the Division. who are providing care. 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. (g) All substitute providers and volunteers who provide care to children shall be informed of the Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: (6) use sanitary procedures when preparing and serving food. The operator shall: (A) wash his or her hands before and after handling food and feeding the children; and (B) ensure the child's hands are washed before and after the child is fed; (7) wash his or her hands, and ensure the child's hands are washed, after toileting or handling bodily fluids; (8) handwashing procedures shall include: (A) using liquid soap and water; (B) rubbing hands vigorously with soap and water for 15 seconds; (C) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (D) rinsing well for 10 seconds; (E) drying hands with a paper towel or other hand drying device; and (F) turning off faucet with a paper towel or other method without recontaminating hands 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (1) Developmentally appropriate equipment and materials for a variety of outdoor activities that allow for vigorous play, large and small muscle development, and social, emotional, and intellectual development. For purposes of this Rule "vigorous" means done with force and energy. Each child shall have the opportunity for a minimum of one hour of outdoor play each day that weather conditions permit. The operator shall provide space and time for vigorous indoor activities when children cannot play outdoors; (14) have a First Aid information sheet posted in a place for quick referral by staff members. The information sheet shall include First Aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. A child care operator may request a First Aid information sheet from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229 • Please make the air conditioning unit and attached electrical cords alongside the home inaccessible to children in care. Please submit a plan for this to occur when you submit your Compliance Letter. • Please monitor all equipment and fencing on the playground for developing rust. • Please monitor all outdoor equipment and stationary structures for cobwebs prior to the children using the playground. • Please re-secure the bottom portion of the lattice on the left side of the stairs leading to the deck. • Please cut the grass as soon as possible, and please consider trimming the brush a minimum of one foot from the fencing on all sides of the outdoor learning environment that have brush bordering them. • Please retain all manufacturer’s instructions for playground equipment upon purchase. • Please ensure a copy of your Emergency Preparedness and Response training remains on file for review. • Keturah Oglesby of Smart Start of Forsyth County is the current Child Care Health Consultant for Forsyth County. She can contacted at: keturaho@smartstart-fc.org 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 (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.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
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