10A NCAC 09 .0304 · Violation

Name of Operation: HALIWA-SAPONI HEAD START CENTER Facility ID: 93000017 Consultant: EMILY HARGROVE Operation Type: Center Case Number: Visit Date: 10/17/2023 Number Present: 20 Completed Date: 10/17/2023 Age: From 3 To 4 Total Minutes: 55 Time In: 11:05 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with applicable child care requirements during a Routine Unannounced visit. Currently, this center operates with a Five-Star License, issued June 26, 2019 earning seven (7) points in the Education Component, six (6) points in the Program Component (meeting minimum requirements and meeting all enhanced requirements) and 1 Quality Point based on staff benefits package and infrastructure of parent involvement. The last annual compliance visit was completed on February 03, 2023. The sanitation inspection was completed on October 05, 2023 with a “Superior” classification. A fire inspection was completed at the center September 12, 2023. Ms. D. Floyd, off-site administrator was not present during today's visit. M. Richardson, Center Director, was available throughout the visit and for consultation at the conclusion of the visit. Twenty (20) children age ranging three (3) to four (4) years old were present. Children were observed in small group activities, engaged in free play in centers, completing transitions, outdoor play and completing routines such as handwashing, and toileting. All staff and child interactions were warm and nurturing. The following violations were documented today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Fire inspection report was not submitted to DCDEE within one week of the inspection visit. 10A NCAC 09 .0304(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #2, an electric outlet was not covered located behind a shelf in the dramatic play center. 10A NCAC 09 .0604(c) Violations documented above must be corrected immediately. A signed and dated letter of compliance must be mailed to me by October 31, 2023, describing how and when the violations were corrected. This two-week time frame is established to allow you time for submitting your compliance letter and is not intended to be used as a guide for correcting violations, as they should be corrected immediately. The letter of compliance should be mailed or emailed to me, Emily Hargrove, PO Box 1974, Henderson, NC 27536. The compliance letter must be submitted from the email address on file for your program. If you have any questions related to this visit or if I can be of additional assistance, I can be reached at 252-361-3434 or tina.roberts@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. Please be aware that any written information submitted by you regarding correction of violations documented is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. Childcare licensing requirements are established to ensure a safe and healthy childcare environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the childcare laws and rules on the Division of Child Development and Early Education’s website. TECHNICAL ASSISTANCE AND CONSULTATION: Compliance History: Prior to today's visit, this facility has maintained an 18-month compliance score of 100%. PROGRAM RECORDS: Fire Drills/Emergency Drills, Fire inspection, Sanitation report, First Aid/CPR Poster, Playground Outdoor Inspections, EMC Plan and License were reviewed and current. STAFF RECORDS: Two new staff files were monitored. Staff records reviewed were in compliance. Other staff records should be monitored for the same information to ensure compliance. SANITATATION INSPECTION: You submitted current sanitation inspection. FIRE INSPECTION: You submitted current fire inspection. We discussed fire inspection report must be submitted within one week of fire inspection. SAFE INDOOR ENVIORNMENT: Electrical outlet located in Space #2 located behind a shelf in dramatic play center was not covered. We discussed electrical outlets should be covered at all times when not in use. Please refer to rule 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS DCDEE WORKS: New staff that has not had their education evaluated will need to create a WORKS account by accessing our website under the provider tab, then click DCDEE WORKS. Once account is created, staff should upload or submit original transcripts or certificates to the division for evaluation of their education. Existing staff who has completed additional college course work should also upload and or submit new transcripts. Staff should also apply for what position they want to be evaluated for. (teacher, lead teacher, group leader, etc.) If you need assistance or have any questions, you should contact our workforce education unit. NEW CRIMINAL BACKGROUND CHECK LEGISLATIVE CHANGES: The 2022-2023 Appropriations Bill (HB 103) signed by Governor Cooper on July 11, 2022, made two important changes to North Carolina General Statute 110-90-2 regarding child care Criminal Background Checks. • The period for background check qualification renewals was revised from three years to five years. • The provisional qualification period was reduced to forty-five days. The Division intends to implement these changes as soon as possible. An individual’s current Qualification Letter will be extended 2 years for the total of 5 years. New Qualification Letters will not be generated. Individuals with a Provisional Qualification Letter will receive a Qualification Letter on the 45th day. Letters are generated in the Criminal Background Check portal. HEALTH AND SAFETY TRAININGS: Health and safety trainings are due every five (5) years. If any staff completed trainings in 2017, trainings will be due this year, 2022. I encourage staff to be intentional and start completing trainings. Health and safety trainings are now on MOODLE. There are a couple of ways for a student to access the health and safety training. • The enrollment process and completion of course materials tend to work best with a windows laptop or desktop using Firefox, but other devices and Google Chrome should also work. • From the Moodle home page, students need to log-in with their NCID and password. The log-in is in the upper right corner of the screen. • After log-in, the student should scroll to the bottom of the page. In the ‘Search courses’ box, the student should type in the short name “Year 2023 CCDF” and then click go. The student should not register for prior year courses as they are no longer available. • After completing the course search for “Year 2023 CCDF”, the student should be able to register for the course. • Once registered, the student will then need to use the “ADDITIONAL DIRECTIONS” for step-by-step instructions. Should a student encounter an issue, we are requesting they report the CCDF 2023 course issue (i.e. they are unable to complete the course evaluation or receive a training certificate), to the North Carolina Child Care Health and Safety Resource Center using the following link https://healthychildcare.unc.edu/contact-us-form/. Should the student need additional guidance with accessing the training, please refer them to Amia Eaton, Training and Program Development Consultant, at Amia.Eaton@dhhs.nc.gov or by telephone at 919-814-6365. N.C. Exemptions North Carolina law provides for two types of exemptions from required immunizations. They are medical and religious. Medical Exemption G.S.130A-156. Medical exemption. The Commission for Public Health shall adopt by rule medical contraindications to immunizations required by G.S. 130A-152. If a physician licensed to practice medicine in this State certifies that a required immunization is or may be detrimental to a person's health due to the presence of one of the contraindications adopted by the Commission, the person is not required to receive the specified immunization as long as the contraindication persists. The State Health Director may, upon request by a physician licensed to practice medicine in this State, grant a medical exemption to a required immunization for a contraindication not on the list adopted by the Commission. Medical exemptions can only be requested by a physician licensed to practice medicine in North Carolina. If a physician determines the need to request a medical exemption from a required immunization for a patient and needs assistance, they should contact the North Carolina Immunization Branch at (919) 707-5550. * (08/03/2020)Revised Medical Exemption Statement and Physician’s Request for Medical Exemption Forms Memo * Medical Exemption (PDF, 170 KB) (DHHS 3987) Use this form for true contraindications, i.e. those recognized by the Commission for Public Health. * Physician’s Request for Medical Exemption (PDF, 136 KB) (DHHS 3995) Use this form for contraindications not recognized by the Commission for Public Health. Religious Exemption G.S.130A-157. Religious exemption If the bona fide religious beliefs of an adult or the parent, guardian or person in loco parentis of a child are contrary to the immunization requirements contained in this Part, the adult or the child shall be exempt from the requirements. Upon submission of a written statement of the bona fide religious beliefs and opposition to the immunization requirements, the person may attend the college, university, school or facility without presenting a certificate of immunization. There is no form for requesting religious exemptions in North Carolina. To claim a religious exemption, the parent or person requesting the exemption must write a statement of their religious objection to immunization, including the name and date of birth of the person for whom the exemption is being requested. This statement would then be provided to schools, child care programs, camps, etc. in place of an immunization record. If a family is requesting a religious exemption for more than one child, a separate statement should be prepared for each child. Statements of religious objection to immunization do not need to be notarized, signed by a religious leader, or prepared by an attorney. They do not need to be submitted to the state for review or approval. Personal Belief 10A NCAC 41A .0403 Non-Religious Personal Belief No Exemption: Except as provided in G.S. 130A-156 and G.S. 130A-157, and 10A NCAC 41A .0404 and .0405, no child shall be exempt from the requirements of 10A NCAC 41 .0401; there is no exception to these requirements for the case of a personal belief or philosophy of a parent or guardian not founded upon a religious belief. FLEXIBILITY IN POLICY AND REGULATORY REQUIREMENTS: All flexibilities expired October 15, 2021, with the exception of the flexibilities related to the star rated license, sanitation, and fire inspections. PROVIDER DOCUMENTS/FORMS: You should visit the website often to ensure you’re using all updated forms. CHILD CARE HEALTH CONSULTANT: I also encourage you to contact Kathy Vick, Child Care Health Consultant at 252-537-5621 (kvick@hwss.org). Ms. Vick can provide assistance regarding applicable health and safety practices as they relate to COVID-19, (Coronavirus). If you have questions related to this visit or if I can be of additional assistance, I can be reached at 252-214-8454 or emily.hargrove@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809 or susan.fuller@dhhs.nc.gov. RESOURCES: • The most current provider documents/ forms, checklists, resources related to child care and new child care requirements, and how to create a DCDEE WORKS account can be found on the Division of Child Development and Early Education website. https://ncchildcare.ncdhhs.gov/ • North Carolina Risk Management Portal for EPR updates/review: https://rmp.nc.gov/portal/# • NC Child Care Health & Safety Resource Center GETTING HELP WITH CHALLENGING BEHAVIORS: The Healthy Social Behaviors in Child Care Centers Project (HSB) provides ideas to create a learning environment that can assist in preventing challenging behaviors. They provide free technical assistance, professional development, and they offer a variety of additional resources. For additional information on the Healthy Social Behaviors Project or to view a current listing of scheduled trainings, browse the NC Child Care Resource & Referral Council website. For information about Pyramid Model CEU-level trainings, contact the HSB Education Specialist, Liz Tuttle at etuttle@childcareresourcesinc.org. To obtain a Request for TA Services, contact your local Behavior Specialist or email the Statewide Project Manager, Smokie Brawley, at sbrawley@childcareresourcesinc.org. 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 .0604 · Violation

Name of Operation: HALIWA-SAPONI HEAD START CENTER Facility ID: 93000017 Consultant: EMILY HARGROVE Operation Type: Center Case Number: Visit Date: 10/17/2023 Number Present: 20 Completed Date: 10/17/2023 Age: From 3 To 4 Total Minutes: 55 Time In: 11:05 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with applicable child care requirements during a Routine Unannounced visit. Currently, this center operates with a Five-Star License, issued June 26, 2019 earning seven (7) points in the Education Component, six (6) points in the Program Component (meeting minimum requirements and meeting all enhanced requirements) and 1 Quality Point based on staff benefits package and infrastructure of parent involvement. The last annual compliance visit was completed on February 03, 2023. The sanitation inspection was completed on October 05, 2023 with a “Superior” classification. A fire inspection was completed at the center September 12, 2023. Ms. D. Floyd, off-site administrator was not present during today's visit. M. Richardson, Center Director, was available throughout the visit and for consultation at the conclusion of the visit. Twenty (20) children age ranging three (3) to four (4) years old were present. Children were observed in small group activities, engaged in free play in centers, completing transitions, outdoor play and completing routines such as handwashing, and toileting. All staff and child interactions were warm and nurturing. The following violations were documented today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Fire inspection report was not submitted to DCDEE within one week of the inspection visit. 10A NCAC 09 .0304(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #2, an electric outlet was not covered located behind a shelf in the dramatic play center. 10A NCAC 09 .0604(c) Violations documented above must be corrected immediately. A signed and dated letter of compliance must be mailed to me by October 31, 2023, describing how and when the violations were corrected. This two-week time frame is established to allow you time for submitting your compliance letter and is not intended to be used as a guide for correcting violations, as they should be corrected immediately. The letter of compliance should be mailed or emailed to me, Emily Hargrove, PO Box 1974, Henderson, NC 27536. The compliance letter must be submitted from the email address on file for your program. If you have any questions related to this visit or if I can be of additional assistance, I can be reached at 252-361-3434 or tina.roberts@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. Please be aware that any written information submitted by you regarding correction of violations documented is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. Childcare licensing requirements are established to ensure a safe and healthy childcare environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the childcare laws and rules on the Division of Child Development and Early Education’s website. TECHNICAL ASSISTANCE AND CONSULTATION: Compliance History: Prior to today's visit, this facility has maintained an 18-month compliance score of 100%. PROGRAM RECORDS: Fire Drills/Emergency Drills, Fire inspection, Sanitation report, First Aid/CPR Poster, Playground Outdoor Inspections, EMC Plan and License were reviewed and current. STAFF RECORDS: Two new staff files were monitored. Staff records reviewed were in compliance. Other staff records should be monitored for the same information to ensure compliance. SANITATATION INSPECTION: You submitted current sanitation inspection. FIRE INSPECTION: You submitted current fire inspection. We discussed fire inspection report must be submitted within one week of fire inspection. SAFE INDOOR ENVIORNMENT: Electrical outlet located in Space #2 located behind a shelf in dramatic play center was not covered. We discussed electrical outlets should be covered at all times when not in use. Please refer to rule 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS DCDEE WORKS: New staff that has not had their education evaluated will need to create a WORKS account by accessing our website under the provider tab, then click DCDEE WORKS. Once account is created, staff should upload or submit original transcripts or certificates to the division for evaluation of their education. Existing staff who has completed additional college course work should also upload and or submit new transcripts. Staff should also apply for what position they want to be evaluated for. (teacher, lead teacher, group leader, etc.) If you need assistance or have any questions, you should contact our workforce education unit. NEW CRIMINAL BACKGROUND CHECK LEGISLATIVE CHANGES: The 2022-2023 Appropriations Bill (HB 103) signed by Governor Cooper on July 11, 2022, made two important changes to North Carolina General Statute 110-90-2 regarding child care Criminal Background Checks. • The period for background check qualification renewals was revised from three years to five years. • The provisional qualification period was reduced to forty-five days. The Division intends to implement these changes as soon as possible. An individual’s current Qualification Letter will be extended 2 years for the total of 5 years. New Qualification Letters will not be generated. Individuals with a Provisional Qualification Letter will receive a Qualification Letter on the 45th day. Letters are generated in the Criminal Background Check portal. HEALTH AND SAFETY TRAININGS: Health and safety trainings are due every five (5) years. If any staff completed trainings in 2017, trainings will be due this year, 2022. I encourage staff to be intentional and start completing trainings. Health and safety trainings are now on MOODLE. There are a couple of ways for a student to access the health and safety training. • The enrollment process and completion of course materials tend to work best with a windows laptop or desktop using Firefox, but other devices and Google Chrome should also work. • From the Moodle home page, students need to log-in with their NCID and password. The log-in is in the upper right corner of the screen. • After log-in, the student should scroll to the bottom of the page. In the ‘Search courses’ box, the student should type in the short name “Year 2023 CCDF” and then click go. The student should not register for prior year courses as they are no longer available. • After completing the course search for “Year 2023 CCDF”, the student should be able to register for the course. • Once registered, the student will then need to use the “ADDITIONAL DIRECTIONS” for step-by-step instructions. Should a student encounter an issue, we are requesting they report the CCDF 2023 course issue (i.e. they are unable to complete the course evaluation or receive a training certificate), to the North Carolina Child Care Health and Safety Resource Center using the following link https://healthychildcare.unc.edu/contact-us-form/. Should the student need additional guidance with accessing the training, please refer them to Amia Eaton, Training and Program Development Consultant, at Amia.Eaton@dhhs.nc.gov or by telephone at 919-814-6365. N.C. Exemptions North Carolina law provides for two types of exemptions from required immunizations. They are medical and religious. Medical Exemption G.S.130A-156. Medical exemption. The Commission for Public Health shall adopt by rule medical contraindications to immunizations required by G.S. 130A-152. If a physician licensed to practice medicine in this State certifies that a required immunization is or may be detrimental to a person's health due to the presence of one of the contraindications adopted by the Commission, the person is not required to receive the specified immunization as long as the contraindication persists. The State Health Director may, upon request by a physician licensed to practice medicine in this State, grant a medical exemption to a required immunization for a contraindication not on the list adopted by the Commission. Medical exemptions can only be requested by a physician licensed to practice medicine in North Carolina. If a physician determines the need to request a medical exemption from a required immunization for a patient and needs assistance, they should contact the North Carolina Immunization Branch at (919) 707-5550. * (08/03/2020)Revised Medical Exemption Statement and Physician’s Request for Medical Exemption Forms Memo * Medical Exemption (PDF, 170 KB) (DHHS 3987) Use this form for true contraindications, i.e. those recognized by the Commission for Public Health. * Physician’s Request for Medical Exemption (PDF, 136 KB) (DHHS 3995) Use this form for contraindications not recognized by the Commission for Public Health. Religious Exemption G.S.130A-157. Religious exemption If the bona fide religious beliefs of an adult or the parent, guardian or person in loco parentis of a child are contrary to the immunization requirements contained in this Part, the adult or the child shall be exempt from the requirements. Upon submission of a written statement of the bona fide religious beliefs and opposition to the immunization requirements, the person may attend the college, university, school or facility without presenting a certificate of immunization. There is no form for requesting religious exemptions in North Carolina. To claim a religious exemption, the parent or person requesting the exemption must write a statement of their religious objection to immunization, including the name and date of birth of the person for whom the exemption is being requested. This statement would then be provided to schools, child care programs, camps, etc. in place of an immunization record. If a family is requesting a religious exemption for more than one child, a separate statement should be prepared for each child. Statements of religious objection to immunization do not need to be notarized, signed by a religious leader, or prepared by an attorney. They do not need to be submitted to the state for review or approval. Personal Belief 10A NCAC 41A .0403 Non-Religious Personal Belief No Exemption: Except as provided in G.S. 130A-156 and G.S. 130A-157, and 10A NCAC 41A .0404 and .0405, no child shall be exempt from the requirements of 10A NCAC 41 .0401; there is no exception to these requirements for the case of a personal belief or philosophy of a parent or guardian not founded upon a religious belief. FLEXIBILITY IN POLICY AND REGULATORY REQUIREMENTS: All flexibilities expired October 15, 2021, with the exception of the flexibilities related to the star rated license, sanitation, and fire inspections. PROVIDER DOCUMENTS/FORMS: You should visit the website often to ensure you’re using all updated forms. CHILD CARE HEALTH CONSULTANT: I also encourage you to contact Kathy Vick, Child Care Health Consultant at 252-537-5621 (kvick@hwss.org). Ms. Vick can provide assistance regarding applicable health and safety practices as they relate to COVID-19, (Coronavirus). If you have questions related to this visit or if I can be of additional assistance, I can be reached at 252-214-8454 or emily.hargrove@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809 or susan.fuller@dhhs.nc.gov. RESOURCES: • The most current provider documents/ forms, checklists, resources related to child care and new child care requirements, and how to create a DCDEE WORKS account can be found on the Division of Child Development and Early Education website. https://ncchildcare.ncdhhs.gov/ • North Carolina Risk Management Portal for EPR updates/review: https://rmp.nc.gov/portal/# • NC Child Care Health & Safety Resource Center GETTING HELP WITH CHALLENGING BEHAVIORS: The Healthy Social Behaviors in Child Care Centers Project (HSB) provides ideas to create a learning environment that can assist in preventing challenging behaviors. They provide free technical assistance, professional development, and they offer a variety of additional resources. For additional information on the Healthy Social Behaviors Project or to view a current listing of scheduled trainings, browse the NC Child Care Resource & Referral Council website. For information about Pyramid Model CEU-level trainings, contact the HSB Education Specialist, Liz Tuttle at etuttle@childcareresourcesinc.org. To obtain a Request for TA Services, contact your local Behavior Specialist or email the Statewide Project Manager, Smokie Brawley, at sbrawley@childcareresourcesinc.org. 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.