NC GS 110-90 · Violation

Name of Operation: BEAUFORT COUNTY CHILD DEVELOPMENT Facility ID: 07000014 Consultant: MICHELLE O'KELLEY Operation Type: Center Case Number: 0226-136L Visit Date: 2/25/2026 Number Present: 9 Completed Date: 2/25/2026 Age: From 1 To 2 Total Minutes: 209 Time In: 08:36 AM Time Out: 12:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegations are as follows: There is a concern that children are not adequately supervised. I. Blanch, Administrator, assisted me with today’s visit. Regarding the allegation that children were not adequately supervised, I made classroom observations and interviewed staff. Video footage was observed. I observed video recordings of space #4 from February 16, 2026. In the video recordings, children were sitting on the floor and standing near the door before transitioning to outdoors. In the video it shows the children following one teacher out of classroom with children following. The second teacher is writing something on the clipboard she has in her hand. She walks past a child sitting on the floor and follows the rest of the children out the door. After one (1) minute twenty-three (23) seconds an adult walk into the classroom. It appears that she speaks to the child, opens the bathroom door and looks inside, and then picks the child up and takes child to administrator. Upon arrival, children were engaged in free play. One staff member sat with the children engaging in conversations about what they were building. One staff member called the children to use the bathroom one at a time; they positioned themselves where they could supervise the children in the bathroom and still scan the classroom. The classroom transitioned to outdoor spaces and were observed counting children before they left the classroom and again in the hallway before they proceeded outdoors. Adequate supervision was maintained during today’s visit. Based on staff interviews and video recordings, the allegation was confirmed. Enrollment: Space #5 Nine (9) children two years of age enrolled: six (6) children two years of age present, two (2) children one year of age present. Staff: C. Smallwood, C. Harrell The following violation(s) were documented: Violation Number Comment Rule 303 Children were not adequately supervised at all times. A child two (2) years of age was left alone in a classroom on February 16, 2026. .1801(a)(1-5) * Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 3/11/26. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Michelle O’Kelley, Child Care Consultant Michelle.OKelley@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Supervision- Supervision is basic to safety and the prevention of injury and maintaining quality child care. Parents/guardians have a contract with caregivers to supervise their children. A child two (2) years of age was left in a classroom alone. Regular counting of children (name to face) will alert the staff to begin a search before the child gets too far, into trouble, or slips into an unobserved location. Caregivers/teachers should do the counts before the group leaves an area and when the group enters a new area. Consider having a sign in/out form when children move from space to space in your facility. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Michelle O’Kelley, Child Care Consultant, 252-508-3955, Michelle.okelley@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: BEAUFORT COUNTY CHILD DEVELOPMENT Facility ID: 07000014 Consultant: MICHELLE O'KELLEY Operation Type: Center Case Number: 0126-255L Visit Date: 2/4/2026 Number Present: 9 Completed Date: 2/4/2026 Age: From 3 To 4 Total Minutes: 200 Time In: 11:15 AM Time Out: 02:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s visit was to obtain information related to a self-report received by the Division. During today’s visit, I. Blanch, Director, accompanied me during a walk-through of the facility. During the visit, I discussed the information with E. Cameron, Owner, and additional staff members. Based on information obtained, the following was determined. The allegations are as follows: There is a concern that a child was handled roughly. Enrollment: Space #2 Nine (9) children three years of age enrolled: six (6) children three years of age present. Four (4) children four years of age enrolled: three (3) children four years of age present. Staff: S. Barber, R. Boyd, J. Peartree A self-report was received from your facility on January 26, 2026 regarding inappropriate discipline. During today’s visit, I observed video recordings of the playground from January 23, 2026. In the video recordings, the child ran from the teacher towards the back of the fence where other children were on playground. The teacher reaches for the child and has her hand on the child’s forearm. In the video, the teacher’s body language indicates that the teacher was speaking to the child. The teacher walks ahead of the child pulling the child by their forearm in their hand towards the group. In the video, the teacher’s back was observed turned away from the camera when the slap occurred. One staff member was interviewed. A staff member stated during a fire drill on January 23, 2026, the children were transitioning to the playground, and they witnessed a child running from the teacher towards the back of the fence where other children were. The teacher followed after the child, catching the child by their forearm with one hand, and then slapping the child across the face with their free hand. The teacher pulled the child by the arm to their group. The administrator shared written statements from two (2) teaching staff members, the administrator, and the owner. The owner stated the teacher admitted to her that she did grab the child by the forearm and slap the child across the face. The owner stated the teacher is no longer employed at the facility. The administrator had a meeting on 1/28/26 with all staff present. Every staff member has reviewed and signed Beaufort County Child Development Center procedures for reporting staff abuse and neglect, staff have retaken Abuse & Neglect training through their agency, and all staff are required to retake Recognizing & Responding to Suspicions of Maltreatment training and submit the certificates to administrator. Based on interviews and observations, the allegation is confirmed. Limited monitoring of child care requirements occurred during today’s visit. The following violation was observed and/or confirmed during today’s visit. Violation Number Comment Rule 904 A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. A staff member slapped a child, three years of age, in the face and pulled them by the arm, while on the playground on January 23, 2026. .1803(a)(1) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 2/17/26. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Michelle O’Kelley, Child Care Consultant PO Box 56 Jamesville, NC 27846 Michelle.OKelley@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance was providing on the following: Positive Guidance: Discipline is best received when it includes positive guidance, redirection, and setting clear-cut limits that foster the child’s ability to become self-disciplined. In order to respond effectively when children display challenging behavior, it is beneficial for caregivers/teachers to understand typical social and emotional development and behaviors. Discipline is an ongoing process to help children develop inner control so they can manage their own behavior in a socially approved manner. Train staff on using positive redirection techniques. Resources can be found on the North Carolina Child Care Resource and Referral, https://www.childcarerrnc.org/special-projects/healthy-social-behaviors/resources/. You may also contact the regional Healthy Social Behavior Specialist, Sonia Summer at 252-636-3198 or sonia@cravensmartstart.org Additional Comment: Violations of this nature directly impact the safety of the children while in your care. Please be reminded that confirmed complaints may lead to the issuance of administrative action. Follow-up visits will be conducted to monitor compliance of child care requirements. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Michelle O’Kelley, Child Care Consultant, (252) 508-3955, Michelle.OKelley@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: BEAUFORT COUNTY CHILD DEVELOPMENT Facility ID: 07000014 Consultant: MICHELLE O'KELLEY Operation Type: Center Case Number: Visit Date: 10/14/2025 Number Present: 36 Completed Date: 10/14/2025 Age: From 0 To 4 Total Minutes: 295 Time In: 08:25 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements including requirements for Developmental Day Services for an annual compliance visit. I. Blanch, Administrator, assisted me with today’s visit. Your program currently operates with a five-star license, issued 5/12/25, earning 7 points in the education component, 7 points in the program standards component and 1 quality point has reduced group size by one in each group from seven-point level as required in Rule .2818(c). The last annual compliance visit was conducted 12/3/24. The sanitation inspection was completed 6/12/25 with a “Superior” classification. The last fire inspection was conducted on 3/18/25. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website. The information is current. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent as of 10/13/25. The NC Secretary of State website was reviewed on 10/13/25 and Beaufort County Developmental Center, Inc. was listed as current- active. During the visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. You chose to proceed with Pathway 2. During today's walk through, I observed the children throughout the facility engaged in center free play, personal care routines, and transitions. In spaces # 1, 2, and 4 children were engaged in free play including blocks, art, dramatic play, and floor puzzles. In space #3, infants were engaged in tummy time and having individual needs met. In space #5, children were finishing breakfast which included waffles, mixed fruit, and milk. They transitioned to group time and sang songs and discussed what they were going to do today. Proper handwashing was observed. Lunch was observed and consisted of tuna salad, mandarin oranges, green peas, whole grain crackers, and milk. The following violations were documented. Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The First Aid certification for a staff member employed on 1/13/20, expired 9/7/25. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The CPR certification for a staff member employed on 1/13/20, expired 9/7/25. .1102(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 10/28/25. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Michelle O’Kelley, Child Care Consultant PO Box 56 Jamesville, NC 27846 Michelle.OKelley@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: CPR/First Aid - Knowing what to do in an emergency medical situation can mean the difference between life or death. Being trained in CPR and first aid can be invaluable when someone is in serious medical distress. All staff working directly with children must have current CPR and First Aid Certification. The CPR and First Aid certification for a staff member, employed on 1/13/20, expired 9/7/25. You stated the staff member has been on FMLA leave since 8/22/25. Create and implement a tracking system to ensure trainings are completed within required timeframes. Additional Comments: NCID: Did you know that if you do not login on any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. When you change your current password after Feb. 23, however, you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deepsleep). The Beaufort-Hyde Partnership for Children is also able to provide you with resources and information, training opportunities, and technical assistance on child care issues. Their phone number is (252) 975-4647 or check out their website at www.bhckids.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me Michelle O’Kelley, Child Care Consultant, (252) 508-3955, Michelle.OKelley@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0802 · Violation

Name of Operation: BEAUFORT COUNTY CHILD DEVELOPMENT Facility ID: 07000014 Consultant: ANNE BUCK Operation Type: Center Case Number: Visit Date: 4/2/2025 Number Present: 37 Completed Date: 4/2/2025 Age: From 0 To 5 Total Minutes: 300 Time In: 11:30 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced A Provisional License was issued on 5/29/24. An extension was issued on 11/20/24. A full monitoring visit was completed to verify compliance with the stipulations outlined in the Corrective Action Plan and with all Developmental Day requirements. A copy of the action was posted on a bulletin board in the front hallway where parents enter the building. I. Blanch, Administrator, assisted me with today’s visit. Due to the current hold harmless legislation, the facility will return to Five Stars when the Provisional Administrative Action is completed. Program (7 PTS) + Education (7 PTS) + Quality Point (1 PT) = 15 Points = 5 Stars *Quality Point met and remains in effect: Center has a combined turnover rate of 20% or less for the administrator, program coordinator, lead teacher, teacher, and group leader over the last 12 months. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. You are using Creative Curriculum. The sanitation inspection was completed 12/13/24. with a “Superior” classification. The last fire inspection was conducted on 3/18/25. and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 94% as of 3/31/25. Corporation Status: This facility is currently owned by Beaufort County Developmental Center, Inc. According to the NC Secretary of State's website, this corporation is current and active. Please contact me prior to any information changing regarding the ownership of this facility. The I. Blanch, Administrator, accompanied me during monitoring. The license and emergency care plan were posted. Infants were engaged in free play. One infant was observed to be held for bottle feeding. Sleep checks were completed, recorded, and maintained as required. The older children were transitioning to lunch. Hands were washed as required. The caregivers were interacting and meeting the developmental needs for each of the children. Lunch was observed and consisted of fish sticks, mixed vegetables, pineapple, a slice of whole wheat bread, and milk. After lunch, the children rested on linen covered cots. Stipulation #1 This stipulation is on-going. Two (2) violations were cited concerning staff emergency information and review of the Emergency Medical Care Plan. This stipulation was not in compliance. Stipulation #2 During the six (6) month Provisional License time period, all lead teachers who are not qualified shall complete the necessary coursework and obtain documentation from the College(s) to show he/she has completed the required coursework for his/her position. Documentation of enrollment and successful completion of the coursework shall be submitted as verification. Each classroom was monitored and based on information in WORKS, a qualified lead teacher was present in each room. The lead teacher in the Developmental Day classroom had documentation of a Continuing License in Early Childhood with a PreK/K Add-on License. The two (2) Developmental Day classrooms have been combined into one (1) classroom requiring only one (1) qualified teacher to be present. This stipulation has been met. I will inform you when all items are completed, and the action is closed. The following violation(s) were documented: Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Documentation of a review of the EMC plan was not on file and available for review. 10A NCAC 09 .0802(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff member, hired on 3/21/25, did not have documentation of the required emergency information on file and available for review. .0701(a) Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules and environmental health rules in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 4/16/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Anne Buck, Child Care Consultant PO Box 2363 Elizabeth City, NC 27906 Anne.Buck@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Emergency Information - The Emergency Information form must be completed for all staff by day one of hire and updated as changes occur or at least annually. One (1) staff member, hired on 3/21/25, did not have documentation of the required emergency information on file and available for review. Emergency Medical Care Plan – Per your statements, the plan was updated when I. Blanch was hired as administrator and the new information was shared with the staff. However, no signature page was completed to document the review. Per our discussion, consider adding the plan to your EPR plan review documentation signature page. These documents do together to create your comprehensive emergency response and can easily be reviewed on the same day. You must review the plan with staff and have them sign that the review was completed with them. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If I may be of further assistance, please contact me by phone at 252-333-2084 or Jennifer Linhardt, Licensing Supervisor, may also be contacted at (252) 373-4199. 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: BEAUFORT COUNTY CHILD DEVELOPMENT Facility ID: 07000014 Consultant: ANNE BUCK Operation Type: Center Case Number: Visit Date: 4/2/2025 Number Present: 37 Completed Date: 4/2/2025 Age: From 0 To 5 Total Minutes: 300 Time In: 11:30 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced A Provisional License was issued on 5/29/24. An extension was issued on 11/20/24. A full monitoring visit was completed to verify compliance with the stipulations outlined in the Corrective Action Plan and with all Developmental Day requirements. A copy of the action was posted on a bulletin board in the front hallway where parents enter the building. I. Blanch, Administrator, assisted me with today’s visit. Due to the current hold harmless legislation, the facility will return to Five Stars when the Provisional Administrative Action is completed. Program (7 PTS) + Education (7 PTS) + Quality Point (1 PT) = 15 Points = 5 Stars *Quality Point met and remains in effect: Center has a combined turnover rate of 20% or less for the administrator, program coordinator, lead teacher, teacher, and group leader over the last 12 months. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. You are using Creative Curriculum. The sanitation inspection was completed 12/13/24. with a “Superior” classification. The last fire inspection was conducted on 3/18/25. and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 94% as of 3/31/25. Corporation Status: This facility is currently owned by Beaufort County Developmental Center, Inc. According to the NC Secretary of State's website, this corporation is current and active. Please contact me prior to any information changing regarding the ownership of this facility. The I. Blanch, Administrator, accompanied me during monitoring. The license and emergency care plan were posted. Infants were engaged in free play. One infant was observed to be held for bottle feeding. Sleep checks were completed, recorded, and maintained as required. The older children were transitioning to lunch. Hands were washed as required. The caregivers were interacting and meeting the developmental needs for each of the children. Lunch was observed and consisted of fish sticks, mixed vegetables, pineapple, a slice of whole wheat bread, and milk. After lunch, the children rested on linen covered cots. Stipulation #1 This stipulation is on-going. Two (2) violations were cited concerning staff emergency information and review of the Emergency Medical Care Plan. This stipulation was not in compliance. Stipulation #2 During the six (6) month Provisional License time period, all lead teachers who are not qualified shall complete the necessary coursework and obtain documentation from the College(s) to show he/she has completed the required coursework for his/her position. Documentation of enrollment and successful completion of the coursework shall be submitted as verification. Each classroom was monitored and based on information in WORKS, a qualified lead teacher was present in each room. The lead teacher in the Developmental Day classroom had documentation of a Continuing License in Early Childhood with a PreK/K Add-on License. The two (2) Developmental Day classrooms have been combined into one (1) classroom requiring only one (1) qualified teacher to be present. This stipulation has been met. I will inform you when all items are completed, and the action is closed. The following violation(s) were documented: Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Documentation of a review of the EMC plan was not on file and available for review. 10A NCAC 09 .0802(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff member, hired on 3/21/25, did not have documentation of the required emergency information on file and available for review. .0701(a) Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules and environmental health rules in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 4/16/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Anne Buck, Child Care Consultant PO Box 2363 Elizabeth City, NC 27906 Anne.Buck@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Emergency Information - The Emergency Information form must be completed for all staff by day one of hire and updated as changes occur or at least annually. One (1) staff member, hired on 3/21/25, did not have documentation of the required emergency information on file and available for review. Emergency Medical Care Plan – Per your statements, the plan was updated when I. Blanch was hired as administrator and the new information was shared with the staff. However, no signature page was completed to document the review. Per our discussion, consider adding the plan to your EPR plan review documentation signature page. These documents do together to create your comprehensive emergency response and can easily be reviewed on the same day. You must review the plan with staff and have them sign that the review was completed with them. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If I may be of further assistance, please contact me by phone at 252-333-2084 or Jennifer Linhardt, Licensing Supervisor, may also be contacted at (252) 373-4199. 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 .0604 · Violation

Name of Operation: BEAUFORT COUNTY CHILD DEVELOPMENT Facility ID: 07000014 Consultant: ANNE BUCK Operation Type: Center Case Number: Visit Date: 12/3/2024 Number Present: 37 Completed Date: 12/3/2024 Age: From 0 To 5 Total Minutes: 415 Time In: 09:35 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my unannounced Annual Compliance Visit today was to monitor this program for compliance with applicable child care requirements, including requirements for Developmental Day Services. Progress towards completion of the stipulations, outlined in the Corrective Action Plan for Administrative Action issued on 5/29/24, were also monitored. A review of the extension, issued on 11/27/24, was also completed with the administrator. E. Cameron, Administrator and I. Blanch, Co-administrator, assisted me with today’s visit. Your program currently operates with a five-star license, issued 7/27/18 earning 7 points in the education component, 7 points in the program standards component (meeting enhanced ratios and space) and 1 quality point for: Has reduced the group size by one in each group from the 7-point level. Hold harmless has been extended until the new QRIS is implemented (SB 425). This means that you do not need to schedule a rated license assessment unless you voluntarily request one. The new QRIS has been approved by the Child Care Commission. The Division is working on implementation and trainings for the new system. North Carolina Rated License Assessment Project - NCRLAP’s mission is to promote the quality of child care by consistently and reliably assessing environments for the North Carolina Star Rated License. They collaborate with professionals in the early childhood education field to foster the development and learning of young children. Their website, ncrlap.org, offers resources, trainings, videos, worksheets, and help to get ready for the new ITERS-3, ECERS-3, and FCCRS-3 assessment tools that will be used in the new QRIS system. The last annual compliance visit was conducted 1/4/24. The sanitation inspection was completed 6/18/24. with a “Superior” classification. The last fire inspection was conducted 3/11/24. and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 94% as of 12/2/24. Facility Information: We reviewed your facility information and per your statements, the information is current and accurate. Contact me if you need to make any changes to your information, e.g., phone numbers, email address, mailing address, owner information, or Legal Designee. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, transitions and personal care routines. Infants were engaged in tummy time, napping, and diapering routines. Sleep checks were completed as required. Lunch was observed and consisted of chicken nuggets, potatoes, green beans, whole wheat bread, and milk. After lunch, the children rested on linen covered cots. Corporation Status: This facility is currently owned by Beaufort County Development Center, Inc. According to the NC Secretary of State's website, this corporation is current and active. Please contact me prior to any information changing regarding the ownership of this facility. Review of Administrative Action Extension: The Notice of Administrative Action was reviewed with you page by page, including the corrective action plan (CAP) and the basis for the action. The Action was hand delivered to you on today’s date, 12/3/224. The importance of complying with each item in the CAP within the timeframe identified was stressed during the review and that failure to complete any part of the CAP by the due date may result in a more stringent Administrative Action, up to and including revocation of the license. For each section reviewed in the Notice of Administrative Action, I have provided you with the opportunity to summarize your understanding and ask questions. Immediately after receipt, this Notice of Administrative Action, cover letter, and Corrective Action Plan must be posted in a location visible to parents and visitors near the entrance of the child care facility during the effective time period, six (6) months, of the Provisional License as required by Child Care Rule 10A NCAC 09 .2201(i). Administrative Action Monitoring: Stipulation #1 This stipulation is on-going. Six violations were cited during the visit concerning general safety, staff records, and nutrition. This stipulation is not in compliance. Stipulation #2 During the six (6) month Provisional License time period, all lead teachers who are not qualified shall complete the necessary coursework and obtain documentation from the College(s) to show he/she has completed the required coursework for his/her position. Documentation of enrollment and successful completion of the coursework shall be submitted as verification. It was reported that the provider was unable to complete the current course she was working on at Mount Olivet and is applying to Elizabeth City State University to complete the requirements by the deadline. Per her statements, she has applied and submitted her current credits to the university. The following violation(s) were documented: Violation Number Comment Rule 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. On the preschool playground there was a sandbox with a wooden lid that was coming apart and in poor repair. The paint on the railings in front of the shed was peeling and needs scraping and painting. The bench around the tree on the school age playground also had peeling paint and needs to be repainted. 10A NCAC 09 .0604(p) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were stored less than 5 feet above the floor in the drawers and cabinets of spaces 4 and 5. Children 2 years of age and younger were in care in the spaces. .0604(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One staff member, hired on 5/16/24 did not have a Health Questionnaire on file until 5/20/24. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One staff member, hired on 5/16/24 did not have an Emergency Information Form on file until 5/20/24. .0701(a) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In space 2, there was a McDonald's cup with soda on the shelf above the sink and visible to the children. .0901(i) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff member, hired on 2/27/23, did not have documentation on file that the annual review was completed with them. .0607(f) Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules and environmental health rules in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 12/17/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Anne Buck, Child Care Consultant PO Box 2363 Elizabeth City, NC 27906 Anne.Buck@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Annual Review of EPR Plan with Staff - You must train all staff on the EPR Plan and review the plan at least annually with all staff. One staff member, hired on 2/27/23, did not have documentation on file that the annual review was completed with the other staff on 2/16/24 or after. The more your staff know and understand their roles in responding to emergencies, the better they will be able to stay calm and react efficiently to keep the children safe in the event of an actual emergency. A review of the plan must be completed immediately. When staff cannot attend the annual review, it must be completed one-on-one as soon as possible. Playground Safety - Regular outdoor inspections are critical to prevent deterioration of equipment and accumulation of hazardous materials on the playground. It also ensures that appropriate repairs are made as soon as possible. The outdoor play area should be inspected daily to ensure the materials are in good repair and ready for use by the children. On the preschool playground there was a sandbox and the wooden lid was coming apart and in poor repair. The paint on the railings in front of the shed was peeling and needs scraping and painting. The bench around the tree on the school age playground also had peeling paint and needs to be repainted. Consider removing the lid on the sandbox and letting the children use it for dramatic play instead. Modeling Good Nutrition – Children tend to copy what they see adults doing. It is important that staff model good eating habits while the children are in care. In space 2, there was a McDonal’s cup with soda on the shelf above the sink. Sodas do not meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care and should not be consumed in front of the children. Emergency Information and Health Questionnaire - The Emergency Information and Health Questionnaire form must be completed for all staff by day one of hire and updated as changes occur or at least annually. One staff member, hired on 5/16/24 did not have an Emergency Information Form or a Health Questionnaire on file until 5/20/24. Per our discussion, when entering the date of hire, make sure it is the first day the staff member is on site and working. All dates on the Staff and Training Worksheet are tracked from this date. For example, CPR and First Aid must be completed within 90 days of this date. Some items must be completed before this date and some on the first day of employment. Additional Information: ABCMS New Process - As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Required Water, Lead Paint, and Asbestos Testing - New child care rules require child care facilities to test lead in drinking water, lead paint, and asbestos. An extension has been granted to allow providers until May 2025 to complete the testing. Check out the FAQ in the updated Clean Classrooms for Carolina Kids. Currently there is funding to pay for the testing and to mitigate lead paint or asbestos hazards. Depending on the age of your home or building and the information you provide in the enrollment process, testing for lead paint and asbestos may not be required. Water testing will be required every three years. For more information go to https://www.cleanwaterforuskids.org/en/carolina/ or contact your Environmental Health Specialist. Based on the information in the Clean Classrooms for Carolina Kids, you have drawn samples for water testing and just received the results. Some mitigation is needed. Per our discussion, contact your Environmental Health Inspector for further guidance. The survey for your lead-based paint and asbestos testing is under review. Natural Learning Initiative has created resources, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience and growth of all children. You can explore and use these resources on their website https://naturalearning.org/resources/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If I may be of further assistance, please contact me by phone at 252-333-2084 or Jennifer Linhardt, Licensing Supervisor, may also be contacted at (252) 373-4199. 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 .2201 · Violation

Name of Operation: BEAUFORT COUNTY CHILD DEVELOPMENT Facility ID: 07000014 Consultant: ANNE BUCK Operation Type: Center Case Number: Visit Date: 12/3/2024 Number Present: 37 Completed Date: 12/3/2024 Age: From 0 To 5 Total Minutes: 415 Time In: 09:35 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my unannounced Annual Compliance Visit today was to monitor this program for compliance with applicable child care requirements, including requirements for Developmental Day Services. Progress towards completion of the stipulations, outlined in the Corrective Action Plan for Administrative Action issued on 5/29/24, were also monitored. A review of the extension, issued on 11/27/24, was also completed with the administrator. E. Cameron, Administrator and I. Blanch, Co-administrator, assisted me with today’s visit. Your program currently operates with a five-star license, issued 7/27/18 earning 7 points in the education component, 7 points in the program standards component (meeting enhanced ratios and space) and 1 quality point for: Has reduced the group size by one in each group from the 7-point level. Hold harmless has been extended until the new QRIS is implemented (SB 425). This means that you do not need to schedule a rated license assessment unless you voluntarily request one. The new QRIS has been approved by the Child Care Commission. The Division is working on implementation and trainings for the new system. North Carolina Rated License Assessment Project - NCRLAP’s mission is to promote the quality of child care by consistently and reliably assessing environments for the North Carolina Star Rated License. They collaborate with professionals in the early childhood education field to foster the development and learning of young children. Their website, ncrlap.org, offers resources, trainings, videos, worksheets, and help to get ready for the new ITERS-3, ECERS-3, and FCCRS-3 assessment tools that will be used in the new QRIS system. The last annual compliance visit was conducted 1/4/24. The sanitation inspection was completed 6/18/24. with a “Superior” classification. The last fire inspection was conducted 3/11/24. and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 94% as of 12/2/24. Facility Information: We reviewed your facility information and per your statements, the information is current and accurate. Contact me if you need to make any changes to your information, e.g., phone numbers, email address, mailing address, owner information, or Legal Designee. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, transitions and personal care routines. Infants were engaged in tummy time, napping, and diapering routines. Sleep checks were completed as required. Lunch was observed and consisted of chicken nuggets, potatoes, green beans, whole wheat bread, and milk. After lunch, the children rested on linen covered cots. Corporation Status: This facility is currently owned by Beaufort County Development Center, Inc. According to the NC Secretary of State's website, this corporation is current and active. Please contact me prior to any information changing regarding the ownership of this facility. Review of Administrative Action Extension: The Notice of Administrative Action was reviewed with you page by page, including the corrective action plan (CAP) and the basis for the action. The Action was hand delivered to you on today’s date, 12/3/224. The importance of complying with each item in the CAP within the timeframe identified was stressed during the review and that failure to complete any part of the CAP by the due date may result in a more stringent Administrative Action, up to and including revocation of the license. For each section reviewed in the Notice of Administrative Action, I have provided you with the opportunity to summarize your understanding and ask questions. Immediately after receipt, this Notice of Administrative Action, cover letter, and Corrective Action Plan must be posted in a location visible to parents and visitors near the entrance of the child care facility during the effective time period, six (6) months, of the Provisional License as required by Child Care Rule 10A NCAC 09 .2201(i). Administrative Action Monitoring: Stipulation #1 This stipulation is on-going. Six violations were cited during the visit concerning general safety, staff records, and nutrition. This stipulation is not in compliance. Stipulation #2 During the six (6) month Provisional License time period, all lead teachers who are not qualified shall complete the necessary coursework and obtain documentation from the College(s) to show he/she has completed the required coursework for his/her position. Documentation of enrollment and successful completion of the coursework shall be submitted as verification. It was reported that the provider was unable to complete the current course she was working on at Mount Olivet and is applying to Elizabeth City State University to complete the requirements by the deadline. Per her statements, she has applied and submitted her current credits to the university. The following violation(s) were documented: Violation Number Comment Rule 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. On the preschool playground there was a sandbox with a wooden lid that was coming apart and in poor repair. The paint on the railings in front of the shed was peeling and needs scraping and painting. The bench around the tree on the school age playground also had peeling paint and needs to be repainted. 10A NCAC 09 .0604(p) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were stored less than 5 feet above the floor in the drawers and cabinets of spaces 4 and 5. Children 2 years of age and younger were in care in the spaces. .0604(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One staff member, hired on 5/16/24 did not have a Health Questionnaire on file until 5/20/24. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One staff member, hired on 5/16/24 did not have an Emergency Information Form on file until 5/20/24. .0701(a) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In space 2, there was a McDonald's cup with soda on the shelf above the sink and visible to the children. .0901(i) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff member, hired on 2/27/23, did not have documentation on file that the annual review was completed with them. .0607(f) Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules and environmental health rules in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 12/17/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Anne Buck, Child Care Consultant PO Box 2363 Elizabeth City, NC 27906 Anne.Buck@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Annual Review of EPR Plan with Staff - You must train all staff on the EPR Plan and review the plan at least annually with all staff. One staff member, hired on 2/27/23, did not have documentation on file that the annual review was completed with the other staff on 2/16/24 or after. The more your staff know and understand their roles in responding to emergencies, the better they will be able to stay calm and react efficiently to keep the children safe in the event of an actual emergency. A review of the plan must be completed immediately. When staff cannot attend the annual review, it must be completed one-on-one as soon as possible. Playground Safety - Regular outdoor inspections are critical to prevent deterioration of equipment and accumulation of hazardous materials on the playground. It also ensures that appropriate repairs are made as soon as possible. The outdoor play area should be inspected daily to ensure the materials are in good repair and ready for use by the children. On the preschool playground there was a sandbox and the wooden lid was coming apart and in poor repair. The paint on the railings in front of the shed was peeling and needs scraping and painting. The bench around the tree on the school age playground also had peeling paint and needs to be repainted. Consider removing the lid on the sandbox and letting the children use it for dramatic play instead. Modeling Good Nutrition – Children tend to copy what they see adults doing. It is important that staff model good eating habits while the children are in care. In space 2, there was a McDonal’s cup with soda on the shelf above the sink. Sodas do not meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care and should not be consumed in front of the children. Emergency Information and Health Questionnaire - The Emergency Information and Health Questionnaire form must be completed for all staff by day one of hire and updated as changes occur or at least annually. One staff member, hired on 5/16/24 did not have an Emergency Information Form or a Health Questionnaire on file until 5/20/24. Per our discussion, when entering the date of hire, make sure it is the first day the staff member is on site and working. All dates on the Staff and Training Worksheet are tracked from this date. For example, CPR and First Aid must be completed within 90 days of this date. Some items must be completed before this date and some on the first day of employment. Additional Information: ABCMS New Process - As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Required Water, Lead Paint, and Asbestos Testing - New child care rules require child care facilities to test lead in drinking water, lead paint, and asbestos. An extension has been granted to allow providers until May 2025 to complete the testing. Check out the FAQ in the updated Clean Classrooms for Carolina Kids. Currently there is funding to pay for the testing and to mitigate lead paint or asbestos hazards. Depending on the age of your home or building and the information you provide in the enrollment process, testing for lead paint and asbestos may not be required. Water testing will be required every three years. For more information go to https://www.cleanwaterforuskids.org/en/carolina/ or contact your Environmental Health Specialist. Based on the information in the Clean Classrooms for Carolina Kids, you have drawn samples for water testing and just received the results. Some mitigation is needed. Per our discussion, contact your Environmental Health Inspector for further guidance. The survey for your lead-based paint and asbestos testing is under review. Natural Learning Initiative has created resources, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience and growth of all children. You can explore and use these resources on their website https://naturalearning.org/resources/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If I may be of further assistance, please contact me by phone at 252-333-2084 or Jennifer Linhardt, Licensing Supervisor, may also be contacted at (252) 373-4199. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: BEAUFORT COUNTY CHILD DEVELOPMENT Facility ID: 07000014 Consultant: ANNE BUCK Operation Type: Center Case Number: Visit Date: 12/3/2024 Number Present: 37 Completed Date: 12/3/2024 Age: From 0 To 5 Total Minutes: 415 Time In: 09:35 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my unannounced Annual Compliance Visit today was to monitor this program for compliance with applicable child care requirements, including requirements for Developmental Day Services. Progress towards completion of the stipulations, outlined in the Corrective Action Plan for Administrative Action issued on 5/29/24, were also monitored. A review of the extension, issued on 11/27/24, was also completed with the administrator. E. Cameron, Administrator and I. Blanch, Co-administrator, assisted me with today’s visit. Your program currently operates with a five-star license, issued 7/27/18 earning 7 points in the education component, 7 points in the program standards component (meeting enhanced ratios and space) and 1 quality point for: Has reduced the group size by one in each group from the 7-point level. Hold harmless has been extended until the new QRIS is implemented (SB 425). This means that you do not need to schedule a rated license assessment unless you voluntarily request one. The new QRIS has been approved by the Child Care Commission. The Division is working on implementation and trainings for the new system. North Carolina Rated License Assessment Project - NCRLAP’s mission is to promote the quality of child care by consistently and reliably assessing environments for the North Carolina Star Rated License. They collaborate with professionals in the early childhood education field to foster the development and learning of young children. Their website, ncrlap.org, offers resources, trainings, videos, worksheets, and help to get ready for the new ITERS-3, ECERS-3, and FCCRS-3 assessment tools that will be used in the new QRIS system. The last annual compliance visit was conducted 1/4/24. The sanitation inspection was completed 6/18/24. with a “Superior” classification. The last fire inspection was conducted 3/11/24. and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 94% as of 12/2/24. Facility Information: We reviewed your facility information and per your statements, the information is current and accurate. Contact me if you need to make any changes to your information, e.g., phone numbers, email address, mailing address, owner information, or Legal Designee. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, transitions and personal care routines. Infants were engaged in tummy time, napping, and diapering routines. Sleep checks were completed as required. Lunch was observed and consisted of chicken nuggets, potatoes, green beans, whole wheat bread, and milk. After lunch, the children rested on linen covered cots. Corporation Status: This facility is currently owned by Beaufort County Development Center, Inc. According to the NC Secretary of State's website, this corporation is current and active. Please contact me prior to any information changing regarding the ownership of this facility. Review of Administrative Action Extension: The Notice of Administrative Action was reviewed with you page by page, including the corrective action plan (CAP) and the basis for the action. The Action was hand delivered to you on today’s date, 12/3/224. The importance of complying with each item in the CAP within the timeframe identified was stressed during the review and that failure to complete any part of the CAP by the due date may result in a more stringent Administrative Action, up to and including revocation of the license. For each section reviewed in the Notice of Administrative Action, I have provided you with the opportunity to summarize your understanding and ask questions. Immediately after receipt, this Notice of Administrative Action, cover letter, and Corrective Action Plan must be posted in a location visible to parents and visitors near the entrance of the child care facility during the effective time period, six (6) months, of the Provisional License as required by Child Care Rule 10A NCAC 09 .2201(i). Administrative Action Monitoring: Stipulation #1 This stipulation is on-going. Six violations were cited during the visit concerning general safety, staff records, and nutrition. This stipulation is not in compliance. Stipulation #2 During the six (6) month Provisional License time period, all lead teachers who are not qualified shall complete the necessary coursework and obtain documentation from the College(s) to show he/she has completed the required coursework for his/her position. Documentation of enrollment and successful completion of the coursework shall be submitted as verification. It was reported that the provider was unable to complete the current course she was working on at Mount Olivet and is applying to Elizabeth City State University to complete the requirements by the deadline. Per her statements, she has applied and submitted her current credits to the university. The following violation(s) were documented: Violation Number Comment Rule 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. On the preschool playground there was a sandbox with a wooden lid that was coming apart and in poor repair. The paint on the railings in front of the shed was peeling and needs scraping and painting. The bench around the tree on the school age playground also had peeling paint and needs to be repainted. 10A NCAC 09 .0604(p) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were stored less than 5 feet above the floor in the drawers and cabinets of spaces 4 and 5. Children 2 years of age and younger were in care in the spaces. .0604(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One staff member, hired on 5/16/24 did not have a Health Questionnaire on file until 5/20/24. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One staff member, hired on 5/16/24 did not have an Emergency Information Form on file until 5/20/24. .0701(a) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In space 2, there was a McDonald's cup with soda on the shelf above the sink and visible to the children. .0901(i) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff member, hired on 2/27/23, did not have documentation on file that the annual review was completed with them. .0607(f) Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules and environmental health rules in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 12/17/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Anne Buck, Child Care Consultant PO Box 2363 Elizabeth City, NC 27906 Anne.Buck@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Annual Review of EPR Plan with Staff - You must train all staff on the EPR Plan and review the plan at least annually with all staff. One staff member, hired on 2/27/23, did not have documentation on file that the annual review was completed with the other staff on 2/16/24 or after. The more your staff know and understand their roles in responding to emergencies, the better they will be able to stay calm and react efficiently to keep the children safe in the event of an actual emergency. A review of the plan must be completed immediately. When staff cannot attend the annual review, it must be completed one-on-one as soon as possible. Playground Safety - Regular outdoor inspections are critical to prevent deterioration of equipment and accumulation of hazardous materials on the playground. It also ensures that appropriate repairs are made as soon as possible. The outdoor play area should be inspected daily to ensure the materials are in good repair and ready for use by the children. On the preschool playground there was a sandbox and the wooden lid was coming apart and in poor repair. The paint on the railings in front of the shed was peeling and needs scraping and painting. The bench around the tree on the school age playground also had peeling paint and needs to be repainted. Consider removing the lid on the sandbox and letting the children use it for dramatic play instead. Modeling Good Nutrition – Children tend to copy what they see adults doing. It is important that staff model good eating habits while the children are in care. In space 2, there was a McDonal’s cup with soda on the shelf above the sink. Sodas do not meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care and should not be consumed in front of the children. Emergency Information and Health Questionnaire - The Emergency Information and Health Questionnaire form must be completed for all staff by day one of hire and updated as changes occur or at least annually. One staff member, hired on 5/16/24 did not have an Emergency Information Form or a Health Questionnaire on file until 5/20/24. Per our discussion, when entering the date of hire, make sure it is the first day the staff member is on site and working. All dates on the Staff and Training Worksheet are tracked from this date. For example, CPR and First Aid must be completed within 90 days of this date. Some items must be completed before this date and some on the first day of employment. Additional Information: ABCMS New Process - As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Required Water, Lead Paint, and Asbestos Testing - New child care rules require child care facilities to test lead in drinking water, lead paint, and asbestos. An extension has been granted to allow providers until May 2025 to complete the testing. Check out the FAQ in the updated Clean Classrooms for Carolina Kids. Currently there is funding to pay for the testing and to mitigate lead paint or asbestos hazards. Depending on the age of your home or building and the information you provide in the enrollment process, testing for lead paint and asbestos may not be required. Water testing will be required every three years. For more information go to https://www.cleanwaterforuskids.org/en/carolina/ or contact your Environmental Health Specialist. Based on the information in the Clean Classrooms for Carolina Kids, you have drawn samples for water testing and just received the results. Some mitigation is needed. Per our discussion, contact your Environmental Health Inspector for further guidance. The survey for your lead-based paint and asbestos testing is under review. Natural Learning Initiative has created resources, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience and growth of all children. You can explore and use these resources on their website https://naturalearning.org/resources/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If I may be of further assistance, please contact me by phone at 252-333-2084 or Jennifer Linhardt, Licensing Supervisor, may also be contacted at (252) 373-4199. 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: BEAUFORT COUNTY CHILD DEVELOPMENT Facility ID: 07000014 Consultant: ANNE BUCK Operation Type: Center Case Number: Visit Date: 12/3/2024 Number Present: 37 Completed Date: 12/3/2024 Age: From 0 To 5 Total Minutes: 415 Time In: 09:35 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my unannounced Annual Compliance Visit today was to monitor this program for compliance with applicable child care requirements, including requirements for Developmental Day Services. Progress towards completion of the stipulations, outlined in the Corrective Action Plan for Administrative Action issued on 5/29/24, were also monitored. A review of the extension, issued on 11/27/24, was also completed with the administrator. E. Cameron, Administrator and I. Blanch, Co-administrator, assisted me with today’s visit. Your program currently operates with a five-star license, issued 7/27/18 earning 7 points in the education component, 7 points in the program standards component (meeting enhanced ratios and space) and 1 quality point for: Has reduced the group size by one in each group from the 7-point level. Hold harmless has been extended until the new QRIS is implemented (SB 425). This means that you do not need to schedule a rated license assessment unless you voluntarily request one. The new QRIS has been approved by the Child Care Commission. The Division is working on implementation and trainings for the new system. North Carolina Rated License Assessment Project - NCRLAP’s mission is to promote the quality of child care by consistently and reliably assessing environments for the North Carolina Star Rated License. They collaborate with professionals in the early childhood education field to foster the development and learning of young children. Their website, ncrlap.org, offers resources, trainings, videos, worksheets, and help to get ready for the new ITERS-3, ECERS-3, and FCCRS-3 assessment tools that will be used in the new QRIS system. The last annual compliance visit was conducted 1/4/24. The sanitation inspection was completed 6/18/24. with a “Superior” classification. The last fire inspection was conducted 3/11/24. and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 94% as of 12/2/24. Facility Information: We reviewed your facility information and per your statements, the information is current and accurate. Contact me if you need to make any changes to your information, e.g., phone numbers, email address, mailing address, owner information, or Legal Designee. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, transitions and personal care routines. Infants were engaged in tummy time, napping, and diapering routines. Sleep checks were completed as required. Lunch was observed and consisted of chicken nuggets, potatoes, green beans, whole wheat bread, and milk. After lunch, the children rested on linen covered cots. Corporation Status: This facility is currently owned by Beaufort County Development Center, Inc. According to the NC Secretary of State's website, this corporation is current and active. Please contact me prior to any information changing regarding the ownership of this facility. Review of Administrative Action Extension: The Notice of Administrative Action was reviewed with you page by page, including the corrective action plan (CAP) and the basis for the action. The Action was hand delivered to you on today’s date, 12/3/224. The importance of complying with each item in the CAP within the timeframe identified was stressed during the review and that failure to complete any part of the CAP by the due date may result in a more stringent Administrative Action, up to and including revocation of the license. For each section reviewed in the Notice of Administrative Action, I have provided you with the opportunity to summarize your understanding and ask questions. Immediately after receipt, this Notice of Administrative Action, cover letter, and Corrective Action Plan must be posted in a location visible to parents and visitors near the entrance of the child care facility during the effective time period, six (6) months, of the Provisional License as required by Child Care Rule 10A NCAC 09 .2201(i). Administrative Action Monitoring: Stipulation #1 This stipulation is on-going. Six violations were cited during the visit concerning general safety, staff records, and nutrition. This stipulation is not in compliance. Stipulation #2 During the six (6) month Provisional License time period, all lead teachers who are not qualified shall complete the necessary coursework and obtain documentation from the College(s) to show he/she has completed the required coursework for his/her position. Documentation of enrollment and successful completion of the coursework shall be submitted as verification. It was reported that the provider was unable to complete the current course she was working on at Mount Olivet and is applying to Elizabeth City State University to complete the requirements by the deadline. Per her statements, she has applied and submitted her current credits to the university. The following violation(s) were documented: Violation Number Comment Rule 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. On the preschool playground there was a sandbox with a wooden lid that was coming apart and in poor repair. The paint on the railings in front of the shed was peeling and needs scraping and painting. The bench around the tree on the school age playground also had peeling paint and needs to be repainted. 10A NCAC 09 .0604(p) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were stored less than 5 feet above the floor in the drawers and cabinets of spaces 4 and 5. Children 2 years of age and younger were in care in the spaces. .0604(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One staff member, hired on 5/16/24 did not have a Health Questionnaire on file until 5/20/24. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One staff member, hired on 5/16/24 did not have an Emergency Information Form on file until 5/20/24. .0701(a) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In space 2, there was a McDonald's cup with soda on the shelf above the sink and visible to the children. .0901(i) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff member, hired on 2/27/23, did not have documentation on file that the annual review was completed with them. .0607(f) Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules and environmental health rules in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 12/17/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Anne Buck, Child Care Consultant PO Box 2363 Elizabeth City, NC 27906 Anne.Buck@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Annual Review of EPR Plan with Staff - You must train all staff on the EPR Plan and review the plan at least annually with all staff. One staff member, hired on 2/27/23, did not have documentation on file that the annual review was completed with the other staff on 2/16/24 or after. The more your staff know and understand their roles in responding to emergencies, the better they will be able to stay calm and react efficiently to keep the children safe in the event of an actual emergency. A review of the plan must be completed immediately. When staff cannot attend the annual review, it must be completed one-on-one as soon as possible. Playground Safety - Regular outdoor inspections are critical to prevent deterioration of equipment and accumulation of hazardous materials on the playground. It also ensures that appropriate repairs are made as soon as possible. The outdoor play area should be inspected daily to ensure the materials are in good repair and ready for use by the children. On the preschool playground there was a sandbox and the wooden lid was coming apart and in poor repair. The paint on the railings in front of the shed was peeling and needs scraping and painting. The bench around the tree on the school age playground also had peeling paint and needs to be repainted. Consider removing the lid on the sandbox and letting the children use it for dramatic play instead. Modeling Good Nutrition – Children tend to copy what they see adults doing. It is important that staff model good eating habits while the children are in care. In space 2, there was a McDonal’s cup with soda on the shelf above the sink. Sodas do not meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care and should not be consumed in front of the children. Emergency Information and Health Questionnaire - The Emergency Information and Health Questionnaire form must be completed for all staff by day one of hire and updated as changes occur or at least annually. One staff member, hired on 5/16/24 did not have an Emergency Information Form or a Health Questionnaire on file until 5/20/24. Per our discussion, when entering the date of hire, make sure it is the first day the staff member is on site and working. All dates on the Staff and Training Worksheet are tracked from this date. For example, CPR and First Aid must be completed within 90 days of this date. Some items must be completed before this date and some on the first day of employment. Additional Information: ABCMS New Process - As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Required Water, Lead Paint, and Asbestos Testing - New child care rules require child care facilities to test lead in drinking water, lead paint, and asbestos. An extension has been granted to allow providers until May 2025 to complete the testing. Check out the FAQ in the updated Clean Classrooms for Carolina Kids. Currently there is funding to pay for the testing and to mitigate lead paint or asbestos hazards. Depending on the age of your home or building and the information you provide in the enrollment process, testing for lead paint and asbestos may not be required. Water testing will be required every three years. For more information go to https://www.cleanwaterforuskids.org/en/carolina/ or contact your Environmental Health Specialist. Based on the information in the Clean Classrooms for Carolina Kids, you have drawn samples for water testing and just received the results. Some mitigation is needed. Per our discussion, contact your Environmental Health Inspector for further guidance. The survey for your lead-based paint and asbestos testing is under review. Natural Learning Initiative has created resources, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience and growth of all children. You can explore and use these resources on their website https://naturalearning.org/resources/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If I may be of further assistance, please contact me by phone at 252-333-2084 or Jennifer Linhardt, Licensing Supervisor, may also be contacted at (252) 373-4199. 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: BEAUFORT COUNTY CHILD DEVELOPMENT Facility ID: 07000014 Consultant: ANNE BUCK Operation Type: Center Case Number: Visit Date: 9/12/2024 Number Present: 33 Completed Date: 9/12/2024 Age: From 0 To 4 Total Minutes: 225 Time In: 12:15 PM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced An Administrative Action was issued on 5/29/24. Today, I monitored progress towards completion of the stipulations outlined in the Corrective Action Plan. A copy of the action was posted on a bulletin board in the front hallway where parents enter the building. Michelle O'Kelly accompanied me on the visit. The administrator assisted me with the visit today. All indoor and outdoor spaces were monitored. The children were napping in each classroom. Stipulation #1 This stipulation is on-going. Two (2) violations were cited regarding staff/child ratios and playground safety. This stipulation is not in compliance. Stipulation #2 During the six (6) month Provisional License time period, all lead teachers who are not qualified shall complete the necessary coursework and obtain documentation from the College(s) to show he/she has completed the required coursework for his/her position. Documentation of enrollment and successful completion of the coursework shall be submitted as verification. An unofficial transcript for S. Barber documenting courses taken to complete the BK license requirements was received on 8/27/24. The provider is currently enrolled in the next required courses. As Lead Teacher’s complete requirements to meet coursework requirements, you must submit written documentation to me as verification. The information must include the provider’s name. All information must also be submitted to WORKS and EES Intake unit. The following violation(s) were documented: Violation Number Comment Rule 315 When combining age groups, the staff/child ratios for the youngest child in the group was not maintained for the entire group. In space 4, there was a child, one (1) year of age, grouped with eight (8) children, two (2) years, of age during nap with one staff member in the classroom. The required staff/child ratio for this group would be 1:6 based on the age of the youngest child in care. .0713(a)(1) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. On the playground used by the school age children, there was a vine growing through the fence under the shade structure that had thorns. 15A NCAC 18A .2832(a) Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules and environmental health rules in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 9/26/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Anne Buck, Child Care Consultant PO Box 2363 Elizabeth City, NC 27906 Anne.Buck@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Staff/Child Ratio- Research has verified that staff-child ratios and group sizes are important quality indicators. Staff-child ratio refers to the maximum number of children who may be supervised by one staff member. In space 4, there was a child, one (1) year of age, grouped with eight (8) children, two (2) years, of age during nap with one staff member in the classroom. The required staff/child ratio for this group would be 1:6 based on the age of the youngest child in care. Per NC Child Care rules, this ratio must be maintained during nap for children under two (2) years of age. You stated that the child will soon turn two (2) years of age and is in the process of transitioning to space 4. Technical assistance was provided on options for grouping children and maintaining staff/child ratios. The child could have returned to space 5 for nap. This would have allowed the staff in space 4 to take turns with their lunch breaks. You could also have used the floater to help cover the class and ensure there were always at least two (2) staff members in the space. Playground Safety - Regular outdoor inspections are critical to prevent hazards on the playground. It also ensures the space is well maintained and ready for use by the children. On the playground used by the school age children, there was a vine growing through the fence under the shade structure that had thorns. The entire fence must be checked, and the vine removed and made inaccessible to the children. The will also require on-going maintenance to ensure the vine does not grow back and become a hazard again. Additional Comments: Estimated Completion Date – Based on information shared during the previous visit. The provider will not be able to complete all required courses by the end of the six month time period. You must submit a letter requesting a six month extension to allow time for her to complete the coursework and apply for the BK license. The letter must be submitted no later than 9/20/24. You stated that you have hired a staff member on 9/9/24 who currently holds a BK License. Based on E. Cameron’s statements via a phone call during the visit, she plans to split the Developmental Day classroom into two (2) classrooms. One classroom would be used for the children four (4) years of age up through school age and the other for the younger children. Both classrooms would be used for Developmental Day services. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If I may be of further assistance, please contact me by phone at 252-333-2084 or Jennifer Linhardt, Licensing Supervisor, may also be contacted at (252) 373-4199. 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: BEAUFORT COUNTY CHILD DEVELOPMENT Facility ID: 07000014 Consultant: ANNE BUCK Operation Type: Center Case Number: Visit Date: 8/15/2024 Number Present: 37 Completed Date: 8/15/2024 Age: From 0 To 11 Total Minutes: 180 Time In: 10:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced An Administrative Action was issued on 5/29/24. Today, I monitored progress towards completion of the stipulations outlined in the Corrective Action Plan. A copy of the action was posted on a bulletin board in the front hallway where parents enter the building. Both administrators assisted me with the visit today. All indoor and outdoor spaces were monitored with supervision and staff/child ratios verified as in compliance. The children in space 2 were having circle time and then transitioned to play outside. The provider showed and the children a dead a cicada bug and let the children observe and ask questions. The children in space 5 played on the covered concrete porch due to a water leak that made their playground muddy. There was no standing water on the playground. The provider sang and danced with them and allowed free play. Lunch was observed and consisted of a ham and cheese sandwich on wheat bread, cucumbers with ranch dressing, bananas, and milk. After lunch, the children rested on linen covered cots. Stipulation #1 This stipulation is on-going. The storage shed on the playground used by children one year of age was in poor repair. Both doors were off the hinges and not securely attached to the shed. There were multiple sticks and trash on the playground as well that had not been cleaned up since the storm last weekend. This stipulation was not in compliance. Stipulation #2 During the six (6) month Provisional License time period, all lead teachers who are not qualified shall complete the necessary coursework and obtain documentation from the College(s) to show he/she has completed the required coursework for his/her position. Documentation of enrollment and successful completion of the coursework shall be submitted as verification. Documentation of completion of EDU 487 was received in the form of a printout of the class grades. Documentation of registration in EDU 785, beginning on 8/26/24 was also received. S. Barber was unable to find or print a copy of an unofficial transcript to verify completion of EDU 486 and EDU 487. Per our discussion, you must contact the college and obtain a transcript to verify your progress. As you complete each step, remember to save documentation of enrollment and completion of each course. You must obtain a transcript, whether official or unofficial, and submit it to me with the compliance verification letter on 8/29/24. As Lead Teacher’s complete requirements to meet coursework requirements, you must submit written documentation to me as verification. The information must include the provider’s name. All information must also be submitted to WORKS and EES Intake unit. The following violation(s) were documented: Violation Number Comment Rule 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. The storage shed on the playground used by children one year of age was in poor repair. Both doors were off the hinges and not securely attached to the shed. There were multiple sticks and trash on the playground as well that had not been cleaned up since the storm on 8/9/24. 10A NCAC 09 .0604(p) Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules and environmental health rules in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 8/29/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Anne Buck, Child Care Consultant PO Box 2363 Elizabeth City, NC 27906 Anne.Buck@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Playground Safety - Regular outdoor inspections are critical to prevent deterioration of equipment and accumulation of hazardous materials in the playground. It also ensures that appropriate repairs are made as soon as possible. The outdoor play area should be inspected daily to ensure the materials are in good repair and ready for use by the children. The storage shed on the playground used by children one year of age was in poor repair. Both doors were off the hinges and not securely attached to the shed. There were multiple sticks and trash on the playground that had not been cleaned up since the storm last weekend. The shed must be repaired or replaced immediately to ensure the doors do not fall on a child. The sticks and trash were removed during the visit. A plan must be created and put into place to ensure that the playground is inspected daily before the children arrive and all hazards removed. This ensures that the space is clean and ready for use by the children. The plan must be submitted as part of your compliance verification letter. Additional Comments: Estimated Completion Date – S. Barber shared that, based on information shared with her by one of her counselors, she will not complete all the required courses until May 2025. Because the administrative action allows six (6) months to bring this violation into compliance, the administrator must submit a letter documenting the provider’s progress, the courses still needed, the dates they are offered, and the date all requirements are expected to be completed. This must be submitted by 8/29/24. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If I may be of further assistance, please contact me by phone at 252-333-2084 or Jennifer Linhardt, Licensing Supervisor, may also be contacted at (252) 373-4199. 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: BEAUFORT COUNTY CHILD DEVELOPMENT Facility ID: 07000014 Consultant: ANNE BUCK Operation Type: Center Case Number: Visit Date: 8/15/2024 Number Present: 37 Completed Date: 8/15/2024 Age: From 0 To 11 Total Minutes: 180 Time In: 10:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced An Administrative Action was issued on 5/29/24. Today, I monitored progress towards completion of the stipulations outlined in the Corrective Action Plan. A copy of the action was posted on a bulletin board in the front hallway where parents enter the building. Both administrators assisted me with the visit today. All indoor and outdoor spaces were monitored with supervision and staff/child ratios verified as in compliance. The children in space 2 were having circle time and then transitioned to play outside. The provider showed and the children a dead a cicada bug and let the children observe and ask questions. The children in space 5 played on the covered concrete porch due to a water leak that made their playground muddy. There was no standing water on the playground. The provider sang and danced with them and allowed free play. Lunch was observed and consisted of a ham and cheese sandwich on wheat bread, cucumbers with ranch dressing, bananas, and milk. After lunch, the children rested on linen covered cots. Stipulation #1 This stipulation is on-going. The storage shed on the playground used by children one year of age was in poor repair. Both doors were off the hinges and not securely attached to the shed. There were multiple sticks and trash on the playground as well that had not been cleaned up since the storm last weekend. This stipulation was not in compliance. Stipulation #2 During the six (6) month Provisional License time period, all lead teachers who are not qualified shall complete the necessary coursework and obtain documentation from the College(s) to show he/she has completed the required coursework for his/her position. Documentation of enrollment and successful completion of the coursework shall be submitted as verification. Documentation of completion of EDU 487 was received in the form of a printout of the class grades. Documentation of registration in EDU 785, beginning on 8/26/24 was also received. S. Barber was unable to find or print a copy of an unofficial transcript to verify completion of EDU 486 and EDU 487. Per our discussion, you must contact the college and obtain a transcript to verify your progress. As you complete each step, remember to save documentation of enrollment and completion of each course. You must obtain a transcript, whether official or unofficial, and submit it to me with the compliance verification letter on 8/29/24. As Lead Teacher’s complete requirements to meet coursework requirements, you must submit written documentation to me as verification. The information must include the provider’s name. All information must also be submitted to WORKS and EES Intake unit. The following violation(s) were documented: Violation Number Comment Rule 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. The storage shed on the playground used by children one year of age was in poor repair. Both doors were off the hinges and not securely attached to the shed. There were multiple sticks and trash on the playground as well that had not been cleaned up since the storm on 8/9/24. 10A NCAC 09 .0604(p) Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules and environmental health rules in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 8/29/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Anne Buck, Child Care Consultant PO Box 2363 Elizabeth City, NC 27906 Anne.Buck@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Playground Safety - Regular outdoor inspections are critical to prevent deterioration of equipment and accumulation of hazardous materials in the playground. It also ensures that appropriate repairs are made as soon as possible. The outdoor play area should be inspected daily to ensure the materials are in good repair and ready for use by the children. The storage shed on the playground used by children one year of age was in poor repair. Both doors were off the hinges and not securely attached to the shed. There were multiple sticks and trash on the playground that had not been cleaned up since the storm last weekend. The shed must be repaired or replaced immediately to ensure the doors do not fall on a child. The sticks and trash were removed during the visit. A plan must be created and put into place to ensure that the playground is inspected daily before the children arrive and all hazards removed. This ensures that the space is clean and ready for use by the children. The plan must be submitted as part of your compliance verification letter. Additional Comments: Estimated Completion Date – S. Barber shared that, based on information shared with her by one of her counselors, she will not complete all the required courses until May 2025. Because the administrative action allows six (6) months to bring this violation into compliance, the administrator must submit a letter documenting the provider’s progress, the courses still needed, the dates they are offered, and the date all requirements are expected to be completed. This must be submitted by 8/29/24. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If I may be of further assistance, please contact me by phone at 252-333-2084 or Jennifer Linhardt, Licensing Supervisor, may also be contacted at (252) 373-4199. 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 .2903 · Violation

Name of Operation: BEAUFORT COUNTY CHILD DEVELOPMENT Facility ID: 07000014 Consultant: ANNE BUCK Operation Type: Center Case Number: Visit Date: 4/17/2024 Number Present: 29 Completed Date: 4/17/2024 Age: From 0 To 5 Total Minutes: 105 Time In: 01:45 PM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements. I completed limited monitoring during the visit. I monitored supervision, staff/child ratios, adequate/approved space, license posted, and permit restrictions. A walk-through of the facility was completed today, all indoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were napping on linen covered cots. As they woke up, they toileted and washed hands in preparation for snack. Snack was observed and consisted of milk and rice Chex cereal. The following violation was cited: Violation Number Comment Rule 1745 During the 185 day school year, each child aged three-years-old and older on or before the initial school entry date, were not served in a classroom with at least one lead teacher who holds an Initial or Continuing Professional B-K License or a NC Professional Educator's License with a Provisional B-K or Preschool Add-on. Documentation was on file for a temporary permit from DPI for an Exceptional Children: General Curriculum (K-12) and a BS in Early Childhood Education. The temporary permit expired on 6/30/20. Documentation of a current BK license was not available for review. 10A NCAC 09 .2903(b) Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules and environmental health rules in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 5/1/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Anne Buck, Child Care Consultant PO Box 2363 Elizabeth City, NC 27906 Anne.Buck@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Developmental Day Lead Teacher Requirements – A violation was cited on 1/4/24 due to the lead teacher, currently serving in the Developmental Day classroom, did not have verification of a current BK Licenses. This violation has not yet been corrected. You stated that the provider’s transcript has been submitted to the Early Educator Support Unit but the process may take up to 3 months to complete. The transcript was accepted on 4/12/24 and is now in process. This is a repeat violation. Repeated violations and/or a pattern of willful non-compliance may result in an Administrative Action. Feel free to contact me or the Division if you have any questions. Additional Comments: Provider Access to ABCMS - Beginning February 1, child care administrators can access the Automated Background Check Management System (ABCMS) This access will allow providers 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 them to staff roster. Access to the ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. All staff must connect their CBC with your license number and the date this was completed listed on your Staff and Training Worksheet. Required Water, Lead Paint, and Asbestos Testing - New child care rules require child care facilities to test for lead in drinking water, lead paint, and asbestos. Testing is required by 1/1/2025. Check out the FAQ in the updated Clean Classrooms for Carolina Kids. Currently there is funding to pay for the testing and to mitigate lead paint or asbestos hazards. Depending on the age of your home or building and the information you provide in the enrollment process, testing for lead paint and asbestos may not be required. Water testing will be required every three years. For more information go to https://www.cleanwaterforuskids.org/en/carolina/ or contact your Environmental Health Specialist. Based on the information in the Clean Classrooms for Carolina Kids, you have not completed the water testing and are in process with completing the asbestos and lead based paint testing. You must email the results to me once these are completed. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If I may be of further assistance, please contact me by phone at 252-333-2084 or Jennifer Linhardt, Licensing Supervisor, may also be contacted at (252) 373-4199. 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: BEAUFORT COUNTY CHILD DEVELOPMENT Facility ID: 07000014 Consultant: ANNE BUCK Operation Type: Center Case Number: Visit Date: 4/17/2024 Number Present: 29 Completed Date: 4/17/2024 Age: From 0 To 5 Total Minutes: 105 Time In: 01:45 PM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements. I completed limited monitoring during the visit. I monitored supervision, staff/child ratios, adequate/approved space, license posted, and permit restrictions. A walk-through of the facility was completed today, all indoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were napping on linen covered cots. As they woke up, they toileted and washed hands in preparation for snack. Snack was observed and consisted of milk and rice Chex cereal. The following violation was cited: Violation Number Comment Rule 1745 During the 185 day school year, each child aged three-years-old and older on or before the initial school entry date, were not served in a classroom with at least one lead teacher who holds an Initial or Continuing Professional B-K License or a NC Professional Educator's License with a Provisional B-K or Preschool Add-on. Documentation was on file for a temporary permit from DPI for an Exceptional Children: General Curriculum (K-12) and a BS in Early Childhood Education. The temporary permit expired on 6/30/20. Documentation of a current BK license was not available for review. 10A NCAC 09 .2903(b) Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules and environmental health rules in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 5/1/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Anne Buck, Child Care Consultant PO Box 2363 Elizabeth City, NC 27906 Anne.Buck@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Developmental Day Lead Teacher Requirements – A violation was cited on 1/4/24 due to the lead teacher, currently serving in the Developmental Day classroom, did not have verification of a current BK Licenses. This violation has not yet been corrected. You stated that the provider’s transcript has been submitted to the Early Educator Support Unit but the process may take up to 3 months to complete. The transcript was accepted on 4/12/24 and is now in process. This is a repeat violation. Repeated violations and/or a pattern of willful non-compliance may result in an Administrative Action. Feel free to contact me or the Division if you have any questions. Additional Comments: Provider Access to ABCMS - Beginning February 1, child care administrators can access the Automated Background Check Management System (ABCMS) This access will allow providers 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 them to staff roster. Access to the ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. All staff must connect their CBC with your license number and the date this was completed listed on your Staff and Training Worksheet. Required Water, Lead Paint, and Asbestos Testing - New child care rules require child care facilities to test for lead in drinking water, lead paint, and asbestos. Testing is required by 1/1/2025. Check out the FAQ in the updated Clean Classrooms for Carolina Kids. Currently there is funding to pay for the testing and to mitigate lead paint or asbestos hazards. Depending on the age of your home or building and the information you provide in the enrollment process, testing for lead paint and asbestos may not be required. Water testing will be required every three years. For more information go to https://www.cleanwaterforuskids.org/en/carolina/ or contact your Environmental Health Specialist. Based on the information in the Clean Classrooms for Carolina Kids, you have not completed the water testing and are in process with completing the asbestos and lead based paint testing. You must email the results to me once these are completed. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If I may be of further assistance, please contact me by phone at 252-333-2084 or Jennifer Linhardt, Licensing Supervisor, may also be contacted at (252) 373-4199. 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 .2903 · Violation

Name of Operation: BEAUFORT COUNTY CHILD DEVELOPMENT Facility ID: 07000014 Consultant: ANNE BUCK Operation Type: Center Case Number: Visit Date: 1/4/2024 Number Present: 32 Completed Date: 1/4/2024 Age: From 0 To 5 Total Minutes: 405 Time In: 09:15 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of my unannounced Annual Compliance with Rated License Visit today was to monitor this program for compliance with applicable child care requirements, including requirements for Developmental Day Services. E. Cameron, Administrator, assisted me with today’s visit. Your program currently operates with a five-star license, issued 7/27/18 earning 7 points in the education component, 7 points in the program standards component (meeting enhanced ratios and space) and 1 quality point for: Has reduced the group size by one in each group from the 7 point level. On June 27, 2023, the Division of Child Development and Early Education (DCDEE) introduced a cohort model and timeline for resuming the star rated license reassessments. This cohort model includes a preparation year and a reassessment year. Your facility will be in Cohort 1 which means your preparation year will be 7/1/23-6/30/24 and your reassessment year will be 7/1/24-6/30/25. There are opportunities within the preparation year that will help prepare your facility for the reassessment year. Additional information and supports are available on the Division website under Providers, Licensing, Star Rated License, and Resuming Star Rated License. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted 2/1/23. The sanitation inspection was completed 11/28/23. with a “Superior” classification. The last fire inspection was conducted 3/14/22. and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 93% as of 1/2/24. Facility Information: We reviewed your facility information and per your statements, your facility no longer provides NC Pre-K services. You also requested to update the Owner Input page with your current phone number and email. Contact me if you need to make any changes to your information, e.g., phone numbers, email address, mailing address, owner information, or Legal Designee. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, transitions and personal care routines. Infants were observed in tummy time, napping, and diapering routines. Sleep checks were completed as required. On the playgrounds there were tricycles, balls, stationary swings, and a stationary climbing structure available to the children. Lunch was observed and consisted of a bologna and cheese sandwich on wheat bread, cucumbers, orange slices, and milk. After lunch, the children washed hands and rested on linen covered cots. Corporation Status: This facility is currently owned by Beaufort County Developmental Center, Inc. According to the NC Secretary of State's website, this corporation is current and active. Please contact me prior to any information changing regarding the ownership of this facility. The following violation(s) were documented: Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. In one file, out of 6 children’s files reviewed, an incident report for RC was documented on the Incident Log but a copy of the report was not placed in the child’s file. .0802 (e) 1745 During the 185 day school year, each child aged three-years-old and older on or before the initial school entry date, were not served in a classroom with at least one lead teacher who holds an Initial or Continuing Professional B-K License or a NC Professional Educator's License with a Provisional B-K or Preschool Add-on. Based on information in WORKS as of 1/4/23, the lead teacher, in the Developmental Day classroom, has an Associates degree in Early Childhood Education. 10A NCAC 09 .2903(b) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. One child, in space 2, did not have a medical action plan on file for Diazepam. .0801(b) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space 2, MO had a medical action plan for a Pro Air inhaler dated 6/2021 and ZP had a medical action plan for a Pro Air inhaler dated 8/12/22. .0801(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space 2, MO had a permission form for a Pro Air inhaler that expired on 1/3/24. During the review of children’s files, CH had a permission form for an EPI pen that expired on 10/13/23. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules (updated 7/1/23) and environmental health rules (updated 7/1/23) in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. The Beaufort-Hyde Partnership for Children is also able to provide you with resources and information, training opportunities, technical assistance on child care issues. Their phone number is (252) 975-4647 or check out their website at www.bhckids.org . Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 1/18/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Anne Buck, Child Care Consultant PO Box 2363 Elizabeth City, NC 27906 Anne.Buck@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Developmental Day Lead Teacher Requirements – Children with special needs must have staff who are well trained to meet their needs. Per child care law, during the 185 day school year as defined by the State Board of Education, each child aged three-years-old and older on or before the initial school entry date must be served in a classroom with at least one lead teacher who holds an Initial or Continuing Professional B-K License or a NC Professional Educator's License with a Provisional B-K or Preschool Add-on license issued from the Department of Public Instruction. The lead teacher, currently serving in the Developmental Day classroom, does not have current verification of these credentials. Documentation was on file for a temporary permit from DPI for an Exceptional Children: General Curriculum (K-12) and a BS in Early Childhood Education. The temporary permit expired on 6/30/20. Per our discussion, you must review section 10A NCAC 09 .2903 of the child care rules to ensure staff meet the education requirements. You stated that the staff member had a BK license and when it expired you attempted to complete the renewal but were unable to complete the process because they were not renewing licenses during COVID. The staff member must immediately submit a sealed official transcript to WORKS and request evaluation. Technical assistance was given to the provider to help complete the process. Medications - Administering medication requires skill, knowledge, and careful attention to detail. Remember, before accepting medication from a parent, you must have: 1. The medication in the original pharmacy box with all the required information. Make sure the expiration date on the box matches the date on the medication. 2. A Medical Action Plan completed by a physician attached to the child’s application in their file and in the Ready to Go file. 3. Written permission to administer the medication, with complete instructions for how and when the medication is to be administered and signed by the parent. You would use the long form for chronic conditions for this type of medication. In space 2, MO had a medical action plan for a Pro Air inhaler dated 6/2021 and ZP had a medical action plan for a Pro Air inhaler dated 8/12/22. One child in space 2 did not have a medical action plan on file for Diazepam. Also in space 2, MO had a permission form for a Pro Air inhaler that expired on 1/3/24. During the review of children’s files, CH had a permission form for an EPI pen that expired on 10/13/23. Per our discussion, Medical Action Plans must be updated every 12 months. Emergency medication permission forms are valid for 6 months. Over the counter creams, such as Aquaphor hand cream, are valid for 12 months. Because children are growing, it is important to ensure these form are updated regularly to ensure the child is receiving the right medication in the right dosage. Consider creating a tracking system to help you complete the updates before the forms expire. Before receiving any medication from a parent, you must carefully review the medication, the pharmacy box, the medical action plan, and the permission to administer forms to ensure everything is correct and all information matches. Consider creating a checklist to complete each time medication is brought to the facility to help staff verify they have all the required information. Incident Reports and Log - You must now document every injury incurred while a child is in your care, including cuts, scrapes, bumps, and bitemarks. These incidents must be recorded on the incident report form supplied by the Division. The report must include all the required information and be signed by the parent. The incident must then be logged on to the facility incident report log and the completed report placed in the child’s file. If a child’s injury requires medical attention from a health care professional, the incident report must be submitted to me within 7 days. The incident log should be used to track patterns of injuries and adjust routines or the learning environment to prevent further injuries. In one file, out of 6 children’s files reviewed, an incident report for RC was documented on the Incident Log but a copy was not placed in the child’s file. You stated that you keep the incident reports with the log but, moving forward, will file them in the children’s files. Additional Information: The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor, contact 1-888-600-1685 option 1. Sanitation: Presentations on the Child Care Sanitation Rules and resources can be found at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/children.htm. The Stand-Up Changing Procedure poster can be found at https://healthychildcare.unc.edu/resources/posters/. Rated License Information: Prior to today’s visit, your program operated with a 5 Star License earning 7 points in the education component, 7 points in program standards, and 1 quality point for having reduced group sizes by one in each group from the seven point level as required in Rule .2818 ( c ). Your three-year re-assessment was due by 7/27/2021. You submitted your application for re-assessment February 15, 2022. Education – Points are earned based on the lowest level of education for any one position. To maintain your 5 star rating, you must achieve at least 5 points on the education standard. Based on the information shared in the Staff and Training Worksheet you submitted and the information in WORKS, you would not meet this standard. Because you are in cohort 1 preparation year, staff still have time to complete additional education or submit previous education that has not yet been evaluated. Early educators now have multiple options to achieve higher education. • Staff can earn a no-cost nationally recognized Child Development Associate® (CDA) certificate through a free Professional Development Teacher Membership from Teaching Strategies. Courses are offered in English and Spanish. In addition, a T.E.A.C.H. scholarship is available to cover the CDA book and assessment fees. • They could also choose to take the free online NC Early Childhood Equivalency Exam on DCDEE Moodle to earn the North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to the EDU 119 college course for star rated license evaluation. • A third options for staff is to turn their training and experience into a degree in Early Childhood Education. Providers can submit a Credit for Prior Learning portfolio to receive up to nine community college ECE credits for your early childhood knowledge and skills from participating NC Community Colleges. Credits can be applied toward the newly created Early Childhood Workforce Certificate, Early Childhood Education Diploma, Certificate and/or an Associate in Applied Science (AAS) Degree in Early Childhood Education. See the Raise North Carolina email blast from 9/1/23 for links to more information. Program Standards – The program has chosen to meet all enhanced standards and reduced ratios minus one. All three assessments were administered on March 21, 2022. The assessment report was reviewed on 8/25/22. The scores are as follows: ECERS – 5.39; ITERS – 5.92; SACERS – 5.5, for an overall score of 5.6 earning this facility seven points in this component. Quality Point – You have chosen to meet Programmatic Option: Has reduced group sizes by one in each group from the 7 point level as required in Rule .2818 (c). At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If I may be of further assistance, please contact me by phone at 252-333-2084 or Jennifer Linhardt, Licensing Supervisor, may also be contacted at (252) 373-4199. 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: BEAUFORT COUNTY CHILD DEVELOPMENT Facility ID: 07000014 Consultant: ANNE BUCK Operation Type: Center Case Number: Visit Date: 1/4/2024 Number Present: 32 Completed Date: 1/4/2024 Age: From 0 To 5 Total Minutes: 405 Time In: 09:15 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of my unannounced Annual Compliance with Rated License Visit today was to monitor this program for compliance with applicable child care requirements, including requirements for Developmental Day Services. E. Cameron, Administrator, assisted me with today’s visit. Your program currently operates with a five-star license, issued 7/27/18 earning 7 points in the education component, 7 points in the program standards component (meeting enhanced ratios and space) and 1 quality point for: Has reduced the group size by one in each group from the 7 point level. On June 27, 2023, the Division of Child Development and Early Education (DCDEE) introduced a cohort model and timeline for resuming the star rated license reassessments. This cohort model includes a preparation year and a reassessment year. Your facility will be in Cohort 1 which means your preparation year will be 7/1/23-6/30/24 and your reassessment year will be 7/1/24-6/30/25. There are opportunities within the preparation year that will help prepare your facility for the reassessment year. Additional information and supports are available on the Division website under Providers, Licensing, Star Rated License, and Resuming Star Rated License. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted 2/1/23. The sanitation inspection was completed 11/28/23. with a “Superior” classification. The last fire inspection was conducted 3/14/22. and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 93% as of 1/2/24. Facility Information: We reviewed your facility information and per your statements, your facility no longer provides NC Pre-K services. You also requested to update the Owner Input page with your current phone number and email. Contact me if you need to make any changes to your information, e.g., phone numbers, email address, mailing address, owner information, or Legal Designee. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, transitions and personal care routines. Infants were observed in tummy time, napping, and diapering routines. Sleep checks were completed as required. On the playgrounds there were tricycles, balls, stationary swings, and a stationary climbing structure available to the children. Lunch was observed and consisted of a bologna and cheese sandwich on wheat bread, cucumbers, orange slices, and milk. After lunch, the children washed hands and rested on linen covered cots. Corporation Status: This facility is currently owned by Beaufort County Developmental Center, Inc. According to the NC Secretary of State's website, this corporation is current and active. Please contact me prior to any information changing regarding the ownership of this facility. The following violation(s) were documented: Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. In one file, out of 6 children’s files reviewed, an incident report for RC was documented on the Incident Log but a copy of the report was not placed in the child’s file. .0802 (e) 1745 During the 185 day school year, each child aged three-years-old and older on or before the initial school entry date, were not served in a classroom with at least one lead teacher who holds an Initial or Continuing Professional B-K License or a NC Professional Educator's License with a Provisional B-K or Preschool Add-on. Based on information in WORKS as of 1/4/23, the lead teacher, in the Developmental Day classroom, has an Associates degree in Early Childhood Education. 10A NCAC 09 .2903(b) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. One child, in space 2, did not have a medical action plan on file for Diazepam. .0801(b) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space 2, MO had a medical action plan for a Pro Air inhaler dated 6/2021 and ZP had a medical action plan for a Pro Air inhaler dated 8/12/22. .0801(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space 2, MO had a permission form for a Pro Air inhaler that expired on 1/3/24. During the review of children’s files, CH had a permission form for an EPI pen that expired on 10/13/23. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules (updated 7/1/23) and environmental health rules (updated 7/1/23) in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. The Beaufort-Hyde Partnership for Children is also able to provide you with resources and information, training opportunities, technical assistance on child care issues. Their phone number is (252) 975-4647 or check out their website at www.bhckids.org . Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 1/18/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Anne Buck, Child Care Consultant PO Box 2363 Elizabeth City, NC 27906 Anne.Buck@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Developmental Day Lead Teacher Requirements – Children with special needs must have staff who are well trained to meet their needs. Per child care law, during the 185 day school year as defined by the State Board of Education, each child aged three-years-old and older on or before the initial school entry date must be served in a classroom with at least one lead teacher who holds an Initial or Continuing Professional B-K License or a NC Professional Educator's License with a Provisional B-K or Preschool Add-on license issued from the Department of Public Instruction. The lead teacher, currently serving in the Developmental Day classroom, does not have current verification of these credentials. Documentation was on file for a temporary permit from DPI for an Exceptional Children: General Curriculum (K-12) and a BS in Early Childhood Education. The temporary permit expired on 6/30/20. Per our discussion, you must review section 10A NCAC 09 .2903 of the child care rules to ensure staff meet the education requirements. You stated that the staff member had a BK license and when it expired you attempted to complete the renewal but were unable to complete the process because they were not renewing licenses during COVID. The staff member must immediately submit a sealed official transcript to WORKS and request evaluation. Technical assistance was given to the provider to help complete the process. Medications - Administering medication requires skill, knowledge, and careful attention to detail. Remember, before accepting medication from a parent, you must have: 1. The medication in the original pharmacy box with all the required information. Make sure the expiration date on the box matches the date on the medication. 2. A Medical Action Plan completed by a physician attached to the child’s application in their file and in the Ready to Go file. 3. Written permission to administer the medication, with complete instructions for how and when the medication is to be administered and signed by the parent. You would use the long form for chronic conditions for this type of medication. In space 2, MO had a medical action plan for a Pro Air inhaler dated 6/2021 and ZP had a medical action plan for a Pro Air inhaler dated 8/12/22. One child in space 2 did not have a medical action plan on file for Diazepam. Also in space 2, MO had a permission form for a Pro Air inhaler that expired on 1/3/24. During the review of children’s files, CH had a permission form for an EPI pen that expired on 10/13/23. Per our discussion, Medical Action Plans must be updated every 12 months. Emergency medication permission forms are valid for 6 months. Over the counter creams, such as Aquaphor hand cream, are valid for 12 months. Because children are growing, it is important to ensure these form are updated regularly to ensure the child is receiving the right medication in the right dosage. Consider creating a tracking system to help you complete the updates before the forms expire. Before receiving any medication from a parent, you must carefully review the medication, the pharmacy box, the medical action plan, and the permission to administer forms to ensure everything is correct and all information matches. Consider creating a checklist to complete each time medication is brought to the facility to help staff verify they have all the required information. Incident Reports and Log - You must now document every injury incurred while a child is in your care, including cuts, scrapes, bumps, and bitemarks. These incidents must be recorded on the incident report form supplied by the Division. The report must include all the required information and be signed by the parent. The incident must then be logged on to the facility incident report log and the completed report placed in the child’s file. If a child’s injury requires medical attention from a health care professional, the incident report must be submitted to me within 7 days. The incident log should be used to track patterns of injuries and adjust routines or the learning environment to prevent further injuries. In one file, out of 6 children’s files reviewed, an incident report for RC was documented on the Incident Log but a copy was not placed in the child’s file. You stated that you keep the incident reports with the log but, moving forward, will file them in the children’s files. Additional Information: The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor, contact 1-888-600-1685 option 1. Sanitation: Presentations on the Child Care Sanitation Rules and resources can be found at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/children.htm. The Stand-Up Changing Procedure poster can be found at https://healthychildcare.unc.edu/resources/posters/. Rated License Information: Prior to today’s visit, your program operated with a 5 Star License earning 7 points in the education component, 7 points in program standards, and 1 quality point for having reduced group sizes by one in each group from the seven point level as required in Rule .2818 ( c ). Your three-year re-assessment was due by 7/27/2021. You submitted your application for re-assessment February 15, 2022. Education – Points are earned based on the lowest level of education for any one position. To maintain your 5 star rating, you must achieve at least 5 points on the education standard. Based on the information shared in the Staff and Training Worksheet you submitted and the information in WORKS, you would not meet this standard. Because you are in cohort 1 preparation year, staff still have time to complete additional education or submit previous education that has not yet been evaluated. Early educators now have multiple options to achieve higher education. • Staff can earn a no-cost nationally recognized Child Development Associate® (CDA) certificate through a free Professional Development Teacher Membership from Teaching Strategies. Courses are offered in English and Spanish. In addition, a T.E.A.C.H. scholarship is available to cover the CDA book and assessment fees. • They could also choose to take the free online NC Early Childhood Equivalency Exam on DCDEE Moodle to earn the North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to the EDU 119 college course for star rated license evaluation. • A third options for staff is to turn their training and experience into a degree in Early Childhood Education. Providers can submit a Credit for Prior Learning portfolio to receive up to nine community college ECE credits for your early childhood knowledge and skills from participating NC Community Colleges. Credits can be applied toward the newly created Early Childhood Workforce Certificate, Early Childhood Education Diploma, Certificate and/or an Associate in Applied Science (AAS) Degree in Early Childhood Education. See the Raise North Carolina email blast from 9/1/23 for links to more information. Program Standards – The program has chosen to meet all enhanced standards and reduced ratios minus one. All three assessments were administered on March 21, 2022. The assessment report was reviewed on 8/25/22. The scores are as follows: ECERS – 5.39; ITERS – 5.92; SACERS – 5.5, for an overall score of 5.6 earning this facility seven points in this component. Quality Point – You have chosen to meet Programmatic Option: Has reduced group sizes by one in each group from the 7 point level as required in Rule .2818 (c). At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If I may be of further assistance, please contact me by phone at 252-333-2084 or Jennifer Linhardt, Licensing Supervisor, may also be contacted at (252) 373-4199. 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 .0304 · Violation

Name of Operation: BEAUFORT COUNTY CHILD DEVELOPMENT Facility ID: 07000014 Consultant: LAKISHA SKINNER Operation Type: Center Case Number: Visit Date: 8/24/2023 Number Present: 49 Completed Date: 8/24/2023 Age: From 0 To 12 Total Minutes: 150 Time In: 08:30 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced * The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Capacity, enrollment, and supervision were monitored and in compliance. The license, restrictions, and emergency care plan were posted. CPR, First-Aid and storage of hazardous materials were reviewed and in compliance. The children were observed participating in free-play activities. The administrator was present and assisted me with the visit. Your program currently operates with a five-star license, issued 7/17/18, earning 7 points in the education component, 7 points in the program standards component and 1 quality point for having reduced group sizes by one in each group from the seven point level as required in Rule .2818 ( c ). Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. You currently use the Creative Curriculum. The last annual compliance visit was conducted 2/1/23. The sanitation inspection was completed on 6/20/23 with a “Superior” classification. The last fire inspection was conducted 3/14/22. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety percent as of 8/23/23. The NC Secretary of State website was reviewed on 8/23/23 and Beaufort County Child Development Center, INC was listed as current- active. The following violation was documented. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The previous fire inspection was completed on 8/2/22. The current fire inspection was completed on 3/14/23. 10A NCAC 09 .0304(a) * Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 9/7/2023 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Lakisha Skinner, Child Care Consultant PO BOX 431 Grimesland, NC 27837 Lakisha.Skinner@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Insert TECHNICAL ASSISTANCE WITH THE DOCUMENTED VIOLATION (S): Fire Inspections - The primary reason for fire inspections is to keep everyone in the facility safe from potential fire hazards. Regular inspection, testing, and maintenance make the work environment safer, so your employees are protected. Your last fire inspection was completed on March 2, 2022. You indicated the fire marshal attempted the inspection prior to the expiration of the previous. Your staff was unable to provide documentation of a required training to the fire marshal and he/she was unable to complete the inspection until later. The current inspection was completed on March 14, 2023. You must schedule and obtain a fire inspection with the local fire inspector within 12 months of the previous fire inspection. ADDITIONAL COMMENTS: The Beaufort-Hyde Partnership for Children is also able to provide you with resources and information, training opportunities, technical assistance on child care issues. Their phone number is (252) 975-4647 or check out their website at www.bhckids.org . Be knowledgeable of the child care laws and rules, review the with your center staff, and assist your staff with maintaining compliance with the laws and rules. The most recent version of laws and rules regarding child care facilities in North Carolina are available on the DCDEE website, https://ncchildcare.ncdhhs.gov/. New Sanitation Rules - DCDEE and the Department of Public Health have received feedback from child care programs that additional guidance would be helpful in implementing the child care sanitation rules that the Public Health Commission readopted effective July 1, 2023. Please know that no demerits will be taken for new requirements of these rules until January 2024. Environmental Health will hold virtual trainings on the new sanitation rules. The training dates are September 20th and 26th and will be held from 9:00am to 11:30am. The information will be included in an upcoming RaiseNC newsletter. The NC Early Childhood Credential Equivalency Exam is another pathway option comparable to a NC Early Childhood Credential. This equivalency exam assesses the foundations of culturally responsive, equitable and inclusive early childhood education, planning intentional developmentally appropriate experiences, learning activities, and teaching strategies for indoor and outdoor environments for all young children, guidance techniques, and professionalism. Moodle Support – You already know the Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle Support. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at (252) 820-5976, Lakisha.Skinner@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: BEAUFORT COUNTY CHILD DEVELOPMENT Facility ID: 07000014 Consultant: LAKISHA SKINNER Operation Type: Center Case Number: Visit Date: 8/24/2023 Number Present: 49 Completed Date: 8/24/2023 Age: From 0 To 12 Total Minutes: 150 Time In: 08:30 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced * The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Capacity, enrollment, and supervision were monitored and in compliance. The license, restrictions, and emergency care plan were posted. CPR, First-Aid and storage of hazardous materials were reviewed and in compliance. The children were observed participating in free-play activities. The administrator was present and assisted me with the visit. Your program currently operates with a five-star license, issued 7/17/18, earning 7 points in the education component, 7 points in the program standards component and 1 quality point for having reduced group sizes by one in each group from the seven point level as required in Rule .2818 ( c ). Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. You currently use the Creative Curriculum. The last annual compliance visit was conducted 2/1/23. The sanitation inspection was completed on 6/20/23 with a “Superior” classification. The last fire inspection was conducted 3/14/22. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety percent as of 8/23/23. The NC Secretary of State website was reviewed on 8/23/23 and Beaufort County Child Development Center, INC was listed as current- active. The following violation was documented. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The previous fire inspection was completed on 8/2/22. The current fire inspection was completed on 3/14/23. 10A NCAC 09 .0304(a) * Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 9/7/2023 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Lakisha Skinner, Child Care Consultant PO BOX 431 Grimesland, NC 27837 Lakisha.Skinner@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Insert TECHNICAL ASSISTANCE WITH THE DOCUMENTED VIOLATION (S): Fire Inspections - The primary reason for fire inspections is to keep everyone in the facility safe from potential fire hazards. Regular inspection, testing, and maintenance make the work environment safer, so your employees are protected. Your last fire inspection was completed on March 2, 2022. You indicated the fire marshal attempted the inspection prior to the expiration of the previous. Your staff was unable to provide documentation of a required training to the fire marshal and he/she was unable to complete the inspection until later. The current inspection was completed on March 14, 2023. You must schedule and obtain a fire inspection with the local fire inspector within 12 months of the previous fire inspection. ADDITIONAL COMMENTS: The Beaufort-Hyde Partnership for Children is also able to provide you with resources and information, training opportunities, technical assistance on child care issues. Their phone number is (252) 975-4647 or check out their website at www.bhckids.org . Be knowledgeable of the child care laws and rules, review the with your center staff, and assist your staff with maintaining compliance with the laws and rules. The most recent version of laws and rules regarding child care facilities in North Carolina are available on the DCDEE website, https://ncchildcare.ncdhhs.gov/. New Sanitation Rules - DCDEE and the Department of Public Health have received feedback from child care programs that additional guidance would be helpful in implementing the child care sanitation rules that the Public Health Commission readopted effective July 1, 2023. Please know that no demerits will be taken for new requirements of these rules until January 2024. Environmental Health will hold virtual trainings on the new sanitation rules. The training dates are September 20th and 26th and will be held from 9:00am to 11:30am. The information will be included in an upcoming RaiseNC newsletter. The NC Early Childhood Credential Equivalency Exam is another pathway option comparable to a NC Early Childhood Credential. This equivalency exam assesses the foundations of culturally responsive, equitable and inclusive early childhood education, planning intentional developmentally appropriate experiences, learning activities, and teaching strategies for indoor and outdoor environments for all young children, guidance techniques, and professionalism. Moodle Support – You already know the Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle Support. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at (252) 820-5976, Lakisha.Skinner@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times