G.S. 110-90 · Violation

Name of Operation: CARE-O-WORLD ENRICHMENT CENTER Facility ID: 07000029 Consultant: LAKISHA SKINNER Operation Type: Center Case Number: Visit Date: 10/15/2024 Number Present: 88 Completed Date: 10/15/2024 Age: From 0 To 5 Total Minutes: 232 Time In: 09:03 AM Time Out: 12:40 PM Time In: 03:30 PM Time Out: 03:45 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced * The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Michelle O’Kelley, Child Care Consultant accompanied me during today’s visit. M. Kunkel, Legal Designee, and Jason Carrow, Executive Director, assisted with the visit.. Your program currently operates with a five-star license, issued 6/2/23, earning 7 points in the education component, 6 points in the program standards component and 1 quality point for meeting a programmatic option. The last annual compliance visit was conducted 11/3/23. The sanitation inspection was completed 6/20/24 with a “Superior” classification. The last fire inspection was conducted on 1/30/24. 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-four percent as of 10/14/24. The NC Secretary of State website was reviewed on 10/14/24 and PBLA, Inc. was listed as current- active. During today's walk through, I observed the children throughout the facility engaged in center free play, personal care routines, and transitions. Children throughout the facility were making pumpkins out of various materials, water play, block play, and interacting with their peers. Children on the playground were looking for insects, pedaling tricycles, engaging in play on stationary climbers and swings, and interacting with their peers. I observed handwashing throughout the classrooms. Lunch was observed and consisted of taco meat, lettuce, black beans, whole grain rice, and milk. The following violations were documented. Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A closet in Space 6 with the key in the lock contained a bottle of Excedrin migraine pills and a bottle of daytime severe cold and flu relief liquid. 15A NCAC 18A .2820(d) 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 8/1/18, expired 9/2024. .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 8/1/18, expired 9/2024. .1102(d) 9995 A violation was found for which there is no item number. In space #2 located in an unlocked closet was a staff member’s purse. 15A NCAC 18A .2820(g) Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. As a licensed child care operator, it is your responsibility to be knowledgeable of the child care laws and rules and to maintain compliance with them. The NC General Statutes (Updated September 2020), Child Care Rules (Updated January 1, 2024), and the “What’s New” section of The Division of Child Development and Early Education (DCDEE) website, ncchildcare.ncdhhs.gov, are excellent resources to help you stay current with the child care requirements. The most current forms and documents needed for your licensed facility are available under the Provider tab. Many of them are now interactive so that you can type right into the form. Many of the forms needed for families are now offered in Spanish too. And of course, I am also available to assist you, should you have questions about the child care requirements. 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 10/29/24. 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 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: Lakisha Skinner, Lead 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 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 8/1/18, expired 9/2024. You stated the staff member was absent on the day of the scheduled training. Create and implement a tracking system to ensure trainings are completed within required timeframes. Storage of Medication - Each year, approximately 60,000 young children are treated in our nation’s emergency rooms due to accidental unsupervised medication ingestion. Safe Kids Worldwide compares this to approximately four busloads of children per day visiting the emergency room because they took medication on their own. A closet in Space 6 with the key in the lock contained a bottle of Excedrin migraine pills and a bottle of daytime severe cold and flu relief liquid. The lead teacher stated the medication was theirs and another staff member had recently gone into the closet and left the key in the door. Medication must be stored in a locked cabinet or other locked container. Adding signage near the door may serve as a reminder for others to lock the closet and place the key on the hook near the top of the door. Employee Purses - Employee purses and other personal effects must be kept out of reach of children. In space #2 located in an unlocked closet was a staff member’s purse. You stated a staff member had retrieved an item from the closet and did not lock the door afterwards. It is important to remember that purses may contain items that can be potentially hazardous to young children. Again, adding signage near the door may serve as a reminder to others to lock the door when they close it. Additional Comments: 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. Natural Learning Initiative: https://naturalearning.org/resources/ Resources are created, 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 of all children. 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 at Lakisha Skinner, Lead Child Care Consultant, 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: CARE-O-WORLD ENRICHMENT CENTER Facility ID: 07000029 Consultant: LAKISHA SKINNER Operation Type: Center Case Number: Visit Date: 10/15/2024 Number Present: 88 Completed Date: 10/15/2024 Age: From 0 To 5 Total Minutes: 232 Time In: 09:03 AM Time Out: 12:40 PM Time In: 03:30 PM Time Out: 03:45 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced * The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Michelle O’Kelley, Child Care Consultant accompanied me during today’s visit. M. Kunkel, Legal Designee, and Jason Carrow, Executive Director, assisted with the visit.. Your program currently operates with a five-star license, issued 6/2/23, earning 7 points in the education component, 6 points in the program standards component and 1 quality point for meeting a programmatic option. The last annual compliance visit was conducted 11/3/23. The sanitation inspection was completed 6/20/24 with a “Superior” classification. The last fire inspection was conducted on 1/30/24. 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-four percent as of 10/14/24. The NC Secretary of State website was reviewed on 10/14/24 and PBLA, Inc. was listed as current- active. During today's walk through, I observed the children throughout the facility engaged in center free play, personal care routines, and transitions. Children throughout the facility were making pumpkins out of various materials, water play, block play, and interacting with their peers. Children on the playground were looking for insects, pedaling tricycles, engaging in play on stationary climbers and swings, and interacting with their peers. I observed handwashing throughout the classrooms. Lunch was observed and consisted of taco meat, lettuce, black beans, whole grain rice, and milk. The following violations were documented. Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A closet in Space 6 with the key in the lock contained a bottle of Excedrin migraine pills and a bottle of daytime severe cold and flu relief liquid. 15A NCAC 18A .2820(d) 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 8/1/18, expired 9/2024. .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 8/1/18, expired 9/2024. .1102(d) 9995 A violation was found for which there is no item number. In space #2 located in an unlocked closet was a staff member’s purse. 15A NCAC 18A .2820(g) Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. As a licensed child care operator, it is your responsibility to be knowledgeable of the child care laws and rules and to maintain compliance with them. The NC General Statutes (Updated September 2020), Child Care Rules (Updated January 1, 2024), and the “What’s New” section of The Division of Child Development and Early Education (DCDEE) website, ncchildcare.ncdhhs.gov, are excellent resources to help you stay current with the child care requirements. The most current forms and documents needed for your licensed facility are available under the Provider tab. Many of them are now interactive so that you can type right into the form. Many of the forms needed for families are now offered in Spanish too. And of course, I am also available to assist you, should you have questions about the child care requirements. 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 10/29/24. 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 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: Lakisha Skinner, Lead 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 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 8/1/18, expired 9/2024. You stated the staff member was absent on the day of the scheduled training. Create and implement a tracking system to ensure trainings are completed within required timeframes. Storage of Medication - Each year, approximately 60,000 young children are treated in our nation’s emergency rooms due to accidental unsupervised medication ingestion. Safe Kids Worldwide compares this to approximately four busloads of children per day visiting the emergency room because they took medication on their own. A closet in Space 6 with the key in the lock contained a bottle of Excedrin migraine pills and a bottle of daytime severe cold and flu relief liquid. The lead teacher stated the medication was theirs and another staff member had recently gone into the closet and left the key in the door. Medication must be stored in a locked cabinet or other locked container. Adding signage near the door may serve as a reminder for others to lock the closet and place the key on the hook near the top of the door. Employee Purses - Employee purses and other personal effects must be kept out of reach of children. In space #2 located in an unlocked closet was a staff member’s purse. You stated a staff member had retrieved an item from the closet and did not lock the door afterwards. It is important to remember that purses may contain items that can be potentially hazardous to young children. Again, adding signage near the door may serve as a reminder to others to lock the door when they close it. Additional Comments: 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. Natural Learning Initiative: https://naturalearning.org/resources/ Resources are created, 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 of all children. 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 at Lakisha Skinner, Lead Child Care Consultant, 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

10A NCAC 09 .0901 · Violation

Name of Operation: CARE-O-WORLD ENRICHMENT CENTER Facility ID: 07000029 Consultant: LAKISHA SKINNER Operation Type: Center Case Number: Visit Date: 5/7/2024 Number Present: 85 Completed Date: 5/7/2024 Age: From 0 To 5 Total Minutes: 173 Time In: 08:27 AM Time Out: 11:20 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced * The purpose of today’s Routine Unannounced visit was to monitor applicable childcare requirements. Q. Hill, Administrator, assisted with the visit. J. Carrow, arrived during the visit. The last annual compliance visit was conducted 11/3/23. Your program currently operates with a five-star license, issued 6/2/23, earning 7 points in the education component, 6 points in the program standards component and 1 quality point for meeting a programmatic option. Michelle O’Kelly, childcare consultant, accompanied me during today’s visit. The sanitation inspection was completed on 11/28/23 with a “Superior” classification. The last fire inspection was conducted 1/30/24. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent as of 11/2/23. CORPORATION STATUS: The NC Secretary of State website was reviewed on 5/6/24 and PBLA, INC was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website. The information is current. Contact me anytime you need to make any changes to your contact information, e.g., phone numbers, mailing address. You visited each indoor and outdoor space with me. Children throughout the center were engaged in free play, routines, and transitions. Children under twelve months old received care according to individual needs including diapering and bottle feeding. Proper hand washing was observed. Children were observed in the outdoor space climbing on stationary equipment and riding tricycles. The outdoor space included trees for shade, and a variety of toys and materials to engage in gross motor activities. Breakfast included bagels with cream cheese, apple sauce, and milk. Lunch included macaroni and cheese with ham, broccoli, beets and milk. The following violations were documented. Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Bagels with cream cheese, apple sauce and milk were served for breakfast. Whole grain cheese toast, applesauce, and milk were listed to be served on the posted menu. I did not observe documentation of the substitution. 10A NCAC 09 .0901(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A container of Clorox Disinfectant Wipes was observed on the bus floor behind the driver’s seat. .2820(b) * Child Care programs are expected to achieve and maintain compliance at all times. The violation(s) documented must be corrected immediately. On or before 5/21/24 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 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): Menus/Substitutions -Document food substitutions on all posted menus before the food is served. Bagels with cream cheese, apple sauce and milk were served for breakfast. Whole grain cheese toast, applesauce, and milk were listed to be served on the posted menu. You indicated you were unsure of why the menu was changed. Menus only have to be posted in the kitchen and in a central place where all parents are able to observe it daily. They do not have to be posted in each classroom, but if they are posted in the classroom, substitutions must be noted prior to serving the meal. Hazardous Products - There are over two million human poison exposures reported to poison centers every year. Children under six years of age account for over half of those potential poisonings. Any product under pressure and any product that includes more than one warning must be in locked storage. A container of Clorox Disinfectant Wipes was observed on the bus floor behind the driver’s seat. Disinfectant wipes must be kept in locked storage. The bus driver removed the disinfectant wipes from the bus. The owner indicated the wipes were not supposed to be on the bus. Locked boxes that include a combination, electronic or magnetic device, key, or equivalent locking device meet compliance. These unlocking devices must be kept out of the reach of a child and must not be stored in the lock. Additional Comments: Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. 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 . Lead Based Paint & Asbestos - The Child Care Commission adopted childcare rule changes in January 2024. This is a legislatively mandated effort to address lead and asbestos hazards in North Carolina public schools, licensed child care centers, and licensed family child care homes. Participation will allow facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. For information on how to enroll and complete testing please visit https://www.cleanwaterforuskids.org/en/carolina/. I emailed you a copy of the overview for Lead Based Paint and Asbestos Testing during today’s visit. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Lakisha Skinner, Child Care Consultant, 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.

10A NCAC 09 .0604 · Violation

Name of Operation: CARE-O-WORLD ENRICHMENT CENTER Facility ID: 07000029 Consultant: LAKISHA SKINNER Operation Type: Center Case Number: Visit Date: 11/3/2023 Number Present: 64 Completed Date: 11/3/2023 Age: From 0 To 5 Total Minutes: 330 Time In: 08:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced * The purpose of today’s Annual Compliance visit was to monitor applicable childcare requirements. Q. Hill, Administrator, assisted with the visit. The last annual compliance visit was conducted 11/15/22. Your program currently operates with a five-star license, issued 6/2/23, earning 7 points in the education component, 6 points in the program standards component and 1 quality point for meeting a programmatic option. The sanitation inspection was completed on 5/17/23 with a “Superior” classification. The last fire inspection was conducted 1/9/23. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent as of 11/2/23. The NC Secretary of State website was reviewed on 11/2/23 and PBLA, INC was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website. The information is now current. The Preservice Requirements for Administrator of a Child Care Center form was received during the visit identifying Q. Hill as the new administrator. Additionally, paperwork was received identifying M. Kunkel as a legal designee. Contact me anytime you need to make any changes to your contact information, e.g., phone numbers, mailing address. You visited each indoor and outdoor space with me. Children throughout the center were engaged in free play, routines, and transitions. Children under twelve months old received care according to individual needs including diapering and bottle feeding. Proper hand washing was observed. Children were observed in the outdoor space climbing on stationary equipment and riding tricycles. The outdoor space included trees for shade, and a variety of toys and materials to engage in gross motor activities. Breakfast included French toast sticks, bananas, and milk. Lunch included an eggs and cheese burrito with salsa, fruit, and milk. The following violations were documented. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One (1) open electrical outlet was observed in space 5, two (2) open electrical outlets were observed in space 6, and one (1) open electrical outlet was observed in space 8. 10A NCAC 09 .0604(c) 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. Two (2) small bags of googly eyes, a bag of small craft sticks, and a container of paper clips were stored in an unlocked drawer in space 5 where children two to three years of age were present. .0604(q) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Two (2) out of sixteen (16) children's records reviewed did not have an immunization record on file before or within 30 days after admission. 10A NCAC 09 .0302(d)(2) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The depth of the mulch surrounding the stationary climber on the preschool/school-age outdoor space measured at five (5) inches at the perimeter of the enclosure rather than the required six (6) inches. .0605(k)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Documentation of the completion of health and safety training topics as part of on-going training within five years of completing the previous health and training topics was not available for one (1) staff person who completed the trainings on July 31, 2018. .1103(b) 9995 A violation was found for which there is no item number. A bottle of hand antiseptic was stored on top of the cubby near the entrance in space 7. This is a violation of sanitation rule 15A NCAC 18A .2820 STORAGE (c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. * 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 11/17/2023, 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 Documented Violations: Electrical Outlets- Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. For this reason, all electrical outlets, including those on power strips, not in use that are in areas accessible to children must be protected with a safety plug or a tamper-resistant electrical outlet. One (1) open electrical outlet was observed in space 5, two (2) open electrical outlets were observed in space 6, and one (1) open electrical outlet was observed in space 8. You indicated after vacuuming; individuals forget to slide the tamper resistant cover back over to close the electrical outlet. You also indicated you would submit a maintenance request to change the type of tamper resistant electrical outlets throughout the building. Taping a reminder on the wall over each socket and power stick can serve as a reminder to add the safety cover when not in use or have the wall plate on the socket replaced with a tamper resistant electrical outlet. Storage of Hazardous Products - Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. Two (2) small bags of googly eyes, a bag of small craft sticks, and a container of paper clips were stored in an unlocked drawer in space 5 where children two to three years of age were present. These items are potential choking hazards to children three (3) years of age and younger. Additionally, a bottle of hand antiseptic was stored on top of the cubby near the entrance in space 7. Products are considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Immunization Record - Routine immunizations at the appropriate age are the best means of protecting children against vaccine-preventable diseases. According to Caring for Our Children, immunization is particularly important for children in child care because preschool-aged children have the highest age-specific incidence or are at high risk of complications from many vaccine-preventable diseases. The immunization record for a child enrolled on 5/22//23 was received on 6/30/23. The immunization record for one child enrolled on 3/22/23 was received on 11/1/23. You indicated that you are unsure of why the records were not received within 30 days of admission. The parent/guardian must submit a certificate of immunization on child's first day of attendance or within 30 calendar days of admission. Documentation of compliance is due within two weeks of today’s visit. Surfacing - Parents/guardians expect that their child will not be exposed to hazardous play environments, yet will have the opportunity for free, creative play. The depth of the mulch surrounding the stationary climber on the preschool/school-age outdoor space measured at five (5) inches at the perimeter of the enclosure rather than the required six (6) inches. You indicated mulch has been purchased and is onsite. You are awaiting a tractor to add the mulch to the area. Properly laid out outdoor play spaces, age-appropriate, properly designed and maintained equipment, and installation of energy-absorbing surfaces help to reduce both the potential and the severity of injury. Ongoing Health and Safety Training Requirements - Staff training requirements are essential for adults who interact with and teach children. These requirements protect children in child care facilities by ensuring these facilities provide a physically safe and healthy environment where the developmental needs of children are being met and where children are cared for by qualified staff. Documentation of the completion of health and safety training topics as part of on-going training within five years of completing the previous health and training topics was not available for one (1) staff person who completed the trainings on July 31, 2018. You indicated you are unsure of why documentation of the completion of the trainings is not on file. Research demonstrates knowledge of why health and safety training is important and enhances your ability to work with young children appropriately and to the full benefit of the child. Additional Comments: Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. 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 . Self-Service License Fee - This fall DCDEE will use the ABCMS portal to offer a new way to manage the annual license fee*. Instead of watching your mailbox for a paper invoice, you’ll be emailed an invoice directly from ABCMS. Concerned you’ll miss or lose the invoice? Don’t worry. You’ll be able to download/print invoices and submit online payments all within the same ABCMS portal. Operators and administrators will sign in to ABCMS using your business NCID credentials. If you don’t have a business NCID account, register one at https://ncid.nc.gov/. *Annual license fees do not apply to state or public-school operated child care facilities, or to religious sponsored facilities operated pursuant to a Notice of Compliance. 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. Until then, DPH and DCDEE will work together to make sure NC child care centers have the necessary training, technical assistance, and operational support needed to meet the new requirements. 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 – 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. NITTO - The Birth-to-Three Quality Initiative and DCDEE are offering a New Infant Toddler Teacher Orientation (NITTO). * Free online format, with 14 credit hours upon completion * Comprehensive training completed in 7 weeks * Practical knowledge that you can apply in a birth-to-three classroom Understand your value as a birth-to-three teacher and ways to care for yourself while caring for our youngest. Find the course at dcdee.moodle.nc.gov. Individuals will need to have an NCID to access the Moodle site. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Lakisha Skinner, Child Care Consultant, 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.

10A NCAC 09 .0302 · Violation

Name of Operation: CARE-O-WORLD ENRICHMENT CENTER Facility ID: 07000029 Consultant: LAKISHA SKINNER Operation Type: Center Case Number: Visit Date: 11/3/2023 Number Present: 64 Completed Date: 11/3/2023 Age: From 0 To 5 Total Minutes: 330 Time In: 08:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced * The purpose of today’s Annual Compliance visit was to monitor applicable childcare requirements. Q. Hill, Administrator, assisted with the visit. The last annual compliance visit was conducted 11/15/22. Your program currently operates with a five-star license, issued 6/2/23, earning 7 points in the education component, 6 points in the program standards component and 1 quality point for meeting a programmatic option. The sanitation inspection was completed on 5/17/23 with a “Superior” classification. The last fire inspection was conducted 1/9/23. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent as of 11/2/23. The NC Secretary of State website was reviewed on 11/2/23 and PBLA, INC was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website. The information is now current. The Preservice Requirements for Administrator of a Child Care Center form was received during the visit identifying Q. Hill as the new administrator. Additionally, paperwork was received identifying M. Kunkel as a legal designee. Contact me anytime you need to make any changes to your contact information, e.g., phone numbers, mailing address. You visited each indoor and outdoor space with me. Children throughout the center were engaged in free play, routines, and transitions. Children under twelve months old received care according to individual needs including diapering and bottle feeding. Proper hand washing was observed. Children were observed in the outdoor space climbing on stationary equipment and riding tricycles. The outdoor space included trees for shade, and a variety of toys and materials to engage in gross motor activities. Breakfast included French toast sticks, bananas, and milk. Lunch included an eggs and cheese burrito with salsa, fruit, and milk. The following violations were documented. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One (1) open electrical outlet was observed in space 5, two (2) open electrical outlets were observed in space 6, and one (1) open electrical outlet was observed in space 8. 10A NCAC 09 .0604(c) 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. Two (2) small bags of googly eyes, a bag of small craft sticks, and a container of paper clips were stored in an unlocked drawer in space 5 where children two to three years of age were present. .0604(q) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Two (2) out of sixteen (16) children's records reviewed did not have an immunization record on file before or within 30 days after admission. 10A NCAC 09 .0302(d)(2) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The depth of the mulch surrounding the stationary climber on the preschool/school-age outdoor space measured at five (5) inches at the perimeter of the enclosure rather than the required six (6) inches. .0605(k)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Documentation of the completion of health and safety training topics as part of on-going training within five years of completing the previous health and training topics was not available for one (1) staff person who completed the trainings on July 31, 2018. .1103(b) 9995 A violation was found for which there is no item number. A bottle of hand antiseptic was stored on top of the cubby near the entrance in space 7. This is a violation of sanitation rule 15A NCAC 18A .2820 STORAGE (c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. * 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 11/17/2023, 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 Documented Violations: Electrical Outlets- Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. For this reason, all electrical outlets, including those on power strips, not in use that are in areas accessible to children must be protected with a safety plug or a tamper-resistant electrical outlet. One (1) open electrical outlet was observed in space 5, two (2) open electrical outlets were observed in space 6, and one (1) open electrical outlet was observed in space 8. You indicated after vacuuming; individuals forget to slide the tamper resistant cover back over to close the electrical outlet. You also indicated you would submit a maintenance request to change the type of tamper resistant electrical outlets throughout the building. Taping a reminder on the wall over each socket and power stick can serve as a reminder to add the safety cover when not in use or have the wall plate on the socket replaced with a tamper resistant electrical outlet. Storage of Hazardous Products - Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. Two (2) small bags of googly eyes, a bag of small craft sticks, and a container of paper clips were stored in an unlocked drawer in space 5 where children two to three years of age were present. These items are potential choking hazards to children three (3) years of age and younger. Additionally, a bottle of hand antiseptic was stored on top of the cubby near the entrance in space 7. Products are considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Immunization Record - Routine immunizations at the appropriate age are the best means of protecting children against vaccine-preventable diseases. According to Caring for Our Children, immunization is particularly important for children in child care because preschool-aged children have the highest age-specific incidence or are at high risk of complications from many vaccine-preventable diseases. The immunization record for a child enrolled on 5/22//23 was received on 6/30/23. The immunization record for one child enrolled on 3/22/23 was received on 11/1/23. You indicated that you are unsure of why the records were not received within 30 days of admission. The parent/guardian must submit a certificate of immunization on child's first day of attendance or within 30 calendar days of admission. Documentation of compliance is due within two weeks of today’s visit. Surfacing - Parents/guardians expect that their child will not be exposed to hazardous play environments, yet will have the opportunity for free, creative play. The depth of the mulch surrounding the stationary climber on the preschool/school-age outdoor space measured at five (5) inches at the perimeter of the enclosure rather than the required six (6) inches. You indicated mulch has been purchased and is onsite. You are awaiting a tractor to add the mulch to the area. Properly laid out outdoor play spaces, age-appropriate, properly designed and maintained equipment, and installation of energy-absorbing surfaces help to reduce both the potential and the severity of injury. Ongoing Health and Safety Training Requirements - Staff training requirements are essential for adults who interact with and teach children. These requirements protect children in child care facilities by ensuring these facilities provide a physically safe and healthy environment where the developmental needs of children are being met and where children are cared for by qualified staff. Documentation of the completion of health and safety training topics as part of on-going training within five years of completing the previous health and training topics was not available for one (1) staff person who completed the trainings on July 31, 2018. You indicated you are unsure of why documentation of the completion of the trainings is not on file. Research demonstrates knowledge of why health and safety training is important and enhances your ability to work with young children appropriately and to the full benefit of the child. Additional Comments: Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. 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 . Self-Service License Fee - This fall DCDEE will use the ABCMS portal to offer a new way to manage the annual license fee*. Instead of watching your mailbox for a paper invoice, you’ll be emailed an invoice directly from ABCMS. Concerned you’ll miss or lose the invoice? Don’t worry. You’ll be able to download/print invoices and submit online payments all within the same ABCMS portal. Operators and administrators will sign in to ABCMS using your business NCID credentials. If you don’t have a business NCID account, register one at https://ncid.nc.gov/. *Annual license fees do not apply to state or public-school operated child care facilities, or to religious sponsored facilities operated pursuant to a Notice of Compliance. 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. Until then, DPH and DCDEE will work together to make sure NC child care centers have the necessary training, technical assistance, and operational support needed to meet the new requirements. 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 – 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. NITTO - The Birth-to-Three Quality Initiative and DCDEE are offering a New Infant Toddler Teacher Orientation (NITTO). * Free online format, with 14 credit hours upon completion * Comprehensive training completed in 7 weeks * Practical knowledge that you can apply in a birth-to-three classroom Understand your value as a birth-to-three teacher and ways to care for yourself while caring for our youngest. Find the course at dcdee.moodle.nc.gov. Individuals will need to have an NCID to access the Moodle site. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Lakisha Skinner, Child Care Consultant, 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

NC GS 110-90 · Violation

Name of Operation: CARE-O-WORLD ENRICHMENT CENTER Facility ID: 07000029 Consultant: LAKISHA SKINNER Operation Type: Center Case Number: Visit Date: 11/3/2023 Number Present: 64 Completed Date: 11/3/2023 Age: From 0 To 5 Total Minutes: 330 Time In: 08:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced * The purpose of today’s Annual Compliance visit was to monitor applicable childcare requirements. Q. Hill, Administrator, assisted with the visit. The last annual compliance visit was conducted 11/15/22. Your program currently operates with a five-star license, issued 6/2/23, earning 7 points in the education component, 6 points in the program standards component and 1 quality point for meeting a programmatic option. The sanitation inspection was completed on 5/17/23 with a “Superior” classification. The last fire inspection was conducted 1/9/23. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent as of 11/2/23. The NC Secretary of State website was reviewed on 11/2/23 and PBLA, INC was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website. The information is now current. The Preservice Requirements for Administrator of a Child Care Center form was received during the visit identifying Q. Hill as the new administrator. Additionally, paperwork was received identifying M. Kunkel as a legal designee. Contact me anytime you need to make any changes to your contact information, e.g., phone numbers, mailing address. You visited each indoor and outdoor space with me. Children throughout the center were engaged in free play, routines, and transitions. Children under twelve months old received care according to individual needs including diapering and bottle feeding. Proper hand washing was observed. Children were observed in the outdoor space climbing on stationary equipment and riding tricycles. The outdoor space included trees for shade, and a variety of toys and materials to engage in gross motor activities. Breakfast included French toast sticks, bananas, and milk. Lunch included an eggs and cheese burrito with salsa, fruit, and milk. The following violations were documented. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One (1) open electrical outlet was observed in space 5, two (2) open electrical outlets were observed in space 6, and one (1) open electrical outlet was observed in space 8. 10A NCAC 09 .0604(c) 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. Two (2) small bags of googly eyes, a bag of small craft sticks, and a container of paper clips were stored in an unlocked drawer in space 5 where children two to three years of age were present. .0604(q) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Two (2) out of sixteen (16) children's records reviewed did not have an immunization record on file before or within 30 days after admission. 10A NCAC 09 .0302(d)(2) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The depth of the mulch surrounding the stationary climber on the preschool/school-age outdoor space measured at five (5) inches at the perimeter of the enclosure rather than the required six (6) inches. .0605(k)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Documentation of the completion of health and safety training topics as part of on-going training within five years of completing the previous health and training topics was not available for one (1) staff person who completed the trainings on July 31, 2018. .1103(b) 9995 A violation was found for which there is no item number. A bottle of hand antiseptic was stored on top of the cubby near the entrance in space 7. This is a violation of sanitation rule 15A NCAC 18A .2820 STORAGE (c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. * 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 11/17/2023, 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 Documented Violations: Electrical Outlets- Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. For this reason, all electrical outlets, including those on power strips, not in use that are in areas accessible to children must be protected with a safety plug or a tamper-resistant electrical outlet. One (1) open electrical outlet was observed in space 5, two (2) open electrical outlets were observed in space 6, and one (1) open electrical outlet was observed in space 8. You indicated after vacuuming; individuals forget to slide the tamper resistant cover back over to close the electrical outlet. You also indicated you would submit a maintenance request to change the type of tamper resistant electrical outlets throughout the building. Taping a reminder on the wall over each socket and power stick can serve as a reminder to add the safety cover when not in use or have the wall plate on the socket replaced with a tamper resistant electrical outlet. Storage of Hazardous Products - Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. Two (2) small bags of googly eyes, a bag of small craft sticks, and a container of paper clips were stored in an unlocked drawer in space 5 where children two to three years of age were present. These items are potential choking hazards to children three (3) years of age and younger. Additionally, a bottle of hand antiseptic was stored on top of the cubby near the entrance in space 7. Products are considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Immunization Record - Routine immunizations at the appropriate age are the best means of protecting children against vaccine-preventable diseases. According to Caring for Our Children, immunization is particularly important for children in child care because preschool-aged children have the highest age-specific incidence or are at high risk of complications from many vaccine-preventable diseases. The immunization record for a child enrolled on 5/22//23 was received on 6/30/23. The immunization record for one child enrolled on 3/22/23 was received on 11/1/23. You indicated that you are unsure of why the records were not received within 30 days of admission. The parent/guardian must submit a certificate of immunization on child's first day of attendance or within 30 calendar days of admission. Documentation of compliance is due within two weeks of today’s visit. Surfacing - Parents/guardians expect that their child will not be exposed to hazardous play environments, yet will have the opportunity for free, creative play. The depth of the mulch surrounding the stationary climber on the preschool/school-age outdoor space measured at five (5) inches at the perimeter of the enclosure rather than the required six (6) inches. You indicated mulch has been purchased and is onsite. You are awaiting a tractor to add the mulch to the area. Properly laid out outdoor play spaces, age-appropriate, properly designed and maintained equipment, and installation of energy-absorbing surfaces help to reduce both the potential and the severity of injury. Ongoing Health and Safety Training Requirements - Staff training requirements are essential for adults who interact with and teach children. These requirements protect children in child care facilities by ensuring these facilities provide a physically safe and healthy environment where the developmental needs of children are being met and where children are cared for by qualified staff. Documentation of the completion of health and safety training topics as part of on-going training within five years of completing the previous health and training topics was not available for one (1) staff person who completed the trainings on July 31, 2018. You indicated you are unsure of why documentation of the completion of the trainings is not on file. Research demonstrates knowledge of why health and safety training is important and enhances your ability to work with young children appropriately and to the full benefit of the child. Additional Comments: Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. 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 . Self-Service License Fee - This fall DCDEE will use the ABCMS portal to offer a new way to manage the annual license fee*. Instead of watching your mailbox for a paper invoice, you’ll be emailed an invoice directly from ABCMS. Concerned you’ll miss or lose the invoice? Don’t worry. You’ll be able to download/print invoices and submit online payments all within the same ABCMS portal. Operators and administrators will sign in to ABCMS using your business NCID credentials. If you don’t have a business NCID account, register one at https://ncid.nc.gov/. *Annual license fees do not apply to state or public-school operated child care facilities, or to religious sponsored facilities operated pursuant to a Notice of Compliance. 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. Until then, DPH and DCDEE will work together to make sure NC child care centers have the necessary training, technical assistance, and operational support needed to meet the new requirements. 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 – 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. NITTO - The Birth-to-Three Quality Initiative and DCDEE are offering a New Infant Toddler Teacher Orientation (NITTO). * Free online format, with 14 credit hours upon completion * Comprehensive training completed in 7 weeks * Practical knowledge that you can apply in a birth-to-three classroom Understand your value as a birth-to-three teacher and ways to care for yourself while caring for our youngest. Find the course at dcdee.moodle.nc.gov. Individuals will need to have an NCID to access the Moodle site. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Lakisha Skinner, Child Care Consultant, 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