GS 110-91 · Violation

Name of Operation: BIG BLUE MARBLE-WAXHAW Facility ID: 90000499 Consultant: TRACI J. MEYER Operation Type: Center Case Number: 0625-278L Visit Date: 7/2/2025 Number Present: 66 Completed Date: 7/2/2025 Age: From 0 To 5 Total Minutes: 105 Time In: 11:45 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an investigation of a complaint, Case #0625-278L of violations of child care rules and regulations. Upon arrival I explained the reason for my visit to Ms. M. Hutchins, and I explained the reason for my visit. There is an alleged complaint that preschool aged children are sleeping on the floor and not on mats or cots. There is also an alleged complaint that children are not treated in a caring or nurturing manner and are being treated forcefully. The facility operates with a four (4) star center license with restrictions to first (1st) shift care, meets enhanced ratios, and meets enhanced space. Upon my arrival I spoke with the Administrators and nine (9) of the fourteen (14) staff members. Some staff were on field trips with school-aged children or on their daily breaks. Ms. Hutchins and I discussed the rules and regulations surrounding rest time, what is to be offered to the children that are not considered school age and equipment that is needed for rest time. I shared information about the rules and definitions of school aged vs preschool aged children. I monitored all other rest times in all other classrooms for age appropriate children and found all cots to be spaced appropriately, labeled for induvial use and with fresh linens. Further interviews were conducted with other members of the staff and it was differing statements were given about the nurture and care for children in a specific classroom. There was differing reports on an incident that occurred during a field trip. One report stated that a child was taken behind the bus while during a field trip and spoken to in a harsh manner but several other reports denied this accusation. Ms. Hutchins reported this incident was brought to her attention and she spoke to all parties involved, specifically the children, and no one had knowledge of this occurring. It is not clear if the behavior reported in the alleged complaint is accurate. I encouraged teachers and the Administration team to keep notes on incidents that occur between teachers. Events and details can fade over time and it is not possible to decipher if a nurture and care complaint is confirmed without specific details. Video was live streamed but there is no audio to determine if any inappropriate language was used. Additionally, there is proof that a child was observed to be sleeping on the floor without a mat, or cot. Documents Review: I reviewed rest time policies and procedures with the Administration team and encouraged all the teachers to be reminded of the discipline policies they are all to follow. The following items were monitored during today’s visit Supervision, Staff/Child Ratios, Adequate and Approved Space, Permit Restrictions, and developmentally appropriate activities and rest space in the preschool aged classrooms. There was one (1) violation cited today. Based on photographic evidence, the complaint concerning rest time is confirmed. Based on lack of evidence the alleged complaint about nurture and care is not confirmed. Violation Number Comment Rule 411 Every child was not provided an appropriate time and place to rest. Children in the room that serves non-school aged five (5) year old's were not offered an appropriate space to rest. GS 110-91(2)(i) A corrective action letter will need to be submitted on or before 7/17/25 including the name of the facility, date of the visit, date of the submission, item numbers of violation, how the violations were corrected and how these violations will be prevented in the future. These violations must be corrected immediately, and a statement of correction must be submitted no later than date. A follow up visit will be made in the near future to ensure that all requirements are in compliance. Technical Assistance: •For school aged children (who have completed kindergarten and older, comfortable provisions needs to be made available for children who wish to rest or are sick. Please allow for these accommodations in the school age classrooms. •Any child who participates on a field trip, that is not school aged must be offered a rest time. •Children three years old and older were in care must have a schedule that shows blocks of time assigned to types of activities, including active play, quiet play or rest. •If a child rolls on and off a floor level mat, please document the instances, including date and time. If a child rolls on and off a cot that is above floor level, an incident report must be filled out. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. I explained that due to the substantiation of the allegation could result in an Administrative Action. The current compliance history was reviewed with the facility at the close of the visit. If an Administrative Action is issued it will be a tool that will provide supports in an effort to ensure that incidents like this do not occur again and that the quality of care is increased in your program. In closing I reviewed the visit summary with and asked if she had any questions and she stated that at this time they stated that they did not. A follow up visit will be made in the future. I encouraged them that if they has any questions or concerns to feel free to contact me at Traci.Meyer@dhhs.nc.gov or 704-594-0041. Thank you for your assistance today. Traci Meyer Carpenter Childcare Consultant Division of Child Development and Early Education 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: BIG BLUE MARBLE-WAXHAW Facility ID: 90000499 Consultant: TRACI J. MEYER Operation Type: Center Case Number: 0625-278L Visit Date: 7/2/2025 Number Present: 66 Completed Date: 7/2/2025 Age: From 0 To 5 Total Minutes: 105 Time In: 11:45 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an investigation of a complaint, Case #0625-278L of violations of child care rules and regulations. Upon arrival I explained the reason for my visit to Ms. M. Hutchins, and I explained the reason for my visit. There is an alleged complaint that preschool aged children are sleeping on the floor and not on mats or cots. There is also an alleged complaint that children are not treated in a caring or nurturing manner and are being treated forcefully. The facility operates with a four (4) star center license with restrictions to first (1st) shift care, meets enhanced ratios, and meets enhanced space. Upon my arrival I spoke with the Administrators and nine (9) of the fourteen (14) staff members. Some staff were on field trips with school-aged children or on their daily breaks. Ms. Hutchins and I discussed the rules and regulations surrounding rest time, what is to be offered to the children that are not considered school age and equipment that is needed for rest time. I shared information about the rules and definitions of school aged vs preschool aged children. I monitored all other rest times in all other classrooms for age appropriate children and found all cots to be spaced appropriately, labeled for induvial use and with fresh linens. Further interviews were conducted with other members of the staff and it was differing statements were given about the nurture and care for children in a specific classroom. There was differing reports on an incident that occurred during a field trip. One report stated that a child was taken behind the bus while during a field trip and spoken to in a harsh manner but several other reports denied this accusation. Ms. Hutchins reported this incident was brought to her attention and she spoke to all parties involved, specifically the children, and no one had knowledge of this occurring. It is not clear if the behavior reported in the alleged complaint is accurate. I encouraged teachers and the Administration team to keep notes on incidents that occur between teachers. Events and details can fade over time and it is not possible to decipher if a nurture and care complaint is confirmed without specific details. Video was live streamed but there is no audio to determine if any inappropriate language was used. Additionally, there is proof that a child was observed to be sleeping on the floor without a mat, or cot. Documents Review: I reviewed rest time policies and procedures with the Administration team and encouraged all the teachers to be reminded of the discipline policies they are all to follow. The following items were monitored during today’s visit Supervision, Staff/Child Ratios, Adequate and Approved Space, Permit Restrictions, and developmentally appropriate activities and rest space in the preschool aged classrooms. There was one (1) violation cited today. Based on photographic evidence, the complaint concerning rest time is confirmed. Based on lack of evidence the alleged complaint about nurture and care is not confirmed. Violation Number Comment Rule 411 Every child was not provided an appropriate time and place to rest. Children in the room that serves non-school aged five (5) year old's were not offered an appropriate space to rest. GS 110-91(2)(i) A corrective action letter will need to be submitted on or before 7/17/25 including the name of the facility, date of the visit, date of the submission, item numbers of violation, how the violations were corrected and how these violations will be prevented in the future. These violations must be corrected immediately, and a statement of correction must be submitted no later than date. A follow up visit will be made in the near future to ensure that all requirements are in compliance. Technical Assistance: •For school aged children (who have completed kindergarten and older, comfortable provisions needs to be made available for children who wish to rest or are sick. Please allow for these accommodations in the school age classrooms. •Any child who participates on a field trip, that is not school aged must be offered a rest time. •Children three years old and older were in care must have a schedule that shows blocks of time assigned to types of activities, including active play, quiet play or rest. •If a child rolls on and off a floor level mat, please document the instances, including date and time. If a child rolls on and off a cot that is above floor level, an incident report must be filled out. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. I explained that due to the substantiation of the allegation could result in an Administrative Action. The current compliance history was reviewed with the facility at the close of the visit. If an Administrative Action is issued it will be a tool that will provide supports in an effort to ensure that incidents like this do not occur again and that the quality of care is increased in your program. In closing I reviewed the visit summary with and asked if she had any questions and she stated that at this time they stated that they did not. A follow up visit will be made in the future. I encouraged them that if they has any questions or concerns to feel free to contact me at Traci.Meyer@dhhs.nc.gov or 704-594-0041. Thank you for your assistance today. Traci Meyer Carpenter Childcare Consultant Division of Child Development and Early Education 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: BIG BLUE MARBLE-WAXHAW Facility ID: 90000499 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 4/29/2025 Number Present: 87 Completed Date: 4/29/2025 Age: From 0 To 12 Total Minutes: 105 Time In: 02:15 PM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an unannounced routine visit. Upon arrival I was greeted by Ms. M. Hutchins and I shared the reason for the visit. She assisted me with today’s visit. Your program currently operates with a Four (4) Star Center License The license was posted, with restrictions to: first (1st) shift care only, meets enhanced ratios, and meets enhanced space. The center's compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (78%) percent before today’s visit. The following items were monitored: Licensing Posted, Permit Restrictions, Staff/Child Ratio, Supervision, Specialized Trainings, Storage of Hazardous Substances and Storage of Medication, Program Records, and General Safety. The Fire Inspection has not occurred since the last visit and remains current. The following items above were found in compliance. The following inspections are below. •Last fire drill was conducted on 3/30/25 •Last Shelter in Place/Lockdown Drill was conducted 3/30/25. •A daily playground inspection is completed but not a monthly inspection. •The last Sanitation Inspection was conducted on February 24th and received a superior rating. The children were observed in the rooms that serve infant aged children were waking from rest times, and participating in self-help care such as bottle feeding and basic care routines. The children in all other age groups were participating in rest time. Outdoor Learning Environment: All four outdoor learning environments were observed and in compliance. Staff Records: The staff-training worksheets were completed during the visit and there were two (2) new staff files to monitor. Medication: It was reported that no emergency medication is used at the facility. Nutrition: The menu and allergy listing was posted and for lunch the children were having a broccoli and cheese quesadilla, on a whole grain tortilla, with oranges and milk options. Weapons: Today you reported that your facility was in compliance with childcare requirements regarding firearms. Transportation: Transportation is provided and was not monitored at today’s visit. Four (4) violations were observed today. The violations are as follows: Violation Number Comment Rule 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Monthly playground inspections were not completed. .0605(q) 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. Staff member D.Q. did not have a current EI form on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member E.M. has not completed at least sixteen (16) hours of orientation within the first six (6) weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member D.Q. did not completed six (6) clock hours within the first two (2) weeks of employment. .1101(a)(b) On or before 5/12/25 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 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 may be completed. Mail or email the information to: Traci Meyer Carpenter Child Care Consultant PO Box 364 Matthews, NC 28105 OR Traci.Meyer@dhhs.nc.gov 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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Rated License •Use this time for staff to update their information in the WORKS database. For more information, please go to https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS. Have all staff update their education including certifications. Technical Assistance •The ITTI Care Project offers this 1-hour self-paced training designed to help everyone who works in child care settings address their stress! Click on link to register for FREE so you can complete the training whenever you like! Learn more about ITTI Care here: https://sites.sanford.duke.edu/itticare/ •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 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 20th inspections must be conducted and at least monthly documented on the DCDEE approved forms. One was left today as a reference. •During the first two (2) weeks of a new staff member’s hire, six (6) hours of training are required through on-boarding and the Moodle website. https://childcare.ncdhhs.gov . •Within the first six (6) weeks of a new staff member’s hire, (twelve) 12 additional hours of additional training through on-boarding and the Moodle website. •All health forms are to be kept in a separate file from other staff personnel files, including extra forms. •Staff Emergency Information forms are to be updated at least annually or when changes occur. •Childcare Resources Inc. offers a variety of social-emotional based trainings including but not limited to; “F.L.I.P it”, “Causes of Misbehavior”, and “Behavioral Intervention Strategies” which could be beneficial for teachers of preschool aged children. We jointly reviewed the visit summary and documentation of my findings and violations with you, I encouraged you to ask any questions and you stated that you had none. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov to get the latest updates. If you have questions or need further assistance, please contact me at 704-594-0041 or via email at Traci.Meyer@dhhs.nc.gov . Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant Division of Child Development and Early Education 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: BIG BLUE MARBLE-WAXHAW Facility ID: 90000499 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 4/29/2025 Number Present: 87 Completed Date: 4/29/2025 Age: From 0 To 12 Total Minutes: 105 Time In: 02:15 PM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an unannounced routine visit. Upon arrival I was greeted by Ms. M. Hutchins and I shared the reason for the visit. She assisted me with today’s visit. Your program currently operates with a Four (4) Star Center License The license was posted, with restrictions to: first (1st) shift care only, meets enhanced ratios, and meets enhanced space. The center's compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (78%) percent before today’s visit. The following items were monitored: Licensing Posted, Permit Restrictions, Staff/Child Ratio, Supervision, Specialized Trainings, Storage of Hazardous Substances and Storage of Medication, Program Records, and General Safety. The Fire Inspection has not occurred since the last visit and remains current. The following items above were found in compliance. The following inspections are below. •Last fire drill was conducted on 3/30/25 •Last Shelter in Place/Lockdown Drill was conducted 3/30/25. •A daily playground inspection is completed but not a monthly inspection. •The last Sanitation Inspection was conducted on February 24th and received a superior rating. The children were observed in the rooms that serve infant aged children were waking from rest times, and participating in self-help care such as bottle feeding and basic care routines. The children in all other age groups were participating in rest time. Outdoor Learning Environment: All four outdoor learning environments were observed and in compliance. Staff Records: The staff-training worksheets were completed during the visit and there were two (2) new staff files to monitor. Medication: It was reported that no emergency medication is used at the facility. Nutrition: The menu and allergy listing was posted and for lunch the children were having a broccoli and cheese quesadilla, on a whole grain tortilla, with oranges and milk options. Weapons: Today you reported that your facility was in compliance with childcare requirements regarding firearms. Transportation: Transportation is provided and was not monitored at today’s visit. Four (4) violations were observed today. The violations are as follows: Violation Number Comment Rule 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Monthly playground inspections were not completed. .0605(q) 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. Staff member D.Q. did not have a current EI form on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member E.M. has not completed at least sixteen (16) hours of orientation within the first six (6) weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member D.Q. did not completed six (6) clock hours within the first two (2) weeks of employment. .1101(a)(b) On or before 5/12/25 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 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 may be completed. Mail or email the information to: Traci Meyer Carpenter Child Care Consultant PO Box 364 Matthews, NC 28105 OR Traci.Meyer@dhhs.nc.gov 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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Rated License •Use this time for staff to update their information in the WORKS database. For more information, please go to https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS. Have all staff update their education including certifications. Technical Assistance •The ITTI Care Project offers this 1-hour self-paced training designed to help everyone who works in child care settings address their stress! Click on link to register for FREE so you can complete the training whenever you like! Learn more about ITTI Care here: https://sites.sanford.duke.edu/itticare/ •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 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 20th inspections must be conducted and at least monthly documented on the DCDEE approved forms. One was left today as a reference. •During the first two (2) weeks of a new staff member’s hire, six (6) hours of training are required through on-boarding and the Moodle website. https://childcare.ncdhhs.gov . •Within the first six (6) weeks of a new staff member’s hire, (twelve) 12 additional hours of additional training through on-boarding and the Moodle website. •All health forms are to be kept in a separate file from other staff personnel files, including extra forms. •Staff Emergency Information forms are to be updated at least annually or when changes occur. •Childcare Resources Inc. offers a variety of social-emotional based trainings including but not limited to; “F.L.I.P it”, “Causes of Misbehavior”, and “Behavioral Intervention Strategies” which could be beneficial for teachers of preschool aged children. We jointly reviewed the visit summary and documentation of my findings and violations with you, I encouraged you to ask any questions and you stated that you had none. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov to get the latest updates. If you have questions or need further assistance, please contact me at 704-594-0041 or via email at Traci.Meyer@dhhs.nc.gov . Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant Division of Child Development and Early Education 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: BIG BLUE MARBLE-WAXHAW Facility ID: 90000499 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 2/11/2025 Number Present: 62 Completed Date: 2/11/2025 Age: From 0 To 4 Total Minutes: 308 Time In: 08:52 AM Time Out: 02:00 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 for an unannounced annual compliance visit. Upon arrival I was greeted by Ms. B Tracy and I shared the reason for the visit. Ms. M. Hutchins accompanied me throughout the walk-through of the facility and the outdoor learning environments. Your program currently operates with a Four (4) Star Center License. The license was posted, with restrictions to meets enhanced ratios and enhanced space. Ownership: The facility owner is Big Blue Marble Academy LLC and is current and active on the Secretary of State’s website. If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. I used the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable childcare requirements pertinent to this facility and the Annual Compliance Monitoring Checklist for Child Care Centers. I monitored the following items today: supervision, staff/child ratio, staff, health, safety, and program records. All classrooms, the kitchen and three (3) outdoor learning environments. Program Records: We reviewed all the required records. Inspections: All inspections were monitored, and are listed below. •Fire drill was conducted on 1/15/25 •Emergency drill was conducted on 1/31/25 •Fire inspection was completed on 3/14/24 •Playground inspections are completed daily per Big Blue Marbles corporate policy. •Sanitation inspection was conducted on 12/13/24 and received a superior classification. •EPR manual was updated on 12/10/2024 and was completed •Incident logs and sheets were completed and up to date. Indoor Learning Environment: I observed children in the indoor learning environment and the following items were posted in the classrooms that were monitored: Daily schedules, activity plans, staff/child ratio worksheets, emergency numbers, emergency procedures, arrival/departure procedures, summary of law and menus. Children in the room that serves infants were participating in teacher led self-help activities such as breakfast and/or bottle feeding. Children in the rooms that serve toddler aged children were transitioning from their AM routine, to teacher led circle times and teacher led self-help activities. Children in the rooms that serve younger preschool aged children were participating in teacher led art activities. Children in the rooms that served older preschool age children were participating in child led center activities to including free choice block play, puzzles and art activities. Outdoor Learning Environment: The outdoor learning environments were monitored and the area that serves older preschool aged children did not have enough protective surface under the critical height structure and was not compliance. Two (2) other outdoor learning areas were observed and while they could benefit from more protective surface materials, they remain in compliance. Staff Records: The staff-training worksheet was completed prior to the visit. There were fourteen (14) new staff files to review today, and three (3) existing staff file. Please refer to the staff/training worksheet to review which files were monitored. Some technical assistance was provided to help with maintaining annual updates. Children’s Records: There are eighty-nine (89) children enrolled in this center. There were sixty-two (62) in attendance today. Ten (10) children’s files were reviewed today, please refer to the children’s worksheet to review which files was monitored. Technical assistance was provided with documents that maintains children’s information and changes at least annually or when changes occur. Medication: All emergency and other medications were reviewed today and one (1) was out of compliance. Nutrition: The facility was in compliance during today’s visit with Child Care Meal Patterns Requirements. The menu, preferences and allergy listing were posted and served for lunch was a whole grain cheese quesadilla, broccoli, pears and milk. Weapons: Your facility reported that they were in compliance during today’s visit with Child Care Requirements regarding firearms. Transportation: The facility reported the do provide transportation. The facility has three (3) mini-buses on site but only uses two (2). In both buses the registration and insurance was up to date and current. Both buses had all signage, and equipment needed for compliance. Five (5) violations were observed today and three (3) were corrected during the visit. The violations are as follows: Violation Number Comment Rule 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. In space number eleven (# 11) there was two (2) cans of aerosol spray cleaners, and one (1) tub of disinfectant wipes that were stored in an unlocked cabinet within reach of children. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space number two (2) there was one (1) expired diaper cream. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The facility did not complete monthly playground inspections. .0605(q) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The playground that serves older preschool aged children using equipment with a critical height of more than 5 feet, but less than 7 feet, did not have 6 inches of loose surfacing material. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space number seven (#7) a child's permission form to provide emergency medication was expired and did not have accurate information. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violations not corrected during the visit must be corrected immediately. On or before 2/24/25 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 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 may be completed. Mail or email the information to: Traci Meyer Carpenter Child Care Consultant PO Box 364 Matthews, NC 28105 or Traci.meyer@dhhs.nc.gov. 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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The program’s compliance history was seventy-seven (77%) percent prior to today’s visit. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Rated License: •Hold Harmless has been extended until the new QRIS is implemented (SB 425). Providers in Cohort #1 (number one) are not required to go any further with a rated license assessment unless they want to, and providers in Cohort #2 (number two) do not need to start their preparation year unless they want to. Upon request, a childcare facility may be awarded a star-rated license based on accreditation from a national childhood education accreditation organization provided the facility maintains its accreditation and remains in good standing. •Use this time for staff to update their information in the WORKS database. For more information, please go to https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS. Have all staff update their education including certifications. Technical Assistance •Resource Center (SSRC) is funded by and in partnership with the Alliance for Children and is hosted by South Piedmont Community College. The SSRC offers a variety of materials to support children ages 0-5 in their learning and development. The SSRC is a lending library of more than 5,000 resources with a delivery service. If you are interested you can reach the SSRC via email at smartstartresourcecenter@gmail.com or by phone at 704-290-5894. •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. o 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. o 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. •All children’s forms are to be updated at least annually or as changes occur. This includes any forms kept for transporting children. •Today we discussed a plan for new hires on-going training hours, and how they are to be completed and documented. We also discussed existing staff on-going training hours and how these hours are to be maintained. •We reviewed emergency medication documentation and discussed ways to stay in compliance with expired diaper creams, and all emergency medications. •Staff’s medical information is to be kept separate from all other information in their file. •In space eleven (11), there was a rotation of toys but the quantity and variety was minimal. This is an area for improvement. Contacting The Alliance for Children or Child Care Resources, Inc would be beneficial for this room. When updating the EPR manual, please make sure you are updating contact information for all community resources and community emergency contacts as they change. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings and violations with you, I encouraged to ask any questions and you did not have any. If you have questions or need further assistance, please contact me at 704-594-0041 or via email at Traci.Meyer@dhhs.nc.gov. Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant Division of Child Development and Early Education 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: BIG BLUE MARBLE-WAXHAW Facility ID: 90000499 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 2/11/2025 Number Present: 62 Completed Date: 2/11/2025 Age: From 0 To 4 Total Minutes: 308 Time In: 08:52 AM Time Out: 02:00 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 for an unannounced annual compliance visit. Upon arrival I was greeted by Ms. B Tracy and I shared the reason for the visit. Ms. M. Hutchins accompanied me throughout the walk-through of the facility and the outdoor learning environments. Your program currently operates with a Four (4) Star Center License. The license was posted, with restrictions to meets enhanced ratios and enhanced space. Ownership: The facility owner is Big Blue Marble Academy LLC and is current and active on the Secretary of State’s website. If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. I used the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable childcare requirements pertinent to this facility and the Annual Compliance Monitoring Checklist for Child Care Centers. I monitored the following items today: supervision, staff/child ratio, staff, health, safety, and program records. All classrooms, the kitchen and three (3) outdoor learning environments. Program Records: We reviewed all the required records. Inspections: All inspections were monitored, and are listed below. •Fire drill was conducted on 1/15/25 •Emergency drill was conducted on 1/31/25 •Fire inspection was completed on 3/14/24 •Playground inspections are completed daily per Big Blue Marbles corporate policy. •Sanitation inspection was conducted on 12/13/24 and received a superior classification. •EPR manual was updated on 12/10/2024 and was completed •Incident logs and sheets were completed and up to date. Indoor Learning Environment: I observed children in the indoor learning environment and the following items were posted in the classrooms that were monitored: Daily schedules, activity plans, staff/child ratio worksheets, emergency numbers, emergency procedures, arrival/departure procedures, summary of law and menus. Children in the room that serves infants were participating in teacher led self-help activities such as breakfast and/or bottle feeding. Children in the rooms that serve toddler aged children were transitioning from their AM routine, to teacher led circle times and teacher led self-help activities. Children in the rooms that serve younger preschool aged children were participating in teacher led art activities. Children in the rooms that served older preschool age children were participating in child led center activities to including free choice block play, puzzles and art activities. Outdoor Learning Environment: The outdoor learning environments were monitored and the area that serves older preschool aged children did not have enough protective surface under the critical height structure and was not compliance. Two (2) other outdoor learning areas were observed and while they could benefit from more protective surface materials, they remain in compliance. Staff Records: The staff-training worksheet was completed prior to the visit. There were fourteen (14) new staff files to review today, and three (3) existing staff file. Please refer to the staff/training worksheet to review which files were monitored. Some technical assistance was provided to help with maintaining annual updates. Children’s Records: There are eighty-nine (89) children enrolled in this center. There were sixty-two (62) in attendance today. Ten (10) children’s files were reviewed today, please refer to the children’s worksheet to review which files was monitored. Technical assistance was provided with documents that maintains children’s information and changes at least annually or when changes occur. Medication: All emergency and other medications were reviewed today and one (1) was out of compliance. Nutrition: The facility was in compliance during today’s visit with Child Care Meal Patterns Requirements. The menu, preferences and allergy listing were posted and served for lunch was a whole grain cheese quesadilla, broccoli, pears and milk. Weapons: Your facility reported that they were in compliance during today’s visit with Child Care Requirements regarding firearms. Transportation: The facility reported the do provide transportation. The facility has three (3) mini-buses on site but only uses two (2). In both buses the registration and insurance was up to date and current. Both buses had all signage, and equipment needed for compliance. Five (5) violations were observed today and three (3) were corrected during the visit. The violations are as follows: Violation Number Comment Rule 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. In space number eleven (# 11) there was two (2) cans of aerosol spray cleaners, and one (1) tub of disinfectant wipes that were stored in an unlocked cabinet within reach of children. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space number two (2) there was one (1) expired diaper cream. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The facility did not complete monthly playground inspections. .0605(q) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The playground that serves older preschool aged children using equipment with a critical height of more than 5 feet, but less than 7 feet, did not have 6 inches of loose surfacing material. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space number seven (#7) a child's permission form to provide emergency medication was expired and did not have accurate information. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violations not corrected during the visit must be corrected immediately. On or before 2/24/25 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 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 may be completed. Mail or email the information to: Traci Meyer Carpenter Child Care Consultant PO Box 364 Matthews, NC 28105 or Traci.meyer@dhhs.nc.gov. 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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The program’s compliance history was seventy-seven (77%) percent prior to today’s visit. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Rated License: •Hold Harmless has been extended until the new QRIS is implemented (SB 425). Providers in Cohort #1 (number one) are not required to go any further with a rated license assessment unless they want to, and providers in Cohort #2 (number two) do not need to start their preparation year unless they want to. Upon request, a childcare facility may be awarded a star-rated license based on accreditation from a national childhood education accreditation organization provided the facility maintains its accreditation and remains in good standing. •Use this time for staff to update their information in the WORKS database. For more information, please go to https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS. Have all staff update their education including certifications. Technical Assistance •Resource Center (SSRC) is funded by and in partnership with the Alliance for Children and is hosted by South Piedmont Community College. The SSRC offers a variety of materials to support children ages 0-5 in their learning and development. The SSRC is a lending library of more than 5,000 resources with a delivery service. If you are interested you can reach the SSRC via email at smartstartresourcecenter@gmail.com or by phone at 704-290-5894. •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. o 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. o 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. •All children’s forms are to be updated at least annually or as changes occur. This includes any forms kept for transporting children. •Today we discussed a plan for new hires on-going training hours, and how they are to be completed and documented. We also discussed existing staff on-going training hours and how these hours are to be maintained. •We reviewed emergency medication documentation and discussed ways to stay in compliance with expired diaper creams, and all emergency medications. •Staff’s medical information is to be kept separate from all other information in their file. •In space eleven (11), there was a rotation of toys but the quantity and variety was minimal. This is an area for improvement. Contacting The Alliance for Children or Child Care Resources, Inc would be beneficial for this room. When updating the EPR manual, please make sure you are updating contact information for all community resources and community emergency contacts as they change. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings and violations with you, I encouraged to ask any questions and you did not have any. If you have questions or need further assistance, please contact me at 704-594-0041 or via email at Traci.Meyer@dhhs.nc.gov. Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant Division of Child Development and Early Education 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: BIG BLUE MARBLE-WAXHAW Facility ID: 90000499 Consultant: TRACI J. MEYER Operation Type: Center Case Number: 0924-378L Visit Date: 10/3/2024 Number Present: 29 Completed Date: 10/3/2024 Age: From 0 To 4 Total Minutes: 143 Time In: 07:30 AM Time Out: 09:53 AM 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. Upon arrival, I was greeted by Ms. M. Hutchins and I shared the complaint allegations giving you a chance to respond. Ebony Duncan, Licensing Supervisor assisted with today’s visit. There are concerns that 1.The air conditioner has not worked properly for the past three (3) to four (4) months. Classrooms are warmer than what is allowed. 2.Appropriate ratios ae not maintained during morning drop off. Regarding the air conditioning not working properly and temperature of the rooms being warmer than allowed. Ms. Hutchins explained the system they use to address the two (2) rooms that are having issues with the temperature. They children begin their day in their designated classrooms and after lunch or when the rooms become hotter than they would like, they are moved into a classroom across the hall that is not being used but is licensed. I interviewed the teachers in the rooms that are affected by the temperature and they stated that the rooms are much cooler and the administration has a working plan to keep the children and staff safe and within the required temperature. The rooms all have temperature gauges and the rooms were in compliance with the temperature max. The infant room was within the safe sleep temperature range and the teacher in the room stated that the temperature has been consistent for the last few months, and she does not feel it is too warm. She also has a temperature gauge in her room. Comments from Provider Regarding maintaining appropriate ratios during AM drop off. The new Administration has a plan in place to maintain ratios and supervision at all times. They are utilizing several methods to maintain supervision at all times. Ms. Hutchins reported they have monthly meetings with all the staff and their last monthly meeting topic was ratios and supervision. The facility was in ratio and proper supervision was being followed and utilized. I spoke with Ms. Hutchins about staff staggered entry and it is something they are doing to maintain ratios. Interview Findings: I interviewed three (3) additional staff and reported above about the temperature complaint. Regarding the second (2nd) complaint about ratios and supervision I interviewed three (3) additional staff and they are comfortable with the way the Administration has addressed the supervision issues during AM drop off. Findings: Based on interviews and observations the allegation that complaint regarding ratios and supervision is unsubstantiated. Based on interviews and observations the allegation that the complaint regarding temperature is unsubstantiated. There were twenty-nine (29) of children in attendance today. The children were observed participating in morning care routines, arrival, handwashing, and self-directed free choice activities. The toddler aged children were riding in the bye-bye buggy. Documents Review: I reviewed the Safe Sleep posting and the Safe Sleep Policy and reminded the facility stated that they maintain the temperature between 68-75°F in the room where infants sleep. There is no flexibility to child ratios and they must always be maintained. There must be enough staff present to meet the needs of the children and maintain staff/child ratios during operating hours. As a reminder, you must follow minimum ratio requirements which are: • 0 to 12 months = Ratios are 1:5 with a Max Group Size of 10 children • 12 to 24 months = Ratios are 1:6 with a Max Group Size of 12 children • 2 to 3 years = Ratios are 1:10 with a Max Group Size of 20 children • 3 to 4 years = Ratios are 1:15 with a Max Group Size of 25 children • 4 to 5 years = Ratios are 1:20 with a Max Group Size of 25 children • 5 years and older = Ratios are 1:25 with a Max Group Size of 25 children In addition, children of all ages may be cared for together in groups at the beginning and end of the operating day provided the staff/child ratio for the youngest child in the group is maintained. We reviewed the previous guidance shared at the last visit regarding ratios. •Review of policies and procedures on ratio and supervision requirements with all staff on a frequent basis. •Review with families and parents your ratio requirements. Two (2) violations were observed during today’s visit and both were corrected. 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. In the rooms that serve toddlers, three (3) year old's, and four (4) year old's there were multiple outlets that were not covered. 10A NCAC 09 .0604(c) 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. A large box fan was within the children's reach and was not covered with a mesh guard in the room that serves three (3) year old's. 10A NCAC 09 .0604(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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. •Regarding ratios, it was reported that since you’ve been employed at the facility, that ratios have been maintained. You shared that you were a stickler and that you have a process in place when staff need assistance with ratios. The Administration team is hands on with the ratios in the morning and both arrive before the bulk of the children do, to maintain proper supervision and ratios. Technical Assistance •I encouraged you, to enroll any new staff who have been employed at your facility for less than a year and any staff who you may have concerns with supervision, sanitation guidelines, and/or diaper changes to participate and compete the training series provided by CCRI: “New Employee Orientation”. The training series consists of three (3) courses called: - A+ Supervision - Keep it Clean - Positive Guidance •Also, www.ncrlap.org has great video and handout resources, I encouraged you to visit the site and the staff to also visit the site for any extra training. At the end of the visit, I offered a technical assistance visit due to the facility's compliance history. Exit Conference: At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings with you. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 704-549-0041 or via email at traci.meyer@dhhs.nc.gov Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant Division of Child Development and Early Education 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: BIG BLUE MARBLE-WAXHAW Facility ID: 90000499 Consultant: TRACI J. MEYER Operation Type: Center Case Number: 0924-378L Visit Date: 10/3/2024 Number Present: 29 Completed Date: 10/3/2024 Age: From 0 To 4 Total Minutes: 143 Time In: 07:30 AM Time Out: 09:53 AM 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. Upon arrival, I was greeted by Ms. M. Hutchins and I shared the complaint allegations giving you a chance to respond. Ebony Duncan, Licensing Supervisor assisted with today’s visit. There are concerns that 1.The air conditioner has not worked properly for the past three (3) to four (4) months. Classrooms are warmer than what is allowed. 2.Appropriate ratios ae not maintained during morning drop off. Regarding the air conditioning not working properly and temperature of the rooms being warmer than allowed. Ms. Hutchins explained the system they use to address the two (2) rooms that are having issues with the temperature. They children begin their day in their designated classrooms and after lunch or when the rooms become hotter than they would like, they are moved into a classroom across the hall that is not being used but is licensed. I interviewed the teachers in the rooms that are affected by the temperature and they stated that the rooms are much cooler and the administration has a working plan to keep the children and staff safe and within the required temperature. The rooms all have temperature gauges and the rooms were in compliance with the temperature max. The infant room was within the safe sleep temperature range and the teacher in the room stated that the temperature has been consistent for the last few months, and she does not feel it is too warm. She also has a temperature gauge in her room. Comments from Provider Regarding maintaining appropriate ratios during AM drop off. The new Administration has a plan in place to maintain ratios and supervision at all times. They are utilizing several methods to maintain supervision at all times. Ms. Hutchins reported they have monthly meetings with all the staff and their last monthly meeting topic was ratios and supervision. The facility was in ratio and proper supervision was being followed and utilized. I spoke with Ms. Hutchins about staff staggered entry and it is something they are doing to maintain ratios. Interview Findings: I interviewed three (3) additional staff and reported above about the temperature complaint. Regarding the second (2nd) complaint about ratios and supervision I interviewed three (3) additional staff and they are comfortable with the way the Administration has addressed the supervision issues during AM drop off. Findings: Based on interviews and observations the allegation that complaint regarding ratios and supervision is unsubstantiated. Based on interviews and observations the allegation that the complaint regarding temperature is unsubstantiated. There were twenty-nine (29) of children in attendance today. The children were observed participating in morning care routines, arrival, handwashing, and self-directed free choice activities. The toddler aged children were riding in the bye-bye buggy. Documents Review: I reviewed the Safe Sleep posting and the Safe Sleep Policy and reminded the facility stated that they maintain the temperature between 68-75°F in the room where infants sleep. There is no flexibility to child ratios and they must always be maintained. There must be enough staff present to meet the needs of the children and maintain staff/child ratios during operating hours. As a reminder, you must follow minimum ratio requirements which are: • 0 to 12 months = Ratios are 1:5 with a Max Group Size of 10 children • 12 to 24 months = Ratios are 1:6 with a Max Group Size of 12 children • 2 to 3 years = Ratios are 1:10 with a Max Group Size of 20 children • 3 to 4 years = Ratios are 1:15 with a Max Group Size of 25 children • 4 to 5 years = Ratios are 1:20 with a Max Group Size of 25 children • 5 years and older = Ratios are 1:25 with a Max Group Size of 25 children In addition, children of all ages may be cared for together in groups at the beginning and end of the operating day provided the staff/child ratio for the youngest child in the group is maintained. We reviewed the previous guidance shared at the last visit regarding ratios. •Review of policies and procedures on ratio and supervision requirements with all staff on a frequent basis. •Review with families and parents your ratio requirements. Two (2) violations were observed during today’s visit and both were corrected. 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. In the rooms that serve toddlers, three (3) year old's, and four (4) year old's there were multiple outlets that were not covered. 10A NCAC 09 .0604(c) 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. A large box fan was within the children's reach and was not covered with a mesh guard in the room that serves three (3) year old's. 10A NCAC 09 .0604(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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. •Regarding ratios, it was reported that since you’ve been employed at the facility, that ratios have been maintained. You shared that you were a stickler and that you have a process in place when staff need assistance with ratios. The Administration team is hands on with the ratios in the morning and both arrive before the bulk of the children do, to maintain proper supervision and ratios. Technical Assistance •I encouraged you, to enroll any new staff who have been employed at your facility for less than a year and any staff who you may have concerns with supervision, sanitation guidelines, and/or diaper changes to participate and compete the training series provided by CCRI: “New Employee Orientation”. The training series consists of three (3) courses called: - A+ Supervision - Keep it Clean - Positive Guidance •Also, www.ncrlap.org has great video and handout resources, I encouraged you to visit the site and the staff to also visit the site for any extra training. At the end of the visit, I offered a technical assistance visit due to the facility's compliance history. Exit Conference: At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings with you. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 704-549-0041 or via email at traci.meyer@dhhs.nc.gov Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant Division of Child Development and Early Education 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: BIG BLUE MARBLE-WAXHAW Facility ID: 90000499 Consultant: QUWANYA THOMPSON Operation Type: Center Case Number: 0824-387L Visit Date: 9/10/2024 Number Present: 44 Completed Date: 9/10/2024 Age: From 0 To 12 Total Minutes: 165 Time In: 01:00 PM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced Observations: The purpose of today’s unannounced visit was to obtain information regarding an alleged violation of child care requirements. There is a concern that a teacher uses inappropriate discipline and Children are not treated in a nurturing and caring manner. Upon arrival, I was greeted by a Ms, Val H.C., Co-director in the parking lot. I stated my name, position, and asked for Director. Ms. Val walked me into the building and lead me to several administrators who were at the front desk. I restated my name and purpose for the visit to Michelle H. director, and Katie C, District manager. I shared the complaint allegation and gave staff a chance to respond. It was discovered that the Lead director no longer is employed at the facility and the staff involved in the allegation was off today. Observations: There were forty-four (44) children in attendance today. The children were observed participating in nap/quiet time, diaper changes/toileting routines. I observed teachers providing adequate supervision, being attentive to the children’s needs. Later children were observed playing in activity centers. Interview findings: I interviewed all present administrators as the staff was off today. When asked about the incident the district manager stated that the teacher was suspended while the video footage was reviewed, and administrators spoke to staff and she admitted to the incident. I reviewed the facility’s discipline policy, staff file for signed policies, the employee corrective action report. A typed document that was provided discussing the incident: how it was reported to administrator, and conversations concerning the teacher’s response was reviewed. Video footage the incident could not be reviewed by the consultant as the storage time has expired. It was also stated that the video did not have sign. The facility has taken the following steps towards being in compliance with childcare requirements around discipline: - the teacher has reviewed and signed that they have reviewed and received the Staff Handbook, and the discipline policy. The teacher was suspended during their internal investigation, given training on appropriate discipline; and was paired with another teacher in order for her to observe appropriate discipline and interactions. Findings: Based on interviews and the facility documentation, the allegation that “There is a concern that a teacher used inappropriate discipline” is substantiated. Based on interviews and the facility documentation, the allegation that “There is a concern that Children are not treated in a nurturing and caring manner is deemed unsubstantiated. Violation Number Comment Rule 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. In the toddler aged class space three (3) to cots were touching. 15A NCAC 18A .2821(e) 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. On 7/11/24 staff was witness yelling at a child, when the administrators asked the teacher about the incident she admitted to yellling. .1803(a)(9) Comments: REQUIRED RESPONSE: You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Violations cited today may negatively affect this score. It is important for licensed providers to be knowledgeable of all the licensing requirements that apply to their type of program. Child care consultants can make unannounced visits at any time. It is the provider's responsibility to be in compliance with all the applicable laws and rules. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings with you, Ms. Michelle H. An unannounced visit will be conducted in the future. Technical Assistance: I shared a copy of the, “Healthy Social Behaviors Project” flyer with contact information. If you have any challenging behaviors in your facility and additional support for staff in need of training on appropriate behavior modification, feel free to contact them directly. This is a great resource for teachers to get classroom support. Child Care Resources has a series of “on-demand” trainings that can be taken virtually: - Zoning in on Behavior Prevention - Praise or Encouragement, what is the difference? - Making Happy Happen - Granting Children their Emotions In addition, they have the following trainings for September 2024: - Strategies to Support Children’s Social Emotional Behavior - An overview of the Pyramid Model - Preventing Challenging Behavior - Partnering with Parents to Address Challenging Behavior - Why are transitions so hard? Resources: Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, concerning this visit please contact me at, QuWanya Thompson Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 6682 Concord, NC 28027 QuWanya.Thompson@dhhs.nc.gov 704-785-0981 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 .0606 · Violation

Name of Operation: BIG BLUE MARBLE-WAXHAW Facility ID: 90000499 Consultant: KATHY WILLIS Operation Type: Center Case Number: 0724-084L Visit Date: 7/11/2024 Number Present: 72 Completed Date: 7/11/2024 Age: From 0 To 12 Total Minutes: 100 Time In: 11:20 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an investigation of a complaint, Case #: 0724-084L, of violation of child care rule and regulation. Traci Meyers Carpenter, Child Care Consultant, accompanied me on today’s visit. Allegations: There is a concern that room temperature is exceeding 85'F. During today’s visit I discussed the allegations with the Administrators. I asked about thermal environments and if they had any issues. The new administrator stated that she was aware of the issues with the thermal temperatures but that it didn’t go outside of the allowed range of 85 degrees. I asked what temperature it got to, and she said that highest she was aware of was 80 degrees. She then provided information around the Air Condition units on both sides of the building and the one on the side where the Infants are located was fixed first and the one on other side was fixed subsequently on another day. Interviews were conducted with various staff in all classrooms. Each staff person was questioned about the temperature and their reports were consistent, they reported hot temperatures but none over 80 degrees. The Staff in the classroom that served infants stated that they were unable to maintain the safe sleep temperatures of 68 to 75 degrees during the time that the unit was broken and that one day they left early but it was promptly fixed and since that point has not been an issue to maintain compliance. Classroom observation. Ms. Meyers Carpenter went into each classroom and monitored the thermal environment as well as Supervision, Staff Child Ratio, Adequate and Approved Space. No concerns were noted. Documents Review: I reviewed the Safe Sleep posting and documentation regarding work orders for repair of the system to ensure a more even temperature in the classrooms. I reviewed the facilities Safe Sleep Policy and the facility stated that they maintain the temperature between 68-75°F in the room where infants sleep. Today they were inside of this range but per report they were not during the malfunction of the air conditioner. Video: The facility does have live stream video, but due to the complaint being a thermal environment concern it was not monitored. The following items were monitored during today’s visit Supervision, Staff/Child Ratios, Adequate and Approved Space, Permit Restrictions, and safety. There were seventy-two (72) children counted as present with twenty-one (21) school age children on a field trip. The children were participating in floor play in classroom, lunch, rest time and diaper changing procedures and language activities. We reviewed the Environmental Health Requirements regarding Thermal Environment. In 15A NCAC 18A .2826 LIGHTING AND THERMAL ENVIRONMENT it states that “(b) All rooms used by children shall be heated, cooled, and ventilated to maintain a temperature between 65°F (19°C) and 85°F (30°C). Based on the observation, review of program records and interviews the allegations the temperature is exceeding 85'F was deemed not able to substantiated due to the fact that there was no evidence that provided proof that the temperature was higher than the reported 80 degrees. This temperature although warm still meets the Thermal Environment regulations. I reiterated that the Rules and Regulations from Environmental Health, Sanitation requirements, that the thermal requirement must be maintained between 65°F (19°C) and 85°F (30°C) for children ages 1-12 and 68°F -75°F in the room where infants sleep. The allegation was around the overall temperature and although the complaint was not substantiated in the investigation it was deemed that the safe sleep temperature was not maintained therefore a violation was cited. Two violations of childcare requirements were observed, and one was verified as corrected. Violation Number Comment Rule 871 Center staff did not comply with the safe sleep policy. For two weeks in June the facility was unable to maintain the safe sleep policies thermal environment temperature requirements. This was corrected on June 27, 2024, and has not been an issue since that day. 10A NCAC 09 .0606(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last safety drill, as described above, was conducted in December of 2023. Safety drills must be conducted every three months. .0604(u);.0302(d)(8) Please submit an email with the date and time the Safety Drill is conducted. This must be completed by July 24, 2024 and documentation must be submitted by this date. During the interview the new Administrator discussed that there had been some recent staff changes as she is attempting to set up a staff that will provide the highest level of care and quality and that these changes have been concerning to some staff and parents. She explained that changes are needed, as evidenced by the recent facilities lack of ability to maintain the child care rules and regulations. She shared that although she is distraught, Big Blue Marble has a plan to solidify the existing staff and move towards increasing the quality care and education. I recapped that Child Care facilities are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or stronger administrative action. Technical Assistance: During the monitoring of the space technical assistance was provided in increasing the quality of programming including room set up and materials as well as positive interactions. We suggested that the room serving infants. We suggested that the facility look at the NITTO training and Language for Learners at www.ncrlap.org having them access not only the video but also the supplemental resource for training and review. We suggested that in regard to materials in the toddler classroom that they review their materials and add more for quality. We suggested that you contact Cindy Owner with Alliance for Children to work with this classroom as from time to time they have funding for materials. Also, I provided an ITERS-R classroom material list. We also reviewed medication forms and the need for all information to be included if they use the Big Blue Marble form as well as DCDEE's medication permission form. We encouraged that there be a cover for the outside sand box and keep mindful of the mulch as it is begging to get low. In closing we reviewed the visit summary and asked if there were any questions and they responded that they did not. We encouraged them that if she has any questions or concerns to feel free to contact me at Kathy.Willis@dhhs.nc.gov or 704 594 0148. Kathy Twitty Willis, M.Ed. Child Care Consultant – Regulatory Services Section Division of Child Development and Early Education North Carolina Department of Health and Human Services PO Box 192 Mineral Springs, NC 28108 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: BIG BLUE MARBLE-WAXHAW Facility ID: 90000499 Consultant: KATHY WILLIS Operation Type: Center Case Number: 0724-084L Visit Date: 7/11/2024 Number Present: 72 Completed Date: 7/11/2024 Age: From 0 To 12 Total Minutes: 100 Time In: 11:20 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an investigation of a complaint, Case #: 0724-084L, of violation of child care rule and regulation. Traci Meyers Carpenter, Child Care Consultant, accompanied me on today’s visit. Allegations: There is a concern that room temperature is exceeding 85'F. During today’s visit I discussed the allegations with the Administrators. I asked about thermal environments and if they had any issues. The new administrator stated that she was aware of the issues with the thermal temperatures but that it didn’t go outside of the allowed range of 85 degrees. I asked what temperature it got to, and she said that highest she was aware of was 80 degrees. She then provided information around the Air Condition units on both sides of the building and the one on the side where the Infants are located was fixed first and the one on other side was fixed subsequently on another day. Interviews were conducted with various staff in all classrooms. Each staff person was questioned about the temperature and their reports were consistent, they reported hot temperatures but none over 80 degrees. The Staff in the classroom that served infants stated that they were unable to maintain the safe sleep temperatures of 68 to 75 degrees during the time that the unit was broken and that one day they left early but it was promptly fixed and since that point has not been an issue to maintain compliance. Classroom observation. Ms. Meyers Carpenter went into each classroom and monitored the thermal environment as well as Supervision, Staff Child Ratio, Adequate and Approved Space. No concerns were noted. Documents Review: I reviewed the Safe Sleep posting and documentation regarding work orders for repair of the system to ensure a more even temperature in the classrooms. I reviewed the facilities Safe Sleep Policy and the facility stated that they maintain the temperature between 68-75°F in the room where infants sleep. Today they were inside of this range but per report they were not during the malfunction of the air conditioner. Video: The facility does have live stream video, but due to the complaint being a thermal environment concern it was not monitored. The following items were monitored during today’s visit Supervision, Staff/Child Ratios, Adequate and Approved Space, Permit Restrictions, and safety. There were seventy-two (72) children counted as present with twenty-one (21) school age children on a field trip. The children were participating in floor play in classroom, lunch, rest time and diaper changing procedures and language activities. We reviewed the Environmental Health Requirements regarding Thermal Environment. In 15A NCAC 18A .2826 LIGHTING AND THERMAL ENVIRONMENT it states that “(b) All rooms used by children shall be heated, cooled, and ventilated to maintain a temperature between 65°F (19°C) and 85°F (30°C). Based on the observation, review of program records and interviews the allegations the temperature is exceeding 85'F was deemed not able to substantiated due to the fact that there was no evidence that provided proof that the temperature was higher than the reported 80 degrees. This temperature although warm still meets the Thermal Environment regulations. I reiterated that the Rules and Regulations from Environmental Health, Sanitation requirements, that the thermal requirement must be maintained between 65°F (19°C) and 85°F (30°C) for children ages 1-12 and 68°F -75°F in the room where infants sleep. The allegation was around the overall temperature and although the complaint was not substantiated in the investigation it was deemed that the safe sleep temperature was not maintained therefore a violation was cited. Two violations of childcare requirements were observed, and one was verified as corrected. Violation Number Comment Rule 871 Center staff did not comply with the safe sleep policy. For two weeks in June the facility was unable to maintain the safe sleep policies thermal environment temperature requirements. This was corrected on June 27, 2024, and has not been an issue since that day. 10A NCAC 09 .0606(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last safety drill, as described above, was conducted in December of 2023. Safety drills must be conducted every three months. .0604(u);.0302(d)(8) Please submit an email with the date and time the Safety Drill is conducted. This must be completed by July 24, 2024 and documentation must be submitted by this date. During the interview the new Administrator discussed that there had been some recent staff changes as she is attempting to set up a staff that will provide the highest level of care and quality and that these changes have been concerning to some staff and parents. She explained that changes are needed, as evidenced by the recent facilities lack of ability to maintain the child care rules and regulations. She shared that although she is distraught, Big Blue Marble has a plan to solidify the existing staff and move towards increasing the quality care and education. I recapped that Child Care facilities are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or stronger administrative action. Technical Assistance: During the monitoring of the space technical assistance was provided in increasing the quality of programming including room set up and materials as well as positive interactions. We suggested that the room serving infants. We suggested that the facility look at the NITTO training and Language for Learners at www.ncrlap.org having them access not only the video but also the supplemental resource for training and review. We suggested that in regard to materials in the toddler classroom that they review their materials and add more for quality. We suggested that you contact Cindy Owner with Alliance for Children to work with this classroom as from time to time they have funding for materials. Also, I provided an ITERS-R classroom material list. We also reviewed medication forms and the need for all information to be included if they use the Big Blue Marble form as well as DCDEE's medication permission form. We encouraged that there be a cover for the outside sand box and keep mindful of the mulch as it is begging to get low. In closing we reviewed the visit summary and asked if there were any questions and they responded that they did not. We encouraged them that if she has any questions or concerns to feel free to contact me at Kathy.Willis@dhhs.nc.gov or 704 594 0148. Kathy Twitty Willis, M.Ed. Child Care Consultant – Regulatory Services Section Division of Child Development and Early Education North Carolina Department of Health and Human Services PO Box 192 Mineral Springs, NC 28108 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: BIG BLUE MARBLE-WAXHAW Facility ID: 90000499 Consultant: KATHY WILLIS Operation Type: Center Case Number: 0524-338L Visit Date: 5/29/2024 Number Present: 80 Completed Date: 5/29/2024 Age: From 0 To 5 Total Minutes: 143 Time In: 10:07 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an investigation of a complaint, Case # 0524-338L of violations of child care rules and regulation. Allegation: There is a concern that a child was not adequately supervised. Self-report: On Thursday May 23, 2024 I was notified via a phone call from the Administrative Team, Ms. Walker, Ms. Jordan and Ms. Croutch, that there was an incident that occurred whereas there were three (3) groups of children outdoors children ages two years old and three years old. There was one (1) teacher for each group. The staff were maintaining ratio with eight (8) and nine (9) children in the groups with the youngest child being two years old and ten (10) children in the group with the youngest child being three years old. The night prior the Administrators reported via email one child DS, was left inside the classroom when a teacher entered the classroom from the playground with some children to retrieve water cups and water for the children, so that they could listen to an afternoon story outside. When the teacher walked back outside with the other children, little Donald remained in the classroom. The child was left inside for a period of about 20 minutes. We observed on the classroom video footage the child was not in distress while he played with toys, laid on the green sofa, and walked over to the door and peered out of the window. The child's mother was notified this evening of the incident. Staff Reports: Two of the three staff who were present on the playground were interviewed and each report was consistent with the report from administration and the occurrence observed on the video. Video of the Incident was observed, and it was determined that there were three classrooms on the playground at the same time although they did not exceed the capacity of the playground nor the child staff ratio the policy is that classrooms do not utilize the playground at the same time. The classroom schedules were observed and there was only one class that was scheduled to be on the playground at the time of the incident. The video showed three (3) teachers on the playground two (2) with eighteen (18) children with the youngest child being two-years old in the front area of the playground and one (1) teacher with seven (7) children with the youngest child being two-years old as two of her children joined the other group and one of the other groups children joined her group. It was observed that the group supervised by DT entered into the to obtain water and then exited the room at 3:41:20 leaving one child in the classroom. All three groups remained on the playground two together and one sperate and then DT took her children and returned back in. At this point it was observed that the two-staff members realized that there was one missing child, per their report during the interview, and although noticing it began to try to locate the child and observed movement in the classroom where at 3:56:13 observed the child in the classroom unattended and opened the door and he re-entered the playground. Both reported that Administration was notified immediately. The elapsed time the child was unsupervised in the classroom was 14 minutes and 53 seconds. Documents Reviewed: Supervision Policy reviewed, and it was observed that the policy has in place procedures that were not followed, Name to Face when entering or exiting a classroom, and threshold notification to Administration, which could have prevented this incident if they had been adhered to. The three staff were asked to complete a statement of what occurred. DT did not complete one. TT and JD written statements (attached). The following items were monitored during today’s visit Supervision, Staff/Child Ratios, Sanitation, Safe Environment and the Staff Qualifications as well as Adequate and Approved Space, Permit Restrictions. There were eighty (80) children, and seventeen (17) staff present during today’s observation. The children were participating in free play, outdoor gross motor activities, free play in center areas, table activities, art, tummy time and some infant feeding all intertwined with language activities. Based on the investigation the following was determined: Supervision was deemed substantiate as the staff left one child in the classroom unattended for 14 minutes and 53 seconds. Violation Number Comment Rule 303 Children were not adequately supervised at all times. One child, two-year-old, was left in a classroom for 14 minutes and 53 seconds while the other children in his class in the Outdoor Learning Environment. .1801(a)(1-5) All violations must be corrected immediately, and a letter or email of compliance must be submitted including the facility name, id number, date of visit, date of submission and item listing number, how the violation was corrected and how it will be prevented in the future and emailed to me no later than June 12, 2024. I recapped that Child Care facilities are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Your compliance history prior to today’s visit was 74% and post today’s visit was 73%. Failure to do so may result in the issuance of a provisional license or other administrative action. A return visit will happened in the near future. Please submit a statement with details of how you plan to prevent reoccurrence of lack of supervision and potential safety risk for the children in care. I reminded the Administrative Staff that this is the third (3rd) time that this facility has left children alone without supervision. Once where a child walked outside into the road, handled by DCDEE Investigative Team, once where a child was left of the playground for over seven minutes unattended, and now where a child was left in the classroom over more than fifteen minutes while the teacher was outside with the other seven (7) children. We reviewed that the facility has a Supervision policy that includes the requirement of name to face supervision policy as well as notification to administrators whenever the children cross the threshold of the door indoors and/or outdoors and that this policy was not followed. I asked when they had reviewed this policy and it was reported that there was a recent review of the policy in a staff meeting on Wednesday 05/15/2024. The facility was issued a Special Provisional License from 10/13/23 through 04/16/24. Based on the current compliance score and additional two supervision violations where children were left unattended an Administrative Action will be recommended. Until that time visits will be conducted every four to six weeks to provide additional supports to the facility in an effort to assist them with supports to maintain compliance with Child Care Rules and Regulations. Technical Assistance was provided regarding having staff sign off on policies and procedures with an emphasis on the recent items reportedly that staffing are not maintaining consistency with. In closing we reviewed the visit summary with the Administrative staff and asked if they had any questions and she stated that at this time she did not. I encouraged her that if she has any questions or concerns to feel free to contact me at Kathy.Willis@dhhs.nc.gov or 704 594 0148. Kathy Twitty Willis, M.Ed. Child Care Consultant Division of Child Development and Early Education North Carolina Department of Health and Human Services PO Box 192 Mineral Springs, NC 28108 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 .0901 · Violation

Name of Operation: BIG BLUE MARBLE-WAXHAW Facility ID: 90000499 Consultant: KATHY WILLIS Operation Type: Center Case Number: 0324-120L Visit Date: 3/27/2024 Number Present: 74 Completed Date: 3/27/2024 Age: From 0 To 5 Total Minutes: 135 Time In: 11:00 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an investigation of a complaint, Case # 0324-120L of violations of child care rules and regulation. The initial investigation/visit was conducted on March 13, 2024, concerns regarding supervision and staff child ratios. Both allegations were deemed substantiated. Upon arrival I explained the reason for my visit and Ms. Walker assisted me with today’s visit. The following items were monitored during today’s visit Supervision, Staff/Child Ratios, Adequate and Approved Space, Permit Restrictions, and developmentally appropriate activities. The items on the Facility Summary report that were violations were monitored as well. Two violations were cited as they were observed during today's visit: Cots being less than 18 inches apart in Space 11 serving older two-year-old children were being served. During the observation this was corrected, and all mats were placed at least 18 inches apart. Nutrition was discussed as well with the Cook and Ms. Walker. The cook explained that she had not been changing the menu when they did not have an item on the premade Big Blue Marble menus. I explained that she had to change the menu on all posted menus prior to reflect the actual food served. She stated that she would make changes anytime on the menu had to be changed. The week of the assessment the snack menu was corrected for their records. This violation was marked corrected once this was completed. Today the children were playing in the indoor environment playing in their center areas with manipulatives, blocks, creative dramatics, music, art, and language skills. The infants were participating in tummy time, feeding, and diaper changing routines. The correction letter for the complaint visit was received on March 21, 2024. No violations were observed during today’s monitoring visit. 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. During the assessment the snack served was not what was listed on the menu. The correction to the menu was completed during today's visit. 10A NCAC 09 .0901(b) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. During the facilities Environmental Rating Scale assessment as well as during today's visit the mats in the classrooms serving children 2-5 years old were not 18 inches apart. This was corrected during today's visit. .0605(j) Technical Assistance: We discussed that quality supervision ensures the safety of all children and supports early learning. I stressed that providing appropriate supervision for the children in care is an essential part of a child care practitioner’s job. In our review we identify the four critical points of supervision: See, Hear, Direct, and Access I suggested that the staff review the following videos: ~ Count your Kids: https://www.youtube.com/watch?v=_3Yhc9JT88s ~ Teamwork: https://www.youtube.com/watch?v=-Ahm-PPzsCw I reiterated that important role providers play in safety and supervision. We identify changes needed to assure all children are accounted for at all times including that 1. Staff must always be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children and render immediate assistance. 2. Staff must interact with the children while moving about the indoor or outdoor area. 3. Staff must know where each child is located and be aware of children’s activities at all times. 4. Staff must provide supervision appropriate to the individual age, needs, and capabilities of each child. I reminded Ms. Walker that it is imperative that one sets up the environment to prevent children from being able to hide, position staff so that children can be seen at all times, scan the room and conduct a name to face count at each transition, listen, and anticipate children’s behavior so that the staff can engage and redirect. The following resource can provide for more education on this topic: 1.Resources to Learn More Caring for Our Children: National Health and Safety Performance Standards: Guidelines for Early Care and Education Programs, 3rd Edition http://cfoc.nrckids.org/StandardView/2.2.0.1 Standard 2.2.0.1: 2.Methods of Supervision of Children. Caring for Our Children Basics: Health and Safety Foundations for Early Care and Education http://www.acf. hhs.gov/sites/default/files/ecd/caring_for_our_children_basics.pdf Standard 2.2.0.1 3.Methods of Supervision of Children. National Center on Early Childhood Health and Wellness: Keep Children Safe Using Active Supervision https:// eclkc.ohs.acf.hhs.gov/hslc/tta-system/health/safety-injury-prevention/safe-healthy-environments/activesupervision.html 4.Northern Health: “Supervision of Children” (2011) http://www.northernhealth.ca/Portals/0/Your_Health/ Programs/Community%20Care%20Licensing/Supervision%20of%20Children%2010-410-6024.pdf 5.National Association for the Education of Young Children: Program Administrator Guide to Evaluating Child Supervision Practices (2016) http://www.naeyc.org/academy/files/academy/Supervision%20Resource_0.pdf 6.Tanah Merah Child Care Centre (Australia): Supervision Policy (2011) http://www.tanahmerahchildcare.com. au/uploads/supervision_policy.pdf Ms. Walker showed me the changes that she was implementing in the programming which included the following amendment to the supervision policy: Educators will use a movement form where they will document each child by name, who is reporting outdoors. Once the children have been added to the movement form, the time and teacher’s initials will be documented on the form. Educators will use their walkie-talkies to communicate with management so that a member of management (or an approved staff member) can either approve or disapprove their exiting from the classroom and return from outside to inside the classroom. It is ultimately the responsibility of each educator to ensure that they have working walkie-talkies prior to working with children as well as returning the device to their charging stations post working with children. Management will monitor the exiting and reentering strategies of all classrooms by following individual outside schedules. (Times for each classroom’s outdoor time is attached to this document). Specifically, educators will line children up both before exiting the facility for outdoor learning and prior to reentering the facility. The educator will then perform a Name to face as they list each child’s name prior to exiting the facility. Once complete, the children and teacher(s) will report outdoors, and the same process will occur prior to reentering the facility. and must perform a Name to Face, calling each child by name as they respond when their name is called, it will be denoted on the outdoor movement log. The door the classroom shall remain closed at all times until the face to name document has been completed. Finally, educators will actively move about the play area, ensuring that children are in close proximity. Best practices for outdoor learning include educators interacting with children while maintaining visual eye contact on the entire group. During the 30-minute time period that the educators are outside, they will work diligently to ensure that they are both name calling and counting every 10 minutes. This will not be documented but will help ensure that there is accountability for each child while playing on the playground. Placement of educators while on the playground: When one educator is on the playground, they shall be situated so that they can see all the children on both sides of the playground. Organized activities may help with supervising when only one educator is on the playground. When two educators are on the playground, they will situate themselves so that each educator is on opposite sides of the playground. These actions we believe will make supervision more comprehensive. Ms. Walker also shared that Staffing leaving children out of staff/child ratio. Per Administrators report the staff that was observed leaving her classroom outside with another classroom and going inside the building twice was terminated. She also stated that staff have been trained on the new policy/procedure and they have signed a statement stating that they received the training and a copy of the updated policy. I explained to Ms. Walker that due to this substantiation of lack of supervision and staff/child ratio violations an Administrative Action may be recommended post the Special Provisional in order to provide ongoing supports and ensure that incidents like this do not occur again. I stressed to Ms. Walker the importance of ensuring compliance with the Supervision requirements at all times and providing on going trainings as support. In closing I reviewed the visit summary with Ms. Walker, and asked if she had any questions and she stated that at this time she did not. I encouraged her that if she has any questions or concerns to feel free to contact me at Kathy.Willis@dhhs.nc.gov or (704) 594-0148 Kathy Twitty Willis, M.Ed. Child Care Consultant Division of Child Development and Early Education North Carolina Department of Health and Human Services PO Box 192 Mineral Springs, NC 28108 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 .0901 · Violation

Name of Operation: BIG BLUE MARBLE-WAXHAW Facility ID: 90000499 Consultant: KATHY WILLIS Operation Type: Center Case Number: 0324-120L Visit Date: 3/27/2024 Number Present: 74 Completed Date: 3/27/2024 Age: From 0 To 5 Total Minutes: 135 Time In: 11:00 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an investigation of a complaint, Case # 0324-120L of violations of child care rules and regulation. The initial investigation/visit was conducted on March 13, 2024, concerns regarding supervision and staff child ratios. Both allegations were deemed substantiated. Upon arrival I explained the reason for my visit and Ms. Walker assisted me with today’s visit. The following items were monitored during today’s visit Supervision, Staff/Child Ratios, Adequate and Approved Space, Permit Restrictions, and developmentally appropriate activities. The items on the Facility Summary report that were violations were monitored as well. Two violations were cited as they were observed during today's visit: Cots being less than 18 inches apart in Space 11 serving older two-year-old children were being served. During the observation this was corrected, and all mats were placed at least 18 inches apart. Nutrition was discussed as well with the Cook and Ms. Walker. The cook explained that she had not been changing the menu when they did not have an item on the premade Big Blue Marble menus. I explained that she had to change the menu on all posted menus prior to reflect the actual food served. She stated that she would make changes anytime on the menu had to be changed. The week of the assessment the snack menu was corrected for their records. This violation was marked corrected once this was completed. Today the children were playing in the indoor environment playing in their center areas with manipulatives, blocks, creative dramatics, music, art, and language skills. The infants were participating in tummy time, feeding, and diaper changing routines. The correction letter for the complaint visit was received on March 21, 2024. No violations were observed during today’s monitoring visit. 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. During the assessment the snack served was not what was listed on the menu. The correction to the menu was completed during today's visit. 10A NCAC 09 .0901(b) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. During the facilities Environmental Rating Scale assessment as well as during today's visit the mats in the classrooms serving children 2-5 years old were not 18 inches apart. This was corrected during today's visit. .0605(j) Technical Assistance: We discussed that quality supervision ensures the safety of all children and supports early learning. I stressed that providing appropriate supervision for the children in care is an essential part of a child care practitioner’s job. In our review we identify the four critical points of supervision: See, Hear, Direct, and Access I suggested that the staff review the following videos: ~ Count your Kids: https://www.youtube.com/watch?v=_3Yhc9JT88s ~ Teamwork: https://www.youtube.com/watch?v=-Ahm-PPzsCw I reiterated that important role providers play in safety and supervision. We identify changes needed to assure all children are accounted for at all times including that 1. Staff must always be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children and render immediate assistance. 2. Staff must interact with the children while moving about the indoor or outdoor area. 3. Staff must know where each child is located and be aware of children’s activities at all times. 4. Staff must provide supervision appropriate to the individual age, needs, and capabilities of each child. I reminded Ms. Walker that it is imperative that one sets up the environment to prevent children from being able to hide, position staff so that children can be seen at all times, scan the room and conduct a name to face count at each transition, listen, and anticipate children’s behavior so that the staff can engage and redirect. The following resource can provide for more education on this topic: 1.Resources to Learn More Caring for Our Children: National Health and Safety Performance Standards: Guidelines for Early Care and Education Programs, 3rd Edition http://cfoc.nrckids.org/StandardView/2.2.0.1 Standard 2.2.0.1: 2.Methods of Supervision of Children. Caring for Our Children Basics: Health and Safety Foundations for Early Care and Education http://www.acf. hhs.gov/sites/default/files/ecd/caring_for_our_children_basics.pdf Standard 2.2.0.1 3.Methods of Supervision of Children. National Center on Early Childhood Health and Wellness: Keep Children Safe Using Active Supervision https:// eclkc.ohs.acf.hhs.gov/hslc/tta-system/health/safety-injury-prevention/safe-healthy-environments/activesupervision.html 4.Northern Health: “Supervision of Children” (2011) http://www.northernhealth.ca/Portals/0/Your_Health/ Programs/Community%20Care%20Licensing/Supervision%20of%20Children%2010-410-6024.pdf 5.National Association for the Education of Young Children: Program Administrator Guide to Evaluating Child Supervision Practices (2016) http://www.naeyc.org/academy/files/academy/Supervision%20Resource_0.pdf 6.Tanah Merah Child Care Centre (Australia): Supervision Policy (2011) http://www.tanahmerahchildcare.com. au/uploads/supervision_policy.pdf Ms. Walker showed me the changes that she was implementing in the programming which included the following amendment to the supervision policy: Educators will use a movement form where they will document each child by name, who is reporting outdoors. Once the children have been added to the movement form, the time and teacher’s initials will be documented on the form. Educators will use their walkie-talkies to communicate with management so that a member of management (or an approved staff member) can either approve or disapprove their exiting from the classroom and return from outside to inside the classroom. It is ultimately the responsibility of each educator to ensure that they have working walkie-talkies prior to working with children as well as returning the device to their charging stations post working with children. Management will monitor the exiting and reentering strategies of all classrooms by following individual outside schedules. (Times for each classroom’s outdoor time is attached to this document). Specifically, educators will line children up both before exiting the facility for outdoor learning and prior to reentering the facility. The educator will then perform a Name to face as they list each child’s name prior to exiting the facility. Once complete, the children and teacher(s) will report outdoors, and the same process will occur prior to reentering the facility. and must perform a Name to Face, calling each child by name as they respond when their name is called, it will be denoted on the outdoor movement log. The door the classroom shall remain closed at all times until the face to name document has been completed. Finally, educators will actively move about the play area, ensuring that children are in close proximity. Best practices for outdoor learning include educators interacting with children while maintaining visual eye contact on the entire group. During the 30-minute time period that the educators are outside, they will work diligently to ensure that they are both name calling and counting every 10 minutes. This will not be documented but will help ensure that there is accountability for each child while playing on the playground. Placement of educators while on the playground: When one educator is on the playground, they shall be situated so that they can see all the children on both sides of the playground. Organized activities may help with supervising when only one educator is on the playground. When two educators are on the playground, they will situate themselves so that each educator is on opposite sides of the playground. These actions we believe will make supervision more comprehensive. Ms. Walker also shared that Staffing leaving children out of staff/child ratio. Per Administrators report the staff that was observed leaving her classroom outside with another classroom and going inside the building twice was terminated. She also stated that staff have been trained on the new policy/procedure and they have signed a statement stating that they received the training and a copy of the updated policy. I explained to Ms. Walker that due to this substantiation of lack of supervision and staff/child ratio violations an Administrative Action may be recommended post the Special Provisional in order to provide ongoing supports and ensure that incidents like this do not occur again. I stressed to Ms. Walker the importance of ensuring compliance with the Supervision requirements at all times and providing on going trainings as support. In closing I reviewed the visit summary with Ms. Walker, and asked if she had any questions and she stated that at this time she did not. I encouraged her that if she has any questions or concerns to feel free to contact me at Kathy.Willis@dhhs.nc.gov or (704) 594-0148 Kathy Twitty Willis, M.Ed. Child Care Consultant Division of Child Development and Early Education North Carolina Department of Health and Human Services PO Box 192 Mineral Springs, NC 28108 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 .2818 · Violation

Name of Operation: BIG BLUE MARBLE-WAXHAW Facility ID: 90000499 Consultant: KATHY WILLIS Operation Type: Center Case Number: 0324-120L Visit Date: 3/13/2024 Number Present: 74 Completed Date: 3/13/2024 Age: From 0 To 5 Total Minutes: 210 Time In: 11:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an investigation of a complaint, Case # 0324-120L of violations of child care rules and regulation. Upon arrival all administrative staff assisted me with today's visit: Ms. Walker, Ms. Jordan and Ms. Tracy. There are concerns that: 1.) Children were not adequately supervised. Two children were left unsupervised on the playground. 2.) There are too many children in the classrooms Observations: The children were resting during the observation. There were 74 children present and 10 teaching staff present with three administrative staff and one support staff. All Staff /Child Ratios and Supervision was observed to be in compliance during today’s visit. Interviews: The Administrator was interviewed. She was very forthcoming regarding what occurred. I explained that in the future it would be best practice if she self-reported. She stated that on Thursday after 5 pm two children were left on the playground by the teachers. She also stated that she had spoken with all three teachers involved. She stated that the staff did not conduct a name to face check when the children lined up. She reported that there was a corrective reprimand and the staff were retrained on the proper procedure. Two of the staff members who were on the playground during this time frame and the staff member that observed the children on the playground unattended were interviewed. One staff member who was also on the playground only works on Thursday and Friday’s therefore no interview was conducted with her today. The staff member who was the Lead Teacher for the classroom serving two-year-old children stated that she did leave her children on the playground while changing a diaper which left the existing teachers out of staff/child ratio. She also stated that after her class had returned to the class she observed two children outside without their teachers at her window. She stated that she opened the door and had the children enter her room and then called for someone to take the children back to their classroom. The staff member who was the Assistant Teacher for the classroom serving three-year-old children says she is having trouble remembering what occurred the day of the incident but that she thought she had all of her children when she left the playground but she did not and realized she left two children on the playground unattended. She stated that she was very distressed over this mistake. I asked her did she do a name to face head count and she stated that she did not. Records Review: Name to Face logs were reviewed. There were many missing columns on these reports. The staff had been completing these documents but with the two year old room log there had not the time out for a multitude of children. Do note that the Pro Care online system that the program uses has both arrival and departure times and this was observed. It was also observed that there was not named to face log for transition to and from the playground. Technical Assistance was provided regarding making a playground name to face log. Upon review of the current supervision policy it was observed that there are steps for the following: 1. Upon entry into any classrooms, the caregiver will walk in and locate the classroom face to name form. They will sign in on the face to name form in the required slot for teachers. 2. Opening teachers will add children to the classroom list in which the child belongs. 3. When children are transitioned to their own classrooms with their teachers, the entering teacher will receive their face to name form with the children listed for their classroom. 4. Teachers will monitor the children in each classroom by keeping their face to name forms updated every 30 minutes until each child departs. 5. Afternoon closing procedures are the exact opposite of the opening procedures, with the final teacher returning face to name forms from each classroom on the front office desk basket. There were no steps or procedures observed for the transition to and from the playground area. Technical Assistance was given in adding additional procedures around transitioning to and from the playground area. Video Review: In the current supervision policy, it states that the usage of CCTV Live Feeds will also serve as a training tool for supervisory staff to provide examples as well as to ensure that supervision in each classroom is being practiced in the most efficient manner. It was reported by the Administrator that the live feed was watched and indeed the two (2) three-year-old children, one male, one female, were left on the playground for about two (2) minutes. I asked to see the feed, but it was reported that the Corporate Office doesn’t allow the feed to be shown without prior authorization. I asked the Administrator to check and see how long the children were on the playground unsupervised. She called the Corporate Office to see if they would allow her to share that information or allow me to view the video. June Boardman from the Corporate Office approved my observation of the video. I observed the video from 4:30:01 to 5:14:06. The following observations were made: One staff, BB, left the playground leaving two staff and both classrooms of children for 8 minutes. Per teacher report and documentation of children present there were 9 two-year-old children and 13 three-year-old children on the playground. This is a violation of Staff Child Ratio. One staff, BB, left the playground leaving two staff and both classrooms of children for 6 minutes. Per teacher report and documentation of children present there were 8 two-year-old children and 12 three-year-old children on the playground. Two children, male and female-ages three years old, were left on the playground unattended by themselves for 6 minutes and 53 seconds, until they alerted another teacher by standing at their window that they were outside alone. In the observation it did not appear from the observation that the children were upset as they were sitting or walking together. Also observed was two of the staff sitting on the playground or leaning on the wall of the building and not actively moving about. There was one child who was at the end of the playground for an elongated timeframe and the staff did not have any interaction with him. Recommendations were made for transitions to and from the playground, actively moving about, and scheduled time for each class on the playground to be added to the policy and the revisions be sent to Leigh Broome, Investigative Consultant, for her approved. Based on the observation, interviews, record review and video review the allegation lack of supervision and not meeting staff/child ratios was deemed substantiated. Both supervision and staff/child ratio violations were cited. Violation Number Comment Rule 303 Children were not adequately supervised at all times. On March 7, 2024 two children, male and female-ages two years old) were left unattended and alone on the playground for six minutes and fifty-three seconds: staff had reentered the building and was unaware that they were missing. .1801(a)(1-5) 1756 Enhanced staff/child ratios and group sizes were not met. On March 7, 2024, up to twelve (12) three-year-old children and nine (9) two-year-old children, totaling twenty-one children were on the playground with two staff members. The facility adheres to enhanced ratios therefore the maximum number of children allowed in the group size supervised by two staff is no more than eighteen (18) children. 10A NCAC 09 .2818 A return visit will be made in the near future to monitor for supervision and staff/child ratio. Please send notification of any changes that you are making to ensure that both supervision and staff/child ratio will stay in compliance at all times. This documentation must be submitted to me no later than March 27, 2024. Please include your facilities name, Facility ID, date of visit, date of letter, violation cited, how it was corrected, and how you will prevent it in the future. We also discussed that although the Administration and staff were forthcoming today during our visit it would have been more pro-active to have self-reported this incident. Since your program is currently operating with a Special Provisional today’s visit will be submitted for review. This substantiating may impact your current Administrative Action and further action may be taken. If you have any questions of concerns feel free to reach out to me either at (704) 594-0148 or kathy.willis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0701 · Violation

Name of Operation: BIG BLUE MARBLE-WAXHAW Facility ID: 90000499 Consultant: KATHY WILLIS Operation Type: Center Case Number: Visit Date: 2/13/2024 Number Present: 72 Completed Date: 2/15/2024 Age: From 0 To 5 Total Minutes: 360 Time In: 09:00 AM Time Out: 03:00 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 Annual Compliance visit was to monitor for compliance with applicable childcare requirements. Upon arrival the Administrator, Natonya Walker and the Assistant Director Brittney Jordan assisted me during today’s visit. We used the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable childcare requirements pertinent to this facility and the Annual Compliance Monitoring Checklist for Child Care Centers. Ownership: The facility owner Big Blue Marble Academy, LLC and is active and current in the Secretary of States database since 12/20/2018. If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. Inspections: Sanitation and Fire inspections were current and are attached to today’s visit summary. Indoor Learning Environment: All classrooms were active and were monitored during today’s visit. The children were participating in group time, free play, teacher directed activities, center time including language, science, math, creative dramatics, blocks, art and manipulative and bathroom procedures. The classrooms were set up developmentally appropriately and we discussed increasing each of the literacy centers, in the classrooms for children over 30 months old, to include a wider variety of materials. For the classrooms for children under 30 months we discussed age-appropriate materials and when the transition from a classroom set up with ITERS requirements vs ECERS requirements would be applicable. We reviewed the difference between minimal standards and enhanced quality. Although the facility met minimal standards in regard to materials in order to meet the higher indicators of quality additional materials are needed. These materials reportedly were on site but where in a room in boxes and had not been put into the classrooms. I shared my concerns regarding the materials not being out yet and reminded Ms. Walker that the children need time to play with the materials prior to the assessment and that once the assessment is completed the materials will need to be maintained. While observing in the classrooms there was one child who was having difficulties with his self-control. Although he had services that were designed for him it was apparent that the staff’s frustration with his behavior and reported disruption of the classroom was causing great concern. There was concern that the child could benefit from a smaller setting with staff that had more specific training to meet his individual needs. We discussed services available including Union County Public School and a Developmental Child Care Center. Both of these programs provide Person-Center care specific to the child’s individual needs with lower child staff ratios and a highly educated staff to serve children with exceptionalities. In the meantime suggestions were made to assist the staff in meeting the needs of this child including handouts on the following: Behavioral Charts focusing on the positive, Heavy Work for children with Sensory Concerns, Ways to create a classroom that embraces success, Strategies and Accommodations that can be Beneficial in the Classroom, Teaching Children to Self-Manage their Behavior, and using Weighted Materials, Outdoor Learning Environment: The spaces were monitored in the different outdoor learning environments/areas. I reminded Ms. Walker that all climbing materials must have appropriate surfacing and fall zones and that best practice is that there is two different types of surfacing and portable active play materials (balls, hula hoops…) as well as materials for other types of play such as dramatic play (hats, tools…), blocks, fine motor (sensory tables), music and movement and art supplies (easel…). I shared that the staff needs to ensure that they are taking the children out daily and that if they are unable to take the children outside due to inclement weather (active precipitation) that they must provide activities for the children that allow them to use multiple gross motor skills and materials. Program Records: I observed the Summary of the Child Care Law poster, Monthly Fire Drill Log & Quarterly Shelter-in-place/Lock down drill Log, Safe Pick-up, and Delivery Procedures that are the same as what is in the School facilities handbook, Emergency Medical Care Plan, Emergency Phone Numbers , Weekly menu for meals and snacks posted where it can be seen by parents and food preparation staff, Tobacco Free Environment/Campus restriction poster/sticker posted at main entrance and the Fire Inspection form and the Safety drills. All documents were observed to be complying during today’s visit. Staff Records: Although I had asked that the staff and training worksheets be completed prior to my visit these had not yet been completed therefore I will return tomorrow to complete the review of the staff files. I will be reviewing 10% of existing staff and all new staff at the follow up visit. Children’s Records: Records were discussed and based on enrollment 12 children’s files will be reviewed at the follow up visit tomorrow. I will be monitoring 12 random children’s files at the follow up visit. Transportation was not reviewed during today’s visit. I shared that at the follow up visit the transportation requirements would be reviewed including: Safe Pick-up and Delivery Statement, Child Safety Restraints and Seat Belts, Vehicle Safety Inspection and Liability Insurance, First Aid Kit in Vehicle, Emergency Information on Children including identifying information, Staff/Child Ratios Maintained During Transportation, and the Transportation binder. Emergency Preparedness Response Plan and the Ready to Go Binder was reviewed and although at a prior visit we had discussed the need to update this plan annually this had not been completed. The binder also didn’t have needed emergency documents. I will be reviewing the revised plan and the Ready to Go binder at the follow up visit. Nutrition: The facility was complying during today’s visit with Child Care Meal Patterns Requirements. The menu was reviewed, and it met the meal pattern requirements. The kitchen was well organized, and the dietitian was providing a good variety of meals on her menu. Weapons: Your facility reported that they were complying during today’s visit with Child Care Requirements regarding firearms. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Although Activity Plans were posted there was no date on two of the eleven activity plans, I reviewed. GS 110-91(12); .0508(a) 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. Under the desk in the Administrator's office there were cleansers, detergents, and air fresheners some of which were in aerosol cans. Although this room is locked when it is not being occupied, these items were not stored in locked storage when it was occupied, and the door was left open. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Upon review of the Staff and Training worksheet and staff files it was observed that one staff (see staff and training worksheet) did not have the require medical report on file prior to employment. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Upon review of the Staff and Training worksheet and staff files it was observed that one staff (see staff and training worksheet) did not provide results indicating that they were free of active TB and/or TB test or screening prior to the first day of work. .0701(a) 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. Upon review of the Staff and Training worksheet and staff files it was observed that two staff (see staff and training worksheet) did not have the require certification in First Aid in the required time frame. .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. Upon review of the Staff and Training worksheet and staff files it was observed that two staff (see staff and training worksheet) did not have the require certification in CPR in the required time frame. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Upon review of the Staff and Training worksheet and staff files it was observed that multiple staff (see staff and training worksheet) did not receive the required on-going training, nor was it fully documented. .1103(a) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. There was no plan on site, although there were some emergency books there was no plan, for staff person to know the location. The Ready to Go File had some information but did not have the required information as many of the children's records were not complete or included. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The information on the plan had changed due to a change in Administrator and Child Care Consultant. This had not been updated nor had the staff reviewed a current EPR plan as the last plan was dated October 11, 2022, and although it was on the Emergency Services online database it was not available for review at the facility or in the Ready to Go File/Binder. .0607(e) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. The new Administrator that has been employed since October 27, 2023 doesn't have the required training nor has she updated the EPR plan with current information. .0607(b) 1898 Staff did not complete the health and safety training within one year of employment. Upon review of the Staff and Training worksheet and staff files it was observed that one staff (see staff and training worksheet) did not have the require health and safety training within one year of employment. .1102(a) 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. Upon review of the Staff and Training worksheet and staff files it was observed that multiple staff (see staff and training worksheet) did not have the require health and safety training completed. .1103(b) Today the violations, that were not corrected during the visit, must be corrected immediately. You must submit a correction email or letter to me no later than February 21, 2022. Please note in this documentation you will need to provide specifics the “what, when, and where” of the corrective actions you have taken and how you will prevent reoccurrence. In the correction documentation (email or letter) please include the facility name, id number, date of the visit, date of the corrections and your signature (electronic is acceptable). Keep mindful that violations must be corrected immediately, and it is best practice to submit the correction letter as soon as possible. Waiting until the above noted date could result in the scheduling of a return visit to verify that the violations have been corrected. Compliance History: North Carolina General Statute 110-90(4)(d) requires all childcare facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Extensive time was spent reviewing the Rated License, Program Standards and Education Standards. We discussed since the facility is coming off of their special provisional on April 16, 2024, todays visit was a full rated license assessment as well as the Environmental Rating Scale would be ordered if the facility wished to have one. It was determined that they did wish to request, and the order was placed during the visit. We completed the Rated License paperwork including, application, ERS request, quality point form, staff education worksheets. We reviewed the WORKS database and determined the staff who needed to complete or update their WORKS account. A list was left with the Administrator of all staff who needed to complete this step. We also evaluated what it would take to increase the facilities staff education in order to achieve a higher point value. The ITERS-R was discussed, and we reviewed the need for additional materials in each room, an increase in language as teachers need to be aware of the constant opportunities to build the language and cognitive skills of infants and toddlers. I shared that NCRLAP states that young children are absorbing so much information, and it is up to adults to provide language to build children’s vocabularies and model pleasant social conversation. Keep mindful that these interactions can take place during play activities and daily events, which serve to provide a context that is familiar and engaging to children. ECERS-R we discussed the need for additional materials and the staff to go on line to NCRLAP to review the resources at the North Carolina Rated License Project, www.ncrlap.org. There are many resources including handouts, videos, and quality enhancement strategies that could be used routinely reviewed. I also shared with the staff in the preschool classroom that they should use language techniques to support preschoolers’ cognitive development: include questions that encourage conversations, explain reasoning concepts, have children explain their problem-solving process, encourage literacy and numeracy skills, and teach nature and science concepts. I shared after observation of the block areas that there must be many sizes and types of blocks available. To help clarify the most common types of blocks and required quantities, you can use the following as a guide: • Unit block sets include the traditional wooden sets of different, specific sizes. Other comparably sized and/or shaped blocks made from various materials are also considered here. At least 80 are needed for one structure. • For sets of blocks that are larger than unit blocks, at least 40 are required. This can include any type of larger block sets, made of various materials. • The quantities above specify what is required for a single structure. Remember that the indicator requires enough blocks for three sizable structures, whether the blocks provided are of the same type or different types of blocks are provided. A block area that provides at least 6 x 9 ft. of building space (or equivalent dimensions) is required unless it is observed that children experience difficulties when building in the space provided and then more space would be expected. There must be enough accessories for three children to use. Especially for groups with older children, more space or materials may be appropriate based on the type of blocks provided, available space, and complexity of play that occurs. In regard to the SACERS-U I was unable to speak to the Group Leaders therefore the following suggestions were provided and asked to be shared with the School Age Staffing. Visit the assessment website, NCRLAP.ORG and go to the first page where there is a section that allows you to access resources for classrooms serving children 5 to 12 years: SACERS-Including resources like NC Additional Notes SACERS-U, Health Reminders for the SACERS‐U, Language for learning: Schoolagers, SACERS-U Important Program Policies and Procedures, SACERS-U Promoting Engagement, SACERS-U Statewide and county scores, SACERS-U: Language Activity: understanding the requirement for item 29. I shared my awareness that the program is working with Colin Hanley Regional Central School Age Consultant, but I also shared some additional ideas such noting that this is not a comprehensive list just ideas to add to your programming. Music: tape/CD Player, instruments, such as clackers, drums, guitars, key board, bells, shakers, maracas, tambourines, cymbal, sticks, etc., dance props, such as scarves, streamers, bean bags, variety of tapes/CD's including: classic, popular, cultural, different languages, notes: must have enough instruments for 1/2 of children to use and one time Blocks: unit blocks- (different sizes and shapes), homemade blocks (food boxes, plastic containers, sponges, tissue boxes), large hollow blocks (1 foot or longer),toy people, animals , vehicle and road signs, books about building, cars, maps. Notes: Legos do not count as a block (manipulative) Creative Dramatics: child-sized furniture, such as sink, stove, washer or dryer, refrigerator, cupboard to store dishes & food, ironing board with iron, table and chair, soft couch or armchair, place to hang dress up, cooking/eating equipment, such as pots & pans, microwave, cooking utensils, dishes, eating utensils, tea set, wok, toaster, play foods, such as fruits, vegetables, breads, "fast foods", ethnic foods, baby bottles, food containers, dolls, doll furniture such as baby bed, high chair, stroller, shopping cart, wheelchairs, clothes, soft animals, small play buildings with accessories such as doll house with furniture & people, farm, airport, schoolhouse with furnishing & people, toy phones, multi-cultural items such as food, dress up clothes, dolls, doll clothes, puppets, puppets and puppet stage, Themes in Creative Dramatics include Fantasy themes: costumes, masks, magic wands, capes, Leisure themes such as camping, beach, mountains, zoo, picnics, birdwatching, fishing, parties, boating and different kinds of work themes: such as office, construction worker, farmer or gardener, store, firefighting, airplane or train, restaurant, zoo keeper, medical. • Dress Up: Be sure to include 2-3 each of gender specific dress up items such as scarves, shoes, hats, aprons, shirts/ blouses, dresses, skirts, pants, jackets, accessories (jewelry, hair clips, purses, tote bags, briefcases) Science and Nature: collections of natural objects such as leaves, seashells, rocks, different types of wood, pinecones, birds nest. Living things such as plants, pets, window bird feeder, aquarium, ant farm, worm farm, games, or toys such as trivia games, puzzles, measuring tools, magnets, magnifying glasses, microscope, bug catchers, Nature/Science activities such as cooking, experiments with magnets, measuring rainfall done regularly language games-Pictionary, picture lotto, crossword puzzles, scrabble Jr. Language: At least 20 books, enough to rotate and at least 3 of each of the following genres: people of varying races, fantasy, factual animals, nature/ science, people of varying abilities, dictionaries, encyclopedias, Chapter books. Short Stories, flannel boar & flannel pieces, pre-recorded books. Notes: books include books from library center, science, listening, blocks, housekeeping. No more than 3 with torn pages, poor repair, pages/cover missing Art: Some of each of the following: 3-5 materials from the 4 categories: • Drawing materials such as chalk, crayons, nontoxic markers, colored pencils, plain pencils paints and paintbrushes (finger paints, tempera, & watercolors) • 3-dimensional materials such as play dough, clay, wood gluing, carpentry collage materials, such as string, yarn, paper & fabrics scraps, cardboard, glitter, stickers, magazines, feathers, cotton balls, sequins, buttons, pom-poms, pipe cleaners, craft sticks, • Tools such as scissors, staplers, hole punches, tape dispensers, glue, stamps and ink pads, stencils, rulers, play dough tools. • Skilled projects: Plain drawing paper & construction paper materials for skill projects such as embroidery, weaving, origami, jewelry making, beads, pottery Math and Games: Enough materials to rotate and at least 3-5 of each of the following types: calculators, board games, such as mancala, bingo, connect for, monopoly, chutes and ladders, trouble, Parcheesi, chess, checkers, etc, counting objects such as objects to counts, money, pegboards with numbers, beads and bead patterns, measuring objects, such as measuring cups and spoons, balance scale with things to weigh, rulers, thermometers, height chart, foot size measurer, comparing quantities, such as toys to figure out "more or less", cubes, nested cups, 3 dimensional puzzles, charts and graphs, domino, playing cards, abacus, recognizing shapes such as puzzles with geometric shapes, geoboards, unit blocks outlines, parquetry blocks, matching cards for shapes, magnetic shapes written numbers such as number puzzles, magnetic numbers, telephones, cash register with money, number lotto, clocks, calendar, playing cards, number lacing cards, number books and posters. At the close of the visit I asked the staff if they had any questions or concerns and it was stated that there was did not. I shared if any questions or concerns arose or if assistance was needed to please feel free to contact me at (704) 594-0148 or kathy.willis@dhhs.nc.gov. Kathy Twitty Willis M.Ed. Child Care Consultant NCDHHS Division of Child Development and Early Education Regulatory Services Section PO Box 192 Mineral Springs NC 28108-0192 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: ratio. Open / not marked corrected.

GS 110-91 · Violation

Name of Operation: BIG BLUE MARBLE-WAXHAW Facility ID: 90000499 Consultant: KATHY WILLIS Operation Type: Center Case Number: Visit Date: 2/13/2024 Number Present: 72 Completed Date: 2/15/2024 Age: From 0 To 5 Total Minutes: 360 Time In: 09:00 AM Time Out: 03:00 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 Annual Compliance visit was to monitor for compliance with applicable childcare requirements. Upon arrival the Administrator, Natonya Walker and the Assistant Director Brittney Jordan assisted me during today’s visit. We used the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable childcare requirements pertinent to this facility and the Annual Compliance Monitoring Checklist for Child Care Centers. Ownership: The facility owner Big Blue Marble Academy, LLC and is active and current in the Secretary of States database since 12/20/2018. If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. Inspections: Sanitation and Fire inspections were current and are attached to today’s visit summary. Indoor Learning Environment: All classrooms were active and were monitored during today’s visit. The children were participating in group time, free play, teacher directed activities, center time including language, science, math, creative dramatics, blocks, art and manipulative and bathroom procedures. The classrooms were set up developmentally appropriately and we discussed increasing each of the literacy centers, in the classrooms for children over 30 months old, to include a wider variety of materials. For the classrooms for children under 30 months we discussed age-appropriate materials and when the transition from a classroom set up with ITERS requirements vs ECERS requirements would be applicable. We reviewed the difference between minimal standards and enhanced quality. Although the facility met minimal standards in regard to materials in order to meet the higher indicators of quality additional materials are needed. These materials reportedly were on site but where in a room in boxes and had not been put into the classrooms. I shared my concerns regarding the materials not being out yet and reminded Ms. Walker that the children need time to play with the materials prior to the assessment and that once the assessment is completed the materials will need to be maintained. While observing in the classrooms there was one child who was having difficulties with his self-control. Although he had services that were designed for him it was apparent that the staff’s frustration with his behavior and reported disruption of the classroom was causing great concern. There was concern that the child could benefit from a smaller setting with staff that had more specific training to meet his individual needs. We discussed services available including Union County Public School and a Developmental Child Care Center. Both of these programs provide Person-Center care specific to the child’s individual needs with lower child staff ratios and a highly educated staff to serve children with exceptionalities. In the meantime suggestions were made to assist the staff in meeting the needs of this child including handouts on the following: Behavioral Charts focusing on the positive, Heavy Work for children with Sensory Concerns, Ways to create a classroom that embraces success, Strategies and Accommodations that can be Beneficial in the Classroom, Teaching Children to Self-Manage their Behavior, and using Weighted Materials, Outdoor Learning Environment: The spaces were monitored in the different outdoor learning environments/areas. I reminded Ms. Walker that all climbing materials must have appropriate surfacing and fall zones and that best practice is that there is two different types of surfacing and portable active play materials (balls, hula hoops…) as well as materials for other types of play such as dramatic play (hats, tools…), blocks, fine motor (sensory tables), music and movement and art supplies (easel…). I shared that the staff needs to ensure that they are taking the children out daily and that if they are unable to take the children outside due to inclement weather (active precipitation) that they must provide activities for the children that allow them to use multiple gross motor skills and materials. Program Records: I observed the Summary of the Child Care Law poster, Monthly Fire Drill Log & Quarterly Shelter-in-place/Lock down drill Log, Safe Pick-up, and Delivery Procedures that are the same as what is in the School facilities handbook, Emergency Medical Care Plan, Emergency Phone Numbers , Weekly menu for meals and snacks posted where it can be seen by parents and food preparation staff, Tobacco Free Environment/Campus restriction poster/sticker posted at main entrance and the Fire Inspection form and the Safety drills. All documents were observed to be complying during today’s visit. Staff Records: Although I had asked that the staff and training worksheets be completed prior to my visit these had not yet been completed therefore I will return tomorrow to complete the review of the staff files. I will be reviewing 10% of existing staff and all new staff at the follow up visit. Children’s Records: Records were discussed and based on enrollment 12 children’s files will be reviewed at the follow up visit tomorrow. I will be monitoring 12 random children’s files at the follow up visit. Transportation was not reviewed during today’s visit. I shared that at the follow up visit the transportation requirements would be reviewed including: Safe Pick-up and Delivery Statement, Child Safety Restraints and Seat Belts, Vehicle Safety Inspection and Liability Insurance, First Aid Kit in Vehicle, Emergency Information on Children including identifying information, Staff/Child Ratios Maintained During Transportation, and the Transportation binder. Emergency Preparedness Response Plan and the Ready to Go Binder was reviewed and although at a prior visit we had discussed the need to update this plan annually this had not been completed. The binder also didn’t have needed emergency documents. I will be reviewing the revised plan and the Ready to Go binder at the follow up visit. Nutrition: The facility was complying during today’s visit with Child Care Meal Patterns Requirements. The menu was reviewed, and it met the meal pattern requirements. The kitchen was well organized, and the dietitian was providing a good variety of meals on her menu. Weapons: Your facility reported that they were complying during today’s visit with Child Care Requirements regarding firearms. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Although Activity Plans were posted there was no date on two of the eleven activity plans, I reviewed. GS 110-91(12); .0508(a) 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. Under the desk in the Administrator's office there were cleansers, detergents, and air fresheners some of which were in aerosol cans. Although this room is locked when it is not being occupied, these items were not stored in locked storage when it was occupied, and the door was left open. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Upon review of the Staff and Training worksheet and staff files it was observed that one staff (see staff and training worksheet) did not have the require medical report on file prior to employment. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Upon review of the Staff and Training worksheet and staff files it was observed that one staff (see staff and training worksheet) did not provide results indicating that they were free of active TB and/or TB test or screening prior to the first day of work. .0701(a) 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. Upon review of the Staff and Training worksheet and staff files it was observed that two staff (see staff and training worksheet) did not have the require certification in First Aid in the required time frame. .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. Upon review of the Staff and Training worksheet and staff files it was observed that two staff (see staff and training worksheet) did not have the require certification in CPR in the required time frame. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Upon review of the Staff and Training worksheet and staff files it was observed that multiple staff (see staff and training worksheet) did not receive the required on-going training, nor was it fully documented. .1103(a) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. There was no plan on site, although there were some emergency books there was no plan, for staff person to know the location. The Ready to Go File had some information but did not have the required information as many of the children's records were not complete or included. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The information on the plan had changed due to a change in Administrator and Child Care Consultant. This had not been updated nor had the staff reviewed a current EPR plan as the last plan was dated October 11, 2022, and although it was on the Emergency Services online database it was not available for review at the facility or in the Ready to Go File/Binder. .0607(e) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. The new Administrator that has been employed since October 27, 2023 doesn't have the required training nor has she updated the EPR plan with current information. .0607(b) 1898 Staff did not complete the health and safety training within one year of employment. Upon review of the Staff and Training worksheet and staff files it was observed that one staff (see staff and training worksheet) did not have the require health and safety training within one year of employment. .1102(a) 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. Upon review of the Staff and Training worksheet and staff files it was observed that multiple staff (see staff and training worksheet) did not have the require health and safety training completed. .1103(b) Today the violations, that were not corrected during the visit, must be corrected immediately. You must submit a correction email or letter to me no later than February 21, 2022. Please note in this documentation you will need to provide specifics the “what, when, and where” of the corrective actions you have taken and how you will prevent reoccurrence. In the correction documentation (email or letter) please include the facility name, id number, date of the visit, date of the corrections and your signature (electronic is acceptable). Keep mindful that violations must be corrected immediately, and it is best practice to submit the correction letter as soon as possible. Waiting until the above noted date could result in the scheduling of a return visit to verify that the violations have been corrected. Compliance History: North Carolina General Statute 110-90(4)(d) requires all childcare facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Extensive time was spent reviewing the Rated License, Program Standards and Education Standards. We discussed since the facility is coming off of their special provisional on April 16, 2024, todays visit was a full rated license assessment as well as the Environmental Rating Scale would be ordered if the facility wished to have one. It was determined that they did wish to request, and the order was placed during the visit. We completed the Rated License paperwork including, application, ERS request, quality point form, staff education worksheets. We reviewed the WORKS database and determined the staff who needed to complete or update their WORKS account. A list was left with the Administrator of all staff who needed to complete this step. We also evaluated what it would take to increase the facilities staff education in order to achieve a higher point value. The ITERS-R was discussed, and we reviewed the need for additional materials in each room, an increase in language as teachers need to be aware of the constant opportunities to build the language and cognitive skills of infants and toddlers. I shared that NCRLAP states that young children are absorbing so much information, and it is up to adults to provide language to build children’s vocabularies and model pleasant social conversation. Keep mindful that these interactions can take place during play activities and daily events, which serve to provide a context that is familiar and engaging to children. ECERS-R we discussed the need for additional materials and the staff to go on line to NCRLAP to review the resources at the North Carolina Rated License Project, www.ncrlap.org. There are many resources including handouts, videos, and quality enhancement strategies that could be used routinely reviewed. I also shared with the staff in the preschool classroom that they should use language techniques to support preschoolers’ cognitive development: include questions that encourage conversations, explain reasoning concepts, have children explain their problem-solving process, encourage literacy and numeracy skills, and teach nature and science concepts. I shared after observation of the block areas that there must be many sizes and types of blocks available. To help clarify the most common types of blocks and required quantities, you can use the following as a guide: • Unit block sets include the traditional wooden sets of different, specific sizes. Other comparably sized and/or shaped blocks made from various materials are also considered here. At least 80 are needed for one structure. • For sets of blocks that are larger than unit blocks, at least 40 are required. This can include any type of larger block sets, made of various materials. • The quantities above specify what is required for a single structure. Remember that the indicator requires enough blocks for three sizable structures, whether the blocks provided are of the same type or different types of blocks are provided. A block area that provides at least 6 x 9 ft. of building space (or equivalent dimensions) is required unless it is observed that children experience difficulties when building in the space provided and then more space would be expected. There must be enough accessories for three children to use. Especially for groups with older children, more space or materials may be appropriate based on the type of blocks provided, available space, and complexity of play that occurs. In regard to the SACERS-U I was unable to speak to the Group Leaders therefore the following suggestions were provided and asked to be shared with the School Age Staffing. Visit the assessment website, NCRLAP.ORG and go to the first page where there is a section that allows you to access resources for classrooms serving children 5 to 12 years: SACERS-Including resources like NC Additional Notes SACERS-U, Health Reminders for the SACERS‐U, Language for learning: Schoolagers, SACERS-U Important Program Policies and Procedures, SACERS-U Promoting Engagement, SACERS-U Statewide and county scores, SACERS-U: Language Activity: understanding the requirement for item 29. I shared my awareness that the program is working with Colin Hanley Regional Central School Age Consultant, but I also shared some additional ideas such noting that this is not a comprehensive list just ideas to add to your programming. Music: tape/CD Player, instruments, such as clackers, drums, guitars, key board, bells, shakers, maracas, tambourines, cymbal, sticks, etc., dance props, such as scarves, streamers, bean bags, variety of tapes/CD's including: classic, popular, cultural, different languages, notes: must have enough instruments for 1/2 of children to use and one time Blocks: unit blocks- (different sizes and shapes), homemade blocks (food boxes, plastic containers, sponges, tissue boxes), large hollow blocks (1 foot or longer),toy people, animals , vehicle and road signs, books about building, cars, maps. Notes: Legos do not count as a block (manipulative) Creative Dramatics: child-sized furniture, such as sink, stove, washer or dryer, refrigerator, cupboard to store dishes & food, ironing board with iron, table and chair, soft couch or armchair, place to hang dress up, cooking/eating equipment, such as pots & pans, microwave, cooking utensils, dishes, eating utensils, tea set, wok, toaster, play foods, such as fruits, vegetables, breads, "fast foods", ethnic foods, baby bottles, food containers, dolls, doll furniture such as baby bed, high chair, stroller, shopping cart, wheelchairs, clothes, soft animals, small play buildings with accessories such as doll house with furniture & people, farm, airport, schoolhouse with furnishing & people, toy phones, multi-cultural items such as food, dress up clothes, dolls, doll clothes, puppets, puppets and puppet stage, Themes in Creative Dramatics include Fantasy themes: costumes, masks, magic wands, capes, Leisure themes such as camping, beach, mountains, zoo, picnics, birdwatching, fishing, parties, boating and different kinds of work themes: such as office, construction worker, farmer or gardener, store, firefighting, airplane or train, restaurant, zoo keeper, medical. • Dress Up: Be sure to include 2-3 each of gender specific dress up items such as scarves, shoes, hats, aprons, shirts/ blouses, dresses, skirts, pants, jackets, accessories (jewelry, hair clips, purses, tote bags, briefcases) Science and Nature: collections of natural objects such as leaves, seashells, rocks, different types of wood, pinecones, birds nest. Living things such as plants, pets, window bird feeder, aquarium, ant farm, worm farm, games, or toys such as trivia games, puzzles, measuring tools, magnets, magnifying glasses, microscope, bug catchers, Nature/Science activities such as cooking, experiments with magnets, measuring rainfall done regularly language games-Pictionary, picture lotto, crossword puzzles, scrabble Jr. Language: At least 20 books, enough to rotate and at least 3 of each of the following genres: people of varying races, fantasy, factual animals, nature/ science, people of varying abilities, dictionaries, encyclopedias, Chapter books. Short Stories, flannel boar & flannel pieces, pre-recorded books. Notes: books include books from library center, science, listening, blocks, housekeeping. No more than 3 with torn pages, poor repair, pages/cover missing Art: Some of each of the following: 3-5 materials from the 4 categories: • Drawing materials such as chalk, crayons, nontoxic markers, colored pencils, plain pencils paints and paintbrushes (finger paints, tempera, & watercolors) • 3-dimensional materials such as play dough, clay, wood gluing, carpentry collage materials, such as string, yarn, paper & fabrics scraps, cardboard, glitter, stickers, magazines, feathers, cotton balls, sequins, buttons, pom-poms, pipe cleaners, craft sticks, • Tools such as scissors, staplers, hole punches, tape dispensers, glue, stamps and ink pads, stencils, rulers, play dough tools. • Skilled projects: Plain drawing paper & construction paper materials for skill projects such as embroidery, weaving, origami, jewelry making, beads, pottery Math and Games: Enough materials to rotate and at least 3-5 of each of the following types: calculators, board games, such as mancala, bingo, connect for, monopoly, chutes and ladders, trouble, Parcheesi, chess, checkers, etc, counting objects such as objects to counts, money, pegboards with numbers, beads and bead patterns, measuring objects, such as measuring cups and spoons, balance scale with things to weigh, rulers, thermometers, height chart, foot size measurer, comparing quantities, such as toys to figure out "more or less", cubes, nested cups, 3 dimensional puzzles, charts and graphs, domino, playing cards, abacus, recognizing shapes such as puzzles with geometric shapes, geoboards, unit blocks outlines, parquetry blocks, matching cards for shapes, magnetic shapes written numbers such as number puzzles, magnetic numbers, telephones, cash register with money, number lotto, clocks, calendar, playing cards, number lacing cards, number books and posters. At the close of the visit I asked the staff if they had any questions or concerns and it was stated that there was did not. I shared if any questions or concerns arose or if assistance was needed to please feel free to contact me at (704) 594-0148 or kathy.willis@dhhs.nc.gov. Kathy Twitty Willis M.Ed. Child Care Consultant NCDHHS Division of Child Development and Early Education Regulatory Services Section PO Box 192 Mineral Springs NC 28108-0192 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 .2818 · Violation

Name of Operation: BIG BLUE MARBLE-WAXHAW Facility ID: 90000499 Consultant: LEIGH BROOME Operation Type: Center Case Number: 0723-081A Visit Date: 1/8/2024 Number Present: 73 Completed Date: 1/8/2024 Age: From 0 To 5 Total Minutes: 50 Time In: 10:40 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up A/N Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with the Corrective Action Plan (CAP), included in the Special Provisional License, issued on October 13, 2023. Natonya Walker, Administrator, accompanied me during a walk-through of the facility. I spoke with Ms. and informed her of the purpose of the visit. I observed a copy of the administrative action, cover letter, and CAP posted as required. I also reminded Ms. Walker the information must remain posted until April 13, 2023, and receipt of a closure letter. Limited monitoring of child care requirements occurred during today’s visit. I monitored supervision, staff/child ratio, CPR, First Aid, criminal background check, ITS-SIDS, discipline, adequate/approved space, licensed posted, and permit restrictions. I reviewed a copy of the staff training worksheet and verified valid CPR training, First Aid training, ITS-SIDS training, and criminal background check qualification letters for all current staff members. The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. Upon my arrival, a staff member opened the door for me and explained the administrator was in the office. The staff member left one staff member with nine infants when she came to open the door for me. Thus, the classroom was out of ratio. 10A NCAC 09 .2818 All violations documented above must be corrected immediately. A written, dated, and signed letter of compliance must be submitted to me within one week, by January 15, 2023, describing how and when the violations were corrected and how compliance will be maintained in the future. The letter of compliance should be emailed or mailed to Leigh Broome, Investigations Consultant, 704-594-0146, leigh.broome@dhhs.nc.gov, fax 919-715-1013. I monitored for compliance with the CAP as follows: Item 1: No violations were observed/confirmed during the visit on 11/27/2023. A violation for staff child ratio was cited on 1/8/2024. Item 2: The training occurred on 11/16/2023. Item 3: The proposed policies and procedures are being developed. This item is not completed. Item 4: Item 4 cannot be completed until Item 3 is completed. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. You may contact me at to Leigh Broome, Investigations Consultant, 704-594-0146, leigh.broome@dhhs.nc.gov, or Veronica Grant, South Central Investigations Supervisor, veronica.grant@dhhs.nc.gov. Thank you for your time. 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 .0205 · Violation

Name of Operation: BIG BLUE MARBLE-WAXHAW Facility ID: 90000499 Consultant: KATHY WILLIS Operation Type: Center Case Number: 1023-326L Visit Date: 11/3/2023 Number Present: 71 Completed Date: 11/3/2023 Age: From 0 To 5 Total Minutes: 300 Time In: 09:00 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an investigation of a complaint, Case #:1023-326L of violations of child care rules and regulation. I introduced myself and explained the reason for my visit, that as a courtesy I would be completing the investigation of the violations of Child Care Rules and Regulations. Traci Meyer Carpenter, Child Care Consultant assisted me on today's visit. Allegations: There are concerns that: 1.Appropriate ratios are not maintained. 2.An infant’s feeding schedule was not followed. 3.Soiled diapers were not changed as required. 4.Parents are not allowed access to the classrooms as required. During today’s visit I discussed the staff/child ratio, nutrition, sanitation and lack of parental access allegations with the Administrator. She stated that prior to her arrival as Administrator that the program had many non-compliance issues but that since her arrival there have been changes to remedy any issues. She also discussed that there were some internal issues which have been remedy. Staff/Child Ratio Allegation- Interviews: Interviews were conducted with the staff present and all reports were that although it had been an issue in the past that the program is staying within ratio now. I asked if it had occurred since my visit where I had citing the violation and it was reported that not to their knowledge. Documents Review: The attendance and staffing pattern document were monitored to determine Staff/Child Ratio with a focus on early morning groupings and late in the day grouping and documentation supported that they were maintaining compliance. There was some concern about children being moved from classroom to classroom. June Boardman from the Corporate Office was present today and we walked through the facility observing each class and spoke of ways to try to keep children in their assigned classrooms. Nutrition Allegation- Interviews were conducted with the staff present and all reports were that there had been some issues with one child who was participating in visits with their parent where a social worker takes the child and returns the child and although adequate bottles were sent with the child the bottles were returned still full of formula. Documents Reviewed: I reviewed the documentation for infant feeding and there was documentation of when bottles are provided. Sanitation Allegation: Interviews were conducted with the staff present and all reports were that the same above noted child left the facility with a clean diaper and returned with a very soiled diaper which required them to change the diaper and clothing. Documents Reviewed: Diaper Changing logs were reviewed and it was documented that the children were changed every two hours. Lack of Parental Access Allegation: Interviews were conducted with the staff present and all reports were that parents were not allowed to enter into the classrooms due to Big Blue Marble’s current procedures. Documents Reviewed: The Child Care Rules and Regulations 10A NCAC 09 .0205 was reviewed and in (a) The parent of a child enrolled in a child care center shall be allowed access to the center during its operating hours for the purposes of contacting the child or evaluating caregiving space at the center and the care provided by the center for the child. The parent shall notify the on-site administrator of his or her presence upon entering the premises. In the past, due to Covid, there were flexibilities that allowed for programs to restrict entrance into the classrooms but currently there are no longer any flexibilities. The following items were monitored during today’s visit Supervision, Staff/Child Ratios, Adequate and Approved Space, Permit Restrictions, and developmentally appropriate activities. Based on the self-report it was determined that the allegation of -Staff Child Ratio was deemed unable to substantiated due to all reports and documentation supporting that the program maintains Staff/Child Ratio’s. -Nutrition was deemed unable to substantiated due to documentation supporting that while the child was in care at the facility, they were provided bottles based on the feeding schedules. -Sanitation was deemed not substantiated due to documentation supporting that children while in care at the facility were being changed every two hours. The incident where the child was left in soiled diapers reportedly occurred while the child was not in the care of the facility but was remedy immediately upon return. -Lack of Parental Access was deemed substantiated as the facility did enforce the Big Blue Marble procedure of no parents in the classrooms. A violation was cited during today’s visit for Lack of Parental Access but was corrected during today’s visit. All signs were removed, and all staff were notified that parents can enter the classrooms. Notification will be made to the parents by the close of the business day. Violation Number Comment Rule 101 Parent or guardian of child was not allowed access to the center during operating hours for the purpose of contacting the child or evaluating the caregiving space at the center and the care provided. The facility was following the Big Blue Marble Procedure restricting parents from entering into classrooms reportedly due to Health reasons based on the rise of Covid recently. This restriction was removed including all signage, staff were notified and parents were to be notified by the close of business. .0205(a) Technical Assistance was provided in an effort to encourage the Administrator to evaluate the facilities policies. We reviewed the rules regarding parental access. We reviewed safety measures that could be put in place to ensure minimal germs could be spread including handwashing and masking. Reminders When it comes to Staff/Child Ratio and Supervision you need to ensure that you are providing adequate supervision and meet staff/child ratios at all time. Children must be directly and actively supervised by educators employed or engaged by maintaining a duty of care and that all staff have an understanding of the shared legal responsibility and accountability between, and a commitment by, all persons to implement the procedures and practices. I suggested that the facility have some sort of a procedure regarding children who leave with the social workers, ect regarding having them sign off when they leave and when they return the items like diaper check, physical check, nutrition check in order to ensure that the program has documentation of what state the child left in and what state they returned in in case further action needs to be taken in order ensure the child’s needs are being met, etc.. I recapped that Child Care facilities are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. As a courtesy Ms. Meyer Carpenter took the Staff and Training Worksheets and listed the items each staff person needed to come into compliance with from the annual compliance visit. She reviewed these with the new Administrator. Both the Administrator, Assistant Administrator and the Regional Director have repeatedly stated that they want to bring the facility back into full compliance and with the number of violations cited at the annual compliance they shared that they were overwhelmed therefore this list should provide some addition clarity but as always refer for to the staff and training worksheet and update any corrections on that document. In closing I reviewed the visit summary with the Administrator and asked if she had any questions and she stated that at this time she did not. I encouraged her that if she has any questions or concerns to feel free to contact me at Kathy.Willis@dhhs.nc.gov or 704 594 0148. Kathy Twitty Willis, M.Ed. Child Care Consultant Division of Child Development and Early Education North Carolina Department of Health and Human Services PO Box 192 Mineral Springs, NC 28108 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: BIG BLUE MARBLE-WAXHAW Facility ID: 90000499 Consultant: KATHY WILLIS Operation Type: Center Case Number: 1023-326L Visit Date: 11/3/2023 Number Present: 71 Completed Date: 11/3/2023 Age: From 0 To 5 Total Minutes: 300 Time In: 09:00 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an investigation of a complaint, Case #:1023-326L of violations of child care rules and regulation. I introduced myself and explained the reason for my visit, that as a courtesy I would be completing the investigation of the violations of Child Care Rules and Regulations. Traci Meyer Carpenter, Child Care Consultant assisted me on today's visit. Allegations: There are concerns that: 1.Appropriate ratios are not maintained. 2.An infant’s feeding schedule was not followed. 3.Soiled diapers were not changed as required. 4.Parents are not allowed access to the classrooms as required. During today’s visit I discussed the staff/child ratio, nutrition, sanitation and lack of parental access allegations with the Administrator. She stated that prior to her arrival as Administrator that the program had many non-compliance issues but that since her arrival there have been changes to remedy any issues. She also discussed that there were some internal issues which have been remedy. Staff/Child Ratio Allegation- Interviews: Interviews were conducted with the staff present and all reports were that although it had been an issue in the past that the program is staying within ratio now. I asked if it had occurred since my visit where I had citing the violation and it was reported that not to their knowledge. Documents Review: The attendance and staffing pattern document were monitored to determine Staff/Child Ratio with a focus on early morning groupings and late in the day grouping and documentation supported that they were maintaining compliance. There was some concern about children being moved from classroom to classroom. June Boardman from the Corporate Office was present today and we walked through the facility observing each class and spoke of ways to try to keep children in their assigned classrooms. Nutrition Allegation- Interviews were conducted with the staff present and all reports were that there had been some issues with one child who was participating in visits with their parent where a social worker takes the child and returns the child and although adequate bottles were sent with the child the bottles were returned still full of formula. Documents Reviewed: I reviewed the documentation for infant feeding and there was documentation of when bottles are provided. Sanitation Allegation: Interviews were conducted with the staff present and all reports were that the same above noted child left the facility with a clean diaper and returned with a very soiled diaper which required them to change the diaper and clothing. Documents Reviewed: Diaper Changing logs were reviewed and it was documented that the children were changed every two hours. Lack of Parental Access Allegation: Interviews were conducted with the staff present and all reports were that parents were not allowed to enter into the classrooms due to Big Blue Marble’s current procedures. Documents Reviewed: The Child Care Rules and Regulations 10A NCAC 09 .0205 was reviewed and in (a) The parent of a child enrolled in a child care center shall be allowed access to the center during its operating hours for the purposes of contacting the child or evaluating caregiving space at the center and the care provided by the center for the child. The parent shall notify the on-site administrator of his or her presence upon entering the premises. In the past, due to Covid, there were flexibilities that allowed for programs to restrict entrance into the classrooms but currently there are no longer any flexibilities. The following items were monitored during today’s visit Supervision, Staff/Child Ratios, Adequate and Approved Space, Permit Restrictions, and developmentally appropriate activities. Based on the self-report it was determined that the allegation of -Staff Child Ratio was deemed unable to substantiated due to all reports and documentation supporting that the program maintains Staff/Child Ratio’s. -Nutrition was deemed unable to substantiated due to documentation supporting that while the child was in care at the facility, they were provided bottles based on the feeding schedules. -Sanitation was deemed not substantiated due to documentation supporting that children while in care at the facility were being changed every two hours. The incident where the child was left in soiled diapers reportedly occurred while the child was not in the care of the facility but was remedy immediately upon return. -Lack of Parental Access was deemed substantiated as the facility did enforce the Big Blue Marble procedure of no parents in the classrooms. A violation was cited during today’s visit for Lack of Parental Access but was corrected during today’s visit. All signs were removed, and all staff were notified that parents can enter the classrooms. Notification will be made to the parents by the close of the business day. Violation Number Comment Rule 101 Parent or guardian of child was not allowed access to the center during operating hours for the purpose of contacting the child or evaluating the caregiving space at the center and the care provided. The facility was following the Big Blue Marble Procedure restricting parents from entering into classrooms reportedly due to Health reasons based on the rise of Covid recently. This restriction was removed including all signage, staff were notified and parents were to be notified by the close of business. .0205(a) Technical Assistance was provided in an effort to encourage the Administrator to evaluate the facilities policies. We reviewed the rules regarding parental access. We reviewed safety measures that could be put in place to ensure minimal germs could be spread including handwashing and masking. Reminders When it comes to Staff/Child Ratio and Supervision you need to ensure that you are providing adequate supervision and meet staff/child ratios at all time. Children must be directly and actively supervised by educators employed or engaged by maintaining a duty of care and that all staff have an understanding of the shared legal responsibility and accountability between, and a commitment by, all persons to implement the procedures and practices. I suggested that the facility have some sort of a procedure regarding children who leave with the social workers, ect regarding having them sign off when they leave and when they return the items like diaper check, physical check, nutrition check in order to ensure that the program has documentation of what state the child left in and what state they returned in in case further action needs to be taken in order ensure the child’s needs are being met, etc.. I recapped that Child Care facilities are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. As a courtesy Ms. Meyer Carpenter took the Staff and Training Worksheets and listed the items each staff person needed to come into compliance with from the annual compliance visit. She reviewed these with the new Administrator. Both the Administrator, Assistant Administrator and the Regional Director have repeatedly stated that they want to bring the facility back into full compliance and with the number of violations cited at the annual compliance they shared that they were overwhelmed therefore this list should provide some addition clarity but as always refer for to the staff and training worksheet and update any corrections on that document. In closing I reviewed the visit summary with the Administrator and asked if she had any questions and she stated that at this time she did not. I encouraged her that if she has any questions or concerns to feel free to contact me at Kathy.Willis@dhhs.nc.gov or 704 594 0148. Kathy Twitty Willis, M.Ed. Child Care Consultant Division of Child Development and Early Education North Carolina Department of Health and Human Services PO Box 192 Mineral Springs, NC 28108 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: BIG BLUE MARBLE-WAXHAW Facility ID: 90000499 Consultant: KATHY WILLIS Operation Type: Center Case Number: Visit Date: 10/31/2023 Number Present: 53 Completed Date: 10/31/2023 Age: From 0 To 4 Total Minutes: 300 Time In: 09:00 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my Annual Compliance visit was to monitor for compliance with applicable childcare requirements. Upon arrival the Administrator, Natonya Walker and the Assistant Director Brittney Jordan assisted me during today’s visit. We used the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable childcare requirements pertinent to this facility and the Annual Compliance Monitoring Checklist for Child Care Centers. Ownership: The facility owner Big Blue Marble Academy, LLC and is active and current in the Secretary of States database since 12/20/2018. If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. Inspections: Sanitation and Fire inspections were current and are attached to today’s visit summary. Indoor Learning Environment: Today all (11) eleven of the twelve (12) classrooms were open. Select classrooms were grouped with other classrooms due to limited staffing. Each classroom was monitored and I spoke with Administration, Staff and Children in occupied rooms explaining what is monitored in their space as well as provided suggestions of enhancing the quality in each space in preparation for the Rated License Assessment oi will occur in late February 2024 in preparation of coming off of the Harmless Hold status. Each classroom met minimal standards regarding materials. I provided a resource of suggested materials for all three scales designed by CCRI. I observed children participating in play in their activity areas, tummy time, gross motor activities, art activities, language activities, circle time, lunch preparation, lunch and diaper changing and handwashing activities. Outdoor Learning Environment: The outdoor learning environment, on the sides and back of the buildings had many activities for the children to participate in. There were toys on the playground areas as well as additional materials to play with are taken outside as well. The area for the Infants and Toddlers was under cover and I observed children in all areas of the playground during today’s visit. Staff Records: There were no staff and training worksheets completed. The Administrator is new and so I verified that the staff files were present and asked her to complete the document and I would return to review the staffing. Children Records: Ten (10) % of the total enrolled children’s files were reviewed. There were two children who would require Medical Plan’s of Actions (MPoA). We reviewed what must be listed on the plan. Although the plan had some information it was missing information needed. I took the form and highlighted were more information was needed and asked that this be completed prior to the child returning to ensure that the child’s medical needs can be met. Program Records: I reviewed all the required records. I observed the Summary of the Child Care Law poster, Monthly Fire Drill Log & Quarterly Shelter-in-place/Lock down drill Log, Safe Pick-up, and Delivery Procedures that are the same as what is in the facilities handbook, Emergency Medical Care Plan (EMCP), Emergency Phone Numbers (recommended – by telephone) Weekly menu for meals and snacks posted where it can be seen by parents and food preparation staff, Tobacco Free Environment/Campus restriction poster/sticker posted at main entrance and the Fire Inspection form and the Safety drills. All documents were observed to be complying during today’s visit with the exception of the EMCP that had Julie Smith’s name listed as the sole person who would carry out some of the plan. Ms. Smith is currently disqualified and cannot be in a child care facility. Nutrition: The facility was complying during today’s visit with Child Care Meal Patterns Requirements. We discussed that the food that is placed into the classroom must be served to the children immediately in order to maintain appropriate temperatures. Transportation: The facility uses four busses currently. 2005 Chevrolet Thomas Bus Georgia License RQI0618, 2005 Chevrolet Express Cutaway SC Licensed BU33419, 2007 Chevrolet Express G-3500 NC Licensed JL2719, and 2005 Chevrolet Express G-3500 NC Licensed FME 4751. All vehicles were in compliance regarding safety. The transportation binders were monitored and pictures need to be added to ensure that there is identifying information on each child and staff. Weapons: Your facility reported that they were complying during today’s visit with Child Care Requirements regarding firearms. Technical Assistance: I meet with the Administrative Staff and we discussed each violation and ways to remedy them. We reviewed ways to keep the outlets plugged at all times, adding the needed details including knowing parental instructions regarding types of responses for medical situations, who needs to be listed on the emergency medical care plan, appropriate language with children including positive verbiage and examples were provided. I also provided the email website www.ncrlap.org for the staff to review the resources including Language for Learners to both Administration and staff ways who to gain ways to communicate positively to the children. We also reviewed ways to complete forms that would include ways parents wish for the staff to respond to any medical situation when a child has a medical action plan as well as adding more details and having signatures of medication administration form for emergency medications. We reviewed the programs Curriculum which appeared to be very comprehensive but then discussed the activity plans that we observed in each classroom and how it was completed that didn’t reflect the activities that were in the printed curriculum that Big Blue Marble has in place. We also reviewed gross motor activities and discussed that the specific activity should be listed on the activity plan. We then revised mulch depth and reviewed how raking the mulch in the low areas from areas with excess mulch may be helpful in maintaining the correct amounts. We then reviewed hazardous items like the wipe packages on the buses, the room with the cleaning items that was in unlocked storage and ways to ensure that these items are kept in accordance with the rules and regulations. The Administrative Staff took all suggestions and made a plan to ensure that they maintain compliance. The following violations were observed: Violation Number Comment Rule 523 The activity plan did not include a daily gross motor activity which may occur indoors and outdoors. On all of the activity plans that were posted in each operating classroom under at least one day for gross motor activity the statement outside play was listed as the activity. This does not define an activity. The activity must be listed and defined so that it can be identified as a gross motor activity. .0508(g)(3) 617 All openings to the outer air were not protected against the entrance of flying insects. The screen in the classroom where the toddler children playground was located there was a torn screen so that if the window was opened the classroom would not be protected against the entrance of flying insects. 15A NCAC 18A .2831(c) 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. During the observation there were two outlets, one in the hallway and one in a classroom that was not covered by a safety plug leaving the outlet accessible to the children in care. During the visit these two outlets were covered. 10A NCAC 09 .0604(c) 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. In the foyer there was a closet that was open with the key in the door handle. In this closet there was an aerosol can of pledge and other cleaning chemicals. After the observation the door was closed, and the key removed from the lock. .2820(b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Upon review of the monthly playground inspection documentation, it was observed that the person completing the training did not have documentation of training in playground safety requirements. The only staff currently qualified to conduct these inspections is Angela Blakeney until additional official training with certificates to verify required training can be obtained. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The plan was not able to be located and therefore was not reviewed with staff as required. The plan that is in the database is not current therefore in need of revision. Plans are required to be revised when a change occurs or annually. 10A NCAC 09 .0802(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/or the medical report was older than 12 months. Upon review of the Staff files, it was observed that the required medical was not completed with several staff (see Staff and Training Worksheets) within the required time frame. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Upon review of the Staff files it was observed that the required orientation was not completed with several staff (see Staff and Training Worksheets). .1101(a) 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. Upon review of the Staff Files, it was observed that the required First Aid training was not completed for several staff (see Staff and Training Worksheets) within the required time frame. .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. Upon review of the Staff Files, it was observed that the required CPR training was not completed for several staff (see Staff and Training Worksheets) within the required time frame. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Upon review of the Staff Files it was observed that the required on-going training was not completed for several staff (see Staff and Training Worksheets). .1103(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Upon review of the Staff Files, it was observed that the required training was not completed for several staff (see Staff and Training Worksheets) within the required time frame. .1102(f) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Upon review of the Staff files it was observed that the required orientation was not completed with several staff (see Staff and Training Worksheets). .1101(a)(b) 1123 All vehicles used to transport children were not free of hazards. There were four vehicles used for transportation of children. In one vehicle there was an aerosol can of WD-40 and Lysol wipes that had the following Safety Information: For external use only. No known significant effects or critical hazards. Read label before use. Keep out of reach of children. If swallowed, get medical help or contact a Poison Control Center right away and have product container or label at hand. When using this product: avoid contact with eyes; in case of eye contact, flush with water. Stop use and ask a doctor if: irritation or redness develops. Since this is multiple label warnings it is required to be locked up. The packets were in each bus' door on the driver's side no more than one foot from the bus floor. The Lysol wipes and the WD-40 was removed and placed in locked storage during the visit. 10A NCAC 09 .1002(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. In a review of the information on the children located on each bus it was observed that many of the children did not have a photograph as identifying information. 10A NCAC 09 .1003(d) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Upon review of the Staff Files it was observed that the required annual staff evaluation and staff developmental plan was not completed for several staff (see Staff and Training Worksheets) within the required time frame. 10A NCAC 09 .0514(f) 1757 A valid qualification letter was not on file and available to review at the facility. One staff member, Meagan Nesbit, did not have a valid qualifying letter on file. There was a qualifying letter for Ms. Nesbit per the database. G.S. 110-90.2(b) & (d) & .2703(e) 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. Upon review of the Staff files, it was observed that the required training was not completed with several staff (see Staff and Training Worksheets) within the required time frame and/or on an annual basis. .0607(f) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. Currently there no documentation that there is a staff person who has the required training for Emergency preparedness Response on site. .0607(b) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. Upon review of the Staff Files, it was observed that the required training was not completed for any of the staff who were observed providing care for the infant children. .01102 (f) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On the playground where the one- and two-year-old children play there was a slide that at the bottom of it the surfacing was less than two inches deep and the requirement was six inches in depth in order to provide the appropriate protective surfacing for the children's safety. During the visit the Assistant Director corrected the depth of the surfacing by raking excess surfacing to this area. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Upon review of the Staff files, it was observed that the required training was not completed with several staff (see Staff and Training Worksheets). .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Upon review of the Staff files, it was observed that in some staff files the above noted items were not maintained separately (see Staff and Training Worksheets) within the required time frame. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Upon review of the Staff files, it was observed that the required training was not completed with several staff (see Staff and Training Worksheets) within the required time frame. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Upon review of the Staff Files it was observed that the required health and safety training was not completed for several staff (see Staff and Training Worksheets) within the required time frame. .1102(a) 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. Upon review of the Staff files, it was observed that the required health and safety training that is a part of the on-going training (required every 5 years) was not completed for several staff (see Staff and Training Worksheets) within the required time frame. .1103(b) Today the violations, that were not corrected during the visit, must be corrected immediately. You must submit a correction email or letter to me no later than November 13, 2023. Please note in this documentation you will need to provide specifics the “what, when, and where” of the corrective actions you have taken and how you will prevent reoccurrence. In the correction documentation (email or letter) please include the facility name, id number, date of the visit, date of the corrections and your signature (electronic is acceptable). Keep mindful that violations must be corrected immediately, and it is best practice to submit the correction letter as soon as possible. Waiting until the above noted date could result in the scheduling of a return visit to verify that the violations have been corrected. Compliance History: North Carolina General Statute 110-90(4)(d) requires all childcare facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Criminal Records Checks: Qualifying letters are now valid for five years. We reviewed all Qualifying Letters and made any needed corrections on the Qualifying letter to reflect the 5-year date. Rated License process was discussed. I explained that since the program is on a Special Provisional the facility would be going through their Rated License process and have a full assessment prior to the end of the Special Provisional. We discussed that this would occur some time between late February and early March 2024. Today we contacted agencies that provide support in preparation for the Environmental Rating Scale as well as including Quality. At the close of the visit, I asked the Administrator if she had any questions or concerns and she stated that she did not. I reminded her that it is imperative on all documents that accurate dates are listed, unless there is a reference sheet that can be observed by parents which indicate which week each of the studies are or which week you are in on the rotating menu. I shared if any questions or concerns arose or if assistance was needed to please feel free to contact me at (704) 594-0148 or kathy.willis@dhhs.nc.gov. Kathy Twitty Willis M.Ed. Child Care Consultant NCDHHS Division of Child Development and Early Education Regulatory Services Section PO Box 192 Mineral Springs NC 28108-0192 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: ratio. Open / not marked corrected.

10A NCAC 09 .0514 · Violation

Name of Operation: BIG BLUE MARBLE-WAXHAW Facility ID: 90000499 Consultant: KATHY WILLIS Operation Type: Center Case Number: Visit Date: 10/31/2023 Number Present: 53 Completed Date: 10/31/2023 Age: From 0 To 4 Total Minutes: 300 Time In: 09:00 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my Annual Compliance visit was to monitor for compliance with applicable childcare requirements. Upon arrival the Administrator, Natonya Walker and the Assistant Director Brittney Jordan assisted me during today’s visit. We used the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable childcare requirements pertinent to this facility and the Annual Compliance Monitoring Checklist for Child Care Centers. Ownership: The facility owner Big Blue Marble Academy, LLC and is active and current in the Secretary of States database since 12/20/2018. If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. Inspections: Sanitation and Fire inspections were current and are attached to today’s visit summary. Indoor Learning Environment: Today all (11) eleven of the twelve (12) classrooms were open. Select classrooms were grouped with other classrooms due to limited staffing. Each classroom was monitored and I spoke with Administration, Staff and Children in occupied rooms explaining what is monitored in their space as well as provided suggestions of enhancing the quality in each space in preparation for the Rated License Assessment oi will occur in late February 2024 in preparation of coming off of the Harmless Hold status. Each classroom met minimal standards regarding materials. I provided a resource of suggested materials for all three scales designed by CCRI. I observed children participating in play in their activity areas, tummy time, gross motor activities, art activities, language activities, circle time, lunch preparation, lunch and diaper changing and handwashing activities. Outdoor Learning Environment: The outdoor learning environment, on the sides and back of the buildings had many activities for the children to participate in. There were toys on the playground areas as well as additional materials to play with are taken outside as well. The area for the Infants and Toddlers was under cover and I observed children in all areas of the playground during today’s visit. Staff Records: There were no staff and training worksheets completed. The Administrator is new and so I verified that the staff files were present and asked her to complete the document and I would return to review the staffing. Children Records: Ten (10) % of the total enrolled children’s files were reviewed. There were two children who would require Medical Plan’s of Actions (MPoA). We reviewed what must be listed on the plan. Although the plan had some information it was missing information needed. I took the form and highlighted were more information was needed and asked that this be completed prior to the child returning to ensure that the child’s medical needs can be met. Program Records: I reviewed all the required records. I observed the Summary of the Child Care Law poster, Monthly Fire Drill Log & Quarterly Shelter-in-place/Lock down drill Log, Safe Pick-up, and Delivery Procedures that are the same as what is in the facilities handbook, Emergency Medical Care Plan (EMCP), Emergency Phone Numbers (recommended – by telephone) Weekly menu for meals and snacks posted where it can be seen by parents and food preparation staff, Tobacco Free Environment/Campus restriction poster/sticker posted at main entrance and the Fire Inspection form and the Safety drills. All documents were observed to be complying during today’s visit with the exception of the EMCP that had Julie Smith’s name listed as the sole person who would carry out some of the plan. Ms. Smith is currently disqualified and cannot be in a child care facility. Nutrition: The facility was complying during today’s visit with Child Care Meal Patterns Requirements. We discussed that the food that is placed into the classroom must be served to the children immediately in order to maintain appropriate temperatures. Transportation: The facility uses four busses currently. 2005 Chevrolet Thomas Bus Georgia License RQI0618, 2005 Chevrolet Express Cutaway SC Licensed BU33419, 2007 Chevrolet Express G-3500 NC Licensed JL2719, and 2005 Chevrolet Express G-3500 NC Licensed FME 4751. All vehicles were in compliance regarding safety. The transportation binders were monitored and pictures need to be added to ensure that there is identifying information on each child and staff. Weapons: Your facility reported that they were complying during today’s visit with Child Care Requirements regarding firearms. Technical Assistance: I meet with the Administrative Staff and we discussed each violation and ways to remedy them. We reviewed ways to keep the outlets plugged at all times, adding the needed details including knowing parental instructions regarding types of responses for medical situations, who needs to be listed on the emergency medical care plan, appropriate language with children including positive verbiage and examples were provided. I also provided the email website www.ncrlap.org for the staff to review the resources including Language for Learners to both Administration and staff ways who to gain ways to communicate positively to the children. We also reviewed ways to complete forms that would include ways parents wish for the staff to respond to any medical situation when a child has a medical action plan as well as adding more details and having signatures of medication administration form for emergency medications. We reviewed the programs Curriculum which appeared to be very comprehensive but then discussed the activity plans that we observed in each classroom and how it was completed that didn’t reflect the activities that were in the printed curriculum that Big Blue Marble has in place. We also reviewed gross motor activities and discussed that the specific activity should be listed on the activity plan. We then revised mulch depth and reviewed how raking the mulch in the low areas from areas with excess mulch may be helpful in maintaining the correct amounts. We then reviewed hazardous items like the wipe packages on the buses, the room with the cleaning items that was in unlocked storage and ways to ensure that these items are kept in accordance with the rules and regulations. The Administrative Staff took all suggestions and made a plan to ensure that they maintain compliance. The following violations were observed: Violation Number Comment Rule 523 The activity plan did not include a daily gross motor activity which may occur indoors and outdoors. On all of the activity plans that were posted in each operating classroom under at least one day for gross motor activity the statement outside play was listed as the activity. This does not define an activity. The activity must be listed and defined so that it can be identified as a gross motor activity. .0508(g)(3) 617 All openings to the outer air were not protected against the entrance of flying insects. The screen in the classroom where the toddler children playground was located there was a torn screen so that if the window was opened the classroom would not be protected against the entrance of flying insects. 15A NCAC 18A .2831(c) 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. During the observation there were two outlets, one in the hallway and one in a classroom that was not covered by a safety plug leaving the outlet accessible to the children in care. During the visit these two outlets were covered. 10A NCAC 09 .0604(c) 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. In the foyer there was a closet that was open with the key in the door handle. In this closet there was an aerosol can of pledge and other cleaning chemicals. After the observation the door was closed, and the key removed from the lock. .2820(b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Upon review of the monthly playground inspection documentation, it was observed that the person completing the training did not have documentation of training in playground safety requirements. The only staff currently qualified to conduct these inspections is Angela Blakeney until additional official training with certificates to verify required training can be obtained. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The plan was not able to be located and therefore was not reviewed with staff as required. The plan that is in the database is not current therefore in need of revision. Plans are required to be revised when a change occurs or annually. 10A NCAC 09 .0802(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/or the medical report was older than 12 months. Upon review of the Staff files, it was observed that the required medical was not completed with several staff (see Staff and Training Worksheets) within the required time frame. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Upon review of the Staff files it was observed that the required orientation was not completed with several staff (see Staff and Training Worksheets). .1101(a) 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. Upon review of the Staff Files, it was observed that the required First Aid training was not completed for several staff (see Staff and Training Worksheets) within the required time frame. .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. Upon review of the Staff Files, it was observed that the required CPR training was not completed for several staff (see Staff and Training Worksheets) within the required time frame. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Upon review of the Staff Files it was observed that the required on-going training was not completed for several staff (see Staff and Training Worksheets). .1103(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Upon review of the Staff Files, it was observed that the required training was not completed for several staff (see Staff and Training Worksheets) within the required time frame. .1102(f) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Upon review of the Staff files it was observed that the required orientation was not completed with several staff (see Staff and Training Worksheets). .1101(a)(b) 1123 All vehicles used to transport children were not free of hazards. There were four vehicles used for transportation of children. In one vehicle there was an aerosol can of WD-40 and Lysol wipes that had the following Safety Information: For external use only. No known significant effects or critical hazards. Read label before use. Keep out of reach of children. If swallowed, get medical help or contact a Poison Control Center right away and have product container or label at hand. When using this product: avoid contact with eyes; in case of eye contact, flush with water. Stop use and ask a doctor if: irritation or redness develops. Since this is multiple label warnings it is required to be locked up. The packets were in each bus' door on the driver's side no more than one foot from the bus floor. The Lysol wipes and the WD-40 was removed and placed in locked storage during the visit. 10A NCAC 09 .1002(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. In a review of the information on the children located on each bus it was observed that many of the children did not have a photograph as identifying information. 10A NCAC 09 .1003(d) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Upon review of the Staff Files it was observed that the required annual staff evaluation and staff developmental plan was not completed for several staff (see Staff and Training Worksheets) within the required time frame. 10A NCAC 09 .0514(f) 1757 A valid qualification letter was not on file and available to review at the facility. One staff member, Meagan Nesbit, did not have a valid qualifying letter on file. There was a qualifying letter for Ms. Nesbit per the database. G.S. 110-90.2(b) & (d) & .2703(e) 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. Upon review of the Staff files, it was observed that the required training was not completed with several staff (see Staff and Training Worksheets) within the required time frame and/or on an annual basis. .0607(f) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. Currently there no documentation that there is a staff person who has the required training for Emergency preparedness Response on site. .0607(b) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. Upon review of the Staff Files, it was observed that the required training was not completed for any of the staff who were observed providing care for the infant children. .01102 (f) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On the playground where the one- and two-year-old children play there was a slide that at the bottom of it the surfacing was less than two inches deep and the requirement was six inches in depth in order to provide the appropriate protective surfacing for the children's safety. During the visit the Assistant Director corrected the depth of the surfacing by raking excess surfacing to this area. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Upon review of the Staff files, it was observed that the required training was not completed with several staff (see Staff and Training Worksheets). .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Upon review of the Staff files, it was observed that in some staff files the above noted items were not maintained separately (see Staff and Training Worksheets) within the required time frame. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Upon review of the Staff files, it was observed that the required training was not completed with several staff (see Staff and Training Worksheets) within the required time frame. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Upon review of the Staff Files it was observed that the required health and safety training was not completed for several staff (see Staff and Training Worksheets) within the required time frame. .1102(a) 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. Upon review of the Staff files, it was observed that the required health and safety training that is a part of the on-going training (required every 5 years) was not completed for several staff (see Staff and Training Worksheets) within the required time frame. .1103(b) Today the violations, that were not corrected during the visit, must be corrected immediately. You must submit a correction email or letter to me no later than November 13, 2023. Please note in this documentation you will need to provide specifics the “what, when, and where” of the corrective actions you have taken and how you will prevent reoccurrence. In the correction documentation (email or letter) please include the facility name, id number, date of the visit, date of the corrections and your signature (electronic is acceptable). Keep mindful that violations must be corrected immediately, and it is best practice to submit the correction letter as soon as possible. Waiting until the above noted date could result in the scheduling of a return visit to verify that the violations have been corrected. Compliance History: North Carolina General Statute 110-90(4)(d) requires all childcare facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Criminal Records Checks: Qualifying letters are now valid for five years. We reviewed all Qualifying Letters and made any needed corrections on the Qualifying letter to reflect the 5-year date. Rated License process was discussed. I explained that since the program is on a Special Provisional the facility would be going through their Rated License process and have a full assessment prior to the end of the Special Provisional. We discussed that this would occur some time between late February and early March 2024. Today we contacted agencies that provide support in preparation for the Environmental Rating Scale as well as including Quality. At the close of the visit, I asked the Administrator if she had any questions or concerns and she stated that she did not. I reminded her that it is imperative on all documents that accurate dates are listed, unless there is a reference sheet that can be observed by parents which indicate which week each of the studies are or which week you are in on the rotating menu. I shared if any questions or concerns arose or if assistance was needed to please feel free to contact me at (704) 594-0148 or kathy.willis@dhhs.nc.gov. Kathy Twitty Willis M.Ed. Child Care Consultant NCDHHS Division of Child Development and Early Education Regulatory Services Section PO Box 192 Mineral Springs NC 28108-0192 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 .0701 · Violation

Name of Operation: BIG BLUE MARBLE-WAXHAW Facility ID: 90000499 Consultant: KATHY WILLIS Operation Type: Center Case Number: Visit Date: 10/31/2023 Number Present: 53 Completed Date: 10/31/2023 Age: From 0 To 4 Total Minutes: 300 Time In: 09:00 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my Annual Compliance visit was to monitor for compliance with applicable childcare requirements. Upon arrival the Administrator, Natonya Walker and the Assistant Director Brittney Jordan assisted me during today’s visit. We used the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable childcare requirements pertinent to this facility and the Annual Compliance Monitoring Checklist for Child Care Centers. Ownership: The facility owner Big Blue Marble Academy, LLC and is active and current in the Secretary of States database since 12/20/2018. If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. Inspections: Sanitation and Fire inspections were current and are attached to today’s visit summary. Indoor Learning Environment: Today all (11) eleven of the twelve (12) classrooms were open. Select classrooms were grouped with other classrooms due to limited staffing. Each classroom was monitored and I spoke with Administration, Staff and Children in occupied rooms explaining what is monitored in their space as well as provided suggestions of enhancing the quality in each space in preparation for the Rated License Assessment oi will occur in late February 2024 in preparation of coming off of the Harmless Hold status. Each classroom met minimal standards regarding materials. I provided a resource of suggested materials for all three scales designed by CCRI. I observed children participating in play in their activity areas, tummy time, gross motor activities, art activities, language activities, circle time, lunch preparation, lunch and diaper changing and handwashing activities. Outdoor Learning Environment: The outdoor learning environment, on the sides and back of the buildings had many activities for the children to participate in. There were toys on the playground areas as well as additional materials to play with are taken outside as well. The area for the Infants and Toddlers was under cover and I observed children in all areas of the playground during today’s visit. Staff Records: There were no staff and training worksheets completed. The Administrator is new and so I verified that the staff files were present and asked her to complete the document and I would return to review the staffing. Children Records: Ten (10) % of the total enrolled children’s files were reviewed. There were two children who would require Medical Plan’s of Actions (MPoA). We reviewed what must be listed on the plan. Although the plan had some information it was missing information needed. I took the form and highlighted were more information was needed and asked that this be completed prior to the child returning to ensure that the child’s medical needs can be met. Program Records: I reviewed all the required records. I observed the Summary of the Child Care Law poster, Monthly Fire Drill Log & Quarterly Shelter-in-place/Lock down drill Log, Safe Pick-up, and Delivery Procedures that are the same as what is in the facilities handbook, Emergency Medical Care Plan (EMCP), Emergency Phone Numbers (recommended – by telephone) Weekly menu for meals and snacks posted where it can be seen by parents and food preparation staff, Tobacco Free Environment/Campus restriction poster/sticker posted at main entrance and the Fire Inspection form and the Safety drills. All documents were observed to be complying during today’s visit with the exception of the EMCP that had Julie Smith’s name listed as the sole person who would carry out some of the plan. Ms. Smith is currently disqualified and cannot be in a child care facility. Nutrition: The facility was complying during today’s visit with Child Care Meal Patterns Requirements. We discussed that the food that is placed into the classroom must be served to the children immediately in order to maintain appropriate temperatures. Transportation: The facility uses four busses currently. 2005 Chevrolet Thomas Bus Georgia License RQI0618, 2005 Chevrolet Express Cutaway SC Licensed BU33419, 2007 Chevrolet Express G-3500 NC Licensed JL2719, and 2005 Chevrolet Express G-3500 NC Licensed FME 4751. All vehicles were in compliance regarding safety. The transportation binders were monitored and pictures need to be added to ensure that there is identifying information on each child and staff. Weapons: Your facility reported that they were complying during today’s visit with Child Care Requirements regarding firearms. Technical Assistance: I meet with the Administrative Staff and we discussed each violation and ways to remedy them. We reviewed ways to keep the outlets plugged at all times, adding the needed details including knowing parental instructions regarding types of responses for medical situations, who needs to be listed on the emergency medical care plan, appropriate language with children including positive verbiage and examples were provided. I also provided the email website www.ncrlap.org for the staff to review the resources including Language for Learners to both Administration and staff ways who to gain ways to communicate positively to the children. We also reviewed ways to complete forms that would include ways parents wish for the staff to respond to any medical situation when a child has a medical action plan as well as adding more details and having signatures of medication administration form for emergency medications. We reviewed the programs Curriculum which appeared to be very comprehensive but then discussed the activity plans that we observed in each classroom and how it was completed that didn’t reflect the activities that were in the printed curriculum that Big Blue Marble has in place. We also reviewed gross motor activities and discussed that the specific activity should be listed on the activity plan. We then revised mulch depth and reviewed how raking the mulch in the low areas from areas with excess mulch may be helpful in maintaining the correct amounts. We then reviewed hazardous items like the wipe packages on the buses, the room with the cleaning items that was in unlocked storage and ways to ensure that these items are kept in accordance with the rules and regulations. The Administrative Staff took all suggestions and made a plan to ensure that they maintain compliance. The following violations were observed: Violation Number Comment Rule 523 The activity plan did not include a daily gross motor activity which may occur indoors and outdoors. On all of the activity plans that were posted in each operating classroom under at least one day for gross motor activity the statement outside play was listed as the activity. This does not define an activity. The activity must be listed and defined so that it can be identified as a gross motor activity. .0508(g)(3) 617 All openings to the outer air were not protected against the entrance of flying insects. The screen in the classroom where the toddler children playground was located there was a torn screen so that if the window was opened the classroom would not be protected against the entrance of flying insects. 15A NCAC 18A .2831(c) 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. During the observation there were two outlets, one in the hallway and one in a classroom that was not covered by a safety plug leaving the outlet accessible to the children in care. During the visit these two outlets were covered. 10A NCAC 09 .0604(c) 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. In the foyer there was a closet that was open with the key in the door handle. In this closet there was an aerosol can of pledge and other cleaning chemicals. After the observation the door was closed, and the key removed from the lock. .2820(b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Upon review of the monthly playground inspection documentation, it was observed that the person completing the training did not have documentation of training in playground safety requirements. The only staff currently qualified to conduct these inspections is Angela Blakeney until additional official training with certificates to verify required training can be obtained. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The plan was not able to be located and therefore was not reviewed with staff as required. The plan that is in the database is not current therefore in need of revision. Plans are required to be revised when a change occurs or annually. 10A NCAC 09 .0802(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/or the medical report was older than 12 months. Upon review of the Staff files, it was observed that the required medical was not completed with several staff (see Staff and Training Worksheets) within the required time frame. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Upon review of the Staff files it was observed that the required orientation was not completed with several staff (see Staff and Training Worksheets). .1101(a) 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. Upon review of the Staff Files, it was observed that the required First Aid training was not completed for several staff (see Staff and Training Worksheets) within the required time frame. .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. Upon review of the Staff Files, it was observed that the required CPR training was not completed for several staff (see Staff and Training Worksheets) within the required time frame. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Upon review of the Staff Files it was observed that the required on-going training was not completed for several staff (see Staff and Training Worksheets). .1103(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Upon review of the Staff Files, it was observed that the required training was not completed for several staff (see Staff and Training Worksheets) within the required time frame. .1102(f) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Upon review of the Staff files it was observed that the required orientation was not completed with several staff (see Staff and Training Worksheets). .1101(a)(b) 1123 All vehicles used to transport children were not free of hazards. There were four vehicles used for transportation of children. In one vehicle there was an aerosol can of WD-40 and Lysol wipes that had the following Safety Information: For external use only. No known significant effects or critical hazards. Read label before use. Keep out of reach of children. If swallowed, get medical help or contact a Poison Control Center right away and have product container or label at hand. When using this product: avoid contact with eyes; in case of eye contact, flush with water. Stop use and ask a doctor if: irritation or redness develops. Since this is multiple label warnings it is required to be locked up. The packets were in each bus' door on the driver's side no more than one foot from the bus floor. The Lysol wipes and the WD-40 was removed and placed in locked storage during the visit. 10A NCAC 09 .1002(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. In a review of the information on the children located on each bus it was observed that many of the children did not have a photograph as identifying information. 10A NCAC 09 .1003(d) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Upon review of the Staff Files it was observed that the required annual staff evaluation and staff developmental plan was not completed for several staff (see Staff and Training Worksheets) within the required time frame. 10A NCAC 09 .0514(f) 1757 A valid qualification letter was not on file and available to review at the facility. One staff member, Meagan Nesbit, did not have a valid qualifying letter on file. There was a qualifying letter for Ms. Nesbit per the database. G.S. 110-90.2(b) & (d) & .2703(e) 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. Upon review of the Staff files, it was observed that the required training was not completed with several staff (see Staff and Training Worksheets) within the required time frame and/or on an annual basis. .0607(f) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. Currently there no documentation that there is a staff person who has the required training for Emergency preparedness Response on site. .0607(b) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. Upon review of the Staff Files, it was observed that the required training was not completed for any of the staff who were observed providing care for the infant children. .01102 (f) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On the playground where the one- and two-year-old children play there was a slide that at the bottom of it the surfacing was less than two inches deep and the requirement was six inches in depth in order to provide the appropriate protective surfacing for the children's safety. During the visit the Assistant Director corrected the depth of the surfacing by raking excess surfacing to this area. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Upon review of the Staff files, it was observed that the required training was not completed with several staff (see Staff and Training Worksheets). .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Upon review of the Staff files, it was observed that in some staff files the above noted items were not maintained separately (see Staff and Training Worksheets) within the required time frame. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Upon review of the Staff files, it was observed that the required training was not completed with several staff (see Staff and Training Worksheets) within the required time frame. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Upon review of the Staff Files it was observed that the required health and safety training was not completed for several staff (see Staff and Training Worksheets) within the required time frame. .1102(a) 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. Upon review of the Staff files, it was observed that the required health and safety training that is a part of the on-going training (required every 5 years) was not completed for several staff (see Staff and Training Worksheets) within the required time frame. .1103(b) Today the violations, that were not corrected during the visit, must be corrected immediately. You must submit a correction email or letter to me no later than November 13, 2023. Please note in this documentation you will need to provide specifics the “what, when, and where” of the corrective actions you have taken and how you will prevent reoccurrence. In the correction documentation (email or letter) please include the facility name, id number, date of the visit, date of the corrections and your signature (electronic is acceptable). Keep mindful that violations must be corrected immediately, and it is best practice to submit the correction letter as soon as possible. Waiting until the above noted date could result in the scheduling of a return visit to verify that the violations have been corrected. Compliance History: North Carolina General Statute 110-90(4)(d) requires all childcare facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Criminal Records Checks: Qualifying letters are now valid for five years. We reviewed all Qualifying Letters and made any needed corrections on the Qualifying letter to reflect the 5-year date. Rated License process was discussed. I explained that since the program is on a Special Provisional the facility would be going through their Rated License process and have a full assessment prior to the end of the Special Provisional. We discussed that this would occur some time between late February and early March 2024. Today we contacted agencies that provide support in preparation for the Environmental Rating Scale as well as including Quality. At the close of the visit, I asked the Administrator if she had any questions or concerns and she stated that she did not. I reminded her that it is imperative on all documents that accurate dates are listed, unless there is a reference sheet that can be observed by parents which indicate which week each of the studies are or which week you are in on the rotating menu. I shared if any questions or concerns arose or if assistance was needed to please feel free to contact me at (704) 594-0148 or kathy.willis@dhhs.nc.gov. Kathy Twitty Willis M.Ed. Child Care Consultant NCDHHS Division of Child Development and Early Education Regulatory Services Section PO Box 192 Mineral Springs NC 28108-0192 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 .0802 · Violation

Name of Operation: BIG BLUE MARBLE-WAXHAW Facility ID: 90000499 Consultant: KATHY WILLIS Operation Type: Center Case Number: Visit Date: 10/31/2023 Number Present: 53 Completed Date: 10/31/2023 Age: From 0 To 4 Total Minutes: 300 Time In: 09:00 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my Annual Compliance visit was to monitor for compliance with applicable childcare requirements. Upon arrival the Administrator, Natonya Walker and the Assistant Director Brittney Jordan assisted me during today’s visit. We used the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable childcare requirements pertinent to this facility and the Annual Compliance Monitoring Checklist for Child Care Centers. Ownership: The facility owner Big Blue Marble Academy, LLC and is active and current in the Secretary of States database since 12/20/2018. If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. Inspections: Sanitation and Fire inspections were current and are attached to today’s visit summary. Indoor Learning Environment: Today all (11) eleven of the twelve (12) classrooms were open. Select classrooms were grouped with other classrooms due to limited staffing. Each classroom was monitored and I spoke with Administration, Staff and Children in occupied rooms explaining what is monitored in their space as well as provided suggestions of enhancing the quality in each space in preparation for the Rated License Assessment oi will occur in late February 2024 in preparation of coming off of the Harmless Hold status. Each classroom met minimal standards regarding materials. I provided a resource of suggested materials for all three scales designed by CCRI. I observed children participating in play in their activity areas, tummy time, gross motor activities, art activities, language activities, circle time, lunch preparation, lunch and diaper changing and handwashing activities. Outdoor Learning Environment: The outdoor learning environment, on the sides and back of the buildings had many activities for the children to participate in. There were toys on the playground areas as well as additional materials to play with are taken outside as well. The area for the Infants and Toddlers was under cover and I observed children in all areas of the playground during today’s visit. Staff Records: There were no staff and training worksheets completed. The Administrator is new and so I verified that the staff files were present and asked her to complete the document and I would return to review the staffing. Children Records: Ten (10) % of the total enrolled children’s files were reviewed. There were two children who would require Medical Plan’s of Actions (MPoA). We reviewed what must be listed on the plan. Although the plan had some information it was missing information needed. I took the form and highlighted were more information was needed and asked that this be completed prior to the child returning to ensure that the child’s medical needs can be met. Program Records: I reviewed all the required records. I observed the Summary of the Child Care Law poster, Monthly Fire Drill Log & Quarterly Shelter-in-place/Lock down drill Log, Safe Pick-up, and Delivery Procedures that are the same as what is in the facilities handbook, Emergency Medical Care Plan (EMCP), Emergency Phone Numbers (recommended – by telephone) Weekly menu for meals and snacks posted where it can be seen by parents and food preparation staff, Tobacco Free Environment/Campus restriction poster/sticker posted at main entrance and the Fire Inspection form and the Safety drills. All documents were observed to be complying during today’s visit with the exception of the EMCP that had Julie Smith’s name listed as the sole person who would carry out some of the plan. Ms. Smith is currently disqualified and cannot be in a child care facility. Nutrition: The facility was complying during today’s visit with Child Care Meal Patterns Requirements. We discussed that the food that is placed into the classroom must be served to the children immediately in order to maintain appropriate temperatures. Transportation: The facility uses four busses currently. 2005 Chevrolet Thomas Bus Georgia License RQI0618, 2005 Chevrolet Express Cutaway SC Licensed BU33419, 2007 Chevrolet Express G-3500 NC Licensed JL2719, and 2005 Chevrolet Express G-3500 NC Licensed FME 4751. All vehicles were in compliance regarding safety. The transportation binders were monitored and pictures need to be added to ensure that there is identifying information on each child and staff. Weapons: Your facility reported that they were complying during today’s visit with Child Care Requirements regarding firearms. Technical Assistance: I meet with the Administrative Staff and we discussed each violation and ways to remedy them. We reviewed ways to keep the outlets plugged at all times, adding the needed details including knowing parental instructions regarding types of responses for medical situations, who needs to be listed on the emergency medical care plan, appropriate language with children including positive verbiage and examples were provided. I also provided the email website www.ncrlap.org for the staff to review the resources including Language for Learners to both Administration and staff ways who to gain ways to communicate positively to the children. We also reviewed ways to complete forms that would include ways parents wish for the staff to respond to any medical situation when a child has a medical action plan as well as adding more details and having signatures of medication administration form for emergency medications. We reviewed the programs Curriculum which appeared to be very comprehensive but then discussed the activity plans that we observed in each classroom and how it was completed that didn’t reflect the activities that were in the printed curriculum that Big Blue Marble has in place. We also reviewed gross motor activities and discussed that the specific activity should be listed on the activity plan. We then revised mulch depth and reviewed how raking the mulch in the low areas from areas with excess mulch may be helpful in maintaining the correct amounts. We then reviewed hazardous items like the wipe packages on the buses, the room with the cleaning items that was in unlocked storage and ways to ensure that these items are kept in accordance with the rules and regulations. The Administrative Staff took all suggestions and made a plan to ensure that they maintain compliance. The following violations were observed: Violation Number Comment Rule 523 The activity plan did not include a daily gross motor activity which may occur indoors and outdoors. On all of the activity plans that were posted in each operating classroom under at least one day for gross motor activity the statement outside play was listed as the activity. This does not define an activity. The activity must be listed and defined so that it can be identified as a gross motor activity. .0508(g)(3) 617 All openings to the outer air were not protected against the entrance of flying insects. The screen in the classroom where the toddler children playground was located there was a torn screen so that if the window was opened the classroom would not be protected against the entrance of flying insects. 15A NCAC 18A .2831(c) 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. During the observation there were two outlets, one in the hallway and one in a classroom that was not covered by a safety plug leaving the outlet accessible to the children in care. During the visit these two outlets were covered. 10A NCAC 09 .0604(c) 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. In the foyer there was a closet that was open with the key in the door handle. In this closet there was an aerosol can of pledge and other cleaning chemicals. After the observation the door was closed, and the key removed from the lock. .2820(b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Upon review of the monthly playground inspection documentation, it was observed that the person completing the training did not have documentation of training in playground safety requirements. The only staff currently qualified to conduct these inspections is Angela Blakeney until additional official training with certificates to verify required training can be obtained. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The plan was not able to be located and therefore was not reviewed with staff as required. The plan that is in the database is not current therefore in need of revision. Plans are required to be revised when a change occurs or annually. 10A NCAC 09 .0802(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/or the medical report was older than 12 months. Upon review of the Staff files, it was observed that the required medical was not completed with several staff (see Staff and Training Worksheets) within the required time frame. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Upon review of the Staff files it was observed that the required orientation was not completed with several staff (see Staff and Training Worksheets). .1101(a) 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. Upon review of the Staff Files, it was observed that the required First Aid training was not completed for several staff (see Staff and Training Worksheets) within the required time frame. .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. Upon review of the Staff Files, it was observed that the required CPR training was not completed for several staff (see Staff and Training Worksheets) within the required time frame. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Upon review of the Staff Files it was observed that the required on-going training was not completed for several staff (see Staff and Training Worksheets). .1103(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Upon review of the Staff Files, it was observed that the required training was not completed for several staff (see Staff and Training Worksheets) within the required time frame. .1102(f) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Upon review of the Staff files it was observed that the required orientation was not completed with several staff (see Staff and Training Worksheets). .1101(a)(b) 1123 All vehicles used to transport children were not free of hazards. There were four vehicles used for transportation of children. In one vehicle there was an aerosol can of WD-40 and Lysol wipes that had the following Safety Information: For external use only. No known significant effects or critical hazards. Read label before use. Keep out of reach of children. If swallowed, get medical help or contact a Poison Control Center right away and have product container or label at hand. When using this product: avoid contact with eyes; in case of eye contact, flush with water. Stop use and ask a doctor if: irritation or redness develops. Since this is multiple label warnings it is required to be locked up. The packets were in each bus' door on the driver's side no more than one foot from the bus floor. The Lysol wipes and the WD-40 was removed and placed in locked storage during the visit. 10A NCAC 09 .1002(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. In a review of the information on the children located on each bus it was observed that many of the children did not have a photograph as identifying information. 10A NCAC 09 .1003(d) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Upon review of the Staff Files it was observed that the required annual staff evaluation and staff developmental plan was not completed for several staff (see Staff and Training Worksheets) within the required time frame. 10A NCAC 09 .0514(f) 1757 A valid qualification letter was not on file and available to review at the facility. One staff member, Meagan Nesbit, did not have a valid qualifying letter on file. There was a qualifying letter for Ms. Nesbit per the database. G.S. 110-90.2(b) & (d) & .2703(e) 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. Upon review of the Staff files, it was observed that the required training was not completed with several staff (see Staff and Training Worksheets) within the required time frame and/or on an annual basis. .0607(f) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. Currently there no documentation that there is a staff person who has the required training for Emergency preparedness Response on site. .0607(b) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. Upon review of the Staff Files, it was observed that the required training was not completed for any of the staff who were observed providing care for the infant children. .01102 (f) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On the playground where the one- and two-year-old children play there was a slide that at the bottom of it the surfacing was less than two inches deep and the requirement was six inches in depth in order to provide the appropriate protective surfacing for the children's safety. During the visit the Assistant Director corrected the depth of the surfacing by raking excess surfacing to this area. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Upon review of the Staff files, it was observed that the required training was not completed with several staff (see Staff and Training Worksheets). .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Upon review of the Staff files, it was observed that in some staff files the above noted items were not maintained separately (see Staff and Training Worksheets) within the required time frame. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Upon review of the Staff files, it was observed that the required training was not completed with several staff (see Staff and Training Worksheets) within the required time frame. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Upon review of the Staff Files it was observed that the required health and safety training was not completed for several staff (see Staff and Training Worksheets) within the required time frame. .1102(a) 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. Upon review of the Staff files, it was observed that the required health and safety training that is a part of the on-going training (required every 5 years) was not completed for several staff (see Staff and Training Worksheets) within the required time frame. .1103(b) Today the violations, that were not corrected during the visit, must be corrected immediately. You must submit a correction email or letter to me no later than November 13, 2023. Please note in this documentation you will need to provide specifics the “what, when, and where” of the corrective actions you have taken and how you will prevent reoccurrence. In the correction documentation (email or letter) please include the facility name, id number, date of the visit, date of the corrections and your signature (electronic is acceptable). Keep mindful that violations must be corrected immediately, and it is best practice to submit the correction letter as soon as possible. Waiting until the above noted date could result in the scheduling of a return visit to verify that the violations have been corrected. Compliance History: North Carolina General Statute 110-90(4)(d) requires all childcare facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Criminal Records Checks: Qualifying letters are now valid for five years. We reviewed all Qualifying Letters and made any needed corrections on the Qualifying letter to reflect the 5-year date. Rated License process was discussed. I explained that since the program is on a Special Provisional the facility would be going through their Rated License process and have a full assessment prior to the end of the Special Provisional. We discussed that this would occur some time between late February and early March 2024. Today we contacted agencies that provide support in preparation for the Environmental Rating Scale as well as including Quality. At the close of the visit, I asked the Administrator if she had any questions or concerns and she stated that she did not. I reminded her that it is imperative on all documents that accurate dates are listed, unless there is a reference sheet that can be observed by parents which indicate which week each of the studies are or which week you are in on the rotating menu. I shared if any questions or concerns arose or if assistance was needed to please feel free to contact me at (704) 594-0148 or kathy.willis@dhhs.nc.gov. Kathy Twitty Willis M.Ed. Child Care Consultant NCDHHS Division of Child Development and Early Education Regulatory Services Section PO Box 192 Mineral Springs NC 28108-0192 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 .1002 · Violation

Name of Operation: BIG BLUE MARBLE-WAXHAW Facility ID: 90000499 Consultant: KATHY WILLIS Operation Type: Center Case Number: Visit Date: 10/31/2023 Number Present: 53 Completed Date: 10/31/2023 Age: From 0 To 4 Total Minutes: 300 Time In: 09:00 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my Annual Compliance visit was to monitor for compliance with applicable childcare requirements. Upon arrival the Administrator, Natonya Walker and the Assistant Director Brittney Jordan assisted me during today’s visit. We used the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable childcare requirements pertinent to this facility and the Annual Compliance Monitoring Checklist for Child Care Centers. Ownership: The facility owner Big Blue Marble Academy, LLC and is active and current in the Secretary of States database since 12/20/2018. If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. Inspections: Sanitation and Fire inspections were current and are attached to today’s visit summary. Indoor Learning Environment: Today all (11) eleven of the twelve (12) classrooms were open. Select classrooms were grouped with other classrooms due to limited staffing. Each classroom was monitored and I spoke with Administration, Staff and Children in occupied rooms explaining what is monitored in their space as well as provided suggestions of enhancing the quality in each space in preparation for the Rated License Assessment oi will occur in late February 2024 in preparation of coming off of the Harmless Hold status. Each classroom met minimal standards regarding materials. I provided a resource of suggested materials for all three scales designed by CCRI. I observed children participating in play in their activity areas, tummy time, gross motor activities, art activities, language activities, circle time, lunch preparation, lunch and diaper changing and handwashing activities. Outdoor Learning Environment: The outdoor learning environment, on the sides and back of the buildings had many activities for the children to participate in. There were toys on the playground areas as well as additional materials to play with are taken outside as well. The area for the Infants and Toddlers was under cover and I observed children in all areas of the playground during today’s visit. Staff Records: There were no staff and training worksheets completed. The Administrator is new and so I verified that the staff files were present and asked her to complete the document and I would return to review the staffing. Children Records: Ten (10) % of the total enrolled children’s files were reviewed. There were two children who would require Medical Plan’s of Actions (MPoA). We reviewed what must be listed on the plan. Although the plan had some information it was missing information needed. I took the form and highlighted were more information was needed and asked that this be completed prior to the child returning to ensure that the child’s medical needs can be met. Program Records: I reviewed all the required records. I observed the Summary of the Child Care Law poster, Monthly Fire Drill Log & Quarterly Shelter-in-place/Lock down drill Log, Safe Pick-up, and Delivery Procedures that are the same as what is in the facilities handbook, Emergency Medical Care Plan (EMCP), Emergency Phone Numbers (recommended – by telephone) Weekly menu for meals and snacks posted where it can be seen by parents and food preparation staff, Tobacco Free Environment/Campus restriction poster/sticker posted at main entrance and the Fire Inspection form and the Safety drills. All documents were observed to be complying during today’s visit with the exception of the EMCP that had Julie Smith’s name listed as the sole person who would carry out some of the plan. Ms. Smith is currently disqualified and cannot be in a child care facility. Nutrition: The facility was complying during today’s visit with Child Care Meal Patterns Requirements. We discussed that the food that is placed into the classroom must be served to the children immediately in order to maintain appropriate temperatures. Transportation: The facility uses four busses currently. 2005 Chevrolet Thomas Bus Georgia License RQI0618, 2005 Chevrolet Express Cutaway SC Licensed BU33419, 2007 Chevrolet Express G-3500 NC Licensed JL2719, and 2005 Chevrolet Express G-3500 NC Licensed FME 4751. All vehicles were in compliance regarding safety. The transportation binders were monitored and pictures need to be added to ensure that there is identifying information on each child and staff. Weapons: Your facility reported that they were complying during today’s visit with Child Care Requirements regarding firearms. Technical Assistance: I meet with the Administrative Staff and we discussed each violation and ways to remedy them. We reviewed ways to keep the outlets plugged at all times, adding the needed details including knowing parental instructions regarding types of responses for medical situations, who needs to be listed on the emergency medical care plan, appropriate language with children including positive verbiage and examples were provided. I also provided the email website www.ncrlap.org for the staff to review the resources including Language for Learners to both Administration and staff ways who to gain ways to communicate positively to the children. We also reviewed ways to complete forms that would include ways parents wish for the staff to respond to any medical situation when a child has a medical action plan as well as adding more details and having signatures of medication administration form for emergency medications. We reviewed the programs Curriculum which appeared to be very comprehensive but then discussed the activity plans that we observed in each classroom and how it was completed that didn’t reflect the activities that were in the printed curriculum that Big Blue Marble has in place. We also reviewed gross motor activities and discussed that the specific activity should be listed on the activity plan. We then revised mulch depth and reviewed how raking the mulch in the low areas from areas with excess mulch may be helpful in maintaining the correct amounts. We then reviewed hazardous items like the wipe packages on the buses, the room with the cleaning items that was in unlocked storage and ways to ensure that these items are kept in accordance with the rules and regulations. The Administrative Staff took all suggestions and made a plan to ensure that they maintain compliance. The following violations were observed: Violation Number Comment Rule 523 The activity plan did not include a daily gross motor activity which may occur indoors and outdoors. On all of the activity plans that were posted in each operating classroom under at least one day for gross motor activity the statement outside play was listed as the activity. This does not define an activity. The activity must be listed and defined so that it can be identified as a gross motor activity. .0508(g)(3) 617 All openings to the outer air were not protected against the entrance of flying insects. The screen in the classroom where the toddler children playground was located there was a torn screen so that if the window was opened the classroom would not be protected against the entrance of flying insects. 15A NCAC 18A .2831(c) 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. During the observation there were two outlets, one in the hallway and one in a classroom that was not covered by a safety plug leaving the outlet accessible to the children in care. During the visit these two outlets were covered. 10A NCAC 09 .0604(c) 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. In the foyer there was a closet that was open with the key in the door handle. In this closet there was an aerosol can of pledge and other cleaning chemicals. After the observation the door was closed, and the key removed from the lock. .2820(b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Upon review of the monthly playground inspection documentation, it was observed that the person completing the training did not have documentation of training in playground safety requirements. The only staff currently qualified to conduct these inspections is Angela Blakeney until additional official training with certificates to verify required training can be obtained. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The plan was not able to be located and therefore was not reviewed with staff as required. The plan that is in the database is not current therefore in need of revision. Plans are required to be revised when a change occurs or annually. 10A NCAC 09 .0802(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/or the medical report was older than 12 months. Upon review of the Staff files, it was observed that the required medical was not completed with several staff (see Staff and Training Worksheets) within the required time frame. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Upon review of the Staff files it was observed that the required orientation was not completed with several staff (see Staff and Training Worksheets). .1101(a) 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. Upon review of the Staff Files, it was observed that the required First Aid training was not completed for several staff (see Staff and Training Worksheets) within the required time frame. .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. Upon review of the Staff Files, it was observed that the required CPR training was not completed for several staff (see Staff and Training Worksheets) within the required time frame. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Upon review of the Staff Files it was observed that the required on-going training was not completed for several staff (see Staff and Training Worksheets). .1103(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Upon review of the Staff Files, it was observed that the required training was not completed for several staff (see Staff and Training Worksheets) within the required time frame. .1102(f) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Upon review of the Staff files it was observed that the required orientation was not completed with several staff (see Staff and Training Worksheets). .1101(a)(b) 1123 All vehicles used to transport children were not free of hazards. There were four vehicles used for transportation of children. In one vehicle there was an aerosol can of WD-40 and Lysol wipes that had the following Safety Information: For external use only. No known significant effects or critical hazards. Read label before use. Keep out of reach of children. If swallowed, get medical help or contact a Poison Control Center right away and have product container or label at hand. When using this product: avoid contact with eyes; in case of eye contact, flush with water. Stop use and ask a doctor if: irritation or redness develops. Since this is multiple label warnings it is required to be locked up. The packets were in each bus' door on the driver's side no more than one foot from the bus floor. The Lysol wipes and the WD-40 was removed and placed in locked storage during the visit. 10A NCAC 09 .1002(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. In a review of the information on the children located on each bus it was observed that many of the children did not have a photograph as identifying information. 10A NCAC 09 .1003(d) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Upon review of the Staff Files it was observed that the required annual staff evaluation and staff developmental plan was not completed for several staff (see Staff and Training Worksheets) within the required time frame. 10A NCAC 09 .0514(f) 1757 A valid qualification letter was not on file and available to review at the facility. One staff member, Meagan Nesbit, did not have a valid qualifying letter on file. There was a qualifying letter for Ms. Nesbit per the database. G.S. 110-90.2(b) & (d) & .2703(e) 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. Upon review of the Staff files, it was observed that the required training was not completed with several staff (see Staff and Training Worksheets) within the required time frame and/or on an annual basis. .0607(f) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. Currently there no documentation that there is a staff person who has the required training for Emergency preparedness Response on site. .0607(b) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. Upon review of the Staff Files, it was observed that the required training was not completed for any of the staff who were observed providing care for the infant children. .01102 (f) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On the playground where the one- and two-year-old children play there was a slide that at the bottom of it the surfacing was less than two inches deep and the requirement was six inches in depth in order to provide the appropriate protective surfacing for the children's safety. During the visit the Assistant Director corrected the depth of the surfacing by raking excess surfacing to this area. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Upon review of the Staff files, it was observed that the required training was not completed with several staff (see Staff and Training Worksheets). .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Upon review of the Staff files, it was observed that in some staff files the above noted items were not maintained separately (see Staff and Training Worksheets) within the required time frame. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Upon review of the Staff files, it was observed that the required training was not completed with several staff (see Staff and Training Worksheets) within the required time frame. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Upon review of the Staff Files it was observed that the required health and safety training was not completed for several staff (see Staff and Training Worksheets) within the required time frame. .1102(a) 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. Upon review of the Staff files, it was observed that the required health and safety training that is a part of the on-going training (required every 5 years) was not completed for several staff (see Staff and Training Worksheets) within the required time frame. .1103(b) Today the violations, that were not corrected during the visit, must be corrected immediately. You must submit a correction email or letter to me no later than November 13, 2023. Please note in this documentation you will need to provide specifics the “what, when, and where” of the corrective actions you have taken and how you will prevent reoccurrence. In the correction documentation (email or letter) please include the facility name, id number, date of the visit, date of the corrections and your signature (electronic is acceptable). Keep mindful that violations must be corrected immediately, and it is best practice to submit the correction letter as soon as possible. Waiting until the above noted date could result in the scheduling of a return visit to verify that the violations have been corrected. Compliance History: North Carolina General Statute 110-90(4)(d) requires all childcare facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Criminal Records Checks: Qualifying letters are now valid for five years. We reviewed all Qualifying Letters and made any needed corrections on the Qualifying letter to reflect the 5-year date. Rated License process was discussed. I explained that since the program is on a Special Provisional the facility would be going through their Rated License process and have a full assessment prior to the end of the Special Provisional. We discussed that this would occur some time between late February and early March 2024. Today we contacted agencies that provide support in preparation for the Environmental Rating Scale as well as including Quality. At the close of the visit, I asked the Administrator if she had any questions or concerns and she stated that she did not. I reminded her that it is imperative on all documents that accurate dates are listed, unless there is a reference sheet that can be observed by parents which indicate which week each of the studies are or which week you are in on the rotating menu. I shared if any questions or concerns arose or if assistance was needed to please feel free to contact me at (704) 594-0148 or kathy.willis@dhhs.nc.gov. Kathy Twitty Willis M.Ed. Child Care Consultant NCDHHS Division of Child Development and Early Education Regulatory Services Section PO Box 192 Mineral Springs NC 28108-0192 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 .1003 · Violation

Name of Operation: BIG BLUE MARBLE-WAXHAW Facility ID: 90000499 Consultant: KATHY WILLIS Operation Type: Center Case Number: Visit Date: 10/31/2023 Number Present: 53 Completed Date: 10/31/2023 Age: From 0 To 4 Total Minutes: 300 Time In: 09:00 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my Annual Compliance visit was to monitor for compliance with applicable childcare requirements. Upon arrival the Administrator, Natonya Walker and the Assistant Director Brittney Jordan assisted me during today’s visit. We used the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable childcare requirements pertinent to this facility and the Annual Compliance Monitoring Checklist for Child Care Centers. Ownership: The facility owner Big Blue Marble Academy, LLC and is active and current in the Secretary of States database since 12/20/2018. If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. Inspections: Sanitation and Fire inspections were current and are attached to today’s visit summary. Indoor Learning Environment: Today all (11) eleven of the twelve (12) classrooms were open. Select classrooms were grouped with other classrooms due to limited staffing. Each classroom was monitored and I spoke with Administration, Staff and Children in occupied rooms explaining what is monitored in their space as well as provided suggestions of enhancing the quality in each space in preparation for the Rated License Assessment oi will occur in late February 2024 in preparation of coming off of the Harmless Hold status. Each classroom met minimal standards regarding materials. I provided a resource of suggested materials for all three scales designed by CCRI. I observed children participating in play in their activity areas, tummy time, gross motor activities, art activities, language activities, circle time, lunch preparation, lunch and diaper changing and handwashing activities. Outdoor Learning Environment: The outdoor learning environment, on the sides and back of the buildings had many activities for the children to participate in. There were toys on the playground areas as well as additional materials to play with are taken outside as well. The area for the Infants and Toddlers was under cover and I observed children in all areas of the playground during today’s visit. Staff Records: There were no staff and training worksheets completed. The Administrator is new and so I verified that the staff files were present and asked her to complete the document and I would return to review the staffing. Children Records: Ten (10) % of the total enrolled children’s files were reviewed. There were two children who would require Medical Plan’s of Actions (MPoA). We reviewed what must be listed on the plan. Although the plan had some information it was missing information needed. I took the form and highlighted were more information was needed and asked that this be completed prior to the child returning to ensure that the child’s medical needs can be met. Program Records: I reviewed all the required records. I observed the Summary of the Child Care Law poster, Monthly Fire Drill Log & Quarterly Shelter-in-place/Lock down drill Log, Safe Pick-up, and Delivery Procedures that are the same as what is in the facilities handbook, Emergency Medical Care Plan (EMCP), Emergency Phone Numbers (recommended – by telephone) Weekly menu for meals and snacks posted where it can be seen by parents and food preparation staff, Tobacco Free Environment/Campus restriction poster/sticker posted at main entrance and the Fire Inspection form and the Safety drills. All documents were observed to be complying during today’s visit with the exception of the EMCP that had Julie Smith’s name listed as the sole person who would carry out some of the plan. Ms. Smith is currently disqualified and cannot be in a child care facility. Nutrition: The facility was complying during today’s visit with Child Care Meal Patterns Requirements. We discussed that the food that is placed into the classroom must be served to the children immediately in order to maintain appropriate temperatures. Transportation: The facility uses four busses currently. 2005 Chevrolet Thomas Bus Georgia License RQI0618, 2005 Chevrolet Express Cutaway SC Licensed BU33419, 2007 Chevrolet Express G-3500 NC Licensed JL2719, and 2005 Chevrolet Express G-3500 NC Licensed FME 4751. All vehicles were in compliance regarding safety. The transportation binders were monitored and pictures need to be added to ensure that there is identifying information on each child and staff. Weapons: Your facility reported that they were complying during today’s visit with Child Care Requirements regarding firearms. Technical Assistance: I meet with the Administrative Staff and we discussed each violation and ways to remedy them. We reviewed ways to keep the outlets plugged at all times, adding the needed details including knowing parental instructions regarding types of responses for medical situations, who needs to be listed on the emergency medical care plan, appropriate language with children including positive verbiage and examples were provided. I also provided the email website www.ncrlap.org for the staff to review the resources including Language for Learners to both Administration and staff ways who to gain ways to communicate positively to the children. We also reviewed ways to complete forms that would include ways parents wish for the staff to respond to any medical situation when a child has a medical action plan as well as adding more details and having signatures of medication administration form for emergency medications. We reviewed the programs Curriculum which appeared to be very comprehensive but then discussed the activity plans that we observed in each classroom and how it was completed that didn’t reflect the activities that were in the printed curriculum that Big Blue Marble has in place. We also reviewed gross motor activities and discussed that the specific activity should be listed on the activity plan. We then revised mulch depth and reviewed how raking the mulch in the low areas from areas with excess mulch may be helpful in maintaining the correct amounts. We then reviewed hazardous items like the wipe packages on the buses, the room with the cleaning items that was in unlocked storage and ways to ensure that these items are kept in accordance with the rules and regulations. The Administrative Staff took all suggestions and made a plan to ensure that they maintain compliance. The following violations were observed: Violation Number Comment Rule 523 The activity plan did not include a daily gross motor activity which may occur indoors and outdoors. On all of the activity plans that were posted in each operating classroom under at least one day for gross motor activity the statement outside play was listed as the activity. This does not define an activity. The activity must be listed and defined so that it can be identified as a gross motor activity. .0508(g)(3) 617 All openings to the outer air were not protected against the entrance of flying insects. The screen in the classroom where the toddler children playground was located there was a torn screen so that if the window was opened the classroom would not be protected against the entrance of flying insects. 15A NCAC 18A .2831(c) 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. During the observation there were two outlets, one in the hallway and one in a classroom that was not covered by a safety plug leaving the outlet accessible to the children in care. During the visit these two outlets were covered. 10A NCAC 09 .0604(c) 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. In the foyer there was a closet that was open with the key in the door handle. In this closet there was an aerosol can of pledge and other cleaning chemicals. After the observation the door was closed, and the key removed from the lock. .2820(b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Upon review of the monthly playground inspection documentation, it was observed that the person completing the training did not have documentation of training in playground safety requirements. The only staff currently qualified to conduct these inspections is Angela Blakeney until additional official training with certificates to verify required training can be obtained. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The plan was not able to be located and therefore was not reviewed with staff as required. The plan that is in the database is not current therefore in need of revision. Plans are required to be revised when a change occurs or annually. 10A NCAC 09 .0802(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/or the medical report was older than 12 months. Upon review of the Staff files, it was observed that the required medical was not completed with several staff (see Staff and Training Worksheets) within the required time frame. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Upon review of the Staff files it was observed that the required orientation was not completed with several staff (see Staff and Training Worksheets). .1101(a) 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. Upon review of the Staff Files, it was observed that the required First Aid training was not completed for several staff (see Staff and Training Worksheets) within the required time frame. .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. Upon review of the Staff Files, it was observed that the required CPR training was not completed for several staff (see Staff and Training Worksheets) within the required time frame. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Upon review of the Staff Files it was observed that the required on-going training was not completed for several staff (see Staff and Training Worksheets). .1103(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Upon review of the Staff Files, it was observed that the required training was not completed for several staff (see Staff and Training Worksheets) within the required time frame. .1102(f) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Upon review of the Staff files it was observed that the required orientation was not completed with several staff (see Staff and Training Worksheets). .1101(a)(b) 1123 All vehicles used to transport children were not free of hazards. There were four vehicles used for transportation of children. In one vehicle there was an aerosol can of WD-40 and Lysol wipes that had the following Safety Information: For external use only. No known significant effects or critical hazards. Read label before use. Keep out of reach of children. If swallowed, get medical help or contact a Poison Control Center right away and have product container or label at hand. When using this product: avoid contact with eyes; in case of eye contact, flush with water. Stop use and ask a doctor if: irritation or redness develops. Since this is multiple label warnings it is required to be locked up. The packets were in each bus' door on the driver's side no more than one foot from the bus floor. The Lysol wipes and the WD-40 was removed and placed in locked storage during the visit. 10A NCAC 09 .1002(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. In a review of the information on the children located on each bus it was observed that many of the children did not have a photograph as identifying information. 10A NCAC 09 .1003(d) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Upon review of the Staff Files it was observed that the required annual staff evaluation and staff developmental plan was not completed for several staff (see Staff and Training Worksheets) within the required time frame. 10A NCAC 09 .0514(f) 1757 A valid qualification letter was not on file and available to review at the facility. One staff member, Meagan Nesbit, did not have a valid qualifying letter on file. There was a qualifying letter for Ms. Nesbit per the database. G.S. 110-90.2(b) & (d) & .2703(e) 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. Upon review of the Staff files, it was observed that the required training was not completed with several staff (see Staff and Training Worksheets) within the required time frame and/or on an annual basis. .0607(f) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. Currently there no documentation that there is a staff person who has the required training for Emergency preparedness Response on site. .0607(b) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. Upon review of the Staff Files, it was observed that the required training was not completed for any of the staff who were observed providing care for the infant children. .01102 (f) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On the playground where the one- and two-year-old children play there was a slide that at the bottom of it the surfacing was less than two inches deep and the requirement was six inches in depth in order to provide the appropriate protective surfacing for the children's safety. During the visit the Assistant Director corrected the depth of the surfacing by raking excess surfacing to this area. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Upon review of the Staff files, it was observed that the required training was not completed with several staff (see Staff and Training Worksheets). .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Upon review of the Staff files, it was observed that in some staff files the above noted items were not maintained separately (see Staff and Training Worksheets) within the required time frame. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Upon review of the Staff files, it was observed that the required training was not completed with several staff (see Staff and Training Worksheets) within the required time frame. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Upon review of the Staff Files it was observed that the required health and safety training was not completed for several staff (see Staff and Training Worksheets) within the required time frame. .1102(a) 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. Upon review of the Staff files, it was observed that the required health and safety training that is a part of the on-going training (required every 5 years) was not completed for several staff (see Staff and Training Worksheets) within the required time frame. .1103(b) Today the violations, that were not corrected during the visit, must be corrected immediately. You must submit a correction email or letter to me no later than November 13, 2023. Please note in this documentation you will need to provide specifics the “what, when, and where” of the corrective actions you have taken and how you will prevent reoccurrence. In the correction documentation (email or letter) please include the facility name, id number, date of the visit, date of the corrections and your signature (electronic is acceptable). Keep mindful that violations must be corrected immediately, and it is best practice to submit the correction letter as soon as possible. Waiting until the above noted date could result in the scheduling of a return visit to verify that the violations have been corrected. Compliance History: North Carolina General Statute 110-90(4)(d) requires all childcare facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Criminal Records Checks: Qualifying letters are now valid for five years. We reviewed all Qualifying Letters and made any needed corrections on the Qualifying letter to reflect the 5-year date. Rated License process was discussed. I explained that since the program is on a Special Provisional the facility would be going through their Rated License process and have a full assessment prior to the end of the Special Provisional. We discussed that this would occur some time between late February and early March 2024. Today we contacted agencies that provide support in preparation for the Environmental Rating Scale as well as including Quality. At the close of the visit, I asked the Administrator if she had any questions or concerns and she stated that she did not. I reminded her that it is imperative on all documents that accurate dates are listed, unless there is a reference sheet that can be observed by parents which indicate which week each of the studies are or which week you are in on the rotating menu. I shared if any questions or concerns arose or if assistance was needed to please feel free to contact me at (704) 594-0148 or kathy.willis@dhhs.nc.gov. Kathy Twitty Willis M.Ed. Child Care Consultant NCDHHS Division of Child Development and Early Education Regulatory Services Section PO Box 192 Mineral Springs NC 28108-0192 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: BIG BLUE MARBLE-WAXHAW Facility ID: 90000499 Consultant: KATHY WILLIS Operation Type: Center Case Number: Visit Date: 10/31/2023 Number Present: 53 Completed Date: 10/31/2023 Age: From 0 To 4 Total Minutes: 300 Time In: 09:00 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my Annual Compliance visit was to monitor for compliance with applicable childcare requirements. Upon arrival the Administrator, Natonya Walker and the Assistant Director Brittney Jordan assisted me during today’s visit. We used the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable childcare requirements pertinent to this facility and the Annual Compliance Monitoring Checklist for Child Care Centers. Ownership: The facility owner Big Blue Marble Academy, LLC and is active and current in the Secretary of States database since 12/20/2018. If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. Inspections: Sanitation and Fire inspections were current and are attached to today’s visit summary. Indoor Learning Environment: Today all (11) eleven of the twelve (12) classrooms were open. Select classrooms were grouped with other classrooms due to limited staffing. Each classroom was monitored and I spoke with Administration, Staff and Children in occupied rooms explaining what is monitored in their space as well as provided suggestions of enhancing the quality in each space in preparation for the Rated License Assessment oi will occur in late February 2024 in preparation of coming off of the Harmless Hold status. Each classroom met minimal standards regarding materials. I provided a resource of suggested materials for all three scales designed by CCRI. I observed children participating in play in their activity areas, tummy time, gross motor activities, art activities, language activities, circle time, lunch preparation, lunch and diaper changing and handwashing activities. Outdoor Learning Environment: The outdoor learning environment, on the sides and back of the buildings had many activities for the children to participate in. There were toys on the playground areas as well as additional materials to play with are taken outside as well. The area for the Infants and Toddlers was under cover and I observed children in all areas of the playground during today’s visit. Staff Records: There were no staff and training worksheets completed. The Administrator is new and so I verified that the staff files were present and asked her to complete the document and I would return to review the staffing. Children Records: Ten (10) % of the total enrolled children’s files were reviewed. There were two children who would require Medical Plan’s of Actions (MPoA). We reviewed what must be listed on the plan. Although the plan had some information it was missing information needed. I took the form and highlighted were more information was needed and asked that this be completed prior to the child returning to ensure that the child’s medical needs can be met. Program Records: I reviewed all the required records. I observed the Summary of the Child Care Law poster, Monthly Fire Drill Log & Quarterly Shelter-in-place/Lock down drill Log, Safe Pick-up, and Delivery Procedures that are the same as what is in the facilities handbook, Emergency Medical Care Plan (EMCP), Emergency Phone Numbers (recommended – by telephone) Weekly menu for meals and snacks posted where it can be seen by parents and food preparation staff, Tobacco Free Environment/Campus restriction poster/sticker posted at main entrance and the Fire Inspection form and the Safety drills. All documents were observed to be complying during today’s visit with the exception of the EMCP that had Julie Smith’s name listed as the sole person who would carry out some of the plan. Ms. Smith is currently disqualified and cannot be in a child care facility. Nutrition: The facility was complying during today’s visit with Child Care Meal Patterns Requirements. We discussed that the food that is placed into the classroom must be served to the children immediately in order to maintain appropriate temperatures. Transportation: The facility uses four busses currently. 2005 Chevrolet Thomas Bus Georgia License RQI0618, 2005 Chevrolet Express Cutaway SC Licensed BU33419, 2007 Chevrolet Express G-3500 NC Licensed JL2719, and 2005 Chevrolet Express G-3500 NC Licensed FME 4751. All vehicles were in compliance regarding safety. The transportation binders were monitored and pictures need to be added to ensure that there is identifying information on each child and staff. Weapons: Your facility reported that they were complying during today’s visit with Child Care Requirements regarding firearms. Technical Assistance: I meet with the Administrative Staff and we discussed each violation and ways to remedy them. We reviewed ways to keep the outlets plugged at all times, adding the needed details including knowing parental instructions regarding types of responses for medical situations, who needs to be listed on the emergency medical care plan, appropriate language with children including positive verbiage and examples were provided. I also provided the email website www.ncrlap.org for the staff to review the resources including Language for Learners to both Administration and staff ways who to gain ways to communicate positively to the children. We also reviewed ways to complete forms that would include ways parents wish for the staff to respond to any medical situation when a child has a medical action plan as well as adding more details and having signatures of medication administration form for emergency medications. We reviewed the programs Curriculum which appeared to be very comprehensive but then discussed the activity plans that we observed in each classroom and how it was completed that didn’t reflect the activities that were in the printed curriculum that Big Blue Marble has in place. We also reviewed gross motor activities and discussed that the specific activity should be listed on the activity plan. We then revised mulch depth and reviewed how raking the mulch in the low areas from areas with excess mulch may be helpful in maintaining the correct amounts. We then reviewed hazardous items like the wipe packages on the buses, the room with the cleaning items that was in unlocked storage and ways to ensure that these items are kept in accordance with the rules and regulations. The Administrative Staff took all suggestions and made a plan to ensure that they maintain compliance. The following violations were observed: Violation Number Comment Rule 523 The activity plan did not include a daily gross motor activity which may occur indoors and outdoors. On all of the activity plans that were posted in each operating classroom under at least one day for gross motor activity the statement outside play was listed as the activity. This does not define an activity. The activity must be listed and defined so that it can be identified as a gross motor activity. .0508(g)(3) 617 All openings to the outer air were not protected against the entrance of flying insects. The screen in the classroom where the toddler children playground was located there was a torn screen so that if the window was opened the classroom would not be protected against the entrance of flying insects. 15A NCAC 18A .2831(c) 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. During the observation there were two outlets, one in the hallway and one in a classroom that was not covered by a safety plug leaving the outlet accessible to the children in care. During the visit these two outlets were covered. 10A NCAC 09 .0604(c) 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. In the foyer there was a closet that was open with the key in the door handle. In this closet there was an aerosol can of pledge and other cleaning chemicals. After the observation the door was closed, and the key removed from the lock. .2820(b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Upon review of the monthly playground inspection documentation, it was observed that the person completing the training did not have documentation of training in playground safety requirements. The only staff currently qualified to conduct these inspections is Angela Blakeney until additional official training with certificates to verify required training can be obtained. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The plan was not able to be located and therefore was not reviewed with staff as required. The plan that is in the database is not current therefore in need of revision. Plans are required to be revised when a change occurs or annually. 10A NCAC 09 .0802(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/or the medical report was older than 12 months. Upon review of the Staff files, it was observed that the required medical was not completed with several staff (see Staff and Training Worksheets) within the required time frame. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Upon review of the Staff files it was observed that the required orientation was not completed with several staff (see Staff and Training Worksheets). .1101(a) 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. Upon review of the Staff Files, it was observed that the required First Aid training was not completed for several staff (see Staff and Training Worksheets) within the required time frame. .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. Upon review of the Staff Files, it was observed that the required CPR training was not completed for several staff (see Staff and Training Worksheets) within the required time frame. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Upon review of the Staff Files it was observed that the required on-going training was not completed for several staff (see Staff and Training Worksheets). .1103(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Upon review of the Staff Files, it was observed that the required training was not completed for several staff (see Staff and Training Worksheets) within the required time frame. .1102(f) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Upon review of the Staff files it was observed that the required orientation was not completed with several staff (see Staff and Training Worksheets). .1101(a)(b) 1123 All vehicles used to transport children were not free of hazards. There were four vehicles used for transportation of children. In one vehicle there was an aerosol can of WD-40 and Lysol wipes that had the following Safety Information: For external use only. No known significant effects or critical hazards. Read label before use. Keep out of reach of children. If swallowed, get medical help or contact a Poison Control Center right away and have product container or label at hand. When using this product: avoid contact with eyes; in case of eye contact, flush with water. Stop use and ask a doctor if: irritation or redness develops. Since this is multiple label warnings it is required to be locked up. The packets were in each bus' door on the driver's side no more than one foot from the bus floor. The Lysol wipes and the WD-40 was removed and placed in locked storage during the visit. 10A NCAC 09 .1002(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. In a review of the information on the children located on each bus it was observed that many of the children did not have a photograph as identifying information. 10A NCAC 09 .1003(d) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Upon review of the Staff Files it was observed that the required annual staff evaluation and staff developmental plan was not completed for several staff (see Staff and Training Worksheets) within the required time frame. 10A NCAC 09 .0514(f) 1757 A valid qualification letter was not on file and available to review at the facility. One staff member, Meagan Nesbit, did not have a valid qualifying letter on file. There was a qualifying letter for Ms. Nesbit per the database. G.S. 110-90.2(b) & (d) & .2703(e) 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. Upon review of the Staff files, it was observed that the required training was not completed with several staff (see Staff and Training Worksheets) within the required time frame and/or on an annual basis. .0607(f) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. Currently there no documentation that there is a staff person who has the required training for Emergency preparedness Response on site. .0607(b) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. Upon review of the Staff Files, it was observed that the required training was not completed for any of the staff who were observed providing care for the infant children. .01102 (f) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On the playground where the one- and two-year-old children play there was a slide that at the bottom of it the surfacing was less than two inches deep and the requirement was six inches in depth in order to provide the appropriate protective surfacing for the children's safety. During the visit the Assistant Director corrected the depth of the surfacing by raking excess surfacing to this area. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Upon review of the Staff files, it was observed that the required training was not completed with several staff (see Staff and Training Worksheets). .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Upon review of the Staff files, it was observed that in some staff files the above noted items were not maintained separately (see Staff and Training Worksheets) within the required time frame. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Upon review of the Staff files, it was observed that the required training was not completed with several staff (see Staff and Training Worksheets) within the required time frame. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Upon review of the Staff Files it was observed that the required health and safety training was not completed for several staff (see Staff and Training Worksheets) within the required time frame. .1102(a) 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. Upon review of the Staff files, it was observed that the required health and safety training that is a part of the on-going training (required every 5 years) was not completed for several staff (see Staff and Training Worksheets) within the required time frame. .1103(b) Today the violations, that were not corrected during the visit, must be corrected immediately. You must submit a correction email or letter to me no later than November 13, 2023. Please note in this documentation you will need to provide specifics the “what, when, and where” of the corrective actions you have taken and how you will prevent reoccurrence. In the correction documentation (email or letter) please include the facility name, id number, date of the visit, date of the corrections and your signature (electronic is acceptable). Keep mindful that violations must be corrected immediately, and it is best practice to submit the correction letter as soon as possible. Waiting until the above noted date could result in the scheduling of a return visit to verify that the violations have been corrected. Compliance History: North Carolina General Statute 110-90(4)(d) requires all childcare facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Criminal Records Checks: Qualifying letters are now valid for five years. We reviewed all Qualifying Letters and made any needed corrections on the Qualifying letter to reflect the 5-year date. Rated License process was discussed. I explained that since the program is on a Special Provisional the facility would be going through their Rated License process and have a full assessment prior to the end of the Special Provisional. We discussed that this would occur some time between late February and early March 2024. Today we contacted agencies that provide support in preparation for the Environmental Rating Scale as well as including Quality. At the close of the visit, I asked the Administrator if she had any questions or concerns and she stated that she did not. I reminded her that it is imperative on all documents that accurate dates are listed, unless there is a reference sheet that can be observed by parents which indicate which week each of the studies are or which week you are in on the rotating menu. I shared if any questions or concerns arose or if assistance was needed to please feel free to contact me at (704) 594-0148 or kathy.willis@dhhs.nc.gov. Kathy Twitty Willis M.Ed. Child Care Consultant NCDHHS Division of Child Development and Early Education Regulatory Services Section PO Box 192 Mineral Springs NC 28108-0192 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: BIG BLUE MARBLE-WAXHAW Facility ID: 90000499 Consultant: KATHY WILLIS Operation Type: Center Case Number: 0923-118L Visit Date: 9/19/2023 Number Present: 59 Completed Date: 9/19/2023 Age: From 0 To 5 Total Minutes: 180 Time In: 01:00 PM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an investigation of a complaint, Case #: 0923-118L of violations of child care rules and regulation. Traci Meyer Carpenter, Child Care Consultant assisted me on today’s visit. There are concerns that: 1. Children are not adequately supervised based on ongoing biting incidents among toddlers. 2. Incident reports are not prepared as required. 3. A teacher responded to a child in a rough manner. The teacher jerked the child by the arm while trying to get the child to do something. 4. Medication was not properly stored. Staff lost a child’s inhaler. The inhaler that was given to the parent belonged to someone else. 5. Staff did not follow a child’s action plan regarding an asthma attack. During today’s visit we discussed the allegations with the Administrator from. We discussed the allegations regarding Supervision, Nurture and Care, and Medication and Medical Action Plans. Interviews: Interviews were conducted with the Administrator and all staff on site today. The Administrator reported that, she did have an incident where a child had breathing labored and when she went to administer the medication it was not present. She stated that she believes that a parent picked up their child’s inhaler. She stated that the parent then asked where the inhaler was when she arrived to pick the child up due to the labored breathing a staff member provided her with a bag that had another child’s inhaler in it. She also stated that the aerosol chambers and aerosol medication were not labeled with the child’s names only the box with the pharmacy label. She stated that the child’s medical action plan could not be followed since they did not have the medication. She reported that the parent took the medical action plan and she no longer had a copy of the plan. The Administrator reported that since that incident the storage of medications will be changed and the way that they monitor and keep up with the medications will changed to reflect intended best practice standards for medication and handing medical emergencies. I asked that she provide me with the new Standard for medication administration and medical action plans. We also discussed supervision and biting, incident reports, and teacher handling a child roughly. Fran Hoover, BSN, RN, CCHC Child Care Health Consultant Division of Public Health is teaching a class Thursday September 21, 2023 on Handwashing and will be scheduling for the Biting Policy and Training class. I encouraged the new staff who had been employed for under a year to take the three training classes available through CCRI: A+ Supervision, Positive Guidance, and Keep it Clean. I suggested that the following staff: BA, RB, AB, KC, AE, TE, NH, AH, JH, JK, TL, CM, NM, LW, MW, and SZ take the free trainings Phone contact was made with the parent of the reported child whose inhaler was not on site and she stated that she was very frustrated due to the missing inhaler and that she did not take it home and was given a bag with someone else’s inhaler because it had the wrong color top on aerosol chamber. The parent also disclosed her frustration with current fees and the cost of childcare. The above child’s file was reviewed and there was no notation that the child had a medical action plan. The information within the file provided conflicting information. On the DCDEE sample Child’s application under Health Care Needs there was no notation if the child had a medical action plan yet the following questions notated that the child was allergic to the outside, had asthma, and required an inhaler and Benadryl was the medical treatment but there was no medication permission slip nor any other type of instructions. The medical was reviewed and the doctor did not notate that the child had any allergies nor asthma. On the Big Blue Marble application under medical information the allergies and asthma boxes were checked no that the child did not have any. Documents Review: Betty Tracey, who handles maintain Children’s Records stated that there are no children with Medical Action Plans currently enrolled. Incident reports: Ms. Tracey stated that she is unsure of who handles this task of documenting the incidents, but she believes that it is Ms. Angie who was on lunch. She contacted her to return to the facility in order to locate the reports. Upon review of the incident reports it was observed that they were unorganized and there was no log kept as required by the child care rules and regulations. Medication storage was observed for each classroom space and the office spaces. Violations were cited regarding medications. Video: The facility has video service, but they have to be requested through the main office. The following items were monitored during today’s visit Supervision, Staff/Child Ratios, Sanitation, Safe Environment and the Staff Qualifications as well as Adequate and Approved Space, Permit Restrictions. It was observed that supervision was in compliance today. There were fifty-nine (59) children present during today’s observation. In Space 11 that serving children two years of age had plastic bags hanging from the hooks and the bathroom was overflowing with feces and urine and water. The staff person, MM, refused to clean it up and when brought to the Administrators attention they went down and plunged the toilet cleaned up the overspill and attempted to disinfect the classroom. MM had not shared that there was an issue with the toilets. MM reported that she came in the room at 9:30 am and that it was stopped up. It was observed in the classroom, the children were participating in rest time including most of the infants, the rest of the infants were participating in feeding. Based on the investigation the following was determined: -The allegation that children are not adequately supervised based on ongoing biting incidents among toddlers was deemed unable to substantiate. There was no evidence to support that there was lack of supervision. Biting is a typical childhood behavior and there are strategies that can assist when helping the children learn to self-regulate therefore additional training was suggested. -The allegation that incident reports are not prepared as required was deemed substantiated as there was no incident report regarding a child who left to go home due to distressed breathing and the child did go to the hospital and received treatment, although not an accident it was an incident that occurred at the facility that required medical treatment. -The allegation that a teacher responded to a child in a rough manner. The teacher jerked the child by the arm while trying to get the child to do something. There previously was an allegation investigated and substantiated in an earlier complaint visit and action was taken on this substantiation. Today there was no observation of children being handled in a rough manner during today’s visit therefore the allegation was deemed unable to substantiate. -The allegation that Medication was not properly stored; that the staff lost a child’s inhaler and the inhaler that was given to the parent belonged to someone else was not substantiated as the medication. All medications on site were monitored and they were properly stored therefore the allegation was deemed not substantiated. There were expired medications observed that were not disposed of within he required time frame though and there needs to be a more defined plan for medication. I suggested that when the Child Care Health Nurses come on Thursday September 21, 2023 that they discuss with them suggestions regarding medication as they are re-defining their best practice. -The allegation of Staff did not follow a child’s action plan was deemed substantiated as the plan, which is now missing, was not followed as the medication was not on site, per Administrators report. It was also observed that another child had Asthma, who was currently in attendance and staff nor administration on site was aware of the child’s condition and that the child had a medical action play therefore would not be able to follow said plan if the child had labored/distressed breathing that indicated an asthma attack. The following violations were cited during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The Toilet in Space # 11 was actively overflowing and was clogged with feces, while the children were using the space to toilet. There was urine, water and feces on the floor. With further interview the staff member, stated that the toilet was not working correctly since she arrived in the morning and did not alert an Administrator. The Administrator plunged the toilet and the restroom area was cleaned and sanitized. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. For children J.M and J.P it was indicated by the parent/guardian that the child required rescue medication on the child's application form. J.M.'s Medical Questionnaire completed and signed by their medical professional did not indicate that the child required medication, and no form was filled out to allow rescue medication to be administered or allowed to be on site. J.P. did have one of the rescue medication on site, but it was expired and the other rescue medication was not present but was listed on the expired medication administration permission form. When asked about the J.P. the Administrators did not know who she was, or which room she was in and were not aware of any of her medical conditions. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. There were several medications located in the facility that were expired and were not disposed of within 72 hours. Three out of the six medications on site were over six months expired and not returned to the families and the other two medications did not have any identifying information and were also expired. .0803(12) 853 Incident logs were not completed and maintained as required. The incident report were kept in a drawer and no logs of the reports were available for review. One incident report was left on the front counter in the common area with the child's full name in view. The report was dated from September 13, 2023 and as of today's date was not signed by the parent/guardian in addition to it not being stored properly. .0802(g)(1-6) 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. In space #11 there were several plastic bags in direct contact with the children hanging from the children's hooks/personal storage area. .0604(q) 1821 The EPR Plan did not include the date of the last revision of the plan. Administrators were not aware of the location of the EPR plan and after the EPR plan was located, the administrator stated she was not aware that it needed to be updated and how to do the updates. J.P, currently enrolled has an asthma medication on site, and not only was the Administrator not aware of the child's medical condition the EPR did not have the emergency action plan for the child. .0607(d)(8) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The EPR plan did not have any of the new children's emergency information and had not been updated since October 11, 2022. Also, it did not have one child's medical action plan. .0607(d)(10) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. On child with a medical incident, labored/difficulty breathing, was sent home due to no medication on site and was transported to the hospital later in the day did not have a report completed nor was the report mailed to the Consultant as required. .0802(f) All violations must be corrected immediately, and a letter or email of compliance must be submitted including the item listing number, how the violation was corrected and how it will be prevented in the future and mailed to me no later than October 3, 2023 I recapped that Child Care facilities are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. In closing we reviewed the visit summary with the Administrator and asked if she had any questions and she stated that at this time she did not. I encouraged her that if she has any questions or concerns to feel free to contact me at Kathy.Willis@dhhs.nc.gov or 704 594 0148. Kathy Twitty Willis, M.Ed. Child Care Consultant Division of Child Development and Early Education North Carolina Department of Health and Human Services PO Box 192 Mineral Springs, NC 28108 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: BIG BLUE MARBLE-WAXHAW Facility ID: 90000499 Consultant: KATHY WILLIS Operation Type: Center Case Number: 0923-118L Visit Date: 9/19/2023 Number Present: 59 Completed Date: 9/19/2023 Age: From 0 To 5 Total Minutes: 180 Time In: 01:00 PM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an investigation of a complaint, Case #: 0923-118L of violations of child care rules and regulation. Traci Meyer Carpenter, Child Care Consultant assisted me on today’s visit. There are concerns that: 1. Children are not adequately supervised based on ongoing biting incidents among toddlers. 2. Incident reports are not prepared as required. 3. A teacher responded to a child in a rough manner. The teacher jerked the child by the arm while trying to get the child to do something. 4. Medication was not properly stored. Staff lost a child’s inhaler. The inhaler that was given to the parent belonged to someone else. 5. Staff did not follow a child’s action plan regarding an asthma attack. During today’s visit we discussed the allegations with the Administrator from. We discussed the allegations regarding Supervision, Nurture and Care, and Medication and Medical Action Plans. Interviews: Interviews were conducted with the Administrator and all staff on site today. The Administrator reported that, she did have an incident where a child had breathing labored and when she went to administer the medication it was not present. She stated that she believes that a parent picked up their child’s inhaler. She stated that the parent then asked where the inhaler was when she arrived to pick the child up due to the labored breathing a staff member provided her with a bag that had another child’s inhaler in it. She also stated that the aerosol chambers and aerosol medication were not labeled with the child’s names only the box with the pharmacy label. She stated that the child’s medical action plan could not be followed since they did not have the medication. She reported that the parent took the medical action plan and she no longer had a copy of the plan. The Administrator reported that since that incident the storage of medications will be changed and the way that they monitor and keep up with the medications will changed to reflect intended best practice standards for medication and handing medical emergencies. I asked that she provide me with the new Standard for medication administration and medical action plans. We also discussed supervision and biting, incident reports, and teacher handling a child roughly. Fran Hoover, BSN, RN, CCHC Child Care Health Consultant Division of Public Health is teaching a class Thursday September 21, 2023 on Handwashing and will be scheduling for the Biting Policy and Training class. I encouraged the new staff who had been employed for under a year to take the three training classes available through CCRI: A+ Supervision, Positive Guidance, and Keep it Clean. I suggested that the following staff: BA, RB, AB, KC, AE, TE, NH, AH, JH, JK, TL, CM, NM, LW, MW, and SZ take the free trainings Phone contact was made with the parent of the reported child whose inhaler was not on site and she stated that she was very frustrated due to the missing inhaler and that she did not take it home and was given a bag with someone else’s inhaler because it had the wrong color top on aerosol chamber. The parent also disclosed her frustration with current fees and the cost of childcare. The above child’s file was reviewed and there was no notation that the child had a medical action plan. The information within the file provided conflicting information. On the DCDEE sample Child’s application under Health Care Needs there was no notation if the child had a medical action plan yet the following questions notated that the child was allergic to the outside, had asthma, and required an inhaler and Benadryl was the medical treatment but there was no medication permission slip nor any other type of instructions. The medical was reviewed and the doctor did not notate that the child had any allergies nor asthma. On the Big Blue Marble application under medical information the allergies and asthma boxes were checked no that the child did not have any. Documents Review: Betty Tracey, who handles maintain Children’s Records stated that there are no children with Medical Action Plans currently enrolled. Incident reports: Ms. Tracey stated that she is unsure of who handles this task of documenting the incidents, but she believes that it is Ms. Angie who was on lunch. She contacted her to return to the facility in order to locate the reports. Upon review of the incident reports it was observed that they were unorganized and there was no log kept as required by the child care rules and regulations. Medication storage was observed for each classroom space and the office spaces. Violations were cited regarding medications. Video: The facility has video service, but they have to be requested through the main office. The following items were monitored during today’s visit Supervision, Staff/Child Ratios, Sanitation, Safe Environment and the Staff Qualifications as well as Adequate and Approved Space, Permit Restrictions. It was observed that supervision was in compliance today. There were fifty-nine (59) children present during today’s observation. In Space 11 that serving children two years of age had plastic bags hanging from the hooks and the bathroom was overflowing with feces and urine and water. The staff person, MM, refused to clean it up and when brought to the Administrators attention they went down and plunged the toilet cleaned up the overspill and attempted to disinfect the classroom. MM had not shared that there was an issue with the toilets. MM reported that she came in the room at 9:30 am and that it was stopped up. It was observed in the classroom, the children were participating in rest time including most of the infants, the rest of the infants were participating in feeding. Based on the investigation the following was determined: -The allegation that children are not adequately supervised based on ongoing biting incidents among toddlers was deemed unable to substantiate. There was no evidence to support that there was lack of supervision. Biting is a typical childhood behavior and there are strategies that can assist when helping the children learn to self-regulate therefore additional training was suggested. -The allegation that incident reports are not prepared as required was deemed substantiated as there was no incident report regarding a child who left to go home due to distressed breathing and the child did go to the hospital and received treatment, although not an accident it was an incident that occurred at the facility that required medical treatment. -The allegation that a teacher responded to a child in a rough manner. The teacher jerked the child by the arm while trying to get the child to do something. There previously was an allegation investigated and substantiated in an earlier complaint visit and action was taken on this substantiation. Today there was no observation of children being handled in a rough manner during today’s visit therefore the allegation was deemed unable to substantiate. -The allegation that Medication was not properly stored; that the staff lost a child’s inhaler and the inhaler that was given to the parent belonged to someone else was not substantiated as the medication. All medications on site were monitored and they were properly stored therefore the allegation was deemed not substantiated. There were expired medications observed that were not disposed of within he required time frame though and there needs to be a more defined plan for medication. I suggested that when the Child Care Health Nurses come on Thursday September 21, 2023 that they discuss with them suggestions regarding medication as they are re-defining their best practice. -The allegation of Staff did not follow a child’s action plan was deemed substantiated as the plan, which is now missing, was not followed as the medication was not on site, per Administrators report. It was also observed that another child had Asthma, who was currently in attendance and staff nor administration on site was aware of the child’s condition and that the child had a medical action play therefore would not be able to follow said plan if the child had labored/distressed breathing that indicated an asthma attack. The following violations were cited during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The Toilet in Space # 11 was actively overflowing and was clogged with feces, while the children were using the space to toilet. There was urine, water and feces on the floor. With further interview the staff member, stated that the toilet was not working correctly since she arrived in the morning and did not alert an Administrator. The Administrator plunged the toilet and the restroom area was cleaned and sanitized. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. For children J.M and J.P it was indicated by the parent/guardian that the child required rescue medication on the child's application form. J.M.'s Medical Questionnaire completed and signed by their medical professional did not indicate that the child required medication, and no form was filled out to allow rescue medication to be administered or allowed to be on site. J.P. did have one of the rescue medication on site, but it was expired and the other rescue medication was not present but was listed on the expired medication administration permission form. When asked about the J.P. the Administrators did not know who she was, or which room she was in and were not aware of any of her medical conditions. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. There were several medications located in the facility that were expired and were not disposed of within 72 hours. Three out of the six medications on site were over six months expired and not returned to the families and the other two medications did not have any identifying information and were also expired. .0803(12) 853 Incident logs were not completed and maintained as required. The incident report were kept in a drawer and no logs of the reports were available for review. One incident report was left on the front counter in the common area with the child's full name in view. The report was dated from September 13, 2023 and as of today's date was not signed by the parent/guardian in addition to it not being stored properly. .0802(g)(1-6) 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. In space #11 there were several plastic bags in direct contact with the children hanging from the children's hooks/personal storage area. .0604(q) 1821 The EPR Plan did not include the date of the last revision of the plan. Administrators were not aware of the location of the EPR plan and after the EPR plan was located, the administrator stated she was not aware that it needed to be updated and how to do the updates. J.P, currently enrolled has an asthma medication on site, and not only was the Administrator not aware of the child's medical condition the EPR did not have the emergency action plan for the child. .0607(d)(8) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The EPR plan did not have any of the new children's emergency information and had not been updated since October 11, 2022. Also, it did not have one child's medical action plan. .0607(d)(10) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. On child with a medical incident, labored/difficulty breathing, was sent home due to no medication on site and was transported to the hospital later in the day did not have a report completed nor was the report mailed to the Consultant as required. .0802(f) All violations must be corrected immediately, and a letter or email of compliance must be submitted including the item listing number, how the violation was corrected and how it will be prevented in the future and mailed to me no later than October 3, 2023 I recapped that Child Care facilities are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. In closing we reviewed the visit summary with the Administrator and asked if she had any questions and she stated that at this time she did not. I encouraged her that if she has any questions or concerns to feel free to contact me at Kathy.Willis@dhhs.nc.gov or 704 594 0148. Kathy Twitty Willis, M.Ed. Child Care Consultant Division of Child Development and Early Education North Carolina Department of Health and Human Services PO Box 192 Mineral Springs, NC 28108 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: BIG BLUE MARBLE-WAXHAW Facility ID: 90000499 Consultant: KATHY WILLIS Operation Type: Center Case Number: 0923-118L Visit Date: 9/19/2023 Number Present: 59 Completed Date: 9/19/2023 Age: From 0 To 5 Total Minutes: 180 Time In: 01:00 PM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an investigation of a complaint, Case #: 0923-118L of violations of child care rules and regulation. Traci Meyer Carpenter, Child Care Consultant assisted me on today’s visit. There are concerns that: 1. Children are not adequately supervised based on ongoing biting incidents among toddlers. 2. Incident reports are not prepared as required. 3. A teacher responded to a child in a rough manner. The teacher jerked the child by the arm while trying to get the child to do something. 4. Medication was not properly stored. Staff lost a child’s inhaler. The inhaler that was given to the parent belonged to someone else. 5. Staff did not follow a child’s action plan regarding an asthma attack. During today’s visit we discussed the allegations with the Administrator from. We discussed the allegations regarding Supervision, Nurture and Care, and Medication and Medical Action Plans. Interviews: Interviews were conducted with the Administrator and all staff on site today. The Administrator reported that, she did have an incident where a child had breathing labored and when she went to administer the medication it was not present. She stated that she believes that a parent picked up their child’s inhaler. She stated that the parent then asked where the inhaler was when she arrived to pick the child up due to the labored breathing a staff member provided her with a bag that had another child’s inhaler in it. She also stated that the aerosol chambers and aerosol medication were not labeled with the child’s names only the box with the pharmacy label. She stated that the child’s medical action plan could not be followed since they did not have the medication. She reported that the parent took the medical action plan and she no longer had a copy of the plan. The Administrator reported that since that incident the storage of medications will be changed and the way that they monitor and keep up with the medications will changed to reflect intended best practice standards for medication and handing medical emergencies. I asked that she provide me with the new Standard for medication administration and medical action plans. We also discussed supervision and biting, incident reports, and teacher handling a child roughly. Fran Hoover, BSN, RN, CCHC Child Care Health Consultant Division of Public Health is teaching a class Thursday September 21, 2023 on Handwashing and will be scheduling for the Biting Policy and Training class. I encouraged the new staff who had been employed for under a year to take the three training classes available through CCRI: A+ Supervision, Positive Guidance, and Keep it Clean. I suggested that the following staff: BA, RB, AB, KC, AE, TE, NH, AH, JH, JK, TL, CM, NM, LW, MW, and SZ take the free trainings Phone contact was made with the parent of the reported child whose inhaler was not on site and she stated that she was very frustrated due to the missing inhaler and that she did not take it home and was given a bag with someone else’s inhaler because it had the wrong color top on aerosol chamber. The parent also disclosed her frustration with current fees and the cost of childcare. The above child’s file was reviewed and there was no notation that the child had a medical action plan. The information within the file provided conflicting information. On the DCDEE sample Child’s application under Health Care Needs there was no notation if the child had a medical action plan yet the following questions notated that the child was allergic to the outside, had asthma, and required an inhaler and Benadryl was the medical treatment but there was no medication permission slip nor any other type of instructions. The medical was reviewed and the doctor did not notate that the child had any allergies nor asthma. On the Big Blue Marble application under medical information the allergies and asthma boxes were checked no that the child did not have any. Documents Review: Betty Tracey, who handles maintain Children’s Records stated that there are no children with Medical Action Plans currently enrolled. Incident reports: Ms. Tracey stated that she is unsure of who handles this task of documenting the incidents, but she believes that it is Ms. Angie who was on lunch. She contacted her to return to the facility in order to locate the reports. Upon review of the incident reports it was observed that they were unorganized and there was no log kept as required by the child care rules and regulations. Medication storage was observed for each classroom space and the office spaces. Violations were cited regarding medications. Video: The facility has video service, but they have to be requested through the main office. The following items were monitored during today’s visit Supervision, Staff/Child Ratios, Sanitation, Safe Environment and the Staff Qualifications as well as Adequate and Approved Space, Permit Restrictions. It was observed that supervision was in compliance today. There were fifty-nine (59) children present during today’s observation. In Space 11 that serving children two years of age had plastic bags hanging from the hooks and the bathroom was overflowing with feces and urine and water. The staff person, MM, refused to clean it up and when brought to the Administrators attention they went down and plunged the toilet cleaned up the overspill and attempted to disinfect the classroom. MM had not shared that there was an issue with the toilets. MM reported that she came in the room at 9:30 am and that it was stopped up. It was observed in the classroom, the children were participating in rest time including most of the infants, the rest of the infants were participating in feeding. Based on the investigation the following was determined: -The allegation that children are not adequately supervised based on ongoing biting incidents among toddlers was deemed unable to substantiate. There was no evidence to support that there was lack of supervision. Biting is a typical childhood behavior and there are strategies that can assist when helping the children learn to self-regulate therefore additional training was suggested. -The allegation that incident reports are not prepared as required was deemed substantiated as there was no incident report regarding a child who left to go home due to distressed breathing and the child did go to the hospital and received treatment, although not an accident it was an incident that occurred at the facility that required medical treatment. -The allegation that a teacher responded to a child in a rough manner. The teacher jerked the child by the arm while trying to get the child to do something. There previously was an allegation investigated and substantiated in an earlier complaint visit and action was taken on this substantiation. Today there was no observation of children being handled in a rough manner during today’s visit therefore the allegation was deemed unable to substantiate. -The allegation that Medication was not properly stored; that the staff lost a child’s inhaler and the inhaler that was given to the parent belonged to someone else was not substantiated as the medication. All medications on site were monitored and they were properly stored therefore the allegation was deemed not substantiated. There were expired medications observed that were not disposed of within he required time frame though and there needs to be a more defined plan for medication. I suggested that when the Child Care Health Nurses come on Thursday September 21, 2023 that they discuss with them suggestions regarding medication as they are re-defining their best practice. -The allegation of Staff did not follow a child’s action plan was deemed substantiated as the plan, which is now missing, was not followed as the medication was not on site, per Administrators report. It was also observed that another child had Asthma, who was currently in attendance and staff nor administration on site was aware of the child’s condition and that the child had a medical action play therefore would not be able to follow said plan if the child had labored/distressed breathing that indicated an asthma attack. The following violations were cited during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The Toilet in Space # 11 was actively overflowing and was clogged with feces, while the children were using the space to toilet. There was urine, water and feces on the floor. With further interview the staff member, stated that the toilet was not working correctly since she arrived in the morning and did not alert an Administrator. The Administrator plunged the toilet and the restroom area was cleaned and sanitized. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. For children J.M and J.P it was indicated by the parent/guardian that the child required rescue medication on the child's application form. J.M.'s Medical Questionnaire completed and signed by their medical professional did not indicate that the child required medication, and no form was filled out to allow rescue medication to be administered or allowed to be on site. J.P. did have one of the rescue medication on site, but it was expired and the other rescue medication was not present but was listed on the expired medication administration permission form. When asked about the J.P. the Administrators did not know who she was, or which room she was in and were not aware of any of her medical conditions. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. There were several medications located in the facility that were expired and were not disposed of within 72 hours. Three out of the six medications on site were over six months expired and not returned to the families and the other two medications did not have any identifying information and were also expired. .0803(12) 853 Incident logs were not completed and maintained as required. The incident report were kept in a drawer and no logs of the reports were available for review. One incident report was left on the front counter in the common area with the child's full name in view. The report was dated from September 13, 2023 and as of today's date was not signed by the parent/guardian in addition to it not being stored properly. .0802(g)(1-6) 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. In space #11 there were several plastic bags in direct contact with the children hanging from the children's hooks/personal storage area. .0604(q) 1821 The EPR Plan did not include the date of the last revision of the plan. Administrators were not aware of the location of the EPR plan and after the EPR plan was located, the administrator stated she was not aware that it needed to be updated and how to do the updates. J.P, currently enrolled has an asthma medication on site, and not only was the Administrator not aware of the child's medical condition the EPR did not have the emergency action plan for the child. .0607(d)(8) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The EPR plan did not have any of the new children's emergency information and had not been updated since October 11, 2022. Also, it did not have one child's medical action plan. .0607(d)(10) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. On child with a medical incident, labored/difficulty breathing, was sent home due to no medication on site and was transported to the hospital later in the day did not have a report completed nor was the report mailed to the Consultant as required. .0802(f) All violations must be corrected immediately, and a letter or email of compliance must be submitted including the item listing number, how the violation was corrected and how it will be prevented in the future and mailed to me no later than October 3, 2023 I recapped that Child Care facilities are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. In closing we reviewed the visit summary with the Administrator and asked if she had any questions and she stated that at this time she did not. I encouraged her that if she has any questions or concerns to feel free to contact me at Kathy.Willis@dhhs.nc.gov or 704 594 0148. Kathy Twitty Willis, M.Ed. Child Care Consultant Division of Child Development and Early Education North Carolina Department of Health and Human Services PO Box 192 Mineral Springs, NC 28108 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 .2818 · Violation

Name of Operation: BIG BLUE MARBLE-WAXHAW Facility ID: 90000499 Consultant: KATHY WILLIS Operation Type: Center Case Number: 0823-024L Visit Date: 8/9/2023 Number Present: 97 Completed Date: 8/9/2023 Age: From 0 To 11 Total Minutes: 210 Time In: 01:00 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an investigation of a complaint, Case # 0823-024L of violations of child care rules and regulation. Traci Meyer Carpenter, Child Care Consultant, assisted me during today’s visit. We introduced ourselves and explained the reason for our visit, that as a courtesy I would be completing the investigation of the violations of Child Care Rules and Regulations. Allegations: There is a concern: 1.) Appropriate ratios are not maintained. 2.) A teacher used inappropriate discipline (July 2023). 3.) A director or person in that capacity is not onsite as required. During today’s visit we discussed the allegations with the Interim Administrative Staff, Ms Jordan. She stated that she was aware that the facility currently was struggling with some issues regarding supervision, staff/child ratios, staffing issues, staff not following company policy regarding Behavior Policy. Interviews: Interviews were conducted with the staff present and the following concerns were consistently reported: 1.) Lack of Transparency from Administrative Staff to both staff and parents 2.) Staff/Child Ratios during opening and closing of the day 3.) Children being moved to different classrooms to meet the Child Staff Ratios 4.) Children’s behaviors including biting Documents Review: The documentation on an incident that occurred on July 12, 2023 where a staff person was terminated based on misconduct, violation of company policy and not following the discipline plan which caused potential licensing violations. We also reviewed attendance, arrival and departure logs and staffing pattern documention. Video: The video was review for the time frame of 8:30 am to 9:07am and it was observed that there were 30 school age children and one staff person in a Classroom Space that had a capacity of 31 students. The facility meets all enhanced standards therefore the ratio was 1 staff to 20 children with a group size of no more than 2 staff to 25 children. The following items were monitored during today’s visit Supervision, Staff/Child Ratios, Adequate and Approved Space, Permit Restrictions, and developmentally appropriate activities. There were 97 children present and 31 staff present during today’s observation. Based on the investigation it was determined that allegations, staff/child ratios and inappropriate discipline was deemed substantiated. Today staff/child ratio violations were observed, and it was reported that this is an ongoing issue occurring at the opening and closing of each day. The incident of a staff person being seen hitting a child on the playground, as reported by a parent, was deemed substantiated as evidenced by the Employee Corrective Action Report and staff written reports of the occurrence. It was determined that the allegation of A director or person in that capacity is not onsite as required was deemed not substantiated as the program is within the time frame allowed to ascertain a new Administrator. Ms. Jordan is filling in as Administrative Staff to ensure ongoing operation of the program and compliance with NC Child Care Rules and Regulations. A follow up visit will be made in the near future to monitor for compliance with Staff/Child Ratio, Grouping, and Discipline. The following violations were observed and/or were cited during today's visit: Violation Number Comment Rule 539 When screen time was provided to school-aged children, it was not offered as a free-choice activity; not used to meet a developmental goal; was not limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In Space 7 and Space 8 where the school age children were located the was a computer with a movie playing and all children were facing the computer screen watching Minon's in Space 7 and Diary of a Wimpy Kid in Space 8. There was no log, no documentation in the activity plan, they were all required to watch the movie. Per teacher report they watch a movie every day during rest time for at least 1.5 hours. .2508(e)(1-5) 872 The discipline policy was not followed. On July 12, 2023 a child was located on the playground and was reportedly bothering another child. It was reported that a staff person, TA, noticed the interaction between the children and grabbed the child's arm and hit the child's arm 4 to 5 times consecutively. It was reported that when questioned she stated that the parent had given her permission to pop the child when he was misbehaving. This type of interaction was not consistent with Discipline Policy. The facilities Discipline Policy, dated 07/25/17, provided to the parent's specifically states among other things " We Do Not inflict corporal punishment in any manner upon a child". Hitting a child is corporal punishment. .1803 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On July 12, 2023 a child was located on the playground and was reportedly bothering another child. It was reported that a staff person, TA, noticed the interaction between the children and grabbed the child's arm and hit the child's arm 4 to 5 times consecutively. It was reported that when questioned she stated that the parent had given her permission to pop the child when he was misbehaving. This type of interaction is not appropriate nor is it nurturing. G.S. 110-91(10) 1756 Enhanced staff/child ratios and group sizes were not met. On August 9, 2023, between 8:30 am and 9:07 am there were at least 30 school age children and one staff. The facility meets the staff/child ratio for enhanced standards therefore the ratio was not more than 1 staff to 20 children. The total number of children in the group was 30 and the group size for school age children is not more than 25 children for two staff persons. 10A NCAC 09 .2818 We explained that due to substantiations of violations of child care rules and regulations it is evident that the facility needs additional supports. I invited all Administrative Staff to attend the Rules Review that we are co-hosting scheduled for August 18, 2023. You must correct the violation immediately and submit a letter of correction no later than August 23, 2023. After today’s visit an Administrative Action may be recommended. The Investigation of the previous complaint, along with this complaint will be taken into consideration. Technical Assistance was provided in an effort to provide supports in the areas of need notated at today’s visit: Biting: 1.) Fran Hoover, BSN, RN, CCHC Child Care Health Consultant | Division of Public Health T 9802649031 M 9802649031 fran.hoover@unioncountync.gov www.unioncountync.gov, has a biting plan that she would be willing to share with you. 2.) Review the information provided in Caring for Children (CFOC) is a collection of national standards that represent the best practices, based on evidence, expertise, and experience, for quality health and safety policies and practices for today's early care and education settings at https://nrckids.org/CFOC 3.) Review the website: https://www.zerotothree.org/resource/toddler-and-biting-finding-the-right-response/ Child/Staff Ratios - When it comes to Staff Child Ratio and Supervision you need to ensure that you are providing adequate supervision and meet staff/child ratios at all time. Children must be directly and actively supervised by educators employed or engaged by maintaining a duty of care and that all staff have an understanding of the shared legal responsibility and accountability between, and a commitment by, all persons to implement the procedures and practices. Staff who are at capacity can tell a parent that they cannot leave children in a classroom if the staff/child ratio is not in compliance. WORKS: We encouraged Ms. Jordan to resubmit her education to WORKS for a re-evaluation to ensure that the information listed in the WORKS database is the most current. ITEM Listing was emailed to Administrative Team so that all staff can review the copy of the ITEM lising in an effort to better understand the rules and regulations. I recapped that Child Care facilities are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. I thanked Ms. Jordan for her honesty and transparency through out today’s visit. She explained that she loved the families and children and that she and most of the staff at Big Blue Marble have a desire to ensure a safe and secure environment for all children and families enrolled in the facilities programming. In closing we reviewed the visit summary with the Administrator and asked if she had any questions and she stated that at this time she did not. We encouraged her that if she has any questions or concerns to feel free to contact me at Kathy.Willis@dhhs.nc.gov or 704 594 0148. Kathy Twitty Willis, M.Ed. Child Care Consultant Division of Child Development and Early Education North Carolina Department of Health and Human Services PO Box 192 Mineral Springs, NC 28108 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-91 · Violation

Name of Operation: BIG BLUE MARBLE-WAXHAW Facility ID: 90000499 Consultant: KATHY WILLIS Operation Type: Center Case Number: 0823-024L Visit Date: 8/9/2023 Number Present: 97 Completed Date: 8/9/2023 Age: From 0 To 11 Total Minutes: 210 Time In: 01:00 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an investigation of a complaint, Case # 0823-024L of violations of child care rules and regulation. Traci Meyer Carpenter, Child Care Consultant, assisted me during today’s visit. We introduced ourselves and explained the reason for our visit, that as a courtesy I would be completing the investigation of the violations of Child Care Rules and Regulations. Allegations: There is a concern: 1.) Appropriate ratios are not maintained. 2.) A teacher used inappropriate discipline (July 2023). 3.) A director or person in that capacity is not onsite as required. During today’s visit we discussed the allegations with the Interim Administrative Staff, Ms Jordan. She stated that she was aware that the facility currently was struggling with some issues regarding supervision, staff/child ratios, staffing issues, staff not following company policy regarding Behavior Policy. Interviews: Interviews were conducted with the staff present and the following concerns were consistently reported: 1.) Lack of Transparency from Administrative Staff to both staff and parents 2.) Staff/Child Ratios during opening and closing of the day 3.) Children being moved to different classrooms to meet the Child Staff Ratios 4.) Children’s behaviors including biting Documents Review: The documentation on an incident that occurred on July 12, 2023 where a staff person was terminated based on misconduct, violation of company policy and not following the discipline plan which caused potential licensing violations. We also reviewed attendance, arrival and departure logs and staffing pattern documention. Video: The video was review for the time frame of 8:30 am to 9:07am and it was observed that there were 30 school age children and one staff person in a Classroom Space that had a capacity of 31 students. The facility meets all enhanced standards therefore the ratio was 1 staff to 20 children with a group size of no more than 2 staff to 25 children. The following items were monitored during today’s visit Supervision, Staff/Child Ratios, Adequate and Approved Space, Permit Restrictions, and developmentally appropriate activities. There were 97 children present and 31 staff present during today’s observation. Based on the investigation it was determined that allegations, staff/child ratios and inappropriate discipline was deemed substantiated. Today staff/child ratio violations were observed, and it was reported that this is an ongoing issue occurring at the opening and closing of each day. The incident of a staff person being seen hitting a child on the playground, as reported by a parent, was deemed substantiated as evidenced by the Employee Corrective Action Report and staff written reports of the occurrence. It was determined that the allegation of A director or person in that capacity is not onsite as required was deemed not substantiated as the program is within the time frame allowed to ascertain a new Administrator. Ms. Jordan is filling in as Administrative Staff to ensure ongoing operation of the program and compliance with NC Child Care Rules and Regulations. A follow up visit will be made in the near future to monitor for compliance with Staff/Child Ratio, Grouping, and Discipline. The following violations were observed and/or were cited during today's visit: Violation Number Comment Rule 539 When screen time was provided to school-aged children, it was not offered as a free-choice activity; not used to meet a developmental goal; was not limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In Space 7 and Space 8 where the school age children were located the was a computer with a movie playing and all children were facing the computer screen watching Minon's in Space 7 and Diary of a Wimpy Kid in Space 8. There was no log, no documentation in the activity plan, they were all required to watch the movie. Per teacher report they watch a movie every day during rest time for at least 1.5 hours. .2508(e)(1-5) 872 The discipline policy was not followed. On July 12, 2023 a child was located on the playground and was reportedly bothering another child. It was reported that a staff person, TA, noticed the interaction between the children and grabbed the child's arm and hit the child's arm 4 to 5 times consecutively. It was reported that when questioned she stated that the parent had given her permission to pop the child when he was misbehaving. This type of interaction was not consistent with Discipline Policy. The facilities Discipline Policy, dated 07/25/17, provided to the parent's specifically states among other things " We Do Not inflict corporal punishment in any manner upon a child". Hitting a child is corporal punishment. .1803 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On July 12, 2023 a child was located on the playground and was reportedly bothering another child. It was reported that a staff person, TA, noticed the interaction between the children and grabbed the child's arm and hit the child's arm 4 to 5 times consecutively. It was reported that when questioned she stated that the parent had given her permission to pop the child when he was misbehaving. This type of interaction is not appropriate nor is it nurturing. G.S. 110-91(10) 1756 Enhanced staff/child ratios and group sizes were not met. On August 9, 2023, between 8:30 am and 9:07 am there were at least 30 school age children and one staff. The facility meets the staff/child ratio for enhanced standards therefore the ratio was not more than 1 staff to 20 children. The total number of children in the group was 30 and the group size for school age children is not more than 25 children for two staff persons. 10A NCAC 09 .2818 We explained that due to substantiations of violations of child care rules and regulations it is evident that the facility needs additional supports. I invited all Administrative Staff to attend the Rules Review that we are co-hosting scheduled for August 18, 2023. You must correct the violation immediately and submit a letter of correction no later than August 23, 2023. After today’s visit an Administrative Action may be recommended. The Investigation of the previous complaint, along with this complaint will be taken into consideration. Technical Assistance was provided in an effort to provide supports in the areas of need notated at today’s visit: Biting: 1.) Fran Hoover, BSN, RN, CCHC Child Care Health Consultant | Division of Public Health T 9802649031 M 9802649031 fran.hoover@unioncountync.gov www.unioncountync.gov, has a biting plan that she would be willing to share with you. 2.) Review the information provided in Caring for Children (CFOC) is a collection of national standards that represent the best practices, based on evidence, expertise, and experience, for quality health and safety policies and practices for today's early care and education settings at https://nrckids.org/CFOC 3.) Review the website: https://www.zerotothree.org/resource/toddler-and-biting-finding-the-right-response/ Child/Staff Ratios - When it comes to Staff Child Ratio and Supervision you need to ensure that you are providing adequate supervision and meet staff/child ratios at all time. Children must be directly and actively supervised by educators employed or engaged by maintaining a duty of care and that all staff have an understanding of the shared legal responsibility and accountability between, and a commitment by, all persons to implement the procedures and practices. Staff who are at capacity can tell a parent that they cannot leave children in a classroom if the staff/child ratio is not in compliance. WORKS: We encouraged Ms. Jordan to resubmit her education to WORKS for a re-evaluation to ensure that the information listed in the WORKS database is the most current. ITEM Listing was emailed to Administrative Team so that all staff can review the copy of the ITEM lising in an effort to better understand the rules and regulations. I recapped that Child Care facilities are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. I thanked Ms. Jordan for her honesty and transparency through out today’s visit. She explained that she loved the families and children and that she and most of the staff at Big Blue Marble have a desire to ensure a safe and secure environment for all children and families enrolled in the facilities programming. In closing we reviewed the visit summary with the Administrator and asked if she had any questions and she stated that at this time she did not. We encouraged her that if she has any questions or concerns to feel free to contact me at Kathy.Willis@dhhs.nc.gov or 704 594 0148. Kathy Twitty Willis, M.Ed. Child Care Consultant Division of Child Development and Early Education North Carolina Department of Health and Human Services PO Box 192 Mineral Springs, NC 28108 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: BIG BLUE MARBLE-WAXHAW Facility ID: 90000499 Consultant: KATHY WILLIS Operation Type: Center Case Number: 0823-024L Visit Date: 8/9/2023 Number Present: 97 Completed Date: 8/9/2023 Age: From 0 To 11 Total Minutes: 210 Time In: 01:00 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an investigation of a complaint, Case # 0823-024L of violations of child care rules and regulation. Traci Meyer Carpenter, Child Care Consultant, assisted me during today’s visit. We introduced ourselves and explained the reason for our visit, that as a courtesy I would be completing the investigation of the violations of Child Care Rules and Regulations. Allegations: There is a concern: 1.) Appropriate ratios are not maintained. 2.) A teacher used inappropriate discipline (July 2023). 3.) A director or person in that capacity is not onsite as required. During today’s visit we discussed the allegations with the Interim Administrative Staff, Ms Jordan. She stated that she was aware that the facility currently was struggling with some issues regarding supervision, staff/child ratios, staffing issues, staff not following company policy regarding Behavior Policy. Interviews: Interviews were conducted with the staff present and the following concerns were consistently reported: 1.) Lack of Transparency from Administrative Staff to both staff and parents 2.) Staff/Child Ratios during opening and closing of the day 3.) Children being moved to different classrooms to meet the Child Staff Ratios 4.) Children’s behaviors including biting Documents Review: The documentation on an incident that occurred on July 12, 2023 where a staff person was terminated based on misconduct, violation of company policy and not following the discipline plan which caused potential licensing violations. We also reviewed attendance, arrival and departure logs and staffing pattern documention. Video: The video was review for the time frame of 8:30 am to 9:07am and it was observed that there were 30 school age children and one staff person in a Classroom Space that had a capacity of 31 students. The facility meets all enhanced standards therefore the ratio was 1 staff to 20 children with a group size of no more than 2 staff to 25 children. The following items were monitored during today’s visit Supervision, Staff/Child Ratios, Adequate and Approved Space, Permit Restrictions, and developmentally appropriate activities. There were 97 children present and 31 staff present during today’s observation. Based on the investigation it was determined that allegations, staff/child ratios and inappropriate discipline was deemed substantiated. Today staff/child ratio violations were observed, and it was reported that this is an ongoing issue occurring at the opening and closing of each day. The incident of a staff person being seen hitting a child on the playground, as reported by a parent, was deemed substantiated as evidenced by the Employee Corrective Action Report and staff written reports of the occurrence. It was determined that the allegation of A director or person in that capacity is not onsite as required was deemed not substantiated as the program is within the time frame allowed to ascertain a new Administrator. Ms. Jordan is filling in as Administrative Staff to ensure ongoing operation of the program and compliance with NC Child Care Rules and Regulations. A follow up visit will be made in the near future to monitor for compliance with Staff/Child Ratio, Grouping, and Discipline. The following violations were observed and/or were cited during today's visit: Violation Number Comment Rule 539 When screen time was provided to school-aged children, it was not offered as a free-choice activity; not used to meet a developmental goal; was not limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In Space 7 and Space 8 where the school age children were located the was a computer with a movie playing and all children were facing the computer screen watching Minon's in Space 7 and Diary of a Wimpy Kid in Space 8. There was no log, no documentation in the activity plan, they were all required to watch the movie. Per teacher report they watch a movie every day during rest time for at least 1.5 hours. .2508(e)(1-5) 872 The discipline policy was not followed. On July 12, 2023 a child was located on the playground and was reportedly bothering another child. It was reported that a staff person, TA, noticed the interaction between the children and grabbed the child's arm and hit the child's arm 4 to 5 times consecutively. It was reported that when questioned she stated that the parent had given her permission to pop the child when he was misbehaving. This type of interaction was not consistent with Discipline Policy. The facilities Discipline Policy, dated 07/25/17, provided to the parent's specifically states among other things " We Do Not inflict corporal punishment in any manner upon a child". Hitting a child is corporal punishment. .1803 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On July 12, 2023 a child was located on the playground and was reportedly bothering another child. It was reported that a staff person, TA, noticed the interaction between the children and grabbed the child's arm and hit the child's arm 4 to 5 times consecutively. It was reported that when questioned she stated that the parent had given her permission to pop the child when he was misbehaving. This type of interaction is not appropriate nor is it nurturing. G.S. 110-91(10) 1756 Enhanced staff/child ratios and group sizes were not met. On August 9, 2023, between 8:30 am and 9:07 am there were at least 30 school age children and one staff. The facility meets the staff/child ratio for enhanced standards therefore the ratio was not more than 1 staff to 20 children. The total number of children in the group was 30 and the group size for school age children is not more than 25 children for two staff persons. 10A NCAC 09 .2818 We explained that due to substantiations of violations of child care rules and regulations it is evident that the facility needs additional supports. I invited all Administrative Staff to attend the Rules Review that we are co-hosting scheduled for August 18, 2023. You must correct the violation immediately and submit a letter of correction no later than August 23, 2023. After today’s visit an Administrative Action may be recommended. The Investigation of the previous complaint, along with this complaint will be taken into consideration. Technical Assistance was provided in an effort to provide supports in the areas of need notated at today’s visit: Biting: 1.) Fran Hoover, BSN, RN, CCHC Child Care Health Consultant | Division of Public Health T 9802649031 M 9802649031 fran.hoover@unioncountync.gov www.unioncountync.gov, has a biting plan that she would be willing to share with you. 2.) Review the information provided in Caring for Children (CFOC) is a collection of national standards that represent the best practices, based on evidence, expertise, and experience, for quality health and safety policies and practices for today's early care and education settings at https://nrckids.org/CFOC 3.) Review the website: https://www.zerotothree.org/resource/toddler-and-biting-finding-the-right-response/ Child/Staff Ratios - When it comes to Staff Child Ratio and Supervision you need to ensure that you are providing adequate supervision and meet staff/child ratios at all time. Children must be directly and actively supervised by educators employed or engaged by maintaining a duty of care and that all staff have an understanding of the shared legal responsibility and accountability between, and a commitment by, all persons to implement the procedures and practices. Staff who are at capacity can tell a parent that they cannot leave children in a classroom if the staff/child ratio is not in compliance. WORKS: We encouraged Ms. Jordan to resubmit her education to WORKS for a re-evaluation to ensure that the information listed in the WORKS database is the most current. ITEM Listing was emailed to Administrative Team so that all staff can review the copy of the ITEM lising in an effort to better understand the rules and regulations. I recapped that Child Care facilities are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. I thanked Ms. Jordan for her honesty and transparency through out today’s visit. She explained that she loved the families and children and that she and most of the staff at Big Blue Marble have a desire to ensure a safe and secure environment for all children and families enrolled in the facilities programming. In closing we reviewed the visit summary with the Administrator and asked if she had any questions and she stated that at this time she did not. We encouraged her that if she has any questions or concerns to feel free to contact me at Kathy.Willis@dhhs.nc.gov or 704 594 0148. Kathy Twitty Willis, M.Ed. Child Care Consultant Division of Child Development and Early Education North Carolina Department of Health and Human Services PO Box 192 Mineral Springs, NC 28108 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: BIG BLUE MARBLE-WAXHAW Facility ID: 90000499 Consultant: LEIGH BROOME Operation Type: Center Case Number: 0723-081A Visit Date: 7/18/2023 Number Present: 127 Completed Date: 7/18/2023 Age: From 0 To 11 Total Minutes: 166 Time In: 10:54 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Angela Blakeney, Staff Member, accompanied me during a walk-through of the facility. During the visit, I spoke with Julie Smith, Administrator, and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. If violations are cited during the visit, add the following: The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. On July 17, 2023, a staff member failed to appropriately supervise a four-year-old child who was able to leave the premises of the facility and gain access to a nearby busy street. .1801(a)(1-5) 316 Children under one year of age were not kept separate from children two years and older. On July 17, 2023, a four-year-old child was placed in a classroom with three infants. 10A NCAC 09 .0713(a)(5) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. A four-year-old child was allowed to use a mobile phone to view videos during rest time and other times of the day. .0510(d)(2)(A-C) 807 A safe indoor and outdoor environment was not provided for the children. On July 17, 2023, a staff member’s failure to adequately supervise a four-year-old child placed the child in an unsafe environment and at significant risk of injury and/or harm when the child left the premises and walked/ran alongside the road amongst traffic. The child was picked up by a passerby. 10A NCAC 09 .0601(a) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On July 17, 2023, staff member hit a two year old child on the arm and jerked his arm up to move him to a standing position. G.S. 110-91(10) 1810 There was a substantiation of child maltreatment. Pursuant to its investigation, the Division has confirmed sufficient information to determine child maltreatment. GS 110-105.6(a) Violations must be corrected immediately. Within one week, July 25, 2023, you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at Leigh Broome, Investigations Consultant, Leigh.Broome@dhhs.nc.gov. You may contact me at Leigh Broome, 704-594-0146 or Veronica Grant, South Central Investigations Supervisor, Veronica.Grant@dhhs.nc.gov Thank you for your time. 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 .0713 · Violation

Name of Operation: BIG BLUE MARBLE-WAXHAW Facility ID: 90000499 Consultant: LEIGH BROOME Operation Type: Center Case Number: 0723-081A Visit Date: 7/18/2023 Number Present: 127 Completed Date: 7/18/2023 Age: From 0 To 11 Total Minutes: 166 Time In: 10:54 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Angela Blakeney, Staff Member, accompanied me during a walk-through of the facility. During the visit, I spoke with Julie Smith, Administrator, and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. If violations are cited during the visit, add the following: The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. On July 17, 2023, a staff member failed to appropriately supervise a four-year-old child who was able to leave the premises of the facility and gain access to a nearby busy street. .1801(a)(1-5) 316 Children under one year of age were not kept separate from children two years and older. On July 17, 2023, a four-year-old child was placed in a classroom with three infants. 10A NCAC 09 .0713(a)(5) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. A four-year-old child was allowed to use a mobile phone to view videos during rest time and other times of the day. .0510(d)(2)(A-C) 807 A safe indoor and outdoor environment was not provided for the children. On July 17, 2023, a staff member’s failure to adequately supervise a four-year-old child placed the child in an unsafe environment and at significant risk of injury and/or harm when the child left the premises and walked/ran alongside the road amongst traffic. The child was picked up by a passerby. 10A NCAC 09 .0601(a) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On July 17, 2023, staff member hit a two year old child on the arm and jerked his arm up to move him to a standing position. G.S. 110-91(10) 1810 There was a substantiation of child maltreatment. Pursuant to its investigation, the Division has confirmed sufficient information to determine child maltreatment. GS 110-105.6(a) Violations must be corrected immediately. Within one week, July 25, 2023, you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at Leigh Broome, Investigations Consultant, Leigh.Broome@dhhs.nc.gov. You may contact me at Leigh Broome, 704-594-0146 or Veronica Grant, South Central Investigations Supervisor, Veronica.Grant@dhhs.nc.gov Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: BIG BLUE MARBLE-WAXHAW Facility ID: 90000499 Consultant: LEIGH BROOME Operation Type: Center Case Number: 0723-081A Visit Date: 7/18/2023 Number Present: 127 Completed Date: 7/18/2023 Age: From 0 To 11 Total Minutes: 166 Time In: 10:54 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Angela Blakeney, Staff Member, accompanied me during a walk-through of the facility. During the visit, I spoke with Julie Smith, Administrator, and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. If violations are cited during the visit, add the following: The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. On July 17, 2023, a staff member failed to appropriately supervise a four-year-old child who was able to leave the premises of the facility and gain access to a nearby busy street. .1801(a)(1-5) 316 Children under one year of age were not kept separate from children two years and older. On July 17, 2023, a four-year-old child was placed in a classroom with three infants. 10A NCAC 09 .0713(a)(5) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. A four-year-old child was allowed to use a mobile phone to view videos during rest time and other times of the day. .0510(d)(2)(A-C) 807 A safe indoor and outdoor environment was not provided for the children. On July 17, 2023, a staff member’s failure to adequately supervise a four-year-old child placed the child in an unsafe environment and at significant risk of injury and/or harm when the child left the premises and walked/ran alongside the road amongst traffic. The child was picked up by a passerby. 10A NCAC 09 .0601(a) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On July 17, 2023, staff member hit a two year old child on the arm and jerked his arm up to move him to a standing position. G.S. 110-91(10) 1810 There was a substantiation of child maltreatment. Pursuant to its investigation, the Division has confirmed sufficient information to determine child maltreatment. GS 110-105.6(a) Violations must be corrected immediately. Within one week, July 25, 2023, you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at Leigh Broome, Investigations Consultant, Leigh.Broome@dhhs.nc.gov. You may contact me at Leigh Broome, 704-594-0146 or Veronica Grant, South Central Investigations Supervisor, Veronica.Grant@dhhs.nc.gov Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-105 · Violation

Name of Operation: BIG BLUE MARBLE-WAXHAW Facility ID: 90000499 Consultant: LEIGH BROOME Operation Type: Center Case Number: 0723-081A Visit Date: 7/18/2023 Number Present: 127 Completed Date: 7/18/2023 Age: From 0 To 11 Total Minutes: 166 Time In: 10:54 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Angela Blakeney, Staff Member, accompanied me during a walk-through of the facility. During the visit, I spoke with Julie Smith, Administrator, and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. If violations are cited during the visit, add the following: The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. On July 17, 2023, a staff member failed to appropriately supervise a four-year-old child who was able to leave the premises of the facility and gain access to a nearby busy street. .1801(a)(1-5) 316 Children under one year of age were not kept separate from children two years and older. On July 17, 2023, a four-year-old child was placed in a classroom with three infants. 10A NCAC 09 .0713(a)(5) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. A four-year-old child was allowed to use a mobile phone to view videos during rest time and other times of the day. .0510(d)(2)(A-C) 807 A safe indoor and outdoor environment was not provided for the children. On July 17, 2023, a staff member’s failure to adequately supervise a four-year-old child placed the child in an unsafe environment and at significant risk of injury and/or harm when the child left the premises and walked/ran alongside the road amongst traffic. The child was picked up by a passerby. 10A NCAC 09 .0601(a) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On July 17, 2023, staff member hit a two year old child on the arm and jerked his arm up to move him to a standing position. G.S. 110-91(10) 1810 There was a substantiation of child maltreatment. Pursuant to its investigation, the Division has confirmed sufficient information to determine child maltreatment. GS 110-105.6(a) Violations must be corrected immediately. Within one week, July 25, 2023, you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at Leigh Broome, Investigations Consultant, Leigh.Broome@dhhs.nc.gov. You may contact me at Leigh Broome, 704-594-0146 or Veronica Grant, South Central Investigations Supervisor, Veronica.Grant@dhhs.nc.gov Thank you for your time. 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