10A NCAC 09 .0606 · Violation

Name of Operation: DELLWOOD BAPTIST CHILD ENRICHMENT CENTER Facility ID: 44000148 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 2/18/2025 Number Present: 33 Completed Date: 2/18/2025 Age: From 1 To 5 Total Minutes: 145 Time In: 09:20 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct limited monitoring during a routine unannounced visit. A computer-generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant, and also signed by Kimbely Pilat, Administrator, during the visit. A signed copy of the visit summary was provided to you. Due to Tropical Storm Helene, the facility closed on 9/26/24 and reopened on 10/10/24. Kimberly Pilat, Administrator, was available to answer and ask questions during the visit. Limited monitoring included, but was not limited to: • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred (100%) percent as of today prior to this visit. Permit type – Four-star Center License issued on 2/24/23. Special Services/Restrictions –daytime care, meets enhanced space, and meets enhanced staff/child ratios. The last annual compliance visit was conducted on 8/9/24. The last fire drill was documented as practiced on 1/30/25. The last shelter-in-place was documented as practiced on 12/13/24. The last fire inspection was approved on 7/9/24 for daytime care only. The sanitation inspection was conducted on 7/22/24 with zero (0) demerits for a Supervisor classification. The Emergency Medical Care plan was posted. The children were observed in free play, large group activities, routine care, and indoor gross motor activities. The surfacing at the climbing structure was unable to be measured due to the frozen ground. It is recommended not to use the climbing structure until the ground is not frozen and surfacing can be measured and determine the required six inches of surfacing can be met. The monthly playground inspections documented that mulch was needed. One (1) new staff file, K. Cook, was monitored. CPR and First Aid is due on or before 4/6/25. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statutes Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/. The following violations were observed today: Violation Number Comment Rule 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. The parent emergency medication authorization for Epinephrine in space #3 was valid for six months and expired on 2/12/25. .0803(12) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. There was not a smoking and tobacco sign posted at the entrance upon arrival. .0604(i) Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Statement of compliance I must receive your compliance statement by 3/4/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: monica.houck@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck 151 Creekview Rd Hendersonville, NC 28792 Please call me at 828.243.2154 or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development 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. Technical Assistance to achieve compliance – child care law and rule reference can be found in the cited violations. Medication Authorization for Chronic Illnesses We discussed the medication authorization for chronic illnesses such as a food allergy are valid for up to six months. You stated you will have the parent complete a new medication authorization form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6)A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a)the child's name; (b)the subject medical conditions or allergic reactions; (c)the names of the authorized over-the-counter medications; (d)the criteria for the administration of the medication; (e)the amount and frequency of the dosages; (f)the manner in which the medication shall be administered; (g)the signature of the parent; (h)the date the authorization was signed by the parent; and (i)the length of time the authorization is valid, if less than six months. Due to Tropical Storm Helene, additional guidance was provided on the item below. CPR and First Aid Training One (1) staff was out on medical leave from approximately 8/4/23 through 8/1/24. H. Chambers had CPR and First Aid training that expired on 1/31/24. You stated CPR and First Aid training for the staff is in the process of being scheduled the week of 2/24/25. Once H. Chambers receives a valid CPR/First Aid certificate or card, plan to email it to me for verification. In the future, it would be recommended to have the staff complete CPR and First Aid training immediately upon returning to work. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c)All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. (d)All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. Consultation was provided as follows: We discussed that K. Cook is still in high school and 18 years of age. If you choose, K. Cook can be a substitute if a new job description is reviewed with an acknowledgement form that is signed and dated. Currently K. Cook has a job description on file as a janitor for the facility. 10A NCAC 09 .0102 DEFINITIONS The terms and phrases used in this Chapter are defined as follows: (47) "Substitute provider" means any person who temporarily assumes the duties of a staff person for a time period not to exceed two consecutive months and may or may not be monetarily compensated by the facility. Any substitute provider must be at least 18 years of age and literate. Currently the facility does not have any children enrolled that are twelve months old. We discussed the requirements below if you do choose to enroll a child that is twelve months old. 10A NCAC 09 .0102 DEFINITIONS The terms and phrases used in this Chapter are defined as follows: (25) "Infant" means any child from birth through 12 months of age. (50) "Toddler" means any child ages 13 months to 35 months of age. (a)10A NCAC 09 .0606 SAFE SLEEP PRACTICES Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that… One (1) new staff has medical report on file. However, the last answer of the medical report is checked “no.” The answer would need to be checked “yes” to the question is the person physically and emotionally capable to care for children. It is recommended to have the staff resubmit the form to the medical professional so the form can be marked “yes.” We discussed the new Environment Rating Scale assessment third edition. You can visit the ncrlap.org website for webinars, trainings, and resources. The North Carolina Rated License Assessment Project (NCRLAP) offers outreach assessments as well. You can also contact Mandy Mills with the local Child Care Resource and Referral agency. We discussed the proposed rules are available on the DCDEE website and information on the public comment period. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0803 · Violation

Name of Operation: DELLWOOD BAPTIST CHILD ENRICHMENT CENTER Facility ID: 44000148 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 2/18/2025 Number Present: 33 Completed Date: 2/18/2025 Age: From 1 To 5 Total Minutes: 145 Time In: 09:20 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct limited monitoring during a routine unannounced visit. A computer-generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant, and also signed by Kimbely Pilat, Administrator, during the visit. A signed copy of the visit summary was provided to you. Due to Tropical Storm Helene, the facility closed on 9/26/24 and reopened on 10/10/24. Kimberly Pilat, Administrator, was available to answer and ask questions during the visit. Limited monitoring included, but was not limited to: • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred (100%) percent as of today prior to this visit. Permit type – Four-star Center License issued on 2/24/23. Special Services/Restrictions –daytime care, meets enhanced space, and meets enhanced staff/child ratios. The last annual compliance visit was conducted on 8/9/24. The last fire drill was documented as practiced on 1/30/25. The last shelter-in-place was documented as practiced on 12/13/24. The last fire inspection was approved on 7/9/24 for daytime care only. The sanitation inspection was conducted on 7/22/24 with zero (0) demerits for a Supervisor classification. The Emergency Medical Care plan was posted. The children were observed in free play, large group activities, routine care, and indoor gross motor activities. The surfacing at the climbing structure was unable to be measured due to the frozen ground. It is recommended not to use the climbing structure until the ground is not frozen and surfacing can be measured and determine the required six inches of surfacing can be met. The monthly playground inspections documented that mulch was needed. One (1) new staff file, K. Cook, was monitored. CPR and First Aid is due on or before 4/6/25. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statutes Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/. The following violations were observed today: Violation Number Comment Rule 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. The parent emergency medication authorization for Epinephrine in space #3 was valid for six months and expired on 2/12/25. .0803(12) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. There was not a smoking and tobacco sign posted at the entrance upon arrival. .0604(i) Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Statement of compliance I must receive your compliance statement by 3/4/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: monica.houck@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck 151 Creekview Rd Hendersonville, NC 28792 Please call me at 828.243.2154 or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development 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. Technical Assistance to achieve compliance – child care law and rule reference can be found in the cited violations. Medication Authorization for Chronic Illnesses We discussed the medication authorization for chronic illnesses such as a food allergy are valid for up to six months. You stated you will have the parent complete a new medication authorization form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6)A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a)the child's name; (b)the subject medical conditions or allergic reactions; (c)the names of the authorized over-the-counter medications; (d)the criteria for the administration of the medication; (e)the amount and frequency of the dosages; (f)the manner in which the medication shall be administered; (g)the signature of the parent; (h)the date the authorization was signed by the parent; and (i)the length of time the authorization is valid, if less than six months. Due to Tropical Storm Helene, additional guidance was provided on the item below. CPR and First Aid Training One (1) staff was out on medical leave from approximately 8/4/23 through 8/1/24. H. Chambers had CPR and First Aid training that expired on 1/31/24. You stated CPR and First Aid training for the staff is in the process of being scheduled the week of 2/24/25. Once H. Chambers receives a valid CPR/First Aid certificate or card, plan to email it to me for verification. In the future, it would be recommended to have the staff complete CPR and First Aid training immediately upon returning to work. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c)All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. (d)All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. Consultation was provided as follows: We discussed that K. Cook is still in high school and 18 years of age. If you choose, K. Cook can be a substitute if a new job description is reviewed with an acknowledgement form that is signed and dated. Currently K. Cook has a job description on file as a janitor for the facility. 10A NCAC 09 .0102 DEFINITIONS The terms and phrases used in this Chapter are defined as follows: (47) "Substitute provider" means any person who temporarily assumes the duties of a staff person for a time period not to exceed two consecutive months and may or may not be monetarily compensated by the facility. Any substitute provider must be at least 18 years of age and literate. Currently the facility does not have any children enrolled that are twelve months old. We discussed the requirements below if you do choose to enroll a child that is twelve months old. 10A NCAC 09 .0102 DEFINITIONS The terms and phrases used in this Chapter are defined as follows: (25) "Infant" means any child from birth through 12 months of age. (50) "Toddler" means any child ages 13 months to 35 months of age. (a)10A NCAC 09 .0606 SAFE SLEEP PRACTICES Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that… One (1) new staff has medical report on file. However, the last answer of the medical report is checked “no.” The answer would need to be checked “yes” to the question is the person physically and emotionally capable to care for children. It is recommended to have the staff resubmit the form to the medical professional so the form can be marked “yes.” We discussed the new Environment Rating Scale assessment third edition. You can visit the ncrlap.org website for webinars, trainings, and resources. The North Carolina Rated License Assessment Project (NCRLAP) offers outreach assessments as well. You can also contact Mandy Mills with the local Child Care Resource and Referral agency. We discussed the proposed rules are available on the DCDEE website and information on the public comment period. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1102 · Violation

Name of Operation: DELLWOOD BAPTIST CHILD ENRICHMENT CENTER Facility ID: 44000148 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 2/18/2025 Number Present: 33 Completed Date: 2/18/2025 Age: From 1 To 5 Total Minutes: 145 Time In: 09:20 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct limited monitoring during a routine unannounced visit. A computer-generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant, and also signed by Kimbely Pilat, Administrator, during the visit. A signed copy of the visit summary was provided to you. Due to Tropical Storm Helene, the facility closed on 9/26/24 and reopened on 10/10/24. Kimberly Pilat, Administrator, was available to answer and ask questions during the visit. Limited monitoring included, but was not limited to: • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred (100%) percent as of today prior to this visit. Permit type – Four-star Center License issued on 2/24/23. Special Services/Restrictions –daytime care, meets enhanced space, and meets enhanced staff/child ratios. The last annual compliance visit was conducted on 8/9/24. The last fire drill was documented as practiced on 1/30/25. The last shelter-in-place was documented as practiced on 12/13/24. The last fire inspection was approved on 7/9/24 for daytime care only. The sanitation inspection was conducted on 7/22/24 with zero (0) demerits for a Supervisor classification. The Emergency Medical Care plan was posted. The children were observed in free play, large group activities, routine care, and indoor gross motor activities. The surfacing at the climbing structure was unable to be measured due to the frozen ground. It is recommended not to use the climbing structure until the ground is not frozen and surfacing can be measured and determine the required six inches of surfacing can be met. The monthly playground inspections documented that mulch was needed. One (1) new staff file, K. Cook, was monitored. CPR and First Aid is due on or before 4/6/25. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statutes Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/. The following violations were observed today: Violation Number Comment Rule 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. The parent emergency medication authorization for Epinephrine in space #3 was valid for six months and expired on 2/12/25. .0803(12) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. There was not a smoking and tobacco sign posted at the entrance upon arrival. .0604(i) Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Statement of compliance I must receive your compliance statement by 3/4/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: monica.houck@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck 151 Creekview Rd Hendersonville, NC 28792 Please call me at 828.243.2154 or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development 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. Technical Assistance to achieve compliance – child care law and rule reference can be found in the cited violations. Medication Authorization for Chronic Illnesses We discussed the medication authorization for chronic illnesses such as a food allergy are valid for up to six months. You stated you will have the parent complete a new medication authorization form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6)A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a)the child's name; (b)the subject medical conditions or allergic reactions; (c)the names of the authorized over-the-counter medications; (d)the criteria for the administration of the medication; (e)the amount and frequency of the dosages; (f)the manner in which the medication shall be administered; (g)the signature of the parent; (h)the date the authorization was signed by the parent; and (i)the length of time the authorization is valid, if less than six months. Due to Tropical Storm Helene, additional guidance was provided on the item below. CPR and First Aid Training One (1) staff was out on medical leave from approximately 8/4/23 through 8/1/24. H. Chambers had CPR and First Aid training that expired on 1/31/24. You stated CPR and First Aid training for the staff is in the process of being scheduled the week of 2/24/25. Once H. Chambers receives a valid CPR/First Aid certificate or card, plan to email it to me for verification. In the future, it would be recommended to have the staff complete CPR and First Aid training immediately upon returning to work. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c)All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. (d)All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. Consultation was provided as follows: We discussed that K. Cook is still in high school and 18 years of age. If you choose, K. Cook can be a substitute if a new job description is reviewed with an acknowledgement form that is signed and dated. Currently K. Cook has a job description on file as a janitor for the facility. 10A NCAC 09 .0102 DEFINITIONS The terms and phrases used in this Chapter are defined as follows: (47) "Substitute provider" means any person who temporarily assumes the duties of a staff person for a time period not to exceed two consecutive months and may or may not be monetarily compensated by the facility. Any substitute provider must be at least 18 years of age and literate. Currently the facility does not have any children enrolled that are twelve months old. We discussed the requirements below if you do choose to enroll a child that is twelve months old. 10A NCAC 09 .0102 DEFINITIONS The terms and phrases used in this Chapter are defined as follows: (25) "Infant" means any child from birth through 12 months of age. (50) "Toddler" means any child ages 13 months to 35 months of age. (a)10A NCAC 09 .0606 SAFE SLEEP PRACTICES Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that… One (1) new staff has medical report on file. However, the last answer of the medical report is checked “no.” The answer would need to be checked “yes” to the question is the person physically and emotionally capable to care for children. It is recommended to have the staff resubmit the form to the medical professional so the form can be marked “yes.” We discussed the new Environment Rating Scale assessment third edition. You can visit the ncrlap.org website for webinars, trainings, and resources. The North Carolina Rated License Assessment Project (NCRLAP) offers outreach assessments as well. You can also contact Mandy Mills with the local Child Care Resource and Referral agency. We discussed the proposed rules are available on the DCDEE website and information on the public comment period. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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.

NC GS 110-90 · Violation

Name of Operation: DELLWOOD BAPTIST CHILD ENRICHMENT CENTER Facility ID: 44000148 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 2/18/2025 Number Present: 33 Completed Date: 2/18/2025 Age: From 1 To 5 Total Minutes: 145 Time In: 09:20 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct limited monitoring during a routine unannounced visit. A computer-generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant, and also signed by Kimbely Pilat, Administrator, during the visit. A signed copy of the visit summary was provided to you. Due to Tropical Storm Helene, the facility closed on 9/26/24 and reopened on 10/10/24. Kimberly Pilat, Administrator, was available to answer and ask questions during the visit. Limited monitoring included, but was not limited to: • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred (100%) percent as of today prior to this visit. Permit type – Four-star Center License issued on 2/24/23. Special Services/Restrictions –daytime care, meets enhanced space, and meets enhanced staff/child ratios. The last annual compliance visit was conducted on 8/9/24. The last fire drill was documented as practiced on 1/30/25. The last shelter-in-place was documented as practiced on 12/13/24. The last fire inspection was approved on 7/9/24 for daytime care only. The sanitation inspection was conducted on 7/22/24 with zero (0) demerits for a Supervisor classification. The Emergency Medical Care plan was posted. The children were observed in free play, large group activities, routine care, and indoor gross motor activities. The surfacing at the climbing structure was unable to be measured due to the frozen ground. It is recommended not to use the climbing structure until the ground is not frozen and surfacing can be measured and determine the required six inches of surfacing can be met. The monthly playground inspections documented that mulch was needed. One (1) new staff file, K. Cook, was monitored. CPR and First Aid is due on or before 4/6/25. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statutes Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/. The following violations were observed today: Violation Number Comment Rule 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. The parent emergency medication authorization for Epinephrine in space #3 was valid for six months and expired on 2/12/25. .0803(12) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. There was not a smoking and tobacco sign posted at the entrance upon arrival. .0604(i) Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Statement of compliance I must receive your compliance statement by 3/4/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: monica.houck@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck 151 Creekview Rd Hendersonville, NC 28792 Please call me at 828.243.2154 or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development 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. Technical Assistance to achieve compliance – child care law and rule reference can be found in the cited violations. Medication Authorization for Chronic Illnesses We discussed the medication authorization for chronic illnesses such as a food allergy are valid for up to six months. You stated you will have the parent complete a new medication authorization form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6)A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a)the child's name; (b)the subject medical conditions or allergic reactions; (c)the names of the authorized over-the-counter medications; (d)the criteria for the administration of the medication; (e)the amount and frequency of the dosages; (f)the manner in which the medication shall be administered; (g)the signature of the parent; (h)the date the authorization was signed by the parent; and (i)the length of time the authorization is valid, if less than six months. Due to Tropical Storm Helene, additional guidance was provided on the item below. CPR and First Aid Training One (1) staff was out on medical leave from approximately 8/4/23 through 8/1/24. H. Chambers had CPR and First Aid training that expired on 1/31/24. You stated CPR and First Aid training for the staff is in the process of being scheduled the week of 2/24/25. Once H. Chambers receives a valid CPR/First Aid certificate or card, plan to email it to me for verification. In the future, it would be recommended to have the staff complete CPR and First Aid training immediately upon returning to work. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c)All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. (d)All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. Consultation was provided as follows: We discussed that K. Cook is still in high school and 18 years of age. If you choose, K. Cook can be a substitute if a new job description is reviewed with an acknowledgement form that is signed and dated. Currently K. Cook has a job description on file as a janitor for the facility. 10A NCAC 09 .0102 DEFINITIONS The terms and phrases used in this Chapter are defined as follows: (47) "Substitute provider" means any person who temporarily assumes the duties of a staff person for a time period not to exceed two consecutive months and may or may not be monetarily compensated by the facility. Any substitute provider must be at least 18 years of age and literate. Currently the facility does not have any children enrolled that are twelve months old. We discussed the requirements below if you do choose to enroll a child that is twelve months old. 10A NCAC 09 .0102 DEFINITIONS The terms and phrases used in this Chapter are defined as follows: (25) "Infant" means any child from birth through 12 months of age. (50) "Toddler" means any child ages 13 months to 35 months of age. (a)10A NCAC 09 .0606 SAFE SLEEP PRACTICES Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that… One (1) new staff has medical report on file. However, the last answer of the medical report is checked “no.” The answer would need to be checked “yes” to the question is the person physically and emotionally capable to care for children. It is recommended to have the staff resubmit the form to the medical professional so the form can be marked “yes.” We discussed the new Environment Rating Scale assessment third edition. You can visit the ncrlap.org website for webinars, trainings, and resources. The North Carolina Rated License Assessment Project (NCRLAP) offers outreach assessments as well. You can also contact Mandy Mills with the local Child Care Resource and Referral agency. We discussed the proposed rules are available on the DCDEE website and information on the public comment period. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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.