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Home › NC › Waynesville › Great Start Child Development Center
39 Putnam Street, Waynesville NC 28786 · License #44000165 · Center · Child Care Center
Not published by the state. Owners can add hours via profile claim.
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10A NCAC 09 .0803 · Violation
Name of Operation: GREAT START CHILD DEVELOPMENT CENTER Facility ID: 44000165 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 4/14/2026 Number Present: 29 Completed Date: 4/14/2026 Age: From 0 To 3 Total Minutes: 375 Time In: 10:30 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant and also signed by Jackie Miller, Owner/Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Miller assisted me with requested paperwork to be reviewed. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90%) percentage as of 04/14/2026. Permit type -Probationary License issued on 08/27/2025 through 05/27/2026 Special Services/Restrictions – meets reduced ratio, meets enhanced space The last annual compliance visit was conducted on 06/05/2025 The last fire drill was practiced on 03/31/2026 The last shelter-in-place drill was practiced on 02/17/2026. The last playground inspection was documented on 04/01/2026. The last fire inspection was approved on 05/29/2025 and was submitted with the AC packet from 06/05/2025 AC visit. The last sanitation inspection was conducted on 12/17/2025 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 05/30/2024 without hazards. Lead paint and asbestos testing is showing enrollment started on the Clean Water for US Kids website. You need to go into the Clean Water for US Kids system and complete the required information for the lead-paint and asbestos testing. Upon arrival I introduced my presence to the Administrator. I observed the group with two- to three-year-old children engaged in a group time activity, music and movement, and lunch, which consisted of peanut butter sandwiches, pickles, oranges, and milk, Infants were having indoor free play and staff members were observed singing to the children in a small group. The one and two-year-old children were observed transitioning from outside to inside, inside free play and diaper changes. 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 Statues 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 program does not provide transportation. The following violations were documented during today’s visit: 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. During my walkthrough of classrooms it was noted that in the classroom for children ages one-through-two-years-of age there was an aerosol can of sunscreen and a bottle of bug spray being stored on a high shelf and not in a locked cabinet or room. .2820(b) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. During my walkthrough of classrooms it was noted that a container of diapering cream was located in the bathroom for children ages two-through-three-years-of-age with no child's name listed on it. 10A NCAC 09 .0803(4) 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. After review of new staff member's files it was noted that two (2) new staff members did not have a medical report nor a TB screening or test prior to employment. One staff member was hired on 08/15/25 and their medical assessment was dated 8/28/25. One staff member was hired 08/11/25 and their medical assessment was dated 8/25/25. 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. After review of new staff member's files it was noted that one staff member was hired 08/11/25 and their TB test was dated 09/26/25. .0701(a) Technical assistance was provided as follows: Item #840 you reported that you will have staff conduct walkthrough of their classrooms in the mornings before children arrive and throughout the day to ensure that all hazardous items are stored appropriately. This item was marked corrected because the hazardous items were placed in locked storage during my visit. Item #846 you reported today that you will ensure that all medication is labeled with child’s name and you will remind staff members that all medication must be labeled with the child’s name. This item was marked corrected during visit because you threw the diapering cream away. Item#1032 and #1033 moving forward, you reported that you will be sure that staff have their medical assessment and TB testing/screening completed prior to staff members first day of employment. These items were marked corrected during visit because the medical assessments and the TB testing/screening has been completed. Achieving Compliance: 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 were corrected during the visit so you do not need to submit a letter of compliance. Rated License Discussion: Your current Probationary License will be expiring on May 27, 2026. I will need to transition you to the new QRIS Pathway system. As we discussed today, you are requesting to be transitioned to the Classroom and Instructional Pathway. You reported today that you are in the process of purchasing and implementing the FunnyDaffer curriculum. As we discussed today the Desired Result formative assessment listed as an approved formative assessment is currently free. For you to be transitioned to the Classroom and Instructional Pathway, you will need to purchase an approved curriculum and receive training on the curriculum through the curriculum creator/source. You will also need to complete training on the approved formative assessment you choose to use. You will need to review and select which items you would like to meet on the Family and Community Engagement Standards form prior to me submitting the information for your transition. You will need to start your Facility Continuous Quality Improvement (CQI) Plan and submit it to me prior to me submitting your application. You reported that all but one staff member have completed the WORKS account information and have submitted their education information to be evaluated. During today’s visit we scheduled a TA visit for May 01, 2026 to review the following information: *Staff education through WORKS * Family and Community Engagement Standards * Facility Continuous Quality Improvement (CQI) Plan * Individual Continuous Quality Improvement (CQI) / Professional Development (PD) Plan *Approved Curriculum training for Administrator *Approved Formative Assessment training for Administrator. Consultation is provided as follows: Be sure to complete the requested information from Clean Water for US Kids for your Lead Paint and Asbestos Testing. You logged into the system today and complete the lead paint portion during my visit. Be sure to go into the ABCMS system and add all of your employees. At this time I see that you have three staff members listed on your roster. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Closure: 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 your program. All rules/laws cannot be verbally reviewed during any monitoring 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 sarah.upton@dhhs.nc.gov or 828.782.0937, 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
Generated from this facility's specific inspection record
Data synced from North Carolina's child care licensing agency on Jul 9, 2026 · Report an error
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0304 · Violation
Name of Operation: GREAT START CHILD DEVELOPMENT CENTER Facility ID: 44000165 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 4/14/2026 Number Present: 29 Completed Date: 4/14/2026 Age: From 0 To 3 Total Minutes: 375 Time In: 10:30 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant and also signed by Jackie Miller, Owner/Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Miller assisted me with requested paperwork to be reviewed. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90%) percentage as of 04/14/2026. Permit type -Probationary License issued on 08/27/2025 through 05/27/2026 Special Services/Restrictions – meets reduced ratio, meets enhanced space The last annual compliance visit was conducted on 06/05/2025 The last fire drill was practiced on 03/31/2026 The last shelter-in-place drill was practiced on 02/17/2026. The last playground inspection was documented on 04/01/2026. The last fire inspection was approved on 05/29/2025 and was submitted with the AC packet from 06/05/2025 AC visit. The last sanitation inspection was conducted on 12/17/2025 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 05/30/2024 without hazards. Lead paint and asbestos testing is showing enrollment started on the Clean Water for US Kids website. You need to go into the Clean Water for US Kids system and complete the required information for the lead-paint and asbestos testing. Upon arrival I introduced my presence to the Administrator. I observed the group with two- to three-year-old children engaged in a group time activity, music and movement, and lunch, which consisted of peanut butter sandwiches, pickles, oranges, and milk, Infants were having indoor free play and staff members were observed singing to the children in a small group. The one and two-year-old children were observed transitioning from outside to inside, inside free play and diaper changes. 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 Statues 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 program does not provide transportation. The following violations were documented during today’s visit: 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. During my walkthrough of classrooms it was noted that in the classroom for children ages one-through-two-years-of age there was an aerosol can of sunscreen and a bottle of bug spray being stored on a high shelf and not in a locked cabinet or room. .2820(b) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. During my walkthrough of classrooms it was noted that a container of diapering cream was located in the bathroom for children ages two-through-three-years-of-age with no child's name listed on it. 10A NCAC 09 .0803(4) 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. After review of new staff member's files it was noted that two (2) new staff members did not have a medical report nor a TB screening or test prior to employment. One staff member was hired on 08/15/25 and their medical assessment was dated 8/28/25. One staff member was hired 08/11/25 and their medical assessment was dated 8/25/25. 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. After review of new staff member's files it was noted that one staff member was hired 08/11/25 and their TB test was dated 09/26/25. .0701(a) Technical assistance was provided as follows: Item #840 you reported that you will have staff conduct walkthrough of their classrooms in the mornings before children arrive and throughout the day to ensure that all hazardous items are stored appropriately. This item was marked corrected because the hazardous items were placed in locked storage during my visit. Item #846 you reported today that you will ensure that all medication is labeled with child’s name and you will remind staff members that all medication must be labeled with the child’s name. This item was marked corrected during visit because you threw the diapering cream away. Item#1032 and #1033 moving forward, you reported that you will be sure that staff have their medical assessment and TB testing/screening completed prior to staff members first day of employment. These items were marked corrected during visit because the medical assessments and the TB testing/screening has been completed. Achieving Compliance: 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 were corrected during the visit so you do not need to submit a letter of compliance. Rated License Discussion: Your current Probationary License will be expiring on May 27, 2026. I will need to transition you to the new QRIS Pathway system. As we discussed today, you are requesting to be transitioned to the Classroom and Instructional Pathway. You reported today that you are in the process of purchasing and implementing the FunnyDaffer curriculum. As we discussed today the Desired Result formative assessment listed as an approved formative assessment is currently free. For you to be transitioned to the Classroom and Instructional Pathway, you will need to purchase an approved curriculum and receive training on the curriculum through the curriculum creator/source. You will also need to complete training on the approved formative assessment you choose to use. You will need to review and select which items you would like to meet on the Family and Community Engagement Standards form prior to me submitting the information for your transition. You will need to start your Facility Continuous Quality Improvement (CQI) Plan and submit it to me prior to me submitting your application. You reported that all but one staff member have completed the WORKS account information and have submitted their education information to be evaluated. During today’s visit we scheduled a TA visit for May 01, 2026 to review the following information: *Staff education through WORKS * Family and Community Engagement Standards * Facility Continuous Quality Improvement (CQI) Plan * Individual Continuous Quality Improvement (CQI) / Professional Development (PD) Plan *Approved Curriculum training for Administrator *Approved Formative Assessment training for Administrator. Consultation is provided as follows: Be sure to complete the requested information from Clean Water for US Kids for your Lead Paint and Asbestos Testing. You logged into the system today and complete the lead paint portion during my visit. Be sure to go into the ABCMS system and add all of your employees. At this time I see that you have three staff members listed on your roster. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Closure: 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 your program. All rules/laws cannot be verbally reviewed during any monitoring 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 sarah.upton@dhhs.nc.gov or 828.782.0937, 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 .0701 · Violation
Name of Operation: GREAT START CHILD DEVELOPMENT CENTER Facility ID: 44000165 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 4/14/2026 Number Present: 29 Completed Date: 4/14/2026 Age: From 0 To 3 Total Minutes: 375 Time In: 10:30 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant and also signed by Jackie Miller, Owner/Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Miller assisted me with requested paperwork to be reviewed. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90%) percentage as of 04/14/2026. Permit type -Probationary License issued on 08/27/2025 through 05/27/2026 Special Services/Restrictions – meets reduced ratio, meets enhanced space The last annual compliance visit was conducted on 06/05/2025 The last fire drill was practiced on 03/31/2026 The last shelter-in-place drill was practiced on 02/17/2026. The last playground inspection was documented on 04/01/2026. The last fire inspection was approved on 05/29/2025 and was submitted with the AC packet from 06/05/2025 AC visit. The last sanitation inspection was conducted on 12/17/2025 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 05/30/2024 without hazards. Lead paint and asbestos testing is showing enrollment started on the Clean Water for US Kids website. You need to go into the Clean Water for US Kids system and complete the required information for the lead-paint and asbestos testing. Upon arrival I introduced my presence to the Administrator. I observed the group with two- to three-year-old children engaged in a group time activity, music and movement, and lunch, which consisted of peanut butter sandwiches, pickles, oranges, and milk, Infants were having indoor free play and staff members were observed singing to the children in a small group. The one and two-year-old children were observed transitioning from outside to inside, inside free play and diaper changes. 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 Statues 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 program does not provide transportation. The following violations were documented during today’s visit: 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. During my walkthrough of classrooms it was noted that in the classroom for children ages one-through-two-years-of age there was an aerosol can of sunscreen and a bottle of bug spray being stored on a high shelf and not in a locked cabinet or room. .2820(b) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. During my walkthrough of classrooms it was noted that a container of diapering cream was located in the bathroom for children ages two-through-three-years-of-age with no child's name listed on it. 10A NCAC 09 .0803(4) 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. After review of new staff member's files it was noted that two (2) new staff members did not have a medical report nor a TB screening or test prior to employment. One staff member was hired on 08/15/25 and their medical assessment was dated 8/28/25. One staff member was hired 08/11/25 and their medical assessment was dated 8/25/25. 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. After review of new staff member's files it was noted that one staff member was hired 08/11/25 and their TB test was dated 09/26/25. .0701(a) Technical assistance was provided as follows: Item #840 you reported that you will have staff conduct walkthrough of their classrooms in the mornings before children arrive and throughout the day to ensure that all hazardous items are stored appropriately. This item was marked corrected because the hazardous items were placed in locked storage during my visit. Item #846 you reported today that you will ensure that all medication is labeled with child’s name and you will remind staff members that all medication must be labeled with the child’s name. This item was marked corrected during visit because you threw the diapering cream away. Item#1032 and #1033 moving forward, you reported that you will be sure that staff have their medical assessment and TB testing/screening completed prior to staff members first day of employment. These items were marked corrected during visit because the medical assessments and the TB testing/screening has been completed. Achieving Compliance: 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 were corrected during the visit so you do not need to submit a letter of compliance. Rated License Discussion: Your current Probationary License will be expiring on May 27, 2026. I will need to transition you to the new QRIS Pathway system. As we discussed today, you are requesting to be transitioned to the Classroom and Instructional Pathway. You reported today that you are in the process of purchasing and implementing the FunnyDaffer curriculum. As we discussed today the Desired Result formative assessment listed as an approved formative assessment is currently free. For you to be transitioned to the Classroom and Instructional Pathway, you will need to purchase an approved curriculum and receive training on the curriculum through the curriculum creator/source. You will also need to complete training on the approved formative assessment you choose to use. You will need to review and select which items you would like to meet on the Family and Community Engagement Standards form prior to me submitting the information for your transition. You will need to start your Facility Continuous Quality Improvement (CQI) Plan and submit it to me prior to me submitting your application. You reported that all but one staff member have completed the WORKS account information and have submitted their education information to be evaluated. During today’s visit we scheduled a TA visit for May 01, 2026 to review the following information: *Staff education through WORKS * Family and Community Engagement Standards * Facility Continuous Quality Improvement (CQI) Plan * Individual Continuous Quality Improvement (CQI) / Professional Development (PD) Plan *Approved Curriculum training for Administrator *Approved Formative Assessment training for Administrator. Consultation is provided as follows: Be sure to complete the requested information from Clean Water for US Kids for your Lead Paint and Asbestos Testing. You logged into the system today and complete the lead paint portion during my visit. Be sure to go into the ABCMS system and add all of your employees. At this time I see that you have three staff members listed on your roster. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Closure: 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 your program. All rules/laws cannot be verbally reviewed during any monitoring 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 sarah.upton@dhhs.nc.gov or 828.782.0937, 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: GREAT START CHILD DEVELOPMENT CENTER Facility ID: 44000165 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 4/14/2026 Number Present: 29 Completed Date: 4/14/2026 Age: From 0 To 3 Total Minutes: 375 Time In: 10:30 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant and also signed by Jackie Miller, Owner/Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Miller assisted me with requested paperwork to be reviewed. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90%) percentage as of 04/14/2026. Permit type -Probationary License issued on 08/27/2025 through 05/27/2026 Special Services/Restrictions – meets reduced ratio, meets enhanced space The last annual compliance visit was conducted on 06/05/2025 The last fire drill was practiced on 03/31/2026 The last shelter-in-place drill was practiced on 02/17/2026. The last playground inspection was documented on 04/01/2026. The last fire inspection was approved on 05/29/2025 and was submitted with the AC packet from 06/05/2025 AC visit. The last sanitation inspection was conducted on 12/17/2025 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 05/30/2024 without hazards. Lead paint and asbestos testing is showing enrollment started on the Clean Water for US Kids website. You need to go into the Clean Water for US Kids system and complete the required information for the lead-paint and asbestos testing. Upon arrival I introduced my presence to the Administrator. I observed the group with two- to three-year-old children engaged in a group time activity, music and movement, and lunch, which consisted of peanut butter sandwiches, pickles, oranges, and milk, Infants were having indoor free play and staff members were observed singing to the children in a small group. The one and two-year-old children were observed transitioning from outside to inside, inside free play and diaper changes. 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 Statues 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 program does not provide transportation. The following violations were documented during today’s visit: 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. During my walkthrough of classrooms it was noted that in the classroom for children ages one-through-two-years-of age there was an aerosol can of sunscreen and a bottle of bug spray being stored on a high shelf and not in a locked cabinet or room. .2820(b) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. During my walkthrough of classrooms it was noted that a container of diapering cream was located in the bathroom for children ages two-through-three-years-of-age with no child's name listed on it. 10A NCAC 09 .0803(4) 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. After review of new staff member's files it was noted that two (2) new staff members did not have a medical report nor a TB screening or test prior to employment. One staff member was hired on 08/15/25 and their medical assessment was dated 8/28/25. One staff member was hired 08/11/25 and their medical assessment was dated 8/25/25. 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. After review of new staff member's files it was noted that one staff member was hired 08/11/25 and their TB test was dated 09/26/25. .0701(a) Technical assistance was provided as follows: Item #840 you reported that you will have staff conduct walkthrough of their classrooms in the mornings before children arrive and throughout the day to ensure that all hazardous items are stored appropriately. This item was marked corrected because the hazardous items were placed in locked storage during my visit. Item #846 you reported today that you will ensure that all medication is labeled with child’s name and you will remind staff members that all medication must be labeled with the child’s name. This item was marked corrected during visit because you threw the diapering cream away. Item#1032 and #1033 moving forward, you reported that you will be sure that staff have their medical assessment and TB testing/screening completed prior to staff members first day of employment. These items were marked corrected during visit because the medical assessments and the TB testing/screening has been completed. Achieving Compliance: 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 were corrected during the visit so you do not need to submit a letter of compliance. Rated License Discussion: Your current Probationary License will be expiring on May 27, 2026. I will need to transition you to the new QRIS Pathway system. As we discussed today, you are requesting to be transitioned to the Classroom and Instructional Pathway. You reported today that you are in the process of purchasing and implementing the FunnyDaffer curriculum. As we discussed today the Desired Result formative assessment listed as an approved formative assessment is currently free. For you to be transitioned to the Classroom and Instructional Pathway, you will need to purchase an approved curriculum and receive training on the curriculum through the curriculum creator/source. You will also need to complete training on the approved formative assessment you choose to use. You will need to review and select which items you would like to meet on the Family and Community Engagement Standards form prior to me submitting the information for your transition. You will need to start your Facility Continuous Quality Improvement (CQI) Plan and submit it to me prior to me submitting your application. You reported that all but one staff member have completed the WORKS account information and have submitted their education information to be evaluated. During today’s visit we scheduled a TA visit for May 01, 2026 to review the following information: *Staff education through WORKS * Family and Community Engagement Standards * Facility Continuous Quality Improvement (CQI) Plan * Individual Continuous Quality Improvement (CQI) / Professional Development (PD) Plan *Approved Curriculum training for Administrator *Approved Formative Assessment training for Administrator. Consultation is provided as follows: Be sure to complete the requested information from Clean Water for US Kids for your Lead Paint and Asbestos Testing. You logged into the system today and complete the lead paint portion during my visit. Be sure to go into the ABCMS system and add all of your employees. At this time I see that you have three staff members listed on your roster. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Closure: 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 your program. All rules/laws cannot be verbally reviewed during any monitoring 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 sarah.upton@dhhs.nc.gov or 828.782.0937, 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 .1703 · Violation
Name of Operation: GREAT START CHILD DEVELOPMENT CENTER Facility ID: 44000165 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 4/14/2026 Number Present: 29 Completed Date: 4/14/2026 Age: From 0 To 3 Total Minutes: 375 Time In: 10:30 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant and also signed by Jackie Miller, Owner/Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Miller assisted me with requested paperwork to be reviewed. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90%) percentage as of 04/14/2026. Permit type -Probationary License issued on 08/27/2025 through 05/27/2026 Special Services/Restrictions – meets reduced ratio, meets enhanced space The last annual compliance visit was conducted on 06/05/2025 The last fire drill was practiced on 03/31/2026 The last shelter-in-place drill was practiced on 02/17/2026. The last playground inspection was documented on 04/01/2026. The last fire inspection was approved on 05/29/2025 and was submitted with the AC packet from 06/05/2025 AC visit. The last sanitation inspection was conducted on 12/17/2025 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 05/30/2024 without hazards. Lead paint and asbestos testing is showing enrollment started on the Clean Water for US Kids website. You need to go into the Clean Water for US Kids system and complete the required information for the lead-paint and asbestos testing. Upon arrival I introduced my presence to the Administrator. I observed the group with two- to three-year-old children engaged in a group time activity, music and movement, and lunch, which consisted of peanut butter sandwiches, pickles, oranges, and milk, Infants were having indoor free play and staff members were observed singing to the children in a small group. The one and two-year-old children were observed transitioning from outside to inside, inside free play and diaper changes. 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 Statues 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 program does not provide transportation. The following violations were documented during today’s visit: 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. During my walkthrough of classrooms it was noted that in the classroom for children ages one-through-two-years-of age there was an aerosol can of sunscreen and a bottle of bug spray being stored on a high shelf and not in a locked cabinet or room. .2820(b) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. During my walkthrough of classrooms it was noted that a container of diapering cream was located in the bathroom for children ages two-through-three-years-of-age with no child's name listed on it. 10A NCAC 09 .0803(4) 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. After review of new staff member's files it was noted that two (2) new staff members did not have a medical report nor a TB screening or test prior to employment. One staff member was hired on 08/15/25 and their medical assessment was dated 8/28/25. One staff member was hired 08/11/25 and their medical assessment was dated 8/25/25. 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. After review of new staff member's files it was noted that one staff member was hired 08/11/25 and their TB test was dated 09/26/25. .0701(a) Technical assistance was provided as follows: Item #840 you reported that you will have staff conduct walkthrough of their classrooms in the mornings before children arrive and throughout the day to ensure that all hazardous items are stored appropriately. This item was marked corrected because the hazardous items were placed in locked storage during my visit. Item #846 you reported today that you will ensure that all medication is labeled with child’s name and you will remind staff members that all medication must be labeled with the child’s name. This item was marked corrected during visit because you threw the diapering cream away. Item#1032 and #1033 moving forward, you reported that you will be sure that staff have their medical assessment and TB testing/screening completed prior to staff members first day of employment. These items were marked corrected during visit because the medical assessments and the TB testing/screening has been completed. Achieving Compliance: 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 were corrected during the visit so you do not need to submit a letter of compliance. Rated License Discussion: Your current Probationary License will be expiring on May 27, 2026. I will need to transition you to the new QRIS Pathway system. As we discussed today, you are requesting to be transitioned to the Classroom and Instructional Pathway. You reported today that you are in the process of purchasing and implementing the FunnyDaffer curriculum. As we discussed today the Desired Result formative assessment listed as an approved formative assessment is currently free. For you to be transitioned to the Classroom and Instructional Pathway, you will need to purchase an approved curriculum and receive training on the curriculum through the curriculum creator/source. You will also need to complete training on the approved formative assessment you choose to use. You will need to review and select which items you would like to meet on the Family and Community Engagement Standards form prior to me submitting the information for your transition. You will need to start your Facility Continuous Quality Improvement (CQI) Plan and submit it to me prior to me submitting your application. You reported that all but one staff member have completed the WORKS account information and have submitted their education information to be evaluated. During today’s visit we scheduled a TA visit for May 01, 2026 to review the following information: *Staff education through WORKS * Family and Community Engagement Standards * Facility Continuous Quality Improvement (CQI) Plan * Individual Continuous Quality Improvement (CQI) / Professional Development (PD) Plan *Approved Curriculum training for Administrator *Approved Formative Assessment training for Administrator. Consultation is provided as follows: Be sure to complete the requested information from Clean Water for US Kids for your Lead Paint and Asbestos Testing. You logged into the system today and complete the lead paint portion during my visit. Be sure to go into the ABCMS system and add all of your employees. At this time I see that you have three staff members listed on your roster. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Closure: 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 your program. All rules/laws cannot be verbally reviewed during any monitoring 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 sarah.upton@dhhs.nc.gov or 828.782.0937, 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: GREAT START CHILD DEVELOPMENT CENTER Facility ID: 44000165 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 4/14/2026 Number Present: 29 Completed Date: 4/14/2026 Age: From 0 To 3 Total Minutes: 375 Time In: 10:30 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant and also signed by Jackie Miller, Owner/Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Miller assisted me with requested paperwork to be reviewed. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90%) percentage as of 04/14/2026. Permit type -Probationary License issued on 08/27/2025 through 05/27/2026 Special Services/Restrictions – meets reduced ratio, meets enhanced space The last annual compliance visit was conducted on 06/05/2025 The last fire drill was practiced on 03/31/2026 The last shelter-in-place drill was practiced on 02/17/2026. The last playground inspection was documented on 04/01/2026. The last fire inspection was approved on 05/29/2025 and was submitted with the AC packet from 06/05/2025 AC visit. The last sanitation inspection was conducted on 12/17/2025 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 05/30/2024 without hazards. Lead paint and asbestos testing is showing enrollment started on the Clean Water for US Kids website. You need to go into the Clean Water for US Kids system and complete the required information for the lead-paint and asbestos testing. Upon arrival I introduced my presence to the Administrator. I observed the group with two- to three-year-old children engaged in a group time activity, music and movement, and lunch, which consisted of peanut butter sandwiches, pickles, oranges, and milk, Infants were having indoor free play and staff members were observed singing to the children in a small group. The one and two-year-old children were observed transitioning from outside to inside, inside free play and diaper changes. 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 Statues 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 program does not provide transportation. The following violations were documented during today’s visit: 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. During my walkthrough of classrooms it was noted that in the classroom for children ages one-through-two-years-of age there was an aerosol can of sunscreen and a bottle of bug spray being stored on a high shelf and not in a locked cabinet or room. .2820(b) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. During my walkthrough of classrooms it was noted that a container of diapering cream was located in the bathroom for children ages two-through-three-years-of-age with no child's name listed on it. 10A NCAC 09 .0803(4) 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. After review of new staff member's files it was noted that two (2) new staff members did not have a medical report nor a TB screening or test prior to employment. One staff member was hired on 08/15/25 and their medical assessment was dated 8/28/25. One staff member was hired 08/11/25 and their medical assessment was dated 8/25/25. 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. After review of new staff member's files it was noted that one staff member was hired 08/11/25 and their TB test was dated 09/26/25. .0701(a) Technical assistance was provided as follows: Item #840 you reported that you will have staff conduct walkthrough of their classrooms in the mornings before children arrive and throughout the day to ensure that all hazardous items are stored appropriately. This item was marked corrected because the hazardous items were placed in locked storage during my visit. Item #846 you reported today that you will ensure that all medication is labeled with child’s name and you will remind staff members that all medication must be labeled with the child’s name. This item was marked corrected during visit because you threw the diapering cream away. Item#1032 and #1033 moving forward, you reported that you will be sure that staff have their medical assessment and TB testing/screening completed prior to staff members first day of employment. These items were marked corrected during visit because the medical assessments and the TB testing/screening has been completed. Achieving Compliance: 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 were corrected during the visit so you do not need to submit a letter of compliance. Rated License Discussion: Your current Probationary License will be expiring on May 27, 2026. I will need to transition you to the new QRIS Pathway system. As we discussed today, you are requesting to be transitioned to the Classroom and Instructional Pathway. You reported today that you are in the process of purchasing and implementing the FunnyDaffer curriculum. As we discussed today the Desired Result formative assessment listed as an approved formative assessment is currently free. For you to be transitioned to the Classroom and Instructional Pathway, you will need to purchase an approved curriculum and receive training on the curriculum through the curriculum creator/source. You will also need to complete training on the approved formative assessment you choose to use. You will need to review and select which items you would like to meet on the Family and Community Engagement Standards form prior to me submitting the information for your transition. You will need to start your Facility Continuous Quality Improvement (CQI) Plan and submit it to me prior to me submitting your application. You reported that all but one staff member have completed the WORKS account information and have submitted their education information to be evaluated. During today’s visit we scheduled a TA visit for May 01, 2026 to review the following information: *Staff education through WORKS * Family and Community Engagement Standards * Facility Continuous Quality Improvement (CQI) Plan * Individual Continuous Quality Improvement (CQI) / Professional Development (PD) Plan *Approved Curriculum training for Administrator *Approved Formative Assessment training for Administrator. Consultation is provided as follows: Be sure to complete the requested information from Clean Water for US Kids for your Lead Paint and Asbestos Testing. You logged into the system today and complete the lead paint portion during my visit. Be sure to go into the ABCMS system and add all of your employees. At this time I see that you have three staff members listed on your roster. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Closure: 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 your program. All rules/laws cannot be verbally reviewed during any monitoring 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 sarah.upton@dhhs.nc.gov or 828.782.0937, 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.
G.S. 110-90 · Violation
Name of Operation: GREAT START CHILD DEVELOPMENT CENTER Facility ID: 44000165 Consultant: MORGAN BROCK Operation Type: Center Case Number: Visit Date: 10/9/2025 Number Present: 25 Completed Date: 10/9/2025 Age: From 0 To 2 Total Minutes: 50 Time In: 10:10 AM Time Out: 11:00 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 type of Probationary License, issued on August 27, 2025. Lori Herrick, Investigations Consultant, was also present during the visit. Jacqueline Wilson, administrator, accompanied us during a walk-through of the facility. I spoke with Ms. Wilson 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. Wilson the information must remain posted for a period of nine months and until receipt of a CAP closure letter and star rated license. 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 violation was confirmed during today's visit. Violation Number Comment Rule 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The qualification letter for one staff member was expired. G.S. 110-90.2(b) & .2703(n)&(o) 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 9/16/25, describing how and when the violations were corrected and how compliance will be maintained in the future. The letter of compliance should be emailed to Morgan Brock, Investigations Consultant, morgan.brock@dhhs.nc.gov. I monitored for compliance with the CAP as follows: Item #1 – A violation was confirmed today regarding one staff member's criminal background check letter. Item #2- No violations were observed today related to the requirements included in this stipulation. This item is in compliance. Item #3- No violations were observed today related to the requirements included in this stipulation. This item is in compliance. Item #4- Ms. Wilson informed me that Ms. Mackey is no longer employed at any child care facility owned by Ms. Wilson. This item was in compliance. Item #5- Ms. Wilson contacted Ms. Houck to arrange a rules review on 9/10/25. The rules review has not been scheduled at this time. This item is in compliance. Item #6- This item will be due two weeks after the completion of the rules review with Ms. Houck. Item #7- This item will be due two weeks after notification that the plan required in item #7 met the stipulations. 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 Morgan Brock, Investigations Consultant, morgan.brock@dhhs.nc.gov, 828-788-0011 or Natosha Lambeth, Western Investigations Team Supervisor, natosha.lambeth@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 .0601 · Violation
Name of Operation: GREAT START CHILD DEVELOPMENT CENTER Facility ID: 44000165 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 6/5/2025 Number Present: 23 Completed Date: 6/5/2025 Age: From 0 To 3 Total Minutes: 345 Time In: 09:45 AM Time Out: 03:30 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant and also signed by Jackie Miller, Owner/Administrator, during the visit. Bonnie Mathis, Licensing Supervisor, accompanied me today. An electronic signed copy of the visit summary was left on-site with you. Today, Ms. Miller accompanied us. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percentage as of 06/02/2025. Permit type –Four Star issued on September 29, 2021 Special Services/Restrictions – meets reduced ratio, meets enhanced space The last annual compliance visit was conducted on June 07, 2024. The last fire drill was practiced on May 28, 2025 The last shelter-in-place drill was practiced on April 15, 2025 The last playground inspection was documented on May 02, 2025 The last fire inspection was approved on May 29, 2025 The last sanitation inspection was conducted on December 10, 2024 with ten (10) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on May 30, 2024. Lead paint and asbestos testing is currently enrolled. Upon arrival we introduced our presence to the Administrator. We observed the group with two-through-three-year-old children engaged in center play activities, outside free play and nap time. Infants were having indoor free play and during nap time. The one and two-year- old children were observed during inside free play, outside free play and nap. Lunch today consisted of chicken nuggets, green beans, oranges, tater tots and milk. Today we observed the Administrative Action Notice posted in the classroom for children ages two-through-three years of age on the parent information board. This classroom is used for drop off for all children in the mornings. 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 Statues 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 program does not provide transportation. The following violations were documented during today’s visit Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan in the classroom with infants and the one/two year old group was not dated. GS 110-91(12); .0508(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two (2) infants feeding schedules were not signed and dated and one (1) infant feeding schedule was not dated. .0902(a) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. There was one picket measured over 4 inches and the gap at the base of the fence measured over 3 1/2 inches to 5 inches. The back ramp measured approximately 4" between the railing and the platform. This is an entrapment. .0605(g) 721 All equipment and furnishings were not in good repair. On the playground at the front of the building the children were playing on a Little Tikes slide with a broken attached container and a Little Tikes play kitchen with a broken mailbox. On the playground at the back of the building, there is a tricycle missing the handlebar covers causing a potential protrusion and the large Little Tikes climber was not securely attached as required by manufacturer's instructions. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. At the back playground there is a gap that measures approximately 4 1/2" between the gate latch and the ramp. The space is large enough for a child to get through and/or animal to get through. There is exposed concrete on both playgrounds. Chicken wire that is used to block areas off has exposed broken wires. There are nails protruding upward near the front entrance gate. There were fourteen (14) children on the porch riding trikes with children walking around. The two-and-three year-old classroom was completely dark at naptime making it difficult to see children's faces while sleeping. Three (3) crib mattresses bowed upward, which is an infant strangulation concern. Two (2) accessible tree trunks on the front playground are rotten and splintering. 10A NCAC 09 .0601(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. The kitchen 1/2 door was open with no one present, the adjacent door in the kitchen was unlocked where numerous hazardous products were stored. The 1/2 door was closed during the visit but was not locked. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic grocery bags were stored in an unlocked cabinet under the sink in the classroom with one and two-year-old children. .0604(q) 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. The medical, TB and HQ was not stored in a separate file as required. .0701(d) Technical assistance was provided as follows: #428 – Staff needs to ensure that each activity is current. To be current the activity plan will need to maintain the date. Remind staff to indicate the date on each activity plan. #541 – Review each infant feeding schedule that is received by the parent prior to providing care for each child 15 months of age and younger. The infant feeding schedule is to be signed by the parent and dated when received by the facility. #714 – There is a gap between one (1) post and the railing that is larger than 3 ½ inches and gaps greater than 3 ½” between the railing and the platform on the front and back porches. Gaps must be less than 3 ½” or greater than 9” to prevent entrapments. This is a safety concern. Recommend contacting a fencing professional that can enclose the gaps throughout the outdoor area. Lattice or additional pickets can be added to the railing to ensure there are no entrapments. #721 – The playgrounds should be monitored each day and any and all broken equipment immediately removed. In addition, the large structure on the back playground is not adequately connected. Follow manufacturer guidelines to ensure the equipment is secure and safe. #807 – There were several safety concerns throughout the facility. Nails were observed protruding upward near the front ramp entrance. There is a gap at the back playground gate that is large enough for a small child to go through or an animal come through. Recommend contacting a fencing company to address this issue. The chicken wire around areas to block off children from entering the front playground is broken in several areas. There is concrete exposed on both playgrounds that needs to be covered with mulch, sand, etc. to reduce a child’s impact during a fall. The crib sheets are too small for the crib mattresses causing the mattress to bow upward leaving a gap 2” or greater which is a suffocation/strangulation concern. When observing the classroom with two and three-year-old children the classroom was completely dark making it difficult to visually see all sleeping children. This was discussed with the lead teacher and she immediately opened a blind. It is important that children’s faces can be seen at all times to observe color, any secretions #840 – The ½ door at the kitchen was open and not locked. This is a concern regarding accesibility to hot water. There is a door within the kitchen where hazardous products are stored. Recommend adding a lock to the door in the kitchen to secure hazardous products. The ½ door to the kitchen does not close adequately. Recommend contacted a contractor to adjust the door for adequate closure. #858 – All plastic materials must be inaccessible or locked for children under three years of age. Inaccessibility means stored five feet or higher. #1890 – A separate file is required to store each staff member’s medical information as required by HIPPA. To be stored confidentially, separate storage is required. For example, storage of each staff’s medical file in a locked filing cabinet. Achieving Compliance: We reviewed this visit summary verbal with you today and you were given the opportunity to ask any questions. 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 • Signed statement of compliance I must receive your compliance statement by June 19, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sarah.Upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@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. Consultation is provided as follows: There are several areas within the indoor and outdoor areas that are beginning to show signs of wear and tear to include chipping/flaking paint. Recommend evaluating these areas and making necessary updates to ensure paint is not peeling or flaking. We discussed the importance of ensuring each schedule is appropriate for the age group of children in care. The one-year-old group did not receive lunch until 12:00. It is important the schedule is made to meet the child’s needs. You stated today the schedule needs to be updated. Today we observed fourteen (14) children on the porch with some riding trikes. This is a safety concern with the type of activity and other children walking around. Space requirements are required for any enclosed space that children use. This space is completely enclosed with a gate. There were no separate measurements of this space. Measurements were completed today. Based on the space calculations of a total of 309 square feet, this space is limited to one (1) child to conduct gross motor activities. Due to the limited space, this outdoor covered porch can be used as an extended indoor activity area meeting 30 square feet per child, limiting this space to a maximum of ten (10) children at any one time. Space calculations were left on-site. Reminder that any beverage brought from home must be labeled and dated. Additionally, we discussed with the staff in the infant classroom that when the feeding is complete the bottle cannot be reserved for the child. The feeding is complete. We discussed educating the parents to prepare a bottle with the amount the child routinely eats during a feeding. Per Sanitation Rule 2804 (h) Feeding is complete when the child care center employee has stopped feeding the child and the child has been removed from the feeding area in the child care center and returned to other activities. Outside on the playground areas the portable climbing equipment needs to be spaced at least three feet from any other object or play structure to allow children enough space to fall from, enter or exit equipment without striking another item or climber. The new employee (NB) must complete the first two weeks of orientation by next Thursday. As she reported her date of hire was May 29, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. 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) 814-6401 and someone will assist you. The large tree stump in the middle of the playground at the front of the building needs to be completely removed. You currently have chicken wire around the tree trunk to make the area inaccessible. If the tree truck is not removed, the square footage that is blocked off will need to be removed from the total square footage available at 100 square feet per child. Please let me know your plans to remove the tree trunk We discussed sign in/out sheets should be maintained in each classroom. Currently the sign in/out remains in the two-and-three-year-old classroom. It is important that each staff member is aware of children as they enter and leave the classroom. Staff should use a name to face recognition to ensure the accountability of all children within the group. In addition, each staff member should carry the attendance with them as they conduct emergency drills to ensure all children are present. 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 your program. All rules/laws cannot be verbally reviewed during any monitoring 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 sarah.upton@dhhs.nc.gov or 828.782-0937, 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.
G.S. 110-90 · Violation
Name of Operation: GREAT START CHILD DEVELOPMENT CENTER Facility ID: 44000165 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 6/5/2025 Number Present: 23 Completed Date: 6/5/2025 Age: From 0 To 3 Total Minutes: 345 Time In: 09:45 AM Time Out: 03:30 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant and also signed by Jackie Miller, Owner/Administrator, during the visit. Bonnie Mathis, Licensing Supervisor, accompanied me today. An electronic signed copy of the visit summary was left on-site with you. Today, Ms. Miller accompanied us. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percentage as of 06/02/2025. Permit type –Four Star issued on September 29, 2021 Special Services/Restrictions – meets reduced ratio, meets enhanced space The last annual compliance visit was conducted on June 07, 2024. The last fire drill was practiced on May 28, 2025 The last shelter-in-place drill was practiced on April 15, 2025 The last playground inspection was documented on May 02, 2025 The last fire inspection was approved on May 29, 2025 The last sanitation inspection was conducted on December 10, 2024 with ten (10) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on May 30, 2024. Lead paint and asbestos testing is currently enrolled. Upon arrival we introduced our presence to the Administrator. We observed the group with two-through-three-year-old children engaged in center play activities, outside free play and nap time. Infants were having indoor free play and during nap time. The one and two-year- old children were observed during inside free play, outside free play and nap. Lunch today consisted of chicken nuggets, green beans, oranges, tater tots and milk. Today we observed the Administrative Action Notice posted in the classroom for children ages two-through-three years of age on the parent information board. This classroom is used for drop off for all children in the mornings. 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 Statues 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 program does not provide transportation. The following violations were documented during today’s visit Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan in the classroom with infants and the one/two year old group was not dated. GS 110-91(12); .0508(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two (2) infants feeding schedules were not signed and dated and one (1) infant feeding schedule was not dated. .0902(a) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. There was one picket measured over 4 inches and the gap at the base of the fence measured over 3 1/2 inches to 5 inches. The back ramp measured approximately 4" between the railing and the platform. This is an entrapment. .0605(g) 721 All equipment and furnishings were not in good repair. On the playground at the front of the building the children were playing on a Little Tikes slide with a broken attached container and a Little Tikes play kitchen with a broken mailbox. On the playground at the back of the building, there is a tricycle missing the handlebar covers causing a potential protrusion and the large Little Tikes climber was not securely attached as required by manufacturer's instructions. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. At the back playground there is a gap that measures approximately 4 1/2" between the gate latch and the ramp. The space is large enough for a child to get through and/or animal to get through. There is exposed concrete on both playgrounds. Chicken wire that is used to block areas off has exposed broken wires. There are nails protruding upward near the front entrance gate. There were fourteen (14) children on the porch riding trikes with children walking around. The two-and-three year-old classroom was completely dark at naptime making it difficult to see children's faces while sleeping. Three (3) crib mattresses bowed upward, which is an infant strangulation concern. Two (2) accessible tree trunks on the front playground are rotten and splintering. 10A NCAC 09 .0601(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. The kitchen 1/2 door was open with no one present, the adjacent door in the kitchen was unlocked where numerous hazardous products were stored. The 1/2 door was closed during the visit but was not locked. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic grocery bags were stored in an unlocked cabinet under the sink in the classroom with one and two-year-old children. .0604(q) 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. The medical, TB and HQ was not stored in a separate file as required. .0701(d) Technical assistance was provided as follows: #428 – Staff needs to ensure that each activity is current. To be current the activity plan will need to maintain the date. Remind staff to indicate the date on each activity plan. #541 – Review each infant feeding schedule that is received by the parent prior to providing care for each child 15 months of age and younger. The infant feeding schedule is to be signed by the parent and dated when received by the facility. #714 – There is a gap between one (1) post and the railing that is larger than 3 ½ inches and gaps greater than 3 ½” between the railing and the platform on the front and back porches. Gaps must be less than 3 ½” or greater than 9” to prevent entrapments. This is a safety concern. Recommend contacting a fencing professional that can enclose the gaps throughout the outdoor area. Lattice or additional pickets can be added to the railing to ensure there are no entrapments. #721 – The playgrounds should be monitored each day and any and all broken equipment immediately removed. In addition, the large structure on the back playground is not adequately connected. Follow manufacturer guidelines to ensure the equipment is secure and safe. #807 – There were several safety concerns throughout the facility. Nails were observed protruding upward near the front ramp entrance. There is a gap at the back playground gate that is large enough for a small child to go through or an animal come through. Recommend contacting a fencing company to address this issue. The chicken wire around areas to block off children from entering the front playground is broken in several areas. There is concrete exposed on both playgrounds that needs to be covered with mulch, sand, etc. to reduce a child’s impact during a fall. The crib sheets are too small for the crib mattresses causing the mattress to bow upward leaving a gap 2” or greater which is a suffocation/strangulation concern. When observing the classroom with two and three-year-old children the classroom was completely dark making it difficult to visually see all sleeping children. This was discussed with the lead teacher and she immediately opened a blind. It is important that children’s faces can be seen at all times to observe color, any secretions #840 – The ½ door at the kitchen was open and not locked. This is a concern regarding accesibility to hot water. There is a door within the kitchen where hazardous products are stored. Recommend adding a lock to the door in the kitchen to secure hazardous products. The ½ door to the kitchen does not close adequately. Recommend contacted a contractor to adjust the door for adequate closure. #858 – All plastic materials must be inaccessible or locked for children under three years of age. Inaccessibility means stored five feet or higher. #1890 – A separate file is required to store each staff member’s medical information as required by HIPPA. To be stored confidentially, separate storage is required. For example, storage of each staff’s medical file in a locked filing cabinet. Achieving Compliance: We reviewed this visit summary verbal with you today and you were given the opportunity to ask any questions. 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 • Signed statement of compliance I must receive your compliance statement by June 19, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sarah.Upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@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. Consultation is provided as follows: There are several areas within the indoor and outdoor areas that are beginning to show signs of wear and tear to include chipping/flaking paint. Recommend evaluating these areas and making necessary updates to ensure paint is not peeling or flaking. We discussed the importance of ensuring each schedule is appropriate for the age group of children in care. The one-year-old group did not receive lunch until 12:00. It is important the schedule is made to meet the child’s needs. You stated today the schedule needs to be updated. Today we observed fourteen (14) children on the porch with some riding trikes. This is a safety concern with the type of activity and other children walking around. Space requirements are required for any enclosed space that children use. This space is completely enclosed with a gate. There were no separate measurements of this space. Measurements were completed today. Based on the space calculations of a total of 309 square feet, this space is limited to one (1) child to conduct gross motor activities. Due to the limited space, this outdoor covered porch can be used as an extended indoor activity area meeting 30 square feet per child, limiting this space to a maximum of ten (10) children at any one time. Space calculations were left on-site. Reminder that any beverage brought from home must be labeled and dated. Additionally, we discussed with the staff in the infant classroom that when the feeding is complete the bottle cannot be reserved for the child. The feeding is complete. We discussed educating the parents to prepare a bottle with the amount the child routinely eats during a feeding. Per Sanitation Rule 2804 (h) Feeding is complete when the child care center employee has stopped feeding the child and the child has been removed from the feeding area in the child care center and returned to other activities. Outside on the playground areas the portable climbing equipment needs to be spaced at least three feet from any other object or play structure to allow children enough space to fall from, enter or exit equipment without striking another item or climber. The new employee (NB) must complete the first two weeks of orientation by next Thursday. As she reported her date of hire was May 29, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. 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) 814-6401 and someone will assist you. The large tree stump in the middle of the playground at the front of the building needs to be completely removed. You currently have chicken wire around the tree trunk to make the area inaccessible. If the tree truck is not removed, the square footage that is blocked off will need to be removed from the total square footage available at 100 square feet per child. Please let me know your plans to remove the tree trunk We discussed sign in/out sheets should be maintained in each classroom. Currently the sign in/out remains in the two-and-three-year-old classroom. It is important that each staff member is aware of children as they enter and leave the classroom. Staff should use a name to face recognition to ensure the accountability of all children within the group. In addition, each staff member should carry the attendance with them as they conduct emergency drills to ensure all children are present. 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 your program. All rules/laws cannot be verbally reviewed during any monitoring 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 sarah.upton@dhhs.nc.gov or 828.782-0937, 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
G.S. 110-91 · Violation
Name of Operation: GREAT START CHILD DEVELOPMENT CENTER Facility ID: 44000165 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 6/5/2025 Number Present: 23 Completed Date: 6/5/2025 Age: From 0 To 3 Total Minutes: 345 Time In: 09:45 AM Time Out: 03:30 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant and also signed by Jackie Miller, Owner/Administrator, during the visit. Bonnie Mathis, Licensing Supervisor, accompanied me today. An electronic signed copy of the visit summary was left on-site with you. Today, Ms. Miller accompanied us. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percentage as of 06/02/2025. Permit type –Four Star issued on September 29, 2021 Special Services/Restrictions – meets reduced ratio, meets enhanced space The last annual compliance visit was conducted on June 07, 2024. The last fire drill was practiced on May 28, 2025 The last shelter-in-place drill was practiced on April 15, 2025 The last playground inspection was documented on May 02, 2025 The last fire inspection was approved on May 29, 2025 The last sanitation inspection was conducted on December 10, 2024 with ten (10) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on May 30, 2024. Lead paint and asbestos testing is currently enrolled. Upon arrival we introduced our presence to the Administrator. We observed the group with two-through-three-year-old children engaged in center play activities, outside free play and nap time. Infants were having indoor free play and during nap time. The one and two-year- old children were observed during inside free play, outside free play and nap. Lunch today consisted of chicken nuggets, green beans, oranges, tater tots and milk. Today we observed the Administrative Action Notice posted in the classroom for children ages two-through-three years of age on the parent information board. This classroom is used for drop off for all children in the mornings. 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 Statues 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 program does not provide transportation. The following violations were documented during today’s visit Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan in the classroom with infants and the one/two year old group was not dated. GS 110-91(12); .0508(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two (2) infants feeding schedules were not signed and dated and one (1) infant feeding schedule was not dated. .0902(a) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. There was one picket measured over 4 inches and the gap at the base of the fence measured over 3 1/2 inches to 5 inches. The back ramp measured approximately 4" between the railing and the platform. This is an entrapment. .0605(g) 721 All equipment and furnishings were not in good repair. On the playground at the front of the building the children were playing on a Little Tikes slide with a broken attached container and a Little Tikes play kitchen with a broken mailbox. On the playground at the back of the building, there is a tricycle missing the handlebar covers causing a potential protrusion and the large Little Tikes climber was not securely attached as required by manufacturer's instructions. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. At the back playground there is a gap that measures approximately 4 1/2" between the gate latch and the ramp. The space is large enough for a child to get through and/or animal to get through. There is exposed concrete on both playgrounds. Chicken wire that is used to block areas off has exposed broken wires. There are nails protruding upward near the front entrance gate. There were fourteen (14) children on the porch riding trikes with children walking around. The two-and-three year-old classroom was completely dark at naptime making it difficult to see children's faces while sleeping. Three (3) crib mattresses bowed upward, which is an infant strangulation concern. Two (2) accessible tree trunks on the front playground are rotten and splintering. 10A NCAC 09 .0601(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. The kitchen 1/2 door was open with no one present, the adjacent door in the kitchen was unlocked where numerous hazardous products were stored. The 1/2 door was closed during the visit but was not locked. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic grocery bags were stored in an unlocked cabinet under the sink in the classroom with one and two-year-old children. .0604(q) 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. The medical, TB and HQ was not stored in a separate file as required. .0701(d) Technical assistance was provided as follows: #428 – Staff needs to ensure that each activity is current. To be current the activity plan will need to maintain the date. Remind staff to indicate the date on each activity plan. #541 – Review each infant feeding schedule that is received by the parent prior to providing care for each child 15 months of age and younger. The infant feeding schedule is to be signed by the parent and dated when received by the facility. #714 – There is a gap between one (1) post and the railing that is larger than 3 ½ inches and gaps greater than 3 ½” between the railing and the platform on the front and back porches. Gaps must be less than 3 ½” or greater than 9” to prevent entrapments. This is a safety concern. Recommend contacting a fencing professional that can enclose the gaps throughout the outdoor area. Lattice or additional pickets can be added to the railing to ensure there are no entrapments. #721 – The playgrounds should be monitored each day and any and all broken equipment immediately removed. In addition, the large structure on the back playground is not adequately connected. Follow manufacturer guidelines to ensure the equipment is secure and safe. #807 – There were several safety concerns throughout the facility. Nails were observed protruding upward near the front ramp entrance. There is a gap at the back playground gate that is large enough for a small child to go through or an animal come through. Recommend contacting a fencing company to address this issue. The chicken wire around areas to block off children from entering the front playground is broken in several areas. There is concrete exposed on both playgrounds that needs to be covered with mulch, sand, etc. to reduce a child’s impact during a fall. The crib sheets are too small for the crib mattresses causing the mattress to bow upward leaving a gap 2” or greater which is a suffocation/strangulation concern. When observing the classroom with two and three-year-old children the classroom was completely dark making it difficult to visually see all sleeping children. This was discussed with the lead teacher and she immediately opened a blind. It is important that children’s faces can be seen at all times to observe color, any secretions #840 – The ½ door at the kitchen was open and not locked. This is a concern regarding accesibility to hot water. There is a door within the kitchen where hazardous products are stored. Recommend adding a lock to the door in the kitchen to secure hazardous products. The ½ door to the kitchen does not close adequately. Recommend contacted a contractor to adjust the door for adequate closure. #858 – All plastic materials must be inaccessible or locked for children under three years of age. Inaccessibility means stored five feet or higher. #1890 – A separate file is required to store each staff member’s medical information as required by HIPPA. To be stored confidentially, separate storage is required. For example, storage of each staff’s medical file in a locked filing cabinet. Achieving Compliance: We reviewed this visit summary verbal with you today and you were given the opportunity to ask any questions. 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 • Signed statement of compliance I must receive your compliance statement by June 19, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sarah.Upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@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. Consultation is provided as follows: There are several areas within the indoor and outdoor areas that are beginning to show signs of wear and tear to include chipping/flaking paint. Recommend evaluating these areas and making necessary updates to ensure paint is not peeling or flaking. We discussed the importance of ensuring each schedule is appropriate for the age group of children in care. The one-year-old group did not receive lunch until 12:00. It is important the schedule is made to meet the child’s needs. You stated today the schedule needs to be updated. Today we observed fourteen (14) children on the porch with some riding trikes. This is a safety concern with the type of activity and other children walking around. Space requirements are required for any enclosed space that children use. This space is completely enclosed with a gate. There were no separate measurements of this space. Measurements were completed today. Based on the space calculations of a total of 309 square feet, this space is limited to one (1) child to conduct gross motor activities. Due to the limited space, this outdoor covered porch can be used as an extended indoor activity area meeting 30 square feet per child, limiting this space to a maximum of ten (10) children at any one time. Space calculations were left on-site. Reminder that any beverage brought from home must be labeled and dated. Additionally, we discussed with the staff in the infant classroom that when the feeding is complete the bottle cannot be reserved for the child. The feeding is complete. We discussed educating the parents to prepare a bottle with the amount the child routinely eats during a feeding. Per Sanitation Rule 2804 (h) Feeding is complete when the child care center employee has stopped feeding the child and the child has been removed from the feeding area in the child care center and returned to other activities. Outside on the playground areas the portable climbing equipment needs to be spaced at least three feet from any other object or play structure to allow children enough space to fall from, enter or exit equipment without striking another item or climber. The new employee (NB) must complete the first two weeks of orientation by next Thursday. As she reported her date of hire was May 29, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. 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) 814-6401 and someone will assist you. The large tree stump in the middle of the playground at the front of the building needs to be completely removed. You currently have chicken wire around the tree trunk to make the area inaccessible. If the tree truck is not removed, the square footage that is blocked off will need to be removed from the total square footage available at 100 square feet per child. Please let me know your plans to remove the tree trunk We discussed sign in/out sheets should be maintained in each classroom. Currently the sign in/out remains in the two-and-three-year-old classroom. It is important that each staff member is aware of children as they enter and leave the classroom. Staff should use a name to face recognition to ensure the accountability of all children within the group. In addition, each staff member should carry the attendance with them as they conduct emergency drills to ensure all children are present. 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 your program. All rules/laws cannot be verbally reviewed during any monitoring 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 sarah.upton@dhhs.nc.gov or 828.782-0937, 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
GS 110-91 · Violation
Name of Operation: GREAT START CHILD DEVELOPMENT CENTER Facility ID: 44000165 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 6/5/2025 Number Present: 23 Completed Date: 6/5/2025 Age: From 0 To 3 Total Minutes: 345 Time In: 09:45 AM Time Out: 03:30 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant and also signed by Jackie Miller, Owner/Administrator, during the visit. Bonnie Mathis, Licensing Supervisor, accompanied me today. An electronic signed copy of the visit summary was left on-site with you. Today, Ms. Miller accompanied us. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percentage as of 06/02/2025. Permit type –Four Star issued on September 29, 2021 Special Services/Restrictions – meets reduced ratio, meets enhanced space The last annual compliance visit was conducted on June 07, 2024. The last fire drill was practiced on May 28, 2025 The last shelter-in-place drill was practiced on April 15, 2025 The last playground inspection was documented on May 02, 2025 The last fire inspection was approved on May 29, 2025 The last sanitation inspection was conducted on December 10, 2024 with ten (10) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on May 30, 2024. Lead paint and asbestos testing is currently enrolled. Upon arrival we introduced our presence to the Administrator. We observed the group with two-through-three-year-old children engaged in center play activities, outside free play and nap time. Infants were having indoor free play and during nap time. The one and two-year- old children were observed during inside free play, outside free play and nap. Lunch today consisted of chicken nuggets, green beans, oranges, tater tots and milk. Today we observed the Administrative Action Notice posted in the classroom for children ages two-through-three years of age on the parent information board. This classroom is used for drop off for all children in the mornings. 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 Statues 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 program does not provide transportation. The following violations were documented during today’s visit Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan in the classroom with infants and the one/two year old group was not dated. GS 110-91(12); .0508(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two (2) infants feeding schedules were not signed and dated and one (1) infant feeding schedule was not dated. .0902(a) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. There was one picket measured over 4 inches and the gap at the base of the fence measured over 3 1/2 inches to 5 inches. The back ramp measured approximately 4" between the railing and the platform. This is an entrapment. .0605(g) 721 All equipment and furnishings were not in good repair. On the playground at the front of the building the children were playing on a Little Tikes slide with a broken attached container and a Little Tikes play kitchen with a broken mailbox. On the playground at the back of the building, there is a tricycle missing the handlebar covers causing a potential protrusion and the large Little Tikes climber was not securely attached as required by manufacturer's instructions. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. At the back playground there is a gap that measures approximately 4 1/2" between the gate latch and the ramp. The space is large enough for a child to get through and/or animal to get through. There is exposed concrete on both playgrounds. Chicken wire that is used to block areas off has exposed broken wires. There are nails protruding upward near the front entrance gate. There were fourteen (14) children on the porch riding trikes with children walking around. The two-and-three year-old classroom was completely dark at naptime making it difficult to see children's faces while sleeping. Three (3) crib mattresses bowed upward, which is an infant strangulation concern. Two (2) accessible tree trunks on the front playground are rotten and splintering. 10A NCAC 09 .0601(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. The kitchen 1/2 door was open with no one present, the adjacent door in the kitchen was unlocked where numerous hazardous products were stored. The 1/2 door was closed during the visit but was not locked. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic grocery bags were stored in an unlocked cabinet under the sink in the classroom with one and two-year-old children. .0604(q) 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. The medical, TB and HQ was not stored in a separate file as required. .0701(d) Technical assistance was provided as follows: #428 – Staff needs to ensure that each activity is current. To be current the activity plan will need to maintain the date. Remind staff to indicate the date on each activity plan. #541 – Review each infant feeding schedule that is received by the parent prior to providing care for each child 15 months of age and younger. The infant feeding schedule is to be signed by the parent and dated when received by the facility. #714 – There is a gap between one (1) post and the railing that is larger than 3 ½ inches and gaps greater than 3 ½” between the railing and the platform on the front and back porches. Gaps must be less than 3 ½” or greater than 9” to prevent entrapments. This is a safety concern. Recommend contacting a fencing professional that can enclose the gaps throughout the outdoor area. Lattice or additional pickets can be added to the railing to ensure there are no entrapments. #721 – The playgrounds should be monitored each day and any and all broken equipment immediately removed. In addition, the large structure on the back playground is not adequately connected. Follow manufacturer guidelines to ensure the equipment is secure and safe. #807 – There were several safety concerns throughout the facility. Nails were observed protruding upward near the front ramp entrance. There is a gap at the back playground gate that is large enough for a small child to go through or an animal come through. Recommend contacting a fencing company to address this issue. The chicken wire around areas to block off children from entering the front playground is broken in several areas. There is concrete exposed on both playgrounds that needs to be covered with mulch, sand, etc. to reduce a child’s impact during a fall. The crib sheets are too small for the crib mattresses causing the mattress to bow upward leaving a gap 2” or greater which is a suffocation/strangulation concern. When observing the classroom with two and three-year-old children the classroom was completely dark making it difficult to visually see all sleeping children. This was discussed with the lead teacher and she immediately opened a blind. It is important that children’s faces can be seen at all times to observe color, any secretions #840 – The ½ door at the kitchen was open and not locked. This is a concern regarding accesibility to hot water. There is a door within the kitchen where hazardous products are stored. Recommend adding a lock to the door in the kitchen to secure hazardous products. The ½ door to the kitchen does not close adequately. Recommend contacted a contractor to adjust the door for adequate closure. #858 – All plastic materials must be inaccessible or locked for children under three years of age. Inaccessibility means stored five feet or higher. #1890 – A separate file is required to store each staff member’s medical information as required by HIPPA. To be stored confidentially, separate storage is required. For example, storage of each staff’s medical file in a locked filing cabinet. Achieving Compliance: We reviewed this visit summary verbal with you today and you were given the opportunity to ask any questions. 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 • Signed statement of compliance I must receive your compliance statement by June 19, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sarah.Upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@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. Consultation is provided as follows: There are several areas within the indoor and outdoor areas that are beginning to show signs of wear and tear to include chipping/flaking paint. Recommend evaluating these areas and making necessary updates to ensure paint is not peeling or flaking. We discussed the importance of ensuring each schedule is appropriate for the age group of children in care. The one-year-old group did not receive lunch until 12:00. It is important the schedule is made to meet the child’s needs. You stated today the schedule needs to be updated. Today we observed fourteen (14) children on the porch with some riding trikes. This is a safety concern with the type of activity and other children walking around. Space requirements are required for any enclosed space that children use. This space is completely enclosed with a gate. There were no separate measurements of this space. Measurements were completed today. Based on the space calculations of a total of 309 square feet, this space is limited to one (1) child to conduct gross motor activities. Due to the limited space, this outdoor covered porch can be used as an extended indoor activity area meeting 30 square feet per child, limiting this space to a maximum of ten (10) children at any one time. Space calculations were left on-site. Reminder that any beverage brought from home must be labeled and dated. Additionally, we discussed with the staff in the infant classroom that when the feeding is complete the bottle cannot be reserved for the child. The feeding is complete. We discussed educating the parents to prepare a bottle with the amount the child routinely eats during a feeding. Per Sanitation Rule 2804 (h) Feeding is complete when the child care center employee has stopped feeding the child and the child has been removed from the feeding area in the child care center and returned to other activities. Outside on the playground areas the portable climbing equipment needs to be spaced at least three feet from any other object or play structure to allow children enough space to fall from, enter or exit equipment without striking another item or climber. The new employee (NB) must complete the first two weeks of orientation by next Thursday. As she reported her date of hire was May 29, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. 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) 814-6401 and someone will assist you. The large tree stump in the middle of the playground at the front of the building needs to be completely removed. You currently have chicken wire around the tree trunk to make the area inaccessible. If the tree truck is not removed, the square footage that is blocked off will need to be removed from the total square footage available at 100 square feet per child. Please let me know your plans to remove the tree trunk We discussed sign in/out sheets should be maintained in each classroom. Currently the sign in/out remains in the two-and-three-year-old classroom. It is important that each staff member is aware of children as they enter and leave the classroom. Staff should use a name to face recognition to ensure the accountability of all children within the group. In addition, each staff member should carry the attendance with them as they conduct emergency drills to ensure all children are present. 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 your program. All rules/laws cannot be verbally reviewed during any monitoring 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 sarah.upton@dhhs.nc.gov or 828.782-0937, 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
NC GS 110-90 · Violation
Name of Operation: GREAT START CHILD DEVELOPMENT CENTER Facility ID: 44000165 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 6/5/2025 Number Present: 23 Completed Date: 6/5/2025 Age: From 0 To 3 Total Minutes: 345 Time In: 09:45 AM Time Out: 03:30 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant and also signed by Jackie Miller, Owner/Administrator, during the visit. Bonnie Mathis, Licensing Supervisor, accompanied me today. An electronic signed copy of the visit summary was left on-site with you. Today, Ms. Miller accompanied us. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percentage as of 06/02/2025. Permit type –Four Star issued on September 29, 2021 Special Services/Restrictions – meets reduced ratio, meets enhanced space The last annual compliance visit was conducted on June 07, 2024. The last fire drill was practiced on May 28, 2025 The last shelter-in-place drill was practiced on April 15, 2025 The last playground inspection was documented on May 02, 2025 The last fire inspection was approved on May 29, 2025 The last sanitation inspection was conducted on December 10, 2024 with ten (10) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on May 30, 2024. Lead paint and asbestos testing is currently enrolled. Upon arrival we introduced our presence to the Administrator. We observed the group with two-through-three-year-old children engaged in center play activities, outside free play and nap time. Infants were having indoor free play and during nap time. The one and two-year- old children were observed during inside free play, outside free play and nap. Lunch today consisted of chicken nuggets, green beans, oranges, tater tots and milk. Today we observed the Administrative Action Notice posted in the classroom for children ages two-through-three years of age on the parent information board. This classroom is used for drop off for all children in the mornings. 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 Statues 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 program does not provide transportation. The following violations were documented during today’s visit Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan in the classroom with infants and the one/two year old group was not dated. GS 110-91(12); .0508(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two (2) infants feeding schedules were not signed and dated and one (1) infant feeding schedule was not dated. .0902(a) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. There was one picket measured over 4 inches and the gap at the base of the fence measured over 3 1/2 inches to 5 inches. The back ramp measured approximately 4" between the railing and the platform. This is an entrapment. .0605(g) 721 All equipment and furnishings were not in good repair. On the playground at the front of the building the children were playing on a Little Tikes slide with a broken attached container and a Little Tikes play kitchen with a broken mailbox. On the playground at the back of the building, there is a tricycle missing the handlebar covers causing a potential protrusion and the large Little Tikes climber was not securely attached as required by manufacturer's instructions. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. At the back playground there is a gap that measures approximately 4 1/2" between the gate latch and the ramp. The space is large enough for a child to get through and/or animal to get through. There is exposed concrete on both playgrounds. Chicken wire that is used to block areas off has exposed broken wires. There are nails protruding upward near the front entrance gate. There were fourteen (14) children on the porch riding trikes with children walking around. The two-and-three year-old classroom was completely dark at naptime making it difficult to see children's faces while sleeping. Three (3) crib mattresses bowed upward, which is an infant strangulation concern. Two (2) accessible tree trunks on the front playground are rotten and splintering. 10A NCAC 09 .0601(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. The kitchen 1/2 door was open with no one present, the adjacent door in the kitchen was unlocked where numerous hazardous products were stored. The 1/2 door was closed during the visit but was not locked. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic grocery bags were stored in an unlocked cabinet under the sink in the classroom with one and two-year-old children. .0604(q) 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. The medical, TB and HQ was not stored in a separate file as required. .0701(d) Technical assistance was provided as follows: #428 – Staff needs to ensure that each activity is current. To be current the activity plan will need to maintain the date. Remind staff to indicate the date on each activity plan. #541 – Review each infant feeding schedule that is received by the parent prior to providing care for each child 15 months of age and younger. The infant feeding schedule is to be signed by the parent and dated when received by the facility. #714 – There is a gap between one (1) post and the railing that is larger than 3 ½ inches and gaps greater than 3 ½” between the railing and the platform on the front and back porches. Gaps must be less than 3 ½” or greater than 9” to prevent entrapments. This is a safety concern. Recommend contacting a fencing professional that can enclose the gaps throughout the outdoor area. Lattice or additional pickets can be added to the railing to ensure there are no entrapments. #721 – The playgrounds should be monitored each day and any and all broken equipment immediately removed. In addition, the large structure on the back playground is not adequately connected. Follow manufacturer guidelines to ensure the equipment is secure and safe. #807 – There were several safety concerns throughout the facility. Nails were observed protruding upward near the front ramp entrance. There is a gap at the back playground gate that is large enough for a small child to go through or an animal come through. Recommend contacting a fencing company to address this issue. The chicken wire around areas to block off children from entering the front playground is broken in several areas. There is concrete exposed on both playgrounds that needs to be covered with mulch, sand, etc. to reduce a child’s impact during a fall. The crib sheets are too small for the crib mattresses causing the mattress to bow upward leaving a gap 2” or greater which is a suffocation/strangulation concern. When observing the classroom with two and three-year-old children the classroom was completely dark making it difficult to visually see all sleeping children. This was discussed with the lead teacher and she immediately opened a blind. It is important that children’s faces can be seen at all times to observe color, any secretions #840 – The ½ door at the kitchen was open and not locked. This is a concern regarding accesibility to hot water. There is a door within the kitchen where hazardous products are stored. Recommend adding a lock to the door in the kitchen to secure hazardous products. The ½ door to the kitchen does not close adequately. Recommend contacted a contractor to adjust the door for adequate closure. #858 – All plastic materials must be inaccessible or locked for children under three years of age. Inaccessibility means stored five feet or higher. #1890 – A separate file is required to store each staff member’s medical information as required by HIPPA. To be stored confidentially, separate storage is required. For example, storage of each staff’s medical file in a locked filing cabinet. Achieving Compliance: We reviewed this visit summary verbal with you today and you were given the opportunity to ask any questions. 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 • Signed statement of compliance I must receive your compliance statement by June 19, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sarah.Upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@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. Consultation is provided as follows: There are several areas within the indoor and outdoor areas that are beginning to show signs of wear and tear to include chipping/flaking paint. Recommend evaluating these areas and making necessary updates to ensure paint is not peeling or flaking. We discussed the importance of ensuring each schedule is appropriate for the age group of children in care. The one-year-old group did not receive lunch until 12:00. It is important the schedule is made to meet the child’s needs. You stated today the schedule needs to be updated. Today we observed fourteen (14) children on the porch with some riding trikes. This is a safety concern with the type of activity and other children walking around. Space requirements are required for any enclosed space that children use. This space is completely enclosed with a gate. There were no separate measurements of this space. Measurements were completed today. Based on the space calculations of a total of 309 square feet, this space is limited to one (1) child to conduct gross motor activities. Due to the limited space, this outdoor covered porch can be used as an extended indoor activity area meeting 30 square feet per child, limiting this space to a maximum of ten (10) children at any one time. Space calculations were left on-site. Reminder that any beverage brought from home must be labeled and dated. Additionally, we discussed with the staff in the infant classroom that when the feeding is complete the bottle cannot be reserved for the child. The feeding is complete. We discussed educating the parents to prepare a bottle with the amount the child routinely eats during a feeding. Per Sanitation Rule 2804 (h) Feeding is complete when the child care center employee has stopped feeding the child and the child has been removed from the feeding area in the child care center and returned to other activities. Outside on the playground areas the portable climbing equipment needs to be spaced at least three feet from any other object or play structure to allow children enough space to fall from, enter or exit equipment without striking another item or climber. The new employee (NB) must complete the first two weeks of orientation by next Thursday. As she reported her date of hire was May 29, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. 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) 814-6401 and someone will assist you. The large tree stump in the middle of the playground at the front of the building needs to be completely removed. You currently have chicken wire around the tree trunk to make the area inaccessible. If the tree truck is not removed, the square footage that is blocked off will need to be removed from the total square footage available at 100 square feet per child. Please let me know your plans to remove the tree trunk We discussed sign in/out sheets should be maintained in each classroom. Currently the sign in/out remains in the two-and-three-year-old classroom. It is important that each staff member is aware of children as they enter and leave the classroom. Staff should use a name to face recognition to ensure the accountability of all children within the group. In addition, each staff member should carry the attendance with them as they conduct emergency drills to ensure all children are present. 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 your program. All rules/laws cannot be verbally reviewed during any monitoring 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 sarah.upton@dhhs.nc.gov or 828.782-0937, 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
10A NCAC 09 .0601 · Violation
Name of Operation: GREAT START CHILD DEVELOPMENT CENTER Facility ID: 44000165 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/3/2025 Number Present: 20 Completed Date: 1/3/2025 Age: From 0 To 7 Total Minutes: 165 Time In: 10:30 AM Time Out: 01:00 PM Time In: 04:45 PM Time Out: 05:00 PM List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Jackie Miller, during the visit. A signed copy of the visit summary was left with you today. Ms. Miller was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, and routine caregiving activities. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training ITS-SIDS Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions Two (2) new teachers have been hired since your last Annual Compliance visit in June 2024. These files were reviewed today. Permit type – Four Star issued on June 13, 2019 Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios. The last annual compliance visit was conducted on June 07, 2024 The last fire drill was practiced on December 12, 2024 The Emergency Medical Care plan was posted and current. In the group for children ages twos-through-three years of age I observed children during inside free play. In the group for children ages one-through-two years of age I observed children during free play, lunch, which consisted of pizza, pickles, pears and milk and routine care needs. In the group for children infants- through-one year of age I observed children during free play. Interactions were positive and nurturing. 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 Statues 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 written: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. There was no record of arrival time for the seven-year-old child present during the visit today. 10A NCAC 09 .0302(d)(4) 303 Children were not adequately supervised at all times. During the observation of classrooms, a seven-year-old child was observed exiting the classroom for children one-through-two years of age unaccompanied and entering the classroom for infants-through-one year of age. I conducted my walk through of the classroom for children one-through-two years of age and then went to conduct my walk through of the classroom for infants-through-one year of age. Upon entering the classroom for infants-through-one year of age, I asked the teacher where the seven-year-old child was. The teacher reported that the child had went to use the restroom, which is located down the hallway. I went and checked both bathrooms and the child was not present. I then went back to the classroom and asked again where the child was. The teacher reported that she thought she had gone to the restroom and was not aware of where the child went. I then went to the classroom for children two-through-three years of age and asked the lead teacher where the seven-year-old child was, and the lead teacher reported that there was no seven-year-old child present. The child's location was unknown while a staff member argued with me that the child was not there or present. The child was located by a staff member and brought back into the facility and confirmed that the child had been at the facility earlier. .1801(a)(1-5) 807 A safe indoor and outdoor environment was not provided for the children. Upon arrival a seven-year-old child was present at the facility. I observed the child exiting the classroom with children one-through-two years of age and entering the classroom with infants-through-one year of age. After my observation and walkthrough of the classroom for children one-through-two years of age the seven-year-old child was no longer in the classroom with infant-through-one year old children. The staff member reported the child had left her classroom and went to the restroom. I checked both restrooms and the child was not present. I then checked the classroom with two-through-three-year-old children and the staff member reported the child was not present. No staff member was aware of the whereabouts of the seven (7) year-old child. Ms. Miller reported that the seven (7) year old was a staff member’s child and was supposed to be staying at the neighbor’s house next to the center. It was reported to Ms. Miller, the child’s parent attempted to drop the child off next door, and no one answered, therefore, the parent brought the child to the center, placed the child in the classroom with infant and one-year-old children and left. The child exited the facility unaccompanied and went to the neighbor’s house, which is located on a busy street. The child was located at the neighbor’s house and was brought back into the facility by a staff member. 10A NCAC 09 .0601(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. After review of two (2) new staff files it was noted that the staff member hired on 08/12/24 did not complete all the required topics of orientation. .1101(a) Technical Assistance to Assist with Achieving Compliance: Rule reference can be located in the violations cited. #125 Arrival and Departure: It is important that you maintain an accurate arrival and departure time record of all children that are enrolled in your program. This would include a staff member’s child that sometimes attend. This record helps you maintain an accurate count of all children that are in care at one time at your facility. Item #303 Supervision is important to the safety of children and maintaining quality child care. The importance of supervision is not only to protect children from physical injury, but from harm that can occur from inappropriate behavior Active and positive supervision involves knowing each child’s abilities, understanding each child’s behaviors, establishing clear and simple safety rules, being aware of potential hazards, standing in strategic positions, and scanning play areas and circulating around the space. Strategies for supervision of children are available on National Resource Center under 2.2 Supervision and Discipline guideline at https://nrckids.org/CFOC/Database/2.2.0.1. Item #316 Children under one year of age cannot be grouped with children ages 2 and older, except at the first and last operating our of the day. Children under one year of age have unique needs that require special attention by caregivers. Item #807 Providing a safe environment for children helps to ensure they are protected from harm. It is the responsibility of all staff at the licensed child care facility to ensure the safety of all children in care. Item #1045 The orientation topics within the first six weeks of employment must be covered with all new employees to ensure they have the training needed and understand the procedures of the child care facility. Item #1328 Any child in care must have the required application paperwork and policies on file to ensure their safety and be able to have pertinent information in case of emergency. Compliance Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. 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 January 17, 2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive 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 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: A follow-up visit will be conducted and the facility may be recommended for an administrative action based on the violations cited today. 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 your program. All rules/laws cannot be verbally reviewed during any monitoring 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 sarah.upton@dhhs.nc.gov or 828-782-0937, 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 .0302 · Violation
Name of Operation: GREAT START CHILD DEVELOPMENT CENTER Facility ID: 44000165 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/3/2025 Number Present: 20 Completed Date: 1/3/2025 Age: From 0 To 7 Total Minutes: 165 Time In: 10:30 AM Time Out: 01:00 PM Time In: 04:45 PM Time Out: 05:00 PM List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Jackie Miller, during the visit. A signed copy of the visit summary was left with you today. Ms. Miller was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, and routine caregiving activities. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training ITS-SIDS Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions Two (2) new teachers have been hired since your last Annual Compliance visit in June 2024. These files were reviewed today. Permit type – Four Star issued on June 13, 2019 Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios. The last annual compliance visit was conducted on June 07, 2024 The last fire drill was practiced on December 12, 2024 The Emergency Medical Care plan was posted and current. In the group for children ages twos-through-three years of age I observed children during inside free play. In the group for children ages one-through-two years of age I observed children during free play, lunch, which consisted of pizza, pickles, pears and milk and routine care needs. In the group for children infants- through-one year of age I observed children during free play. Interactions were positive and nurturing. 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 Statues 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 written: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. There was no record of arrival time for the seven-year-old child present during the visit today. 10A NCAC 09 .0302(d)(4) 303 Children were not adequately supervised at all times. During the observation of classrooms, a seven-year-old child was observed exiting the classroom for children one-through-two years of age unaccompanied and entering the classroom for infants-through-one year of age. I conducted my walk through of the classroom for children one-through-two years of age and then went to conduct my walk through of the classroom for infants-through-one year of age. Upon entering the classroom for infants-through-one year of age, I asked the teacher where the seven-year-old child was. The teacher reported that the child had went to use the restroom, which is located down the hallway. I went and checked both bathrooms and the child was not present. I then went back to the classroom and asked again where the child was. The teacher reported that she thought she had gone to the restroom and was not aware of where the child went. I then went to the classroom for children two-through-three years of age and asked the lead teacher where the seven-year-old child was, and the lead teacher reported that there was no seven-year-old child present. The child's location was unknown while a staff member argued with me that the child was not there or present. The child was located by a staff member and brought back into the facility and confirmed that the child had been at the facility earlier. .1801(a)(1-5) 807 A safe indoor and outdoor environment was not provided for the children. Upon arrival a seven-year-old child was present at the facility. I observed the child exiting the classroom with children one-through-two years of age and entering the classroom with infants-through-one year of age. After my observation and walkthrough of the classroom for children one-through-two years of age the seven-year-old child was no longer in the classroom with infant-through-one year old children. The staff member reported the child had left her classroom and went to the restroom. I checked both restrooms and the child was not present. I then checked the classroom with two-through-three-year-old children and the staff member reported the child was not present. No staff member was aware of the whereabouts of the seven (7) year-old child. Ms. Miller reported that the seven (7) year old was a staff member’s child and was supposed to be staying at the neighbor’s house next to the center. It was reported to Ms. Miller, the child’s parent attempted to drop the child off next door, and no one answered, therefore, the parent brought the child to the center, placed the child in the classroom with infant and one-year-old children and left. The child exited the facility unaccompanied and went to the neighbor’s house, which is located on a busy street. The child was located at the neighbor’s house and was brought back into the facility by a staff member. 10A NCAC 09 .0601(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. After review of two (2) new staff files it was noted that the staff member hired on 08/12/24 did not complete all the required topics of orientation. .1101(a) Technical Assistance to Assist with Achieving Compliance: Rule reference can be located in the violations cited. #125 Arrival and Departure: It is important that you maintain an accurate arrival and departure time record of all children that are enrolled in your program. This would include a staff member’s child that sometimes attend. This record helps you maintain an accurate count of all children that are in care at one time at your facility. Item #303 Supervision is important to the safety of children and maintaining quality child care. The importance of supervision is not only to protect children from physical injury, but from harm that can occur from inappropriate behavior Active and positive supervision involves knowing each child’s abilities, understanding each child’s behaviors, establishing clear and simple safety rules, being aware of potential hazards, standing in strategic positions, and scanning play areas and circulating around the space. Strategies for supervision of children are available on National Resource Center under 2.2 Supervision and Discipline guideline at https://nrckids.org/CFOC/Database/2.2.0.1. Item #316 Children under one year of age cannot be grouped with children ages 2 and older, except at the first and last operating our of the day. Children under one year of age have unique needs that require special attention by caregivers. Item #807 Providing a safe environment for children helps to ensure they are protected from harm. It is the responsibility of all staff at the licensed child care facility to ensure the safety of all children in care. Item #1045 The orientation topics within the first six weeks of employment must be covered with all new employees to ensure they have the training needed and understand the procedures of the child care facility. Item #1328 Any child in care must have the required application paperwork and policies on file to ensure their safety and be able to have pertinent information in case of emergency. Compliance Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. 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 January 17, 2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive 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 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: A follow-up visit will be conducted and the facility may be recommended for an administrative action based on the violations cited today. 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 your program. All rules/laws cannot be verbally reviewed during any monitoring 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 sarah.upton@dhhs.nc.gov or 828-782-0937, 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
G.S. 110-90 · Violation
Name of Operation: GREAT START CHILD DEVELOPMENT CENTER Facility ID: 44000165 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/3/2025 Number Present: 20 Completed Date: 1/3/2025 Age: From 0 To 7 Total Minutes: 165 Time In: 10:30 AM Time Out: 01:00 PM Time In: 04:45 PM Time Out: 05:00 PM List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Jackie Miller, during the visit. A signed copy of the visit summary was left with you today. Ms. Miller was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, and routine caregiving activities. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training ITS-SIDS Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions Two (2) new teachers have been hired since your last Annual Compliance visit in June 2024. These files were reviewed today. Permit type – Four Star issued on June 13, 2019 Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios. The last annual compliance visit was conducted on June 07, 2024 The last fire drill was practiced on December 12, 2024 The Emergency Medical Care plan was posted and current. In the group for children ages twos-through-three years of age I observed children during inside free play. In the group for children ages one-through-two years of age I observed children during free play, lunch, which consisted of pizza, pickles, pears and milk and routine care needs. In the group for children infants- through-one year of age I observed children during free play. Interactions were positive and nurturing. 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 Statues 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 written: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. There was no record of arrival time for the seven-year-old child present during the visit today. 10A NCAC 09 .0302(d)(4) 303 Children were not adequately supervised at all times. During the observation of classrooms, a seven-year-old child was observed exiting the classroom for children one-through-two years of age unaccompanied and entering the classroom for infants-through-one year of age. I conducted my walk through of the classroom for children one-through-two years of age and then went to conduct my walk through of the classroom for infants-through-one year of age. Upon entering the classroom for infants-through-one year of age, I asked the teacher where the seven-year-old child was. The teacher reported that the child had went to use the restroom, which is located down the hallway. I went and checked both bathrooms and the child was not present. I then went back to the classroom and asked again where the child was. The teacher reported that she thought she had gone to the restroom and was not aware of where the child went. I then went to the classroom for children two-through-three years of age and asked the lead teacher where the seven-year-old child was, and the lead teacher reported that there was no seven-year-old child present. The child's location was unknown while a staff member argued with me that the child was not there or present. The child was located by a staff member and brought back into the facility and confirmed that the child had been at the facility earlier. .1801(a)(1-5) 807 A safe indoor and outdoor environment was not provided for the children. Upon arrival a seven-year-old child was present at the facility. I observed the child exiting the classroom with children one-through-two years of age and entering the classroom with infants-through-one year of age. After my observation and walkthrough of the classroom for children one-through-two years of age the seven-year-old child was no longer in the classroom with infant-through-one year old children. The staff member reported the child had left her classroom and went to the restroom. I checked both restrooms and the child was not present. I then checked the classroom with two-through-three-year-old children and the staff member reported the child was not present. No staff member was aware of the whereabouts of the seven (7) year-old child. Ms. Miller reported that the seven (7) year old was a staff member’s child and was supposed to be staying at the neighbor’s house next to the center. It was reported to Ms. Miller, the child’s parent attempted to drop the child off next door, and no one answered, therefore, the parent brought the child to the center, placed the child in the classroom with infant and one-year-old children and left. The child exited the facility unaccompanied and went to the neighbor’s house, which is located on a busy street. The child was located at the neighbor’s house and was brought back into the facility by a staff member. 10A NCAC 09 .0601(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. After review of two (2) new staff files it was noted that the staff member hired on 08/12/24 did not complete all the required topics of orientation. .1101(a) Technical Assistance to Assist with Achieving Compliance: Rule reference can be located in the violations cited. #125 Arrival and Departure: It is important that you maintain an accurate arrival and departure time record of all children that are enrolled in your program. This would include a staff member’s child that sometimes attend. This record helps you maintain an accurate count of all children that are in care at one time at your facility. Item #303 Supervision is important to the safety of children and maintaining quality child care. The importance of supervision is not only to protect children from physical injury, but from harm that can occur from inappropriate behavior Active and positive supervision involves knowing each child’s abilities, understanding each child’s behaviors, establishing clear and simple safety rules, being aware of potential hazards, standing in strategic positions, and scanning play areas and circulating around the space. Strategies for supervision of children are available on National Resource Center under 2.2 Supervision and Discipline guideline at https://nrckids.org/CFOC/Database/2.2.0.1. Item #316 Children under one year of age cannot be grouped with children ages 2 and older, except at the first and last operating our of the day. Children under one year of age have unique needs that require special attention by caregivers. Item #807 Providing a safe environment for children helps to ensure they are protected from harm. It is the responsibility of all staff at the licensed child care facility to ensure the safety of all children in care. Item #1045 The orientation topics within the first six weeks of employment must be covered with all new employees to ensure they have the training needed and understand the procedures of the child care facility. Item #1328 Any child in care must have the required application paperwork and policies on file to ensure their safety and be able to have pertinent information in case of emergency. Compliance Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. 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 January 17, 2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive 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 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: A follow-up visit will be conducted and the facility may be recommended for an administrative action based on the violations cited today. 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 your program. All rules/laws cannot be verbally reviewed during any monitoring 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 sarah.upton@dhhs.nc.gov or 828-782-0937, 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
G.S. 110-91 · Violation
Name of Operation: GREAT START CHILD DEVELOPMENT CENTER Facility ID: 44000165 Consultant: MORGAN BROCK Operation Type: Center Case Number: 0624-094A Visit Date: 11/14/2024 Number Present: 26 Completed Date: 11/14/2024 Age: From 0 To 3 Total Minutes: 130 Time In: 12:05 PM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of this unannounced visit was to follow-up regarding allegations of violations of child care requirements at this child care facility. Lori Herrick, Investigations Consultant, was also present and assisted me during the visit. We conducted a walk-through of the facility unaccompanied. During the visit, I spoke with Jacqueline Wilson, administrator, and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report for an injury that occurred on November 7, 2024 was not available for review. On November 23, 2024, a copy of the incident report was received; however, it contained inaccurate information regarding the date of the incident. .0802 (e) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On November 7, 2024, a staff member grabbed a two year old child by one arm and lifted the child off the slide. The child subsequently cried. G.S. 110-91(10) You may contact me at Morgan Brock, Investigations Consultant, morgan.brock@dhhs.nc.gov, 828-788-0011 or Natosha Lambeth, Western Investigations Team Supervisor, natosha.lambeth@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.
GS 110-91 · Violation
Name of Operation: GREAT START CHILD DEVELOPMENT CENTER Facility ID: 44000165 Consultant: MORGAN BROCK Operation Type: Center Case Number: 0624-094A Visit Date: 9/10/2024 Number Present: 28 Completed Date: 9/10/2024 Age: From 0 To 3 Total Minutes: 105 Time In: 12:45 PM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of this unannounced visit was to follow-up regarding allegations of violations of child care requirements at this child care facility. I conducted a walk-through of the facility unaccompanied. During the visit, I spoke with Jackie Wilson, owner. Limited monitoring of child care requirements occurred during today’s visit. The following violation was observed during today’s visit. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. On September 10, 2024, one staff member was providing care for ten children, ages one and two, during naptime. GS 110-91(7);.0713(a-d) 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 September 17, 2024, describing how and when the violations were corrected and how compliance will be maintained in the future. The letter of compliance should be emailed to Morgan Brock, Investigations Consultant, morgan.brock@dhhs.nc.gov. You may contact me at Morgan Brock, Investigations Consultant, morgan.brock@dhhs.nc.gov, 828-788-0011 or Natosha Lambeth, Western Investigations Team Supervisor, natosha.lambeth@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 .0601 · Violation
Name of Operation: GREAT START CHILD DEVELOPMENT CENTER Facility ID: 44000165 Consultant: MORGAN BROCK Operation Type: Center Case Number: 0624-094A Visit Date: 6/13/2024 Number Present: 35 Completed Date: 6/13/2024 Age: From 0 To 5 Total Minutes: 115 Time In: 10:50 AM Time Out: 12:45 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. Jacqueline Wilson, administrator, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Wilson and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 103 The number of children present was not within permit capacity. On June 13, 2024, thirty-five children were present. GS 110-91(7) & .1401(f) 108 The operator made an effort to falsify information. The owner administrator provided false information regarding facility staff transporting children to Sylva pool, an unlicensed building during lunch, the owner's home, and the movie theatre. G.S. 110-91(14) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. A child who was in care on June 26, 2024 was not listed on the arrival and departure record. 10A NCAC 09 .0302(d)(4) 209 Children used space that was not approved. On June 13, 2024, children were transported to an unlicensed building to eat lunch. On June 19 and 26, 2024, children were transported to the owner's home for care. GS 110-91(1)&(4-5) 322 Prior to children participating in aquatic activities, the center did not develop policies that included required information. The facility did not have policies for aquatic activities prior to taking children to Sylva Pool on June 16, 2023. .1403(g)(1-5) 444 A schedule of off premise activities were not posted in each participating classroom to be viewed by parents and/or copy of the schedule was not given to parents. On June 13, 19, and 26, 2024, a schedule of activities were not posted for children who were transported for off-premise activities. .1005(b)(5) 481 A list of all children participating in the off premise activity was not available at the center. On June 13, 19, and 26, 2024, a list of children participating in off-premise activities was not available. .1005(b)(6) 807 A safe indoor and outdoor environment was not provided for the children. On June 26, 2024, staff did not take a child's inhaler with them during an off-premise activity. 10A NCAC 09 .0601(a) 825 Before staff members walked children off premises for play or outings, the center did not obtain written permission from the parent of each child. Staff did not obtain written permission to transport children on multiple occasions and no written permission forms were available for review. Staff did not obtain written permission to transport children on the following dates: June 6, 7, and 16 2023, and June 13, 19, 25, and 26, 2024, .1005(b)(3) 903 Corporal punishment was used. [Omit item 0903 for religious sponsored centers operating under GS 110-106 with an exemption on file with the Division.] A staff member physically disciplined a child in the bathroom. GS 110-91(10); .1803(a) 1916 Written permission was not given by parent for child to participate in aquatic activity. Staff did not obtain written permission for a child to participate in an aquatic activity at Sylva pool on June 16, 2023. .1403(i) You may contact me at Morgan Brock, Investigations Consultant, 828-788-0011, morgan.brock@dhhs.nc.gov, or Natosha Lambeth, Western Investigations Team Supervisor, natosha.lambeth@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 .0302 · Violation
Name of Operation: GREAT START CHILD DEVELOPMENT CENTER Facility ID: 44000165 Consultant: MORGAN BROCK Operation Type: Center Case Number: 0624-094A Visit Date: 6/13/2024 Number Present: 35 Completed Date: 6/13/2024 Age: From 0 To 5 Total Minutes: 115 Time In: 10:50 AM Time Out: 12:45 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. Jacqueline Wilson, administrator, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Wilson and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 103 The number of children present was not within permit capacity. On June 13, 2024, thirty-five children were present. GS 110-91(7) & .1401(f) 108 The operator made an effort to falsify information. The owner administrator provided false information regarding facility staff transporting children to Sylva pool, an unlicensed building during lunch, the owner's home, and the movie theatre. G.S. 110-91(14) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. A child who was in care on June 26, 2024 was not listed on the arrival and departure record. 10A NCAC 09 .0302(d)(4) 209 Children used space that was not approved. On June 13, 2024, children were transported to an unlicensed building to eat lunch. On June 19 and 26, 2024, children were transported to the owner's home for care. GS 110-91(1)&(4-5) 322 Prior to children participating in aquatic activities, the center did not develop policies that included required information. The facility did not have policies for aquatic activities prior to taking children to Sylva Pool on June 16, 2023. .1403(g)(1-5) 444 A schedule of off premise activities were not posted in each participating classroom to be viewed by parents and/or copy of the schedule was not given to parents. On June 13, 19, and 26, 2024, a schedule of activities were not posted for children who were transported for off-premise activities. .1005(b)(5) 481 A list of all children participating in the off premise activity was not available at the center. On June 13, 19, and 26, 2024, a list of children participating in off-premise activities was not available. .1005(b)(6) 807 A safe indoor and outdoor environment was not provided for the children. On June 26, 2024, staff did not take a child's inhaler with them during an off-premise activity. 10A NCAC 09 .0601(a) 825 Before staff members walked children off premises for play or outings, the center did not obtain written permission from the parent of each child. Staff did not obtain written permission to transport children on multiple occasions and no written permission forms were available for review. Staff did not obtain written permission to transport children on the following dates: June 6, 7, and 16 2023, and June 13, 19, 25, and 26, 2024, .1005(b)(3) 903 Corporal punishment was used. [Omit item 0903 for religious sponsored centers operating under GS 110-106 with an exemption on file with the Division.] A staff member physically disciplined a child in the bathroom. GS 110-91(10); .1803(a) 1916 Written permission was not given by parent for child to participate in aquatic activity. Staff did not obtain written permission for a child to participate in an aquatic activity at Sylva pool on June 16, 2023. .1403(i) You may contact me at Morgan Brock, Investigations Consultant, 828-788-0011, morgan.brock@dhhs.nc.gov, or Natosha Lambeth, Western Investigations Team Supervisor, natosha.lambeth@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: GREAT START CHILD DEVELOPMENT CENTER Facility ID: 44000165 Consultant: MORGAN BROCK Operation Type: Center Case Number: 0624-094A Visit Date: 6/13/2024 Number Present: 35 Completed Date: 6/13/2024 Age: From 0 To 5 Total Minutes: 115 Time In: 10:50 AM Time Out: 12:45 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. Jacqueline Wilson, administrator, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Wilson and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 103 The number of children present was not within permit capacity. On June 13, 2024, thirty-five children were present. GS 110-91(7) & .1401(f) 108 The operator made an effort to falsify information. The owner administrator provided false information regarding facility staff transporting children to Sylva pool, an unlicensed building during lunch, the owner's home, and the movie theatre. G.S. 110-91(14) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. A child who was in care on June 26, 2024 was not listed on the arrival and departure record. 10A NCAC 09 .0302(d)(4) 209 Children used space that was not approved. On June 13, 2024, children were transported to an unlicensed building to eat lunch. On June 19 and 26, 2024, children were transported to the owner's home for care. GS 110-91(1)&(4-5) 322 Prior to children participating in aquatic activities, the center did not develop policies that included required information. The facility did not have policies for aquatic activities prior to taking children to Sylva Pool on June 16, 2023. .1403(g)(1-5) 444 A schedule of off premise activities were not posted in each participating classroom to be viewed by parents and/or copy of the schedule was not given to parents. On June 13, 19, and 26, 2024, a schedule of activities were not posted for children who were transported for off-premise activities. .1005(b)(5) 481 A list of all children participating in the off premise activity was not available at the center. On June 13, 19, and 26, 2024, a list of children participating in off-premise activities was not available. .1005(b)(6) 807 A safe indoor and outdoor environment was not provided for the children. On June 26, 2024, staff did not take a child's inhaler with them during an off-premise activity. 10A NCAC 09 .0601(a) 825 Before staff members walked children off premises for play or outings, the center did not obtain written permission from the parent of each child. Staff did not obtain written permission to transport children on multiple occasions and no written permission forms were available for review. Staff did not obtain written permission to transport children on the following dates: June 6, 7, and 16 2023, and June 13, 19, 25, and 26, 2024, .1005(b)(3) 903 Corporal punishment was used. [Omit item 0903 for religious sponsored centers operating under GS 110-106 with an exemption on file with the Division.] A staff member physically disciplined a child in the bathroom. GS 110-91(10); .1803(a) 1916 Written permission was not given by parent for child to participate in aquatic activity. Staff did not obtain written permission for a child to participate in an aquatic activity at Sylva pool on June 16, 2023. .1403(i) You may contact me at Morgan Brock, Investigations Consultant, 828-788-0011, morgan.brock@dhhs.nc.gov, or Natosha Lambeth, Western Investigations Team Supervisor, natosha.lambeth@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 110-106 · Violation
Name of Operation: GREAT START CHILD DEVELOPMENT CENTER Facility ID: 44000165 Consultant: MORGAN BROCK Operation Type: Center Case Number: 0624-094A Visit Date: 6/13/2024 Number Present: 35 Completed Date: 6/13/2024 Age: From 0 To 5 Total Minutes: 115 Time In: 10:50 AM Time Out: 12:45 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. Jacqueline Wilson, administrator, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Wilson and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 103 The number of children present was not within permit capacity. On June 13, 2024, thirty-five children were present. GS 110-91(7) & .1401(f) 108 The operator made an effort to falsify information. The owner administrator provided false information regarding facility staff transporting children to Sylva pool, an unlicensed building during lunch, the owner's home, and the movie theatre. G.S. 110-91(14) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. A child who was in care on June 26, 2024 was not listed on the arrival and departure record. 10A NCAC 09 .0302(d)(4) 209 Children used space that was not approved. On June 13, 2024, children were transported to an unlicensed building to eat lunch. On June 19 and 26, 2024, children were transported to the owner's home for care. GS 110-91(1)&(4-5) 322 Prior to children participating in aquatic activities, the center did not develop policies that included required information. The facility did not have policies for aquatic activities prior to taking children to Sylva Pool on June 16, 2023. .1403(g)(1-5) 444 A schedule of off premise activities were not posted in each participating classroom to be viewed by parents and/or copy of the schedule was not given to parents. On June 13, 19, and 26, 2024, a schedule of activities were not posted for children who were transported for off-premise activities. .1005(b)(5) 481 A list of all children participating in the off premise activity was not available at the center. On June 13, 19, and 26, 2024, a list of children participating in off-premise activities was not available. .1005(b)(6) 807 A safe indoor and outdoor environment was not provided for the children. On June 26, 2024, staff did not take a child's inhaler with them during an off-premise activity. 10A NCAC 09 .0601(a) 825 Before staff members walked children off premises for play or outings, the center did not obtain written permission from the parent of each child. Staff did not obtain written permission to transport children on multiple occasions and no written permission forms were available for review. Staff did not obtain written permission to transport children on the following dates: June 6, 7, and 16 2023, and June 13, 19, 25, and 26, 2024, .1005(b)(3) 903 Corporal punishment was used. [Omit item 0903 for religious sponsored centers operating under GS 110-106 with an exemption on file with the Division.] A staff member physically disciplined a child in the bathroom. GS 110-91(10); .1803(a) 1916 Written permission was not given by parent for child to participate in aquatic activity. Staff did not obtain written permission for a child to participate in an aquatic activity at Sylva pool on June 16, 2023. .1403(i) You may contact me at Morgan Brock, Investigations Consultant, 828-788-0011, morgan.brock@dhhs.nc.gov, or Natosha Lambeth, Western Investigations Team Supervisor, natosha.lambeth@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 110-91 · Violation
Name of Operation: GREAT START CHILD DEVELOPMENT CENTER Facility ID: 44000165 Consultant: MORGAN BROCK Operation Type: Center Case Number: 0624-094A Visit Date: 6/13/2024 Number Present: 35 Completed Date: 6/13/2024 Age: From 0 To 5 Total Minutes: 115 Time In: 10:50 AM Time Out: 12:45 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. Jacqueline Wilson, administrator, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Wilson and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 103 The number of children present was not within permit capacity. On June 13, 2024, thirty-five children were present. GS 110-91(7) & .1401(f) 108 The operator made an effort to falsify information. The owner administrator provided false information regarding facility staff transporting children to Sylva pool, an unlicensed building during lunch, the owner's home, and the movie theatre. G.S. 110-91(14) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. A child who was in care on June 26, 2024 was not listed on the arrival and departure record. 10A NCAC 09 .0302(d)(4) 209 Children used space that was not approved. On June 13, 2024, children were transported to an unlicensed building to eat lunch. On June 19 and 26, 2024, children were transported to the owner's home for care. GS 110-91(1)&(4-5) 322 Prior to children participating in aquatic activities, the center did not develop policies that included required information. The facility did not have policies for aquatic activities prior to taking children to Sylva Pool on June 16, 2023. .1403(g)(1-5) 444 A schedule of off premise activities were not posted in each participating classroom to be viewed by parents and/or copy of the schedule was not given to parents. On June 13, 19, and 26, 2024, a schedule of activities were not posted for children who were transported for off-premise activities. .1005(b)(5) 481 A list of all children participating in the off premise activity was not available at the center. On June 13, 19, and 26, 2024, a list of children participating in off-premise activities was not available. .1005(b)(6) 807 A safe indoor and outdoor environment was not provided for the children. On June 26, 2024, staff did not take a child's inhaler with them during an off-premise activity. 10A NCAC 09 .0601(a) 825 Before staff members walked children off premises for play or outings, the center did not obtain written permission from the parent of each child. Staff did not obtain written permission to transport children on multiple occasions and no written permission forms were available for review. Staff did not obtain written permission to transport children on the following dates: June 6, 7, and 16 2023, and June 13, 19, 25, and 26, 2024, .1005(b)(3) 903 Corporal punishment was used. [Omit item 0903 for religious sponsored centers operating under GS 110-106 with an exemption on file with the Division.] A staff member physically disciplined a child in the bathroom. GS 110-91(10); .1803(a) 1916 Written permission was not given by parent for child to participate in aquatic activity. Staff did not obtain written permission for a child to participate in an aquatic activity at Sylva pool on June 16, 2023. .1403(i) You may contact me at Morgan Brock, Investigations Consultant, 828-788-0011, morgan.brock@dhhs.nc.gov, or Natosha Lambeth, Western Investigations Team Supervisor, natosha.lambeth@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
10A NCAC 09 .0510 · Violation
Name of Operation: GREAT START CHILD DEVELOPMENT CENTER Facility ID: 44000165 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 3/27/2024 Number Present: 28 Completed Date: 3/27/2024 Age: From 1 To 5 Total Minutes: 195 Time In: 11:30 AM Time Out: 02:45 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 compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Jackie Miller, during the visit. A signed copy of the visit summary was left with you today. A formal copy could not be generated in regulatory due to sign in issues. A formal copy will be emailed to you. Ms. Miller was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, and routine caregiving activities. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions Two new teachers have been hired since your last Annual Compliance visit in June 2023. These files were reviewed today. Permit type – Four Star issued on June 13, 2019 Special Services/Restrictions – 1st shift (daytime care) , meets enhanced ratios. This faclity is currently listed in Cohort 2. The last annual compliance visit was conducted on June 13, 2023 The last fire drill was practiced on March 14, 2024 The last shelter-in-place drill was practiced on February 15, 2024. The Emergency Medical Care plan was posted and current. In the group for children ages three-through-five years of age I observed children during inside free play. In the group for children ages two-through-three years of age I observed children during free play, lunch, and routine care needs. In the group for children one year of age I observed children during free play and lunch, which consisted of fish sticks, mac and cheese, peaches, green beans and milk. Interactions were positive and nurturing. 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 Statues 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 written: Violation Number Comment Rule 544 Screen time was offered to children under three years of age. Upon arrival the classroom for children one year of age were observed watching a video on a teacher's phone while eating lunch. .0510(f) 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. After review of two (2) teacher's files it was noted that one (1) new teacher (AR) had not signed the facility's PreventaionShaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) Technical Assistance: Item 544_ Screen time is not allowed for any children under three years of age. If a staff wants to use their phones to provide music, then screen shall not be visible to the children if there is a video attached. According to 10A NCAC 09 .0510 ACTIVITY AREAS (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. Item 1874-All staff must sign the Prevention of Shaken Baby Syndrome and Abusive Head Trauma prior to caring for children. According to 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. 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 4/10/2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive 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 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. Each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I emailed to you today. Consultation: 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 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 sarah.upton@dhhs.nc.gov or 828.782.0937, 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 .0608 · Violation
Name of Operation: GREAT START CHILD DEVELOPMENT CENTER Facility ID: 44000165 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 3/27/2024 Number Present: 28 Completed Date: 3/27/2024 Age: From 1 To 5 Total Minutes: 195 Time In: 11:30 AM Time Out: 02:45 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 compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Jackie Miller, during the visit. A signed copy of the visit summary was left with you today. A formal copy could not be generated in regulatory due to sign in issues. A formal copy will be emailed to you. Ms. Miller was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, and routine caregiving activities. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions Two new teachers have been hired since your last Annual Compliance visit in June 2023. These files were reviewed today. Permit type – Four Star issued on June 13, 2019 Special Services/Restrictions – 1st shift (daytime care) , meets enhanced ratios. This faclity is currently listed in Cohort 2. The last annual compliance visit was conducted on June 13, 2023 The last fire drill was practiced on March 14, 2024 The last shelter-in-place drill was practiced on February 15, 2024. The Emergency Medical Care plan was posted and current. In the group for children ages three-through-five years of age I observed children during inside free play. In the group for children ages two-through-three years of age I observed children during free play, lunch, and routine care needs. In the group for children one year of age I observed children during free play and lunch, which consisted of fish sticks, mac and cheese, peaches, green beans and milk. Interactions were positive and nurturing. 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 Statues 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 written: Violation Number Comment Rule 544 Screen time was offered to children under three years of age. Upon arrival the classroom for children one year of age were observed watching a video on a teacher's phone while eating lunch. .0510(f) 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. After review of two (2) teacher's files it was noted that one (1) new teacher (AR) had not signed the facility's PreventaionShaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) Technical Assistance: Item 544_ Screen time is not allowed for any children under three years of age. If a staff wants to use their phones to provide music, then screen shall not be visible to the children if there is a video attached. According to 10A NCAC 09 .0510 ACTIVITY AREAS (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. Item 1874-All staff must sign the Prevention of Shaken Baby Syndrome and Abusive Head Trauma prior to caring for children. According to 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. 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 4/10/2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive 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 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. Each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I emailed to you today. Consultation: 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 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 sarah.upton@dhhs.nc.gov or 828.782.0937, 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
G.S. 110-90 · Violation
Name of Operation: GREAT START CHILD DEVELOPMENT CENTER Facility ID: 44000165 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 3/27/2024 Number Present: 28 Completed Date: 3/27/2024 Age: From 1 To 5 Total Minutes: 195 Time In: 11:30 AM Time Out: 02:45 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 compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Jackie Miller, during the visit. A signed copy of the visit summary was left with you today. A formal copy could not be generated in regulatory due to sign in issues. A formal copy will be emailed to you. Ms. Miller was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, and routine caregiving activities. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions Two new teachers have been hired since your last Annual Compliance visit in June 2023. These files were reviewed today. Permit type – Four Star issued on June 13, 2019 Special Services/Restrictions – 1st shift (daytime care) , meets enhanced ratios. This faclity is currently listed in Cohort 2. The last annual compliance visit was conducted on June 13, 2023 The last fire drill was practiced on March 14, 2024 The last shelter-in-place drill was practiced on February 15, 2024. The Emergency Medical Care plan was posted and current. In the group for children ages three-through-five years of age I observed children during inside free play. In the group for children ages two-through-three years of age I observed children during free play, lunch, and routine care needs. In the group for children one year of age I observed children during free play and lunch, which consisted of fish sticks, mac and cheese, peaches, green beans and milk. Interactions were positive and nurturing. 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 Statues 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 written: Violation Number Comment Rule 544 Screen time was offered to children under three years of age. Upon arrival the classroom for children one year of age were observed watching a video on a teacher's phone while eating lunch. .0510(f) 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. After review of two (2) teacher's files it was noted that one (1) new teacher (AR) had not signed the facility's PreventaionShaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) Technical Assistance: Item 544_ Screen time is not allowed for any children under three years of age. If a staff wants to use their phones to provide music, then screen shall not be visible to the children if there is a video attached. According to 10A NCAC 09 .0510 ACTIVITY AREAS (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. Item 1874-All staff must sign the Prevention of Shaken Baby Syndrome and Abusive Head Trauma prior to caring for children. According to 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. 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 4/10/2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive 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 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. Each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I emailed to you today. Consultation: 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 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 sarah.upton@dhhs.nc.gov or 828.782.0937, 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
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