10A NCAC 09 .0604 · Violation

Name of Operation: MT. OLIVE HEAD START Facility ID: 2455047 Consultant: AMY WANGLER Operation Type: Center Case Number: Visit Date: 4/23/2024 Number Present: 31 Completed Date: 4/23/2024 Age: From 2 To 5 Total Minutes: 170 Time In: 09:25 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of my visit was to monitor compliance with applicable child care requirements pertinent to this visit type. This facility currently operates with a Five Star License issued March 8, 2023, earning 6 points in Program Standards, 7 points in Education and one Quality Point. Restrictions on the permit include: a first shift capacity of 80 children 2-5 years of age and meets enhanced ratios and space. Restrictions were in compliance today. The facility was also monitored for implementing an approved curriculum with children four years of age as required by the star rating; this program uses Creative Curriculum, Fourth Edition. The status of the non-profit corporation which owns the facility, Southeastern Community Action Partnership, Inc., was verified as current and active with the NC Secretary of State’s office on April 8, 2024. The last annual compliance visit was conducted October 25, 2023. A Superior sanitation rating was obtained February 23, 2024, and a fire inspection was conducted May 31, 2023; the facility was approved for day time care only. Prior to the visit, the facility had an eighteen-month compliance history score of 98%. Center Manager, James Lamont Grate, was present and available for consultation today. Five indoor and two outdoor spaces are approved for use by children; only three indoor spaces are currently being used for child care. Upon arrival, children two to three years of age in Space #5 were observed at the child sized tables waiting for breakfast to be served. The lead teacher engaged them in songs as they waited; once the food arrived she assigned children jobs to help pass out plates, napkins and cups. Breakfast consisted of grits, pears and milk, and was served family style to each table with staff assistance. Children three to five years of age in Spaces #1 and 3 were observed finishing breakfast and washing hands prior to transitioning to group time activities during which they reviewed what they have been learning this week. Children in Space #1 sang “B-I-N-G-0” and reviewed the letter “P” as well as zoo animals. Children in Space #3 sang a good morning song and reviewed farm animals. At 10:30 A.M., children from Space #1 went to Outdoor Space #1 and were observed playing with sand toys and using the slides. Children from Space #1 went to the same playground at 11:00 A.M., and children from Space #5 went to Outdoor Space #2 at 11:00 A.M. These children engaged in ball play and used riding toys while on the playground. Mr. Grate reported today that the facility is still not transporting children due to a lack of drivers; therefore, transportation requirements were not monitored. Two new staff members have been hired since the Annual Compliance visit. Files were monitored today. Child Care programs are expected to always achieve and maintain compliance with child care rules, 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 following violation was observed today and must be corrected immediately: Violation Number Comment Rule 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Two new staff members who began in February and March 2024 have not yet completed the orientation topics required within the first two weeks of employment. REPEATED .1101(a) A compliance letter including detailed information about how all violations have been corrected must be received by May 7, 2024. Include any supporting documentation with your response (if applicable). Your letter will be used as verification that violations have been corrected and compliance is maintained; your written response is considered a legal document so must be accurate and truthful. If you email the compliance letter, it must be sent using the email address registered with DCDEE and include your facility name and ID number. If sufficient information is not received by the due date, a follow-up visit will be conducted. Technical Assistance Regarding Violations Cited Technical assistance was provided during the Routine Unannounced visit February 22, 2023, the Annual Compliance visit October 25, 2023, and again today regarding orientation requirements for new staff. As discussed, you must ensure orientation topics required within the first two weeks of employment are completed on time. I suggested that you double-check for required topics after initial onboarding is done by corporate office staff, and complete any topics which were missed with the new staff member yourself. Today you stated it was on oversight on your part and you meant to check the orientation records, however you will complete all required topics as soon as possible. Today I also suggested you discuss with corporate office staff the option of having them conduct all first two weeks topics, and you continue the rest once the staff member begins at your facility, which may help with meeting deadlines. You must send copies of completed orientation records for K. Kirk and J. Haynes to verify compliance. Technical Assistance A violation was not observed today, however we reviewed previous technical assistance offered regarding incident reports today. As discussed, an incident report should be completed and logged each time a child is injured, regardless of whether medical care is needed. It is helpful to remember the “three B’s”: bumps, bruises and blood, as a reminder of when to complete incident reports. Providers are required to submit an incident report to their assigned child care consultant within 7 calendar days of the incident if medical attention is obtained or received. Submission is required by Child Care Rule 10A NCAC 09.0802(f). NOTE: Medical attention refers to treatment by a health care professional (i.e. doctor, dentist, nurse practitioner, etc.), community clinic, or local health department, and does not refer to first aid provided by facility staff members. NOTE: If a parent decides to take a child to a medical provider for examination or treatment related to the injury, and makes the facility aware of the medical treatment, providers must submit the incident report to their child care consultant within the 7-day period. NOTE: Medical attention would also include a situation where a child attends a previously scheduled health care appointment and the injury is discussed and/or treated. Please let me know if you have additional questions about incident reports and logs. Child Care Rule 10A NCAC 09 .0604 (p) states that once a day, prior to initial use, the indoor and outdoor premises shall be checked for debris, vandalism, and broken equipment. Debris shall be removed and disposed of. Before children enter the outdoor area each day, you must take time to observe the outdoor area and ensure there are no safety hazards or debris in the area. If there are any hazards, they must be addressed before children can enter the area. Today we discussed specifically going through the sand toys to ensure that there are not any broken plastic toys present. Broken plastic may cause a child to pinch or possibly cut their fingers. When toys become broken, they must be removed from the play area. Technical assistance was also provided today regarding food substitutions and menus. As discussed, it may be helpful to add a column to your allergy list indicating which food or beverage substitutes should be given when a child cannot be served a certain type of food or drink. Substitutions of the same component and nutritional value should be served; for example, a nutritionally equivalent milk substitute should be served when cow’s milk cannot. Water or juice is not an acceptable substitute as it does not have the same nutritional value. Today I also reminded you to ensure you change the posted menus to reflect any changes from what was planned to what is actually served. Rated License Information As discussed during the Annual Compliance visit, your program was assigned to “Cohort 3” in the “cohort model” of resuming rated license reassessments. 7/1/25-6/30/26 will be your “planning/preparation” year, and your next reassessment will be required between 7/1/26-6/30/27. As you typically have the Early Childhood Environment Rating Scales- Revised (ECERS-R) conducted, we discussed that you will have the option to request an ECERS-R assessment during your planning year if you wish, or you may wait until your reassessment year. You may also wish to request an outreach assessment before your planning year. Today we also discussed that by the time your assessment year begins, the way points are earned may look different. I will be in touch as more information becomes available and as your planning year approaches. Education information from DCDEE WORKS for new staff members was reviewed with you today. As discussed, J. Haynes must submit official transcripts to update her evaluation for earning her Associate’s Degree. Any new lead or assistant teachers must register for accounts and complete evaluations as well. Please let me know if you need assistance with the WORKS portal. It was verified today that you are maintaining compliance with star rated license standards. Reminders Today you stated Ms. T. Brite, the individual authorized to act on behalf of the corporation which owns the facility, has retired and been replaced by another officer. As discussed, updated documentation must be completed to reflect this change. I will email you required forms; please return via email once completed and sign by the new authorized individual. You must schedule and obtain an approved fire inspection by May 31, 2024. Child Care Rules were revised January 1, 2024, and a new rule book was posted to the DCDEE website. As discussed, you should discard any old versions of the rules and ensure you are referring to the most current rule book when reviewing or researching requirements. Training modules on the new rules are now available in Moodle under the Child Care Rule Rollout section. For more information regarding the “cohort model” of resuming rated license reassessments, and opportunities for training and technical assistance as you prepare for a reassessment, you may visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. It’s time to enroll your facility in the Clean Classrooms for Carolina Kids program to identify and eliminate exposure to lead and asbestos hazards in building infrastructure. This program is an expansion of Clean Water for Carolina Kids, which previously tested all child care centers in the state for lead in water at drinking and food preparation taps. As this is a legislatively mandated effort, facilities are required to meet rule requirements to have tap water tested every three years and to have inspections for lead paint and asbestos if applicable. Please see steps below: 1. Sign Up – Pre-enrollment webinars are available at cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar into your web browser to see available dates and times for the next month. 2. Enroll – At www.cleanwaterforUSkids.org/carolina using the PIN and complete the enrollment surveys for three program sections: 1) lead in water, 2) lead-based paint, and 3) asbestos. 3. Evaluate Hazards - The program will ship your facility a water sample kit and may coordinate an on-site visit by a professional to assess for lead-based paint and asbestos hazards, if needed. 4. Receive Results – Receive your results, recommendations, and water mitigation support, if needed. 5. Request Reimbursement - If you choose to conduct lead-based paint or asbestos mitigation, you can request reimbursement from NC DHHS. Visit the web site at: https://www.ncdhhs.gov/divisions/public-health/asbestos-and-lead-based-paint-reimbursement-program-arpa At the end of this visit, documentation was completed electronically, printed and reviewed with you. Please remember it is your responsibility to comply with all child care rules and requirements at all times. If you have questions or need assistance please feel free to contact me at 910-338-7038 or amy.wangler@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: ratio. Open / not marked corrected.

10A NCAC 09.0802 · Violation

Name of Operation: MT. OLIVE HEAD START Facility ID: 2455047 Consultant: AMY WANGLER Operation Type: Center Case Number: Visit Date: 4/23/2024 Number Present: 31 Completed Date: 4/23/2024 Age: From 2 To 5 Total Minutes: 170 Time In: 09:25 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of my visit was to monitor compliance with applicable child care requirements pertinent to this visit type. This facility currently operates with a Five Star License issued March 8, 2023, earning 6 points in Program Standards, 7 points in Education and one Quality Point. Restrictions on the permit include: a first shift capacity of 80 children 2-5 years of age and meets enhanced ratios and space. Restrictions were in compliance today. The facility was also monitored for implementing an approved curriculum with children four years of age as required by the star rating; this program uses Creative Curriculum, Fourth Edition. The status of the non-profit corporation which owns the facility, Southeastern Community Action Partnership, Inc., was verified as current and active with the NC Secretary of State’s office on April 8, 2024. The last annual compliance visit was conducted October 25, 2023. A Superior sanitation rating was obtained February 23, 2024, and a fire inspection was conducted May 31, 2023; the facility was approved for day time care only. Prior to the visit, the facility had an eighteen-month compliance history score of 98%. Center Manager, James Lamont Grate, was present and available for consultation today. Five indoor and two outdoor spaces are approved for use by children; only three indoor spaces are currently being used for child care. Upon arrival, children two to three years of age in Space #5 were observed at the child sized tables waiting for breakfast to be served. The lead teacher engaged them in songs as they waited; once the food arrived she assigned children jobs to help pass out plates, napkins and cups. Breakfast consisted of grits, pears and milk, and was served family style to each table with staff assistance. Children three to five years of age in Spaces #1 and 3 were observed finishing breakfast and washing hands prior to transitioning to group time activities during which they reviewed what they have been learning this week. Children in Space #1 sang “B-I-N-G-0” and reviewed the letter “P” as well as zoo animals. Children in Space #3 sang a good morning song and reviewed farm animals. At 10:30 A.M., children from Space #1 went to Outdoor Space #1 and were observed playing with sand toys and using the slides. Children from Space #1 went to the same playground at 11:00 A.M., and children from Space #5 went to Outdoor Space #2 at 11:00 A.M. These children engaged in ball play and used riding toys while on the playground. Mr. Grate reported today that the facility is still not transporting children due to a lack of drivers; therefore, transportation requirements were not monitored. Two new staff members have been hired since the Annual Compliance visit. Files were monitored today. Child Care programs are expected to always achieve and maintain compliance with child care rules, 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 following violation was observed today and must be corrected immediately: Violation Number Comment Rule 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Two new staff members who began in February and March 2024 have not yet completed the orientation topics required within the first two weeks of employment. REPEATED .1101(a) A compliance letter including detailed information about how all violations have been corrected must be received by May 7, 2024. Include any supporting documentation with your response (if applicable). Your letter will be used as verification that violations have been corrected and compliance is maintained; your written response is considered a legal document so must be accurate and truthful. If you email the compliance letter, it must be sent using the email address registered with DCDEE and include your facility name and ID number. If sufficient information is not received by the due date, a follow-up visit will be conducted. Technical Assistance Regarding Violations Cited Technical assistance was provided during the Routine Unannounced visit February 22, 2023, the Annual Compliance visit October 25, 2023, and again today regarding orientation requirements for new staff. As discussed, you must ensure orientation topics required within the first two weeks of employment are completed on time. I suggested that you double-check for required topics after initial onboarding is done by corporate office staff, and complete any topics which were missed with the new staff member yourself. Today you stated it was on oversight on your part and you meant to check the orientation records, however you will complete all required topics as soon as possible. Today I also suggested you discuss with corporate office staff the option of having them conduct all first two weeks topics, and you continue the rest once the staff member begins at your facility, which may help with meeting deadlines. You must send copies of completed orientation records for K. Kirk and J. Haynes to verify compliance. Technical Assistance A violation was not observed today, however we reviewed previous technical assistance offered regarding incident reports today. As discussed, an incident report should be completed and logged each time a child is injured, regardless of whether medical care is needed. It is helpful to remember the “three B’s”: bumps, bruises and blood, as a reminder of when to complete incident reports. Providers are required to submit an incident report to their assigned child care consultant within 7 calendar days of the incident if medical attention is obtained or received. Submission is required by Child Care Rule 10A NCAC 09.0802(f). NOTE: Medical attention refers to treatment by a health care professional (i.e. doctor, dentist, nurse practitioner, etc.), community clinic, or local health department, and does not refer to first aid provided by facility staff members. NOTE: If a parent decides to take a child to a medical provider for examination or treatment related to the injury, and makes the facility aware of the medical treatment, providers must submit the incident report to their child care consultant within the 7-day period. NOTE: Medical attention would also include a situation where a child attends a previously scheduled health care appointment and the injury is discussed and/or treated. Please let me know if you have additional questions about incident reports and logs. Child Care Rule 10A NCAC 09 .0604 (p) states that once a day, prior to initial use, the indoor and outdoor premises shall be checked for debris, vandalism, and broken equipment. Debris shall be removed and disposed of. Before children enter the outdoor area each day, you must take time to observe the outdoor area and ensure there are no safety hazards or debris in the area. If there are any hazards, they must be addressed before children can enter the area. Today we discussed specifically going through the sand toys to ensure that there are not any broken plastic toys present. Broken plastic may cause a child to pinch or possibly cut their fingers. When toys become broken, they must be removed from the play area. Technical assistance was also provided today regarding food substitutions and menus. As discussed, it may be helpful to add a column to your allergy list indicating which food or beverage substitutes should be given when a child cannot be served a certain type of food or drink. Substitutions of the same component and nutritional value should be served; for example, a nutritionally equivalent milk substitute should be served when cow’s milk cannot. Water or juice is not an acceptable substitute as it does not have the same nutritional value. Today I also reminded you to ensure you change the posted menus to reflect any changes from what was planned to what is actually served. Rated License Information As discussed during the Annual Compliance visit, your program was assigned to “Cohort 3” in the “cohort model” of resuming rated license reassessments. 7/1/25-6/30/26 will be your “planning/preparation” year, and your next reassessment will be required between 7/1/26-6/30/27. As you typically have the Early Childhood Environment Rating Scales- Revised (ECERS-R) conducted, we discussed that you will have the option to request an ECERS-R assessment during your planning year if you wish, or you may wait until your reassessment year. You may also wish to request an outreach assessment before your planning year. Today we also discussed that by the time your assessment year begins, the way points are earned may look different. I will be in touch as more information becomes available and as your planning year approaches. Education information from DCDEE WORKS for new staff members was reviewed with you today. As discussed, J. Haynes must submit official transcripts to update her evaluation for earning her Associate’s Degree. Any new lead or assistant teachers must register for accounts and complete evaluations as well. Please let me know if you need assistance with the WORKS portal. It was verified today that you are maintaining compliance with star rated license standards. Reminders Today you stated Ms. T. Brite, the individual authorized to act on behalf of the corporation which owns the facility, has retired and been replaced by another officer. As discussed, updated documentation must be completed to reflect this change. I will email you required forms; please return via email once completed and sign by the new authorized individual. You must schedule and obtain an approved fire inspection by May 31, 2024. Child Care Rules were revised January 1, 2024, and a new rule book was posted to the DCDEE website. As discussed, you should discard any old versions of the rules and ensure you are referring to the most current rule book when reviewing or researching requirements. Training modules on the new rules are now available in Moodle under the Child Care Rule Rollout section. For more information regarding the “cohort model” of resuming rated license reassessments, and opportunities for training and technical assistance as you prepare for a reassessment, you may visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. It’s time to enroll your facility in the Clean Classrooms for Carolina Kids program to identify and eliminate exposure to lead and asbestos hazards in building infrastructure. This program is an expansion of Clean Water for Carolina Kids, which previously tested all child care centers in the state for lead in water at drinking and food preparation taps. As this is a legislatively mandated effort, facilities are required to meet rule requirements to have tap water tested every three years and to have inspections for lead paint and asbestos if applicable. Please see steps below: 1. Sign Up – Pre-enrollment webinars are available at cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar into your web browser to see available dates and times for the next month. 2. Enroll – At www.cleanwaterforUSkids.org/carolina using the PIN and complete the enrollment surveys for three program sections: 1) lead in water, 2) lead-based paint, and 3) asbestos. 3. Evaluate Hazards - The program will ship your facility a water sample kit and may coordinate an on-site visit by a professional to assess for lead-based paint and asbestos hazards, if needed. 4. Receive Results – Receive your results, recommendations, and water mitigation support, if needed. 5. Request Reimbursement - If you choose to conduct lead-based paint or asbestos mitigation, you can request reimbursement from NC DHHS. Visit the web site at: https://www.ncdhhs.gov/divisions/public-health/asbestos-and-lead-based-paint-reimbursement-program-arpa At the end of this visit, documentation was completed electronically, printed and reviewed with you. Please remember it is your responsibility to comply with all child care rules and requirements at all times. If you have questions or need assistance please feel free to contact me at 910-338-7038 or amy.wangler@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: MT. OLIVE HEAD START Facility ID: 2455047 Consultant: AMY WANGLER Operation Type: Center Case Number: Visit Date: 4/23/2024 Number Present: 31 Completed Date: 4/23/2024 Age: From 2 To 5 Total Minutes: 170 Time In: 09:25 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of my visit was to monitor compliance with applicable child care requirements pertinent to this visit type. This facility currently operates with a Five Star License issued March 8, 2023, earning 6 points in Program Standards, 7 points in Education and one Quality Point. Restrictions on the permit include: a first shift capacity of 80 children 2-5 years of age and meets enhanced ratios and space. Restrictions were in compliance today. The facility was also monitored for implementing an approved curriculum with children four years of age as required by the star rating; this program uses Creative Curriculum, Fourth Edition. The status of the non-profit corporation which owns the facility, Southeastern Community Action Partnership, Inc., was verified as current and active with the NC Secretary of State’s office on April 8, 2024. The last annual compliance visit was conducted October 25, 2023. A Superior sanitation rating was obtained February 23, 2024, and a fire inspection was conducted May 31, 2023; the facility was approved for day time care only. Prior to the visit, the facility had an eighteen-month compliance history score of 98%. Center Manager, James Lamont Grate, was present and available for consultation today. Five indoor and two outdoor spaces are approved for use by children; only three indoor spaces are currently being used for child care. Upon arrival, children two to three years of age in Space #5 were observed at the child sized tables waiting for breakfast to be served. The lead teacher engaged them in songs as they waited; once the food arrived she assigned children jobs to help pass out plates, napkins and cups. Breakfast consisted of grits, pears and milk, and was served family style to each table with staff assistance. Children three to five years of age in Spaces #1 and 3 were observed finishing breakfast and washing hands prior to transitioning to group time activities during which they reviewed what they have been learning this week. Children in Space #1 sang “B-I-N-G-0” and reviewed the letter “P” as well as zoo animals. Children in Space #3 sang a good morning song and reviewed farm animals. At 10:30 A.M., children from Space #1 went to Outdoor Space #1 and were observed playing with sand toys and using the slides. Children from Space #1 went to the same playground at 11:00 A.M., and children from Space #5 went to Outdoor Space #2 at 11:00 A.M. These children engaged in ball play and used riding toys while on the playground. Mr. Grate reported today that the facility is still not transporting children due to a lack of drivers; therefore, transportation requirements were not monitored. Two new staff members have been hired since the Annual Compliance visit. Files were monitored today. Child Care programs are expected to always achieve and maintain compliance with child care rules, 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 following violation was observed today and must be corrected immediately: Violation Number Comment Rule 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Two new staff members who began in February and March 2024 have not yet completed the orientation topics required within the first two weeks of employment. REPEATED .1101(a) A compliance letter including detailed information about how all violations have been corrected must be received by May 7, 2024. Include any supporting documentation with your response (if applicable). Your letter will be used as verification that violations have been corrected and compliance is maintained; your written response is considered a legal document so must be accurate and truthful. If you email the compliance letter, it must be sent using the email address registered with DCDEE and include your facility name and ID number. If sufficient information is not received by the due date, a follow-up visit will be conducted. Technical Assistance Regarding Violations Cited Technical assistance was provided during the Routine Unannounced visit February 22, 2023, the Annual Compliance visit October 25, 2023, and again today regarding orientation requirements for new staff. As discussed, you must ensure orientation topics required within the first two weeks of employment are completed on time. I suggested that you double-check for required topics after initial onboarding is done by corporate office staff, and complete any topics which were missed with the new staff member yourself. Today you stated it was on oversight on your part and you meant to check the orientation records, however you will complete all required topics as soon as possible. Today I also suggested you discuss with corporate office staff the option of having them conduct all first two weeks topics, and you continue the rest once the staff member begins at your facility, which may help with meeting deadlines. You must send copies of completed orientation records for K. Kirk and J. Haynes to verify compliance. Technical Assistance A violation was not observed today, however we reviewed previous technical assistance offered regarding incident reports today. As discussed, an incident report should be completed and logged each time a child is injured, regardless of whether medical care is needed. It is helpful to remember the “three B’s”: bumps, bruises and blood, as a reminder of when to complete incident reports. Providers are required to submit an incident report to their assigned child care consultant within 7 calendar days of the incident if medical attention is obtained or received. Submission is required by Child Care Rule 10A NCAC 09.0802(f). NOTE: Medical attention refers to treatment by a health care professional (i.e. doctor, dentist, nurse practitioner, etc.), community clinic, or local health department, and does not refer to first aid provided by facility staff members. NOTE: If a parent decides to take a child to a medical provider for examination or treatment related to the injury, and makes the facility aware of the medical treatment, providers must submit the incident report to their child care consultant within the 7-day period. NOTE: Medical attention would also include a situation where a child attends a previously scheduled health care appointment and the injury is discussed and/or treated. Please let me know if you have additional questions about incident reports and logs. Child Care Rule 10A NCAC 09 .0604 (p) states that once a day, prior to initial use, the indoor and outdoor premises shall be checked for debris, vandalism, and broken equipment. Debris shall be removed and disposed of. Before children enter the outdoor area each day, you must take time to observe the outdoor area and ensure there are no safety hazards or debris in the area. If there are any hazards, they must be addressed before children can enter the area. Today we discussed specifically going through the sand toys to ensure that there are not any broken plastic toys present. Broken plastic may cause a child to pinch or possibly cut their fingers. When toys become broken, they must be removed from the play area. Technical assistance was also provided today regarding food substitutions and menus. As discussed, it may be helpful to add a column to your allergy list indicating which food or beverage substitutes should be given when a child cannot be served a certain type of food or drink. Substitutions of the same component and nutritional value should be served; for example, a nutritionally equivalent milk substitute should be served when cow’s milk cannot. Water or juice is not an acceptable substitute as it does not have the same nutritional value. Today I also reminded you to ensure you change the posted menus to reflect any changes from what was planned to what is actually served. Rated License Information As discussed during the Annual Compliance visit, your program was assigned to “Cohort 3” in the “cohort model” of resuming rated license reassessments. 7/1/25-6/30/26 will be your “planning/preparation” year, and your next reassessment will be required between 7/1/26-6/30/27. As you typically have the Early Childhood Environment Rating Scales- Revised (ECERS-R) conducted, we discussed that you will have the option to request an ECERS-R assessment during your planning year if you wish, or you may wait until your reassessment year. You may also wish to request an outreach assessment before your planning year. Today we also discussed that by the time your assessment year begins, the way points are earned may look different. I will be in touch as more information becomes available and as your planning year approaches. Education information from DCDEE WORKS for new staff members was reviewed with you today. As discussed, J. Haynes must submit official transcripts to update her evaluation for earning her Associate’s Degree. Any new lead or assistant teachers must register for accounts and complete evaluations as well. Please let me know if you need assistance with the WORKS portal. It was verified today that you are maintaining compliance with star rated license standards. Reminders Today you stated Ms. T. Brite, the individual authorized to act on behalf of the corporation which owns the facility, has retired and been replaced by another officer. As discussed, updated documentation must be completed to reflect this change. I will email you required forms; please return via email once completed and sign by the new authorized individual. You must schedule and obtain an approved fire inspection by May 31, 2024. Child Care Rules were revised January 1, 2024, and a new rule book was posted to the DCDEE website. As discussed, you should discard any old versions of the rules and ensure you are referring to the most current rule book when reviewing or researching requirements. Training modules on the new rules are now available in Moodle under the Child Care Rule Rollout section. For more information regarding the “cohort model” of resuming rated license reassessments, and opportunities for training and technical assistance as you prepare for a reassessment, you may visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. It’s time to enroll your facility in the Clean Classrooms for Carolina Kids program to identify and eliminate exposure to lead and asbestos hazards in building infrastructure. This program is an expansion of Clean Water for Carolina Kids, which previously tested all child care centers in the state for lead in water at drinking and food preparation taps. As this is a legislatively mandated effort, facilities are required to meet rule requirements to have tap water tested every three years and to have inspections for lead paint and asbestos if applicable. Please see steps below: 1. Sign Up – Pre-enrollment webinars are available at cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar into your web browser to see available dates and times for the next month. 2. Enroll – At www.cleanwaterforUSkids.org/carolina using the PIN and complete the enrollment surveys for three program sections: 1) lead in water, 2) lead-based paint, and 3) asbestos. 3. Evaluate Hazards - The program will ship your facility a water sample kit and may coordinate an on-site visit by a professional to assess for lead-based paint and asbestos hazards, if needed. 4. Receive Results – Receive your results, recommendations, and water mitigation support, if needed. 5. Request Reimbursement - If you choose to conduct lead-based paint or asbestos mitigation, you can request reimbursement from NC DHHS. Visit the web site at: https://www.ncdhhs.gov/divisions/public-health/asbestos-and-lead-based-paint-reimbursement-program-arpa At the end of this visit, documentation was completed electronically, printed and reviewed with you. Please remember it is your responsibility to comply with all child care rules and requirements at all times. If you have questions or need assistance please feel free to contact me at 910-338-7038 or amy.wangler@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 .1102 · Violation

Name of Operation: MT. OLIVE HEAD START Facility ID: 2455047 Consultant: AMY WANGLER Operation Type: Center Case Number: Visit Date: 10/25/2023 Number Present: 34 Completed Date: 10/25/2023 Age: From 2 To 5 Total Minutes: 120 Time In: 09:20 AM Time Out: 11:20 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my visit was to monitor compliance with applicable child care requirements pertinent to this visit type. This facility currently operates with a Five Star License issued March 8, 2023, earning 6 points in Program Standards, 7 points in Education and one Quality Point. Restrictions on the permit include: a first shift capacity of 80 children 2-5 years of age and meets enhanced ratios and space. Restrictions were in compliance today. The facility was also monitored for implementing an approved curriculum with children four years of age as required by the star rating; this program uses Creative Curriculum, Fourth Edition. The status of the non-profit corporation which owns the facility, Southeastern Community Action Partnership, Inc., was verified as current and active with the NC Secretary of State’s office on October 23, 2023. The last annual compliance visit was conducted November 17, 2022. A Superior sanitation rating was obtained February 21, 2023, and a fire inspection was conducted May 31, 2023; the facility was approved for day time care only. Prior to the visit, the facility had an eighteen-month compliance history score of 96%. Family Support Manager, M. Beatty, were present and available for consultation today. Child Care Consultant April Lester was also available and assisted with the visit today. Five indoor and two outdoor spaces are approved for use by children; only three indoor spaces are currently being used for child care. Children two to three years of age in Space #5 were observed in free play activities, and both caregivers engaged in play with children. Children three to five years of age in Spaces #1 and 3 were observed eating breakfast that consisted of whole grain pancakes, strawberries, and milk, or participating in a group circle time activity. Next, children transitioned to restroom routines, free play activities, or outdoor play on the fenced in playgrounds. Lunch planned for today consisted of ground beef, flour tortillas, yams, pineapple tidbits, and milk. Ms. Beatty reported today that the facility is not currently transporting children due to a lack of drivers; therefore, transportation requirements were not monitored. Health and Safety training requirements as outlined in Child Care Rule 10A NCAC 09 .1102 were monitored today. All staff members employed for one year have completed all topics as required. Staff members employed more than five years have repeated all topics as required. Child Care programs are expected to always achieve and maintain compliance with child care rules, 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 following violations were observed today and must be corrected immediately: Violation Number Comment Rule 853 Incident logs were not completed and maintained as required. Incident Logs were not observed today. .0802(g)(1-6) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A staff member who began employment January 24, 2023 did not complete the first 2 weeks of orientation topics until March 3, 2023. .1101(a) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member who began employment January 24, 2023 did not have a certificate of completion on file for this training. .1102(g) A compliance letter including detailed information about how all violations have been corrected must be received by November 8, 2023. Include any supporting documentation with your response (if applicable). Your letter will be used as verification that violations have been corrected and compliance is maintained; your written response is considered a legal document so must be accurate and truthful. If you email the compliance letter, it must be sent using the email address registered with DCDEE and include your facility name and ID number. If sufficient information is not received by the due date, a follow-up visit will be conducted. Technical Assistance Regarding Violations Cited Technical assistance was provided today regarding orientation requirements and the Staff and Training Worksheet. As discussed during the Routine Unannounced visit conducted February 22, 2023, you must ensure orientation topics required within the first two weeks of employment are completed on time. I suggested that you double-check for required topics after initial onboarding is done by corporate office staff, and complete any topics which were missed with the new staff member yourself. Once orientation is completed, Line 5 on the Staff and Training worksheet will need to have dates of completion that mirror the dates when the first two weeks and the first six weeks were completed. You must also ensure dates written on the worksheet reflect dates of training certificates or policy statements as required. You must send a copy of the Recognizing and Responding to Suspicions of Child Maltreatment training for T. Pridgen to verify compliance. An incident log should be completed any time an incident report is completed. This log should include the name of the child, the date of the incident, the date the incident report was submitted to the Division, if applicable, and the name of the staff member who completed the incident report. An incident log must be cumulative, maintained in a separate file, and be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. Today I showed you the incident log on the DCDEE website and you put copies in each of the classrooms for teachers to start using. Technical Assistance Technical assistance was also provided today regarding enhanced space requirements. As discussed during the September 13, 2022 Annual Compliance visit, rules regarding enhanced space outdoors were potentially being revised. Today I shared that Child Care Rules were indeed revised July 1, 2023, and Rule .2809 now states there must be “100 square feet outside space for each child using the outdoor learning environment at any one time.” I reviewed new outdoor space capacities with you as follows: -Space #1 (Head Start children): 53 children at one time -Space #2 (Early Head Start children): 10 children at one time As discussed, you can comply with this change by continuing to schedule groups to go outdoors separately. You may wish to create signs you can post on the playgrounds as reminders of new capacities for all staff members. Rated License Information Your facility’s three-year rated license reassessment was conducted in March 2023, which means that your program has been assigned to “Cohort 3” in the recently announced “cohort model” of resuming reassessments. As discussed today, 7/1/25-6/30/26 will be your “planning/preparation” year, and your next reassessment will be required between 7/1/26-6/30/27. As you typically have the Early Childhood Environment Rating Scales- Revised (ECERS-R) conducted, we discussed that you will have the option to request an ECERS-R assessment during your planning year if you wish, or you may wait until your reassessment year. You may also wish to request an outreach assessment from NCRLAP this year. I will be in touch regarding timelines for reassessment as your planning year approaches. Education information from DCDEE WORKS was reviewed with you today. As discussed, M. Beatty must submit official transcripts to complete her evaluation if desired. Any new lead or assistant teachers must register for accounts and complete evaluations as well. Please let me know if you need assistance with the WORKS portal. Reminders Be reminded, best practice requires children do not wait for more than 3 minutes without an activity. During transition times staff should sing songs, read books, or do simple finger plays with children to keep child interactions positive, children engaged, and reduce inappropriate behaviors. The kitchen/janitorial closet must remain locked at all times if no one is in the kitchen/janitorial closet. Child Care Rules were revised July 1, 2023, and a new rule book was posted to the DCDEE website. As discussed, you should discard any old versions of the rules and ensure you are referring to the most current rule book when reviewing or researching requirements. Sanitation rules were also readopted July 1, 2023. I strongly urge you to review the training information at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/op-training.htm, and contact Children’s Environmental Health Services with any questions. For more information regarding the “cohort model” of resuming rated license reassessments, and opportunities for training and technical assistance as you prepare for a reassessment, you may visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. At the end of this visit, documentation was completed electronically, printed, and reviewed with you. Please remember it is your responsibility to comply with all child care rules and requirements at all times. If you have questions or need assistance please feel free to contact me at 910-338-7038 or amy.wangler@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: ratio. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: MT. OLIVE HEAD START Facility ID: 2455047 Consultant: AMY WANGLER Operation Type: Center Case Number: Visit Date: 10/25/2023 Number Present: 34 Completed Date: 10/25/2023 Age: From 2 To 5 Total Minutes: 120 Time In: 09:20 AM Time Out: 11:20 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my visit was to monitor compliance with applicable child care requirements pertinent to this visit type. This facility currently operates with a Five Star License issued March 8, 2023, earning 6 points in Program Standards, 7 points in Education and one Quality Point. Restrictions on the permit include: a first shift capacity of 80 children 2-5 years of age and meets enhanced ratios and space. Restrictions were in compliance today. The facility was also monitored for implementing an approved curriculum with children four years of age as required by the star rating; this program uses Creative Curriculum, Fourth Edition. The status of the non-profit corporation which owns the facility, Southeastern Community Action Partnership, Inc., was verified as current and active with the NC Secretary of State’s office on October 23, 2023. The last annual compliance visit was conducted November 17, 2022. A Superior sanitation rating was obtained February 21, 2023, and a fire inspection was conducted May 31, 2023; the facility was approved for day time care only. Prior to the visit, the facility had an eighteen-month compliance history score of 96%. Family Support Manager, M. Beatty, were present and available for consultation today. Child Care Consultant April Lester was also available and assisted with the visit today. Five indoor and two outdoor spaces are approved for use by children; only three indoor spaces are currently being used for child care. Children two to three years of age in Space #5 were observed in free play activities, and both caregivers engaged in play with children. Children three to five years of age in Spaces #1 and 3 were observed eating breakfast that consisted of whole grain pancakes, strawberries, and milk, or participating in a group circle time activity. Next, children transitioned to restroom routines, free play activities, or outdoor play on the fenced in playgrounds. Lunch planned for today consisted of ground beef, flour tortillas, yams, pineapple tidbits, and milk. Ms. Beatty reported today that the facility is not currently transporting children due to a lack of drivers; therefore, transportation requirements were not monitored. Health and Safety training requirements as outlined in Child Care Rule 10A NCAC 09 .1102 were monitored today. All staff members employed for one year have completed all topics as required. Staff members employed more than five years have repeated all topics as required. Child Care programs are expected to always achieve and maintain compliance with child care rules, 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 following violations were observed today and must be corrected immediately: Violation Number Comment Rule 853 Incident logs were not completed and maintained as required. Incident Logs were not observed today. .0802(g)(1-6) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A staff member who began employment January 24, 2023 did not complete the first 2 weeks of orientation topics until March 3, 2023. .1101(a) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member who began employment January 24, 2023 did not have a certificate of completion on file for this training. .1102(g) A compliance letter including detailed information about how all violations have been corrected must be received by November 8, 2023. Include any supporting documentation with your response (if applicable). Your letter will be used as verification that violations have been corrected and compliance is maintained; your written response is considered a legal document so must be accurate and truthful. If you email the compliance letter, it must be sent using the email address registered with DCDEE and include your facility name and ID number. If sufficient information is not received by the due date, a follow-up visit will be conducted. Technical Assistance Regarding Violations Cited Technical assistance was provided today regarding orientation requirements and the Staff and Training Worksheet. As discussed during the Routine Unannounced visit conducted February 22, 2023, you must ensure orientation topics required within the first two weeks of employment are completed on time. I suggested that you double-check for required topics after initial onboarding is done by corporate office staff, and complete any topics which were missed with the new staff member yourself. Once orientation is completed, Line 5 on the Staff and Training worksheet will need to have dates of completion that mirror the dates when the first two weeks and the first six weeks were completed. You must also ensure dates written on the worksheet reflect dates of training certificates or policy statements as required. You must send a copy of the Recognizing and Responding to Suspicions of Child Maltreatment training for T. Pridgen to verify compliance. An incident log should be completed any time an incident report is completed. This log should include the name of the child, the date of the incident, the date the incident report was submitted to the Division, if applicable, and the name of the staff member who completed the incident report. An incident log must be cumulative, maintained in a separate file, and be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. Today I showed you the incident log on the DCDEE website and you put copies in each of the classrooms for teachers to start using. Technical Assistance Technical assistance was also provided today regarding enhanced space requirements. As discussed during the September 13, 2022 Annual Compliance visit, rules regarding enhanced space outdoors were potentially being revised. Today I shared that Child Care Rules were indeed revised July 1, 2023, and Rule .2809 now states there must be “100 square feet outside space for each child using the outdoor learning environment at any one time.” I reviewed new outdoor space capacities with you as follows: -Space #1 (Head Start children): 53 children at one time -Space #2 (Early Head Start children): 10 children at one time As discussed, you can comply with this change by continuing to schedule groups to go outdoors separately. You may wish to create signs you can post on the playgrounds as reminders of new capacities for all staff members. Rated License Information Your facility’s three-year rated license reassessment was conducted in March 2023, which means that your program has been assigned to “Cohort 3” in the recently announced “cohort model” of resuming reassessments. As discussed today, 7/1/25-6/30/26 will be your “planning/preparation” year, and your next reassessment will be required between 7/1/26-6/30/27. As you typically have the Early Childhood Environment Rating Scales- Revised (ECERS-R) conducted, we discussed that you will have the option to request an ECERS-R assessment during your planning year if you wish, or you may wait until your reassessment year. You may also wish to request an outreach assessment from NCRLAP this year. I will be in touch regarding timelines for reassessment as your planning year approaches. Education information from DCDEE WORKS was reviewed with you today. As discussed, M. Beatty must submit official transcripts to complete her evaluation if desired. Any new lead or assistant teachers must register for accounts and complete evaluations as well. Please let me know if you need assistance with the WORKS portal. Reminders Be reminded, best practice requires children do not wait for more than 3 minutes without an activity. During transition times staff should sing songs, read books, or do simple finger plays with children to keep child interactions positive, children engaged, and reduce inappropriate behaviors. The kitchen/janitorial closet must remain locked at all times if no one is in the kitchen/janitorial closet. Child Care Rules were revised July 1, 2023, and a new rule book was posted to the DCDEE website. As discussed, you should discard any old versions of the rules and ensure you are referring to the most current rule book when reviewing or researching requirements. Sanitation rules were also readopted July 1, 2023. I strongly urge you to review the training information at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/op-training.htm, and contact Children’s Environmental Health Services with any questions. For more information regarding the “cohort model” of resuming rated license reassessments, and opportunities for training and technical assistance as you prepare for a reassessment, you may visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. At the end of this visit, documentation was completed electronically, printed, and reviewed with you. Please remember it is your responsibility to comply with all child care rules and requirements at all times. If you have questions or need assistance please feel free to contact me at 910-338-7038 or amy.wangler@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