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Home › NC › Whiteville › Opening Doors Preschool II, Inc.
201 South LEE Street, Whiteville NC 28472 · License #24000141 · Center · Child Care Center
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10A NCAC 09 .1102 · Violation
Name of Operation: OPENING DOORS PRESCHOOL II, INC. Facility ID: 24000141 Consultant: NATALIE M. POND Operation Type: Center Case Number: Visit Date: 6/3/2026 Number Present: 93 Completed Date: 6/3/2026 Age: From 0 To 5 Total Minutes: 180 Time In: 09:30 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Your program currently operates with a Five Star Center License issued March 14, 2023. Restrictions on the license include a first shift capacity of one hundred ninety-eight children ages 0 through 12, meets enhanced ratios and meets enhanced space. Restrictions were in compliance today. The last annual compliance visit was completed on November 12, 2025. A sanitation inspection was completed on February 18, 2026 with a “superior” grade. A fire inspection was completed on December 4, 2025 and approved for daytime care. According to the North Carolina Secretary of State website, Opening Doors Preschool II, Inc is current and active. The program's compliance history was reviewed with the operator. Prior to the visit, the facility’s eighteen-month compliance history was ninety-eight percent (98%). You, R. Creech, owner/operator and C. Creech, administrator, were present for the visit. There were one hundred twenty (120) children enrolled and ninety-three (93) children present. All licensed spaces were observed today. Age-appropriate materials were accessible to all children and spaces were arranged into activity areas. Children in group 1 were singing songs and then coloring with egg shaped crayons. Children in group 2 were outside with a variety of activities including balls, push toys, and drawing with large chalk on the wall. Infants in group 3 were playing freely on the floor with a variety of toys, while others were held for comfort as needed. The infants received care according to individual needs; individual feeding schedules and safe sleep checks are being maintained. NC Pre-K children in groups 4 and 5 participated in story time before transitioning to a center play with activities such as doll play, Play-Doh, a cozy reading area, and science exploration. Children in groups 6 and 7 were observed outdoors using hula hoops, playing in sand, and riding a pedal-go-round. Supervision and staff-child ratios were observed and found to be in compliance. Lunch consisted of tuna salad with whole grain macaroni, fries, mixed fruit, and milk. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your program uses Creative Curriculum. Four (4) new staff have been hired since the last visit. Their files were reviewed today and found to be in compliance. Health and Safety training requirements as outlined in Child Care Rule 10A NCAC 09 .1102 were monitored. During today's visit child care requirements monitored for compliance included supervision, staff/child ratio, CPR and First Aid, Criminal Record Checks, storage of hazardous substances and medications, approved space, posting of the license, and other applicable requirements. The following violation was documented. Violation Number Comment Rule 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One staff member last completed training on February, 23, 2020 and one staff member last completed training on June 3, 2021. .1103(b) 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 (18)-month compliance history score of at least seventy-five (75) percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 17, 2026, 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. Please note, if the compliance letter is not received by the agreed-upon date, a follow-up visit may be made to verify compliance. Mail or email the information to: Natalie Pond, Child Care Consultant P.O. Box 4 Wrightsville Beach, NC 28480 Natalie.m.pond@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE. Your letter should either be typed within the body of the email so your facility email address is visible when your letter is printed (this serves as your signature), or your letter with signature may be scanned and attached to the email. The following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: A violation was cited for expired Health and Safety training for two staff members, J.F. and H.C. Health and safety training on required topics, including Recognizing and Responding to Suspicions of Maltreatment, must be renewed every 5 years. Topics and training information can be found in the Child Care Rules on the DCDEE website. The link is available on Moodle. Completing, refreshing, and updating the required Health and Safety Training increases your awareness and knowledge regarding child development and safety. These trainings will also count towards your on-going hours due for this year. Today you stated that the two Pre-K rooms were preparing for graduation and that the classes were working together on the graduation program and would like to practice together. I reminded you that room capacity must be followed at all times if they want to combine for practice. Utilizing the outdoor area for this activity may be helpful. Today we discussed the metal shade structure over the sandbox on the preschool playground. The corner areas are out of the reach of children; however, they are sharp and have the potential to become a hazard. We discussed solutions such as filing the corner into a rounded shape or rolling the corner. The Clean Classrooms for Carolina Kids website shows testing for lead in water was last completed in February 2024 and will be due again in February 2027. Testing for lead paint and asbestos was completed and no hazards were found. Provider Portal for ABCMS (the criminal records check database): As stated in G.S. 110-90.2 & .2703(r), child care operators are to notify the Division of any new child care providers within five business days. You have completed the training and linked your staff to your facility. Continue to update information on an ongoing basis as staff members are hired and when their employment is terminated. Choosing a Pathway to the Stars: The facility’s three-year reassessment is due in 2026. The facility will be assessed using the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. At this time, you are planning to apply for a star rated license via Pathway 1- Program Assessment. Your program currently meets enhanced ratios and enhanced space. Since you have two (2) NC Pre-K classrooms that will be out of session for the summer, we discussed turning in the application as soon as school begins. You will need to complete the Family and Community Engagement Standards Worksheet selecting the applicable items. Items selected must be verifiable. A binder or folder can be used to organize documentation related to chosen items. A Continuous Quality Improvement (CQI) plan will be completed for the program and each staff member. These forms are linked through the application on the Provider Documents page of the DCDEE website. The facility form must be included with the application. The individual forms must be available for review in each staff member’s on-site file. ERS: Lead teachers shall complete a structured 3-month self-study using the applicable environment rating scale. Information on the self-study process can be found at ncrlap.org. Once the self-studies have been completed and the administrator has completed a verification form, you may request an environment rating scale assessment. You stated that all classrooms are currently working on their self-studies. You understand that as an NC Pre-K site, they must score at least a 5.0 on the ECERS-3. Education: All staff need to ensure that current education information has been submitted to WORKS and they have requested an appropriate evaluation for their position. Staff education can only be verified through WORKS status letters. It typically takes WORKS 4-6 weeks to complete an evaluation. You will need to complete the Staff Information and Education Worksheet. Once all your staff’s education has been evaluated, your facility will earn their Star Rated License based on the following: 50% of Lead Teachers and 50% of other educators. (“Educator” means all classroom teaching staff and administrative positions, including education coordinators, curriculum specialists and any staff who have responsibility for planning, caregiving, mentoring or training. To count as an educator meeting 50% of the education standards, an individual must meet the requirements of a position and work on-site, full-time.) The application forms are available on the DCDEE website under Provider Documents and Forms, and the QRIS modernization page. I encourage you to review the information under the QRIS Modernization section of our website for the most up to date information on how stars are achieved. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me with questions or concerns at 910-364-4898 or Natalie.m.pond@dhhs.nc.gov. If you need further assistance, please contact my supervisor Kim Sherry at 910-824-0470 or kim.sherry@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.
G.S. 110-90 · Violation
Name of Operation: OPENING DOORS PRESCHOOL II, INC. Facility ID: 24000141 Consultant: NATALIE M. POND Operation Type: Center Case Number: Visit Date: 6/3/2026 Number Present: 93 Completed Date: 6/3/2026 Age: From 0 To 5 Total Minutes: 180 Time In: 09:30 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Your program currently operates with a Five Star Center License issued March 14, 2023. Restrictions on the license include a first shift capacity of one hundred ninety-eight children ages 0 through 12, meets enhanced ratios and meets enhanced space. Restrictions were in compliance today. The last annual compliance visit was completed on November 12, 2025. A sanitation inspection was completed on February 18, 2026 with a “superior” grade. A fire inspection was completed on December 4, 2025 and approved for daytime care. According to the North Carolina Secretary of State website, Opening Doors Preschool II, Inc is current and active. The program's compliance history was reviewed with the operator. Prior to the visit, the facility’s eighteen-month compliance history was ninety-eight percent (98%). You, R. Creech, owner/operator and C. Creech, administrator, were present for the visit. There were one hundred twenty (120) children enrolled and ninety-three (93) children present. All licensed spaces were observed today. Age-appropriate materials were accessible to all children and spaces were arranged into activity areas. Children in group 1 were singing songs and then coloring with egg shaped crayons. Children in group 2 were outside with a variety of activities including balls, push toys, and drawing with large chalk on the wall. Infants in group 3 were playing freely on the floor with a variety of toys, while others were held for comfort as needed. The infants received care according to individual needs; individual feeding schedules and safe sleep checks are being maintained. NC Pre-K children in groups 4 and 5 participated in story time before transitioning to a center play with activities such as doll play, Play-Doh, a cozy reading area, and science exploration. Children in groups 6 and 7 were observed outdoors using hula hoops, playing in sand, and riding a pedal-go-round. Supervision and staff-child ratios were observed and found to be in compliance. Lunch consisted of tuna salad with whole grain macaroni, fries, mixed fruit, and milk. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your program uses Creative Curriculum. Four (4) new staff have been hired since the last visit. Their files were reviewed today and found to be in compliance. Health and Safety training requirements as outlined in Child Care Rule 10A NCAC 09 .1102 were monitored. During today's visit child care requirements monitored for compliance included supervision, staff/child ratio, CPR and First Aid, Criminal Record Checks, storage of hazardous substances and medications, approved space, posting of the license, and other applicable requirements. The following violation was documented. Violation Number Comment Rule 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One staff member last completed training on February, 23, 2020 and one staff member last completed training on June 3, 2021. .1103(b) 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 (18)-month compliance history score of at least seventy-five (75) percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 17, 2026, 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. Please note, if the compliance letter is not received by the agreed-upon date, a follow-up visit may be made to verify compliance. Mail or email the information to: Natalie Pond, Child Care Consultant P.O. Box 4 Wrightsville Beach, NC 28480 Natalie.m.pond@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE. Your letter should either be typed within the body of the email so your facility email address is visible when your letter is printed (this serves as your signature), or your letter with signature may be scanned and attached to the email. The following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: A violation was cited for expired Health and Safety training for two staff members, J.F. and H.C. Health and safety training on required topics, including Recognizing and Responding to Suspicions of Maltreatment, must be renewed every 5 years. Topics and training information can be found in the Child Care Rules on the DCDEE website. The link is available on Moodle. Completing, refreshing, and updating the required Health and Safety Training increases your awareness and knowledge regarding child development and safety. These trainings will also count towards your on-going hours due for this year. Today you stated that the two Pre-K rooms were preparing for graduation and that the classes were working together on the graduation program and would like to practice together. I reminded you that room capacity must be followed at all times if they want to combine for practice. Utilizing the outdoor area for this activity may be helpful. Today we discussed the metal shade structure over the sandbox on the preschool playground. The corner areas are out of the reach of children; however, they are sharp and have the potential to become a hazard. We discussed solutions such as filing the corner into a rounded shape or rolling the corner. The Clean Classrooms for Carolina Kids website shows testing for lead in water was last completed in February 2024 and will be due again in February 2027. Testing for lead paint and asbestos was completed and no hazards were found. Provider Portal for ABCMS (the criminal records check database): As stated in G.S. 110-90.2 & .2703(r), child care operators are to notify the Division of any new child care providers within five business days. You have completed the training and linked your staff to your facility. Continue to update information on an ongoing basis as staff members are hired and when their employment is terminated. Choosing a Pathway to the Stars: The facility’s three-year reassessment is due in 2026. The facility will be assessed using the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. At this time, you are planning to apply for a star rated license via Pathway 1- Program Assessment. Your program currently meets enhanced ratios and enhanced space. Since you have two (2) NC Pre-K classrooms that will be out of session for the summer, we discussed turning in the application as soon as school begins. You will need to complete the Family and Community Engagement Standards Worksheet selecting the applicable items. Items selected must be verifiable. A binder or folder can be used to organize documentation related to chosen items. A Continuous Quality Improvement (CQI) plan will be completed for the program and each staff member. These forms are linked through the application on the Provider Documents page of the DCDEE website. The facility form must be included with the application. The individual forms must be available for review in each staff member’s on-site file. ERS: Lead teachers shall complete a structured 3-month self-study using the applicable environment rating scale. Information on the self-study process can be found at ncrlap.org. Once the self-studies have been completed and the administrator has completed a verification form, you may request an environment rating scale assessment. You stated that all classrooms are currently working on their self-studies. You understand that as an NC Pre-K site, they must score at least a 5.0 on the ECERS-3. Education: All staff need to ensure that current education information has been submitted to WORKS and they have requested an appropriate evaluation for their position. Staff education can only be verified through WORKS status letters. It typically takes WORKS 4-6 weeks to complete an evaluation. You will need to complete the Staff Information and Education Worksheet. Once all your staff’s education has been evaluated, your facility will earn their Star Rated License based on the following: 50% of Lead Teachers and 50% of other educators. (“Educator” means all classroom teaching staff and administrative positions, including education coordinators, curriculum specialists and any staff who have responsibility for planning, caregiving, mentoring or training. To count as an educator meeting 50% of the education standards, an individual must meet the requirements of a position and work on-site, full-time.) The application forms are available on the DCDEE website under Provider Documents and Forms, and the QRIS modernization page. I encourage you to review the information under the QRIS Modernization section of our website for the most up to date information on how stars are achieved. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me with questions or concerns at 910-364-4898 or Natalie.m.pond@dhhs.nc.gov. If you need further assistance, please contact my supervisor Kim Sherry at 910-824-0470 or kim.sherry@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: OPENING DOORS PRESCHOOL II, INC. Facility ID: 24000141 Consultant: NATALIE M. POND Operation Type: Center Case Number: Visit Date: 6/3/2026 Number Present: 93 Completed Date: 6/3/2026 Age: From 0 To 5 Total Minutes: 180 Time In: 09:30 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Your program currently operates with a Five Star Center License issued March 14, 2023. Restrictions on the license include a first shift capacity of one hundred ninety-eight children ages 0 through 12, meets enhanced ratios and meets enhanced space. Restrictions were in compliance today. The last annual compliance visit was completed on November 12, 2025. A sanitation inspection was completed on February 18, 2026 with a “superior” grade. A fire inspection was completed on December 4, 2025 and approved for daytime care. According to the North Carolina Secretary of State website, Opening Doors Preschool II, Inc is current and active. The program's compliance history was reviewed with the operator. Prior to the visit, the facility’s eighteen-month compliance history was ninety-eight percent (98%). You, R. Creech, owner/operator and C. Creech, administrator, were present for the visit. There were one hundred twenty (120) children enrolled and ninety-three (93) children present. All licensed spaces were observed today. Age-appropriate materials were accessible to all children and spaces were arranged into activity areas. Children in group 1 were singing songs and then coloring with egg shaped crayons. Children in group 2 were outside with a variety of activities including balls, push toys, and drawing with large chalk on the wall. Infants in group 3 were playing freely on the floor with a variety of toys, while others were held for comfort as needed. The infants received care according to individual needs; individual feeding schedules and safe sleep checks are being maintained. NC Pre-K children in groups 4 and 5 participated in story time before transitioning to a center play with activities such as doll play, Play-Doh, a cozy reading area, and science exploration. Children in groups 6 and 7 were observed outdoors using hula hoops, playing in sand, and riding a pedal-go-round. Supervision and staff-child ratios were observed and found to be in compliance. Lunch consisted of tuna salad with whole grain macaroni, fries, mixed fruit, and milk. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your program uses Creative Curriculum. Four (4) new staff have been hired since the last visit. Their files were reviewed today and found to be in compliance. Health and Safety training requirements as outlined in Child Care Rule 10A NCAC 09 .1102 were monitored. During today's visit child care requirements monitored for compliance included supervision, staff/child ratio, CPR and First Aid, Criminal Record Checks, storage of hazardous substances and medications, approved space, posting of the license, and other applicable requirements. The following violation was documented. Violation Number Comment Rule 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One staff member last completed training on February, 23, 2020 and one staff member last completed training on June 3, 2021. .1103(b) 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 (18)-month compliance history score of at least seventy-five (75) percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 17, 2026, 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. Please note, if the compliance letter is not received by the agreed-upon date, a follow-up visit may be made to verify compliance. Mail or email the information to: Natalie Pond, Child Care Consultant P.O. Box 4 Wrightsville Beach, NC 28480 Natalie.m.pond@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE. Your letter should either be typed within the body of the email so your facility email address is visible when your letter is printed (this serves as your signature), or your letter with signature may be scanned and attached to the email. The following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: A violation was cited for expired Health and Safety training for two staff members, J.F. and H.C. Health and safety training on required topics, including Recognizing and Responding to Suspicions of Maltreatment, must be renewed every 5 years. Topics and training information can be found in the Child Care Rules on the DCDEE website. The link is available on Moodle. Completing, refreshing, and updating the required Health and Safety Training increases your awareness and knowledge regarding child development and safety. These trainings will also count towards your on-going hours due for this year. Today you stated that the two Pre-K rooms were preparing for graduation and that the classes were working together on the graduation program and would like to practice together. I reminded you that room capacity must be followed at all times if they want to combine for practice. Utilizing the outdoor area for this activity may be helpful. Today we discussed the metal shade structure over the sandbox on the preschool playground. The corner areas are out of the reach of children; however, they are sharp and have the potential to become a hazard. We discussed solutions such as filing the corner into a rounded shape or rolling the corner. The Clean Classrooms for Carolina Kids website shows testing for lead in water was last completed in February 2024 and will be due again in February 2027. Testing for lead paint and asbestos was completed and no hazards were found. Provider Portal for ABCMS (the criminal records check database): As stated in G.S. 110-90.2 & .2703(r), child care operators are to notify the Division of any new child care providers within five business days. You have completed the training and linked your staff to your facility. Continue to update information on an ongoing basis as staff members are hired and when their employment is terminated. Choosing a Pathway to the Stars: The facility’s three-year reassessment is due in 2026. The facility will be assessed using the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. At this time, you are planning to apply for a star rated license via Pathway 1- Program Assessment. Your program currently meets enhanced ratios and enhanced space. Since you have two (2) NC Pre-K classrooms that will be out of session for the summer, we discussed turning in the application as soon as school begins. You will need to complete the Family and Community Engagement Standards Worksheet selecting the applicable items. Items selected must be verifiable. A binder or folder can be used to organize documentation related to chosen items. A Continuous Quality Improvement (CQI) plan will be completed for the program and each staff member. These forms are linked through the application on the Provider Documents page of the DCDEE website. The facility form must be included with the application. The individual forms must be available for review in each staff member’s on-site file. ERS: Lead teachers shall complete a structured 3-month self-study using the applicable environment rating scale. Information on the self-study process can be found at ncrlap.org. Once the self-studies have been completed and the administrator has completed a verification form, you may request an environment rating scale assessment. You stated that all classrooms are currently working on their self-studies. You understand that as an NC Pre-K site, they must score at least a 5.0 on the ECERS-3. Education: All staff need to ensure that current education information has been submitted to WORKS and they have requested an appropriate evaluation for their position. Staff education can only be verified through WORKS status letters. It typically takes WORKS 4-6 weeks to complete an evaluation. You will need to complete the Staff Information and Education Worksheet. Once all your staff’s education has been evaluated, your facility will earn their Star Rated License based on the following: 50% of Lead Teachers and 50% of other educators. (“Educator” means all classroom teaching staff and administrative positions, including education coordinators, curriculum specialists and any staff who have responsibility for planning, caregiving, mentoring or training. To count as an educator meeting 50% of the education standards, an individual must meet the requirements of a position and work on-site, full-time.) The application forms are available on the DCDEE website under Provider Documents and Forms, and the QRIS modernization page. I encourage you to review the information under the QRIS Modernization section of our website for the most up to date information on how stars are achieved. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me with questions or concerns at 910-364-4898 or Natalie.m.pond@dhhs.nc.gov. If you need further assistance, please contact my supervisor Kim Sherry at 910-824-0470 or kim.sherry@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: OPENING DOORS PRESCHOOL II, INC. Facility ID: 24000141 Consultant: NATALIE M. POND Operation Type: Center Case Number: Visit Date: 11/12/2025 Number Present: 92 Completed Date: 11/12/2025 Age: From 0 To 5 Total Minutes: 240 Time In: 09:15 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Jennifer Garner, Lead Child Care Consultant, assisted me with the visit. Your program currently operates with a Five Star Center License issued March 14, 2023. Restrictions on the license include first shift care with a capacity of 198 children ages 0 to 12, meets enhanced ratios, and meets enhanced space. The last annual compliance visit was completed on November 20, 2024. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-six percent (96%) as of November 10, 2025. The sanitation inspection was completed on February 21, 2025 with a “Superior” classification. The fire inspection was completed on December 16, 2024 and your facility was approved for daytime care only. The Secretary of State website was reviewed on November 10, 2025 and Opening Doors Preschool II, Inc was listed as current-active. R. Creech and C. Creech, administrators, were present for the visit. There were one hundred sixteen (116) children enrolled and ninety-two (92) children present. There are seven (7) indoor spaces and three (3) outdoor spaces approved for use. Space four (4) is divided into two separate classrooms with shelving and furniture. Age-appropriate materials were accessible to all children and spaces were arranged into activity areas. Children in spaces 1, 2, and 3 were observed engaged in floor play using a variety of materials. Staff were on the floor joining in play and reading stories. Children in spaces 4a, 4b, and 5 were outside using the climber and playing in the sand pit area. Children in space 6 were engaged in activity areas throughout the room, including a tearing paper art activity, dramatic play with dolls, and sand play. Space 7 is the classroom for school aged children; due to the time of the visit, they were not present. Supervision and staff-child ratios were observed and found to be in compliance. Infants received care according to individual needs. Individual feeding schedules and safe sleep checks are being maintained. Lunch consisted of tuna on whole grain croissants, green beans, mandarin oranges, and milk. Staff and Training Worksheets- There were twenty-three (23) staff members employed at this facility. Six (6) new staff and a percentage of veteran staff’s files were reviewed. A percentage of children's files were reviewed. NC Pre-K monitoring: Spaces 4a and 4b were used for NC Pre-K classrooms. The NC Pre-K requirements in Section .3000 of the Child Care Rules were monitored for compliance today. Staff-child ratios and maximum group sizes were verified in compliance. Children attend the program from 7:30am-2:30pm meeting the instructional day requirement of 6.5 hours. This NC Pre-K program uses Creative Curriculum and Ages & Stages Screening, and Teaching Strategies Gold for their ongoing assessments. Developmental Screenings were completed and Health Assessments were collected. NC Pre-K staff information was verified in the NC Pre-K Plan and all staff members meet requirements for qualifications, or have been approved by the contracting agency as substitutes. A Site Monitoring visit has not yet been conducted by Columbus County Schools, the contracting agency, however the tool submitted September 29, 2025 was reviewed today and items needing corrective action were not noted. The following violation(s) were documented. Violation Number Comment Rule 1898 Staff did not complete the health and safety training within one year of employment. Two (2) staff had not completed all of the required training within one year of employment. .1102(a) 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 (18)-month compliance history score of at least seventy-five (75) percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. The violation cited today was verified as corrected during the visit and a correction letter is not needed at this time. Technical Assistance: A violation was cited for staff training. All staff members employed at least one year must complete the required Health and Safety trainings as outlined in Child Care Rule 10A NCAC 09 .1102. All new staff have one year from the date of employment to complete all required health and safety trainings. A master calendar and/or periodic review of staff files could aid in staying ahead of required training deadlines. It is important to keep complete and up-to-date forms. As parents and staff complete required forms, check that all information has been included. All outlets must be covered at all times. Consider developing a procedure for having extra outlet covers in each classroom for those times when equipment such as radios or speakers is unplugged or removed. Parts of the music wall on the infant/toddler playground are showing signs of wear. You stated that you have a plan to repaint those parts. There is one screw on the easel on the playground used by school aged children that is becoming exposed due to a missing edge piece. We discussed fixing this screw so that it does not become a hazard. Your fire inspection is due in December. You stated you have been in contact with the fire marshal to have that visit completed and will provide him with the DCDEE form. Licensing Fees: License fees are based on the first shift capacity as shown on the childcare license as of October 1st of each year for all active facilities. Invoices for the annual license fees were emailed to facilities subject to license fees on November 3, 2025. Payment Information: Payments are due by December 3, 2025. Compliance Reminder: Please be aware that failure to pay the license may result in the revocation of your child care license. Unpaid license fees will also incur a 10% late fee and interest as established by NCGS § 147-86.23. The 2025-2026 Annual Child Care Immunization Report Reporting Portal is now open, and reports must be submitted electronically by midnight, November 15, 2025. Instructions and worksheets are available for download and may be used to collect data needed before entering your individual school information online. For more information, download the 2025 Annual Childcare Immunization Report Memo. Choosing a Pathway to the Stars: The new rules related to the star rated license system (QRIS) have been approved. The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition has begun with the following informational opportunities: •You can review the rule roll out module in the DCDEE e-learning Moodle platform and •If you were unable to attend the webinars regarding Choosing a Pathway to the Stars, the sessions were recorded and are posted on the QRIS Modernization page. • Beginning In October, child care consultants will begin discussing the new rules during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within 12 months based on the pathway chosen. •Follow this link for detailed information: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRISModernization. Today, I completed a QRIS Conversation Template for your facility. You reported that your facility is choosing Pathway 1, Program Assessment, and you plan to apply for a rated license by May 2026. A copy of this template is attached to this visit summary. We understand this is a big change and are committed to ensuring all providers have a good understanding of the new opportunities in order to make informed decisions on which pathway best suits the needs of the facility. We look forward to working with you on your pathway to the stars! Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. Click on the “What’s New” tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me with questions or concerns at 910-364-4898 or Natalie.m.pond@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: OPENING DOORS PRESCHOOL II, INC. Facility ID: 24000141 Consultant: NATALIE M. POND Operation Type: Center Case Number: Visit Date: 11/12/2025 Number Present: 92 Completed Date: 11/12/2025 Age: From 0 To 5 Total Minutes: 240 Time In: 09:15 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Jennifer Garner, Lead Child Care Consultant, assisted me with the visit. Your program currently operates with a Five Star Center License issued March 14, 2023. Restrictions on the license include first shift care with a capacity of 198 children ages 0 to 12, meets enhanced ratios, and meets enhanced space. The last annual compliance visit was completed on November 20, 2024. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-six percent (96%) as of November 10, 2025. The sanitation inspection was completed on February 21, 2025 with a “Superior” classification. The fire inspection was completed on December 16, 2024 and your facility was approved for daytime care only. The Secretary of State website was reviewed on November 10, 2025 and Opening Doors Preschool II, Inc was listed as current-active. R. Creech and C. Creech, administrators, were present for the visit. There were one hundred sixteen (116) children enrolled and ninety-two (92) children present. There are seven (7) indoor spaces and three (3) outdoor spaces approved for use. Space four (4) is divided into two separate classrooms with shelving and furniture. Age-appropriate materials were accessible to all children and spaces were arranged into activity areas. Children in spaces 1, 2, and 3 were observed engaged in floor play using a variety of materials. Staff were on the floor joining in play and reading stories. Children in spaces 4a, 4b, and 5 were outside using the climber and playing in the sand pit area. Children in space 6 were engaged in activity areas throughout the room, including a tearing paper art activity, dramatic play with dolls, and sand play. Space 7 is the classroom for school aged children; due to the time of the visit, they were not present. Supervision and staff-child ratios were observed and found to be in compliance. Infants received care according to individual needs. Individual feeding schedules and safe sleep checks are being maintained. Lunch consisted of tuna on whole grain croissants, green beans, mandarin oranges, and milk. Staff and Training Worksheets- There were twenty-three (23) staff members employed at this facility. Six (6) new staff and a percentage of veteran staff’s files were reviewed. A percentage of children's files were reviewed. NC Pre-K monitoring: Spaces 4a and 4b were used for NC Pre-K classrooms. The NC Pre-K requirements in Section .3000 of the Child Care Rules were monitored for compliance today. Staff-child ratios and maximum group sizes were verified in compliance. Children attend the program from 7:30am-2:30pm meeting the instructional day requirement of 6.5 hours. This NC Pre-K program uses Creative Curriculum and Ages & Stages Screening, and Teaching Strategies Gold for their ongoing assessments. Developmental Screenings were completed and Health Assessments were collected. NC Pre-K staff information was verified in the NC Pre-K Plan and all staff members meet requirements for qualifications, or have been approved by the contracting agency as substitutes. A Site Monitoring visit has not yet been conducted by Columbus County Schools, the contracting agency, however the tool submitted September 29, 2025 was reviewed today and items needing corrective action were not noted. The following violation(s) were documented. Violation Number Comment Rule 1898 Staff did not complete the health and safety training within one year of employment. Two (2) staff had not completed all of the required training within one year of employment. .1102(a) 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 (18)-month compliance history score of at least seventy-five (75) percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. The violation cited today was verified as corrected during the visit and a correction letter is not needed at this time. Technical Assistance: A violation was cited for staff training. All staff members employed at least one year must complete the required Health and Safety trainings as outlined in Child Care Rule 10A NCAC 09 .1102. All new staff have one year from the date of employment to complete all required health and safety trainings. A master calendar and/or periodic review of staff files could aid in staying ahead of required training deadlines. It is important to keep complete and up-to-date forms. As parents and staff complete required forms, check that all information has been included. All outlets must be covered at all times. Consider developing a procedure for having extra outlet covers in each classroom for those times when equipment such as radios or speakers is unplugged or removed. Parts of the music wall on the infant/toddler playground are showing signs of wear. You stated that you have a plan to repaint those parts. There is one screw on the easel on the playground used by school aged children that is becoming exposed due to a missing edge piece. We discussed fixing this screw so that it does not become a hazard. Your fire inspection is due in December. You stated you have been in contact with the fire marshal to have that visit completed and will provide him with the DCDEE form. Licensing Fees: License fees are based on the first shift capacity as shown on the childcare license as of October 1st of each year for all active facilities. Invoices for the annual license fees were emailed to facilities subject to license fees on November 3, 2025. Payment Information: Payments are due by December 3, 2025. Compliance Reminder: Please be aware that failure to pay the license may result in the revocation of your child care license. Unpaid license fees will also incur a 10% late fee and interest as established by NCGS § 147-86.23. The 2025-2026 Annual Child Care Immunization Report Reporting Portal is now open, and reports must be submitted electronically by midnight, November 15, 2025. Instructions and worksheets are available for download and may be used to collect data needed before entering your individual school information online. For more information, download the 2025 Annual Childcare Immunization Report Memo. Choosing a Pathway to the Stars: The new rules related to the star rated license system (QRIS) have been approved. The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition has begun with the following informational opportunities: •You can review the rule roll out module in the DCDEE e-learning Moodle platform and •If you were unable to attend the webinars regarding Choosing a Pathway to the Stars, the sessions were recorded and are posted on the QRIS Modernization page. • Beginning In October, child care consultants will begin discussing the new rules during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within 12 months based on the pathway chosen. •Follow this link for detailed information: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRISModernization. Today, I completed a QRIS Conversation Template for your facility. You reported that your facility is choosing Pathway 1, Program Assessment, and you plan to apply for a rated license by May 2026. A copy of this template is attached to this visit summary. We understand this is a big change and are committed to ensuring all providers have a good understanding of the new opportunities in order to make informed decisions on which pathway best suits the needs of the facility. We look forward to working with you on your pathway to the stars! Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. Click on the “What’s New” tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me with questions or concerns at 910-364-4898 or Natalie.m.pond@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: OPENING DOORS PRESCHOOL II, INC. Facility ID: 24000141 Consultant: SHEREEN PICKETT Operation Type: Center Case Number: Visit Date: 5/7/2025 Number Present: 85 Completed Date: 5/7/2025 Age: From 0 To 5 Total Minutes: 165 Time In: 09:15 AM Time Out: 12:00 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 a routine unannounced visit. This facility currently operates with a Five Star license issued March 14, 2023, earning 7 points in Education, 6 points in Program Standards, and 1 Quality Point. Restrictions on the permit include: a first shift capacity of 198 children 0- 12 years of age, and meets enhanced ratios and space. Restrictions were in compliance today. The status of the corporation which owns the facility, Opening Doors Preschool II, Inc., was verified as current and active with the NC Secretary of State’s Office on May 05, 2025. Prior to this visit, the facilities eighteen-month compliance history was 91%. The last annual compliance visit was conducted November 20, 2024 by Child Care Consultant Amy Wangler. Sanitation – 02/21/2025 – Superior Classification Fire - 12/16/2024 - Facility approved for day time care only R. Creech and C. Creech, Administrators, were present and available for consultation during the visit. Seven indoor and three outdoor spaces are approved for use by children; Space #4 is separated into two distinct spaces using furniture. Children in spaces 1, 2 and 7, were engaged in free play, accessing a variety of age-appropriate materials. Children in spaces 4a, 4b, and 5 were observed during gross motor play on the playground. Infants in space 3 received care based on individual need, including diapering, feeding and napping routines. Infants not involved in routine care were either held by caregivers or allowed to move around the room, playing freely. Safe sleep checks and infant feeding schedules were monitored and found to be in compliance. Space 7 is used with school-age children. Due to the timing of the visit, school-age children were not present. Morning snack consisted of cinnamon toast, strawberries, and milk. Lunch planned for the day consisted of cheese flat bread, cucumbers, peaches, and milk. Adequate supervision and positive interactions were observed throughout. Three new employees were hired since the last visit. Files for new employees were monitored and found to be in compliance. One violation was observed and corrected during the visit. A compliance letter is not required at this time. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space 3, bottles for one infant were not dated. Another bottle was not labeled with the child's name. 15A NCAC 18A .2804(d) 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 of at least seventy-five percent. Technical Assistance Regarding Violation Cited To ensure that each child receives the correct bottle/sippy cup, it is vital that each bottle is labeled with the child's name and date daily. Moving forward, I encourage you to remind parents to label their child's bottles prior to arrival and/or have staff members conduct a thorough check prior to the bottles being placed in the refrigerator. Additional Technical Assistance Offered When eating and / or drinking staff need to be positioned so that they can visually see all children eating/drinking and they must also remain in arms reach. Staff should also interact with the children during meal times. Non-mobile children should be rotated around the room often. Teachers need to provide a variety of materials from the different learning centers for non-mobile children and try to include them in all activities including reading books / singing songs, etc. For the health and safety of all children, staff must remain diligent in wiping the children's noses and following proper handwashing procedures throughout the day. Reminders A monthly fire drill and playground inspection is due in May. During today's monitoring, it was observed that the required DCDEE fire inspection report has not been used in the past. The correct form was emailed to you for future use. A. Benton-Rogers, hired on July 01, 2024, must complete all health and safety training topics before or by July 01, 2025. A. Young, hired on July 22, 2024, must complete all health and safety training topics before or by July 22, 2025. S. Moore, hired on February 24, 2025, must complete CPR/FA certification and have a card/certificate on file before or by May 24, 2025. You were reminded today that an email invitation regarding a director meeting was previously sent to you. The meeting will be held on May 14, 2025, from 10:00 am – 12:00 pm at Columbus County Cooperative Extension, 45 Government Complex Rd Ste A, Whiteville, NC 28472. Make sure to RSVP to April.lester@dhhs.nc.gov if you plan to attend. ABCMS- the training has been completed and you are are actively working to enter all staff member's information into the system. At the end of this visit, documentation was completed, printed, reviewed and a copy was left 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) 508-3228 or Shereen.pickett@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 .0304 · Violation
Name of Operation: OPENING DOORS PRESCHOOL II, INC. Facility ID: 24000141 Consultant: AMY WANGLER Operation Type: Center Case Number: Visit Date: 11/20/2024 Number Present: 78 Completed Date: 11/20/2024 Age: From 0 To 5 Total Minutes: 205 Time In: 08:50 AM Time Out: 12:15 PM 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 14, 2023, earning 7 points in Education, 6 points in Program Standards, and 1 Quality Point. Restrictions on the permit include: a first shift capacity of 198 children 0-12 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 corporation which owns the facility, Opening Doors Preschool II, Inc., was verified as current and active with the NC Secretary of State’s Office on November 13, 2024. The last annual compliance visit was conducted December 5, 2023. A Superior sanitation rating was earned February 19, 2024, and a fire inspection was conducted December 18, 2023; the facility was approved for day time care only. Prior to the visit, the facility had an eighteen-month compliance history score of 89%. Owner/administrator R. Creech and Director/Program Coordinator C. Creech were present and available for consultation during the visit. Seven indoor and three outdoor spaces are approved for use by children; Space #4 is separated into two distinct spaces using furniture. Infants were observed in individual feeding routines and play activities including using stacking bowls and looking at books. Safe sleep practices including documentation were monitored and in compliance. Children one year of age participated in free choice activities including using shape sorters and reading books with staff members. Children two years of age were observed dressing up and working with manipulatives. Children three years of age were observed doing puzzles, coloring, playing doctor and building towers with connecting blocks. Preschool children enrolled in Spaces #4a and 4b were observed on one of the fenced in playgrounds engaged in gross motor activities including riding tricycles and using the climber. Lunch served consisted of cheese flatbreads, cucumbers, peaches and milk. After lunch, children one through five years of age rested on appropriately spaced cots with individual linens. Lights were dimmed and soft music played. Health and Safety training requirements as outlined in Child Care Rule 10A NCAC 09 .1102 were monitored and in compliance today. NC Pre-K Site Monitoring Spaces #4b and 5 are operated as NC Pre-K classrooms. The NC Pre-K requirements in Section .3000 of the Child Care Rules were monitored for compliance today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Children in this program attend from 7:30am-2:30pm, meeting the instructional day requirement of 6.5 hours. This NC Pre-K program uses Creative Curriculum, Ages and Stages Developmental screening, and Teaching Strategies GOLD for their ongoing assessments. Developmental screenings and health assessments including vision, hearing, and dental screenings were on file for all NC Pre-K children’s files reviewed. Evidence of on-going assessments was observed in children’s portfolios and on Teaching Strategies progress reports. NC Pre-K staff information was verified in the NC Pre-K Plan and all staff members meet requirements for qualifications, or have been approved by the contracting agency as substitutes. The Early Childhood Environment Rating Scale-Revised (ECERS-R) score received on 2-6-2023 was 5.53. A Site Monitoring visit has not yet been conducted by Columbus County Schools, the contracting agency, however the tool submitted September 30, 2024 was reviewed today and items needing corrective action were not noted. 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 and corrected during the visit: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The facility's previous sanitation inspection was conducted January 20, 2023 and the next one was not conducted until February 19, 2024, more than 12 months later. 10A NCAC 09 .0304(b) 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The facility's previous fire inspection was obtained December 8, 2022 and the next one was not obtained until December 18, 2023, more than 12 months later. 10A NCAC 09 .0304(a) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A McDonald's cup of iced coffee was observed in Space #1 and two bottles of Sun Drop were observed in Space #2. .0901(i) A compliance letter is not due as all violations observed were corrected during the visit. Technical Assistance Regarding Violations Cited For the health and safety of the children and staff, fire and sanitation inspections must be conducted annually. Today you stated you tried to request your inspections early but they were still not conducted on time. Moving forward, I urged you to request inspections one to two months ahead of time to ensure timely completion. If you need assistance with your inspection requests in the future, please let me know. Child Care Rule 10A NCAC 09 .0901(j) states that staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in this Rule in the presence of children in care. Sodas or coffee drinks that staff might consume do not follow these requirements and should not be consumed in the classroom or in the presence of children. Today you removed these beverages from the classrooms and stated you would remind staff to store them in the lounge or kitchen for consumption on breaks only moving forward. Technical Assistance Technical assistance was also provided today regarding posting infant feeding plans for easy reference in Space #3. I suggested you hang sheet protectors on the wall in such a way that the second page of each child’s plan may be easily seen by all caregivers. This will assist staff in being able to quickly determine what types of foods should be served to each child. I also advised you to ensure all medication permission forms are filled out completely. If parents write “as needed,” they need to also write the signs or symptoms for staff to look for if the medication may be needed. We reviewed a permission form together and discussed that parents may need to be reminded to use the “other” sections to write more detailed instructions for administration. Rated License Information Today I shared with you that the “hold harmless” state of rated license reassessments has been extended until the new Quality Rating Improvement System (QRIS) standards are put in place. This means that you will not be required to have a reassessment according to timelines previously discussed, and when your reassessment is due you will have options to choose from regarding how your star level is earned. When more information becomes available about the new QRIS standards, I may assist you in determining which option is best for your program. Please note any Infant Toddler Environment Rating Scales (ITERS) or Early Childhood Environment Rating Scales (ECERS) assessments conducted after February 1, 2025 will be the third editions, or the “3s.” The School Age Care Environment Rating Scales will continue to be used in school age classrooms. You may find more information regarding the third editions including training materials and how to purchase at https://ncrlap.org/Resources/pages/get-ready-for-3s/. Regarding education standards, when new QRIS rules are implemented, education requirements will be different, but it is still critical that all staff in key positions have complete WORKS evaluations to assist with the rated license reassessment process. Reminders You must schedule and obtain an approved fire inspection by December 18, 2024, and submit a copy within one week as required. You must also ensure a sanitation inspection is conducted by February 19, 2025. Remember to also update staff health questionnaires and emergency information forms in December as necessary, as well as complete your annual policy reviews. Some of your staff members’ criminal records qualification letters expire in December 2024. I strongly urge you to have them go ahead and submit information for requalification to avoid any delays. Remember, a valid letter must remain on file for staff to be present at your facility. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The reporting period for child care immunizations is now open. Reporting for 2024-2025 has been extended due to Hurricane Helene. Children have a grace period from requirements until November 30, 2024, and reports will be accepted until January 15, 2025. Use this link to submit your report: https://survey.alchemer.com/s3/7955242/2024-2025-Child-Care-Immunization-Report. Send any questions regarding child care immunization reporting to immunization.reports@dhhs.nc.gov. Keep an eye on your inbox for the 2024 annual license fee invoice. Invoices will be emailed to the facility addresses on file by November 30, 2024. Online payments will be due by December 31, 2024. The amount of your annual license fee is based on the licensed capacity printed on your license as of October 1, 2024, not the number of children enrolled at your facility. 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 .0901 · Violation
Name of Operation: OPENING DOORS PRESCHOOL II, INC. Facility ID: 24000141 Consultant: AMY WANGLER Operation Type: Center Case Number: Visit Date: 11/20/2024 Number Present: 78 Completed Date: 11/20/2024 Age: From 0 To 5 Total Minutes: 205 Time In: 08:50 AM Time Out: 12:15 PM 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 14, 2023, earning 7 points in Education, 6 points in Program Standards, and 1 Quality Point. Restrictions on the permit include: a first shift capacity of 198 children 0-12 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 corporation which owns the facility, Opening Doors Preschool II, Inc., was verified as current and active with the NC Secretary of State’s Office on November 13, 2024. The last annual compliance visit was conducted December 5, 2023. A Superior sanitation rating was earned February 19, 2024, and a fire inspection was conducted December 18, 2023; the facility was approved for day time care only. Prior to the visit, the facility had an eighteen-month compliance history score of 89%. Owner/administrator R. Creech and Director/Program Coordinator C. Creech were present and available for consultation during the visit. Seven indoor and three outdoor spaces are approved for use by children; Space #4 is separated into two distinct spaces using furniture. Infants were observed in individual feeding routines and play activities including using stacking bowls and looking at books. Safe sleep practices including documentation were monitored and in compliance. Children one year of age participated in free choice activities including using shape sorters and reading books with staff members. Children two years of age were observed dressing up and working with manipulatives. Children three years of age were observed doing puzzles, coloring, playing doctor and building towers with connecting blocks. Preschool children enrolled in Spaces #4a and 4b were observed on one of the fenced in playgrounds engaged in gross motor activities including riding tricycles and using the climber. Lunch served consisted of cheese flatbreads, cucumbers, peaches and milk. After lunch, children one through five years of age rested on appropriately spaced cots with individual linens. Lights were dimmed and soft music played. Health and Safety training requirements as outlined in Child Care Rule 10A NCAC 09 .1102 were monitored and in compliance today. NC Pre-K Site Monitoring Spaces #4b and 5 are operated as NC Pre-K classrooms. The NC Pre-K requirements in Section .3000 of the Child Care Rules were monitored for compliance today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Children in this program attend from 7:30am-2:30pm, meeting the instructional day requirement of 6.5 hours. This NC Pre-K program uses Creative Curriculum, Ages and Stages Developmental screening, and Teaching Strategies GOLD for their ongoing assessments. Developmental screenings and health assessments including vision, hearing, and dental screenings were on file for all NC Pre-K children’s files reviewed. Evidence of on-going assessments was observed in children’s portfolios and on Teaching Strategies progress reports. NC Pre-K staff information was verified in the NC Pre-K Plan and all staff members meet requirements for qualifications, or have been approved by the contracting agency as substitutes. The Early Childhood Environment Rating Scale-Revised (ECERS-R) score received on 2-6-2023 was 5.53. A Site Monitoring visit has not yet been conducted by Columbus County Schools, the contracting agency, however the tool submitted September 30, 2024 was reviewed today and items needing corrective action were not noted. 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 and corrected during the visit: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The facility's previous sanitation inspection was conducted January 20, 2023 and the next one was not conducted until February 19, 2024, more than 12 months later. 10A NCAC 09 .0304(b) 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The facility's previous fire inspection was obtained December 8, 2022 and the next one was not obtained until December 18, 2023, more than 12 months later. 10A NCAC 09 .0304(a) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A McDonald's cup of iced coffee was observed in Space #1 and two bottles of Sun Drop were observed in Space #2. .0901(i) A compliance letter is not due as all violations observed were corrected during the visit. Technical Assistance Regarding Violations Cited For the health and safety of the children and staff, fire and sanitation inspections must be conducted annually. Today you stated you tried to request your inspections early but they were still not conducted on time. Moving forward, I urged you to request inspections one to two months ahead of time to ensure timely completion. If you need assistance with your inspection requests in the future, please let me know. Child Care Rule 10A NCAC 09 .0901(j) states that staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in this Rule in the presence of children in care. Sodas or coffee drinks that staff might consume do not follow these requirements and should not be consumed in the classroom or in the presence of children. Today you removed these beverages from the classrooms and stated you would remind staff to store them in the lounge or kitchen for consumption on breaks only moving forward. Technical Assistance Technical assistance was also provided today regarding posting infant feeding plans for easy reference in Space #3. I suggested you hang sheet protectors on the wall in such a way that the second page of each child’s plan may be easily seen by all caregivers. This will assist staff in being able to quickly determine what types of foods should be served to each child. I also advised you to ensure all medication permission forms are filled out completely. If parents write “as needed,” they need to also write the signs or symptoms for staff to look for if the medication may be needed. We reviewed a permission form together and discussed that parents may need to be reminded to use the “other” sections to write more detailed instructions for administration. Rated License Information Today I shared with you that the “hold harmless” state of rated license reassessments has been extended until the new Quality Rating Improvement System (QRIS) standards are put in place. This means that you will not be required to have a reassessment according to timelines previously discussed, and when your reassessment is due you will have options to choose from regarding how your star level is earned. When more information becomes available about the new QRIS standards, I may assist you in determining which option is best for your program. Please note any Infant Toddler Environment Rating Scales (ITERS) or Early Childhood Environment Rating Scales (ECERS) assessments conducted after February 1, 2025 will be the third editions, or the “3s.” The School Age Care Environment Rating Scales will continue to be used in school age classrooms. You may find more information regarding the third editions including training materials and how to purchase at https://ncrlap.org/Resources/pages/get-ready-for-3s/. Regarding education standards, when new QRIS rules are implemented, education requirements will be different, but it is still critical that all staff in key positions have complete WORKS evaluations to assist with the rated license reassessment process. Reminders You must schedule and obtain an approved fire inspection by December 18, 2024, and submit a copy within one week as required. You must also ensure a sanitation inspection is conducted by February 19, 2025. Remember to also update staff health questionnaires and emergency information forms in December as necessary, as well as complete your annual policy reviews. Some of your staff members’ criminal records qualification letters expire in December 2024. I strongly urge you to have them go ahead and submit information for requalification to avoid any delays. Remember, a valid letter must remain on file for staff to be present at your facility. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The reporting period for child care immunizations is now open. Reporting for 2024-2025 has been extended due to Hurricane Helene. Children have a grace period from requirements until November 30, 2024, and reports will be accepted until January 15, 2025. Use this link to submit your report: https://survey.alchemer.com/s3/7955242/2024-2025-Child-Care-Immunization-Report. Send any questions regarding child care immunization reporting to immunization.reports@dhhs.nc.gov. Keep an eye on your inbox for the 2024 annual license fee invoice. Invoices will be emailed to the facility addresses on file by November 30, 2024. Online payments will be due by December 31, 2024. The amount of your annual license fee is based on the licensed capacity printed on your license as of October 1, 2024, not the number of children enrolled at your facility. 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: OPENING DOORS PRESCHOOL II, INC. Facility ID: 24000141 Consultant: AMY WANGLER Operation Type: Center Case Number: Visit Date: 11/20/2024 Number Present: 78 Completed Date: 11/20/2024 Age: From 0 To 5 Total Minutes: 205 Time In: 08:50 AM Time Out: 12:15 PM 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 14, 2023, earning 7 points in Education, 6 points in Program Standards, and 1 Quality Point. Restrictions on the permit include: a first shift capacity of 198 children 0-12 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 corporation which owns the facility, Opening Doors Preschool II, Inc., was verified as current and active with the NC Secretary of State’s Office on November 13, 2024. The last annual compliance visit was conducted December 5, 2023. A Superior sanitation rating was earned February 19, 2024, and a fire inspection was conducted December 18, 2023; the facility was approved for day time care only. Prior to the visit, the facility had an eighteen-month compliance history score of 89%. Owner/administrator R. Creech and Director/Program Coordinator C. Creech were present and available for consultation during the visit. Seven indoor and three outdoor spaces are approved for use by children; Space #4 is separated into two distinct spaces using furniture. Infants were observed in individual feeding routines and play activities including using stacking bowls and looking at books. Safe sleep practices including documentation were monitored and in compliance. Children one year of age participated in free choice activities including using shape sorters and reading books with staff members. Children two years of age were observed dressing up and working with manipulatives. Children three years of age were observed doing puzzles, coloring, playing doctor and building towers with connecting blocks. Preschool children enrolled in Spaces #4a and 4b were observed on one of the fenced in playgrounds engaged in gross motor activities including riding tricycles and using the climber. Lunch served consisted of cheese flatbreads, cucumbers, peaches and milk. After lunch, children one through five years of age rested on appropriately spaced cots with individual linens. Lights were dimmed and soft music played. Health and Safety training requirements as outlined in Child Care Rule 10A NCAC 09 .1102 were monitored and in compliance today. NC Pre-K Site Monitoring Spaces #4b and 5 are operated as NC Pre-K classrooms. The NC Pre-K requirements in Section .3000 of the Child Care Rules were monitored for compliance today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Children in this program attend from 7:30am-2:30pm, meeting the instructional day requirement of 6.5 hours. This NC Pre-K program uses Creative Curriculum, Ages and Stages Developmental screening, and Teaching Strategies GOLD for their ongoing assessments. Developmental screenings and health assessments including vision, hearing, and dental screenings were on file for all NC Pre-K children’s files reviewed. Evidence of on-going assessments was observed in children’s portfolios and on Teaching Strategies progress reports. NC Pre-K staff information was verified in the NC Pre-K Plan and all staff members meet requirements for qualifications, or have been approved by the contracting agency as substitutes. The Early Childhood Environment Rating Scale-Revised (ECERS-R) score received on 2-6-2023 was 5.53. A Site Monitoring visit has not yet been conducted by Columbus County Schools, the contracting agency, however the tool submitted September 30, 2024 was reviewed today and items needing corrective action were not noted. 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 and corrected during the visit: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The facility's previous sanitation inspection was conducted January 20, 2023 and the next one was not conducted until February 19, 2024, more than 12 months later. 10A NCAC 09 .0304(b) 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The facility's previous fire inspection was obtained December 8, 2022 and the next one was not obtained until December 18, 2023, more than 12 months later. 10A NCAC 09 .0304(a) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A McDonald's cup of iced coffee was observed in Space #1 and two bottles of Sun Drop were observed in Space #2. .0901(i) A compliance letter is not due as all violations observed were corrected during the visit. Technical Assistance Regarding Violations Cited For the health and safety of the children and staff, fire and sanitation inspections must be conducted annually. Today you stated you tried to request your inspections early but they were still not conducted on time. Moving forward, I urged you to request inspections one to two months ahead of time to ensure timely completion. If you need assistance with your inspection requests in the future, please let me know. Child Care Rule 10A NCAC 09 .0901(j) states that staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in this Rule in the presence of children in care. Sodas or coffee drinks that staff might consume do not follow these requirements and should not be consumed in the classroom or in the presence of children. Today you removed these beverages from the classrooms and stated you would remind staff to store them in the lounge or kitchen for consumption on breaks only moving forward. Technical Assistance Technical assistance was also provided today regarding posting infant feeding plans for easy reference in Space #3. I suggested you hang sheet protectors on the wall in such a way that the second page of each child’s plan may be easily seen by all caregivers. This will assist staff in being able to quickly determine what types of foods should be served to each child. I also advised you to ensure all medication permission forms are filled out completely. If parents write “as needed,” they need to also write the signs or symptoms for staff to look for if the medication may be needed. We reviewed a permission form together and discussed that parents may need to be reminded to use the “other” sections to write more detailed instructions for administration. Rated License Information Today I shared with you that the “hold harmless” state of rated license reassessments has been extended until the new Quality Rating Improvement System (QRIS) standards are put in place. This means that you will not be required to have a reassessment according to timelines previously discussed, and when your reassessment is due you will have options to choose from regarding how your star level is earned. When more information becomes available about the new QRIS standards, I may assist you in determining which option is best for your program. Please note any Infant Toddler Environment Rating Scales (ITERS) or Early Childhood Environment Rating Scales (ECERS) assessments conducted after February 1, 2025 will be the third editions, or the “3s.” The School Age Care Environment Rating Scales will continue to be used in school age classrooms. You may find more information regarding the third editions including training materials and how to purchase at https://ncrlap.org/Resources/pages/get-ready-for-3s/. Regarding education standards, when new QRIS rules are implemented, education requirements will be different, but it is still critical that all staff in key positions have complete WORKS evaluations to assist with the rated license reassessment process. Reminders You must schedule and obtain an approved fire inspection by December 18, 2024, and submit a copy within one week as required. You must also ensure a sanitation inspection is conducted by February 19, 2025. Remember to also update staff health questionnaires and emergency information forms in December as necessary, as well as complete your annual policy reviews. Some of your staff members’ criminal records qualification letters expire in December 2024. I strongly urge you to have them go ahead and submit information for requalification to avoid any delays. Remember, a valid letter must remain on file for staff to be present at your facility. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The reporting period for child care immunizations is now open. Reporting for 2024-2025 has been extended due to Hurricane Helene. Children have a grace period from requirements until November 30, 2024, and reports will be accepted until January 15, 2025. Use this link to submit your report: https://survey.alchemer.com/s3/7955242/2024-2025-Child-Care-Immunization-Report. Send any questions regarding child care immunization reporting to immunization.reports@dhhs.nc.gov. Keep an eye on your inbox for the 2024 annual license fee invoice. Invoices will be emailed to the facility addresses on file by November 30, 2024. Online payments will be due by December 31, 2024. The amount of your annual license fee is based on the licensed capacity printed on your license as of October 1, 2024, not the number of children enrolled at your facility. 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 .3009 · Violation
Name of Operation: OPENING DOORS PRESCHOOL II, INC. Facility ID: 24000141 Consultant: AMY WANGLER Operation Type: Center Case Number: Visit Date: 11/20/2024 Number Present: 78 Completed Date: 11/20/2024 Age: From 0 To 5 Total Minutes: 205 Time In: 08:50 AM Time Out: 12:15 PM 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 14, 2023, earning 7 points in Education, 6 points in Program Standards, and 1 Quality Point. Restrictions on the permit include: a first shift capacity of 198 children 0-12 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 corporation which owns the facility, Opening Doors Preschool II, Inc., was verified as current and active with the NC Secretary of State’s Office on November 13, 2024. The last annual compliance visit was conducted December 5, 2023. A Superior sanitation rating was earned February 19, 2024, and a fire inspection was conducted December 18, 2023; the facility was approved for day time care only. Prior to the visit, the facility had an eighteen-month compliance history score of 89%. Owner/administrator R. Creech and Director/Program Coordinator C. Creech were present and available for consultation during the visit. Seven indoor and three outdoor spaces are approved for use by children; Space #4 is separated into two distinct spaces using furniture. Infants were observed in individual feeding routines and play activities including using stacking bowls and looking at books. Safe sleep practices including documentation were monitored and in compliance. Children one year of age participated in free choice activities including using shape sorters and reading books with staff members. Children two years of age were observed dressing up and working with manipulatives. Children three years of age were observed doing puzzles, coloring, playing doctor and building towers with connecting blocks. Preschool children enrolled in Spaces #4a and 4b were observed on one of the fenced in playgrounds engaged in gross motor activities including riding tricycles and using the climber. Lunch served consisted of cheese flatbreads, cucumbers, peaches and milk. After lunch, children one through five years of age rested on appropriately spaced cots with individual linens. Lights were dimmed and soft music played. Health and Safety training requirements as outlined in Child Care Rule 10A NCAC 09 .1102 were monitored and in compliance today. NC Pre-K Site Monitoring Spaces #4b and 5 are operated as NC Pre-K classrooms. The NC Pre-K requirements in Section .3000 of the Child Care Rules were monitored for compliance today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Children in this program attend from 7:30am-2:30pm, meeting the instructional day requirement of 6.5 hours. This NC Pre-K program uses Creative Curriculum, Ages and Stages Developmental screening, and Teaching Strategies GOLD for their ongoing assessments. Developmental screenings and health assessments including vision, hearing, and dental screenings were on file for all NC Pre-K children’s files reviewed. Evidence of on-going assessments was observed in children’s portfolios and on Teaching Strategies progress reports. NC Pre-K staff information was verified in the NC Pre-K Plan and all staff members meet requirements for qualifications, or have been approved by the contracting agency as substitutes. The Early Childhood Environment Rating Scale-Revised (ECERS-R) score received on 2-6-2023 was 5.53. A Site Monitoring visit has not yet been conducted by Columbus County Schools, the contracting agency, however the tool submitted September 30, 2024 was reviewed today and items needing corrective action were not noted. 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 and corrected during the visit: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The facility's previous sanitation inspection was conducted January 20, 2023 and the next one was not conducted until February 19, 2024, more than 12 months later. 10A NCAC 09 .0304(b) 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The facility's previous fire inspection was obtained December 8, 2022 and the next one was not obtained until December 18, 2023, more than 12 months later. 10A NCAC 09 .0304(a) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A McDonald's cup of iced coffee was observed in Space #1 and two bottles of Sun Drop were observed in Space #2. .0901(i) A compliance letter is not due as all violations observed were corrected during the visit. Technical Assistance Regarding Violations Cited For the health and safety of the children and staff, fire and sanitation inspections must be conducted annually. Today you stated you tried to request your inspections early but they were still not conducted on time. Moving forward, I urged you to request inspections one to two months ahead of time to ensure timely completion. If you need assistance with your inspection requests in the future, please let me know. Child Care Rule 10A NCAC 09 .0901(j) states that staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in this Rule in the presence of children in care. Sodas or coffee drinks that staff might consume do not follow these requirements and should not be consumed in the classroom or in the presence of children. Today you removed these beverages from the classrooms and stated you would remind staff to store them in the lounge or kitchen for consumption on breaks only moving forward. Technical Assistance Technical assistance was also provided today regarding posting infant feeding plans for easy reference in Space #3. I suggested you hang sheet protectors on the wall in such a way that the second page of each child’s plan may be easily seen by all caregivers. This will assist staff in being able to quickly determine what types of foods should be served to each child. I also advised you to ensure all medication permission forms are filled out completely. If parents write “as needed,” they need to also write the signs or symptoms for staff to look for if the medication may be needed. We reviewed a permission form together and discussed that parents may need to be reminded to use the “other” sections to write more detailed instructions for administration. Rated License Information Today I shared with you that the “hold harmless” state of rated license reassessments has been extended until the new Quality Rating Improvement System (QRIS) standards are put in place. This means that you will not be required to have a reassessment according to timelines previously discussed, and when your reassessment is due you will have options to choose from regarding how your star level is earned. When more information becomes available about the new QRIS standards, I may assist you in determining which option is best for your program. Please note any Infant Toddler Environment Rating Scales (ITERS) or Early Childhood Environment Rating Scales (ECERS) assessments conducted after February 1, 2025 will be the third editions, or the “3s.” The School Age Care Environment Rating Scales will continue to be used in school age classrooms. You may find more information regarding the third editions including training materials and how to purchase at https://ncrlap.org/Resources/pages/get-ready-for-3s/. Regarding education standards, when new QRIS rules are implemented, education requirements will be different, but it is still critical that all staff in key positions have complete WORKS evaluations to assist with the rated license reassessment process. Reminders You must schedule and obtain an approved fire inspection by December 18, 2024, and submit a copy within one week as required. You must also ensure a sanitation inspection is conducted by February 19, 2025. Remember to also update staff health questionnaires and emergency information forms in December as necessary, as well as complete your annual policy reviews. Some of your staff members’ criminal records qualification letters expire in December 2024. I strongly urge you to have them go ahead and submit information for requalification to avoid any delays. Remember, a valid letter must remain on file for staff to be present at your facility. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The reporting period for child care immunizations is now open. Reporting for 2024-2025 has been extended due to Hurricane Helene. Children have a grace period from requirements until November 30, 2024, and reports will be accepted until January 15, 2025. Use this link to submit your report: https://survey.alchemer.com/s3/7955242/2024-2025-Child-Care-Immunization-Report. Send any questions regarding child care immunization reporting to immunization.reports@dhhs.nc.gov. Keep an eye on your inbox for the 2024 annual license fee invoice. Invoices will be emailed to the facility addresses on file by November 30, 2024. Online payments will be due by December 31, 2024. The amount of your annual license fee is based on the licensed capacity printed on your license as of October 1, 2024, not the number of children enrolled at your facility. 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: OPENING DOORS PRESCHOOL II, INC. Facility ID: 24000141 Consultant: AMY WANGLER Operation Type: Center Case Number: Visit Date: 11/20/2024 Number Present: 78 Completed Date: 11/20/2024 Age: From 0 To 5 Total Minutes: 205 Time In: 08:50 AM Time Out: 12:15 PM 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 14, 2023, earning 7 points in Education, 6 points in Program Standards, and 1 Quality Point. Restrictions on the permit include: a first shift capacity of 198 children 0-12 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 corporation which owns the facility, Opening Doors Preschool II, Inc., was verified as current and active with the NC Secretary of State’s Office on November 13, 2024. The last annual compliance visit was conducted December 5, 2023. A Superior sanitation rating was earned February 19, 2024, and a fire inspection was conducted December 18, 2023; the facility was approved for day time care only. Prior to the visit, the facility had an eighteen-month compliance history score of 89%. Owner/administrator R. Creech and Director/Program Coordinator C. Creech were present and available for consultation during the visit. Seven indoor and three outdoor spaces are approved for use by children; Space #4 is separated into two distinct spaces using furniture. Infants were observed in individual feeding routines and play activities including using stacking bowls and looking at books. Safe sleep practices including documentation were monitored and in compliance. Children one year of age participated in free choice activities including using shape sorters and reading books with staff members. Children two years of age were observed dressing up and working with manipulatives. Children three years of age were observed doing puzzles, coloring, playing doctor and building towers with connecting blocks. Preschool children enrolled in Spaces #4a and 4b were observed on one of the fenced in playgrounds engaged in gross motor activities including riding tricycles and using the climber. Lunch served consisted of cheese flatbreads, cucumbers, peaches and milk. After lunch, children one through five years of age rested on appropriately spaced cots with individual linens. Lights were dimmed and soft music played. Health and Safety training requirements as outlined in Child Care Rule 10A NCAC 09 .1102 were monitored and in compliance today. NC Pre-K Site Monitoring Spaces #4b and 5 are operated as NC Pre-K classrooms. The NC Pre-K requirements in Section .3000 of the Child Care Rules were monitored for compliance today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Children in this program attend from 7:30am-2:30pm, meeting the instructional day requirement of 6.5 hours. This NC Pre-K program uses Creative Curriculum, Ages and Stages Developmental screening, and Teaching Strategies GOLD for their ongoing assessments. Developmental screenings and health assessments including vision, hearing, and dental screenings were on file for all NC Pre-K children’s files reviewed. Evidence of on-going assessments was observed in children’s portfolios and on Teaching Strategies progress reports. NC Pre-K staff information was verified in the NC Pre-K Plan and all staff members meet requirements for qualifications, or have been approved by the contracting agency as substitutes. The Early Childhood Environment Rating Scale-Revised (ECERS-R) score received on 2-6-2023 was 5.53. A Site Monitoring visit has not yet been conducted by Columbus County Schools, the contracting agency, however the tool submitted September 30, 2024 was reviewed today and items needing corrective action were not noted. 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 and corrected during the visit: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The facility's previous sanitation inspection was conducted January 20, 2023 and the next one was not conducted until February 19, 2024, more than 12 months later. 10A NCAC 09 .0304(b) 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The facility's previous fire inspection was obtained December 8, 2022 and the next one was not obtained until December 18, 2023, more than 12 months later. 10A NCAC 09 .0304(a) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A McDonald's cup of iced coffee was observed in Space #1 and two bottles of Sun Drop were observed in Space #2. .0901(i) A compliance letter is not due as all violations observed were corrected during the visit. Technical Assistance Regarding Violations Cited For the health and safety of the children and staff, fire and sanitation inspections must be conducted annually. Today you stated you tried to request your inspections early but they were still not conducted on time. Moving forward, I urged you to request inspections one to two months ahead of time to ensure timely completion. If you need assistance with your inspection requests in the future, please let me know. Child Care Rule 10A NCAC 09 .0901(j) states that staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in this Rule in the presence of children in care. Sodas or coffee drinks that staff might consume do not follow these requirements and should not be consumed in the classroom or in the presence of children. Today you removed these beverages from the classrooms and stated you would remind staff to store them in the lounge or kitchen for consumption on breaks only moving forward. Technical Assistance Technical assistance was also provided today regarding posting infant feeding plans for easy reference in Space #3. I suggested you hang sheet protectors on the wall in such a way that the second page of each child’s plan may be easily seen by all caregivers. This will assist staff in being able to quickly determine what types of foods should be served to each child. I also advised you to ensure all medication permission forms are filled out completely. If parents write “as needed,” they need to also write the signs or symptoms for staff to look for if the medication may be needed. We reviewed a permission form together and discussed that parents may need to be reminded to use the “other” sections to write more detailed instructions for administration. Rated License Information Today I shared with you that the “hold harmless” state of rated license reassessments has been extended until the new Quality Rating Improvement System (QRIS) standards are put in place. This means that you will not be required to have a reassessment according to timelines previously discussed, and when your reassessment is due you will have options to choose from regarding how your star level is earned. When more information becomes available about the new QRIS standards, I may assist you in determining which option is best for your program. Please note any Infant Toddler Environment Rating Scales (ITERS) or Early Childhood Environment Rating Scales (ECERS) assessments conducted after February 1, 2025 will be the third editions, or the “3s.” The School Age Care Environment Rating Scales will continue to be used in school age classrooms. You may find more information regarding the third editions including training materials and how to purchase at https://ncrlap.org/Resources/pages/get-ready-for-3s/. Regarding education standards, when new QRIS rules are implemented, education requirements will be different, but it is still critical that all staff in key positions have complete WORKS evaluations to assist with the rated license reassessment process. Reminders You must schedule and obtain an approved fire inspection by December 18, 2024, and submit a copy within one week as required. You must also ensure a sanitation inspection is conducted by February 19, 2025. Remember to also update staff health questionnaires and emergency information forms in December as necessary, as well as complete your annual policy reviews. Some of your staff members’ criminal records qualification letters expire in December 2024. I strongly urge you to have them go ahead and submit information for requalification to avoid any delays. Remember, a valid letter must remain on file for staff to be present at your facility. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The reporting period for child care immunizations is now open. Reporting for 2024-2025 has been extended due to Hurricane Helene. Children have a grace period from requirements until November 30, 2024, and reports will be accepted until January 15, 2025. Use this link to submit your report: https://survey.alchemer.com/s3/7955242/2024-2025-Child-Care-Immunization-Report. Send any questions regarding child care immunization reporting to immunization.reports@dhhs.nc.gov. Keep an eye on your inbox for the 2024 annual license fee invoice. Invoices will be emailed to the facility addresses on file by November 30, 2024. Online payments will be due by December 31, 2024. The amount of your annual license fee is based on the licensed capacity printed on your license as of October 1, 2024, not the number of children enrolled at your facility. 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: OPENING DOORS PRESCHOOL II, INC. Facility ID: 24000141 Consultant: AMY WANGLER Operation Type: Center Case Number: Visit Date: 12/5/2023 Number Present: 51 Completed Date: 12/5/2023 Age: From 0 To 5 Total Minutes: 225 Time In: 09:00 AM Time Out: 12:45 PM 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 14, 2023, earning 7 points in Education, 6 points in Program Standards, and 1 Quality Point. Restrictions on the permit include: a first shift capacity of 198 children 0-12 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 corporation which owns the facility, Opening Doors Preschool II, Inc., was verified as current and active with the NC Secretary of State’s Office on December 4, 2023. The last annual compliance visit was conducted December 8, 2023. A Superior sanitation rating was earned January 20, 2023, and a fire inspection was conducted December 8, 2022; the facility was approved for day time care only. Prior to the visit, the facility had an eighteen-month compliance history score of 88%. Owner/administrator R. Creech and Director/Program Coordinator C. Creech were present and available for consultation during the visit. Licensing Supervisor Lynette Robbins was also present and assisted with the visit today. Seven indoor and three outdoor spaces are approved for use by children; Space #4 is separated into two distinct spaces using furniture, and only Space #4b is in use. Infants were observed in individual diaper changing routines and play activities. Safe sleep practices including documentation were monitored and in compliance. Children one year of age participated in free choice activities including playing with instruments and dramatic play materials. Children two years of age were observed building with blocks and looking at books with their caregiver. Children three years of age were observed transitioning from a circle time activity to a group activity at the tables. Preschool children in Space #4b were engaged in free choice activities including playing with dolls in the dramatic play center and working with puzzles. Preschool children in Space #5 were also engaged in free choice activities, building ramps and buildings in the block center and making Christmas trees with large pieces of green paper, sequins and glue. Lunch served consisted of spaghetti noodles with tomato sauce and cheese, cucumbers, carrots, peaches and milk. After lunch, children one through five years of age rested on appropriately spaced cots with individual linens. Lights were dimmed and soft music played. Health and Safety training requirements as outlined in Child Care Rule 10A NCAC 09 .1102 were monitored today. NC Pre-K Site Monitoring Spaces #4b and 5 are operated as NC Pre-K classrooms. The NC Pre-K requirements in Section .3000 of the Child Care Rules were monitored for compliance today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Children in this program attend from 7:30am-2:30pm, meeting the instructional day requirement of 6.5 hours. This NC Pre-K program uses Creative Curriculum, Ages and Stages Developmental screening, and Teaching Strategies GOLD for their ongoing assessments. Developmental screenings and health assessments including vision, hearing, and dental screenings were on file for all NC Pre-K children’s files reviewed. Evidence of on-going assessments was observed in children’s portfolios and on Teaching Strategies progress reports. NC Pre-K staff information was verified in the NC Pre-K Plan and all staff members meet requirements for qualifications, or have been approved by the contracting agency as substitutes. The Early Childhood Environment Rating Scale-Revised (ECERS-R) score received on 2-6-2023 was 5.53. A Site Monitoring visit has not yet been conducted by Columbus County Schools, the contracting agency, however the tool submitted was reviewed today and items needing corrective action were not noted. 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 and must be corrected immediately: 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. An aerosol spray bottle of air freshener was observed unlocked in Space #5. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A diaper cream with authorization which expired December 2, 2023 was observed in Space #1. .0803(12) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A child being treated by a rheumatologist for a chronic condition requiring pain medication did not have a medical action plan on file. .0801(b) 1898 Staff did not complete the health and safety training within one year of employment. Three staff members employed more than one year have not yet completed all required health and safety training topics. .1102(a) A compliance letter including detailed information about how all violations have been corrected must be received by December 19, 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 For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services during his or her time in child care, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional. As discussed today, even though E. Layton may not have been given an exact diagnosis yet, the fact that she is receiving treatment for a chronic condition indicates that a medical action plan is required. I advised you to give her parent/guardian a blank Child Medical Action Plan from the DCDEE website and ensure it is on file prior to administering any more Motrin. You must also ensure the medication authorization form is filled out correctly with dates of authorization and criteria (day, time and/or symptoms) for administering medication. Remember to send a copy of the completed action plan with your compliance letter. You must remind all staff to check the medication lists in the classrooms on a weekly basis so they may ensure medications with expired authorizations are sent home or reauthorized prior to administering again. You may need to check behind staff on a regular basis to ensure compliance. Staff members T. Taylor, B. McPherson and T. Graves must complete the Medication Administration Training in order to complete all the required Health and Safety trainings. Today you stated this topic was missed due to the training being on a different page in Moodle. During the visit, you were able to locate this training modules, and we discussed ensuring all topics have dates on the Health and Safety Training Record prior to putting a completion date on the Staff and Training Worksheet. You may need to audit all staff files to ensure this module has been completed by everyone who has been employed at least one year. Remember to send training certificates with your compliance letter. Technical Assistance Technical assistance was provided today regarding self-reporting violations of child care requirements, especially more serious ones including supervision and staff/child ratio violations. As discussed, not only is it important to document incidents and counsel or discipline responsible staff members, but it is helpful to report to our agency so a proper investigation may be conducted. When violations are self-reported, it also shows that facility administration is being transparent and proactive in correcting violations. You may always call 1-800-859-0829 and ask for the Intake department to make a report. Technical assistance was also provided today regarding transitions and free choice activities. As discussed, it is best practice for children to not have to wait more than three minutes with nothing to do. Reducing wait time may assist in preventing challenging behaviors and help with overall classroom management. I encouraged you to conduct observations and have conversations with staff members in Space #6 regarding how to divide duties and communicate with each other so that children do not have to wait for activities to be prepared. When wait time is necessary, remind staff to engage children in activities such as songs and finger plays while they wait. Regarding free choice activities, we discussed allowing children to remain in centers for the amount of time that they choose rather than requiring them to change activities every fifteen minutes. Part of “free choice” is letting children choose where they play and how long they play; limiting time in centers to fifteen minutes may not allow children to fully engage in the activities and develop skills learned through play in each area. Technical assistance was also provided in Space #2 regarding accessible art materials. As discussed, the Infant Toddler Environment Rating Scale-Revised (ITERS-R) item regarding art requires that some materials be accessible to children one year of age daily, and other materials offered as an activity at least weekly. I encouraged you today to leave some safe materials such as large crayons and paper or large collage materials out where children can reach and choose as a free choice activity, then you can gradually add more items as children become more comfortable. Keeping items out of children’s reach ultimately does not help them learn how to properly and safely use items; you may need to provide close supervision and instruction, and use frequent redirection, until children are able to use materials safely. Rated License Information Your facility’s three-year rated license reassessment was voluntarily conducted in March 2023, therefore you have been placed in “Cohort 3” of the cohort model of resuming rated license reassessments. This means your planning/preparation year will be 7/1/25-6/30/26, and your next reassessment will be due between 7/1/26 and 6/30/27. As you typically have the Environment Rating Scales (ERS) conducted, we discussed that you will have the option to request an ERS assessment during your planning year if you wish, or you may wait until your reassessment year. In the meantime, I encourage you to use resources such as the NCRLAP website, Columbus County Partnership for Children, and Region 4 CCR&R to prepare for your reassessment. I will be in touch regarding timelines as your planning year approaches. Information from DCDEE WORKS was reviewed with you and noted on the Staff and Training Worksheet today. Regarding Education standards, it appears you are maintaining compliance pending evaluation of one new lead teacher. L. Creech must complete WORKS registration, and T. Taylor must register for a WORKS account. Please let me know if you need assistance with the WORKS portal. Reminders You must schedule and obtain an approved fire inspection by December 8, 2023, and submit a copy within one week as required. You must also ensure a sanitation inspection is conducted by January 20, 2024. Remember to also update staff health questionnaires and emergency information forms in December as necessary. Invoices for annual licensing fees were emailed on December 1, 2023. Payment must be made online by December 31, 2023. Failure to pay the license fee is a violation of North Carolina General Statute § 110-90(1a) and will result in a penalty assessment, accrued interest, and issuance of an administrative action, up to and including revocation of your child care license. No partial payments will be accepted, and no payment plans will be established. Please retain your invoice as you will need the number to make your payment. 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: supervision. Open / not marked corrected.
10A NCAC 09 .3009 · Violation
Name of Operation: OPENING DOORS PRESCHOOL II, INC. Facility ID: 24000141 Consultant: AMY WANGLER Operation Type: Center Case Number: Visit Date: 12/5/2023 Number Present: 51 Completed Date: 12/5/2023 Age: From 0 To 5 Total Minutes: 225 Time In: 09:00 AM Time Out: 12:45 PM 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 14, 2023, earning 7 points in Education, 6 points in Program Standards, and 1 Quality Point. Restrictions on the permit include: a first shift capacity of 198 children 0-12 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 corporation which owns the facility, Opening Doors Preschool II, Inc., was verified as current and active with the NC Secretary of State’s Office on December 4, 2023. The last annual compliance visit was conducted December 8, 2023. A Superior sanitation rating was earned January 20, 2023, and a fire inspection was conducted December 8, 2022; the facility was approved for day time care only. Prior to the visit, the facility had an eighteen-month compliance history score of 88%. Owner/administrator R. Creech and Director/Program Coordinator C. Creech were present and available for consultation during the visit. Licensing Supervisor Lynette Robbins was also present and assisted with the visit today. Seven indoor and three outdoor spaces are approved for use by children; Space #4 is separated into two distinct spaces using furniture, and only Space #4b is in use. Infants were observed in individual diaper changing routines and play activities. Safe sleep practices including documentation were monitored and in compliance. Children one year of age participated in free choice activities including playing with instruments and dramatic play materials. Children two years of age were observed building with blocks and looking at books with their caregiver. Children three years of age were observed transitioning from a circle time activity to a group activity at the tables. Preschool children in Space #4b were engaged in free choice activities including playing with dolls in the dramatic play center and working with puzzles. Preschool children in Space #5 were also engaged in free choice activities, building ramps and buildings in the block center and making Christmas trees with large pieces of green paper, sequins and glue. Lunch served consisted of spaghetti noodles with tomato sauce and cheese, cucumbers, carrots, peaches and milk. After lunch, children one through five years of age rested on appropriately spaced cots with individual linens. Lights were dimmed and soft music played. Health and Safety training requirements as outlined in Child Care Rule 10A NCAC 09 .1102 were monitored today. NC Pre-K Site Monitoring Spaces #4b and 5 are operated as NC Pre-K classrooms. The NC Pre-K requirements in Section .3000 of the Child Care Rules were monitored for compliance today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Children in this program attend from 7:30am-2:30pm, meeting the instructional day requirement of 6.5 hours. This NC Pre-K program uses Creative Curriculum, Ages and Stages Developmental screening, and Teaching Strategies GOLD for their ongoing assessments. Developmental screenings and health assessments including vision, hearing, and dental screenings were on file for all NC Pre-K children’s files reviewed. Evidence of on-going assessments was observed in children’s portfolios and on Teaching Strategies progress reports. NC Pre-K staff information was verified in the NC Pre-K Plan and all staff members meet requirements for qualifications, or have been approved by the contracting agency as substitutes. The Early Childhood Environment Rating Scale-Revised (ECERS-R) score received on 2-6-2023 was 5.53. A Site Monitoring visit has not yet been conducted by Columbus County Schools, the contracting agency, however the tool submitted was reviewed today and items needing corrective action were not noted. 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 and must be corrected immediately: 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. An aerosol spray bottle of air freshener was observed unlocked in Space #5. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A diaper cream with authorization which expired December 2, 2023 was observed in Space #1. .0803(12) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A child being treated by a rheumatologist for a chronic condition requiring pain medication did not have a medical action plan on file. .0801(b) 1898 Staff did not complete the health and safety training within one year of employment. Three staff members employed more than one year have not yet completed all required health and safety training topics. .1102(a) A compliance letter including detailed information about how all violations have been corrected must be received by December 19, 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 For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services during his or her time in child care, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional. As discussed today, even though E. Layton may not have been given an exact diagnosis yet, the fact that she is receiving treatment for a chronic condition indicates that a medical action plan is required. I advised you to give her parent/guardian a blank Child Medical Action Plan from the DCDEE website and ensure it is on file prior to administering any more Motrin. You must also ensure the medication authorization form is filled out correctly with dates of authorization and criteria (day, time and/or symptoms) for administering medication. Remember to send a copy of the completed action plan with your compliance letter. You must remind all staff to check the medication lists in the classrooms on a weekly basis so they may ensure medications with expired authorizations are sent home or reauthorized prior to administering again. You may need to check behind staff on a regular basis to ensure compliance. Staff members T. Taylor, B. McPherson and T. Graves must complete the Medication Administration Training in order to complete all the required Health and Safety trainings. Today you stated this topic was missed due to the training being on a different page in Moodle. During the visit, you were able to locate this training modules, and we discussed ensuring all topics have dates on the Health and Safety Training Record prior to putting a completion date on the Staff and Training Worksheet. You may need to audit all staff files to ensure this module has been completed by everyone who has been employed at least one year. Remember to send training certificates with your compliance letter. Technical Assistance Technical assistance was provided today regarding self-reporting violations of child care requirements, especially more serious ones including supervision and staff/child ratio violations. As discussed, not only is it important to document incidents and counsel or discipline responsible staff members, but it is helpful to report to our agency so a proper investigation may be conducted. When violations are self-reported, it also shows that facility administration is being transparent and proactive in correcting violations. You may always call 1-800-859-0829 and ask for the Intake department to make a report. Technical assistance was also provided today regarding transitions and free choice activities. As discussed, it is best practice for children to not have to wait more than three minutes with nothing to do. Reducing wait time may assist in preventing challenging behaviors and help with overall classroom management. I encouraged you to conduct observations and have conversations with staff members in Space #6 regarding how to divide duties and communicate with each other so that children do not have to wait for activities to be prepared. When wait time is necessary, remind staff to engage children in activities such as songs and finger plays while they wait. Regarding free choice activities, we discussed allowing children to remain in centers for the amount of time that they choose rather than requiring them to change activities every fifteen minutes. Part of “free choice” is letting children choose where they play and how long they play; limiting time in centers to fifteen minutes may not allow children to fully engage in the activities and develop skills learned through play in each area. Technical assistance was also provided in Space #2 regarding accessible art materials. As discussed, the Infant Toddler Environment Rating Scale-Revised (ITERS-R) item regarding art requires that some materials be accessible to children one year of age daily, and other materials offered as an activity at least weekly. I encouraged you today to leave some safe materials such as large crayons and paper or large collage materials out where children can reach and choose as a free choice activity, then you can gradually add more items as children become more comfortable. Keeping items out of children’s reach ultimately does not help them learn how to properly and safely use items; you may need to provide close supervision and instruction, and use frequent redirection, until children are able to use materials safely. Rated License Information Your facility’s three-year rated license reassessment was voluntarily conducted in March 2023, therefore you have been placed in “Cohort 3” of the cohort model of resuming rated license reassessments. This means your planning/preparation year will be 7/1/25-6/30/26, and your next reassessment will be due between 7/1/26 and 6/30/27. As you typically have the Environment Rating Scales (ERS) conducted, we discussed that you will have the option to request an ERS assessment during your planning year if you wish, or you may wait until your reassessment year. In the meantime, I encourage you to use resources such as the NCRLAP website, Columbus County Partnership for Children, and Region 4 CCR&R to prepare for your reassessment. I will be in touch regarding timelines as your planning year approaches. Information from DCDEE WORKS was reviewed with you and noted on the Staff and Training Worksheet today. Regarding Education standards, it appears you are maintaining compliance pending evaluation of one new lead teacher. L. Creech must complete WORKS registration, and T. Taylor must register for a WORKS account. Please let me know if you need assistance with the WORKS portal. Reminders You must schedule and obtain an approved fire inspection by December 8, 2023, and submit a copy within one week as required. You must also ensure a sanitation inspection is conducted by January 20, 2024. Remember to also update staff health questionnaires and emergency information forms in December as necessary. Invoices for annual licensing fees were emailed on December 1, 2023. Payment must be made online by December 31, 2023. Failure to pay the license fee is a violation of North Carolina General Statute § 110-90(1a) and will result in a penalty assessment, accrued interest, and issuance of an administrative action, up to and including revocation of your child care license. No partial payments will be accepted, and no payment plans will be established. Please retain your invoice as you will need the number to make your payment. 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
NC GS 110-90 · Violation
Name of Operation: OPENING DOORS PRESCHOOL II, INC. Facility ID: 24000141 Consultant: AMY WANGLER Operation Type: Center Case Number: Visit Date: 12/5/2023 Number Present: 51 Completed Date: 12/5/2023 Age: From 0 To 5 Total Minutes: 225 Time In: 09:00 AM Time Out: 12:45 PM 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 14, 2023, earning 7 points in Education, 6 points in Program Standards, and 1 Quality Point. Restrictions on the permit include: a first shift capacity of 198 children 0-12 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 corporation which owns the facility, Opening Doors Preschool II, Inc., was verified as current and active with the NC Secretary of State’s Office on December 4, 2023. The last annual compliance visit was conducted December 8, 2023. A Superior sanitation rating was earned January 20, 2023, and a fire inspection was conducted December 8, 2022; the facility was approved for day time care only. Prior to the visit, the facility had an eighteen-month compliance history score of 88%. Owner/administrator R. Creech and Director/Program Coordinator C. Creech were present and available for consultation during the visit. Licensing Supervisor Lynette Robbins was also present and assisted with the visit today. Seven indoor and three outdoor spaces are approved for use by children; Space #4 is separated into two distinct spaces using furniture, and only Space #4b is in use. Infants were observed in individual diaper changing routines and play activities. Safe sleep practices including documentation were monitored and in compliance. Children one year of age participated in free choice activities including playing with instruments and dramatic play materials. Children two years of age were observed building with blocks and looking at books with their caregiver. Children three years of age were observed transitioning from a circle time activity to a group activity at the tables. Preschool children in Space #4b were engaged in free choice activities including playing with dolls in the dramatic play center and working with puzzles. Preschool children in Space #5 were also engaged in free choice activities, building ramps and buildings in the block center and making Christmas trees with large pieces of green paper, sequins and glue. Lunch served consisted of spaghetti noodles with tomato sauce and cheese, cucumbers, carrots, peaches and milk. After lunch, children one through five years of age rested on appropriately spaced cots with individual linens. Lights were dimmed and soft music played. Health and Safety training requirements as outlined in Child Care Rule 10A NCAC 09 .1102 were monitored today. NC Pre-K Site Monitoring Spaces #4b and 5 are operated as NC Pre-K classrooms. The NC Pre-K requirements in Section .3000 of the Child Care Rules were monitored for compliance today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Children in this program attend from 7:30am-2:30pm, meeting the instructional day requirement of 6.5 hours. This NC Pre-K program uses Creative Curriculum, Ages and Stages Developmental screening, and Teaching Strategies GOLD for their ongoing assessments. Developmental screenings and health assessments including vision, hearing, and dental screenings were on file for all NC Pre-K children’s files reviewed. Evidence of on-going assessments was observed in children’s portfolios and on Teaching Strategies progress reports. NC Pre-K staff information was verified in the NC Pre-K Plan and all staff members meet requirements for qualifications, or have been approved by the contracting agency as substitutes. The Early Childhood Environment Rating Scale-Revised (ECERS-R) score received on 2-6-2023 was 5.53. A Site Monitoring visit has not yet been conducted by Columbus County Schools, the contracting agency, however the tool submitted was reviewed today and items needing corrective action were not noted. 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 and must be corrected immediately: 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. An aerosol spray bottle of air freshener was observed unlocked in Space #5. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A diaper cream with authorization which expired December 2, 2023 was observed in Space #1. .0803(12) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A child being treated by a rheumatologist for a chronic condition requiring pain medication did not have a medical action plan on file. .0801(b) 1898 Staff did not complete the health and safety training within one year of employment. Three staff members employed more than one year have not yet completed all required health and safety training topics. .1102(a) A compliance letter including detailed information about how all violations have been corrected must be received by December 19, 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 For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services during his or her time in child care, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional. As discussed today, even though E. Layton may not have been given an exact diagnosis yet, the fact that she is receiving treatment for a chronic condition indicates that a medical action plan is required. I advised you to give her parent/guardian a blank Child Medical Action Plan from the DCDEE website and ensure it is on file prior to administering any more Motrin. You must also ensure the medication authorization form is filled out correctly with dates of authorization and criteria (day, time and/or symptoms) for administering medication. Remember to send a copy of the completed action plan with your compliance letter. You must remind all staff to check the medication lists in the classrooms on a weekly basis so they may ensure medications with expired authorizations are sent home or reauthorized prior to administering again. You may need to check behind staff on a regular basis to ensure compliance. Staff members T. Taylor, B. McPherson and T. Graves must complete the Medication Administration Training in order to complete all the required Health and Safety trainings. Today you stated this topic was missed due to the training being on a different page in Moodle. During the visit, you were able to locate this training modules, and we discussed ensuring all topics have dates on the Health and Safety Training Record prior to putting a completion date on the Staff and Training Worksheet. You may need to audit all staff files to ensure this module has been completed by everyone who has been employed at least one year. Remember to send training certificates with your compliance letter. Technical Assistance Technical assistance was provided today regarding self-reporting violations of child care requirements, especially more serious ones including supervision and staff/child ratio violations. As discussed, not only is it important to document incidents and counsel or discipline responsible staff members, but it is helpful to report to our agency so a proper investigation may be conducted. When violations are self-reported, it also shows that facility administration is being transparent and proactive in correcting violations. You may always call 1-800-859-0829 and ask for the Intake department to make a report. Technical assistance was also provided today regarding transitions and free choice activities. As discussed, it is best practice for children to not have to wait more than three minutes with nothing to do. Reducing wait time may assist in preventing challenging behaviors and help with overall classroom management. I encouraged you to conduct observations and have conversations with staff members in Space #6 regarding how to divide duties and communicate with each other so that children do not have to wait for activities to be prepared. When wait time is necessary, remind staff to engage children in activities such as songs and finger plays while they wait. Regarding free choice activities, we discussed allowing children to remain in centers for the amount of time that they choose rather than requiring them to change activities every fifteen minutes. Part of “free choice” is letting children choose where they play and how long they play; limiting time in centers to fifteen minutes may not allow children to fully engage in the activities and develop skills learned through play in each area. Technical assistance was also provided in Space #2 regarding accessible art materials. As discussed, the Infant Toddler Environment Rating Scale-Revised (ITERS-R) item regarding art requires that some materials be accessible to children one year of age daily, and other materials offered as an activity at least weekly. I encouraged you today to leave some safe materials such as large crayons and paper or large collage materials out where children can reach and choose as a free choice activity, then you can gradually add more items as children become more comfortable. Keeping items out of children’s reach ultimately does not help them learn how to properly and safely use items; you may need to provide close supervision and instruction, and use frequent redirection, until children are able to use materials safely. Rated License Information Your facility’s three-year rated license reassessment was voluntarily conducted in March 2023, therefore you have been placed in “Cohort 3” of the cohort model of resuming rated license reassessments. This means your planning/preparation year will be 7/1/25-6/30/26, and your next reassessment will be due between 7/1/26 and 6/30/27. As you typically have the Environment Rating Scales (ERS) conducted, we discussed that you will have the option to request an ERS assessment during your planning year if you wish, or you may wait until your reassessment year. In the meantime, I encourage you to use resources such as the NCRLAP website, Columbus County Partnership for Children, and Region 4 CCR&R to prepare for your reassessment. I will be in touch regarding timelines as your planning year approaches. Information from DCDEE WORKS was reviewed with you and noted on the Staff and Training Worksheet today. Regarding Education standards, it appears you are maintaining compliance pending evaluation of one new lead teacher. L. Creech must complete WORKS registration, and T. Taylor must register for a WORKS account. Please let me know if you need assistance with the WORKS portal. Reminders You must schedule and obtain an approved fire inspection by December 8, 2023, and submit a copy within one week as required. You must also ensure a sanitation inspection is conducted by January 20, 2024. Remember to also update staff health questionnaires and emergency information forms in December as necessary. Invoices for annual licensing fees were emailed on December 1, 2023. Payment must be made online by December 31, 2023. Failure to pay the license fee is a violation of North Carolina General Statute § 110-90(1a) and will result in a penalty assessment, accrued interest, and issuance of an administrative action, up to and including revocation of your child care license. No partial payments will be accepted, and no payment plans will be established. Please retain your invoice as you will need the number to make your payment. 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
10A NCAC 09 .0803 · Violation
Name of Operation: OPENING DOORS PRESCHOOL II, INC. Facility ID: 24000141 Consultant: AMY WANGLER Operation Type: Center Case Number: Visit Date: 7/20/2023 Number Present: 54 Completed Date: 7/20/2023 Age: From 0 To 12 Total Minutes: 140 Time In: 11:40 AM Time Out: 02:00 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 14, 2023, earning 7 points in Education, 6 points in Program Standards, and 1 Quality Point. Restrictions on the permit include: a first shift capacity of 198 children 0-12 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, Guided Edition. The status of the corporation which owns the facility, Opening Doors Preschool II, Inc., was verified as current and active with the NC Secretary of State’s office on July 17, 2023. The last annual compliance visit was conducted December 8, 2022. A Superior sanitation rating was earned January 20, 2023, and a fire inspection was conducted December 8, 2022; the facility was approved for day time care only. Director/Program Coordinator C. Creech was present and available for consultation during the visit. Seven indoor and three outdoor spaces are approved for use by children. Infants in Space #3 were observed in individual diaper changing routines and playing with a sensory mat on the floor. Safe sleep practices including documentation were monitored and in compliance today. Children one through four years of age in Spaces #1, 2 and 6 were observed in rest time routines. They rested on appropriately spaced cots with individual linens; lights were dimmed and soft music played. Preschool children in Space #5 were observed exercising and dancing to recorded music. School age children in Space #7 were finishing a lunch of chicken with noodles, green beans, fresh apples and milk. After lunch, these children transitioned to free choice activities including playing a game of Mancala, building with Legos and playing with plastic animals in the science center. One new staff member has been hired since the Routine Unannounced visit conducted March 14, 2023. Her file was monitored and in compliance 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 violations were observed today and must be corrected immediately: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Flovent inhalers were administered to children several times in June 2023 without written authorization and/or instructions from parents. 10A NCAC 09 .0803(1)(a & b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A topical ointment with authorization which expired in June 2023 was observed in Space #2. (repeated) .0803(12) A compliance letter including detailed information about how the violations have been corrected must be received by August 3, 2023. Include any supporting documentation with your response (if applicable). Your letter will be used as verification that the violation has 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 medical action plans, medication permission forms and medication administration. As discussed during the March 14, 2023 visit, medical action plans are required for chronic conditions such as asthma, allergies and seizure disorders, and separate written permission to administer medication in child care must also be obtained. As discussed, you must obtain a written authorization form for the seizure medication found in Space #7 prior to administering it. You must also ensure you have written authorization prior to administering inhalers, even if parents only bring them in occasionally. In addition, you must document each time you administer medication on the separate medication administration log for that medication. As discussed, prescriptions and over-the counter medications for chronic conditions may only be authorized for six months, however medical action plans may be updated annually. We reviewed the required forms today, but please let me know if you have further questions. You may also contact Child Care Health Consultant Stacy Rosser with any specific medication administration questions in the future. After the March 14, 2023 visit, you created and posted lists of topical ointments and other medications with expiration dates and authorization expiration dates to help staff members keep track of dates and ensure they do not administer medications after expiration dates. Today I suggested you pick the same day each month to check lists yourself and ensure staff members are using them successfully to maintain compliance. Technical Assistance Technical assistance was also provided today regarding the block center in Space #1. As the lead teacher shared that children can sometimes interrupt block play by pushing large trucks around the center, I suggested that the large trucks be placed outside on the playground instead, and that only small accessories are kept in the block center. Today we also discussed ensuring that children do not have to wait long periods with nothing to do. For example, as school age children are finishing lunch, they should be allowed to clean up, wash hands and transition to the next activity rather than waiting for the entire group to finish. Waiting with nothing to do may result in boredom and restlessness, which can lead to challenging behaviors. It is best practice to allow children the independence to go ahead and select another activity once they are finished eating. Rated License Information Your facility’s three-year rated license reassessment was completed voluntarily in March 2023, however due to the extension of the “hold harmless” state, your reassessment will not be required in three years as previously discussed. Instead, your facility has been assigned to Cohort 3 in the “cohort model” of resuming rated license assessments after June 30, 2024. Your planning/preparation year will be July 1, 2025-June 30, 2026, and your reassessment year will be July 1, 2026-June 30, 2027. As your facility may need to have the Environment Rating Scales (ERS) conducted, I encouraged you today to begin reviewing resources available at www.ncrlap.org and creating a plan of action for your reassessment. As you get closer to your planning year, you may also wish to contact the Columbus County Partnership for Children or Region 4 CCR&R staff to assist with your ERS preparation. Reminders You must schedule and obtain an approved fire inspection by December 8, 2023. Remember to submit a copy within one week as required, and ensure that the correct DCDEE form is used. 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: OPENING DOORS PRESCHOOL II, INC. Facility ID: 24000141 Consultant: AMY WANGLER Operation Type: Center Case Number: Visit Date: 7/20/2023 Number Present: 54 Completed Date: 7/20/2023 Age: From 0 To 12 Total Minutes: 140 Time In: 11:40 AM Time Out: 02:00 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 14, 2023, earning 7 points in Education, 6 points in Program Standards, and 1 Quality Point. Restrictions on the permit include: a first shift capacity of 198 children 0-12 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, Guided Edition. The status of the corporation which owns the facility, Opening Doors Preschool II, Inc., was verified as current and active with the NC Secretary of State’s office on July 17, 2023. The last annual compliance visit was conducted December 8, 2022. A Superior sanitation rating was earned January 20, 2023, and a fire inspection was conducted December 8, 2022; the facility was approved for day time care only. Director/Program Coordinator C. Creech was present and available for consultation during the visit. Seven indoor and three outdoor spaces are approved for use by children. Infants in Space #3 were observed in individual diaper changing routines and playing with a sensory mat on the floor. Safe sleep practices including documentation were monitored and in compliance today. Children one through four years of age in Spaces #1, 2 and 6 were observed in rest time routines. They rested on appropriately spaced cots with individual linens; lights were dimmed and soft music played. Preschool children in Space #5 were observed exercising and dancing to recorded music. School age children in Space #7 were finishing a lunch of chicken with noodles, green beans, fresh apples and milk. After lunch, these children transitioned to free choice activities including playing a game of Mancala, building with Legos and playing with plastic animals in the science center. One new staff member has been hired since the Routine Unannounced visit conducted March 14, 2023. Her file was monitored and in compliance 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 violations were observed today and must be corrected immediately: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Flovent inhalers were administered to children several times in June 2023 without written authorization and/or instructions from parents. 10A NCAC 09 .0803(1)(a & b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A topical ointment with authorization which expired in June 2023 was observed in Space #2. (repeated) .0803(12) A compliance letter including detailed information about how the violations have been corrected must be received by August 3, 2023. Include any supporting documentation with your response (if applicable). Your letter will be used as verification that the violation has 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 medical action plans, medication permission forms and medication administration. As discussed during the March 14, 2023 visit, medical action plans are required for chronic conditions such as asthma, allergies and seizure disorders, and separate written permission to administer medication in child care must also be obtained. As discussed, you must obtain a written authorization form for the seizure medication found in Space #7 prior to administering it. You must also ensure you have written authorization prior to administering inhalers, even if parents only bring them in occasionally. In addition, you must document each time you administer medication on the separate medication administration log for that medication. As discussed, prescriptions and over-the counter medications for chronic conditions may only be authorized for six months, however medical action plans may be updated annually. We reviewed the required forms today, but please let me know if you have further questions. You may also contact Child Care Health Consultant Stacy Rosser with any specific medication administration questions in the future. After the March 14, 2023 visit, you created and posted lists of topical ointments and other medications with expiration dates and authorization expiration dates to help staff members keep track of dates and ensure they do not administer medications after expiration dates. Today I suggested you pick the same day each month to check lists yourself and ensure staff members are using them successfully to maintain compliance. Technical Assistance Technical assistance was also provided today regarding the block center in Space #1. As the lead teacher shared that children can sometimes interrupt block play by pushing large trucks around the center, I suggested that the large trucks be placed outside on the playground instead, and that only small accessories are kept in the block center. Today we also discussed ensuring that children do not have to wait long periods with nothing to do. For example, as school age children are finishing lunch, they should be allowed to clean up, wash hands and transition to the next activity rather than waiting for the entire group to finish. Waiting with nothing to do may result in boredom and restlessness, which can lead to challenging behaviors. It is best practice to allow children the independence to go ahead and select another activity once they are finished eating. Rated License Information Your facility’s three-year rated license reassessment was completed voluntarily in March 2023, however due to the extension of the “hold harmless” state, your reassessment will not be required in three years as previously discussed. Instead, your facility has been assigned to Cohort 3 in the “cohort model” of resuming rated license assessments after June 30, 2024. Your planning/preparation year will be July 1, 2025-June 30, 2026, and your reassessment year will be July 1, 2026-June 30, 2027. As your facility may need to have the Environment Rating Scales (ERS) conducted, I encouraged you today to begin reviewing resources available at www.ncrlap.org and creating a plan of action for your reassessment. As you get closer to your planning year, you may also wish to contact the Columbus County Partnership for Children or Region 4 CCR&R staff to assist with your ERS preparation. Reminders You must schedule and obtain an approved fire inspection by December 8, 2023. Remember to submit a copy within one week as required, and ensure that the correct DCDEE form is used. 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: supervision. Open / not marked corrected.
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.