Rhonda'S Precious Gems LLC

GS 110-91 · Violation

Name of Operation: RHONDA'S PRECIOUS GEMS LLC Facility ID: 65001066 Consultant: SHEREEN PICKETT Operation Type: Center Case Number: Visit Date: 8/13/2024 Number Present: 3 Completed Date: 8/21/2024 Age: From 0 To 11 Total Minutes: 105 Time In: 08:30 AM Time Out: 10:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to complete a routine unannounced visit that was initiated on Tuesday, August 13, 2024. The facility was issued a Four-star license on September 3, 2023, with seven points in education, two points in program standards and one quality point. Restrictions include first, second and third shift, an age range of 0 to 12 years old, and the program meets enhanced space. Prior to this visit, the program’s eighteen-month compliance history was 100%. According to the North Carolina Secretary of State’s website, Rhonda’s Precious Gems LLC is current and active. April Lester, Child Care Consultant, accompanied me on this visit. Sanitation – 03/18/2024 – Superior Fire – 08/30/2023 – Approved for daytime and nighttime care There are three approved indoor spaces and one fenced outdoor area. The kitchen is not an approved space. All approved indoor spaces were monitored. On August 13, 2024, four children, ranging in age from 3 months to eleven years old were present. In space 1, three children, ranging in age from two years to eleven years old, were seated in preparation for lunch routines. In space 2, one infant was observed sleeping in her crib. Children were not present in space 3. Lunch consisted of grapes, green beans, shredded chicken, and milk. Today, three children, ranging in age from 3 months to eleven years old were present. In space 1, the eleven-year-old was observed moving about the space and exploring with a variety of materials. In space 2, an infant was observed in a bouncy seat and a two-year-old was seated on the carpet, playing with various fine motor materials. Morning snack consisted of blueberry sausage pancakes, and milk. Safe sleep charts and feeding schedules were monitored and found in compliance. Activity plans were posted, current, and aligned with NC Early Childhood Foundations. Lunch scheduled for today was chicken, noodles, apple slices, spinach, and milk. Upon arrival on August 13, 2024, I observed two preschool-aged children, and one school-aged child seated at the table. One of the children was eating her lunch while the other two waited on their plates. I greeted the children and observed that an adult was not present with the three children. I called out a “hello” as I looked beyond space 1, into space 2, which houses infants and leads to the kitchen. At that point, I observed a staff member (L. Aiken), receiving two plates from Rhonda Williams, Administrator, who was standing in the kitchen preparing lunch plates. Ms. Aiken explained she was just grabbing lunch plates from Ms. Williams to take to the children in space 1. She walked from space 2 (infant room) to space 1 (preschool room), leaving the infant unattended. Ms. Williams was still standing in the kitchen. A supervision violation was cited today based on the observation from August 13, 2024. During my monitoring on Tuesday, August 13, 2024, I observed that the last safe sleep check for the infant present was documented at 9:00 am but the time of my observation was approximately 11:15-11:20 am. Therefore, the required 15-minute safe sleep checks were not conducted as required. As I discussed this with Ms. Aiken, she stated that they mark the initial time the child falls asleep, then draw a line down the “date” and “initial” lines for the rest of the day. She showed me an example from previous days. The “time” is prefilled for every 15 minutes after the infant falls asleep. I explained that was unacceptable, because it is questionable and unclear whether staff members are conducting visual checks every 15 minutes as documented on the form. While I was monitoring requirements during the routine unannounced visit on August 13,I felt our communication had become unproductive and I stated I was ending the visit. Before departure, I informed you that a follow-up visit would be conducted. Three violations were observed. Two were corrected during the visit. A compliance letter is required for the supervision violation. Violation Number Comment Rule 303 Children were not adequately supervised at all times. On August 13, 2024, in space 1, two preschool-aged children, and one school-aged child were left unsupervised. In space 2, an infant was left unattended while a staff member transitioned from the kitchen to space 1 to serve lunch plates. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference.The posted plan for the preschoolers observed on August 13, 2024 was from July, 2024 and had not been updated for the current month. GS 110-91(12); .0508(a) 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. Three diaper creams and one orajel were not returned after the course of the treatment. .0803(12) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 03, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. Due to the severity of the violation cited, a follow-up visit will take place. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance Related to Violations Cited: Supervision: A staff member must remain in each space occupied by a child. A staff member may not be within a doorway of two spaces supervising children in two different spaces. It was suggested that if the capacity is five or less, the infant may be moved into the space occupied by the preschool children during food service times. Ms. Williams was cautioned against leaving an infant in different apparatus for extended periods as infants need to be able to move, turn over, crawl, etc. Activity Plans: Activity plans are to be posted indicating the activities for the week for all children in care. This facility creates activity plans monthly. The posted plan for the preschoolers observed on August 13, 2024 was from July, 2024 and had not been updated for the current month. Ms. Williams corrected the posting during the visit. Leftover Medications: When no longer needed by the child, or when the child withdraws from the program, all medications should be returned to the child’s parent/guardian or disposed of after an attempt to reach parent/guardian within 72 hours of completion of treatment. Reminders: Safe Sleep Checks: - Visually checking sleeping infants every 15 minutes in real time is vital. Please remember to: - Note the infant’s sleep position, skin color, breathing, level of sleep, and body temperature. - Record your visual check below. Include date, your initials, time of the check, infant’s sleep position, and any comments you have. - Remember blankets or other loose bedding are prohibited by Child Care Rule. - If the infant shows signs of overheating, check that the room temperature is between 68-75°F and remove extra layers as needed. - Place all infants aged 12 months or younger on their backs to sleep unless they have an alternate sleep position waiver posted by their crib. - After infants can easily turn over from the back to the stomach, continue to place them on their back to sleep. You can then allow them to adopt their own position for sleep. The program’s fire inspection expires on August 30, 2024. Today, Ms. Williams stated she has been in contact with the fire marshal’s office. A visit to renew the current inspection is scheduled for August 28, 2024. Email me a copy of the new fire inspection upon receipt. Ms. Lester contacted cape fear tutoring regarding the different componenets between a breakfast and a morning snack. We discussed USDA guidelines for the Jimmy Dean blueberry pancake on a stick and that it only meets two omponenents - one grain and one protein. We also talked about room arrangement. To achieve 3 feet of spacing for the two cribs placed perpendicular to one another near the windows, I suggest you remove cribs not in use to free up more space in space 2. Today we discussed children must be attended to in a nurturing and appropriate manner and offered developmentally appropriate activities throughout the day. Quality child care consists not only of adequate supervision but of interaction, stimulation and engagement of children by their caregivers. Research shows that infants’ brain development is dependent on activities and interactions. Freedom of movement and tummy time activities are also critical to their health and physical development. Confining children in equipment such as car seats, bouncers or swings for extended periods of time is not developmentally appropriate and does not allow for such valuable learning activities to occur. Today, we also discussed that you have 3 approved spaces, and each space has a capacity limit of 6 children. However, be reminded that you have infants enrolled in space 2; therefore, if infants are present your capacity will drop to 5 rather than 6 due to staff/child ratio requirements. This means that as children visit the different spaces, staff members must ensure that capacities in each of the spaces are not exceeded per staff/child ratios. At the conclusion of this visit, the summary was reviewed, printed and signed, and a copy was left with Ms. Williams. Reach me with questions/ concerns 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

NC GS 110-90 · Violation

Name of Operation: RHONDA'S PRECIOUS GEMS LLC Facility ID: 65001066 Consultant: SHEREEN PICKETT Operation Type: Center Case Number: Visit Date: 8/13/2024 Number Present: 3 Completed Date: 8/21/2024 Age: From 0 To 11 Total Minutes: 105 Time In: 08:30 AM Time Out: 10:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to complete a routine unannounced visit that was initiated on Tuesday, August 13, 2024. The facility was issued a Four-star license on September 3, 2023, with seven points in education, two points in program standards and one quality point. Restrictions include first, second and third shift, an age range of 0 to 12 years old, and the program meets enhanced space. Prior to this visit, the program’s eighteen-month compliance history was 100%. According to the North Carolina Secretary of State’s website, Rhonda’s Precious Gems LLC is current and active. April Lester, Child Care Consultant, accompanied me on this visit. Sanitation – 03/18/2024 – Superior Fire – 08/30/2023 – Approved for daytime and nighttime care There are three approved indoor spaces and one fenced outdoor area. The kitchen is not an approved space. All approved indoor spaces were monitored. On August 13, 2024, four children, ranging in age from 3 months to eleven years old were present. In space 1, three children, ranging in age from two years to eleven years old, were seated in preparation for lunch routines. In space 2, one infant was observed sleeping in her crib. Children were not present in space 3. Lunch consisted of grapes, green beans, shredded chicken, and milk. Today, three children, ranging in age from 3 months to eleven years old were present. In space 1, the eleven-year-old was observed moving about the space and exploring with a variety of materials. In space 2, an infant was observed in a bouncy seat and a two-year-old was seated on the carpet, playing with various fine motor materials. Morning snack consisted of blueberry sausage pancakes, and milk. Safe sleep charts and feeding schedules were monitored and found in compliance. Activity plans were posted, current, and aligned with NC Early Childhood Foundations. Lunch scheduled for today was chicken, noodles, apple slices, spinach, and milk. Upon arrival on August 13, 2024, I observed two preschool-aged children, and one school-aged child seated at the table. One of the children was eating her lunch while the other two waited on their plates. I greeted the children and observed that an adult was not present with the three children. I called out a “hello” as I looked beyond space 1, into space 2, which houses infants and leads to the kitchen. At that point, I observed a staff member (L. Aiken), receiving two plates from Rhonda Williams, Administrator, who was standing in the kitchen preparing lunch plates. Ms. Aiken explained she was just grabbing lunch plates from Ms. Williams to take to the children in space 1. She walked from space 2 (infant room) to space 1 (preschool room), leaving the infant unattended. Ms. Williams was still standing in the kitchen. A supervision violation was cited today based on the observation from August 13, 2024. During my monitoring on Tuesday, August 13, 2024, I observed that the last safe sleep check for the infant present was documented at 9:00 am but the time of my observation was approximately 11:15-11:20 am. Therefore, the required 15-minute safe sleep checks were not conducted as required. As I discussed this with Ms. Aiken, she stated that they mark the initial time the child falls asleep, then draw a line down the “date” and “initial” lines for the rest of the day. She showed me an example from previous days. The “time” is prefilled for every 15 minutes after the infant falls asleep. I explained that was unacceptable, because it is questionable and unclear whether staff members are conducting visual checks every 15 minutes as documented on the form. While I was monitoring requirements during the routine unannounced visit on August 13,I felt our communication had become unproductive and I stated I was ending the visit. Before departure, I informed you that a follow-up visit would be conducted. Three violations were observed. Two were corrected during the visit. A compliance letter is required for the supervision violation. Violation Number Comment Rule 303 Children were not adequately supervised at all times. On August 13, 2024, in space 1, two preschool-aged children, and one school-aged child were left unsupervised. In space 2, an infant was left unattended while a staff member transitioned from the kitchen to space 1 to serve lunch plates. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference.The posted plan for the preschoolers observed on August 13, 2024 was from July, 2024 and had not been updated for the current month. GS 110-91(12); .0508(a) 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. Three diaper creams and one orajel were not returned after the course of the treatment. .0803(12) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 03, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. Due to the severity of the violation cited, a follow-up visit will take place. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance Related to Violations Cited: Supervision: A staff member must remain in each space occupied by a child. A staff member may not be within a doorway of two spaces supervising children in two different spaces. It was suggested that if the capacity is five or less, the infant may be moved into the space occupied by the preschool children during food service times. Ms. Williams was cautioned against leaving an infant in different apparatus for extended periods as infants need to be able to move, turn over, crawl, etc. Activity Plans: Activity plans are to be posted indicating the activities for the week for all children in care. This facility creates activity plans monthly. The posted plan for the preschoolers observed on August 13, 2024 was from July, 2024 and had not been updated for the current month. Ms. Williams corrected the posting during the visit. Leftover Medications: When no longer needed by the child, or when the child withdraws from the program, all medications should be returned to the child’s parent/guardian or disposed of after an attempt to reach parent/guardian within 72 hours of completion of treatment. Reminders: Safe Sleep Checks: - Visually checking sleeping infants every 15 minutes in real time is vital. Please remember to: - Note the infant’s sleep position, skin color, breathing, level of sleep, and body temperature. - Record your visual check below. Include date, your initials, time of the check, infant’s sleep position, and any comments you have. - Remember blankets or other loose bedding are prohibited by Child Care Rule. - If the infant shows signs of overheating, check that the room temperature is between 68-75°F and remove extra layers as needed. - Place all infants aged 12 months or younger on their backs to sleep unless they have an alternate sleep position waiver posted by their crib. - After infants can easily turn over from the back to the stomach, continue to place them on their back to sleep. You can then allow them to adopt their own position for sleep. The program’s fire inspection expires on August 30, 2024. Today, Ms. Williams stated she has been in contact with the fire marshal’s office. A visit to renew the current inspection is scheduled for August 28, 2024. Email me a copy of the new fire inspection upon receipt. Ms. Lester contacted cape fear tutoring regarding the different componenets between a breakfast and a morning snack. We discussed USDA guidelines for the Jimmy Dean blueberry pancake on a stick and that it only meets two omponenents - one grain and one protein. We also talked about room arrangement. To achieve 3 feet of spacing for the two cribs placed perpendicular to one another near the windows, I suggest you remove cribs not in use to free up more space in space 2. Today we discussed children must be attended to in a nurturing and appropriate manner and offered developmentally appropriate activities throughout the day. Quality child care consists not only of adequate supervision but of interaction, stimulation and engagement of children by their caregivers. Research shows that infants’ brain development is dependent on activities and interactions. Freedom of movement and tummy time activities are also critical to their health and physical development. Confining children in equipment such as car seats, bouncers or swings for extended periods of time is not developmentally appropriate and does not allow for such valuable learning activities to occur. Today, we also discussed that you have 3 approved spaces, and each space has a capacity limit of 6 children. However, be reminded that you have infants enrolled in space 2; therefore, if infants are present your capacity will drop to 5 rather than 6 due to staff/child ratio requirements. This means that as children visit the different spaces, staff members must ensure that capacities in each of the spaces are not exceeded per staff/child ratios. At the conclusion of this visit, the summary was reviewed, printed and signed, and a copy was left with Ms. Williams. Reach me with questions/ concerns 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