10A NCAC 09 .0102 · Violation

Name of Operation: YANCEYVILLE EARLY HEAD START Facility ID: 17000051 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 8/31/2023 Number Present: 10 Completed Date: 8/31/2023 Age: From 1 To 2 Total Minutes: 261 Time In: 09:50 AM Time Out: 02:11 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor for child care requirements for the annual compliance visit. The last annual compliance visit was conducted on September 6, 2022. The facility operates with a Five Star License, which was issued on July 5, 2020. Upon arrival to the facility I was greeted by Tyshia McCain, Center Director. We conducted a walkthrough of the facility. Attendance was taken and observations made. Children were observed participating in indoor play, outdoor free play, teacher director activities and routines. A fire drill was conducted during today's visit. The last Fire Inspection was conducted on May 24, 2023 and approved for day time care only. The center's last Sanitation Inspection was conducted on May 18, 2023 and a 'Superior' classification was received During today's visit, a full assessment of applicable Child Care Requirements was conducted. Permit posted, supervision, staff/child ratio, program records, children’s records and staff files. The following violations were observed, cited and technical assistance was provided. Violation Number Comment Rule 1314 Emergency information did not name Child's health care professional. One child's file did not contain the name of the medical professional and one child's file did not contain the choice of the hospital preference. .0802(c)(2) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. A medical file was present for each staff member, however the annual health questionnaire was maintained in the personnel file. .0701(d) The above violations must be corrected immediately, and a letter sent to the office stating how the violations were corrected. Please include with the letter all documentation to support the corrective actions taken. Your letter should be received by the DCDEE office on or before September 11, 2023. You may email the letter to my supervisor Kaye Adkins at, kaye.adkins@dhhs.nc.gov. Please “cc” a copy to me at anita.c.grahm@dhhs.nc.gov. If the letter is not received on or before September 11, 2023, a return visit may be conducted to ensure compliance with child care requirements. You were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. We discussed each of the violations cited this date. Please remember the following information: 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (1) emergency medical information as set forth in Rule .0802(c) of this Section; (2) the child's full name and the name the child is to be called; (3) the child's date of birth; (4) any allergies and the symptoms and type of response required for allergic reactions; (5) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (6) fears or behavior characteristics that the child has; and (7) the names of individuals to whom the center may release the child, as authorized by the person who signs the application. Resources: Please visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ periodically and check the ‘What’s New’ tab for information on rule changes, Child Care Commission meetings, etc. MOODLE modules related to the health and safety trainings are now available. Use the 'Services' tab, DCDEE MOODLE link. Thank you for your assistance during today’s visit. If you have any questions or concerns, please call me at 336-894-0609 or e-mail me at anita.c.graham@dhhs.nc.gov. You may also contact my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0701 · Violation

Name of Operation: YANCEYVILLE EARLY HEAD START Facility ID: 17000051 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 8/31/2023 Number Present: 10 Completed Date: 8/31/2023 Age: From 1 To 2 Total Minutes: 261 Time In: 09:50 AM Time Out: 02:11 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor for child care requirements for the annual compliance visit. The last annual compliance visit was conducted on September 6, 2022. The facility operates with a Five Star License, which was issued on July 5, 2020. Upon arrival to the facility I was greeted by Tyshia McCain, Center Director. We conducted a walkthrough of the facility. Attendance was taken and observations made. Children were observed participating in indoor play, outdoor free play, teacher director activities and routines. A fire drill was conducted during today's visit. The last Fire Inspection was conducted on May 24, 2023 and approved for day time care only. The center's last Sanitation Inspection was conducted on May 18, 2023 and a 'Superior' classification was received During today's visit, a full assessment of applicable Child Care Requirements was conducted. Permit posted, supervision, staff/child ratio, program records, children’s records and staff files. The following violations were observed, cited and technical assistance was provided. Violation Number Comment Rule 1314 Emergency information did not name Child's health care professional. One child's file did not contain the name of the medical professional and one child's file did not contain the choice of the hospital preference. .0802(c)(2) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. A medical file was present for each staff member, however the annual health questionnaire was maintained in the personnel file. .0701(d) The above violations must be corrected immediately, and a letter sent to the office stating how the violations were corrected. Please include with the letter all documentation to support the corrective actions taken. Your letter should be received by the DCDEE office on or before September 11, 2023. You may email the letter to my supervisor Kaye Adkins at, kaye.adkins@dhhs.nc.gov. Please “cc” a copy to me at anita.c.grahm@dhhs.nc.gov. If the letter is not received on or before September 11, 2023, a return visit may be conducted to ensure compliance with child care requirements. You were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. We discussed each of the violations cited this date. Please remember the following information: 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (1) emergency medical information as set forth in Rule .0802(c) of this Section; (2) the child's full name and the name the child is to be called; (3) the child's date of birth; (4) any allergies and the symptoms and type of response required for allergic reactions; (5) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (6) fears or behavior characteristics that the child has; and (7) the names of individuals to whom the center may release the child, as authorized by the person who signs the application. Resources: Please visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ periodically and check the ‘What’s New’ tab for information on rule changes, Child Care Commission meetings, etc. MOODLE modules related to the health and safety trainings are now available. Use the 'Services' tab, DCDEE MOODLE link. Thank you for your assistance during today’s visit. If you have any questions or concerns, please call me at 336-894-0609 or e-mail me at anita.c.graham@dhhs.nc.gov. You may also contact my supervisor Kaye Adkins at kaye.adkins@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 .0801 · Violation

Name of Operation: YANCEYVILLE EARLY HEAD START Facility ID: 17000051 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 8/31/2023 Number Present: 10 Completed Date: 8/31/2023 Age: From 1 To 2 Total Minutes: 261 Time In: 09:50 AM Time Out: 02:11 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor for child care requirements for the annual compliance visit. The last annual compliance visit was conducted on September 6, 2022. The facility operates with a Five Star License, which was issued on July 5, 2020. Upon arrival to the facility I was greeted by Tyshia McCain, Center Director. We conducted a walkthrough of the facility. Attendance was taken and observations made. Children were observed participating in indoor play, outdoor free play, teacher director activities and routines. A fire drill was conducted during today's visit. The last Fire Inspection was conducted on May 24, 2023 and approved for day time care only. The center's last Sanitation Inspection was conducted on May 18, 2023 and a 'Superior' classification was received During today's visit, a full assessment of applicable Child Care Requirements was conducted. Permit posted, supervision, staff/child ratio, program records, children’s records and staff files. The following violations were observed, cited and technical assistance was provided. Violation Number Comment Rule 1314 Emergency information did not name Child's health care professional. One child's file did not contain the name of the medical professional and one child's file did not contain the choice of the hospital preference. .0802(c)(2) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. A medical file was present for each staff member, however the annual health questionnaire was maintained in the personnel file. .0701(d) The above violations must be corrected immediately, and a letter sent to the office stating how the violations were corrected. Please include with the letter all documentation to support the corrective actions taken. Your letter should be received by the DCDEE office on or before September 11, 2023. You may email the letter to my supervisor Kaye Adkins at, kaye.adkins@dhhs.nc.gov. Please “cc” a copy to me at anita.c.grahm@dhhs.nc.gov. If the letter is not received on or before September 11, 2023, a return visit may be conducted to ensure compliance with child care requirements. You were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. We discussed each of the violations cited this date. Please remember the following information: 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (1) emergency medical information as set forth in Rule .0802(c) of this Section; (2) the child's full name and the name the child is to be called; (3) the child's date of birth; (4) any allergies and the symptoms and type of response required for allergic reactions; (5) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (6) fears or behavior characteristics that the child has; and (7) the names of individuals to whom the center may release the child, as authorized by the person who signs the application. Resources: Please visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ periodically and check the ‘What’s New’ tab for information on rule changes, Child Care Commission meetings, etc. MOODLE modules related to the health and safety trainings are now available. Use the 'Services' tab, DCDEE MOODLE link. Thank you for your assistance during today’s visit. If you have any questions or concerns, please call me at 336-894-0609 or e-mail me at anita.c.graham@dhhs.nc.gov. You may also contact my supervisor Kaye Adkins at kaye.adkins@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