Pre-License Compliance Checklist 2023-2024

• Audit Title

• Conducted on

  Date

• Prepared by

• Location
  Address

Pre-License Visit Objective

• The purpose of the pre-license visit is to review required student, staff, and site files for accuracy. These files are required by the NC DHHS and will be reviewed by NC State Licensing Consultants annually.

Parent Board Information

• Daycare License

  Yes

  No

  N/A

• Sanitation Inspection Certificate

  Yes

  No

  N/A

• Emergency Medical Care Plan

  Yes

  No

  N/A

• Crisis Plan

  Yes

  No

  N/A

• Evacuation Plan (Fire)

  Yes

  No

  N/A

• Fire Drill Log/Lockdown Log

  Yes

  No

  N/A

• Location of nearest hospital

  Yes

  No

  N/A

• Location of Nearest Phone

  Yes

  No

  N/A

• Copies of CPR & First Aid cards of certified staff

  Yes

  No

  N/A

• First Aid Chart

  Yes

  No

  N/A

• Allergy List (covered)

  Yes

  No

  N/A

• Safe Pick Up & Delivery Procedures

  Yes

  No

  N/A

• Shaken Baby Syndrome Policy- applicable only for Pre-K and School-age combination programs<br>

  Yes

  No

  N/A

• Procedures for sick children

  Yes

  No

  N/A

• Vomit/Diarrhea Plan

  Yes

  No

  N/A

• Discipline and Behavior Policy

  Yes

  No

  N/A

• Behavior Matrix

  Yes

  No

  N/A

• Summary of Laws

  Yes

  No

  N/A

• Site Coordinator Office Hours/Conference Hours

  Yes

  No

  N/A

• Tax ID Number

  Yes

  No

  N/A

• Field Trip Procedures

  Yes

  No

  N/A

• Parent Participation Policy & Field Trip Information

  Yes

  No

  N/A

• Parent Information (formerly Parent Newsletter)

  Yes

  No

  N/A

• Financial Agreement

  Yes

  No

  N/A

• Weather Watch<br>

  Yes

  No

  N/A

• Child Staff Ratio Forms - Per group

  Yes

  No

  N/A

• Menus - Snack/Supper

  Yes

  No

  N/A

• Daily Schedules - Per group

  Yes

  No

  N/A

• Early-Release Day Schedules - Per group

  Yes

  No

  N/A

• Rainy Day Schedules - Per group

  Yes

  No

  N/A

• Long Day Schedules - Per group

  Yes

  No

  N/A

• Tobacco Free Sign

  Yes

  No

  N/A

DCD Off-Site Compliance Notebook

• Emergency Information (Leigh)

  Yes

  No

  N/A

• Health Questionnaire (Leigh)

  Yes

  No

  N/A

• Legal Designee Information (with Stephen's signature)

  Yes

  No

  N/A

• Off-Site Records Verification - Children

  Yes

  No

  N/A

• Off-Site Records Verification - Staff

  Yes

  No

  N/A

• Off-Site Records Verification - Transportation

  Yes

  No

  N/A

• Criminal Background Check letter for each staff person

  Yes

  No

  N/A

• Staff and Training Worksheet

  Yes

  No

  N/A

• Emergency Medical Care Plan

  Yes

  No

  N/A

• Annual Review of site Crisis Plan

  Yes

  No

  N/A

Center Files

• Incident Log

  Yes

  No

  N/A

• Incident Report Copies

  Yes

  No

  N/A

• Special Needs Accommodation Log

  Yes

  No

  N/A

• Positive Student Profile

  Yes

  No

  N/A

• Shaken Baby Syndrome Policy (Applicable for Pre-K & School-age combination programs only)- staff and parent signed copies of policy

  Yes

  No

  N/A

• Allergy List/Medical Action Plans

  Yes

  No

  N/A

• Medication Log

  Yes

  No

  N/A

• Crisis Box up to date- current student registrations, staff emergency information, travel games, etc.

  Yes

  No

  N/A

• Fire Inspection Reports

  Yes

  No

  N/A

• Sanitation Inspection Report

  Yes

  No

  N/A

• MSDS Sheets

  Yes

  No

  N/A

• Carpet Cleaning Log

  Yes

  No

  N/A

• List of Approved Spaces

  Yes

  No

  N/A

• Eleyo Late Payment Reminders Notebook

  Good

  Fair

  Poor

  N/A
Staff File

• Name:

• Employment Application

  Yes

  No

  N/A

• Job Description

  Yes

  No

  N/A

• Workforce Qualifying Letter- print from WORKS and place in file

  Yes

  No

  N/A

• Criminal Background Check Letter

  Yes

  No

  N/A

• Information for Job Applicant

  Yes

  No

  N/A

• Max Allotted Hours

  Yes

  No

  N/A

• Comp Time Agreement

  Yes

  No

  N/A

• Professional Development Plan- print from My Talent

  Yes

  No

  N/A

• Evaluation - Annual Appraisal - orientation to the instrument for position

  Yes

  No

  N/A

• ASEP Staff Guidelines (ASEP Dress Code, No Fault Absenteeism Control Program)

  Yes

  No

  N/A

• In-Service Training Guidelines

  Yes

  No

  N/A

• Standards of Conduct

  Yes

  No

  N/A

• Device Guidleines

  Yes

  No

  N/A

• Field Trip and Bus Safety Procedures

  Yes

  No

  N/A

• Behavior Management & Discipline Policy- orientation to policy

  Yes

  No

  N/A

• Break Rotation-signed and dated

  Yes

  No

  N/A

• Attendance Points Log (KRONOS)

  Yes

  No

  N/A

• BSAC (Basic School Age Care) Training

  Yes

  No

  N/A

• New Staff Orientation On-Site (with Site Coordinator)

  Yes

  No

  N/A

• New Staff Orientation Off-Site (if applicable)

  Yes

  No

  N/A

• Title IX

  Yes

  No

  N/A

• Child Maltreatment and Neglect

  Yes

  No

  N/A

• Playground Safety Training

  Yes

  No

  N/A

• CPR and First Aid Certification

  Yes

  No

  N/A

• Epi-pen

  Yes

  No

  N/A

• Active Survivor

  Yes

  No

  N/A

• Current In-Service Training: Safe Schools, Health & Safety, ASEP

  Yes

  No

  N/A

• ASEP Intent Form

  Yes

  No

  N/A

• Moodle 5-year Health and Safety Training Log

  Yes

  No

  N/A

• Safe Schools Training for 2023-2024

  Yes

  No

  N/A
Staff Medical File

• Health Exam

  Yes

  No

  N/A

• Negative TB Test

  Yes

  No

  N/A

• Health Questionnare

  Yes

  No

  N/A

• Emergency Information

  Yes

  No

  N/A
Student Files- names listed indicate incomplete information on their registration form.

• Names of Students with missing info

All payment accounts are current or within the one-week payment policy.

• Names of families that not in compliance