Fairview Children'S Center

10A NCAC 09 .0802 · Violation

Name of Operation: FAIRVIEW CHILDREN'S CENTER Facility ID: 92003237 Consultant: CORRINE FULP Operation Type: Center Case Number: Visit Date: 6/2/2026 Number Present: 92 Completed Date: 6/2/2026 Age: From 0 To 5 Total Minutes: 180 Time In: 10:00 AM Time Out: 01:00 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. Upon arrival, Miranda Cannon, administrator, assisted me with Today’s visit. CURRENT LICENSE STATUS: The program operates with a five-star license issued on 6/11/24. ANNUAL INSPECTIONS: The last sanitation inspection was completed on 3/19/26. The last fire inspection was completed on 6/10/26. The last outdoor play area inspection was completed on 6/1/26. The last fire drill was conducted on 5/26/26. The last lock down/shelter-in-place drill was completed on 3/17/26. The EPR plan was updated on 6/1/26. The last annual compliance visit was conducted on 6/17/25. The NC Secretary of State's website was reviewed on 6/1/26 and was listed as active- current. During today's visit, all approved indoor and outdoor spaces were observed. Children were engaged in group-time activities in three classrooms. Two pre-kindergarten classrooms were observed practicing for their upcoming graduation ceremonies. Additionally, a group of children was observed actively playing on the playground. Overall, children appeared engaged and participated appropriately in classroom and outdoor activities. ITEMS MONITORED: A full assessment was conducted. A monitoring checklist was used to observe all minimum licensing requirements. During today’s visit, six staff records and nine children’s files were reviewed. All requested documentation was available for review at the time of the visit. The following violations of the Child Care Requirements were observed and documented during today’s visit: 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. I observed three bottle in the infant classroom that were not dated. 15A NCAC 18A .2804(d) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Three caregivers did not have documentation on file for an annual review. 10A NCAC 09 .0802(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Five caregivers did not have documentation on file for an annual review. .0607(f) Please submit a corrective action letter for the above violations. While the Division allows you time to explain how you have corrected violations when they are documented, it is expected that you will correct all violations immediately. Your corrective action letter must include the following: Name of your program, Id number of your program, Date of Letter, Violation(s) number(s), and How and When each violation was corrected. If I do not receive your letter by 6/16/26, and/or if you do not address all violations, I will be making a return visit to your program to monitor compliance of violations and to obtain your compliance letter. Additional violations may be documented if the situation has not been corrected or addressed. Your compliance letter should be sent to me at the following email address: corrine.fulp@dhhs.nc.gov., or mailed to 1781 Indian Camp Road Clayton, NC 27520. COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history score was 95%. . TECHNICAL ASSISTANCE: Emergency Medical Care Plan Three caregivers did not have documentation on file for a review of the emergency medical care plan. This plan shall be reviewed with all staff annually and whenever revisions are made. The plan must outline the procedures to be followed to ensure that any child who becomes ill or sustains an injury while in care at the center receives prompt and appropriate medical attention. (EPR) Plan Five (5) staff files did not have documentation on file for an annual EPR review. [K.E., S.P., C.R., A.S., and A.C.] The North Carolina Emergency Preparedness and Response (EPR) Plan is a required plan for licensed child care facilities that outlines procedures for responding to emergencies and disasters. The plan addresses evacuation, shelter-in-place and lockdown procedures, communication with families, relocation and reunification of children, transportation, emergency contacts, and the care of children with special needs. The EPR Plan must be reviewed with staff during orientation, reviewed and updated annually, and implemented during emergency situations to ensure the safety and well-being of children and staff. REMINDER: 1.)Your fire inspection is due before 6/10/26. 2.)Your emergency drill – shelter-in-place/lock down is due this month. CONSULTATION AND RESOURCES: ABCMS PROVIDER PORTAL Child care providers can now view and manage their facility’s staff roster through the ABCMS Provider Portal. Please remember that all new employees must be added to your roster within five days of their hire date. It is also important to keep your roster up to date by adding new staff members and removing employees as needed. Our records indicate that several staff members may not currently be included on your roster. You were previously provided with instructions for creating and maintaining your roster. Please review those instructions and update your roster as soon as possible. For your reference, I have attached a copy of your current ABCMS roster from the provider portal. HEALTH AND SAFETY Training in all the required health and safety topics must be completed every 5 years. Health and Safety training is available, at no charge, on the DCDEE website, in Moodle. Staff should use their individual NCID username and password to access this training. DCDEE UPDATES AND NEWS For the latest information on child care rules and regulations, please visit the DCDEE website at www.ncchildcare.nc.gov. CONTACT INFORMATION If you have any questions about today’s visit, I can be reached at: 919-606-2388 or email me at corrine.fulp@dhhs.nc.gov. My supervisor, Holli Hemby, can be reached at (919)819-9363, holli.hemby@dhhs.nc.gov. if I am unavailable. 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

G.S. 110-91 · Violation

Name of Operation: FAIRVIEW CHILDREN'S CENTER Facility ID: 92003237 Consultant: WANDA FOWLER Operation Type: Center Case Number: 0425-054L Visit Date: 4/15/2025 Number Present: 83 Completed Date: 4/15/2025 Age: From 0 To 5 Total Minutes: 195 Time In: 09:00 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor applicable child care requirements regarding a report we received about the center. Upon arrival, I was greeted by the center director, Miranda Cannon. We discussed the nature of the visit, and I conducted a general walk-through of the center. OBSERVATIONS While I was conducting the walk-through I asked the teachers how attendance is tracked in their room. They have daily counts sheets that they complete, and they use a tablet application to track diapering, mealtimes, and communicate with parents. I asked to see the tablets and observed that there were children’s applications on the tablets. I inquired in a classroom enrolling children under three years of age about how the children’s applications are used. I was told that they use the tablets for music activities and to play calming music for rest time. While I was at the center today, I reviewed daily count sheets for the date that several staff members were involved in a verbal altercation. I confirmed that the classrooms were meeting staff child ratios with one staff member present in the classroom at the time that the altercation occurred. I also observed approximately 30 minutes in a classroom that was reported to have some behavioral issues. After the observation, I shared some strategies with the classroom’s lead teacher that may help with the behavior management in her group. RESOLUTION Based on interviews and observations made during the investigation, it was determined that on 4/2/25 a verbal altercation occurred between 3 staff members. While this altercation did not happen in a classroom, it became loud enough that children may have heard the argument. Therefore, the allegation related to nurturing care was SUBSTANTIATED. Two additional allegations regarding staff child ratios and screen time usage in a classroom for children under three years of age were UNSUBSTANTIATED. The following violation was observed and recorded during today’s visit. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. Center staff members were involved in a verbal altercation that could have been heard by the children. G.S. 110-91(10) Based on the nature of the violation, a follow-up visit is required. COMPLIANCE HISTORY Prior to today’s visit, the compliance history score for the center was 84%. TECHNICAL ASSISTANCE It is the center’s responsibility to provide a safe and nurturing environment for the children. When the center staff are involved in a personal conflict it creates a potentially unsafe and frightening environment for the children. In addition, the center staff should be role models who demonstrate how we should talk to others and how to resolve conflicts appropriately. Center staff should refrain from arguing and using profanity in the center and work to resolve conflicts in a calm and peaceful manner. This may require waiting to discuss issues until all members involved can calmly discuss their concerns. CONSULTATION During my conversations with center staff, some stated that they are struggling with behavioral issues in their classroom, so today I gave you a copy of workshops offered by the Healthy Social Behavioral Specialist so staff can receive more training in a variety of topics. I also advise that center management revisit personnel policies to ensure that the policies are clear to understand, and they align with local, state and federal guidelines. The guidelines should include potential consequences when employees commit a breach of policy and should be applied consistently and fairly among all center staff. The substantiation of any allegation may result in an Administrative Action, up to and including revocation of the license, being issued to the program. If you need assistance, please contact me at 919 218-0988 or wanda.fowler@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: FAIRVIEW CHILDREN'S CENTER Facility ID: 92003237 Consultant: WANDA FOWLER Operation Type: Center Case Number: Visit Date: 11/25/2024 Number Present: 60 Completed Date: 11/25/2024 Age: From 0 To 8 Total Minutes: 105 Time In: 09:00 AM Time Out: 10:45 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 assess applicable child-care requirements during a routine unannounced visit. The director, Miranda Cannon, assisted me with today’s visit. We conducted a walk-through of the indoor and outdoor learning environments. The children were engaged in free play or group time activities in their classrooms and the class enrolling two year old children were playing outdoors. RATED LICENSE STATUS The program operates with a 5-star rated license issued on 7/11/24. They received 5 points in program standards, 7 points in staff education and one quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. You should also ensure that all staff have registered and have their education assessed in WORKS. It is recommended that you complete this process as part of your onboarding process with new hires and as existing staff members complete additional coursework. INSPECTIONS The last sanitation inspection was conducted 5/22/24. The last fire inspection was conducted 6/17/24. The last documented fire drill was conducted 11/6/24. The last documented shelter-in-place or lockdown drill was conducted 10/29/24. The last documented playground inspection was conducted 9/13/24. The status of the owners, Creative Learning Enterprise, Inc., is listed as current and active on the NC Secretary of State website. Limited monitoring of child care requirements was assessed during today’s visit. I reviewed emergency medications, 2 new staff files and confirmed that all staff have current CPR, First Aid and ITS SIDS certificates, as required. During today’s visit, we also discussed an altercation with staff members, that occurred in the classroom for infants on 11/13/24. One teacher became upset, when she felt that the other teacher slammed the door when she entered the classroom. The teacher was in the classroom with children present when she began shouting and using inappropriate language with the 2nd teacher. The teacher who was upset then walked out of the classroom, leaving the other teacher alone with 6 infants for 1 to 2 minutes. The assistant director asked a floater to set into the classroom, since the staff/child ratios required 2 staff. The teacher who was shouting and using inappropriate language in the presence of children is no longer employed at the center. The following violations were observed and recorded during today’s visit. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. One 11/13/24 a staff member walked out of the classroom for infants, leaving one teacher alone with 6 infants. GS 110-91(7);.0713(a-d) 843 A drug or medicine was administered after its expiration date. One child's epi-pen expired September 2024. 10A NCAC 09 .0803(1)(d) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last documented playground inspection was completed 9/13/24. .0605(q) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A teacher assigned to the classroom for infants became irate and starting shouting and using inappropriate language while children were present. G.S. 110-91(10) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Orientation was not documented for two staff members who had been employed for more than 6 weeks. .1101(a)(b) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. One child's medication was not stored in it's original container. 10A NCAC 09 .0803(2)(b)(i-v) Due to the nature of two of these violations, a follow-up visit is required. The above violations must be corrected immediately. By 12/9/24 please email me a signed letter of compliance, for the outstanding violations.Before the letter is sent, all violations should be corrected; please contact me if additional time is needed to correct a specific violation. Include the following in your letter: facility ID number, list the item number describing how and when the violations were corrected and tell me how you plan to maintain compliance in the future with each item. If you prefer to mail your letter, you may send it to 2201 Mail Service Center Raleigh, NC 27699-2201 If the compliance action letter is not received by the due date another visit to the center may be made and additional violations may be added. COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history was 91%. TECHNICAL ASSISTANCE Children need a calm and safe environment to help them feel secure enough to play and explore their environment. Staff must refrain from creating a hostile or potentially threatening environment when children are present. Please remind staff that they should conduct themselves in a professional manner when they are in the facility. Staff child ratios must be maintained to ensure that children are appropriately supervised and receive good care. It was determined that the classrooms for infants on 11/13/24 was left out of ratio for 1 to 2 minutes, when one of the teachers left the classroom. As soon as the center administrator on duty was made aware of this situation, she placed another staff member in the classroom. Staff orientation is the best way to make sure that new staff are properly trained and understand center expectations. The two new staff members hired in early October, did not have their orientation documented in their files. The director stated that the orientation had been completed, but she had not updated her records. Moving forward, documentation should be completed as the orientation is done. Monthly playground inspections are required so that safety concerns are addressed quickly. The last documented playground inspection was completed 9/13/24. Please complete an inspection to bring this violation into compliance. It may be helpful to set calendar reminders to help you complete these monthly inspections. One child’s epi-pen expired in September 2024. The parent completed the required paperwork in September, but did not bring in new medication. Another child’s medication was not in its original container, so there was no way to confirm the dosage or for whom the medication was prescribed. Staff should routinely review medication to ensure that licensing requirements are met. CONSULTATION The center last tested their water for lead on 5/22/24. In addition, child care facilities are now required to test for lead and asbestos hazards in their buildings. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://rtiorg.zoom.us/webinar/register/WN_vmlhG6iRS26BdkV8SZSaDw#/registration into your web browser. Additional information can be found in the RaiseNC newsletter sent on December 7, 2023. AGENCY UPDATES Please remember to check the Division of Child Development and Early Education website: ncchildcare.ncdhhs.gov frequently to stay updated on rule requirements. If you have any questions or need assistance, please contact me at wanda.fowler@dhhs.nc.gov or by phone at 919 218-0988. 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: FAIRVIEW CHILDREN'S CENTER Facility ID: 92003237 Consultant: WANDA FOWLER Operation Type: Center Case Number: Visit Date: 11/25/2024 Number Present: 60 Completed Date: 11/25/2024 Age: From 0 To 8 Total Minutes: 105 Time In: 09:00 AM Time Out: 10:45 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 assess applicable child-care requirements during a routine unannounced visit. The director, Miranda Cannon, assisted me with today’s visit. We conducted a walk-through of the indoor and outdoor learning environments. The children were engaged in free play or group time activities in their classrooms and the class enrolling two year old children were playing outdoors. RATED LICENSE STATUS The program operates with a 5-star rated license issued on 7/11/24. They received 5 points in program standards, 7 points in staff education and one quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. You should also ensure that all staff have registered and have their education assessed in WORKS. It is recommended that you complete this process as part of your onboarding process with new hires and as existing staff members complete additional coursework. INSPECTIONS The last sanitation inspection was conducted 5/22/24. The last fire inspection was conducted 6/17/24. The last documented fire drill was conducted 11/6/24. The last documented shelter-in-place or lockdown drill was conducted 10/29/24. The last documented playground inspection was conducted 9/13/24. The status of the owners, Creative Learning Enterprise, Inc., is listed as current and active on the NC Secretary of State website. Limited monitoring of child care requirements was assessed during today’s visit. I reviewed emergency medications, 2 new staff files and confirmed that all staff have current CPR, First Aid and ITS SIDS certificates, as required. During today’s visit, we also discussed an altercation with staff members, that occurred in the classroom for infants on 11/13/24. One teacher became upset, when she felt that the other teacher slammed the door when she entered the classroom. The teacher was in the classroom with children present when she began shouting and using inappropriate language with the 2nd teacher. The teacher who was upset then walked out of the classroom, leaving the other teacher alone with 6 infants for 1 to 2 minutes. The assistant director asked a floater to set into the classroom, since the staff/child ratios required 2 staff. The teacher who was shouting and using inappropriate language in the presence of children is no longer employed at the center. The following violations were observed and recorded during today’s visit. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. One 11/13/24 a staff member walked out of the classroom for infants, leaving one teacher alone with 6 infants. GS 110-91(7);.0713(a-d) 843 A drug or medicine was administered after its expiration date. One child's epi-pen expired September 2024. 10A NCAC 09 .0803(1)(d) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last documented playground inspection was completed 9/13/24. .0605(q) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A teacher assigned to the classroom for infants became irate and starting shouting and using inappropriate language while children were present. G.S. 110-91(10) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Orientation was not documented for two staff members who had been employed for more than 6 weeks. .1101(a)(b) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. One child's medication was not stored in it's original container. 10A NCAC 09 .0803(2)(b)(i-v) Due to the nature of two of these violations, a follow-up visit is required. The above violations must be corrected immediately. By 12/9/24 please email me a signed letter of compliance, for the outstanding violations.Before the letter is sent, all violations should be corrected; please contact me if additional time is needed to correct a specific violation. Include the following in your letter: facility ID number, list the item number describing how and when the violations were corrected and tell me how you plan to maintain compliance in the future with each item. If you prefer to mail your letter, you may send it to 2201 Mail Service Center Raleigh, NC 27699-2201 If the compliance action letter is not received by the due date another visit to the center may be made and additional violations may be added. COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history was 91%. TECHNICAL ASSISTANCE Children need a calm and safe environment to help them feel secure enough to play and explore their environment. Staff must refrain from creating a hostile or potentially threatening environment when children are present. Please remind staff that they should conduct themselves in a professional manner when they are in the facility. Staff child ratios must be maintained to ensure that children are appropriately supervised and receive good care. It was determined that the classrooms for infants on 11/13/24 was left out of ratio for 1 to 2 minutes, when one of the teachers left the classroom. As soon as the center administrator on duty was made aware of this situation, she placed another staff member in the classroom. Staff orientation is the best way to make sure that new staff are properly trained and understand center expectations. The two new staff members hired in early October, did not have their orientation documented in their files. The director stated that the orientation had been completed, but she had not updated her records. Moving forward, documentation should be completed as the orientation is done. Monthly playground inspections are required so that safety concerns are addressed quickly. The last documented playground inspection was completed 9/13/24. Please complete an inspection to bring this violation into compliance. It may be helpful to set calendar reminders to help you complete these monthly inspections. One child’s epi-pen expired in September 2024. The parent completed the required paperwork in September, but did not bring in new medication. Another child’s medication was not in its original container, so there was no way to confirm the dosage or for whom the medication was prescribed. Staff should routinely review medication to ensure that licensing requirements are met. CONSULTATION The center last tested their water for lead on 5/22/24. In addition, child care facilities are now required to test for lead and asbestos hazards in their buildings. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://rtiorg.zoom.us/webinar/register/WN_vmlhG6iRS26BdkV8SZSaDw#/registration into your web browser. Additional information can be found in the RaiseNC newsletter sent on December 7, 2023. AGENCY UPDATES Please remember to check the Division of Child Development and Early Education website: ncchildcare.ncdhhs.gov frequently to stay updated on rule requirements. If you have any questions or need assistance, please contact me at wanda.fowler@dhhs.nc.gov or by phone at 919 218-0988. 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

G.S. 110-91 · Violation

Name of Operation: FAIRVIEW CHILDREN'S CENTER Facility ID: 92003237 Consultant: WANDA FOWLER Operation Type: Center Case Number: Visit Date: 11/25/2024 Number Present: 60 Completed Date: 11/25/2024 Age: From 0 To 8 Total Minutes: 105 Time In: 09:00 AM Time Out: 10:45 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 assess applicable child-care requirements during a routine unannounced visit. The director, Miranda Cannon, assisted me with today’s visit. We conducted a walk-through of the indoor and outdoor learning environments. The children were engaged in free play or group time activities in their classrooms and the class enrolling two year old children were playing outdoors. RATED LICENSE STATUS The program operates with a 5-star rated license issued on 7/11/24. They received 5 points in program standards, 7 points in staff education and one quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. You should also ensure that all staff have registered and have their education assessed in WORKS. It is recommended that you complete this process as part of your onboarding process with new hires and as existing staff members complete additional coursework. INSPECTIONS The last sanitation inspection was conducted 5/22/24. The last fire inspection was conducted 6/17/24. The last documented fire drill was conducted 11/6/24. The last documented shelter-in-place or lockdown drill was conducted 10/29/24. The last documented playground inspection was conducted 9/13/24. The status of the owners, Creative Learning Enterprise, Inc., is listed as current and active on the NC Secretary of State website. Limited monitoring of child care requirements was assessed during today’s visit. I reviewed emergency medications, 2 new staff files and confirmed that all staff have current CPR, First Aid and ITS SIDS certificates, as required. During today’s visit, we also discussed an altercation with staff members, that occurred in the classroom for infants on 11/13/24. One teacher became upset, when she felt that the other teacher slammed the door when she entered the classroom. The teacher was in the classroom with children present when she began shouting and using inappropriate language with the 2nd teacher. The teacher who was upset then walked out of the classroom, leaving the other teacher alone with 6 infants for 1 to 2 minutes. The assistant director asked a floater to set into the classroom, since the staff/child ratios required 2 staff. The teacher who was shouting and using inappropriate language in the presence of children is no longer employed at the center. The following violations were observed and recorded during today’s visit. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. One 11/13/24 a staff member walked out of the classroom for infants, leaving one teacher alone with 6 infants. GS 110-91(7);.0713(a-d) 843 A drug or medicine was administered after its expiration date. One child's epi-pen expired September 2024. 10A NCAC 09 .0803(1)(d) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last documented playground inspection was completed 9/13/24. .0605(q) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A teacher assigned to the classroom for infants became irate and starting shouting and using inappropriate language while children were present. G.S. 110-91(10) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Orientation was not documented for two staff members who had been employed for more than 6 weeks. .1101(a)(b) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. One child's medication was not stored in it's original container. 10A NCAC 09 .0803(2)(b)(i-v) Due to the nature of two of these violations, a follow-up visit is required. The above violations must be corrected immediately. By 12/9/24 please email me a signed letter of compliance, for the outstanding violations.Before the letter is sent, all violations should be corrected; please contact me if additional time is needed to correct a specific violation. Include the following in your letter: facility ID number, list the item number describing how and when the violations were corrected and tell me how you plan to maintain compliance in the future with each item. If you prefer to mail your letter, you may send it to 2201 Mail Service Center Raleigh, NC 27699-2201 If the compliance action letter is not received by the due date another visit to the center may be made and additional violations may be added. COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history was 91%. TECHNICAL ASSISTANCE Children need a calm and safe environment to help them feel secure enough to play and explore their environment. Staff must refrain from creating a hostile or potentially threatening environment when children are present. Please remind staff that they should conduct themselves in a professional manner when they are in the facility. Staff child ratios must be maintained to ensure that children are appropriately supervised and receive good care. It was determined that the classrooms for infants on 11/13/24 was left out of ratio for 1 to 2 minutes, when one of the teachers left the classroom. As soon as the center administrator on duty was made aware of this situation, she placed another staff member in the classroom. Staff orientation is the best way to make sure that new staff are properly trained and understand center expectations. The two new staff members hired in early October, did not have their orientation documented in their files. The director stated that the orientation had been completed, but she had not updated her records. Moving forward, documentation should be completed as the orientation is done. Monthly playground inspections are required so that safety concerns are addressed quickly. The last documented playground inspection was completed 9/13/24. Please complete an inspection to bring this violation into compliance. It may be helpful to set calendar reminders to help you complete these monthly inspections. One child’s epi-pen expired in September 2024. The parent completed the required paperwork in September, but did not bring in new medication. Another child’s medication was not in its original container, so there was no way to confirm the dosage or for whom the medication was prescribed. Staff should routinely review medication to ensure that licensing requirements are met. CONSULTATION The center last tested their water for lead on 5/22/24. In addition, child care facilities are now required to test for lead and asbestos hazards in their buildings. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://rtiorg.zoom.us/webinar/register/WN_vmlhG6iRS26BdkV8SZSaDw#/registration into your web browser. Additional information can be found in the RaiseNC newsletter sent on December 7, 2023. AGENCY UPDATES Please remember to check the Division of Child Development and Early Education website: ncchildcare.ncdhhs.gov frequently to stay updated on rule requirements. If you have any questions or need assistance, please contact me at wanda.fowler@dhhs.nc.gov or by phone at 919 218-0988. 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

GS 110-91 · Violation

Name of Operation: FAIRVIEW CHILDREN'S CENTER Facility ID: 92003237 Consultant: WANDA FOWLER Operation Type: Center Case Number: Visit Date: 11/25/2024 Number Present: 60 Completed Date: 11/25/2024 Age: From 0 To 8 Total Minutes: 105 Time In: 09:00 AM Time Out: 10:45 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 assess applicable child-care requirements during a routine unannounced visit. The director, Miranda Cannon, assisted me with today’s visit. We conducted a walk-through of the indoor and outdoor learning environments. The children were engaged in free play or group time activities in their classrooms and the class enrolling two year old children were playing outdoors. RATED LICENSE STATUS The program operates with a 5-star rated license issued on 7/11/24. They received 5 points in program standards, 7 points in staff education and one quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. You should also ensure that all staff have registered and have their education assessed in WORKS. It is recommended that you complete this process as part of your onboarding process with new hires and as existing staff members complete additional coursework. INSPECTIONS The last sanitation inspection was conducted 5/22/24. The last fire inspection was conducted 6/17/24. The last documented fire drill was conducted 11/6/24. The last documented shelter-in-place or lockdown drill was conducted 10/29/24. The last documented playground inspection was conducted 9/13/24. The status of the owners, Creative Learning Enterprise, Inc., is listed as current and active on the NC Secretary of State website. Limited monitoring of child care requirements was assessed during today’s visit. I reviewed emergency medications, 2 new staff files and confirmed that all staff have current CPR, First Aid and ITS SIDS certificates, as required. During today’s visit, we also discussed an altercation with staff members, that occurred in the classroom for infants on 11/13/24. One teacher became upset, when she felt that the other teacher slammed the door when she entered the classroom. The teacher was in the classroom with children present when she began shouting and using inappropriate language with the 2nd teacher. The teacher who was upset then walked out of the classroom, leaving the other teacher alone with 6 infants for 1 to 2 minutes. The assistant director asked a floater to set into the classroom, since the staff/child ratios required 2 staff. The teacher who was shouting and using inappropriate language in the presence of children is no longer employed at the center. The following violations were observed and recorded during today’s visit. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. One 11/13/24 a staff member walked out of the classroom for infants, leaving one teacher alone with 6 infants. GS 110-91(7);.0713(a-d) 843 A drug or medicine was administered after its expiration date. One child's epi-pen expired September 2024. 10A NCAC 09 .0803(1)(d) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last documented playground inspection was completed 9/13/24. .0605(q) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A teacher assigned to the classroom for infants became irate and starting shouting and using inappropriate language while children were present. G.S. 110-91(10) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Orientation was not documented for two staff members who had been employed for more than 6 weeks. .1101(a)(b) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. One child's medication was not stored in it's original container. 10A NCAC 09 .0803(2)(b)(i-v) Due to the nature of two of these violations, a follow-up visit is required. The above violations must be corrected immediately. By 12/9/24 please email me a signed letter of compliance, for the outstanding violations.Before the letter is sent, all violations should be corrected; please contact me if additional time is needed to correct a specific violation. Include the following in your letter: facility ID number, list the item number describing how and when the violations were corrected and tell me how you plan to maintain compliance in the future with each item. If you prefer to mail your letter, you may send it to 2201 Mail Service Center Raleigh, NC 27699-2201 If the compliance action letter is not received by the due date another visit to the center may be made and additional violations may be added. COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history was 91%. TECHNICAL ASSISTANCE Children need a calm and safe environment to help them feel secure enough to play and explore their environment. Staff must refrain from creating a hostile or potentially threatening environment when children are present. Please remind staff that they should conduct themselves in a professional manner when they are in the facility. Staff child ratios must be maintained to ensure that children are appropriately supervised and receive good care. It was determined that the classrooms for infants on 11/13/24 was left out of ratio for 1 to 2 minutes, when one of the teachers left the classroom. As soon as the center administrator on duty was made aware of this situation, she placed another staff member in the classroom. Staff orientation is the best way to make sure that new staff are properly trained and understand center expectations. The two new staff members hired in early October, did not have their orientation documented in their files. The director stated that the orientation had been completed, but she had not updated her records. Moving forward, documentation should be completed as the orientation is done. Monthly playground inspections are required so that safety concerns are addressed quickly. The last documented playground inspection was completed 9/13/24. Please complete an inspection to bring this violation into compliance. It may be helpful to set calendar reminders to help you complete these monthly inspections. One child’s epi-pen expired in September 2024. The parent completed the required paperwork in September, but did not bring in new medication. Another child’s medication was not in its original container, so there was no way to confirm the dosage or for whom the medication was prescribed. Staff should routinely review medication to ensure that licensing requirements are met. CONSULTATION The center last tested their water for lead on 5/22/24. In addition, child care facilities are now required to test for lead and asbestos hazards in their buildings. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://rtiorg.zoom.us/webinar/register/WN_vmlhG6iRS26BdkV8SZSaDw#/registration into your web browser. Additional information can be found in the RaiseNC newsletter sent on December 7, 2023. AGENCY UPDATES Please remember to check the Division of Child Development and Early Education website: ncchildcare.ncdhhs.gov frequently to stay updated on rule requirements. If you have any questions or need assistance, please contact me at wanda.fowler@dhhs.nc.gov or by phone at 919 218-0988. 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 .0701 · Violation

Name of Operation: FAIRVIEW CHILDREN'S CENTER Facility ID: 92003237 Consultant: WANDA FOWLER Operation Type: Center Case Number: Visit Date: 7/1/2024 Number Present: 57 Completed Date: 7/1/2024 Age: From 0 To 9 Total Minutes: 270 Time In: 09:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor applicable child care requirements during your annual compliance with rated license assessment. This documentation was reviewed with you and a copy of the visit summary documentation was given to you at the end of the visit. Upon arrival, I was greeted by the center director, Miranda Cannon, and we conducted a general walk through of the indoor and outdoor learning environments. I observed RATED LICENSE STATUS The program operates with a 5-star rated license issued on 11/17/17. They received 5 points in program standards, 7 points in staff education and one quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. The program completed prep year assessments in April 2024 and received an overall average of 5.08. INSPECTIONS The last sanitation was completed on 5/22/24. The last fire inspection was completed.6/17/24. The last documented fire drill was conducted 6/27/24. The last documented lock down or shelter-in-place drill was conducted 4/18/24. The last documented playground inspection was conducted 6/10/24. MONITORING During this visit a full assessment of Child Care Requirements was conducted. Please note that the qualification letter dates were incorrect on the staff and training worksheets for the following employees: M. Cannon, J. Whittington, T. Barnes and there is no date listed for M. Butler. We discussed these errors and the correct dates for these qualification letters were confirmed. I confirmed that all staff have current CPR and First Aid certifications. Some of the dates listed on the staff and training worksheets were the dates the training was completed, rather than the expiration date. I confirmed that staff reviewed the center’s EPR plan and Emergency Medical Care Plan reviews on or during their orientation. Staff on-going training was assessed from 10/1/23 – 6/30/24. The required number of training hours are prorated to 9 months, since this annual compliance visit is being conducted early. The following violations were observed and recorded during today’s visit: Violation Number Comment Rule 402 Each child's diapers were not changed at areas designated exclusively for diapering, on a surface that was smooth, nonabsorbent, easily cleanable and of tight construction. Laminate is peeling on the diapering table in classroom #3 and the diaper changing mat in classroom # 6 has a tear in the vinyl. 15A NCAC 18A .2819(a) & (b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A tube of sunscreen and a tube of hand cream were stored in an unlocked cabinet, less that 5 feet above the ground. 15A NCAC 18A .2820(d) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member who was hired 2/7/24 did not have a medical report on file. 10A NCAC 09 .0701(a) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One child's plan expired 5/2/24. .0801(b) The above violations must be corrected immediately. By 7/15/24, please email me a signed letter of compliance. Before the letter is sent, all violations should be corrected; please contact me if additional time is needed to correct a specific violation. Include the following in your letter: facility ID number, list the item number describing how and when the violations were corrected and tell me how you plan to maintain compliance in the future with each item. If you prefer to mail your letter, you may send it my attention at 2201 Mail Service Center Raleigh, NC 27699-2201 If the compliance action letter is not received by the due date another visit to the center may be made. COMPLIANCE HISTORY Prior to today’s visit, the compliance history score for the center was 90%. TECHNICAL ASSISTANCE To ensure that diapering surfaces are easily cleanable, all surfaces of the diapering area must be free are tears or damage. The laminate on the changing table in Room #3 is pulling apart resulting in gaps and uncovered areas, and the changing mat on the diapering table in Room #6 is torn. Please repair or replace the diapering surfaces in these classrooms. Children who have a chronic medical condition or a food allergy are permitted to have medication on hand to use for emergency situations. One child’s allergy care plan expired 5/2/24. It is important to annually update the allergy care plan to ensure that the program has accurate information in the event of an emergency. There was a tube of hand cream and a tube of sunscreen stored in an unlocked cabinet, in the hallway, on a shelf that was less than 5 feet above the ground. All medications should be stored at least five feet above the ground or in locked storage to prevent a child from having access to the medication. This medication was not labeled and you stated that you did not know who it belonged to and when you checked with the classroom teacher, she also stated that she did not know who the medication belonged to. You removed the medication and threw it away. This violation is marked as corrected. Staff medical reports and tb tests should be completed prior to employment. This ensures that staff are healthy, free of communicable disease and emotionally fit to care for young children. One staff member, who was hired on 2/7/24, did not have a staff medical report on file. You contacted the staff member, and she scheduled an appointment to complete a physical today. She stated that when she went to have her tb test done, she thought the doctor had completed all the forms required for employment. CONSULTATION Child Care facilities are required to test their drinking and cooking water for lead every three years. It may be time to test your program’s water. For information you should contact Clean Water for Carolina Kids. Contact www.cleanwaterforcarolinakids.org for more information. You submitted water samples in May and are awaiting test results. In addition, child care facilities are now required to test for lead and asbestos hazards in their buildings. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://rtiorg.zoom.us/webinar/register/WN_vmlhG6iRS26BdkV8SZSaDw#/registration into your web browser. Additional information can be found in the RaiseNC newsletter sent on December 7, 2023. You registered for this during today’s visit and are scheduled to take the training tomorrow. ENVIRONMENT RATING ASSESSMENT STAFF EDUCATION is pending. Staff education is pending with the following results: Administrator 7 points Lead Teachers 7 points Teachers 7 points Group Leaders 7 points Program Coordinator we are waiting for WORKS assessment for several staff members; their transcripts indicated they had completed school age coursework that was not credited when they were assessed as group leader and program coordinator. PROGRAM STANDARDS 5 points. The Operational policies for the facility have been previously approved. This program wishes to maintain enhanced standards in staff/child ratios. The ITERS-R conducted on 4/2/24, received a score of 4.6 The ECERS-R conducted on 4/3/24 and 4/15/24, received scores of 4.97 and 5.78, respectively. The overall average score is 5.08. QUALITY POINT 1 point The facility has chosen the programmatic option of having approved enhanced policies, a staff benefit package and an infrastructure for parent involvement. The Environment Rating Scales results were reviewed during a visit conducted on 5/8/24. It was confirmed today that the center has achieved the following points: Staff Education pending Program Standards 5 points Quality Point 1 point Once the Program Coordinator’s education is assessed I will call you and let you know the number of stars the center will receive. ***It is important to note that a reduction in points earned in any of the Rated License Components may result in a reduction in the stars received on your star-rated license. AGENCY UPDATES If you have any further questions or need any assistance, please contact me at wanda.fowler@dhhs.nc.gov or by phone at 919 218-0988. 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