Kindercare Education

10A NCAC 09 .0601 · Violation

Name of Operation: KINDERCARE EDUCATION Facility ID: 92003797 Consultant: CORRINE FULP Operation Type: Center Case Number: Visit Date: 12/5/2024 Number Present: 114 Completed Date: 12/5/2024 Age: From 0 To 5 Total Minutes: 210 Time In: 10:30 AM Time Out: 02:00 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, I was greeted by Nicole Burroughs, and she accompanied me throughout the visit. CURRENT LICENSE STATUS: The program operates with a 5-star rated license issued on 5/16/22. They received 7 points in program standards, 5 points in staff education and one quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. ANNUAL INSPECTIONS: The last sanitation inspection was completed on: 7/1/24. The last fire inspection was completed on 1/23/24. The last outdoor play area inspection was completed on 10/7/24. The last fire drill was conducted on 11/18/24. The last lock down/shelter-in-place drill was completed on 11/19/24. The EPR plan was updated on 2/5/24. The last annual compliance visit was conducted on 1/29/24. COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history score was 86%. Prior to the visit I reviewed the NC Secretary of State's website and observed that the owner of this facility, KINDERCARE EDUCATION LLC. was active/not current. You visited all approved indoor/outdoor spaces with me during today’s visit. Children were engaged in classroom activities and outdoor play during today’s visit. A full assessment was conducted. A monitoring checklist was used to observe all minimum licensing requirements and applicable enhanced requirements including but not limited to approved space, child interactions, required in-service trainings, indoor and outdoor materials and equipment, storage of hazardous items, storage of medication and medication forms, children records, Staff Criminal Record Checks, attendance records, CPR and First Aid certificates, activity plans and supervision. ON GOING TRAINING HOURS Your center’s annual Inservice training for the period of January 2024 through December 2024 was reviewed during today’s visit. All staff employed for more than one year had completed their annual in-service training hours. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Space #5 did not have a weekly activity plan posted. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space #10 four bottle containing formula were not dated. 15A NCAC 18A .2804(d) 807 A safe indoor and outdoor environment was not provided for the children. A key was left in a door where children would have access to an attic area with steps. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Sanitize wipes, disinfected solution, staff purse, and glass spray was stored in an unlocked cabinet less than five feet from the floor. .2820(b) 847 Parent's medication authorization did not include required information. Two children authorization forms did not have the amount to apply and the date the medication should be given. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A container of Butt paste, and aquaphor expired on 6/2023. .0803(12) 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 on 10/7/24. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Four staff members hired for more than a year did not have documentation of an annually review. 10A NCAC 09 .0802(a) 871 Center staff did not comply with the safe sleep policy. No documentation of sleep check was recorded for 12/2/24 through 12/5/24. 10A NCAC 09 .0606(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Four staff members hired for more than a year did not have documentation of an annually EPR review. .0607(e) 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 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 12/19/24, and/or if you do not address all violations, I will be making a return visit to your program to monitor for 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. TECHNICAL ASSISTANCE Sleep check: During today’s visit the sleep check policy was not being followed. No sleep check documentation was recorded from 12/2/24 through 12/5/24. Safe sleep practices help reduce the risk of sleep-related sudden and unexpected infant deaths (SUID), including sudden infant death syndrome (SIDS), suffocation, strangulation, entrapment and other deaths while an infant is in a crib or asleep. It is essential that staff follow your written policies describing safe sleep practices for infants. Documentation of every 15 minutes checks should be available for monitoring and kept on file for 30 days. Each room for infant care should have staff present who are trained in safe sleep practices and who are approved to care for infants. All staff, volunteers, and other approved caregivers who enter these rooms should also get more educational information and should complete training on the importance of consistent safe sleep practices before they are allowed to care for infants (i.e., first day as an employee, volunteer, or substitute). Documentation of completed training should be kept on file. Today sleep charts were monitored from 11/1/24 through 11/27/24; documentation were recorded for each child enrolled in the infant classroom every 15 minutes during the requested period. Medication: Two classrooms were observed with expired medication. Medication should not be used beyond the date of expiration. Unused medications should be returned to the parent/guardian for disposal. In the event medication cannot be returned to the parent or guardian, it should be disposed of according to the recommendations of the US Food and Drug Administration. The expiration date is so small and by putting a label on the medication with the expiration date will help staff to quickly recognize that the due date is quickly approaching, and the medication should be returned to the parent or discarded. Harmful chemicals: Hand sanitizer, disinfested wipes, glass spray and a purse with deodorant was stored less than 5 feet from the floor. Best practice is to store any potentially toxic substances behind doors/cabinets with child-resistant locks/latches. A locked cabinet or room that children cannot open or enter is best, but it must be locked all the time. Storing potentially toxic substances in child-resistant containers five feet from the floor is another level of protection. CONSULTATION AND RESOURCES: ANNUAL LICENSE FEE Per North Carolina General Statute § 110-90(1a), licensed child care facilities are assessed an annual license fee. The amount of your annual license fee is based on your licensed capacity. Invoices are emailed to the facility email address on file in regulatory. Online payments are due by December 31, 2024. HEALTH AND SAFETY Training in all the required health and safety topics must be completed at least every 5 years. It may be time for your staff to complete this training again. 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. All staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training counts toward requirements for Health and Safety. Recognizing and Responding to Suspicions of Child Maltreatment training is available at www.preventchildabusenc.org. 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. 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 .0606 · Violation

Name of Operation: KINDERCARE EDUCATION Facility ID: 92003797 Consultant: CORRINE FULP Operation Type: Center Case Number: Visit Date: 12/5/2024 Number Present: 114 Completed Date: 12/5/2024 Age: From 0 To 5 Total Minutes: 210 Time In: 10:30 AM Time Out: 02:00 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, I was greeted by Nicole Burroughs, and she accompanied me throughout the visit. CURRENT LICENSE STATUS: The program operates with a 5-star rated license issued on 5/16/22. They received 7 points in program standards, 5 points in staff education and one quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. ANNUAL INSPECTIONS: The last sanitation inspection was completed on: 7/1/24. The last fire inspection was completed on 1/23/24. The last outdoor play area inspection was completed on 10/7/24. The last fire drill was conducted on 11/18/24. The last lock down/shelter-in-place drill was completed on 11/19/24. The EPR plan was updated on 2/5/24. The last annual compliance visit was conducted on 1/29/24. COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history score was 86%. Prior to the visit I reviewed the NC Secretary of State's website and observed that the owner of this facility, KINDERCARE EDUCATION LLC. was active/not current. You visited all approved indoor/outdoor spaces with me during today’s visit. Children were engaged in classroom activities and outdoor play during today’s visit. A full assessment was conducted. A monitoring checklist was used to observe all minimum licensing requirements and applicable enhanced requirements including but not limited to approved space, child interactions, required in-service trainings, indoor and outdoor materials and equipment, storage of hazardous items, storage of medication and medication forms, children records, Staff Criminal Record Checks, attendance records, CPR and First Aid certificates, activity plans and supervision. ON GOING TRAINING HOURS Your center’s annual Inservice training for the period of January 2024 through December 2024 was reviewed during today’s visit. All staff employed for more than one year had completed their annual in-service training hours. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Space #5 did not have a weekly activity plan posted. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space #10 four bottle containing formula were not dated. 15A NCAC 18A .2804(d) 807 A safe indoor and outdoor environment was not provided for the children. A key was left in a door where children would have access to an attic area with steps. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Sanitize wipes, disinfected solution, staff purse, and glass spray was stored in an unlocked cabinet less than five feet from the floor. .2820(b) 847 Parent's medication authorization did not include required information. Two children authorization forms did not have the amount to apply and the date the medication should be given. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A container of Butt paste, and aquaphor expired on 6/2023. .0803(12) 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 on 10/7/24. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Four staff members hired for more than a year did not have documentation of an annually review. 10A NCAC 09 .0802(a) 871 Center staff did not comply with the safe sleep policy. No documentation of sleep check was recorded for 12/2/24 through 12/5/24. 10A NCAC 09 .0606(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Four staff members hired for more than a year did not have documentation of an annually EPR review. .0607(e) 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 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 12/19/24, and/or if you do not address all violations, I will be making a return visit to your program to monitor for 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. TECHNICAL ASSISTANCE Sleep check: During today’s visit the sleep check policy was not being followed. No sleep check documentation was recorded from 12/2/24 through 12/5/24. Safe sleep practices help reduce the risk of sleep-related sudden and unexpected infant deaths (SUID), including sudden infant death syndrome (SIDS), suffocation, strangulation, entrapment and other deaths while an infant is in a crib or asleep. It is essential that staff follow your written policies describing safe sleep practices for infants. Documentation of every 15 minutes checks should be available for monitoring and kept on file for 30 days. Each room for infant care should have staff present who are trained in safe sleep practices and who are approved to care for infants. All staff, volunteers, and other approved caregivers who enter these rooms should also get more educational information and should complete training on the importance of consistent safe sleep practices before they are allowed to care for infants (i.e., first day as an employee, volunteer, or substitute). Documentation of completed training should be kept on file. Today sleep charts were monitored from 11/1/24 through 11/27/24; documentation were recorded for each child enrolled in the infant classroom every 15 minutes during the requested period. Medication: Two classrooms were observed with expired medication. Medication should not be used beyond the date of expiration. Unused medications should be returned to the parent/guardian for disposal. In the event medication cannot be returned to the parent or guardian, it should be disposed of according to the recommendations of the US Food and Drug Administration. The expiration date is so small and by putting a label on the medication with the expiration date will help staff to quickly recognize that the due date is quickly approaching, and the medication should be returned to the parent or discarded. Harmful chemicals: Hand sanitizer, disinfested wipes, glass spray and a purse with deodorant was stored less than 5 feet from the floor. Best practice is to store any potentially toxic substances behind doors/cabinets with child-resistant locks/latches. A locked cabinet or room that children cannot open or enter is best, but it must be locked all the time. Storing potentially toxic substances in child-resistant containers five feet from the floor is another level of protection. CONSULTATION AND RESOURCES: ANNUAL LICENSE FEE Per North Carolina General Statute § 110-90(1a), licensed child care facilities are assessed an annual license fee. The amount of your annual license fee is based on your licensed capacity. Invoices are emailed to the facility email address on file in regulatory. Online payments are due by December 31, 2024. HEALTH AND SAFETY Training in all the required health and safety topics must be completed at least every 5 years. It may be time for your staff to complete this training again. 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. All staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training counts toward requirements for Health and Safety. Recognizing and Responding to Suspicions of Child Maltreatment training is available at www.preventchildabusenc.org. 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. 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 .0802 · Violation

Name of Operation: KINDERCARE EDUCATION Facility ID: 92003797 Consultant: CORRINE FULP Operation Type: Center Case Number: Visit Date: 12/5/2024 Number Present: 114 Completed Date: 12/5/2024 Age: From 0 To 5 Total Minutes: 210 Time In: 10:30 AM Time Out: 02:00 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, I was greeted by Nicole Burroughs, and she accompanied me throughout the visit. CURRENT LICENSE STATUS: The program operates with a 5-star rated license issued on 5/16/22. They received 7 points in program standards, 5 points in staff education and one quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. ANNUAL INSPECTIONS: The last sanitation inspection was completed on: 7/1/24. The last fire inspection was completed on 1/23/24. The last outdoor play area inspection was completed on 10/7/24. The last fire drill was conducted on 11/18/24. The last lock down/shelter-in-place drill was completed on 11/19/24. The EPR plan was updated on 2/5/24. The last annual compliance visit was conducted on 1/29/24. COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history score was 86%. Prior to the visit I reviewed the NC Secretary of State's website and observed that the owner of this facility, KINDERCARE EDUCATION LLC. was active/not current. You visited all approved indoor/outdoor spaces with me during today’s visit. Children were engaged in classroom activities and outdoor play during today’s visit. A full assessment was conducted. A monitoring checklist was used to observe all minimum licensing requirements and applicable enhanced requirements including but not limited to approved space, child interactions, required in-service trainings, indoor and outdoor materials and equipment, storage of hazardous items, storage of medication and medication forms, children records, Staff Criminal Record Checks, attendance records, CPR and First Aid certificates, activity plans and supervision. ON GOING TRAINING HOURS Your center’s annual Inservice training for the period of January 2024 through December 2024 was reviewed during today’s visit. All staff employed for more than one year had completed their annual in-service training hours. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Space #5 did not have a weekly activity plan posted. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space #10 four bottle containing formula were not dated. 15A NCAC 18A .2804(d) 807 A safe indoor and outdoor environment was not provided for the children. A key was left in a door where children would have access to an attic area with steps. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Sanitize wipes, disinfected solution, staff purse, and glass spray was stored in an unlocked cabinet less than five feet from the floor. .2820(b) 847 Parent's medication authorization did not include required information. Two children authorization forms did not have the amount to apply and the date the medication should be given. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A container of Butt paste, and aquaphor expired on 6/2023. .0803(12) 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 on 10/7/24. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Four staff members hired for more than a year did not have documentation of an annually review. 10A NCAC 09 .0802(a) 871 Center staff did not comply with the safe sleep policy. No documentation of sleep check was recorded for 12/2/24 through 12/5/24. 10A NCAC 09 .0606(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Four staff members hired for more than a year did not have documentation of an annually EPR review. .0607(e) 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 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 12/19/24, and/or if you do not address all violations, I will be making a return visit to your program to monitor for 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. TECHNICAL ASSISTANCE Sleep check: During today’s visit the sleep check policy was not being followed. No sleep check documentation was recorded from 12/2/24 through 12/5/24. Safe sleep practices help reduce the risk of sleep-related sudden and unexpected infant deaths (SUID), including sudden infant death syndrome (SIDS), suffocation, strangulation, entrapment and other deaths while an infant is in a crib or asleep. It is essential that staff follow your written policies describing safe sleep practices for infants. Documentation of every 15 minutes checks should be available for monitoring and kept on file for 30 days. Each room for infant care should have staff present who are trained in safe sleep practices and who are approved to care for infants. All staff, volunteers, and other approved caregivers who enter these rooms should also get more educational information and should complete training on the importance of consistent safe sleep practices before they are allowed to care for infants (i.e., first day as an employee, volunteer, or substitute). Documentation of completed training should be kept on file. Today sleep charts were monitored from 11/1/24 through 11/27/24; documentation were recorded for each child enrolled in the infant classroom every 15 minutes during the requested period. Medication: Two classrooms were observed with expired medication. Medication should not be used beyond the date of expiration. Unused medications should be returned to the parent/guardian for disposal. In the event medication cannot be returned to the parent or guardian, it should be disposed of according to the recommendations of the US Food and Drug Administration. The expiration date is so small and by putting a label on the medication with the expiration date will help staff to quickly recognize that the due date is quickly approaching, and the medication should be returned to the parent or discarded. Harmful chemicals: Hand sanitizer, disinfested wipes, glass spray and a purse with deodorant was stored less than 5 feet from the floor. Best practice is to store any potentially toxic substances behind doors/cabinets with child-resistant locks/latches. A locked cabinet or room that children cannot open or enter is best, but it must be locked all the time. Storing potentially toxic substances in child-resistant containers five feet from the floor is another level of protection. CONSULTATION AND RESOURCES: ANNUAL LICENSE FEE Per North Carolina General Statute § 110-90(1a), licensed child care facilities are assessed an annual license fee. The amount of your annual license fee is based on your licensed capacity. Invoices are emailed to the facility email address on file in regulatory. Online payments are due by December 31, 2024. HEALTH AND SAFETY Training in all the required health and safety topics must be completed at least every 5 years. It may be time for your staff to complete this training again. 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. All staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training counts toward requirements for Health and Safety. Recognizing and Responding to Suspicions of Child Maltreatment training is available at www.preventchildabusenc.org. 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. 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: KINDERCARE EDUCATION Facility ID: 92003797 Consultant: CORRINE FULP Operation Type: Center Case Number: Visit Date: 12/5/2024 Number Present: 114 Completed Date: 12/5/2024 Age: From 0 To 5 Total Minutes: 210 Time In: 10:30 AM Time Out: 02:00 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, I was greeted by Nicole Burroughs, and she accompanied me throughout the visit. CURRENT LICENSE STATUS: The program operates with a 5-star rated license issued on 5/16/22. They received 7 points in program standards, 5 points in staff education and one quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. ANNUAL INSPECTIONS: The last sanitation inspection was completed on: 7/1/24. The last fire inspection was completed on 1/23/24. The last outdoor play area inspection was completed on 10/7/24. The last fire drill was conducted on 11/18/24. The last lock down/shelter-in-place drill was completed on 11/19/24. The EPR plan was updated on 2/5/24. The last annual compliance visit was conducted on 1/29/24. COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history score was 86%. Prior to the visit I reviewed the NC Secretary of State's website and observed that the owner of this facility, KINDERCARE EDUCATION LLC. was active/not current. You visited all approved indoor/outdoor spaces with me during today’s visit. Children were engaged in classroom activities and outdoor play during today’s visit. A full assessment was conducted. A monitoring checklist was used to observe all minimum licensing requirements and applicable enhanced requirements including but not limited to approved space, child interactions, required in-service trainings, indoor and outdoor materials and equipment, storage of hazardous items, storage of medication and medication forms, children records, Staff Criminal Record Checks, attendance records, CPR and First Aid certificates, activity plans and supervision. ON GOING TRAINING HOURS Your center’s annual Inservice training for the period of January 2024 through December 2024 was reviewed during today’s visit. All staff employed for more than one year had completed their annual in-service training hours. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Space #5 did not have a weekly activity plan posted. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space #10 four bottle containing formula were not dated. 15A NCAC 18A .2804(d) 807 A safe indoor and outdoor environment was not provided for the children. A key was left in a door where children would have access to an attic area with steps. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Sanitize wipes, disinfected solution, staff purse, and glass spray was stored in an unlocked cabinet less than five feet from the floor. .2820(b) 847 Parent's medication authorization did not include required information. Two children authorization forms did not have the amount to apply and the date the medication should be given. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A container of Butt paste, and aquaphor expired on 6/2023. .0803(12) 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 on 10/7/24. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Four staff members hired for more than a year did not have documentation of an annually review. 10A NCAC 09 .0802(a) 871 Center staff did not comply with the safe sleep policy. No documentation of sleep check was recorded for 12/2/24 through 12/5/24. 10A NCAC 09 .0606(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Four staff members hired for more than a year did not have documentation of an annually EPR review. .0607(e) 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 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 12/19/24, and/or if you do not address all violations, I will be making a return visit to your program to monitor for 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. TECHNICAL ASSISTANCE Sleep check: During today’s visit the sleep check policy was not being followed. No sleep check documentation was recorded from 12/2/24 through 12/5/24. Safe sleep practices help reduce the risk of sleep-related sudden and unexpected infant deaths (SUID), including sudden infant death syndrome (SIDS), suffocation, strangulation, entrapment and other deaths while an infant is in a crib or asleep. It is essential that staff follow your written policies describing safe sleep practices for infants. Documentation of every 15 minutes checks should be available for monitoring and kept on file for 30 days. Each room for infant care should have staff present who are trained in safe sleep practices and who are approved to care for infants. All staff, volunteers, and other approved caregivers who enter these rooms should also get more educational information and should complete training on the importance of consistent safe sleep practices before they are allowed to care for infants (i.e., first day as an employee, volunteer, or substitute). Documentation of completed training should be kept on file. Today sleep charts were monitored from 11/1/24 through 11/27/24; documentation were recorded for each child enrolled in the infant classroom every 15 minutes during the requested period. Medication: Two classrooms were observed with expired medication. Medication should not be used beyond the date of expiration. Unused medications should be returned to the parent/guardian for disposal. In the event medication cannot be returned to the parent or guardian, it should be disposed of according to the recommendations of the US Food and Drug Administration. The expiration date is so small and by putting a label on the medication with the expiration date will help staff to quickly recognize that the due date is quickly approaching, and the medication should be returned to the parent or discarded. Harmful chemicals: Hand sanitizer, disinfested wipes, glass spray and a purse with deodorant was stored less than 5 feet from the floor. Best practice is to store any potentially toxic substances behind doors/cabinets with child-resistant locks/latches. A locked cabinet or room that children cannot open or enter is best, but it must be locked all the time. Storing potentially toxic substances in child-resistant containers five feet from the floor is another level of protection. CONSULTATION AND RESOURCES: ANNUAL LICENSE FEE Per North Carolina General Statute § 110-90(1a), licensed child care facilities are assessed an annual license fee. The amount of your annual license fee is based on your licensed capacity. Invoices are emailed to the facility email address on file in regulatory. Online payments are due by December 31, 2024. HEALTH AND SAFETY Training in all the required health and safety topics must be completed at least every 5 years. It may be time for your staff to complete this training again. 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. All staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training counts toward requirements for Health and Safety. Recognizing and Responding to Suspicions of Child Maltreatment training is available at www.preventchildabusenc.org. 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. 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: KINDERCARE EDUCATION Facility ID: 92003797 Consultant: CORRINE FULP Operation Type: Center Case Number: Visit Date: 12/5/2024 Number Present: 114 Completed Date: 12/5/2024 Age: From 0 To 5 Total Minutes: 210 Time In: 10:30 AM Time Out: 02:00 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, I was greeted by Nicole Burroughs, and she accompanied me throughout the visit. CURRENT LICENSE STATUS: The program operates with a 5-star rated license issued on 5/16/22. They received 7 points in program standards, 5 points in staff education and one quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. ANNUAL INSPECTIONS: The last sanitation inspection was completed on: 7/1/24. The last fire inspection was completed on 1/23/24. The last outdoor play area inspection was completed on 10/7/24. The last fire drill was conducted on 11/18/24. The last lock down/shelter-in-place drill was completed on 11/19/24. The EPR plan was updated on 2/5/24. The last annual compliance visit was conducted on 1/29/24. COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history score was 86%. Prior to the visit I reviewed the NC Secretary of State's website and observed that the owner of this facility, KINDERCARE EDUCATION LLC. was active/not current. You visited all approved indoor/outdoor spaces with me during today’s visit. Children were engaged in classroom activities and outdoor play during today’s visit. A full assessment was conducted. A monitoring checklist was used to observe all minimum licensing requirements and applicable enhanced requirements including but not limited to approved space, child interactions, required in-service trainings, indoor and outdoor materials and equipment, storage of hazardous items, storage of medication and medication forms, children records, Staff Criminal Record Checks, attendance records, CPR and First Aid certificates, activity plans and supervision. ON GOING TRAINING HOURS Your center’s annual Inservice training for the period of January 2024 through December 2024 was reviewed during today’s visit. All staff employed for more than one year had completed their annual in-service training hours. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Space #5 did not have a weekly activity plan posted. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space #10 four bottle containing formula were not dated. 15A NCAC 18A .2804(d) 807 A safe indoor and outdoor environment was not provided for the children. A key was left in a door where children would have access to an attic area with steps. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Sanitize wipes, disinfected solution, staff purse, and glass spray was stored in an unlocked cabinet less than five feet from the floor. .2820(b) 847 Parent's medication authorization did not include required information. Two children authorization forms did not have the amount to apply and the date the medication should be given. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A container of Butt paste, and aquaphor expired on 6/2023. .0803(12) 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 on 10/7/24. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Four staff members hired for more than a year did not have documentation of an annually review. 10A NCAC 09 .0802(a) 871 Center staff did not comply with the safe sleep policy. No documentation of sleep check was recorded for 12/2/24 through 12/5/24. 10A NCAC 09 .0606(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Four staff members hired for more than a year did not have documentation of an annually EPR review. .0607(e) 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 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 12/19/24, and/or if you do not address all violations, I will be making a return visit to your program to monitor for 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. TECHNICAL ASSISTANCE Sleep check: During today’s visit the sleep check policy was not being followed. No sleep check documentation was recorded from 12/2/24 through 12/5/24. Safe sleep practices help reduce the risk of sleep-related sudden and unexpected infant deaths (SUID), including sudden infant death syndrome (SIDS), suffocation, strangulation, entrapment and other deaths while an infant is in a crib or asleep. It is essential that staff follow your written policies describing safe sleep practices for infants. Documentation of every 15 minutes checks should be available for monitoring and kept on file for 30 days. Each room for infant care should have staff present who are trained in safe sleep practices and who are approved to care for infants. All staff, volunteers, and other approved caregivers who enter these rooms should also get more educational information and should complete training on the importance of consistent safe sleep practices before they are allowed to care for infants (i.e., first day as an employee, volunteer, or substitute). Documentation of completed training should be kept on file. Today sleep charts were monitored from 11/1/24 through 11/27/24; documentation were recorded for each child enrolled in the infant classroom every 15 minutes during the requested period. Medication: Two classrooms were observed with expired medication. Medication should not be used beyond the date of expiration. Unused medications should be returned to the parent/guardian for disposal. In the event medication cannot be returned to the parent or guardian, it should be disposed of according to the recommendations of the US Food and Drug Administration. The expiration date is so small and by putting a label on the medication with the expiration date will help staff to quickly recognize that the due date is quickly approaching, and the medication should be returned to the parent or discarded. Harmful chemicals: Hand sanitizer, disinfested wipes, glass spray and a purse with deodorant was stored less than 5 feet from the floor. Best practice is to store any potentially toxic substances behind doors/cabinets with child-resistant locks/latches. A locked cabinet or room that children cannot open or enter is best, but it must be locked all the time. Storing potentially toxic substances in child-resistant containers five feet from the floor is another level of protection. CONSULTATION AND RESOURCES: ANNUAL LICENSE FEE Per North Carolina General Statute § 110-90(1a), licensed child care facilities are assessed an annual license fee. The amount of your annual license fee is based on your licensed capacity. Invoices are emailed to the facility email address on file in regulatory. Online payments are due by December 31, 2024. HEALTH AND SAFETY Training in all the required health and safety topics must be completed at least every 5 years. It may be time for your staff to complete this training again. 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. All staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training counts toward requirements for Health and Safety. Recognizing and Responding to Suspicions of Child Maltreatment training is available at www.preventchildabusenc.org. 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. 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: KINDERCARE EDUCATION Facility ID: 92003797 Consultant: PAMELIA CARMON Operation Type: Center Case Number: 0824-265A Visit Date: 8/23/2024 Number Present: 103 Completed Date: 8/23/2024 Age: From 0 To 5 Total Minutes: 120 Time In: 10:10 AM Time Out: 12:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Nicole Burroughs, director accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Burroughs and additional staff members. Limited monitoring of child care requirements occurred 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. On August 13, 2024, a staff member pulled a one-year-old children by the arm. On other occasions, the staff member popped/hit children on the head, pushed their heads down on the cots at name time and spoke to the children in a harsh tone. G.S. 110-91(10) 1949 The center did not report a suspected case of child abuse or neglect as required by the mandatory duty prescribed in G.S. 7B-301. Staff members failed to report a staff members inappropriate treatment of a child. G.S. 110-91 You may contact me Pamelia Carmon, Investigations Consultant at 919-280-2252, or pamelia.carmon@dhhs.nc.gov or Sheronda Harris, Investigations Supervisor at Sheronda.harris@dhhs.nc.gov. Thank you for your time. 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 .0604 · Violation

Name of Operation: KINDERCARE EDUCATION Facility ID: 92003797 Consultant: CORRINE FULP Operation Type: Center Case Number: Visit Date: 7/10/2024 Number Present: 120 Completed Date: 7/10/2024 Age: From 0 To 5 Total Minutes: 210 Time In: 09:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You (NICOLE BURROUGHS) assisted me with the visit. LICENSE STATUS: Your program operated with a five-star License, issued, May 16, 2022, earning 7 points in program standard, 5 points in staff education component, and 1 quality point through staff benefits and infrastructure of parent involvement. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor areas and found supervision and staff/ratios to be in compliance. Children throughout the facility were participating in group time, free play activities, and personal care routines. The infants were engaged in tummy time, feeding, and diapering routine. Files for new staff were reviewed. INSPECTION/SAFTEY DRILL STATUS: The last sanitation inspection was conducted on 9/1/24. The last fire inspection was conducted on 1/23/24. The last outdoor play area inspection was conducted on 7/9/24. The last fire drill was conducted on 5/22/24. The last shelter-in-place/lock down was conducted on 3/4/24. The EPR plan was updated on 2/5/24. The last annual compliance visit was conducted on 1/8/24. According to the NC Secretary of State web site, the status of KinderCare Education LLC is “current-active”. ITEMS MONITORED: A partial monitoring of applicable child care requirements was conducted, monitoring Supervision, Staff Child Ratio, CPR/First Aid, Special Training, Storage of Hazardous Substances, Storage of Medication, Adequate Approved/Space, Staff Records, Program Records, License Posted, and Permit Restrictions. The following violations 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. Formula was dated with the incorrect date in space #9. 15A NCAC 18A .2804(d) 805 Fire drills were not practiced monthly and/or the drill record was incomplete.The last fire drill conducted was 5/22/24. .0604(t); .0302(d)(5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. A Surge protector had uncovered outlets in space #8. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. Seven authorization forms in space#2 for sunscreen did not include the amount to be applied. 10A NCAC 09 .0803(4)(6-9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Six staff members First Aid certification ended on 1/2024. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Six employees CPR expired on 1/2024. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.The last documented shelter-in-place drill was conducted on 3/4/24. .0604(u);.0302(d)(8) 1898 Staff did not complete the health and safety training within one year of employment. Two staff members did not complete their health and safety training within their first year. .1102(a) 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 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 7/24/24, and/or if you do not address all violations, I will be making a return visit to your program to monitor for 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 91%. The center was not in compliance with all applicable minimum licensing requirements during today's visit and violations were cited that could impact the center’s overall Compliance History Score. An updated Compliance History Score will be generated after today’s visit, and you will be informed of the results on the next visit to your center. TECHNICAL ASSISTANCE MEDICATION: Any time authorization is given for over-the-counter cream the following information is needed from the parent: the child's name; the date to apply the cream; time given; the amount and type of cream given. Suggestion: Because you have so many kinds of sunscreens to apply in each classroom it could be helpful to adapt a center brand for the school. Have parents sign an authorization form to allow you to apply the cream. This could be helpful for missing information, teachers making sure children get their specific container and storage. HEALTH AND SAFETY Training in all the required health and safety topics must be completed at least every 5 years. The 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. Recognizing and Responding to Suspicions of Child Maltreatment must also be completed at least every 5 years. This training is available at www.preventchildabusenc.org DCDEE UPDATES AND NEWS For the latest information on child care rules and regulations, please visit the DCDEE website at www.ncchildcare.nc.gov. At the completion of the visit, this summary was printed, reviewed, and a copy was left with you. CONTACT INFORMATION If you have any questions about today’s visit, I can be reached via email at corrine.fulp@dhhs.nc.gov or by phone at (919) 606-2388. 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: KINDERCARE EDUCATION Facility ID: 92003797 Consultant: CORRINE FULP Operation Type: Center Case Number: Visit Date: 7/10/2024 Number Present: 120 Completed Date: 7/10/2024 Age: From 0 To 5 Total Minutes: 210 Time In: 09:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You (NICOLE BURROUGHS) assisted me with the visit. LICENSE STATUS: Your program operated with a five-star License, issued, May 16, 2022, earning 7 points in program standard, 5 points in staff education component, and 1 quality point through staff benefits and infrastructure of parent involvement. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor areas and found supervision and staff/ratios to be in compliance. Children throughout the facility were participating in group time, free play activities, and personal care routines. The infants were engaged in tummy time, feeding, and diapering routine. Files for new staff were reviewed. INSPECTION/SAFTEY DRILL STATUS: The last sanitation inspection was conducted on 9/1/24. The last fire inspection was conducted on 1/23/24. The last outdoor play area inspection was conducted on 7/9/24. The last fire drill was conducted on 5/22/24. The last shelter-in-place/lock down was conducted on 3/4/24. The EPR plan was updated on 2/5/24. The last annual compliance visit was conducted on 1/8/24. According to the NC Secretary of State web site, the status of KinderCare Education LLC is “current-active”. ITEMS MONITORED: A partial monitoring of applicable child care requirements was conducted, monitoring Supervision, Staff Child Ratio, CPR/First Aid, Special Training, Storage of Hazardous Substances, Storage of Medication, Adequate Approved/Space, Staff Records, Program Records, License Posted, and Permit Restrictions. The following violations 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. Formula was dated with the incorrect date in space #9. 15A NCAC 18A .2804(d) 805 Fire drills were not practiced monthly and/or the drill record was incomplete.The last fire drill conducted was 5/22/24. .0604(t); .0302(d)(5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. A Surge protector had uncovered outlets in space #8. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. Seven authorization forms in space#2 for sunscreen did not include the amount to be applied. 10A NCAC 09 .0803(4)(6-9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Six staff members First Aid certification ended on 1/2024. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Six employees CPR expired on 1/2024. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.The last documented shelter-in-place drill was conducted on 3/4/24. .0604(u);.0302(d)(8) 1898 Staff did not complete the health and safety training within one year of employment. Two staff members did not complete their health and safety training within their first year. .1102(a) 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 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 7/24/24, and/or if you do not address all violations, I will be making a return visit to your program to monitor for 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 91%. The center was not in compliance with all applicable minimum licensing requirements during today's visit and violations were cited that could impact the center’s overall Compliance History Score. An updated Compliance History Score will be generated after today’s visit, and you will be informed of the results on the next visit to your center. TECHNICAL ASSISTANCE MEDICATION: Any time authorization is given for over-the-counter cream the following information is needed from the parent: the child's name; the date to apply the cream; time given; the amount and type of cream given. Suggestion: Because you have so many kinds of sunscreens to apply in each classroom it could be helpful to adapt a center brand for the school. Have parents sign an authorization form to allow you to apply the cream. This could be helpful for missing information, teachers making sure children get their specific container and storage. HEALTH AND SAFETY Training in all the required health and safety topics must be completed at least every 5 years. The 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. Recognizing and Responding to Suspicions of Child Maltreatment must also be completed at least every 5 years. This training is available at www.preventchildabusenc.org DCDEE UPDATES AND NEWS For the latest information on child care rules and regulations, please visit the DCDEE website at www.ncchildcare.nc.gov. At the completion of the visit, this summary was printed, reviewed, and a copy was left with you. CONTACT INFORMATION If you have any questions about today’s visit, I can be reached via email at corrine.fulp@dhhs.nc.gov or by phone at (919) 606-2388. 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 .0601 · Violation

Name of Operation: KINDERCARE EDUCATION Facility ID: 92003797 Consultant: WANDA FOWLER Operation Type: Center Case Number: Visit Date: 1/29/2024 Number Present: 115 Completed Date: 1/29/2024 Age: From 0 To 5 Total Minutes: 210 Time In: 09:45 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Other Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to assess staff records. The staff and training worksheets were completed prior to the AC visit, conducted on 1/8/24. However, the center administrators were in classrooms because of staffing issues. The director, Nicole Burroughs, assisted me with today’s visit. We conducted a walk-through of the indoor and outdoor learning environments. I observed infant meal time and the older children engaged in free play in their classrooms. We then returned to the office, and I assessed staff records During today’s visit, we discussed the center’s indoor space calculations which are based at 35 square feet per child, because there was not enough outdoor space to meet the requirement of 100 square feet per the total licensed capacity. A new rule, 10A NCAC 09 .2809 (a), states, “There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time.” This means that the center now has the option of reducing their indoor square footage to 30 square feet per child. In addition, the center received 7 points in program standards on their previous rated license assessment and they are required to meet the highest voluntary staff/child ratios. When considering if this change will be beneficial to the center, we discussed the following factors. No class should exceed the number of students permitted in the space. No class should exceed the number of students permitted by the maximum group size, which is determined by the age of the children assigned to the class space. The center cannot exceed the capacity listed on the license, which is currently 150, based on sanitation requirements. You stated that you would like to discuss these options with your district leader, and you would follow up with me if you wish to make any changes to your license. Staff ongoing training was assessed from 2/1/23 – 1/31/24. All staff employed more than 1 year, should complete their required number of training hours by the end of this month. The following violations were observed and recorded during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. A staff purse was stored on top of a shelf that was approximately 4 feet above the ground. 10A NCAC 09 .0601(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The center's EPR plan was last updated in 2019. .0607(e) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Three staff members did not complete this training within their first 90 days. .1102(g) The above violations must be corrected immediately. By 2/12/24 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 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 89%. TECHNICAL ASSISTANCE In the Toddler 2 room there was a purse stored on the top of a cubby, which was approximately 4 feet above the ground. All staff personal items, which may contain potentially hazardous materials, must be stored at least 5 feet above the ground or in locked storage. Please remind staff to properly store their personal items. The program’s EPR plan was last updated in 2019. The director reported that no changes are required, but the plan must be reviewed at least annually and when updates are required. During the visit, you logged in and began making updates. It is helpful to set a calendar reminder for when an update is due. Three staff members did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within their first 90 days of employment. One staff member has completed the training, but it was after her first 90 days of employment and two others did not have documentation in their file that they had completed the training. CONSULTATION Health and Safety trainings should be completed within the first year of employment and every 5 years after. All incident reports should be added to the program’s incident log; not just the incidents that are submitted to me. If you need assistance, you may contact me at wanda.fowler@dhhs.nc.gov or 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 .2809 · Violation

Name of Operation: KINDERCARE EDUCATION Facility ID: 92003797 Consultant: WANDA FOWLER Operation Type: Center Case Number: Visit Date: 1/29/2024 Number Present: 115 Completed Date: 1/29/2024 Age: From 0 To 5 Total Minutes: 210 Time In: 09:45 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Other Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to assess staff records. The staff and training worksheets were completed prior to the AC visit, conducted on 1/8/24. However, the center administrators were in classrooms because of staffing issues. The director, Nicole Burroughs, assisted me with today’s visit. We conducted a walk-through of the indoor and outdoor learning environments. I observed infant meal time and the older children engaged in free play in their classrooms. We then returned to the office, and I assessed staff records During today’s visit, we discussed the center’s indoor space calculations which are based at 35 square feet per child, because there was not enough outdoor space to meet the requirement of 100 square feet per the total licensed capacity. A new rule, 10A NCAC 09 .2809 (a), states, “There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time.” This means that the center now has the option of reducing their indoor square footage to 30 square feet per child. In addition, the center received 7 points in program standards on their previous rated license assessment and they are required to meet the highest voluntary staff/child ratios. When considering if this change will be beneficial to the center, we discussed the following factors. No class should exceed the number of students permitted in the space. No class should exceed the number of students permitted by the maximum group size, which is determined by the age of the children assigned to the class space. The center cannot exceed the capacity listed on the license, which is currently 150, based on sanitation requirements. You stated that you would like to discuss these options with your district leader, and you would follow up with me if you wish to make any changes to your license. Staff ongoing training was assessed from 2/1/23 – 1/31/24. All staff employed more than 1 year, should complete their required number of training hours by the end of this month. The following violations were observed and recorded during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. A staff purse was stored on top of a shelf that was approximately 4 feet above the ground. 10A NCAC 09 .0601(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The center's EPR plan was last updated in 2019. .0607(e) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Three staff members did not complete this training within their first 90 days. .1102(g) The above violations must be corrected immediately. By 2/12/24 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 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 89%. TECHNICAL ASSISTANCE In the Toddler 2 room there was a purse stored on the top of a cubby, which was approximately 4 feet above the ground. All staff personal items, which may contain potentially hazardous materials, must be stored at least 5 feet above the ground or in locked storage. Please remind staff to properly store their personal items. The program’s EPR plan was last updated in 2019. The director reported that no changes are required, but the plan must be reviewed at least annually and when updates are required. During the visit, you logged in and began making updates. It is helpful to set a calendar reminder for when an update is due. Three staff members did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within their first 90 days of employment. One staff member has completed the training, but it was after her first 90 days of employment and two others did not have documentation in their file that they had completed the training. CONSULTATION Health and Safety trainings should be completed within the first year of employment and every 5 years after. All incident reports should be added to the program’s incident log; not just the incidents that are submitted to me. If you need assistance, you may contact me at wanda.fowler@dhhs.nc.gov or 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 .0601 · Violation

Name of Operation: KINDERCARE EDUCATION Facility ID: 92003797 Consultant: WANDA FOWLER Operation Type: Center Case Number: Visit Date: 1/8/2024 Number Present: 100 Completed Date: 1/8/2024 Age: From 0 To 5 Total Minutes: 105 Time In: 09:30 AM Time Out: 11:15 AM 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 assess applicable child-care requirements during an unannounced annual compliance visit. The director, Nicole Burroughs, assisted me with today’s visit. We conducted a walk-through of the indoor and outdoor learning environments. I observed groups of children engaged in free play in their classrooms and on the playground. I also observed infant meals and rest time. RATED LICENSE STATUS The program operates with a 5 star-rated license issued on 5/16/22.They received 7 points in program standards, 5 points in staff education and 1 quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. Full rated license assessments will occur based on the program’s Cohort assignment; your program is in Cohort 3, therefore your assessment period would begin on or around July 1, 2026. You should begin preparing and planning for your assessment on or around July 1, 2025, if you wish to complete the Environment Rating Scales. 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 6/5/23. The last fire inspection was conducted 1/26/23. You stated that the equipment inspections were conducted last week, and you planned to call the fire inspector to schedule the visit this week. The last documented fire drill was conducted 12/29/23. The last documented shelter-in-place or lockdown drill was conducted 11/10/23. The last documented playground inspection was conducted 11/10/23. The status of the owners, Kindercare Education, LLC., is listed as current and active on the NC Secretary of State website. All applicable child care requirements were assessed during today’s visit except the following: because the center administrators were either covering classrooms or preparing lunch, I did not review staff records today. I will conduct another visit to review these files. Also, the center does not provide care for school-aged children or transportation, so these requirements were not assessed. The following violations were observed and recorded during today’s visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. ONe activity plan was dated for December 2023 and 3 other plans were not dated. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. A small bottle of hand sanitizer was stored on a low shelf at the classroom entrance door. 10A NCAC 09 .0601(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. There were two medications in a classroom without authorization forms. 10A NCAC 09 .0803(1)(a & b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two medication authorization forms were dated 12/5/22 and 6/22/22, respectively. .0803(12) 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 conducted 11/10/23. .0605(q) 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 allergy care plan expired 12/5/23. .0801(b) The above violations must be corrected immediately. By 1/22/24 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 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 90%. TECHNICAL ASSISTANCE There was one classroom with an activity plan dated for December 2023 and several other classrooms where the activity plans were not dated. Current activity plans must be posted in areas where parents can review them. Staff should be reminded to post their current, dated activity plan as required. In classroom #3 there was a bottle of hand sanitizer on a shelf at the classroom entrance. Any item with a warning to “keep out of reach of children,” must be inaccessible to children, meaning that it must be stored at least 5 feet above the ground or in locked storage. An allergy care plan for one of the children was dated 12/5/22 and expired 12/5/23. Allergy care plans should be updated annually and more frequently, if needed. There were two emergency medication authorization forms that were expired for a bottle of Benadryl and an Epi-pen. Medication authorization forms for emergency medication should be completed at least every 6 months. Center staff should review all allergy care plans, medications, and medication authorization forms to ensure that they are current and completed correctly. Once everything is current, staff should review these items periodically to maintain compliance. There were two topical medications in a classroom without authorization forms. Some programs require that all medications and medication forms be dropped off at the front desk, to be reviewed by center administration before it is sent to the classroom. If center staff receive the medication and forms in the classroom, they should review the medication and authorization forms to ensure that all requirements are met. The last documented playground inspection was completed 11/11/23. These inspections should be conducted monthly. It may be helpful to put a reminder on your calendar to ensure that the inspections are completed monthly. CONSULTATION The center is using a company-specific form for conducting playground inspections. At least monthly, the state playground inspection form should be used to conduct a playground inspection. There are new Sanitation Requirements effective 7/1/23. You should review their website or contact your Environmental Health Specialist for more information. 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. Please be safe and continue to follow the guidelines in the Childcare Strong NC Public Health Toolkit, which was last updated on 8/31/22. COVID is still a reportable illness. You must contact the Health Department if you have a confirmed case in your program. 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: KINDERCARE EDUCATION Facility ID: 92003797 Consultant: WANDA FOWLER Operation Type: Center Case Number: Visit Date: 1/8/2024 Number Present: 100 Completed Date: 1/8/2024 Age: From 0 To 5 Total Minutes: 105 Time In: 09:30 AM Time Out: 11:15 AM 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 assess applicable child-care requirements during an unannounced annual compliance visit. The director, Nicole Burroughs, assisted me with today’s visit. We conducted a walk-through of the indoor and outdoor learning environments. I observed groups of children engaged in free play in their classrooms and on the playground. I also observed infant meals and rest time. RATED LICENSE STATUS The program operates with a 5 star-rated license issued on 5/16/22.They received 7 points in program standards, 5 points in staff education and 1 quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. Full rated license assessments will occur based on the program’s Cohort assignment; your program is in Cohort 3, therefore your assessment period would begin on or around July 1, 2026. You should begin preparing and planning for your assessment on or around July 1, 2025, if you wish to complete the Environment Rating Scales. 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 6/5/23. The last fire inspection was conducted 1/26/23. You stated that the equipment inspections were conducted last week, and you planned to call the fire inspector to schedule the visit this week. The last documented fire drill was conducted 12/29/23. The last documented shelter-in-place or lockdown drill was conducted 11/10/23. The last documented playground inspection was conducted 11/10/23. The status of the owners, Kindercare Education, LLC., is listed as current and active on the NC Secretary of State website. All applicable child care requirements were assessed during today’s visit except the following: because the center administrators were either covering classrooms or preparing lunch, I did not review staff records today. I will conduct another visit to review these files. Also, the center does not provide care for school-aged children or transportation, so these requirements were not assessed. The following violations were observed and recorded during today’s visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. ONe activity plan was dated for December 2023 and 3 other plans were not dated. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. A small bottle of hand sanitizer was stored on a low shelf at the classroom entrance door. 10A NCAC 09 .0601(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. There were two medications in a classroom without authorization forms. 10A NCAC 09 .0803(1)(a & b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two medication authorization forms were dated 12/5/22 and 6/22/22, respectively. .0803(12) 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 conducted 11/10/23. .0605(q) 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 allergy care plan expired 12/5/23. .0801(b) The above violations must be corrected immediately. By 1/22/24 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 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 90%. TECHNICAL ASSISTANCE There was one classroom with an activity plan dated for December 2023 and several other classrooms where the activity plans were not dated. Current activity plans must be posted in areas where parents can review them. Staff should be reminded to post their current, dated activity plan as required. In classroom #3 there was a bottle of hand sanitizer on a shelf at the classroom entrance. Any item with a warning to “keep out of reach of children,” must be inaccessible to children, meaning that it must be stored at least 5 feet above the ground or in locked storage. An allergy care plan for one of the children was dated 12/5/22 and expired 12/5/23. Allergy care plans should be updated annually and more frequently, if needed. There were two emergency medication authorization forms that were expired for a bottle of Benadryl and an Epi-pen. Medication authorization forms for emergency medication should be completed at least every 6 months. Center staff should review all allergy care plans, medications, and medication authorization forms to ensure that they are current and completed correctly. Once everything is current, staff should review these items periodically to maintain compliance. There were two topical medications in a classroom without authorization forms. Some programs require that all medications and medication forms be dropped off at the front desk, to be reviewed by center administration before it is sent to the classroom. If center staff receive the medication and forms in the classroom, they should review the medication and authorization forms to ensure that all requirements are met. The last documented playground inspection was completed 11/11/23. These inspections should be conducted monthly. It may be helpful to put a reminder on your calendar to ensure that the inspections are completed monthly. CONSULTATION The center is using a company-specific form for conducting playground inspections. At least monthly, the state playground inspection form should be used to conduct a playground inspection. There are new Sanitation Requirements effective 7/1/23. You should review their website or contact your Environmental Health Specialist for more information. 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. Please be safe and continue to follow the guidelines in the Childcare Strong NC Public Health Toolkit, which was last updated on 8/31/22. COVID is still a reportable illness. You must contact the Health Department if you have a confirmed case in your program. 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: KINDERCARE EDUCATION Facility ID: 92003797 Consultant: WANDA FOWLER Operation Type: Center Case Number: Visit Date: 1/8/2024 Number Present: 100 Completed Date: 1/8/2024 Age: From 0 To 5 Total Minutes: 105 Time In: 09:30 AM Time Out: 11:15 AM 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 assess applicable child-care requirements during an unannounced annual compliance visit. The director, Nicole Burroughs, assisted me with today’s visit. We conducted a walk-through of the indoor and outdoor learning environments. I observed groups of children engaged in free play in their classrooms and on the playground. I also observed infant meals and rest time. RATED LICENSE STATUS The program operates with a 5 star-rated license issued on 5/16/22.They received 7 points in program standards, 5 points in staff education and 1 quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. Full rated license assessments will occur based on the program’s Cohort assignment; your program is in Cohort 3, therefore your assessment period would begin on or around July 1, 2026. You should begin preparing and planning for your assessment on or around July 1, 2025, if you wish to complete the Environment Rating Scales. 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 6/5/23. The last fire inspection was conducted 1/26/23. You stated that the equipment inspections were conducted last week, and you planned to call the fire inspector to schedule the visit this week. The last documented fire drill was conducted 12/29/23. The last documented shelter-in-place or lockdown drill was conducted 11/10/23. The last documented playground inspection was conducted 11/10/23. The status of the owners, Kindercare Education, LLC., is listed as current and active on the NC Secretary of State website. All applicable child care requirements were assessed during today’s visit except the following: because the center administrators were either covering classrooms or preparing lunch, I did not review staff records today. I will conduct another visit to review these files. Also, the center does not provide care for school-aged children or transportation, so these requirements were not assessed. The following violations were observed and recorded during today’s visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. ONe activity plan was dated for December 2023 and 3 other plans were not dated. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. A small bottle of hand sanitizer was stored on a low shelf at the classroom entrance door. 10A NCAC 09 .0601(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. There were two medications in a classroom without authorization forms. 10A NCAC 09 .0803(1)(a & b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two medication authorization forms were dated 12/5/22 and 6/22/22, respectively. .0803(12) 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 conducted 11/10/23. .0605(q) 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 allergy care plan expired 12/5/23. .0801(b) The above violations must be corrected immediately. By 1/22/24 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 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 90%. TECHNICAL ASSISTANCE There was one classroom with an activity plan dated for December 2023 and several other classrooms where the activity plans were not dated. Current activity plans must be posted in areas where parents can review them. Staff should be reminded to post their current, dated activity plan as required. In classroom #3 there was a bottle of hand sanitizer on a shelf at the classroom entrance. Any item with a warning to “keep out of reach of children,” must be inaccessible to children, meaning that it must be stored at least 5 feet above the ground or in locked storage. An allergy care plan for one of the children was dated 12/5/22 and expired 12/5/23. Allergy care plans should be updated annually and more frequently, if needed. There were two emergency medication authorization forms that were expired for a bottle of Benadryl and an Epi-pen. Medication authorization forms for emergency medication should be completed at least every 6 months. Center staff should review all allergy care plans, medications, and medication authorization forms to ensure that they are current and completed correctly. Once everything is current, staff should review these items periodically to maintain compliance. There were two topical medications in a classroom without authorization forms. Some programs require that all medications and medication forms be dropped off at the front desk, to be reviewed by center administration before it is sent to the classroom. If center staff receive the medication and forms in the classroom, they should review the medication and authorization forms to ensure that all requirements are met. The last documented playground inspection was completed 11/11/23. These inspections should be conducted monthly. It may be helpful to put a reminder on your calendar to ensure that the inspections are completed monthly. CONSULTATION The center is using a company-specific form for conducting playground inspections. At least monthly, the state playground inspection form should be used to conduct a playground inspection. There are new Sanitation Requirements effective 7/1/23. You should review their website or contact your Environmental Health Specialist for more information. 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. Please be safe and continue to follow the guidelines in the Childcare Strong NC Public Health Toolkit, which was last updated on 8/31/22. COVID is still a reportable illness. You must contact the Health Department if you have a confirmed case in your program. 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 .2818 · Violation

Name of Operation: KINDERCARE EDUCATION Facility ID: 92003797 Consultant: WANDA FOWLER Operation Type: Center Case Number: Visit Date: 11/28/2023 Number Present: 116 Completed Date: 11/28/2023 Age: From 0 To 5 Total Minutes: 45 Time In: 01:15 PM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to conduct a follow-up visit. During a previous visit conducted on 11/21/23 a violation regarding supervision was documented. Upon arrival, I was greeted by the center director and she accompanied me on a general walk through of the indoor learning environments. It was rest time so most of the children were resting or sleeping on their cots. I did not observe any concerns regarding supervision or staff/child ratios. However, the director told me about an incident that happened earlier today. At around 11:00 am a group of children were playing on the playground. A teacher, assigned to a classroom for two-year-old children, took a child into the building to change their soiled diaper. After taking the child into the classroom, the teacher was then observed leaving the child alone in the classroom and returning to the playground. The teacher stated that she realized that she had not told her co-teacher what she was doing so she returned to the playground to tell her co-teacher she had gone inside. Approximately 30 seconds later, the teacher returned to the classroom where the child had been left alone. In addition, when the teacher took the child inside, she left the other teacher alone on the playground with 15 two-year-old children. The staff member involved in today's supervision and staff child ratios issues was also involved in the supervision violation noted during the 11/21/23 visit.. The following violations were observed and recorded during today's visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. A child was left unattended in a classroom for approximately 30 seconds. .1801(a)(1-5) 1756 Enhanced staff/child ratios and group sizes were not met. A teacher was left alone on the playground with 15 two-year-old children for approximately 3 minutes. 10A NCAC 09 .2818 Due to the nature of the violations documented, a follow-up visit is required, so you do not need to send me a compliance letter. Prior to today's visit the center's compliance history was 95%. TECHNICAL ASSISTANCE Children must be supervised at all times. Staff should make certain that they are closely supervising the children throughout the day. A child should never be left alone, while they are in care. Staff child ratios must be maintained at all times. The center should follow the enhanced, reduced staff child ratios and the staff child ratios provided during the time that they teacher was in the building did not meet even the minimum staff/child ratios. Staff should be aware of what the staff/child ratios are for the ages of children in their care and should call for assistance when they need to leave the group for any reason. REMINDERS Since there were supervision violations recorded at two consecutive visits, this may result in an administrative action being issued to the center. If you have questions or need assistance, you may reach me at wanda.fowler@dhhs.nc.gov or 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