Childcare Network #178A

10A NCAC 09 .0302 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/21/2026 Number Present: 35 Completed Date: 1/21/2026 Age: From 0 To 5 Total Minutes: 295 Time In: 09:35 AM Time Out: 02:30 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 compliance during an annual compliance visit. A handwritten visit summary was completed, due to connectivity and time constraints. I will email the computer-generated visit summary upon completion, it will include any additional violations documented, steps to achieve compliance, and additional consultation. I reviewed the handwritten visit summary with you, and signed by Karla Terry, Child Care Consultant and also signed by Sarah Newton, Assistant Director, during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, and Sarah Newton, Assistant Director were available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four percent (84%) as of 1/5/2026. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Child Development Schools North Carolina, LLC, is current/active as of 1/5/2026. Permit type – Five (5) Star Rated License, issued 9/1/2024. Special Services/Restrictions – first shift, meets enhanced ratios, children under two and half years old in room with direct exits only. The last annual compliance visit was conducted on 2/10/2025. The last fire drill was practiced on 12/17/2025. The last lockdown drill was practiced on 12/8/2025. The last playground inspection was documented on 12/24/2025. The last fire inspection was approved on 6/26/2025. The last sanitation inspection was conducted on 4/3/2025 with fifteen (15) demerits for a superior classification. Lead water testing was completed 12/11/2023. The next testing is due on or before 12/11/2026. Lead paint and asbestos testing was completed 5/16/2024. The next testing is due on or before 5/16/2027. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I was greeted by Mary Virella, Administrator. A walkthrough of the indoor and outdoor environment was conducted. Space #1A the group of infant and one-year olds were engaged exploring the room, playing on an activity mat, and one (1) was asleep in the room. When I arrived in the classroom, I checked the safe sleep check log at 10:10a the last safe sleep check was documented at 9:30a. When asked about the 10:00a safe sleep check, the staff member stated she was cleaning. The staff member conducted a safe sleep check and documented it during the visit. Space #1B is currently closed. Space #2 is currently closed. Space #3 is currently closed. Space #4 the group of four- to five-year-old children were engaged group activity decorating a football to go along with the balls unit the class is studying. When the children finished the project, they transitioned to free play. Space #5 the group of one- to two-year-olds were engaged in free play with books, blocks, and dramatic play. The staff member was in the floor engaged in play with the children. Space #6 the group of two- to three-year-old children were cleaning up from free play and transitioning to the carpet for group story time. One (1) staff member was cleaning up, one (1) staff conducted a routine diaper change, and administrator was reading a story to the group. After story time, the group transitioned to group art at the table. Lunch today consisted of sloppy joes, green beans, mixed fruit, bun, and milk. While monitoring outdoors environment, I observed the back playground repairs have been completed and mulch has been installed. The back playground can be used for outdoor play. The program does provide transportation. You stated that children ages five to twelve years old is transported for school drop-off and pick-up. I monitored two (2) vehicles today. The white bus was having repairs made by the maintenance team. The blue bus is currently in operation and meets requirements. Staff and children’s files were monitored. Staff member hired 7/25/2016, currently the staff member has two (2) hours of the required training hours. Remaining hours are due by 7/25/2026. Child enrolled 12/23/2024 emergency information was dated 12/18/2024 and was not updated annually. We discussed all returning children’s emergency information should be reviewed at least annually by the parents/guardian. Child enrolled 12/1/2025 medical report and immunization report was not submitted within thirty (30) days of enrollment. The medical and immunizations were due to be submitted by 1/1/2026. When asked the administrator stated that she was aware and has not received the medical or immunizations from the parent/guardian. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. One (1) child file was monitored today. The classroom operates from 8:30 a.m. to 3:00 p.m. Quality Rating and Improvement System (QRIS): The facility plans to pursue Pathway #1 Program Assessment. Pathway #1 Program Assessment states that the facility must meet the following requirements: enhanced ratios or enhanced space, fifty percent (50%) of all lead teachers and fifty percent (50%) of other educators meet requirements at the 5 star level, family and community engagement standards five (5) star rated license- 4 additional options, with at least one from each category of engagement), Continuous Quality Improvement Plans facility and individuals, Approved curriculum used when four-year-olds are enrolled. Program Assessment Self-Study, Program Assessment conducted with average score of 4.0 for ITERS-3 and ECERS-3 and average score of 5.0 for SACERS-U. The facility needs to address the following prior to applying for rated license reassessment have staff trained in ITERS-3, ECERS-3, and SACERS-U. Lead teachers and administrator will need to complete three (3) month self-study. The facility plans to have the items needed for rated license reassessment completed by the next monitoring visit in six (6) months. The facility will maintain open and consistent communication with me regarding their progress toward completing the required items. We discussed that the facility would need to reach out to Buncombe County Partnership for Children to provide training on ITERS-3, ECERS-3, and Self-Study. Reach out to NCRLAP to schedule an outreach assessment. Reminder all star rated licenses must be reassessed by 12/31/2026. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 871 Center staff did not comply with the safe sleep policy. Space 1A, safe sleep check logs were reviewed at 10:10a. The last safe sleep check was documented at 9:30a for one (1) child. The child was still asleep in the crib. 10A NCAC 09 .0606(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Child enrolled 12/23/2024 emergency information was dated 12/18/2024 and was not updated annually. .0802(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Child enrolled 12/1/2025 medical report was not submitted within thirty (30) days of enrollment. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Child enrolled 12/1/2025 immunization report was not submitted within thirty (30) days of enrollment. 10A NCAC 09 .0302(d)(2) Technical assistance was provided as follows: Item #871- Space 1A, safe sleep check logs were reviewed at 10:10a the last safe sleep check was documented at 9:30a for one (1). The child was still asleep in the crib. When asked about the 10:00a safe sleep check, the staff member stated she was cleaning. The staff member conducted a safe sleep check and documented it during the visit. Rule Reference: 10A NCAC 09.0606(a) Item 1311- Child enrolled 12/23/2024 emergency information was dated 12/18/2024 and was not updated annually. We discussed all returning children’s emergency information should be reviewed at least annually by the parents/guardian. Rule Reference: 10A NCAC 09 .0802(c) Item 1321- Child enrolled 12/1/2025 medical report was not submitted within thirty (30) days of enrollment. The medical report was due to be submitted by 1/1/2026. When asked the administrator stated that she was aware and had not received the medical report from the parent/guardian. Rule Reference: G.S. 110-91(1) Item 1323- Child enrolled 12/1/2025 immunization report was not submitted within thirty (30) days of enrollment. The immunization report was due to be submitted by 1/1/2026. When asked, the administrator stated that she was aware and had not received the immunizations from the parent/guardian. Rule Reference: 10A NCAC 09 .0302(d)(2) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/4/2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -Qualifying letter- During file review it was discovered that staff member hired 12/10/2014 qualifying letter in the ABCMS portal expired 1/5/2026, but the hard copy on file showed the letter expiring 6/7/2026. An email was sent to the CBC unit during the visit, and a phone call was made. It was determined a system error occurred and the letters expiration date is 1/5/2026 instead of 6/7/2026. The staff member has two (2) weeks to complete the criminal background check process and submit a current qualifying letter to me. -Lead water testing: The facility will need to visit the Clean Classrooms for Carolina Kids website at least two months before the December 11, 2026 deadline in order to begin and complete the required lead water testing. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/21/2026 Number Present: 35 Completed Date: 1/21/2026 Age: From 0 To 5 Total Minutes: 295 Time In: 09:35 AM Time Out: 02:30 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 compliance during an annual compliance visit. A handwritten visit summary was completed, due to connectivity and time constraints. I will email the computer-generated visit summary upon completion, it will include any additional violations documented, steps to achieve compliance, and additional consultation. I reviewed the handwritten visit summary with you, and signed by Karla Terry, Child Care Consultant and also signed by Sarah Newton, Assistant Director, during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, and Sarah Newton, Assistant Director were available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four percent (84%) as of 1/5/2026. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Child Development Schools North Carolina, LLC, is current/active as of 1/5/2026. Permit type – Five (5) Star Rated License, issued 9/1/2024. Special Services/Restrictions – first shift, meets enhanced ratios, children under two and half years old in room with direct exits only. The last annual compliance visit was conducted on 2/10/2025. The last fire drill was practiced on 12/17/2025. The last lockdown drill was practiced on 12/8/2025. The last playground inspection was documented on 12/24/2025. The last fire inspection was approved on 6/26/2025. The last sanitation inspection was conducted on 4/3/2025 with fifteen (15) demerits for a superior classification. Lead water testing was completed 12/11/2023. The next testing is due on or before 12/11/2026. Lead paint and asbestos testing was completed 5/16/2024. The next testing is due on or before 5/16/2027. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I was greeted by Mary Virella, Administrator. A walkthrough of the indoor and outdoor environment was conducted. Space #1A the group of infant and one-year olds were engaged exploring the room, playing on an activity mat, and one (1) was asleep in the room. When I arrived in the classroom, I checked the safe sleep check log at 10:10a the last safe sleep check was documented at 9:30a. When asked about the 10:00a safe sleep check, the staff member stated she was cleaning. The staff member conducted a safe sleep check and documented it during the visit. Space #1B is currently closed. Space #2 is currently closed. Space #3 is currently closed. Space #4 the group of four- to five-year-old children were engaged group activity decorating a football to go along with the balls unit the class is studying. When the children finished the project, they transitioned to free play. Space #5 the group of one- to two-year-olds were engaged in free play with books, blocks, and dramatic play. The staff member was in the floor engaged in play with the children. Space #6 the group of two- to three-year-old children were cleaning up from free play and transitioning to the carpet for group story time. One (1) staff member was cleaning up, one (1) staff conducted a routine diaper change, and administrator was reading a story to the group. After story time, the group transitioned to group art at the table. Lunch today consisted of sloppy joes, green beans, mixed fruit, bun, and milk. While monitoring outdoors environment, I observed the back playground repairs have been completed and mulch has been installed. The back playground can be used for outdoor play. The program does provide transportation. You stated that children ages five to twelve years old is transported for school drop-off and pick-up. I monitored two (2) vehicles today. The white bus was having repairs made by the maintenance team. The blue bus is currently in operation and meets requirements. Staff and children’s files were monitored. Staff member hired 7/25/2016, currently the staff member has two (2) hours of the required training hours. Remaining hours are due by 7/25/2026. Child enrolled 12/23/2024 emergency information was dated 12/18/2024 and was not updated annually. We discussed all returning children’s emergency information should be reviewed at least annually by the parents/guardian. Child enrolled 12/1/2025 medical report and immunization report was not submitted within thirty (30) days of enrollment. The medical and immunizations were due to be submitted by 1/1/2026. When asked the administrator stated that she was aware and has not received the medical or immunizations from the parent/guardian. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. One (1) child file was monitored today. The classroom operates from 8:30 a.m. to 3:00 p.m. Quality Rating and Improvement System (QRIS): The facility plans to pursue Pathway #1 Program Assessment. Pathway #1 Program Assessment states that the facility must meet the following requirements: enhanced ratios or enhanced space, fifty percent (50%) of all lead teachers and fifty percent (50%) of other educators meet requirements at the 5 star level, family and community engagement standards five (5) star rated license- 4 additional options, with at least one from each category of engagement), Continuous Quality Improvement Plans facility and individuals, Approved curriculum used when four-year-olds are enrolled. Program Assessment Self-Study, Program Assessment conducted with average score of 4.0 for ITERS-3 and ECERS-3 and average score of 5.0 for SACERS-U. The facility needs to address the following prior to applying for rated license reassessment have staff trained in ITERS-3, ECERS-3, and SACERS-U. Lead teachers and administrator will need to complete three (3) month self-study. The facility plans to have the items needed for rated license reassessment completed by the next monitoring visit in six (6) months. The facility will maintain open and consistent communication with me regarding their progress toward completing the required items. We discussed that the facility would need to reach out to Buncombe County Partnership for Children to provide training on ITERS-3, ECERS-3, and Self-Study. Reach out to NCRLAP to schedule an outreach assessment. Reminder all star rated licenses must be reassessed by 12/31/2026. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 871 Center staff did not comply with the safe sleep policy. Space 1A, safe sleep check logs were reviewed at 10:10a. The last safe sleep check was documented at 9:30a for one (1) child. The child was still asleep in the crib. 10A NCAC 09 .0606(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Child enrolled 12/23/2024 emergency information was dated 12/18/2024 and was not updated annually. .0802(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Child enrolled 12/1/2025 medical report was not submitted within thirty (30) days of enrollment. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Child enrolled 12/1/2025 immunization report was not submitted within thirty (30) days of enrollment. 10A NCAC 09 .0302(d)(2) Technical assistance was provided as follows: Item #871- Space 1A, safe sleep check logs were reviewed at 10:10a the last safe sleep check was documented at 9:30a for one (1). The child was still asleep in the crib. When asked about the 10:00a safe sleep check, the staff member stated she was cleaning. The staff member conducted a safe sleep check and documented it during the visit. Rule Reference: 10A NCAC 09.0606(a) Item 1311- Child enrolled 12/23/2024 emergency information was dated 12/18/2024 and was not updated annually. We discussed all returning children’s emergency information should be reviewed at least annually by the parents/guardian. Rule Reference: 10A NCAC 09 .0802(c) Item 1321- Child enrolled 12/1/2025 medical report was not submitted within thirty (30) days of enrollment. The medical report was due to be submitted by 1/1/2026. When asked the administrator stated that she was aware and had not received the medical report from the parent/guardian. Rule Reference: G.S. 110-91(1) Item 1323- Child enrolled 12/1/2025 immunization report was not submitted within thirty (30) days of enrollment. The immunization report was due to be submitted by 1/1/2026. When asked, the administrator stated that she was aware and had not received the immunizations from the parent/guardian. Rule Reference: 10A NCAC 09 .0302(d)(2) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/4/2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -Qualifying letter- During file review it was discovered that staff member hired 12/10/2014 qualifying letter in the ABCMS portal expired 1/5/2026, but the hard copy on file showed the letter expiring 6/7/2026. An email was sent to the CBC unit during the visit, and a phone call was made. It was determined a system error occurred and the letters expiration date is 1/5/2026 instead of 6/7/2026. The staff member has two (2) weeks to complete the criminal background check process and submit a current qualifying letter to me. -Lead water testing: The facility will need to visit the Clean Classrooms for Carolina Kids website at least two months before the December 11, 2026 deadline in order to begin and complete the required lead water testing. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0302 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/21/2026 Number Present: 35 Completed Date: 1/21/2026 Age: From 0 To 5 Total Minutes: 295 Time In: 09:35 AM Time Out: 02:30 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 compliance during an annual compliance visit. A handwritten visit summary was completed, due to connectivity and time constraints. I will email the computer-generated visit summary upon completion, it will include any additional violations documented, steps to achieve compliance, and additional consultation. I reviewed the handwritten visit summary with you, and signed by Karla Terry, Child Care Consultant and also signed by Sarah Newton, Assistant Director, during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, and Sarah Newton, Assistant Director were available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four percent (84%) as of 1/5/2026. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Child Development Schools North Carolina, LLC, is current/active as of 1/5/2026. Permit type – Five (5) Star Rated License, issued 9/1/2024. Special Services/Restrictions – first shift, meets enhanced ratios, children under two and half years old in room with direct exits only. The last annual compliance visit was conducted on 2/10/2025. The last fire drill was practiced on 12/17/2025. The last lockdown drill was practiced on 12/8/2025. The last playground inspection was documented on 12/24/2025. The last fire inspection was approved on 6/26/2025. The last sanitation inspection was conducted on 4/3/2025 with fifteen (15) demerits for a superior classification. Lead water testing was completed 12/11/2023. The next testing is due on or before 12/11/2026. Lead paint and asbestos testing was completed 5/16/2024. The next testing is due on or before 5/16/2027. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I was greeted by Mary Virella, Administrator. A walkthrough of the indoor and outdoor environment was conducted. Space #1A the group of infant and one-year olds were engaged exploring the room, playing on an activity mat, and one (1) was asleep in the room. When I arrived in the classroom, I checked the safe sleep check log at 10:10a the last safe sleep check was documented at 9:30a. When asked about the 10:00a safe sleep check, the staff member stated she was cleaning. The staff member conducted a safe sleep check and documented it during the visit. Space #1B is currently closed. Space #2 is currently closed. Space #3 is currently closed. Space #4 the group of four- to five-year-old children were engaged group activity decorating a football to go along with the balls unit the class is studying. When the children finished the project, they transitioned to free play. Space #5 the group of one- to two-year-olds were engaged in free play with books, blocks, and dramatic play. The staff member was in the floor engaged in play with the children. Space #6 the group of two- to three-year-old children were cleaning up from free play and transitioning to the carpet for group story time. One (1) staff member was cleaning up, one (1) staff conducted a routine diaper change, and administrator was reading a story to the group. After story time, the group transitioned to group art at the table. Lunch today consisted of sloppy joes, green beans, mixed fruit, bun, and milk. While monitoring outdoors environment, I observed the back playground repairs have been completed and mulch has been installed. The back playground can be used for outdoor play. The program does provide transportation. You stated that children ages five to twelve years old is transported for school drop-off and pick-up. I monitored two (2) vehicles today. The white bus was having repairs made by the maintenance team. The blue bus is currently in operation and meets requirements. Staff and children’s files were monitored. Staff member hired 7/25/2016, currently the staff member has two (2) hours of the required training hours. Remaining hours are due by 7/25/2026. Child enrolled 12/23/2024 emergency information was dated 12/18/2024 and was not updated annually. We discussed all returning children’s emergency information should be reviewed at least annually by the parents/guardian. Child enrolled 12/1/2025 medical report and immunization report was not submitted within thirty (30) days of enrollment. The medical and immunizations were due to be submitted by 1/1/2026. When asked the administrator stated that she was aware and has not received the medical or immunizations from the parent/guardian. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. One (1) child file was monitored today. The classroom operates from 8:30 a.m. to 3:00 p.m. Quality Rating and Improvement System (QRIS): The facility plans to pursue Pathway #1 Program Assessment. Pathway #1 Program Assessment states that the facility must meet the following requirements: enhanced ratios or enhanced space, fifty percent (50%) of all lead teachers and fifty percent (50%) of other educators meet requirements at the 5 star level, family and community engagement standards five (5) star rated license- 4 additional options, with at least one from each category of engagement), Continuous Quality Improvement Plans facility and individuals, Approved curriculum used when four-year-olds are enrolled. Program Assessment Self-Study, Program Assessment conducted with average score of 4.0 for ITERS-3 and ECERS-3 and average score of 5.0 for SACERS-U. The facility needs to address the following prior to applying for rated license reassessment have staff trained in ITERS-3, ECERS-3, and SACERS-U. Lead teachers and administrator will need to complete three (3) month self-study. The facility plans to have the items needed for rated license reassessment completed by the next monitoring visit in six (6) months. The facility will maintain open and consistent communication with me regarding their progress toward completing the required items. We discussed that the facility would need to reach out to Buncombe County Partnership for Children to provide training on ITERS-3, ECERS-3, and Self-Study. Reach out to NCRLAP to schedule an outreach assessment. Reminder all star rated licenses must be reassessed by 12/31/2026. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 871 Center staff did not comply with the safe sleep policy. Space 1A, safe sleep check logs were reviewed at 10:10a. The last safe sleep check was documented at 9:30a for one (1) child. The child was still asleep in the crib. 10A NCAC 09 .0606(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Child enrolled 12/23/2024 emergency information was dated 12/18/2024 and was not updated annually. .0802(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Child enrolled 12/1/2025 medical report was not submitted within thirty (30) days of enrollment. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Child enrolled 12/1/2025 immunization report was not submitted within thirty (30) days of enrollment. 10A NCAC 09 .0302(d)(2) Technical assistance was provided as follows: Item #871- Space 1A, safe sleep check logs were reviewed at 10:10a the last safe sleep check was documented at 9:30a for one (1). The child was still asleep in the crib. When asked about the 10:00a safe sleep check, the staff member stated she was cleaning. The staff member conducted a safe sleep check and documented it during the visit. Rule Reference: 10A NCAC 09.0606(a) Item 1311- Child enrolled 12/23/2024 emergency information was dated 12/18/2024 and was not updated annually. We discussed all returning children’s emergency information should be reviewed at least annually by the parents/guardian. Rule Reference: 10A NCAC 09 .0802(c) Item 1321- Child enrolled 12/1/2025 medical report was not submitted within thirty (30) days of enrollment. The medical report was due to be submitted by 1/1/2026. When asked the administrator stated that she was aware and had not received the medical report from the parent/guardian. Rule Reference: G.S. 110-91(1) Item 1323- Child enrolled 12/1/2025 immunization report was not submitted within thirty (30) days of enrollment. The immunization report was due to be submitted by 1/1/2026. When asked, the administrator stated that she was aware and had not received the immunizations from the parent/guardian. Rule Reference: 10A NCAC 09 .0302(d)(2) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/4/2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -Qualifying letter- During file review it was discovered that staff member hired 12/10/2014 qualifying letter in the ABCMS portal expired 1/5/2026, but the hard copy on file showed the letter expiring 6/7/2026. An email was sent to the CBC unit during the visit, and a phone call was made. It was determined a system error occurred and the letters expiration date is 1/5/2026 instead of 6/7/2026. The staff member has two (2) weeks to complete the criminal background check process and submit a current qualifying letter to me. -Lead water testing: The facility will need to visit the Clean Classrooms for Carolina Kids website at least two months before the December 11, 2026 deadline in order to begin and complete the required lead water testing. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0304 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/21/2026 Number Present: 35 Completed Date: 1/21/2026 Age: From 0 To 5 Total Minutes: 295 Time In: 09:35 AM Time Out: 02:30 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 compliance during an annual compliance visit. A handwritten visit summary was completed, due to connectivity and time constraints. I will email the computer-generated visit summary upon completion, it will include any additional violations documented, steps to achieve compliance, and additional consultation. I reviewed the handwritten visit summary with you, and signed by Karla Terry, Child Care Consultant and also signed by Sarah Newton, Assistant Director, during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, and Sarah Newton, Assistant Director were available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four percent (84%) as of 1/5/2026. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Child Development Schools North Carolina, LLC, is current/active as of 1/5/2026. Permit type – Five (5) Star Rated License, issued 9/1/2024. Special Services/Restrictions – first shift, meets enhanced ratios, children under two and half years old in room with direct exits only. The last annual compliance visit was conducted on 2/10/2025. The last fire drill was practiced on 12/17/2025. The last lockdown drill was practiced on 12/8/2025. The last playground inspection was documented on 12/24/2025. The last fire inspection was approved on 6/26/2025. The last sanitation inspection was conducted on 4/3/2025 with fifteen (15) demerits for a superior classification. Lead water testing was completed 12/11/2023. The next testing is due on or before 12/11/2026. Lead paint and asbestos testing was completed 5/16/2024. The next testing is due on or before 5/16/2027. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I was greeted by Mary Virella, Administrator. A walkthrough of the indoor and outdoor environment was conducted. Space #1A the group of infant and one-year olds were engaged exploring the room, playing on an activity mat, and one (1) was asleep in the room. When I arrived in the classroom, I checked the safe sleep check log at 10:10a the last safe sleep check was documented at 9:30a. When asked about the 10:00a safe sleep check, the staff member stated she was cleaning. The staff member conducted a safe sleep check and documented it during the visit. Space #1B is currently closed. Space #2 is currently closed. Space #3 is currently closed. Space #4 the group of four- to five-year-old children were engaged group activity decorating a football to go along with the balls unit the class is studying. When the children finished the project, they transitioned to free play. Space #5 the group of one- to two-year-olds were engaged in free play with books, blocks, and dramatic play. The staff member was in the floor engaged in play with the children. Space #6 the group of two- to three-year-old children were cleaning up from free play and transitioning to the carpet for group story time. One (1) staff member was cleaning up, one (1) staff conducted a routine diaper change, and administrator was reading a story to the group. After story time, the group transitioned to group art at the table. Lunch today consisted of sloppy joes, green beans, mixed fruit, bun, and milk. While monitoring outdoors environment, I observed the back playground repairs have been completed and mulch has been installed. The back playground can be used for outdoor play. The program does provide transportation. You stated that children ages five to twelve years old is transported for school drop-off and pick-up. I monitored two (2) vehicles today. The white bus was having repairs made by the maintenance team. The blue bus is currently in operation and meets requirements. Staff and children’s files were monitored. Staff member hired 7/25/2016, currently the staff member has two (2) hours of the required training hours. Remaining hours are due by 7/25/2026. Child enrolled 12/23/2024 emergency information was dated 12/18/2024 and was not updated annually. We discussed all returning children’s emergency information should be reviewed at least annually by the parents/guardian. Child enrolled 12/1/2025 medical report and immunization report was not submitted within thirty (30) days of enrollment. The medical and immunizations were due to be submitted by 1/1/2026. When asked the administrator stated that she was aware and has not received the medical or immunizations from the parent/guardian. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. One (1) child file was monitored today. The classroom operates from 8:30 a.m. to 3:00 p.m. Quality Rating and Improvement System (QRIS): The facility plans to pursue Pathway #1 Program Assessment. Pathway #1 Program Assessment states that the facility must meet the following requirements: enhanced ratios or enhanced space, fifty percent (50%) of all lead teachers and fifty percent (50%) of other educators meet requirements at the 5 star level, family and community engagement standards five (5) star rated license- 4 additional options, with at least one from each category of engagement), Continuous Quality Improvement Plans facility and individuals, Approved curriculum used when four-year-olds are enrolled. Program Assessment Self-Study, Program Assessment conducted with average score of 4.0 for ITERS-3 and ECERS-3 and average score of 5.0 for SACERS-U. The facility needs to address the following prior to applying for rated license reassessment have staff trained in ITERS-3, ECERS-3, and SACERS-U. Lead teachers and administrator will need to complete three (3) month self-study. The facility plans to have the items needed for rated license reassessment completed by the next monitoring visit in six (6) months. The facility will maintain open and consistent communication with me regarding their progress toward completing the required items. We discussed that the facility would need to reach out to Buncombe County Partnership for Children to provide training on ITERS-3, ECERS-3, and Self-Study. Reach out to NCRLAP to schedule an outreach assessment. Reminder all star rated licenses must be reassessed by 12/31/2026. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 871 Center staff did not comply with the safe sleep policy. Space 1A, safe sleep check logs were reviewed at 10:10a. The last safe sleep check was documented at 9:30a for one (1) child. The child was still asleep in the crib. 10A NCAC 09 .0606(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Child enrolled 12/23/2024 emergency information was dated 12/18/2024 and was not updated annually. .0802(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Child enrolled 12/1/2025 medical report was not submitted within thirty (30) days of enrollment. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Child enrolled 12/1/2025 immunization report was not submitted within thirty (30) days of enrollment. 10A NCAC 09 .0302(d)(2) Technical assistance was provided as follows: Item #871- Space 1A, safe sleep check logs were reviewed at 10:10a the last safe sleep check was documented at 9:30a for one (1). The child was still asleep in the crib. When asked about the 10:00a safe sleep check, the staff member stated she was cleaning. The staff member conducted a safe sleep check and documented it during the visit. Rule Reference: 10A NCAC 09.0606(a) Item 1311- Child enrolled 12/23/2024 emergency information was dated 12/18/2024 and was not updated annually. We discussed all returning children’s emergency information should be reviewed at least annually by the parents/guardian. Rule Reference: 10A NCAC 09 .0802(c) Item 1321- Child enrolled 12/1/2025 medical report was not submitted within thirty (30) days of enrollment. The medical report was due to be submitted by 1/1/2026. When asked the administrator stated that she was aware and had not received the medical report from the parent/guardian. Rule Reference: G.S. 110-91(1) Item 1323- Child enrolled 12/1/2025 immunization report was not submitted within thirty (30) days of enrollment. The immunization report was due to be submitted by 1/1/2026. When asked, the administrator stated that she was aware and had not received the immunizations from the parent/guardian. Rule Reference: 10A NCAC 09 .0302(d)(2) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/4/2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -Qualifying letter- During file review it was discovered that staff member hired 12/10/2014 qualifying letter in the ABCMS portal expired 1/5/2026, but the hard copy on file showed the letter expiring 6/7/2026. An email was sent to the CBC unit during the visit, and a phone call was made. It was determined a system error occurred and the letters expiration date is 1/5/2026 instead of 6/7/2026. The staff member has two (2) weeks to complete the criminal background check process and submit a current qualifying letter to me. -Lead water testing: The facility will need to visit the Clean Classrooms for Carolina Kids website at least two months before the December 11, 2026 deadline in order to begin and complete the required lead water testing. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/21/2026 Number Present: 35 Completed Date: 1/21/2026 Age: From 0 To 5 Total Minutes: 295 Time In: 09:35 AM Time Out: 02:30 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 compliance during an annual compliance visit. A handwritten visit summary was completed, due to connectivity and time constraints. I will email the computer-generated visit summary upon completion, it will include any additional violations documented, steps to achieve compliance, and additional consultation. I reviewed the handwritten visit summary with you, and signed by Karla Terry, Child Care Consultant and also signed by Sarah Newton, Assistant Director, during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, and Sarah Newton, Assistant Director were available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four percent (84%) as of 1/5/2026. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Child Development Schools North Carolina, LLC, is current/active as of 1/5/2026. Permit type – Five (5) Star Rated License, issued 9/1/2024. Special Services/Restrictions – first shift, meets enhanced ratios, children under two and half years old in room with direct exits only. The last annual compliance visit was conducted on 2/10/2025. The last fire drill was practiced on 12/17/2025. The last lockdown drill was practiced on 12/8/2025. The last playground inspection was documented on 12/24/2025. The last fire inspection was approved on 6/26/2025. The last sanitation inspection was conducted on 4/3/2025 with fifteen (15) demerits for a superior classification. Lead water testing was completed 12/11/2023. The next testing is due on or before 12/11/2026. Lead paint and asbestos testing was completed 5/16/2024. The next testing is due on or before 5/16/2027. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I was greeted by Mary Virella, Administrator. A walkthrough of the indoor and outdoor environment was conducted. Space #1A the group of infant and one-year olds were engaged exploring the room, playing on an activity mat, and one (1) was asleep in the room. When I arrived in the classroom, I checked the safe sleep check log at 10:10a the last safe sleep check was documented at 9:30a. When asked about the 10:00a safe sleep check, the staff member stated she was cleaning. The staff member conducted a safe sleep check and documented it during the visit. Space #1B is currently closed. Space #2 is currently closed. Space #3 is currently closed. Space #4 the group of four- to five-year-old children were engaged group activity decorating a football to go along with the balls unit the class is studying. When the children finished the project, they transitioned to free play. Space #5 the group of one- to two-year-olds were engaged in free play with books, blocks, and dramatic play. The staff member was in the floor engaged in play with the children. Space #6 the group of two- to three-year-old children were cleaning up from free play and transitioning to the carpet for group story time. One (1) staff member was cleaning up, one (1) staff conducted a routine diaper change, and administrator was reading a story to the group. After story time, the group transitioned to group art at the table. Lunch today consisted of sloppy joes, green beans, mixed fruit, bun, and milk. While monitoring outdoors environment, I observed the back playground repairs have been completed and mulch has been installed. The back playground can be used for outdoor play. The program does provide transportation. You stated that children ages five to twelve years old is transported for school drop-off and pick-up. I monitored two (2) vehicles today. The white bus was having repairs made by the maintenance team. The blue bus is currently in operation and meets requirements. Staff and children’s files were monitored. Staff member hired 7/25/2016, currently the staff member has two (2) hours of the required training hours. Remaining hours are due by 7/25/2026. Child enrolled 12/23/2024 emergency information was dated 12/18/2024 and was not updated annually. We discussed all returning children’s emergency information should be reviewed at least annually by the parents/guardian. Child enrolled 12/1/2025 medical report and immunization report was not submitted within thirty (30) days of enrollment. The medical and immunizations were due to be submitted by 1/1/2026. When asked the administrator stated that she was aware and has not received the medical or immunizations from the parent/guardian. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. One (1) child file was monitored today. The classroom operates from 8:30 a.m. to 3:00 p.m. Quality Rating and Improvement System (QRIS): The facility plans to pursue Pathway #1 Program Assessment. Pathway #1 Program Assessment states that the facility must meet the following requirements: enhanced ratios or enhanced space, fifty percent (50%) of all lead teachers and fifty percent (50%) of other educators meet requirements at the 5 star level, family and community engagement standards five (5) star rated license- 4 additional options, with at least one from each category of engagement), Continuous Quality Improvement Plans facility and individuals, Approved curriculum used when four-year-olds are enrolled. Program Assessment Self-Study, Program Assessment conducted with average score of 4.0 for ITERS-3 and ECERS-3 and average score of 5.0 for SACERS-U. The facility needs to address the following prior to applying for rated license reassessment have staff trained in ITERS-3, ECERS-3, and SACERS-U. Lead teachers and administrator will need to complete three (3) month self-study. The facility plans to have the items needed for rated license reassessment completed by the next monitoring visit in six (6) months. The facility will maintain open and consistent communication with me regarding their progress toward completing the required items. We discussed that the facility would need to reach out to Buncombe County Partnership for Children to provide training on ITERS-3, ECERS-3, and Self-Study. Reach out to NCRLAP to schedule an outreach assessment. Reminder all star rated licenses must be reassessed by 12/31/2026. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 871 Center staff did not comply with the safe sleep policy. Space 1A, safe sleep check logs were reviewed at 10:10a. The last safe sleep check was documented at 9:30a for one (1) child. The child was still asleep in the crib. 10A NCAC 09 .0606(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Child enrolled 12/23/2024 emergency information was dated 12/18/2024 and was not updated annually. .0802(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Child enrolled 12/1/2025 medical report was not submitted within thirty (30) days of enrollment. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Child enrolled 12/1/2025 immunization report was not submitted within thirty (30) days of enrollment. 10A NCAC 09 .0302(d)(2) Technical assistance was provided as follows: Item #871- Space 1A, safe sleep check logs were reviewed at 10:10a the last safe sleep check was documented at 9:30a for one (1). The child was still asleep in the crib. When asked about the 10:00a safe sleep check, the staff member stated she was cleaning. The staff member conducted a safe sleep check and documented it during the visit. Rule Reference: 10A NCAC 09.0606(a) Item 1311- Child enrolled 12/23/2024 emergency information was dated 12/18/2024 and was not updated annually. We discussed all returning children’s emergency information should be reviewed at least annually by the parents/guardian. Rule Reference: 10A NCAC 09 .0802(c) Item 1321- Child enrolled 12/1/2025 medical report was not submitted within thirty (30) days of enrollment. The medical report was due to be submitted by 1/1/2026. When asked the administrator stated that she was aware and had not received the medical report from the parent/guardian. Rule Reference: G.S. 110-91(1) Item 1323- Child enrolled 12/1/2025 immunization report was not submitted within thirty (30) days of enrollment. The immunization report was due to be submitted by 1/1/2026. When asked, the administrator stated that she was aware and had not received the immunizations from the parent/guardian. Rule Reference: 10A NCAC 09 .0302(d)(2) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/4/2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -Qualifying letter- During file review it was discovered that staff member hired 12/10/2014 qualifying letter in the ABCMS portal expired 1/5/2026, but the hard copy on file showed the letter expiring 6/7/2026. An email was sent to the CBC unit during the visit, and a phone call was made. It was determined a system error occurred and the letters expiration date is 1/5/2026 instead of 6/7/2026. The staff member has two (2) weeks to complete the criminal background check process and submit a current qualifying letter to me. -Lead water testing: The facility will need to visit the Clean Classrooms for Carolina Kids website at least two months before the December 11, 2026 deadline in order to begin and complete the required lead water testing. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1102 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/21/2026 Number Present: 35 Completed Date: 1/21/2026 Age: From 0 To 5 Total Minutes: 295 Time In: 09:35 AM Time Out: 02:30 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 compliance during an annual compliance visit. A handwritten visit summary was completed, due to connectivity and time constraints. I will email the computer-generated visit summary upon completion, it will include any additional violations documented, steps to achieve compliance, and additional consultation. I reviewed the handwritten visit summary with you, and signed by Karla Terry, Child Care Consultant and also signed by Sarah Newton, Assistant Director, during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, and Sarah Newton, Assistant Director were available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four percent (84%) as of 1/5/2026. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Child Development Schools North Carolina, LLC, is current/active as of 1/5/2026. Permit type – Five (5) Star Rated License, issued 9/1/2024. Special Services/Restrictions – first shift, meets enhanced ratios, children under two and half years old in room with direct exits only. The last annual compliance visit was conducted on 2/10/2025. The last fire drill was practiced on 12/17/2025. The last lockdown drill was practiced on 12/8/2025. The last playground inspection was documented on 12/24/2025. The last fire inspection was approved on 6/26/2025. The last sanitation inspection was conducted on 4/3/2025 with fifteen (15) demerits for a superior classification. Lead water testing was completed 12/11/2023. The next testing is due on or before 12/11/2026. Lead paint and asbestos testing was completed 5/16/2024. The next testing is due on or before 5/16/2027. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I was greeted by Mary Virella, Administrator. A walkthrough of the indoor and outdoor environment was conducted. Space #1A the group of infant and one-year olds were engaged exploring the room, playing on an activity mat, and one (1) was asleep in the room. When I arrived in the classroom, I checked the safe sleep check log at 10:10a the last safe sleep check was documented at 9:30a. When asked about the 10:00a safe sleep check, the staff member stated she was cleaning. The staff member conducted a safe sleep check and documented it during the visit. Space #1B is currently closed. Space #2 is currently closed. Space #3 is currently closed. Space #4 the group of four- to five-year-old children were engaged group activity decorating a football to go along with the balls unit the class is studying. When the children finished the project, they transitioned to free play. Space #5 the group of one- to two-year-olds were engaged in free play with books, blocks, and dramatic play. The staff member was in the floor engaged in play with the children. Space #6 the group of two- to three-year-old children were cleaning up from free play and transitioning to the carpet for group story time. One (1) staff member was cleaning up, one (1) staff conducted a routine diaper change, and administrator was reading a story to the group. After story time, the group transitioned to group art at the table. Lunch today consisted of sloppy joes, green beans, mixed fruit, bun, and milk. While monitoring outdoors environment, I observed the back playground repairs have been completed and mulch has been installed. The back playground can be used for outdoor play. The program does provide transportation. You stated that children ages five to twelve years old is transported for school drop-off and pick-up. I monitored two (2) vehicles today. The white bus was having repairs made by the maintenance team. The blue bus is currently in operation and meets requirements. Staff and children’s files were monitored. Staff member hired 7/25/2016, currently the staff member has two (2) hours of the required training hours. Remaining hours are due by 7/25/2026. Child enrolled 12/23/2024 emergency information was dated 12/18/2024 and was not updated annually. We discussed all returning children’s emergency information should be reviewed at least annually by the parents/guardian. Child enrolled 12/1/2025 medical report and immunization report was not submitted within thirty (30) days of enrollment. The medical and immunizations were due to be submitted by 1/1/2026. When asked the administrator stated that she was aware and has not received the medical or immunizations from the parent/guardian. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. One (1) child file was monitored today. The classroom operates from 8:30 a.m. to 3:00 p.m. Quality Rating and Improvement System (QRIS): The facility plans to pursue Pathway #1 Program Assessment. Pathway #1 Program Assessment states that the facility must meet the following requirements: enhanced ratios or enhanced space, fifty percent (50%) of all lead teachers and fifty percent (50%) of other educators meet requirements at the 5 star level, family and community engagement standards five (5) star rated license- 4 additional options, with at least one from each category of engagement), Continuous Quality Improvement Plans facility and individuals, Approved curriculum used when four-year-olds are enrolled. Program Assessment Self-Study, Program Assessment conducted with average score of 4.0 for ITERS-3 and ECERS-3 and average score of 5.0 for SACERS-U. The facility needs to address the following prior to applying for rated license reassessment have staff trained in ITERS-3, ECERS-3, and SACERS-U. Lead teachers and administrator will need to complete three (3) month self-study. The facility plans to have the items needed for rated license reassessment completed by the next monitoring visit in six (6) months. The facility will maintain open and consistent communication with me regarding their progress toward completing the required items. We discussed that the facility would need to reach out to Buncombe County Partnership for Children to provide training on ITERS-3, ECERS-3, and Self-Study. Reach out to NCRLAP to schedule an outreach assessment. Reminder all star rated licenses must be reassessed by 12/31/2026. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 871 Center staff did not comply with the safe sleep policy. Space 1A, safe sleep check logs were reviewed at 10:10a. The last safe sleep check was documented at 9:30a for one (1) child. The child was still asleep in the crib. 10A NCAC 09 .0606(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Child enrolled 12/23/2024 emergency information was dated 12/18/2024 and was not updated annually. .0802(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Child enrolled 12/1/2025 medical report was not submitted within thirty (30) days of enrollment. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Child enrolled 12/1/2025 immunization report was not submitted within thirty (30) days of enrollment. 10A NCAC 09 .0302(d)(2) Technical assistance was provided as follows: Item #871- Space 1A, safe sleep check logs were reviewed at 10:10a the last safe sleep check was documented at 9:30a for one (1). The child was still asleep in the crib. When asked about the 10:00a safe sleep check, the staff member stated she was cleaning. The staff member conducted a safe sleep check and documented it during the visit. Rule Reference: 10A NCAC 09.0606(a) Item 1311- Child enrolled 12/23/2024 emergency information was dated 12/18/2024 and was not updated annually. We discussed all returning children’s emergency information should be reviewed at least annually by the parents/guardian. Rule Reference: 10A NCAC 09 .0802(c) Item 1321- Child enrolled 12/1/2025 medical report was not submitted within thirty (30) days of enrollment. The medical report was due to be submitted by 1/1/2026. When asked the administrator stated that she was aware and had not received the medical report from the parent/guardian. Rule Reference: G.S. 110-91(1) Item 1323- Child enrolled 12/1/2025 immunization report was not submitted within thirty (30) days of enrollment. The immunization report was due to be submitted by 1/1/2026. When asked, the administrator stated that she was aware and had not received the immunizations from the parent/guardian. Rule Reference: 10A NCAC 09 .0302(d)(2) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/4/2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -Qualifying letter- During file review it was discovered that staff member hired 12/10/2014 qualifying letter in the ABCMS portal expired 1/5/2026, but the hard copy on file showed the letter expiring 6/7/2026. An email was sent to the CBC unit during the visit, and a phone call was made. It was determined a system error occurred and the letters expiration date is 1/5/2026 instead of 6/7/2026. The staff member has two (2) weeks to complete the criminal background check process and submit a current qualifying letter to me. -Lead water testing: The facility will need to visit the Clean Classrooms for Carolina Kids website at least two months before the December 11, 2026 deadline in order to begin and complete the required lead water testing. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1703 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/21/2026 Number Present: 35 Completed Date: 1/21/2026 Age: From 0 To 5 Total Minutes: 295 Time In: 09:35 AM Time Out: 02:30 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 compliance during an annual compliance visit. A handwritten visit summary was completed, due to connectivity and time constraints. I will email the computer-generated visit summary upon completion, it will include any additional violations documented, steps to achieve compliance, and additional consultation. I reviewed the handwritten visit summary with you, and signed by Karla Terry, Child Care Consultant and also signed by Sarah Newton, Assistant Director, during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, and Sarah Newton, Assistant Director were available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four percent (84%) as of 1/5/2026. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Child Development Schools North Carolina, LLC, is current/active as of 1/5/2026. Permit type – Five (5) Star Rated License, issued 9/1/2024. Special Services/Restrictions – first shift, meets enhanced ratios, children under two and half years old in room with direct exits only. The last annual compliance visit was conducted on 2/10/2025. The last fire drill was practiced on 12/17/2025. The last lockdown drill was practiced on 12/8/2025. The last playground inspection was documented on 12/24/2025. The last fire inspection was approved on 6/26/2025. The last sanitation inspection was conducted on 4/3/2025 with fifteen (15) demerits for a superior classification. Lead water testing was completed 12/11/2023. The next testing is due on or before 12/11/2026. Lead paint and asbestos testing was completed 5/16/2024. The next testing is due on or before 5/16/2027. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I was greeted by Mary Virella, Administrator. A walkthrough of the indoor and outdoor environment was conducted. Space #1A the group of infant and one-year olds were engaged exploring the room, playing on an activity mat, and one (1) was asleep in the room. When I arrived in the classroom, I checked the safe sleep check log at 10:10a the last safe sleep check was documented at 9:30a. When asked about the 10:00a safe sleep check, the staff member stated she was cleaning. The staff member conducted a safe sleep check and documented it during the visit. Space #1B is currently closed. Space #2 is currently closed. Space #3 is currently closed. Space #4 the group of four- to five-year-old children were engaged group activity decorating a football to go along with the balls unit the class is studying. When the children finished the project, they transitioned to free play. Space #5 the group of one- to two-year-olds were engaged in free play with books, blocks, and dramatic play. The staff member was in the floor engaged in play with the children. Space #6 the group of two- to three-year-old children were cleaning up from free play and transitioning to the carpet for group story time. One (1) staff member was cleaning up, one (1) staff conducted a routine diaper change, and administrator was reading a story to the group. After story time, the group transitioned to group art at the table. Lunch today consisted of sloppy joes, green beans, mixed fruit, bun, and milk. While monitoring outdoors environment, I observed the back playground repairs have been completed and mulch has been installed. The back playground can be used for outdoor play. The program does provide transportation. You stated that children ages five to twelve years old is transported for school drop-off and pick-up. I monitored two (2) vehicles today. The white bus was having repairs made by the maintenance team. The blue bus is currently in operation and meets requirements. Staff and children’s files were monitored. Staff member hired 7/25/2016, currently the staff member has two (2) hours of the required training hours. Remaining hours are due by 7/25/2026. Child enrolled 12/23/2024 emergency information was dated 12/18/2024 and was not updated annually. We discussed all returning children’s emergency information should be reviewed at least annually by the parents/guardian. Child enrolled 12/1/2025 medical report and immunization report was not submitted within thirty (30) days of enrollment. The medical and immunizations were due to be submitted by 1/1/2026. When asked the administrator stated that she was aware and has not received the medical or immunizations from the parent/guardian. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. One (1) child file was monitored today. The classroom operates from 8:30 a.m. to 3:00 p.m. Quality Rating and Improvement System (QRIS): The facility plans to pursue Pathway #1 Program Assessment. Pathway #1 Program Assessment states that the facility must meet the following requirements: enhanced ratios or enhanced space, fifty percent (50%) of all lead teachers and fifty percent (50%) of other educators meet requirements at the 5 star level, family and community engagement standards five (5) star rated license- 4 additional options, with at least one from each category of engagement), Continuous Quality Improvement Plans facility and individuals, Approved curriculum used when four-year-olds are enrolled. Program Assessment Self-Study, Program Assessment conducted with average score of 4.0 for ITERS-3 and ECERS-3 and average score of 5.0 for SACERS-U. The facility needs to address the following prior to applying for rated license reassessment have staff trained in ITERS-3, ECERS-3, and SACERS-U. Lead teachers and administrator will need to complete three (3) month self-study. The facility plans to have the items needed for rated license reassessment completed by the next monitoring visit in six (6) months. The facility will maintain open and consistent communication with me regarding their progress toward completing the required items. We discussed that the facility would need to reach out to Buncombe County Partnership for Children to provide training on ITERS-3, ECERS-3, and Self-Study. Reach out to NCRLAP to schedule an outreach assessment. Reminder all star rated licenses must be reassessed by 12/31/2026. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 871 Center staff did not comply with the safe sleep policy. Space 1A, safe sleep check logs were reviewed at 10:10a. The last safe sleep check was documented at 9:30a for one (1) child. The child was still asleep in the crib. 10A NCAC 09 .0606(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Child enrolled 12/23/2024 emergency information was dated 12/18/2024 and was not updated annually. .0802(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Child enrolled 12/1/2025 medical report was not submitted within thirty (30) days of enrollment. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Child enrolled 12/1/2025 immunization report was not submitted within thirty (30) days of enrollment. 10A NCAC 09 .0302(d)(2) Technical assistance was provided as follows: Item #871- Space 1A, safe sleep check logs were reviewed at 10:10a the last safe sleep check was documented at 9:30a for one (1). The child was still asleep in the crib. When asked about the 10:00a safe sleep check, the staff member stated she was cleaning. The staff member conducted a safe sleep check and documented it during the visit. Rule Reference: 10A NCAC 09.0606(a) Item 1311- Child enrolled 12/23/2024 emergency information was dated 12/18/2024 and was not updated annually. We discussed all returning children’s emergency information should be reviewed at least annually by the parents/guardian. Rule Reference: 10A NCAC 09 .0802(c) Item 1321- Child enrolled 12/1/2025 medical report was not submitted within thirty (30) days of enrollment. The medical report was due to be submitted by 1/1/2026. When asked the administrator stated that she was aware and had not received the medical report from the parent/guardian. Rule Reference: G.S. 110-91(1) Item 1323- Child enrolled 12/1/2025 immunization report was not submitted within thirty (30) days of enrollment. The immunization report was due to be submitted by 1/1/2026. When asked, the administrator stated that she was aware and had not received the immunizations from the parent/guardian. Rule Reference: 10A NCAC 09 .0302(d)(2) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/4/2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -Qualifying letter- During file review it was discovered that staff member hired 12/10/2014 qualifying letter in the ABCMS portal expired 1/5/2026, but the hard copy on file showed the letter expiring 6/7/2026. An email was sent to the CBC unit during the visit, and a phone call was made. It was determined a system error occurred and the letters expiration date is 1/5/2026 instead of 6/7/2026. The staff member has two (2) weeks to complete the criminal background check process and submit a current qualifying letter to me. -Lead water testing: The facility will need to visit the Clean Classrooms for Carolina Kids website at least two months before the December 11, 2026 deadline in order to begin and complete the required lead water testing. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .2830 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/21/2026 Number Present: 35 Completed Date: 1/21/2026 Age: From 0 To 5 Total Minutes: 295 Time In: 09:35 AM Time Out: 02:30 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 compliance during an annual compliance visit. A handwritten visit summary was completed, due to connectivity and time constraints. I will email the computer-generated visit summary upon completion, it will include any additional violations documented, steps to achieve compliance, and additional consultation. I reviewed the handwritten visit summary with you, and signed by Karla Terry, Child Care Consultant and also signed by Sarah Newton, Assistant Director, during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, and Sarah Newton, Assistant Director were available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four percent (84%) as of 1/5/2026. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Child Development Schools North Carolina, LLC, is current/active as of 1/5/2026. Permit type – Five (5) Star Rated License, issued 9/1/2024. Special Services/Restrictions – first shift, meets enhanced ratios, children under two and half years old in room with direct exits only. The last annual compliance visit was conducted on 2/10/2025. The last fire drill was practiced on 12/17/2025. The last lockdown drill was practiced on 12/8/2025. The last playground inspection was documented on 12/24/2025. The last fire inspection was approved on 6/26/2025. The last sanitation inspection was conducted on 4/3/2025 with fifteen (15) demerits for a superior classification. Lead water testing was completed 12/11/2023. The next testing is due on or before 12/11/2026. Lead paint and asbestos testing was completed 5/16/2024. The next testing is due on or before 5/16/2027. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I was greeted by Mary Virella, Administrator. A walkthrough of the indoor and outdoor environment was conducted. Space #1A the group of infant and one-year olds were engaged exploring the room, playing on an activity mat, and one (1) was asleep in the room. When I arrived in the classroom, I checked the safe sleep check log at 10:10a the last safe sleep check was documented at 9:30a. When asked about the 10:00a safe sleep check, the staff member stated she was cleaning. The staff member conducted a safe sleep check and documented it during the visit. Space #1B is currently closed. Space #2 is currently closed. Space #3 is currently closed. Space #4 the group of four- to five-year-old children were engaged group activity decorating a football to go along with the balls unit the class is studying. When the children finished the project, they transitioned to free play. Space #5 the group of one- to two-year-olds were engaged in free play with books, blocks, and dramatic play. The staff member was in the floor engaged in play with the children. Space #6 the group of two- to three-year-old children were cleaning up from free play and transitioning to the carpet for group story time. One (1) staff member was cleaning up, one (1) staff conducted a routine diaper change, and administrator was reading a story to the group. After story time, the group transitioned to group art at the table. Lunch today consisted of sloppy joes, green beans, mixed fruit, bun, and milk. While monitoring outdoors environment, I observed the back playground repairs have been completed and mulch has been installed. The back playground can be used for outdoor play. The program does provide transportation. You stated that children ages five to twelve years old is transported for school drop-off and pick-up. I monitored two (2) vehicles today. The white bus was having repairs made by the maintenance team. The blue bus is currently in operation and meets requirements. Staff and children’s files were monitored. Staff member hired 7/25/2016, currently the staff member has two (2) hours of the required training hours. Remaining hours are due by 7/25/2026. Child enrolled 12/23/2024 emergency information was dated 12/18/2024 and was not updated annually. We discussed all returning children’s emergency information should be reviewed at least annually by the parents/guardian. Child enrolled 12/1/2025 medical report and immunization report was not submitted within thirty (30) days of enrollment. The medical and immunizations were due to be submitted by 1/1/2026. When asked the administrator stated that she was aware and has not received the medical or immunizations from the parent/guardian. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. One (1) child file was monitored today. The classroom operates from 8:30 a.m. to 3:00 p.m. Quality Rating and Improvement System (QRIS): The facility plans to pursue Pathway #1 Program Assessment. Pathway #1 Program Assessment states that the facility must meet the following requirements: enhanced ratios or enhanced space, fifty percent (50%) of all lead teachers and fifty percent (50%) of other educators meet requirements at the 5 star level, family and community engagement standards five (5) star rated license- 4 additional options, with at least one from each category of engagement), Continuous Quality Improvement Plans facility and individuals, Approved curriculum used when four-year-olds are enrolled. Program Assessment Self-Study, Program Assessment conducted with average score of 4.0 for ITERS-3 and ECERS-3 and average score of 5.0 for SACERS-U. The facility needs to address the following prior to applying for rated license reassessment have staff trained in ITERS-3, ECERS-3, and SACERS-U. Lead teachers and administrator will need to complete three (3) month self-study. The facility plans to have the items needed for rated license reassessment completed by the next monitoring visit in six (6) months. The facility will maintain open and consistent communication with me regarding their progress toward completing the required items. We discussed that the facility would need to reach out to Buncombe County Partnership for Children to provide training on ITERS-3, ECERS-3, and Self-Study. Reach out to NCRLAP to schedule an outreach assessment. Reminder all star rated licenses must be reassessed by 12/31/2026. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 871 Center staff did not comply with the safe sleep policy. Space 1A, safe sleep check logs were reviewed at 10:10a. The last safe sleep check was documented at 9:30a for one (1) child. The child was still asleep in the crib. 10A NCAC 09 .0606(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Child enrolled 12/23/2024 emergency information was dated 12/18/2024 and was not updated annually. .0802(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Child enrolled 12/1/2025 medical report was not submitted within thirty (30) days of enrollment. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Child enrolled 12/1/2025 immunization report was not submitted within thirty (30) days of enrollment. 10A NCAC 09 .0302(d)(2) Technical assistance was provided as follows: Item #871- Space 1A, safe sleep check logs were reviewed at 10:10a the last safe sleep check was documented at 9:30a for one (1). The child was still asleep in the crib. When asked about the 10:00a safe sleep check, the staff member stated she was cleaning. The staff member conducted a safe sleep check and documented it during the visit. Rule Reference: 10A NCAC 09.0606(a) Item 1311- Child enrolled 12/23/2024 emergency information was dated 12/18/2024 and was not updated annually. We discussed all returning children’s emergency information should be reviewed at least annually by the parents/guardian. Rule Reference: 10A NCAC 09 .0802(c) Item 1321- Child enrolled 12/1/2025 medical report was not submitted within thirty (30) days of enrollment. The medical report was due to be submitted by 1/1/2026. When asked the administrator stated that she was aware and had not received the medical report from the parent/guardian. Rule Reference: G.S. 110-91(1) Item 1323- Child enrolled 12/1/2025 immunization report was not submitted within thirty (30) days of enrollment. The immunization report was due to be submitted by 1/1/2026. When asked, the administrator stated that she was aware and had not received the immunizations from the parent/guardian. Rule Reference: 10A NCAC 09 .0302(d)(2) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/4/2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -Qualifying letter- During file review it was discovered that staff member hired 12/10/2014 qualifying letter in the ABCMS portal expired 1/5/2026, but the hard copy on file showed the letter expiring 6/7/2026. An email was sent to the CBC unit during the visit, and a phone call was made. It was determined a system error occurred and the letters expiration date is 1/5/2026 instead of 6/7/2026. The staff member has two (2) weeks to complete the criminal background check process and submit a current qualifying letter to me. -Lead water testing: The facility will need to visit the Clean Classrooms for Carolina Kids website at least two months before the December 11, 2026 deadline in order to begin and complete the required lead water testing. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/21/2026 Number Present: 35 Completed Date: 1/21/2026 Age: From 0 To 5 Total Minutes: 295 Time In: 09:35 AM Time Out: 02:30 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 compliance during an annual compliance visit. A handwritten visit summary was completed, due to connectivity and time constraints. I will email the computer-generated visit summary upon completion, it will include any additional violations documented, steps to achieve compliance, and additional consultation. I reviewed the handwritten visit summary with you, and signed by Karla Terry, Child Care Consultant and also signed by Sarah Newton, Assistant Director, during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, and Sarah Newton, Assistant Director were available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four percent (84%) as of 1/5/2026. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Child Development Schools North Carolina, LLC, is current/active as of 1/5/2026. Permit type – Five (5) Star Rated License, issued 9/1/2024. Special Services/Restrictions – first shift, meets enhanced ratios, children under two and half years old in room with direct exits only. The last annual compliance visit was conducted on 2/10/2025. The last fire drill was practiced on 12/17/2025. The last lockdown drill was practiced on 12/8/2025. The last playground inspection was documented on 12/24/2025. The last fire inspection was approved on 6/26/2025. The last sanitation inspection was conducted on 4/3/2025 with fifteen (15) demerits for a superior classification. Lead water testing was completed 12/11/2023. The next testing is due on or before 12/11/2026. Lead paint and asbestos testing was completed 5/16/2024. The next testing is due on or before 5/16/2027. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I was greeted by Mary Virella, Administrator. A walkthrough of the indoor and outdoor environment was conducted. Space #1A the group of infant and one-year olds were engaged exploring the room, playing on an activity mat, and one (1) was asleep in the room. When I arrived in the classroom, I checked the safe sleep check log at 10:10a the last safe sleep check was documented at 9:30a. When asked about the 10:00a safe sleep check, the staff member stated she was cleaning. The staff member conducted a safe sleep check and documented it during the visit. Space #1B is currently closed. Space #2 is currently closed. Space #3 is currently closed. Space #4 the group of four- to five-year-old children were engaged group activity decorating a football to go along with the balls unit the class is studying. When the children finished the project, they transitioned to free play. Space #5 the group of one- to two-year-olds were engaged in free play with books, blocks, and dramatic play. The staff member was in the floor engaged in play with the children. Space #6 the group of two- to three-year-old children were cleaning up from free play and transitioning to the carpet for group story time. One (1) staff member was cleaning up, one (1) staff conducted a routine diaper change, and administrator was reading a story to the group. After story time, the group transitioned to group art at the table. Lunch today consisted of sloppy joes, green beans, mixed fruit, bun, and milk. While monitoring outdoors environment, I observed the back playground repairs have been completed and mulch has been installed. The back playground can be used for outdoor play. The program does provide transportation. You stated that children ages five to twelve years old is transported for school drop-off and pick-up. I monitored two (2) vehicles today. The white bus was having repairs made by the maintenance team. The blue bus is currently in operation and meets requirements. Staff and children’s files were monitored. Staff member hired 7/25/2016, currently the staff member has two (2) hours of the required training hours. Remaining hours are due by 7/25/2026. Child enrolled 12/23/2024 emergency information was dated 12/18/2024 and was not updated annually. We discussed all returning children’s emergency information should be reviewed at least annually by the parents/guardian. Child enrolled 12/1/2025 medical report and immunization report was not submitted within thirty (30) days of enrollment. The medical and immunizations were due to be submitted by 1/1/2026. When asked the administrator stated that she was aware and has not received the medical or immunizations from the parent/guardian. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. One (1) child file was monitored today. The classroom operates from 8:30 a.m. to 3:00 p.m. Quality Rating and Improvement System (QRIS): The facility plans to pursue Pathway #1 Program Assessment. Pathway #1 Program Assessment states that the facility must meet the following requirements: enhanced ratios or enhanced space, fifty percent (50%) of all lead teachers and fifty percent (50%) of other educators meet requirements at the 5 star level, family and community engagement standards five (5) star rated license- 4 additional options, with at least one from each category of engagement), Continuous Quality Improvement Plans facility and individuals, Approved curriculum used when four-year-olds are enrolled. Program Assessment Self-Study, Program Assessment conducted with average score of 4.0 for ITERS-3 and ECERS-3 and average score of 5.0 for SACERS-U. The facility needs to address the following prior to applying for rated license reassessment have staff trained in ITERS-3, ECERS-3, and SACERS-U. Lead teachers and administrator will need to complete three (3) month self-study. The facility plans to have the items needed for rated license reassessment completed by the next monitoring visit in six (6) months. The facility will maintain open and consistent communication with me regarding their progress toward completing the required items. We discussed that the facility would need to reach out to Buncombe County Partnership for Children to provide training on ITERS-3, ECERS-3, and Self-Study. Reach out to NCRLAP to schedule an outreach assessment. Reminder all star rated licenses must be reassessed by 12/31/2026. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 871 Center staff did not comply with the safe sleep policy. Space 1A, safe sleep check logs were reviewed at 10:10a. The last safe sleep check was documented at 9:30a for one (1) child. The child was still asleep in the crib. 10A NCAC 09 .0606(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Child enrolled 12/23/2024 emergency information was dated 12/18/2024 and was not updated annually. .0802(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Child enrolled 12/1/2025 medical report was not submitted within thirty (30) days of enrollment. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Child enrolled 12/1/2025 immunization report was not submitted within thirty (30) days of enrollment. 10A NCAC 09 .0302(d)(2) Technical assistance was provided as follows: Item #871- Space 1A, safe sleep check logs were reviewed at 10:10a the last safe sleep check was documented at 9:30a for one (1). The child was still asleep in the crib. When asked about the 10:00a safe sleep check, the staff member stated she was cleaning. The staff member conducted a safe sleep check and documented it during the visit. Rule Reference: 10A NCAC 09.0606(a) Item 1311- Child enrolled 12/23/2024 emergency information was dated 12/18/2024 and was not updated annually. We discussed all returning children’s emergency information should be reviewed at least annually by the parents/guardian. Rule Reference: 10A NCAC 09 .0802(c) Item 1321- Child enrolled 12/1/2025 medical report was not submitted within thirty (30) days of enrollment. The medical report was due to be submitted by 1/1/2026. When asked the administrator stated that she was aware and had not received the medical report from the parent/guardian. Rule Reference: G.S. 110-91(1) Item 1323- Child enrolled 12/1/2025 immunization report was not submitted within thirty (30) days of enrollment. The immunization report was due to be submitted by 1/1/2026. When asked, the administrator stated that she was aware and had not received the immunizations from the parent/guardian. Rule Reference: 10A NCAC 09 .0302(d)(2) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/4/2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -Qualifying letter- During file review it was discovered that staff member hired 12/10/2014 qualifying letter in the ABCMS portal expired 1/5/2026, but the hard copy on file showed the letter expiring 6/7/2026. An email was sent to the CBC unit during the visit, and a phone call was made. It was determined a system error occurred and the letters expiration date is 1/5/2026 instead of 6/7/2026. The staff member has two (2) weeks to complete the criminal background check process and submit a current qualifying letter to me. -Lead water testing: The facility will need to visit the Clean Classrooms for Carolina Kids website at least two months before the December 11, 2026 deadline in order to begin and complete the required lead water testing. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/21/2026 Number Present: 35 Completed Date: 1/21/2026 Age: From 0 To 5 Total Minutes: 295 Time In: 09:35 AM Time Out: 02:30 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 compliance during an annual compliance visit. A handwritten visit summary was completed, due to connectivity and time constraints. I will email the computer-generated visit summary upon completion, it will include any additional violations documented, steps to achieve compliance, and additional consultation. I reviewed the handwritten visit summary with you, and signed by Karla Terry, Child Care Consultant and also signed by Sarah Newton, Assistant Director, during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, and Sarah Newton, Assistant Director were available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four percent (84%) as of 1/5/2026. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Child Development Schools North Carolina, LLC, is current/active as of 1/5/2026. Permit type – Five (5) Star Rated License, issued 9/1/2024. Special Services/Restrictions – first shift, meets enhanced ratios, children under two and half years old in room with direct exits only. The last annual compliance visit was conducted on 2/10/2025. The last fire drill was practiced on 12/17/2025. The last lockdown drill was practiced on 12/8/2025. The last playground inspection was documented on 12/24/2025. The last fire inspection was approved on 6/26/2025. The last sanitation inspection was conducted on 4/3/2025 with fifteen (15) demerits for a superior classification. Lead water testing was completed 12/11/2023. The next testing is due on or before 12/11/2026. Lead paint and asbestos testing was completed 5/16/2024. The next testing is due on or before 5/16/2027. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I was greeted by Mary Virella, Administrator. A walkthrough of the indoor and outdoor environment was conducted. Space #1A the group of infant and one-year olds were engaged exploring the room, playing on an activity mat, and one (1) was asleep in the room. When I arrived in the classroom, I checked the safe sleep check log at 10:10a the last safe sleep check was documented at 9:30a. When asked about the 10:00a safe sleep check, the staff member stated she was cleaning. The staff member conducted a safe sleep check and documented it during the visit. Space #1B is currently closed. Space #2 is currently closed. Space #3 is currently closed. Space #4 the group of four- to five-year-old children were engaged group activity decorating a football to go along with the balls unit the class is studying. When the children finished the project, they transitioned to free play. Space #5 the group of one- to two-year-olds were engaged in free play with books, blocks, and dramatic play. The staff member was in the floor engaged in play with the children. Space #6 the group of two- to three-year-old children were cleaning up from free play and transitioning to the carpet for group story time. One (1) staff member was cleaning up, one (1) staff conducted a routine diaper change, and administrator was reading a story to the group. After story time, the group transitioned to group art at the table. Lunch today consisted of sloppy joes, green beans, mixed fruit, bun, and milk. While monitoring outdoors environment, I observed the back playground repairs have been completed and mulch has been installed. The back playground can be used for outdoor play. The program does provide transportation. You stated that children ages five to twelve years old is transported for school drop-off and pick-up. I monitored two (2) vehicles today. The white bus was having repairs made by the maintenance team. The blue bus is currently in operation and meets requirements. Staff and children’s files were monitored. Staff member hired 7/25/2016, currently the staff member has two (2) hours of the required training hours. Remaining hours are due by 7/25/2026. Child enrolled 12/23/2024 emergency information was dated 12/18/2024 and was not updated annually. We discussed all returning children’s emergency information should be reviewed at least annually by the parents/guardian. Child enrolled 12/1/2025 medical report and immunization report was not submitted within thirty (30) days of enrollment. The medical and immunizations were due to be submitted by 1/1/2026. When asked the administrator stated that she was aware and has not received the medical or immunizations from the parent/guardian. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. One (1) child file was monitored today. The classroom operates from 8:30 a.m. to 3:00 p.m. Quality Rating and Improvement System (QRIS): The facility plans to pursue Pathway #1 Program Assessment. Pathway #1 Program Assessment states that the facility must meet the following requirements: enhanced ratios or enhanced space, fifty percent (50%) of all lead teachers and fifty percent (50%) of other educators meet requirements at the 5 star level, family and community engagement standards five (5) star rated license- 4 additional options, with at least one from each category of engagement), Continuous Quality Improvement Plans facility and individuals, Approved curriculum used when four-year-olds are enrolled. Program Assessment Self-Study, Program Assessment conducted with average score of 4.0 for ITERS-3 and ECERS-3 and average score of 5.0 for SACERS-U. The facility needs to address the following prior to applying for rated license reassessment have staff trained in ITERS-3, ECERS-3, and SACERS-U. Lead teachers and administrator will need to complete three (3) month self-study. The facility plans to have the items needed for rated license reassessment completed by the next monitoring visit in six (6) months. The facility will maintain open and consistent communication with me regarding their progress toward completing the required items. We discussed that the facility would need to reach out to Buncombe County Partnership for Children to provide training on ITERS-3, ECERS-3, and Self-Study. Reach out to NCRLAP to schedule an outreach assessment. Reminder all star rated licenses must be reassessed by 12/31/2026. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 871 Center staff did not comply with the safe sleep policy. Space 1A, safe sleep check logs were reviewed at 10:10a. The last safe sleep check was documented at 9:30a for one (1) child. The child was still asleep in the crib. 10A NCAC 09 .0606(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Child enrolled 12/23/2024 emergency information was dated 12/18/2024 and was not updated annually. .0802(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Child enrolled 12/1/2025 medical report was not submitted within thirty (30) days of enrollment. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Child enrolled 12/1/2025 immunization report was not submitted within thirty (30) days of enrollment. 10A NCAC 09 .0302(d)(2) Technical assistance was provided as follows: Item #871- Space 1A, safe sleep check logs were reviewed at 10:10a the last safe sleep check was documented at 9:30a for one (1). The child was still asleep in the crib. When asked about the 10:00a safe sleep check, the staff member stated she was cleaning. The staff member conducted a safe sleep check and documented it during the visit. Rule Reference: 10A NCAC 09.0606(a) Item 1311- Child enrolled 12/23/2024 emergency information was dated 12/18/2024 and was not updated annually. We discussed all returning children’s emergency information should be reviewed at least annually by the parents/guardian. Rule Reference: 10A NCAC 09 .0802(c) Item 1321- Child enrolled 12/1/2025 medical report was not submitted within thirty (30) days of enrollment. The medical report was due to be submitted by 1/1/2026. When asked the administrator stated that she was aware and had not received the medical report from the parent/guardian. Rule Reference: G.S. 110-91(1) Item 1323- Child enrolled 12/1/2025 immunization report was not submitted within thirty (30) days of enrollment. The immunization report was due to be submitted by 1/1/2026. When asked, the administrator stated that she was aware and had not received the immunizations from the parent/guardian. Rule Reference: 10A NCAC 09 .0302(d)(2) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/4/2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -Qualifying letter- During file review it was discovered that staff member hired 12/10/2014 qualifying letter in the ABCMS portal expired 1/5/2026, but the hard copy on file showed the letter expiring 6/7/2026. An email was sent to the CBC unit during the visit, and a phone call was made. It was determined a system error occurred and the letters expiration date is 1/5/2026 instead of 6/7/2026. The staff member has two (2) weeks to complete the criminal background check process and submit a current qualifying letter to me. -Lead water testing: The facility will need to visit the Clean Classrooms for Carolina Kids website at least two months before the December 11, 2026 deadline in order to begin and complete the required lead water testing. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

GS110-91 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/21/2026 Number Present: 35 Completed Date: 1/21/2026 Age: From 0 To 5 Total Minutes: 295 Time In: 09:35 AM Time Out: 02:30 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 compliance during an annual compliance visit. A handwritten visit summary was completed, due to connectivity and time constraints. I will email the computer-generated visit summary upon completion, it will include any additional violations documented, steps to achieve compliance, and additional consultation. I reviewed the handwritten visit summary with you, and signed by Karla Terry, Child Care Consultant and also signed by Sarah Newton, Assistant Director, during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, and Sarah Newton, Assistant Director were available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four percent (84%) as of 1/5/2026. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Child Development Schools North Carolina, LLC, is current/active as of 1/5/2026. Permit type – Five (5) Star Rated License, issued 9/1/2024. Special Services/Restrictions – first shift, meets enhanced ratios, children under two and half years old in room with direct exits only. The last annual compliance visit was conducted on 2/10/2025. The last fire drill was practiced on 12/17/2025. The last lockdown drill was practiced on 12/8/2025. The last playground inspection was documented on 12/24/2025. The last fire inspection was approved on 6/26/2025. The last sanitation inspection was conducted on 4/3/2025 with fifteen (15) demerits for a superior classification. Lead water testing was completed 12/11/2023. The next testing is due on or before 12/11/2026. Lead paint and asbestos testing was completed 5/16/2024. The next testing is due on or before 5/16/2027. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I was greeted by Mary Virella, Administrator. A walkthrough of the indoor and outdoor environment was conducted. Space #1A the group of infant and one-year olds were engaged exploring the room, playing on an activity mat, and one (1) was asleep in the room. When I arrived in the classroom, I checked the safe sleep check log at 10:10a the last safe sleep check was documented at 9:30a. When asked about the 10:00a safe sleep check, the staff member stated she was cleaning. The staff member conducted a safe sleep check and documented it during the visit. Space #1B is currently closed. Space #2 is currently closed. Space #3 is currently closed. Space #4 the group of four- to five-year-old children were engaged group activity decorating a football to go along with the balls unit the class is studying. When the children finished the project, they transitioned to free play. Space #5 the group of one- to two-year-olds were engaged in free play with books, blocks, and dramatic play. The staff member was in the floor engaged in play with the children. Space #6 the group of two- to three-year-old children were cleaning up from free play and transitioning to the carpet for group story time. One (1) staff member was cleaning up, one (1) staff conducted a routine diaper change, and administrator was reading a story to the group. After story time, the group transitioned to group art at the table. Lunch today consisted of sloppy joes, green beans, mixed fruit, bun, and milk. While monitoring outdoors environment, I observed the back playground repairs have been completed and mulch has been installed. The back playground can be used for outdoor play. The program does provide transportation. You stated that children ages five to twelve years old is transported for school drop-off and pick-up. I monitored two (2) vehicles today. The white bus was having repairs made by the maintenance team. The blue bus is currently in operation and meets requirements. Staff and children’s files were monitored. Staff member hired 7/25/2016, currently the staff member has two (2) hours of the required training hours. Remaining hours are due by 7/25/2026. Child enrolled 12/23/2024 emergency information was dated 12/18/2024 and was not updated annually. We discussed all returning children’s emergency information should be reviewed at least annually by the parents/guardian. Child enrolled 12/1/2025 medical report and immunization report was not submitted within thirty (30) days of enrollment. The medical and immunizations were due to be submitted by 1/1/2026. When asked the administrator stated that she was aware and has not received the medical or immunizations from the parent/guardian. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. One (1) child file was monitored today. The classroom operates from 8:30 a.m. to 3:00 p.m. Quality Rating and Improvement System (QRIS): The facility plans to pursue Pathway #1 Program Assessment. Pathway #1 Program Assessment states that the facility must meet the following requirements: enhanced ratios or enhanced space, fifty percent (50%) of all lead teachers and fifty percent (50%) of other educators meet requirements at the 5 star level, family and community engagement standards five (5) star rated license- 4 additional options, with at least one from each category of engagement), Continuous Quality Improvement Plans facility and individuals, Approved curriculum used when four-year-olds are enrolled. Program Assessment Self-Study, Program Assessment conducted with average score of 4.0 for ITERS-3 and ECERS-3 and average score of 5.0 for SACERS-U. The facility needs to address the following prior to applying for rated license reassessment have staff trained in ITERS-3, ECERS-3, and SACERS-U. Lead teachers and administrator will need to complete three (3) month self-study. The facility plans to have the items needed for rated license reassessment completed by the next monitoring visit in six (6) months. The facility will maintain open and consistent communication with me regarding their progress toward completing the required items. We discussed that the facility would need to reach out to Buncombe County Partnership for Children to provide training on ITERS-3, ECERS-3, and Self-Study. Reach out to NCRLAP to schedule an outreach assessment. Reminder all star rated licenses must be reassessed by 12/31/2026. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 871 Center staff did not comply with the safe sleep policy. Space 1A, safe sleep check logs were reviewed at 10:10a. The last safe sleep check was documented at 9:30a for one (1) child. The child was still asleep in the crib. 10A NCAC 09 .0606(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Child enrolled 12/23/2024 emergency information was dated 12/18/2024 and was not updated annually. .0802(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Child enrolled 12/1/2025 medical report was not submitted within thirty (30) days of enrollment. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Child enrolled 12/1/2025 immunization report was not submitted within thirty (30) days of enrollment. 10A NCAC 09 .0302(d)(2) Technical assistance was provided as follows: Item #871- Space 1A, safe sleep check logs were reviewed at 10:10a the last safe sleep check was documented at 9:30a for one (1). The child was still asleep in the crib. When asked about the 10:00a safe sleep check, the staff member stated she was cleaning. The staff member conducted a safe sleep check and documented it during the visit. Rule Reference: 10A NCAC 09.0606(a) Item 1311- Child enrolled 12/23/2024 emergency information was dated 12/18/2024 and was not updated annually. We discussed all returning children’s emergency information should be reviewed at least annually by the parents/guardian. Rule Reference: 10A NCAC 09 .0802(c) Item 1321- Child enrolled 12/1/2025 medical report was not submitted within thirty (30) days of enrollment. The medical report was due to be submitted by 1/1/2026. When asked the administrator stated that she was aware and had not received the medical report from the parent/guardian. Rule Reference: G.S. 110-91(1) Item 1323- Child enrolled 12/1/2025 immunization report was not submitted within thirty (30) days of enrollment. The immunization report was due to be submitted by 1/1/2026. When asked, the administrator stated that she was aware and had not received the immunizations from the parent/guardian. Rule Reference: 10A NCAC 09 .0302(d)(2) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/4/2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -Qualifying letter- During file review it was discovered that staff member hired 12/10/2014 qualifying letter in the ABCMS portal expired 1/5/2026, but the hard copy on file showed the letter expiring 6/7/2026. An email was sent to the CBC unit during the visit, and a phone call was made. It was determined a system error occurred and the letters expiration date is 1/5/2026 instead of 6/7/2026. The staff member has two (2) weeks to complete the criminal background check process and submit a current qualifying letter to me. -Lead water testing: The facility will need to visit the Clean Classrooms for Carolina Kids website at least two months before the December 11, 2026 deadline in order to begin and complete the required lead water testing. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/21/2026 Number Present: 35 Completed Date: 1/21/2026 Age: From 0 To 5 Total Minutes: 295 Time In: 09:35 AM Time Out: 02:30 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 compliance during an annual compliance visit. A handwritten visit summary was completed, due to connectivity and time constraints. I will email the computer-generated visit summary upon completion, it will include any additional violations documented, steps to achieve compliance, and additional consultation. I reviewed the handwritten visit summary with you, and signed by Karla Terry, Child Care Consultant and also signed by Sarah Newton, Assistant Director, during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, and Sarah Newton, Assistant Director were available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four percent (84%) as of 1/5/2026. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Child Development Schools North Carolina, LLC, is current/active as of 1/5/2026. Permit type – Five (5) Star Rated License, issued 9/1/2024. Special Services/Restrictions – first shift, meets enhanced ratios, children under two and half years old in room with direct exits only. The last annual compliance visit was conducted on 2/10/2025. The last fire drill was practiced on 12/17/2025. The last lockdown drill was practiced on 12/8/2025. The last playground inspection was documented on 12/24/2025. The last fire inspection was approved on 6/26/2025. The last sanitation inspection was conducted on 4/3/2025 with fifteen (15) demerits for a superior classification. Lead water testing was completed 12/11/2023. The next testing is due on or before 12/11/2026. Lead paint and asbestos testing was completed 5/16/2024. The next testing is due on or before 5/16/2027. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I was greeted by Mary Virella, Administrator. A walkthrough of the indoor and outdoor environment was conducted. Space #1A the group of infant and one-year olds were engaged exploring the room, playing on an activity mat, and one (1) was asleep in the room. When I arrived in the classroom, I checked the safe sleep check log at 10:10a the last safe sleep check was documented at 9:30a. When asked about the 10:00a safe sleep check, the staff member stated she was cleaning. The staff member conducted a safe sleep check and documented it during the visit. Space #1B is currently closed. Space #2 is currently closed. Space #3 is currently closed. Space #4 the group of four- to five-year-old children were engaged group activity decorating a football to go along with the balls unit the class is studying. When the children finished the project, they transitioned to free play. Space #5 the group of one- to two-year-olds were engaged in free play with books, blocks, and dramatic play. The staff member was in the floor engaged in play with the children. Space #6 the group of two- to three-year-old children were cleaning up from free play and transitioning to the carpet for group story time. One (1) staff member was cleaning up, one (1) staff conducted a routine diaper change, and administrator was reading a story to the group. After story time, the group transitioned to group art at the table. Lunch today consisted of sloppy joes, green beans, mixed fruit, bun, and milk. While monitoring outdoors environment, I observed the back playground repairs have been completed and mulch has been installed. The back playground can be used for outdoor play. The program does provide transportation. You stated that children ages five to twelve years old is transported for school drop-off and pick-up. I monitored two (2) vehicles today. The white bus was having repairs made by the maintenance team. The blue bus is currently in operation and meets requirements. Staff and children’s files were monitored. Staff member hired 7/25/2016, currently the staff member has two (2) hours of the required training hours. Remaining hours are due by 7/25/2026. Child enrolled 12/23/2024 emergency information was dated 12/18/2024 and was not updated annually. We discussed all returning children’s emergency information should be reviewed at least annually by the parents/guardian. Child enrolled 12/1/2025 medical report and immunization report was not submitted within thirty (30) days of enrollment. The medical and immunizations were due to be submitted by 1/1/2026. When asked the administrator stated that she was aware and has not received the medical or immunizations from the parent/guardian. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. One (1) child file was monitored today. The classroom operates from 8:30 a.m. to 3:00 p.m. Quality Rating and Improvement System (QRIS): The facility plans to pursue Pathway #1 Program Assessment. Pathway #1 Program Assessment states that the facility must meet the following requirements: enhanced ratios or enhanced space, fifty percent (50%) of all lead teachers and fifty percent (50%) of other educators meet requirements at the 5 star level, family and community engagement standards five (5) star rated license- 4 additional options, with at least one from each category of engagement), Continuous Quality Improvement Plans facility and individuals, Approved curriculum used when four-year-olds are enrolled. Program Assessment Self-Study, Program Assessment conducted with average score of 4.0 for ITERS-3 and ECERS-3 and average score of 5.0 for SACERS-U. The facility needs to address the following prior to applying for rated license reassessment have staff trained in ITERS-3, ECERS-3, and SACERS-U. Lead teachers and administrator will need to complete three (3) month self-study. The facility plans to have the items needed for rated license reassessment completed by the next monitoring visit in six (6) months. The facility will maintain open and consistent communication with me regarding their progress toward completing the required items. We discussed that the facility would need to reach out to Buncombe County Partnership for Children to provide training on ITERS-3, ECERS-3, and Self-Study. Reach out to NCRLAP to schedule an outreach assessment. Reminder all star rated licenses must be reassessed by 12/31/2026. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 871 Center staff did not comply with the safe sleep policy. Space 1A, safe sleep check logs were reviewed at 10:10a. The last safe sleep check was documented at 9:30a for one (1) child. The child was still asleep in the crib. 10A NCAC 09 .0606(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Child enrolled 12/23/2024 emergency information was dated 12/18/2024 and was not updated annually. .0802(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Child enrolled 12/1/2025 medical report was not submitted within thirty (30) days of enrollment. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Child enrolled 12/1/2025 immunization report was not submitted within thirty (30) days of enrollment. 10A NCAC 09 .0302(d)(2) Technical assistance was provided as follows: Item #871- Space 1A, safe sleep check logs were reviewed at 10:10a the last safe sleep check was documented at 9:30a for one (1). The child was still asleep in the crib. When asked about the 10:00a safe sleep check, the staff member stated she was cleaning. The staff member conducted a safe sleep check and documented it during the visit. Rule Reference: 10A NCAC 09.0606(a) Item 1311- Child enrolled 12/23/2024 emergency information was dated 12/18/2024 and was not updated annually. We discussed all returning children’s emergency information should be reviewed at least annually by the parents/guardian. Rule Reference: 10A NCAC 09 .0802(c) Item 1321- Child enrolled 12/1/2025 medical report was not submitted within thirty (30) days of enrollment. The medical report was due to be submitted by 1/1/2026. When asked the administrator stated that she was aware and had not received the medical report from the parent/guardian. Rule Reference: G.S. 110-91(1) Item 1323- Child enrolled 12/1/2025 immunization report was not submitted within thirty (30) days of enrollment. The immunization report was due to be submitted by 1/1/2026. When asked, the administrator stated that she was aware and had not received the immunizations from the parent/guardian. Rule Reference: 10A NCAC 09 .0302(d)(2) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/4/2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -Qualifying letter- During file review it was discovered that staff member hired 12/10/2014 qualifying letter in the ABCMS portal expired 1/5/2026, but the hard copy on file showed the letter expiring 6/7/2026. An email was sent to the CBC unit during the visit, and a phone call was made. It was determined a system error occurred and the letters expiration date is 1/5/2026 instead of 6/7/2026. The staff member has two (2) weeks to complete the criminal background check process and submit a current qualifying letter to me. -Lead water testing: The facility will need to visit the Clean Classrooms for Carolina Kids website at least two months before the December 11, 2026 deadline in order to begin and complete the required lead water testing. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/16/2025 Number Present: 25 Completed Date: 12/16/2025 Age: From 0 To 5 Total Minutes: 140 Time In: 09:40 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on October 15, 2025. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, assisted me today. Limited monitoring of Child Care Rules were conducted during today’s visit, including but not limited to supervision, discipline, nurture and care, staff/child ratio, group size, licensed capacity, permit restrictions, CPR training, First Aid training, ITS-SIDS training, and criminal record check requirements. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five percent (85%) as of 12/10/2025. Childcare Network #178A operates with five-star center license issued on 9/1/24 with restriction; daytime care, meets enhanced ratios and space, children under two and half in rooms with direct exits. Administrative Action was issued on October 15, 2025, for non-compliance. The indoor and outdoor environments used by the children were monitored. Space #1A the group of infant- to one-year-old children were engaged in exploring the room. Staff were on the floor engaged in play with the children. Space #1B is currently closed. Space #2 is currently closed and being used as storage. Space #3 is currently closed and being used as storage. Space #4 the group of four- to five-year-old children were engaged in activities at the tables. One (1) staff member was working with a group of children doing a free art activity with dot painters. The other staff member was working with a group on a counting activity, and another group was engaged in playing with playdough. After free play, the group prepared to go outside. The staff used the walkie talkie to communicate that they would like to go outside. The administrator went to the classroom to assist the children with putting on coats and transitioning outdoors for gross motor play. Once ready to transition outdoors, the teacher went outside to stand at front of line. Administrator stood in door conducting a name to face check as the children were called outdoors to line up. Lead Teacher stayed in the classroom until all the children have exited the room and was at the end of the line. As the group transitioned to the playground the teacher was at the front of the line, administrator in the middled of the line, and lead teacher at the end of the line. Once to the playground, the teacher stood at the gate till all children made it safely to ramp in front of the playground. The teacher conducted a playground check while the lead teacher and children stood on the ramp. Once the playground check was completed the children entered the playground. Space #5, the group of one-to-two-year-old children were free play with the climber and baby dolls. The staff member was engaged in playing with the children in dramatic play center pretending to cook. Space #6 the group of two-to-three-year-old were engaged in free play with blocks, baby dolls, pretending to do hair in the dramatic play center, and blocks. While monitoring the classroom, I observed one (1) diaper cream permission to administer medication form expired 10/16/2025. Current activity plan and daily schedule was not posted. The administrator posted the activity plans and the daily schedule during the visit. While monitoring outdoors, I observed the back playground is closed until management decides on a new playground surfacing. The administrator and I discussed that a playground schedule will need to be developed and shared with me to ensure all children are able to go outside daily. At 11:40a, a truck arrived to deliver and spread mulch. An initial administrative action review was conducted by phone on October 27, 2025, with Mary Virella, Administrator. During the call, the administrative action written warning and the Corrective Action Plan were discussed in detail. Topics included the requirements for posting the action and that unannounced follow-up visits, would occur every 4–6 weeks. The administrative action is posted in the main entrance area beside the directors office door just below the star rated license. The following stipulations of the administrative action were monitored: Stipulation #1: The child care operator shall maintain compliance at all times with all applicable child care requirements. Staff are using the walkie talkie to radio for assistance when transitioning in and out of the facility. The administrator is conducting medication checks. Administrator is tracking trainings using the ongoing training log, along with accessing the online system to follow up with tracking current trainings. Requirements for a safe indoor and outdoor environment, and hazardous products are met. Stipulation #2: Within one (1) week after this Notice is received, Mary Virella, administrator, shall contact Monica Houck, Lead Child Care Consultant, telephone number 828-243-2154, email Monica.Houck@dhhs.nc.gov, to arrange for a complete review of all child care requirements. Ms. Virella reached out to Monica Houck, Lead Licensing Consultant, on 10/21/2025 to schedule a rules review. The rules review is scheduled for 2:00p today (12/16/25). The facility will close at 1:00p today to prepare for the rules review. Stipulation #3: Within two (2) weeks after this Notice is received, Ms. Virella shall develop a written plan that describes, in detail, the steps that will be taken to ensure compliance with child care requirements related to supervision, administering medication, storage of hazardous substances and in-service training. Ms. Virella submitted the implementation plan on 11/4/2025 via email. I have reviewed the implementation plan and responded for revisions to be made on 11/6/2025. Ms. Virella resubmitted the revised implementation plan via email on 11/11/2025. We reviewed the implementation plan during the visit. Final approval of the plan was given via email on 11/17/2025. Stipulation #4: Within two (2) weeks after notification from the Division that the stipulation has been met with the plan related to records, Ms. Virella shall conduct a staff meeting with all staff members to discuss the plan. Staff meeting was conducted on 11/20/2025. Ms. Virella shared the sign-in sheet, agenda, and minutes from the meeting with me on 11/21/2025. Staff were observed implementing the plan. The following violations were documented during today’s visit: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. Space #6 a daily schedule was not posted for review. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. Space #6 activity plan was not posted. GS 110-91(12); .0508(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #6, one (1) diaper cream permission to administer medication form expired 10/16/2025. .0803(12) Technical assistance was provided as follows: Item 415- Space #6 a daily schedule was not posted for review. When asked where the activity plan was, the administrator stated she was not sure. She would get it printed and posted. During the visit, the administrative staff printed and posted the daily schedule. Rule Reference: G.S. 110-91(12);.0508(a) Item 428- Space #6 activity plan was not posted. When asked where the activity plan was, the administrator stated that she needed to print the activity plan. The administrative staff printed and posted the current activity plan during the visit. Rule Reference: G.S. 110-91(12);.0508(a) Item 849- Space #6, one (1) diaper cream permission to administer medication form expired 10/16/2025. We discussed when checking the permission to administer medication forms, to ensure the valid dates and within the specified authorization dates the parent has given. The administrator removed the medication during the visit and put in the office until the medication can be returned to the parent today. Rule Reference: 10A NCAC 09 .0803(12) Achieving Compliance: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/30/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We discussed developing a outdoor playground schedule to show how each child receives outdoor time daily until the back playground is reopened. Ms. Virella provided me with a copy of the daily outdoor schedule during the visit. - We reviewed staff must review all medication forms and expiration dates to ensure that each medication is authorized for the current month. If the authorization dates do not cover the current month or any future period, the medication should be removed and returned to the parent. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/16/2025 Number Present: 25 Completed Date: 12/16/2025 Age: From 0 To 5 Total Minutes: 140 Time In: 09:40 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on October 15, 2025. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, assisted me today. Limited monitoring of Child Care Rules were conducted during today’s visit, including but not limited to supervision, discipline, nurture and care, staff/child ratio, group size, licensed capacity, permit restrictions, CPR training, First Aid training, ITS-SIDS training, and criminal record check requirements. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five percent (85%) as of 12/10/2025. Childcare Network #178A operates with five-star center license issued on 9/1/24 with restriction; daytime care, meets enhanced ratios and space, children under two and half in rooms with direct exits. Administrative Action was issued on October 15, 2025, for non-compliance. The indoor and outdoor environments used by the children were monitored. Space #1A the group of infant- to one-year-old children were engaged in exploring the room. Staff were on the floor engaged in play with the children. Space #1B is currently closed. Space #2 is currently closed and being used as storage. Space #3 is currently closed and being used as storage. Space #4 the group of four- to five-year-old children were engaged in activities at the tables. One (1) staff member was working with a group of children doing a free art activity with dot painters. The other staff member was working with a group on a counting activity, and another group was engaged in playing with playdough. After free play, the group prepared to go outside. The staff used the walkie talkie to communicate that they would like to go outside. The administrator went to the classroom to assist the children with putting on coats and transitioning outdoors for gross motor play. Once ready to transition outdoors, the teacher went outside to stand at front of line. Administrator stood in door conducting a name to face check as the children were called outdoors to line up. Lead Teacher stayed in the classroom until all the children have exited the room and was at the end of the line. As the group transitioned to the playground the teacher was at the front of the line, administrator in the middled of the line, and lead teacher at the end of the line. Once to the playground, the teacher stood at the gate till all children made it safely to ramp in front of the playground. The teacher conducted a playground check while the lead teacher and children stood on the ramp. Once the playground check was completed the children entered the playground. Space #5, the group of one-to-two-year-old children were free play with the climber and baby dolls. The staff member was engaged in playing with the children in dramatic play center pretending to cook. Space #6 the group of two-to-three-year-old were engaged in free play with blocks, baby dolls, pretending to do hair in the dramatic play center, and blocks. While monitoring the classroom, I observed one (1) diaper cream permission to administer medication form expired 10/16/2025. Current activity plan and daily schedule was not posted. The administrator posted the activity plans and the daily schedule during the visit. While monitoring outdoors, I observed the back playground is closed until management decides on a new playground surfacing. The administrator and I discussed that a playground schedule will need to be developed and shared with me to ensure all children are able to go outside daily. At 11:40a, a truck arrived to deliver and spread mulch. An initial administrative action review was conducted by phone on October 27, 2025, with Mary Virella, Administrator. During the call, the administrative action written warning and the Corrective Action Plan were discussed in detail. Topics included the requirements for posting the action and that unannounced follow-up visits, would occur every 4–6 weeks. The administrative action is posted in the main entrance area beside the directors office door just below the star rated license. The following stipulations of the administrative action were monitored: Stipulation #1: The child care operator shall maintain compliance at all times with all applicable child care requirements. Staff are using the walkie talkie to radio for assistance when transitioning in and out of the facility. The administrator is conducting medication checks. Administrator is tracking trainings using the ongoing training log, along with accessing the online system to follow up with tracking current trainings. Requirements for a safe indoor and outdoor environment, and hazardous products are met. Stipulation #2: Within one (1) week after this Notice is received, Mary Virella, administrator, shall contact Monica Houck, Lead Child Care Consultant, telephone number 828-243-2154, email Monica.Houck@dhhs.nc.gov, to arrange for a complete review of all child care requirements. Ms. Virella reached out to Monica Houck, Lead Licensing Consultant, on 10/21/2025 to schedule a rules review. The rules review is scheduled for 2:00p today (12/16/25). The facility will close at 1:00p today to prepare for the rules review. Stipulation #3: Within two (2) weeks after this Notice is received, Ms. Virella shall develop a written plan that describes, in detail, the steps that will be taken to ensure compliance with child care requirements related to supervision, administering medication, storage of hazardous substances and in-service training. Ms. Virella submitted the implementation plan on 11/4/2025 via email. I have reviewed the implementation plan and responded for revisions to be made on 11/6/2025. Ms. Virella resubmitted the revised implementation plan via email on 11/11/2025. We reviewed the implementation plan during the visit. Final approval of the plan was given via email on 11/17/2025. Stipulation #4: Within two (2) weeks after notification from the Division that the stipulation has been met with the plan related to records, Ms. Virella shall conduct a staff meeting with all staff members to discuss the plan. Staff meeting was conducted on 11/20/2025. Ms. Virella shared the sign-in sheet, agenda, and minutes from the meeting with me on 11/21/2025. Staff were observed implementing the plan. The following violations were documented during today’s visit: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. Space #6 a daily schedule was not posted for review. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. Space #6 activity plan was not posted. GS 110-91(12); .0508(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #6, one (1) diaper cream permission to administer medication form expired 10/16/2025. .0803(12) Technical assistance was provided as follows: Item 415- Space #6 a daily schedule was not posted for review. When asked where the activity plan was, the administrator stated she was not sure. She would get it printed and posted. During the visit, the administrative staff printed and posted the daily schedule. Rule Reference: G.S. 110-91(12);.0508(a) Item 428- Space #6 activity plan was not posted. When asked where the activity plan was, the administrator stated that she needed to print the activity plan. The administrative staff printed and posted the current activity plan during the visit. Rule Reference: G.S. 110-91(12);.0508(a) Item 849- Space #6, one (1) diaper cream permission to administer medication form expired 10/16/2025. We discussed when checking the permission to administer medication forms, to ensure the valid dates and within the specified authorization dates the parent has given. The administrator removed the medication during the visit and put in the office until the medication can be returned to the parent today. Rule Reference: 10A NCAC 09 .0803(12) Achieving Compliance: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/30/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We discussed developing a outdoor playground schedule to show how each child receives outdoor time daily until the back playground is reopened. Ms. Virella provided me with a copy of the daily outdoor schedule during the visit. - We reviewed staff must review all medication forms and expiration dates to ensure that each medication is authorized for the current month. If the authorization dates do not cover the current month or any future period, the medication should be removed and returned to the parent. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/16/2025 Number Present: 25 Completed Date: 12/16/2025 Age: From 0 To 5 Total Minutes: 140 Time In: 09:40 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on October 15, 2025. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, assisted me today. Limited monitoring of Child Care Rules were conducted during today’s visit, including but not limited to supervision, discipline, nurture and care, staff/child ratio, group size, licensed capacity, permit restrictions, CPR training, First Aid training, ITS-SIDS training, and criminal record check requirements. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five percent (85%) as of 12/10/2025. Childcare Network #178A operates with five-star center license issued on 9/1/24 with restriction; daytime care, meets enhanced ratios and space, children under two and half in rooms with direct exits. Administrative Action was issued on October 15, 2025, for non-compliance. The indoor and outdoor environments used by the children were monitored. Space #1A the group of infant- to one-year-old children were engaged in exploring the room. Staff were on the floor engaged in play with the children. Space #1B is currently closed. Space #2 is currently closed and being used as storage. Space #3 is currently closed and being used as storage. Space #4 the group of four- to five-year-old children were engaged in activities at the tables. One (1) staff member was working with a group of children doing a free art activity with dot painters. The other staff member was working with a group on a counting activity, and another group was engaged in playing with playdough. After free play, the group prepared to go outside. The staff used the walkie talkie to communicate that they would like to go outside. The administrator went to the classroom to assist the children with putting on coats and transitioning outdoors for gross motor play. Once ready to transition outdoors, the teacher went outside to stand at front of line. Administrator stood in door conducting a name to face check as the children were called outdoors to line up. Lead Teacher stayed in the classroom until all the children have exited the room and was at the end of the line. As the group transitioned to the playground the teacher was at the front of the line, administrator in the middled of the line, and lead teacher at the end of the line. Once to the playground, the teacher stood at the gate till all children made it safely to ramp in front of the playground. The teacher conducted a playground check while the lead teacher and children stood on the ramp. Once the playground check was completed the children entered the playground. Space #5, the group of one-to-two-year-old children were free play with the climber and baby dolls. The staff member was engaged in playing with the children in dramatic play center pretending to cook. Space #6 the group of two-to-three-year-old were engaged in free play with blocks, baby dolls, pretending to do hair in the dramatic play center, and blocks. While monitoring the classroom, I observed one (1) diaper cream permission to administer medication form expired 10/16/2025. Current activity plan and daily schedule was not posted. The administrator posted the activity plans and the daily schedule during the visit. While monitoring outdoors, I observed the back playground is closed until management decides on a new playground surfacing. The administrator and I discussed that a playground schedule will need to be developed and shared with me to ensure all children are able to go outside daily. At 11:40a, a truck arrived to deliver and spread mulch. An initial administrative action review was conducted by phone on October 27, 2025, with Mary Virella, Administrator. During the call, the administrative action written warning and the Corrective Action Plan were discussed in detail. Topics included the requirements for posting the action and that unannounced follow-up visits, would occur every 4–6 weeks. The administrative action is posted in the main entrance area beside the directors office door just below the star rated license. The following stipulations of the administrative action were monitored: Stipulation #1: The child care operator shall maintain compliance at all times with all applicable child care requirements. Staff are using the walkie talkie to radio for assistance when transitioning in and out of the facility. The administrator is conducting medication checks. Administrator is tracking trainings using the ongoing training log, along with accessing the online system to follow up with tracking current trainings. Requirements for a safe indoor and outdoor environment, and hazardous products are met. Stipulation #2: Within one (1) week after this Notice is received, Mary Virella, administrator, shall contact Monica Houck, Lead Child Care Consultant, telephone number 828-243-2154, email Monica.Houck@dhhs.nc.gov, to arrange for a complete review of all child care requirements. Ms. Virella reached out to Monica Houck, Lead Licensing Consultant, on 10/21/2025 to schedule a rules review. The rules review is scheduled for 2:00p today (12/16/25). The facility will close at 1:00p today to prepare for the rules review. Stipulation #3: Within two (2) weeks after this Notice is received, Ms. Virella shall develop a written plan that describes, in detail, the steps that will be taken to ensure compliance with child care requirements related to supervision, administering medication, storage of hazardous substances and in-service training. Ms. Virella submitted the implementation plan on 11/4/2025 via email. I have reviewed the implementation plan and responded for revisions to be made on 11/6/2025. Ms. Virella resubmitted the revised implementation plan via email on 11/11/2025. We reviewed the implementation plan during the visit. Final approval of the plan was given via email on 11/17/2025. Stipulation #4: Within two (2) weeks after notification from the Division that the stipulation has been met with the plan related to records, Ms. Virella shall conduct a staff meeting with all staff members to discuss the plan. Staff meeting was conducted on 11/20/2025. Ms. Virella shared the sign-in sheet, agenda, and minutes from the meeting with me on 11/21/2025. Staff were observed implementing the plan. The following violations were documented during today’s visit: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. Space #6 a daily schedule was not posted for review. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. Space #6 activity plan was not posted. GS 110-91(12); .0508(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #6, one (1) diaper cream permission to administer medication form expired 10/16/2025. .0803(12) Technical assistance was provided as follows: Item 415- Space #6 a daily schedule was not posted for review. When asked where the activity plan was, the administrator stated she was not sure. She would get it printed and posted. During the visit, the administrative staff printed and posted the daily schedule. Rule Reference: G.S. 110-91(12);.0508(a) Item 428- Space #6 activity plan was not posted. When asked where the activity plan was, the administrator stated that she needed to print the activity plan. The administrative staff printed and posted the current activity plan during the visit. Rule Reference: G.S. 110-91(12);.0508(a) Item 849- Space #6, one (1) diaper cream permission to administer medication form expired 10/16/2025. We discussed when checking the permission to administer medication forms, to ensure the valid dates and within the specified authorization dates the parent has given. The administrator removed the medication during the visit and put in the office until the medication can be returned to the parent today. Rule Reference: 10A NCAC 09 .0803(12) Achieving Compliance: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/30/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We discussed developing a outdoor playground schedule to show how each child receives outdoor time daily until the back playground is reopened. Ms. Virella provided me with a copy of the daily outdoor schedule during the visit. - We reviewed staff must review all medication forms and expiration dates to ensure that each medication is authorized for the current month. If the authorization dates do not cover the current month or any future period, the medication should be removed and returned to the parent. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/16/2025 Number Present: 25 Completed Date: 12/16/2025 Age: From 0 To 5 Total Minutes: 140 Time In: 09:40 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on October 15, 2025. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, assisted me today. Limited monitoring of Child Care Rules were conducted during today’s visit, including but not limited to supervision, discipline, nurture and care, staff/child ratio, group size, licensed capacity, permit restrictions, CPR training, First Aid training, ITS-SIDS training, and criminal record check requirements. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five percent (85%) as of 12/10/2025. Childcare Network #178A operates with five-star center license issued on 9/1/24 with restriction; daytime care, meets enhanced ratios and space, children under two and half in rooms with direct exits. Administrative Action was issued on October 15, 2025, for non-compliance. The indoor and outdoor environments used by the children were monitored. Space #1A the group of infant- to one-year-old children were engaged in exploring the room. Staff were on the floor engaged in play with the children. Space #1B is currently closed. Space #2 is currently closed and being used as storage. Space #3 is currently closed and being used as storage. Space #4 the group of four- to five-year-old children were engaged in activities at the tables. One (1) staff member was working with a group of children doing a free art activity with dot painters. The other staff member was working with a group on a counting activity, and another group was engaged in playing with playdough. After free play, the group prepared to go outside. The staff used the walkie talkie to communicate that they would like to go outside. The administrator went to the classroom to assist the children with putting on coats and transitioning outdoors for gross motor play. Once ready to transition outdoors, the teacher went outside to stand at front of line. Administrator stood in door conducting a name to face check as the children were called outdoors to line up. Lead Teacher stayed in the classroom until all the children have exited the room and was at the end of the line. As the group transitioned to the playground the teacher was at the front of the line, administrator in the middled of the line, and lead teacher at the end of the line. Once to the playground, the teacher stood at the gate till all children made it safely to ramp in front of the playground. The teacher conducted a playground check while the lead teacher and children stood on the ramp. Once the playground check was completed the children entered the playground. Space #5, the group of one-to-two-year-old children were free play with the climber and baby dolls. The staff member was engaged in playing with the children in dramatic play center pretending to cook. Space #6 the group of two-to-three-year-old were engaged in free play with blocks, baby dolls, pretending to do hair in the dramatic play center, and blocks. While monitoring the classroom, I observed one (1) diaper cream permission to administer medication form expired 10/16/2025. Current activity plan and daily schedule was not posted. The administrator posted the activity plans and the daily schedule during the visit. While monitoring outdoors, I observed the back playground is closed until management decides on a new playground surfacing. The administrator and I discussed that a playground schedule will need to be developed and shared with me to ensure all children are able to go outside daily. At 11:40a, a truck arrived to deliver and spread mulch. An initial administrative action review was conducted by phone on October 27, 2025, with Mary Virella, Administrator. During the call, the administrative action written warning and the Corrective Action Plan were discussed in detail. Topics included the requirements for posting the action and that unannounced follow-up visits, would occur every 4–6 weeks. The administrative action is posted in the main entrance area beside the directors office door just below the star rated license. The following stipulations of the administrative action were monitored: Stipulation #1: The child care operator shall maintain compliance at all times with all applicable child care requirements. Staff are using the walkie talkie to radio for assistance when transitioning in and out of the facility. The administrator is conducting medication checks. Administrator is tracking trainings using the ongoing training log, along with accessing the online system to follow up with tracking current trainings. Requirements for a safe indoor and outdoor environment, and hazardous products are met. Stipulation #2: Within one (1) week after this Notice is received, Mary Virella, administrator, shall contact Monica Houck, Lead Child Care Consultant, telephone number 828-243-2154, email Monica.Houck@dhhs.nc.gov, to arrange for a complete review of all child care requirements. Ms. Virella reached out to Monica Houck, Lead Licensing Consultant, on 10/21/2025 to schedule a rules review. The rules review is scheduled for 2:00p today (12/16/25). The facility will close at 1:00p today to prepare for the rules review. Stipulation #3: Within two (2) weeks after this Notice is received, Ms. Virella shall develop a written plan that describes, in detail, the steps that will be taken to ensure compliance with child care requirements related to supervision, administering medication, storage of hazardous substances and in-service training. Ms. Virella submitted the implementation plan on 11/4/2025 via email. I have reviewed the implementation plan and responded for revisions to be made on 11/6/2025. Ms. Virella resubmitted the revised implementation plan via email on 11/11/2025. We reviewed the implementation plan during the visit. Final approval of the plan was given via email on 11/17/2025. Stipulation #4: Within two (2) weeks after notification from the Division that the stipulation has been met with the plan related to records, Ms. Virella shall conduct a staff meeting with all staff members to discuss the plan. Staff meeting was conducted on 11/20/2025. Ms. Virella shared the sign-in sheet, agenda, and minutes from the meeting with me on 11/21/2025. Staff were observed implementing the plan. The following violations were documented during today’s visit: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. Space #6 a daily schedule was not posted for review. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. Space #6 activity plan was not posted. GS 110-91(12); .0508(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #6, one (1) diaper cream permission to administer medication form expired 10/16/2025. .0803(12) Technical assistance was provided as follows: Item 415- Space #6 a daily schedule was not posted for review. When asked where the activity plan was, the administrator stated she was not sure. She would get it printed and posted. During the visit, the administrative staff printed and posted the daily schedule. Rule Reference: G.S. 110-91(12);.0508(a) Item 428- Space #6 activity plan was not posted. When asked where the activity plan was, the administrator stated that she needed to print the activity plan. The administrative staff printed and posted the current activity plan during the visit. Rule Reference: G.S. 110-91(12);.0508(a) Item 849- Space #6, one (1) diaper cream permission to administer medication form expired 10/16/2025. We discussed when checking the permission to administer medication forms, to ensure the valid dates and within the specified authorization dates the parent has given. The administrator removed the medication during the visit and put in the office until the medication can be returned to the parent today. Rule Reference: 10A NCAC 09 .0803(12) Achieving Compliance: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/30/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We discussed developing a outdoor playground schedule to show how each child receives outdoor time daily until the back playground is reopened. Ms. Virella provided me with a copy of the daily outdoor schedule during the visit. - We reviewed staff must review all medication forms and expiration dates to ensure that each medication is authorized for the current month. If the authorization dates do not cover the current month or any future period, the medication should be removed and returned to the parent. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0601 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/13/2025 Number Present: 31 Completed Date: 11/13/2025 Age: From 0 To 5 Total Minutes: 210 Time In: 10:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the written warning issued by the DCDEE to this facility on October 15, 2025. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, accompanied me during the visit. Limited monitoring of Child Care Rules were conducted during today’s visit, including but not limited to supervision, discipline, nurture and care, staff/child ratio, group size, licensed capacity, permit restrictions, CPR training, First Aid training, ITS-SIDS training, and criminal record check requirements. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percent (87%) as of 11/10/2025. Childcare Network #178A operates with five-star center license issued on 9/1/24 with restriction; daytime care, meets enhanced ratios and space, children under two and half in rooms with direct exits. Administrative Action was issued on October 15, 2025, for non-compliance. The indoor and outdoor environments used by the children were monitored. Space #1A the group of infant- to one-year-old children were engaged in exploring the room and play with rattles, and soft blocks. Space #1B is currently closed. Space #2 is currently closed and being used as storage. We discussed while the classroom is being used as storage to keep the door closed to the lobby and ensure any hazardous products are stored appropriately if they are used in the storage room. If therapist uses the storage room to work with children. They need to conduct a classroom safety check to ensure that hazardous items are stored appropriately, electrical outlets are covered, etc. Space #3, the group of four-to-five-year-old children were engaged in free play with lacing beads, blocks, waffle linking blocks, free art, sand, and one on one activity. While monitoring the classroom, I observed the staff giving the children a ten (10) minute warning to clean up to prepare to go outside. Space #4 is currently closed due to the heat is not working in the space. The space was set up for “friendsgiving” lunch time with families. Space #5, the group of one-to-two-year-old children were engaged in free play with books, pretend play foods, and dolls. One (1) staff member was sitting on the floor engaged in play with the children while the other staff member was up actively supervising the children. While monitoring the classroom, I observed one (1) bottle of leave in hair conditioner in mesh storage container on the counter behind the diaper changer not stored up five (5) feet or locked. The administrator removed the leave in conditioner during the visit. Space #6 the group of two-to-three-year-old were preparing to go outside for gross motor play. Once outside, they engaged in play with the balls, steppers, tunnel. While monitoring the sign-in and out sheet, I observed five (5) children were either not signed in or marked absent for the day. The administrator completed the sign-in sheet during the visit. Outside on the middle and back playground, the cement is exposed down to the base in some areas creating a tripping hazard. The administrator stated that she would close the back playground as it has the biggest area of concern and resubmit a workorder to request new mulch. The preschool playground, we discussed getting a bag of natural wood chips to put in the area as you enter the playground where the cement is exposed. An initial administrative action review was conducted by phone on October 27, 2025, with Mary Virella, Administrator. During the call, the administrative action written warning and the Corrective Action Plan were discussed in detail. Topics included the requirements for posting the action and that unannounced follow-up visits, would occur every 4–6 weeks. Ms. Virella was cooperative and receptive throughout the conversation. She confirmed that she had proactively contacted Monica Houck, Lead Licensing Consultant, on October 21, 2025, to schedule a rules review. She also indicated that she is actively working on the implementation plan as required per the corrective action plan. The administrative action is posted in the main entrance area beside the directors office door just below the star rated license. The following stipulations of the administrative action were monitored: Stipulation #1: The child care operator shall maintain compliance at all times with all applicable child care requirements. Staff is using the walkie talkie to radio for assistance when transitioning in and out of the facility. The administrator is conducting medication checks. Administrator is tracking trainings using the ongoing training log. Requirements for a safe indoor and outdoor environment, hazardous products, and criminal record check were not met. Stipulation #2: Within one (1) week after this Notice is received, Mary Virella, administrator, shall contact Monica Houck, Lead Child Care Consultant, telephone number 828-243-2154, email Monica.Houck@dhhs.nc.gov, to arrange for a complete review of all child care requirements. Ms. Virella reached out to Monica Houck, Lead Licensing Consultant on 10/21/2025 to schedule a rules review. The rules review is scheduled for 12/16/2025 at 2:00p. Stipulation #3: Within two (2) weeks after this Notice is received, Ms. Virella shall develop a written plan that describes, in detail, the steps that will be taken to ensure compliance with child care requirements related to supervision, administering medication, storage of hazardous substances and in-service training. Ms. Virella submitted the implementation plan on 11/4/2025 via email. I have reviewed the implementation plan and responded for revisions to be made on 11/6/2025. Ms. Virella resubmitted the revised implementation plan via email on 11/11/2025. We reviewed the implementation plan during the visit. Stipulation #4: Within two (2) weeks after notification from the Division that the stipulation has been met with the plan related to records, Ms. Virella shall conduct a staff meeting with all staff members to discuss the plan. We reviewed the implementation plan, and discussed revisions needed. The plan is being finalized by upper management and Ms. Virella will submit as soon as she receives it. Then after final is reviewed and approved. Ms. Virella has two (2) weeks to conduct a staff meeting to discuss the plan. Currently the next staff meeting is scheduled for 11/20/2025. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Space #6 five (5) children were either not signed in or marked absent for the day. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. Outside on the middle and back playground, the cement is exposed down to the base in some areas creating a tripping hazard. 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. Space #5, one (1) bottle of leave in hair conditioner in mesh storage container on the counter behind the diaper changer not stored up five (5) feet or locked. .2820(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The child care operator has not notified the Division of the five (5) staff that are hired at Childcare Network #178A. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 125- Space #6 five (5) children were either not signed in or marked absent for the day. The administrator completed the sign-in sheet during the visit. We discussed staff set an alarm as a reminder to complete the sign-in sheet by a set time. Rule Reference: 10A NCAC 09 .0302(d)(4) Item 807- Outside on the middle and back playground, the cement is exposed down to the base in some areas creating a tripping hazard. The administrator stated that she would close the back playground as it has the biggest area of concern and resubmit a workorder to request new mulch. The preschool playground, we discussed getting a bag of natural wood chips to put in the area as you enter the playground where the cement is exposed. Rule Reference: 10A NCAC 09.0601(a) Item 840- Space #5, one (1) bottle of leave in hair conditioner in mesh storage container on the counter behind the diaper changer not stored up five (5) feet or locked. The administrator removed the leave in conditioner during the visit. We discussed that the staff need to conduct a daily classroom check to ensure all hazardous products are stored appropriately. Rule Reference: 15A NCAC 18A.2820(b) Item 1805- The child care operator has not notified the Division of the five (5) staff that are hired at Childcare Network #178A. The administrator stated that she has been in contact with ABCMS support to see why the system is trying to charge the staff member to connect the application to the facility. We discussed that the administrator would need to login to update the employee roster in the ABCMS portal, to ensure the currently employed staff is listed. I recommend that the administrator conduct a monthly review of the ABCMS portal to ensure the staff roster is current and add it as part of the onboarding of new staff prior to the new staff member caring for children. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 11/27/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Lead water testing was completed 12/11/2023, the next testing is due to be completed on or before 12/11/2026. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0302 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/13/2025 Number Present: 31 Completed Date: 11/13/2025 Age: From 0 To 5 Total Minutes: 210 Time In: 10:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the written warning issued by the DCDEE to this facility on October 15, 2025. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, accompanied me during the visit. Limited monitoring of Child Care Rules were conducted during today’s visit, including but not limited to supervision, discipline, nurture and care, staff/child ratio, group size, licensed capacity, permit restrictions, CPR training, First Aid training, ITS-SIDS training, and criminal record check requirements. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percent (87%) as of 11/10/2025. Childcare Network #178A operates with five-star center license issued on 9/1/24 with restriction; daytime care, meets enhanced ratios and space, children under two and half in rooms with direct exits. Administrative Action was issued on October 15, 2025, for non-compliance. The indoor and outdoor environments used by the children were monitored. Space #1A the group of infant- to one-year-old children were engaged in exploring the room and play with rattles, and soft blocks. Space #1B is currently closed. Space #2 is currently closed and being used as storage. We discussed while the classroom is being used as storage to keep the door closed to the lobby and ensure any hazardous products are stored appropriately if they are used in the storage room. If therapist uses the storage room to work with children. They need to conduct a classroom safety check to ensure that hazardous items are stored appropriately, electrical outlets are covered, etc. Space #3, the group of four-to-five-year-old children were engaged in free play with lacing beads, blocks, waffle linking blocks, free art, sand, and one on one activity. While monitoring the classroom, I observed the staff giving the children a ten (10) minute warning to clean up to prepare to go outside. Space #4 is currently closed due to the heat is not working in the space. The space was set up for “friendsgiving” lunch time with families. Space #5, the group of one-to-two-year-old children were engaged in free play with books, pretend play foods, and dolls. One (1) staff member was sitting on the floor engaged in play with the children while the other staff member was up actively supervising the children. While monitoring the classroom, I observed one (1) bottle of leave in hair conditioner in mesh storage container on the counter behind the diaper changer not stored up five (5) feet or locked. The administrator removed the leave in conditioner during the visit. Space #6 the group of two-to-three-year-old were preparing to go outside for gross motor play. Once outside, they engaged in play with the balls, steppers, tunnel. While monitoring the sign-in and out sheet, I observed five (5) children were either not signed in or marked absent for the day. The administrator completed the sign-in sheet during the visit. Outside on the middle and back playground, the cement is exposed down to the base in some areas creating a tripping hazard. The administrator stated that she would close the back playground as it has the biggest area of concern and resubmit a workorder to request new mulch. The preschool playground, we discussed getting a bag of natural wood chips to put in the area as you enter the playground where the cement is exposed. An initial administrative action review was conducted by phone on October 27, 2025, with Mary Virella, Administrator. During the call, the administrative action written warning and the Corrective Action Plan were discussed in detail. Topics included the requirements for posting the action and that unannounced follow-up visits, would occur every 4–6 weeks. Ms. Virella was cooperative and receptive throughout the conversation. She confirmed that she had proactively contacted Monica Houck, Lead Licensing Consultant, on October 21, 2025, to schedule a rules review. She also indicated that she is actively working on the implementation plan as required per the corrective action plan. The administrative action is posted in the main entrance area beside the directors office door just below the star rated license. The following stipulations of the administrative action were monitored: Stipulation #1: The child care operator shall maintain compliance at all times with all applicable child care requirements. Staff is using the walkie talkie to radio for assistance when transitioning in and out of the facility. The administrator is conducting medication checks. Administrator is tracking trainings using the ongoing training log. Requirements for a safe indoor and outdoor environment, hazardous products, and criminal record check were not met. Stipulation #2: Within one (1) week after this Notice is received, Mary Virella, administrator, shall contact Monica Houck, Lead Child Care Consultant, telephone number 828-243-2154, email Monica.Houck@dhhs.nc.gov, to arrange for a complete review of all child care requirements. Ms. Virella reached out to Monica Houck, Lead Licensing Consultant on 10/21/2025 to schedule a rules review. The rules review is scheduled for 12/16/2025 at 2:00p. Stipulation #3: Within two (2) weeks after this Notice is received, Ms. Virella shall develop a written plan that describes, in detail, the steps that will be taken to ensure compliance with child care requirements related to supervision, administering medication, storage of hazardous substances and in-service training. Ms. Virella submitted the implementation plan on 11/4/2025 via email. I have reviewed the implementation plan and responded for revisions to be made on 11/6/2025. Ms. Virella resubmitted the revised implementation plan via email on 11/11/2025. We reviewed the implementation plan during the visit. Stipulation #4: Within two (2) weeks after notification from the Division that the stipulation has been met with the plan related to records, Ms. Virella shall conduct a staff meeting with all staff members to discuss the plan. We reviewed the implementation plan, and discussed revisions needed. The plan is being finalized by upper management and Ms. Virella will submit as soon as she receives it. Then after final is reviewed and approved. Ms. Virella has two (2) weeks to conduct a staff meeting to discuss the plan. Currently the next staff meeting is scheduled for 11/20/2025. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Space #6 five (5) children were either not signed in or marked absent for the day. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. Outside on the middle and back playground, the cement is exposed down to the base in some areas creating a tripping hazard. 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. Space #5, one (1) bottle of leave in hair conditioner in mesh storage container on the counter behind the diaper changer not stored up five (5) feet or locked. .2820(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The child care operator has not notified the Division of the five (5) staff that are hired at Childcare Network #178A. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 125- Space #6 five (5) children were either not signed in or marked absent for the day. The administrator completed the sign-in sheet during the visit. We discussed staff set an alarm as a reminder to complete the sign-in sheet by a set time. Rule Reference: 10A NCAC 09 .0302(d)(4) Item 807- Outside on the middle and back playground, the cement is exposed down to the base in some areas creating a tripping hazard. The administrator stated that she would close the back playground as it has the biggest area of concern and resubmit a workorder to request new mulch. The preschool playground, we discussed getting a bag of natural wood chips to put in the area as you enter the playground where the cement is exposed. Rule Reference: 10A NCAC 09.0601(a) Item 840- Space #5, one (1) bottle of leave in hair conditioner in mesh storage container on the counter behind the diaper changer not stored up five (5) feet or locked. The administrator removed the leave in conditioner during the visit. We discussed that the staff need to conduct a daily classroom check to ensure all hazardous products are stored appropriately. Rule Reference: 15A NCAC 18A.2820(b) Item 1805- The child care operator has not notified the Division of the five (5) staff that are hired at Childcare Network #178A. The administrator stated that she has been in contact with ABCMS support to see why the system is trying to charge the staff member to connect the application to the facility. We discussed that the administrator would need to login to update the employee roster in the ABCMS portal, to ensure the currently employed staff is listed. I recommend that the administrator conduct a monthly review of the ABCMS portal to ensure the staff roster is current and add it as part of the onboarding of new staff prior to the new staff member caring for children. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 11/27/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Lead water testing was completed 12/11/2023, the next testing is due to be completed on or before 12/11/2026. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0304 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/13/2025 Number Present: 31 Completed Date: 11/13/2025 Age: From 0 To 5 Total Minutes: 210 Time In: 10:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the written warning issued by the DCDEE to this facility on October 15, 2025. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, accompanied me during the visit. Limited monitoring of Child Care Rules were conducted during today’s visit, including but not limited to supervision, discipline, nurture and care, staff/child ratio, group size, licensed capacity, permit restrictions, CPR training, First Aid training, ITS-SIDS training, and criminal record check requirements. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percent (87%) as of 11/10/2025. Childcare Network #178A operates with five-star center license issued on 9/1/24 with restriction; daytime care, meets enhanced ratios and space, children under two and half in rooms with direct exits. Administrative Action was issued on October 15, 2025, for non-compliance. The indoor and outdoor environments used by the children were monitored. Space #1A the group of infant- to one-year-old children were engaged in exploring the room and play with rattles, and soft blocks. Space #1B is currently closed. Space #2 is currently closed and being used as storage. We discussed while the classroom is being used as storage to keep the door closed to the lobby and ensure any hazardous products are stored appropriately if they are used in the storage room. If therapist uses the storage room to work with children. They need to conduct a classroom safety check to ensure that hazardous items are stored appropriately, electrical outlets are covered, etc. Space #3, the group of four-to-five-year-old children were engaged in free play with lacing beads, blocks, waffle linking blocks, free art, sand, and one on one activity. While monitoring the classroom, I observed the staff giving the children a ten (10) minute warning to clean up to prepare to go outside. Space #4 is currently closed due to the heat is not working in the space. The space was set up for “friendsgiving” lunch time with families. Space #5, the group of one-to-two-year-old children were engaged in free play with books, pretend play foods, and dolls. One (1) staff member was sitting on the floor engaged in play with the children while the other staff member was up actively supervising the children. While monitoring the classroom, I observed one (1) bottle of leave in hair conditioner in mesh storage container on the counter behind the diaper changer not stored up five (5) feet or locked. The administrator removed the leave in conditioner during the visit. Space #6 the group of two-to-three-year-old were preparing to go outside for gross motor play. Once outside, they engaged in play with the balls, steppers, tunnel. While monitoring the sign-in and out sheet, I observed five (5) children were either not signed in or marked absent for the day. The administrator completed the sign-in sheet during the visit. Outside on the middle and back playground, the cement is exposed down to the base in some areas creating a tripping hazard. The administrator stated that she would close the back playground as it has the biggest area of concern and resubmit a workorder to request new mulch. The preschool playground, we discussed getting a bag of natural wood chips to put in the area as you enter the playground where the cement is exposed. An initial administrative action review was conducted by phone on October 27, 2025, with Mary Virella, Administrator. During the call, the administrative action written warning and the Corrective Action Plan were discussed in detail. Topics included the requirements for posting the action and that unannounced follow-up visits, would occur every 4–6 weeks. Ms. Virella was cooperative and receptive throughout the conversation. She confirmed that she had proactively contacted Monica Houck, Lead Licensing Consultant, on October 21, 2025, to schedule a rules review. She also indicated that she is actively working on the implementation plan as required per the corrective action plan. The administrative action is posted in the main entrance area beside the directors office door just below the star rated license. The following stipulations of the administrative action were monitored: Stipulation #1: The child care operator shall maintain compliance at all times with all applicable child care requirements. Staff is using the walkie talkie to radio for assistance when transitioning in and out of the facility. The administrator is conducting medication checks. Administrator is tracking trainings using the ongoing training log. Requirements for a safe indoor and outdoor environment, hazardous products, and criminal record check were not met. Stipulation #2: Within one (1) week after this Notice is received, Mary Virella, administrator, shall contact Monica Houck, Lead Child Care Consultant, telephone number 828-243-2154, email Monica.Houck@dhhs.nc.gov, to arrange for a complete review of all child care requirements. Ms. Virella reached out to Monica Houck, Lead Licensing Consultant on 10/21/2025 to schedule a rules review. The rules review is scheduled for 12/16/2025 at 2:00p. Stipulation #3: Within two (2) weeks after this Notice is received, Ms. Virella shall develop a written plan that describes, in detail, the steps that will be taken to ensure compliance with child care requirements related to supervision, administering medication, storage of hazardous substances and in-service training. Ms. Virella submitted the implementation plan on 11/4/2025 via email. I have reviewed the implementation plan and responded for revisions to be made on 11/6/2025. Ms. Virella resubmitted the revised implementation plan via email on 11/11/2025. We reviewed the implementation plan during the visit. Stipulation #4: Within two (2) weeks after notification from the Division that the stipulation has been met with the plan related to records, Ms. Virella shall conduct a staff meeting with all staff members to discuss the plan. We reviewed the implementation plan, and discussed revisions needed. The plan is being finalized by upper management and Ms. Virella will submit as soon as she receives it. Then after final is reviewed and approved. Ms. Virella has two (2) weeks to conduct a staff meeting to discuss the plan. Currently the next staff meeting is scheduled for 11/20/2025. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Space #6 five (5) children were either not signed in or marked absent for the day. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. Outside on the middle and back playground, the cement is exposed down to the base in some areas creating a tripping hazard. 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. Space #5, one (1) bottle of leave in hair conditioner in mesh storage container on the counter behind the diaper changer not stored up five (5) feet or locked. .2820(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The child care operator has not notified the Division of the five (5) staff that are hired at Childcare Network #178A. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 125- Space #6 five (5) children were either not signed in or marked absent for the day. The administrator completed the sign-in sheet during the visit. We discussed staff set an alarm as a reminder to complete the sign-in sheet by a set time. Rule Reference: 10A NCAC 09 .0302(d)(4) Item 807- Outside on the middle and back playground, the cement is exposed down to the base in some areas creating a tripping hazard. The administrator stated that she would close the back playground as it has the biggest area of concern and resubmit a workorder to request new mulch. The preschool playground, we discussed getting a bag of natural wood chips to put in the area as you enter the playground where the cement is exposed. Rule Reference: 10A NCAC 09.0601(a) Item 840- Space #5, one (1) bottle of leave in hair conditioner in mesh storage container on the counter behind the diaper changer not stored up five (5) feet or locked. The administrator removed the leave in conditioner during the visit. We discussed that the staff need to conduct a daily classroom check to ensure all hazardous products are stored appropriately. Rule Reference: 15A NCAC 18A.2820(b) Item 1805- The child care operator has not notified the Division of the five (5) staff that are hired at Childcare Network #178A. The administrator stated that she has been in contact with ABCMS support to see why the system is trying to charge the staff member to connect the application to the facility. We discussed that the administrator would need to login to update the employee roster in the ABCMS portal, to ensure the currently employed staff is listed. I recommend that the administrator conduct a monthly review of the ABCMS portal to ensure the staff roster is current and add it as part of the onboarding of new staff prior to the new staff member caring for children. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 11/27/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Lead water testing was completed 12/11/2023, the next testing is due to be completed on or before 12/11/2026. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1102 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/13/2025 Number Present: 31 Completed Date: 11/13/2025 Age: From 0 To 5 Total Minutes: 210 Time In: 10:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the written warning issued by the DCDEE to this facility on October 15, 2025. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, accompanied me during the visit. Limited monitoring of Child Care Rules were conducted during today’s visit, including but not limited to supervision, discipline, nurture and care, staff/child ratio, group size, licensed capacity, permit restrictions, CPR training, First Aid training, ITS-SIDS training, and criminal record check requirements. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percent (87%) as of 11/10/2025. Childcare Network #178A operates with five-star center license issued on 9/1/24 with restriction; daytime care, meets enhanced ratios and space, children under two and half in rooms with direct exits. Administrative Action was issued on October 15, 2025, for non-compliance. The indoor and outdoor environments used by the children were monitored. Space #1A the group of infant- to one-year-old children were engaged in exploring the room and play with rattles, and soft blocks. Space #1B is currently closed. Space #2 is currently closed and being used as storage. We discussed while the classroom is being used as storage to keep the door closed to the lobby and ensure any hazardous products are stored appropriately if they are used in the storage room. If therapist uses the storage room to work with children. They need to conduct a classroom safety check to ensure that hazardous items are stored appropriately, electrical outlets are covered, etc. Space #3, the group of four-to-five-year-old children were engaged in free play with lacing beads, blocks, waffle linking blocks, free art, sand, and one on one activity. While monitoring the classroom, I observed the staff giving the children a ten (10) minute warning to clean up to prepare to go outside. Space #4 is currently closed due to the heat is not working in the space. The space was set up for “friendsgiving” lunch time with families. Space #5, the group of one-to-two-year-old children were engaged in free play with books, pretend play foods, and dolls. One (1) staff member was sitting on the floor engaged in play with the children while the other staff member was up actively supervising the children. While monitoring the classroom, I observed one (1) bottle of leave in hair conditioner in mesh storage container on the counter behind the diaper changer not stored up five (5) feet or locked. The administrator removed the leave in conditioner during the visit. Space #6 the group of two-to-three-year-old were preparing to go outside for gross motor play. Once outside, they engaged in play with the balls, steppers, tunnel. While monitoring the sign-in and out sheet, I observed five (5) children were either not signed in or marked absent for the day. The administrator completed the sign-in sheet during the visit. Outside on the middle and back playground, the cement is exposed down to the base in some areas creating a tripping hazard. The administrator stated that she would close the back playground as it has the biggest area of concern and resubmit a workorder to request new mulch. The preschool playground, we discussed getting a bag of natural wood chips to put in the area as you enter the playground where the cement is exposed. An initial administrative action review was conducted by phone on October 27, 2025, with Mary Virella, Administrator. During the call, the administrative action written warning and the Corrective Action Plan were discussed in detail. Topics included the requirements for posting the action and that unannounced follow-up visits, would occur every 4–6 weeks. Ms. Virella was cooperative and receptive throughout the conversation. She confirmed that she had proactively contacted Monica Houck, Lead Licensing Consultant, on October 21, 2025, to schedule a rules review. She also indicated that she is actively working on the implementation plan as required per the corrective action plan. The administrative action is posted in the main entrance area beside the directors office door just below the star rated license. The following stipulations of the administrative action were monitored: Stipulation #1: The child care operator shall maintain compliance at all times with all applicable child care requirements. Staff is using the walkie talkie to radio for assistance when transitioning in and out of the facility. The administrator is conducting medication checks. Administrator is tracking trainings using the ongoing training log. Requirements for a safe indoor and outdoor environment, hazardous products, and criminal record check were not met. Stipulation #2: Within one (1) week after this Notice is received, Mary Virella, administrator, shall contact Monica Houck, Lead Child Care Consultant, telephone number 828-243-2154, email Monica.Houck@dhhs.nc.gov, to arrange for a complete review of all child care requirements. Ms. Virella reached out to Monica Houck, Lead Licensing Consultant on 10/21/2025 to schedule a rules review. The rules review is scheduled for 12/16/2025 at 2:00p. Stipulation #3: Within two (2) weeks after this Notice is received, Ms. Virella shall develop a written plan that describes, in detail, the steps that will be taken to ensure compliance with child care requirements related to supervision, administering medication, storage of hazardous substances and in-service training. Ms. Virella submitted the implementation plan on 11/4/2025 via email. I have reviewed the implementation plan and responded for revisions to be made on 11/6/2025. Ms. Virella resubmitted the revised implementation plan via email on 11/11/2025. We reviewed the implementation plan during the visit. Stipulation #4: Within two (2) weeks after notification from the Division that the stipulation has been met with the plan related to records, Ms. Virella shall conduct a staff meeting with all staff members to discuss the plan. We reviewed the implementation plan, and discussed revisions needed. The plan is being finalized by upper management and Ms. Virella will submit as soon as she receives it. Then after final is reviewed and approved. Ms. Virella has two (2) weeks to conduct a staff meeting to discuss the plan. Currently the next staff meeting is scheduled for 11/20/2025. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Space #6 five (5) children were either not signed in or marked absent for the day. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. Outside on the middle and back playground, the cement is exposed down to the base in some areas creating a tripping hazard. 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. Space #5, one (1) bottle of leave in hair conditioner in mesh storage container on the counter behind the diaper changer not stored up five (5) feet or locked. .2820(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The child care operator has not notified the Division of the five (5) staff that are hired at Childcare Network #178A. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 125- Space #6 five (5) children were either not signed in or marked absent for the day. The administrator completed the sign-in sheet during the visit. We discussed staff set an alarm as a reminder to complete the sign-in sheet by a set time. Rule Reference: 10A NCAC 09 .0302(d)(4) Item 807- Outside on the middle and back playground, the cement is exposed down to the base in some areas creating a tripping hazard. The administrator stated that she would close the back playground as it has the biggest area of concern and resubmit a workorder to request new mulch. The preschool playground, we discussed getting a bag of natural wood chips to put in the area as you enter the playground where the cement is exposed. Rule Reference: 10A NCAC 09.0601(a) Item 840- Space #5, one (1) bottle of leave in hair conditioner in mesh storage container on the counter behind the diaper changer not stored up five (5) feet or locked. The administrator removed the leave in conditioner during the visit. We discussed that the staff need to conduct a daily classroom check to ensure all hazardous products are stored appropriately. Rule Reference: 15A NCAC 18A.2820(b) Item 1805- The child care operator has not notified the Division of the five (5) staff that are hired at Childcare Network #178A. The administrator stated that she has been in contact with ABCMS support to see why the system is trying to charge the staff member to connect the application to the facility. We discussed that the administrator would need to login to update the employee roster in the ABCMS portal, to ensure the currently employed staff is listed. I recommend that the administrator conduct a monthly review of the ABCMS portal to ensure the staff roster is current and add it as part of the onboarding of new staff prior to the new staff member caring for children. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 11/27/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Lead water testing was completed 12/11/2023, the next testing is due to be completed on or before 12/11/2026. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1703 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/13/2025 Number Present: 31 Completed Date: 11/13/2025 Age: From 0 To 5 Total Minutes: 210 Time In: 10:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the written warning issued by the DCDEE to this facility on October 15, 2025. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, accompanied me during the visit. Limited monitoring of Child Care Rules were conducted during today’s visit, including but not limited to supervision, discipline, nurture and care, staff/child ratio, group size, licensed capacity, permit restrictions, CPR training, First Aid training, ITS-SIDS training, and criminal record check requirements. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percent (87%) as of 11/10/2025. Childcare Network #178A operates with five-star center license issued on 9/1/24 with restriction; daytime care, meets enhanced ratios and space, children under two and half in rooms with direct exits. Administrative Action was issued on October 15, 2025, for non-compliance. The indoor and outdoor environments used by the children were monitored. Space #1A the group of infant- to one-year-old children were engaged in exploring the room and play with rattles, and soft blocks. Space #1B is currently closed. Space #2 is currently closed and being used as storage. We discussed while the classroom is being used as storage to keep the door closed to the lobby and ensure any hazardous products are stored appropriately if they are used in the storage room. If therapist uses the storage room to work with children. They need to conduct a classroom safety check to ensure that hazardous items are stored appropriately, electrical outlets are covered, etc. Space #3, the group of four-to-five-year-old children were engaged in free play with lacing beads, blocks, waffle linking blocks, free art, sand, and one on one activity. While monitoring the classroom, I observed the staff giving the children a ten (10) minute warning to clean up to prepare to go outside. Space #4 is currently closed due to the heat is not working in the space. The space was set up for “friendsgiving” lunch time with families. Space #5, the group of one-to-two-year-old children were engaged in free play with books, pretend play foods, and dolls. One (1) staff member was sitting on the floor engaged in play with the children while the other staff member was up actively supervising the children. While monitoring the classroom, I observed one (1) bottle of leave in hair conditioner in mesh storage container on the counter behind the diaper changer not stored up five (5) feet or locked. The administrator removed the leave in conditioner during the visit. Space #6 the group of two-to-three-year-old were preparing to go outside for gross motor play. Once outside, they engaged in play with the balls, steppers, tunnel. While monitoring the sign-in and out sheet, I observed five (5) children were either not signed in or marked absent for the day. The administrator completed the sign-in sheet during the visit. Outside on the middle and back playground, the cement is exposed down to the base in some areas creating a tripping hazard. The administrator stated that she would close the back playground as it has the biggest area of concern and resubmit a workorder to request new mulch. The preschool playground, we discussed getting a bag of natural wood chips to put in the area as you enter the playground where the cement is exposed. An initial administrative action review was conducted by phone on October 27, 2025, with Mary Virella, Administrator. During the call, the administrative action written warning and the Corrective Action Plan were discussed in detail. Topics included the requirements for posting the action and that unannounced follow-up visits, would occur every 4–6 weeks. Ms. Virella was cooperative and receptive throughout the conversation. She confirmed that she had proactively contacted Monica Houck, Lead Licensing Consultant, on October 21, 2025, to schedule a rules review. She also indicated that she is actively working on the implementation plan as required per the corrective action plan. The administrative action is posted in the main entrance area beside the directors office door just below the star rated license. The following stipulations of the administrative action were monitored: Stipulation #1: The child care operator shall maintain compliance at all times with all applicable child care requirements. Staff is using the walkie talkie to radio for assistance when transitioning in and out of the facility. The administrator is conducting medication checks. Administrator is tracking trainings using the ongoing training log. Requirements for a safe indoor and outdoor environment, hazardous products, and criminal record check were not met. Stipulation #2: Within one (1) week after this Notice is received, Mary Virella, administrator, shall contact Monica Houck, Lead Child Care Consultant, telephone number 828-243-2154, email Monica.Houck@dhhs.nc.gov, to arrange for a complete review of all child care requirements. Ms. Virella reached out to Monica Houck, Lead Licensing Consultant on 10/21/2025 to schedule a rules review. The rules review is scheduled for 12/16/2025 at 2:00p. Stipulation #3: Within two (2) weeks after this Notice is received, Ms. Virella shall develop a written plan that describes, in detail, the steps that will be taken to ensure compliance with child care requirements related to supervision, administering medication, storage of hazardous substances and in-service training. Ms. Virella submitted the implementation plan on 11/4/2025 via email. I have reviewed the implementation plan and responded for revisions to be made on 11/6/2025. Ms. Virella resubmitted the revised implementation plan via email on 11/11/2025. We reviewed the implementation plan during the visit. Stipulation #4: Within two (2) weeks after notification from the Division that the stipulation has been met with the plan related to records, Ms. Virella shall conduct a staff meeting with all staff members to discuss the plan. We reviewed the implementation plan, and discussed revisions needed. The plan is being finalized by upper management and Ms. Virella will submit as soon as she receives it. Then after final is reviewed and approved. Ms. Virella has two (2) weeks to conduct a staff meeting to discuss the plan. Currently the next staff meeting is scheduled for 11/20/2025. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Space #6 five (5) children were either not signed in or marked absent for the day. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. Outside on the middle and back playground, the cement is exposed down to the base in some areas creating a tripping hazard. 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. Space #5, one (1) bottle of leave in hair conditioner in mesh storage container on the counter behind the diaper changer not stored up five (5) feet or locked. .2820(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The child care operator has not notified the Division of the five (5) staff that are hired at Childcare Network #178A. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 125- Space #6 five (5) children were either not signed in or marked absent for the day. The administrator completed the sign-in sheet during the visit. We discussed staff set an alarm as a reminder to complete the sign-in sheet by a set time. Rule Reference: 10A NCAC 09 .0302(d)(4) Item 807- Outside on the middle and back playground, the cement is exposed down to the base in some areas creating a tripping hazard. The administrator stated that she would close the back playground as it has the biggest area of concern and resubmit a workorder to request new mulch. The preschool playground, we discussed getting a bag of natural wood chips to put in the area as you enter the playground where the cement is exposed. Rule Reference: 10A NCAC 09.0601(a) Item 840- Space #5, one (1) bottle of leave in hair conditioner in mesh storage container on the counter behind the diaper changer not stored up five (5) feet or locked. The administrator removed the leave in conditioner during the visit. We discussed that the staff need to conduct a daily classroom check to ensure all hazardous products are stored appropriately. Rule Reference: 15A NCAC 18A.2820(b) Item 1805- The child care operator has not notified the Division of the five (5) staff that are hired at Childcare Network #178A. The administrator stated that she has been in contact with ABCMS support to see why the system is trying to charge the staff member to connect the application to the facility. We discussed that the administrator would need to login to update the employee roster in the ABCMS portal, to ensure the currently employed staff is listed. I recommend that the administrator conduct a monthly review of the ABCMS portal to ensure the staff roster is current and add it as part of the onboarding of new staff prior to the new staff member caring for children. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 11/27/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Lead water testing was completed 12/11/2023, the next testing is due to be completed on or before 12/11/2026. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .2830 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/13/2025 Number Present: 31 Completed Date: 11/13/2025 Age: From 0 To 5 Total Minutes: 210 Time In: 10:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the written warning issued by the DCDEE to this facility on October 15, 2025. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, accompanied me during the visit. Limited monitoring of Child Care Rules were conducted during today’s visit, including but not limited to supervision, discipline, nurture and care, staff/child ratio, group size, licensed capacity, permit restrictions, CPR training, First Aid training, ITS-SIDS training, and criminal record check requirements. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percent (87%) as of 11/10/2025. Childcare Network #178A operates with five-star center license issued on 9/1/24 with restriction; daytime care, meets enhanced ratios and space, children under two and half in rooms with direct exits. Administrative Action was issued on October 15, 2025, for non-compliance. The indoor and outdoor environments used by the children were monitored. Space #1A the group of infant- to one-year-old children were engaged in exploring the room and play with rattles, and soft blocks. Space #1B is currently closed. Space #2 is currently closed and being used as storage. We discussed while the classroom is being used as storage to keep the door closed to the lobby and ensure any hazardous products are stored appropriately if they are used in the storage room. If therapist uses the storage room to work with children. They need to conduct a classroom safety check to ensure that hazardous items are stored appropriately, electrical outlets are covered, etc. Space #3, the group of four-to-five-year-old children were engaged in free play with lacing beads, blocks, waffle linking blocks, free art, sand, and one on one activity. While monitoring the classroom, I observed the staff giving the children a ten (10) minute warning to clean up to prepare to go outside. Space #4 is currently closed due to the heat is not working in the space. The space was set up for “friendsgiving” lunch time with families. Space #5, the group of one-to-two-year-old children were engaged in free play with books, pretend play foods, and dolls. One (1) staff member was sitting on the floor engaged in play with the children while the other staff member was up actively supervising the children. While monitoring the classroom, I observed one (1) bottle of leave in hair conditioner in mesh storage container on the counter behind the diaper changer not stored up five (5) feet or locked. The administrator removed the leave in conditioner during the visit. Space #6 the group of two-to-three-year-old were preparing to go outside for gross motor play. Once outside, they engaged in play with the balls, steppers, tunnel. While monitoring the sign-in and out sheet, I observed five (5) children were either not signed in or marked absent for the day. The administrator completed the sign-in sheet during the visit. Outside on the middle and back playground, the cement is exposed down to the base in some areas creating a tripping hazard. The administrator stated that she would close the back playground as it has the biggest area of concern and resubmit a workorder to request new mulch. The preschool playground, we discussed getting a bag of natural wood chips to put in the area as you enter the playground where the cement is exposed. An initial administrative action review was conducted by phone on October 27, 2025, with Mary Virella, Administrator. During the call, the administrative action written warning and the Corrective Action Plan were discussed in detail. Topics included the requirements for posting the action and that unannounced follow-up visits, would occur every 4–6 weeks. Ms. Virella was cooperative and receptive throughout the conversation. She confirmed that she had proactively contacted Monica Houck, Lead Licensing Consultant, on October 21, 2025, to schedule a rules review. She also indicated that she is actively working on the implementation plan as required per the corrective action plan. The administrative action is posted in the main entrance area beside the directors office door just below the star rated license. The following stipulations of the administrative action were monitored: Stipulation #1: The child care operator shall maintain compliance at all times with all applicable child care requirements. Staff is using the walkie talkie to radio for assistance when transitioning in and out of the facility. The administrator is conducting medication checks. Administrator is tracking trainings using the ongoing training log. Requirements for a safe indoor and outdoor environment, hazardous products, and criminal record check were not met. Stipulation #2: Within one (1) week after this Notice is received, Mary Virella, administrator, shall contact Monica Houck, Lead Child Care Consultant, telephone number 828-243-2154, email Monica.Houck@dhhs.nc.gov, to arrange for a complete review of all child care requirements. Ms. Virella reached out to Monica Houck, Lead Licensing Consultant on 10/21/2025 to schedule a rules review. The rules review is scheduled for 12/16/2025 at 2:00p. Stipulation #3: Within two (2) weeks after this Notice is received, Ms. Virella shall develop a written plan that describes, in detail, the steps that will be taken to ensure compliance with child care requirements related to supervision, administering medication, storage of hazardous substances and in-service training. Ms. Virella submitted the implementation plan on 11/4/2025 via email. I have reviewed the implementation plan and responded for revisions to be made on 11/6/2025. Ms. Virella resubmitted the revised implementation plan via email on 11/11/2025. We reviewed the implementation plan during the visit. Stipulation #4: Within two (2) weeks after notification from the Division that the stipulation has been met with the plan related to records, Ms. Virella shall conduct a staff meeting with all staff members to discuss the plan. We reviewed the implementation plan, and discussed revisions needed. The plan is being finalized by upper management and Ms. Virella will submit as soon as she receives it. Then after final is reviewed and approved. Ms. Virella has two (2) weeks to conduct a staff meeting to discuss the plan. Currently the next staff meeting is scheduled for 11/20/2025. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Space #6 five (5) children were either not signed in or marked absent for the day. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. Outside on the middle and back playground, the cement is exposed down to the base in some areas creating a tripping hazard. 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. Space #5, one (1) bottle of leave in hair conditioner in mesh storage container on the counter behind the diaper changer not stored up five (5) feet or locked. .2820(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The child care operator has not notified the Division of the five (5) staff that are hired at Childcare Network #178A. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 125- Space #6 five (5) children were either not signed in or marked absent for the day. The administrator completed the sign-in sheet during the visit. We discussed staff set an alarm as a reminder to complete the sign-in sheet by a set time. Rule Reference: 10A NCAC 09 .0302(d)(4) Item 807- Outside on the middle and back playground, the cement is exposed down to the base in some areas creating a tripping hazard. The administrator stated that she would close the back playground as it has the biggest area of concern and resubmit a workorder to request new mulch. The preschool playground, we discussed getting a bag of natural wood chips to put in the area as you enter the playground where the cement is exposed. Rule Reference: 10A NCAC 09.0601(a) Item 840- Space #5, one (1) bottle of leave in hair conditioner in mesh storage container on the counter behind the diaper changer not stored up five (5) feet or locked. The administrator removed the leave in conditioner during the visit. We discussed that the staff need to conduct a daily classroom check to ensure all hazardous products are stored appropriately. Rule Reference: 15A NCAC 18A.2820(b) Item 1805- The child care operator has not notified the Division of the five (5) staff that are hired at Childcare Network #178A. The administrator stated that she has been in contact with ABCMS support to see why the system is trying to charge the staff member to connect the application to the facility. We discussed that the administrator would need to login to update the employee roster in the ABCMS portal, to ensure the currently employed staff is listed. I recommend that the administrator conduct a monthly review of the ABCMS portal to ensure the staff roster is current and add it as part of the onboarding of new staff prior to the new staff member caring for children. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 11/27/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Lead water testing was completed 12/11/2023, the next testing is due to be completed on or before 12/11/2026. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 09.0601 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/13/2025 Number Present: 31 Completed Date: 11/13/2025 Age: From 0 To 5 Total Minutes: 210 Time In: 10:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the written warning issued by the DCDEE to this facility on October 15, 2025. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, accompanied me during the visit. Limited monitoring of Child Care Rules were conducted during today’s visit, including but not limited to supervision, discipline, nurture and care, staff/child ratio, group size, licensed capacity, permit restrictions, CPR training, First Aid training, ITS-SIDS training, and criminal record check requirements. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percent (87%) as of 11/10/2025. Childcare Network #178A operates with five-star center license issued on 9/1/24 with restriction; daytime care, meets enhanced ratios and space, children under two and half in rooms with direct exits. Administrative Action was issued on October 15, 2025, for non-compliance. The indoor and outdoor environments used by the children were monitored. Space #1A the group of infant- to one-year-old children were engaged in exploring the room and play with rattles, and soft blocks. Space #1B is currently closed. Space #2 is currently closed and being used as storage. We discussed while the classroom is being used as storage to keep the door closed to the lobby and ensure any hazardous products are stored appropriately if they are used in the storage room. If therapist uses the storage room to work with children. They need to conduct a classroom safety check to ensure that hazardous items are stored appropriately, electrical outlets are covered, etc. Space #3, the group of four-to-five-year-old children were engaged in free play with lacing beads, blocks, waffle linking blocks, free art, sand, and one on one activity. While monitoring the classroom, I observed the staff giving the children a ten (10) minute warning to clean up to prepare to go outside. Space #4 is currently closed due to the heat is not working in the space. The space was set up for “friendsgiving” lunch time with families. Space #5, the group of one-to-two-year-old children were engaged in free play with books, pretend play foods, and dolls. One (1) staff member was sitting on the floor engaged in play with the children while the other staff member was up actively supervising the children. While monitoring the classroom, I observed one (1) bottle of leave in hair conditioner in mesh storage container on the counter behind the diaper changer not stored up five (5) feet or locked. The administrator removed the leave in conditioner during the visit. Space #6 the group of two-to-three-year-old were preparing to go outside for gross motor play. Once outside, they engaged in play with the balls, steppers, tunnel. While monitoring the sign-in and out sheet, I observed five (5) children were either not signed in or marked absent for the day. The administrator completed the sign-in sheet during the visit. Outside on the middle and back playground, the cement is exposed down to the base in some areas creating a tripping hazard. The administrator stated that she would close the back playground as it has the biggest area of concern and resubmit a workorder to request new mulch. The preschool playground, we discussed getting a bag of natural wood chips to put in the area as you enter the playground where the cement is exposed. An initial administrative action review was conducted by phone on October 27, 2025, with Mary Virella, Administrator. During the call, the administrative action written warning and the Corrective Action Plan were discussed in detail. Topics included the requirements for posting the action and that unannounced follow-up visits, would occur every 4–6 weeks. Ms. Virella was cooperative and receptive throughout the conversation. She confirmed that she had proactively contacted Monica Houck, Lead Licensing Consultant, on October 21, 2025, to schedule a rules review. She also indicated that she is actively working on the implementation plan as required per the corrective action plan. The administrative action is posted in the main entrance area beside the directors office door just below the star rated license. The following stipulations of the administrative action were monitored: Stipulation #1: The child care operator shall maintain compliance at all times with all applicable child care requirements. Staff is using the walkie talkie to radio for assistance when transitioning in and out of the facility. The administrator is conducting medication checks. Administrator is tracking trainings using the ongoing training log. Requirements for a safe indoor and outdoor environment, hazardous products, and criminal record check were not met. Stipulation #2: Within one (1) week after this Notice is received, Mary Virella, administrator, shall contact Monica Houck, Lead Child Care Consultant, telephone number 828-243-2154, email Monica.Houck@dhhs.nc.gov, to arrange for a complete review of all child care requirements. Ms. Virella reached out to Monica Houck, Lead Licensing Consultant on 10/21/2025 to schedule a rules review. The rules review is scheduled for 12/16/2025 at 2:00p. Stipulation #3: Within two (2) weeks after this Notice is received, Ms. Virella shall develop a written plan that describes, in detail, the steps that will be taken to ensure compliance with child care requirements related to supervision, administering medication, storage of hazardous substances and in-service training. Ms. Virella submitted the implementation plan on 11/4/2025 via email. I have reviewed the implementation plan and responded for revisions to be made on 11/6/2025. Ms. Virella resubmitted the revised implementation plan via email on 11/11/2025. We reviewed the implementation plan during the visit. Stipulation #4: Within two (2) weeks after notification from the Division that the stipulation has been met with the plan related to records, Ms. Virella shall conduct a staff meeting with all staff members to discuss the plan. We reviewed the implementation plan, and discussed revisions needed. The plan is being finalized by upper management and Ms. Virella will submit as soon as she receives it. Then after final is reviewed and approved. Ms. Virella has two (2) weeks to conduct a staff meeting to discuss the plan. Currently the next staff meeting is scheduled for 11/20/2025. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Space #6 five (5) children were either not signed in or marked absent for the day. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. Outside on the middle and back playground, the cement is exposed down to the base in some areas creating a tripping hazard. 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. Space #5, one (1) bottle of leave in hair conditioner in mesh storage container on the counter behind the diaper changer not stored up five (5) feet or locked. .2820(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The child care operator has not notified the Division of the five (5) staff that are hired at Childcare Network #178A. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 125- Space #6 five (5) children were either not signed in or marked absent for the day. The administrator completed the sign-in sheet during the visit. We discussed staff set an alarm as a reminder to complete the sign-in sheet by a set time. Rule Reference: 10A NCAC 09 .0302(d)(4) Item 807- Outside on the middle and back playground, the cement is exposed down to the base in some areas creating a tripping hazard. The administrator stated that she would close the back playground as it has the biggest area of concern and resubmit a workorder to request new mulch. The preschool playground, we discussed getting a bag of natural wood chips to put in the area as you enter the playground where the cement is exposed. Rule Reference: 10A NCAC 09.0601(a) Item 840- Space #5, one (1) bottle of leave in hair conditioner in mesh storage container on the counter behind the diaper changer not stored up five (5) feet or locked. The administrator removed the leave in conditioner during the visit. We discussed that the staff need to conduct a daily classroom check to ensure all hazardous products are stored appropriately. Rule Reference: 15A NCAC 18A.2820(b) Item 1805- The child care operator has not notified the Division of the five (5) staff that are hired at Childcare Network #178A. The administrator stated that she has been in contact with ABCMS support to see why the system is trying to charge the staff member to connect the application to the facility. We discussed that the administrator would need to login to update the employee roster in the ABCMS portal, to ensure the currently employed staff is listed. I recommend that the administrator conduct a monthly review of the ABCMS portal to ensure the staff roster is current and add it as part of the onboarding of new staff prior to the new staff member caring for children. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 11/27/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Lead water testing was completed 12/11/2023, the next testing is due to be completed on or before 12/11/2026. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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. 110-90 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/13/2025 Number Present: 31 Completed Date: 11/13/2025 Age: From 0 To 5 Total Minutes: 210 Time In: 10:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the written warning issued by the DCDEE to this facility on October 15, 2025. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, accompanied me during the visit. Limited monitoring of Child Care Rules were conducted during today’s visit, including but not limited to supervision, discipline, nurture and care, staff/child ratio, group size, licensed capacity, permit restrictions, CPR training, First Aid training, ITS-SIDS training, and criminal record check requirements. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percent (87%) as of 11/10/2025. Childcare Network #178A operates with five-star center license issued on 9/1/24 with restriction; daytime care, meets enhanced ratios and space, children under two and half in rooms with direct exits. Administrative Action was issued on October 15, 2025, for non-compliance. The indoor and outdoor environments used by the children were monitored. Space #1A the group of infant- to one-year-old children were engaged in exploring the room and play with rattles, and soft blocks. Space #1B is currently closed. Space #2 is currently closed and being used as storage. We discussed while the classroom is being used as storage to keep the door closed to the lobby and ensure any hazardous products are stored appropriately if they are used in the storage room. If therapist uses the storage room to work with children. They need to conduct a classroom safety check to ensure that hazardous items are stored appropriately, electrical outlets are covered, etc. Space #3, the group of four-to-five-year-old children were engaged in free play with lacing beads, blocks, waffle linking blocks, free art, sand, and one on one activity. While monitoring the classroom, I observed the staff giving the children a ten (10) minute warning to clean up to prepare to go outside. Space #4 is currently closed due to the heat is not working in the space. The space was set up for “friendsgiving” lunch time with families. Space #5, the group of one-to-two-year-old children were engaged in free play with books, pretend play foods, and dolls. One (1) staff member was sitting on the floor engaged in play with the children while the other staff member was up actively supervising the children. While monitoring the classroom, I observed one (1) bottle of leave in hair conditioner in mesh storage container on the counter behind the diaper changer not stored up five (5) feet or locked. The administrator removed the leave in conditioner during the visit. Space #6 the group of two-to-three-year-old were preparing to go outside for gross motor play. Once outside, they engaged in play with the balls, steppers, tunnel. While monitoring the sign-in and out sheet, I observed five (5) children were either not signed in or marked absent for the day. The administrator completed the sign-in sheet during the visit. Outside on the middle and back playground, the cement is exposed down to the base in some areas creating a tripping hazard. The administrator stated that she would close the back playground as it has the biggest area of concern and resubmit a workorder to request new mulch. The preschool playground, we discussed getting a bag of natural wood chips to put in the area as you enter the playground where the cement is exposed. An initial administrative action review was conducted by phone on October 27, 2025, with Mary Virella, Administrator. During the call, the administrative action written warning and the Corrective Action Plan were discussed in detail. Topics included the requirements for posting the action and that unannounced follow-up visits, would occur every 4–6 weeks. Ms. Virella was cooperative and receptive throughout the conversation. She confirmed that she had proactively contacted Monica Houck, Lead Licensing Consultant, on October 21, 2025, to schedule a rules review. She also indicated that she is actively working on the implementation plan as required per the corrective action plan. The administrative action is posted in the main entrance area beside the directors office door just below the star rated license. The following stipulations of the administrative action were monitored: Stipulation #1: The child care operator shall maintain compliance at all times with all applicable child care requirements. Staff is using the walkie talkie to radio for assistance when transitioning in and out of the facility. The administrator is conducting medication checks. Administrator is tracking trainings using the ongoing training log. Requirements for a safe indoor and outdoor environment, hazardous products, and criminal record check were not met. Stipulation #2: Within one (1) week after this Notice is received, Mary Virella, administrator, shall contact Monica Houck, Lead Child Care Consultant, telephone number 828-243-2154, email Monica.Houck@dhhs.nc.gov, to arrange for a complete review of all child care requirements. Ms. Virella reached out to Monica Houck, Lead Licensing Consultant on 10/21/2025 to schedule a rules review. The rules review is scheduled for 12/16/2025 at 2:00p. Stipulation #3: Within two (2) weeks after this Notice is received, Ms. Virella shall develop a written plan that describes, in detail, the steps that will be taken to ensure compliance with child care requirements related to supervision, administering medication, storage of hazardous substances and in-service training. Ms. Virella submitted the implementation plan on 11/4/2025 via email. I have reviewed the implementation plan and responded for revisions to be made on 11/6/2025. Ms. Virella resubmitted the revised implementation plan via email on 11/11/2025. We reviewed the implementation plan during the visit. Stipulation #4: Within two (2) weeks after notification from the Division that the stipulation has been met with the plan related to records, Ms. Virella shall conduct a staff meeting with all staff members to discuss the plan. We reviewed the implementation plan, and discussed revisions needed. The plan is being finalized by upper management and Ms. Virella will submit as soon as she receives it. Then after final is reviewed and approved. Ms. Virella has two (2) weeks to conduct a staff meeting to discuss the plan. Currently the next staff meeting is scheduled for 11/20/2025. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Space #6 five (5) children were either not signed in or marked absent for the day. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. Outside on the middle and back playground, the cement is exposed down to the base in some areas creating a tripping hazard. 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. Space #5, one (1) bottle of leave in hair conditioner in mesh storage container on the counter behind the diaper changer not stored up five (5) feet or locked. .2820(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The child care operator has not notified the Division of the five (5) staff that are hired at Childcare Network #178A. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 125- Space #6 five (5) children were either not signed in or marked absent for the day. The administrator completed the sign-in sheet during the visit. We discussed staff set an alarm as a reminder to complete the sign-in sheet by a set time. Rule Reference: 10A NCAC 09 .0302(d)(4) Item 807- Outside on the middle and back playground, the cement is exposed down to the base in some areas creating a tripping hazard. The administrator stated that she would close the back playground as it has the biggest area of concern and resubmit a workorder to request new mulch. The preschool playground, we discussed getting a bag of natural wood chips to put in the area as you enter the playground where the cement is exposed. Rule Reference: 10A NCAC 09.0601(a) Item 840- Space #5, one (1) bottle of leave in hair conditioner in mesh storage container on the counter behind the diaper changer not stored up five (5) feet or locked. The administrator removed the leave in conditioner during the visit. We discussed that the staff need to conduct a daily classroom check to ensure all hazardous products are stored appropriately. Rule Reference: 15A NCAC 18A.2820(b) Item 1805- The child care operator has not notified the Division of the five (5) staff that are hired at Childcare Network #178A. The administrator stated that she has been in contact with ABCMS support to see why the system is trying to charge the staff member to connect the application to the facility. We discussed that the administrator would need to login to update the employee roster in the ABCMS portal, to ensure the currently employed staff is listed. I recommend that the administrator conduct a monthly review of the ABCMS portal to ensure the staff roster is current and add it as part of the onboarding of new staff prior to the new staff member caring for children. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 11/27/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Lead water testing was completed 12/11/2023, the next testing is due to be completed on or before 12/11/2026. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/13/2025 Number Present: 31 Completed Date: 11/13/2025 Age: From 0 To 5 Total Minutes: 210 Time In: 10:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the written warning issued by the DCDEE to this facility on October 15, 2025. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, accompanied me during the visit. Limited monitoring of Child Care Rules were conducted during today’s visit, including but not limited to supervision, discipline, nurture and care, staff/child ratio, group size, licensed capacity, permit restrictions, CPR training, First Aid training, ITS-SIDS training, and criminal record check requirements. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percent (87%) as of 11/10/2025. Childcare Network #178A operates with five-star center license issued on 9/1/24 with restriction; daytime care, meets enhanced ratios and space, children under two and half in rooms with direct exits. Administrative Action was issued on October 15, 2025, for non-compliance. The indoor and outdoor environments used by the children were monitored. Space #1A the group of infant- to one-year-old children were engaged in exploring the room and play with rattles, and soft blocks. Space #1B is currently closed. Space #2 is currently closed and being used as storage. We discussed while the classroom is being used as storage to keep the door closed to the lobby and ensure any hazardous products are stored appropriately if they are used in the storage room. If therapist uses the storage room to work with children. They need to conduct a classroom safety check to ensure that hazardous items are stored appropriately, electrical outlets are covered, etc. Space #3, the group of four-to-five-year-old children were engaged in free play with lacing beads, blocks, waffle linking blocks, free art, sand, and one on one activity. While monitoring the classroom, I observed the staff giving the children a ten (10) minute warning to clean up to prepare to go outside. Space #4 is currently closed due to the heat is not working in the space. The space was set up for “friendsgiving” lunch time with families. Space #5, the group of one-to-two-year-old children were engaged in free play with books, pretend play foods, and dolls. One (1) staff member was sitting on the floor engaged in play with the children while the other staff member was up actively supervising the children. While monitoring the classroom, I observed one (1) bottle of leave in hair conditioner in mesh storage container on the counter behind the diaper changer not stored up five (5) feet or locked. The administrator removed the leave in conditioner during the visit. Space #6 the group of two-to-three-year-old were preparing to go outside for gross motor play. Once outside, they engaged in play with the balls, steppers, tunnel. While monitoring the sign-in and out sheet, I observed five (5) children were either not signed in or marked absent for the day. The administrator completed the sign-in sheet during the visit. Outside on the middle and back playground, the cement is exposed down to the base in some areas creating a tripping hazard. The administrator stated that she would close the back playground as it has the biggest area of concern and resubmit a workorder to request new mulch. The preschool playground, we discussed getting a bag of natural wood chips to put in the area as you enter the playground where the cement is exposed. An initial administrative action review was conducted by phone on October 27, 2025, with Mary Virella, Administrator. During the call, the administrative action written warning and the Corrective Action Plan were discussed in detail. Topics included the requirements for posting the action and that unannounced follow-up visits, would occur every 4–6 weeks. Ms. Virella was cooperative and receptive throughout the conversation. She confirmed that she had proactively contacted Monica Houck, Lead Licensing Consultant, on October 21, 2025, to schedule a rules review. She also indicated that she is actively working on the implementation plan as required per the corrective action plan. The administrative action is posted in the main entrance area beside the directors office door just below the star rated license. The following stipulations of the administrative action were monitored: Stipulation #1: The child care operator shall maintain compliance at all times with all applicable child care requirements. Staff is using the walkie talkie to radio for assistance when transitioning in and out of the facility. The administrator is conducting medication checks. Administrator is tracking trainings using the ongoing training log. Requirements for a safe indoor and outdoor environment, hazardous products, and criminal record check were not met. Stipulation #2: Within one (1) week after this Notice is received, Mary Virella, administrator, shall contact Monica Houck, Lead Child Care Consultant, telephone number 828-243-2154, email Monica.Houck@dhhs.nc.gov, to arrange for a complete review of all child care requirements. Ms. Virella reached out to Monica Houck, Lead Licensing Consultant on 10/21/2025 to schedule a rules review. The rules review is scheduled for 12/16/2025 at 2:00p. Stipulation #3: Within two (2) weeks after this Notice is received, Ms. Virella shall develop a written plan that describes, in detail, the steps that will be taken to ensure compliance with child care requirements related to supervision, administering medication, storage of hazardous substances and in-service training. Ms. Virella submitted the implementation plan on 11/4/2025 via email. I have reviewed the implementation plan and responded for revisions to be made on 11/6/2025. Ms. Virella resubmitted the revised implementation plan via email on 11/11/2025. We reviewed the implementation plan during the visit. Stipulation #4: Within two (2) weeks after notification from the Division that the stipulation has been met with the plan related to records, Ms. Virella shall conduct a staff meeting with all staff members to discuss the plan. We reviewed the implementation plan, and discussed revisions needed. The plan is being finalized by upper management and Ms. Virella will submit as soon as she receives it. Then after final is reviewed and approved. Ms. Virella has two (2) weeks to conduct a staff meeting to discuss the plan. Currently the next staff meeting is scheduled for 11/20/2025. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Space #6 five (5) children were either not signed in or marked absent for the day. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. Outside on the middle and back playground, the cement is exposed down to the base in some areas creating a tripping hazard. 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. Space #5, one (1) bottle of leave in hair conditioner in mesh storage container on the counter behind the diaper changer not stored up five (5) feet or locked. .2820(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The child care operator has not notified the Division of the five (5) staff that are hired at Childcare Network #178A. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 125- Space #6 five (5) children were either not signed in or marked absent for the day. The administrator completed the sign-in sheet during the visit. We discussed staff set an alarm as a reminder to complete the sign-in sheet by a set time. Rule Reference: 10A NCAC 09 .0302(d)(4) Item 807- Outside on the middle and back playground, the cement is exposed down to the base in some areas creating a tripping hazard. The administrator stated that she would close the back playground as it has the biggest area of concern and resubmit a workorder to request new mulch. The preschool playground, we discussed getting a bag of natural wood chips to put in the area as you enter the playground where the cement is exposed. Rule Reference: 10A NCAC 09.0601(a) Item 840- Space #5, one (1) bottle of leave in hair conditioner in mesh storage container on the counter behind the diaper changer not stored up five (5) feet or locked. The administrator removed the leave in conditioner during the visit. We discussed that the staff need to conduct a daily classroom check to ensure all hazardous products are stored appropriately. Rule Reference: 15A NCAC 18A.2820(b) Item 1805- The child care operator has not notified the Division of the five (5) staff that are hired at Childcare Network #178A. The administrator stated that she has been in contact with ABCMS support to see why the system is trying to charge the staff member to connect the application to the facility. We discussed that the administrator would need to login to update the employee roster in the ABCMS portal, to ensure the currently employed staff is listed. I recommend that the administrator conduct a monthly review of the ABCMS portal to ensure the staff roster is current and add it as part of the onboarding of new staff prior to the new staff member caring for children. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 11/27/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Lead water testing was completed 12/11/2023, the next testing is due to be completed on or before 12/11/2026. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0604 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: 0925-376L Visit Date: 10/13/2025 Number Present: 28 Completed Date: 10/13/2025 Age: From 0 To 6 Total Minutes: 200 Time In: 09:45 AM Time Out: 01:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced follow-up visit was to follow up on the nurture and care violation that was cited during the complaint visit on 10/1/2025. Please refer to the visit dated 10/1/2025 for full details regarding the violation cited. A computerized report of today’s visit was reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 10/8/2025. The program operates with a Five (5) Star Rated License, issued 9/1/2024. The permit restrictions were in compliance including first shift, meets enhanced ratios, meets enhanced space, and children under 2 ½ years old in rooms with direct exits only. Approved for NC Pre-K and Transportation. Group size, supervision, use of licensed space, space capacity, license restrictions, outdoor equipment, general safety, and nurture and care were monitored. The complaint was received by the Division of Child Development and Early Education on 9/26/2025 and sent to me on 9/26/2025. The initial visit was conducted on 10/1/2025. Today, I followed up with the administrator. The administrator stated that the NC Pre-K classroom facility is currently closed today for a teacher’s workday and school-age children are present in that classroom. Ms. Virella stated regarding the violation, for the broken gate latch, she has submitted work orders for it to be replaced. Supervision, the teachers call for administrator to walk with them out and they conduct a name to face count prior to leaving the classroom, entering the playground, and exiting the playground. A walkthrough of the indoor and outdoor environment was conducted. Space #1B, the group of infant- to one-year-old children were transitioning outdoors for gross motor play when I arrived. Once outside, the children engaged in playing with balls, trucks, blocks, and climber. After gross motor play, the group transitioned back to the classroom to wash hands and engage in free play. Space#4, the group of two-to-three-year-old were engaged in play with blocks, linking blocks, cash register and dramatic play. Then the group engaged in music and movement with the staff. When outdoor play concluded, the group transitioned indoors to wash hands. While monitoring indoors, one (1) outlet was observed uncovered and accessible to children. The administrator covered the outlet with a safety outlet plug during the visit. After lunch, the group was preparing for nap. One (1) staff was putting out cots, one (1) staff was changing diapers, one (1) staff member was assisting in the restroom. While observing the staff member changing diapers, I observed the staff member and the child did not wash their hands after the diaper change. The child went directly to their cot and laid down and the staff member went to assist with putting out cots. Space #5, the group of one-to-two-year-old children were engaged in free play with books, blocks, dramatic play. After free play, the group transitioned outdoors for gross motor play. Space #3, the group of four-to-six-year-old children were engaged in group activity on the carpet. After group activity the group prepared to transition outdoors for gross motor play. While outside, the group engaged in running around with the mud kitchen, steppers, and the jeep. At 10:55a, the administrator brought out the portable equipment for the children to engage in play with and reminded the staff members to bring the equipment when they transition outdoors. Space #2 is currently closed and being used as storage. We discussed while the classroom is being used as storage to keep the door closed to the lobby and ensure any hazardous products are stored appropriately if they are used in the storage room. If therapist use the storage room to work with children. They need to conduct a classroom safety check to ensure that hazardous items are stored appropriately, electrical outlets are covered, etc. Space #1A is currently closed. Space #6 is currently closed. The facility is looking to move the two-year-olds to this classroom and is in the process of repainting and making improvements to the classroom. Lunch consisted of chicken nuggets, peaches, beans, pita bread, and milk. The menu documented beef crumble, corn, mixed fruit, tortilla chips, cheese, salsa, and milk. The administrator updated the menu after the children were served to reflect what was served prior to serving the children. Item 303- Children were not adequately supervised at all times. Per staff interview, a four-year-old child was left unattended for less than five (5) minutes on September 18, 2025. This is a violation of a requirement in .1801(a)(1-5). During today’s visit, children were adequately supervised at all times. Item 410- Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. During naptime, I heard a staff member make a comment to the infant child that was awake "the outside you never see." This is a violation of a requirement in GS 110-91(2);.0508(c). The infants were observed going outside during the visit when I arrived. Item 434- The materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. Outdoor spaces were observed and did not provide sufficient materials to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. This is a violation of a requirement in 10A NCAC 09 .0509(2). Additional materials have been purchased for the children to use while outdoors. I observed the administrator brought the portable equipment to the infant and one year old playground. The preschool playground has the mud kitchen, log steppers, and jeep. Ms. Virella brought out portable equipment at 10:55a. Item 705- Equipment and furnishings were not sturdy, stable and free of hazards. Outdoor space 1 the metal jeep steering wheel was broken and hanging loosely. This is a violation of a requirement in .0601(c). I observed the steering wheels were removed. Now it is just the metal anchors that are remaining. I recommend to remove the jeep or add a pool noodle over the anchors until new steering wheels are added. Item 807- A safe indoor and outdoor environment was not provided for the children. Outdoor space #1, a rope was tied from one side of the jeep to another at the back creating a choking hazard. A staff member removed the rope from the jeep during the visit. Outdoor #2, had four (4) wooden privacy panels laying in the walk way with sharp edges and screw showing. The gate on outdoor space #3 that leads to the neighboring business was unlocked and the gate latch was broken. This is a violation of a requirement in 10A NCAC 09 .0601(a). The rope was removed from the jeep during the 10/1/2025 visit. While monitoring outdoors today, I observed the wooden privacy panels with sharp edges and screws have been removed. The administrator added a carabiner to the broken gate latch during the visit. Item 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. Space #3 a child was observed holding an instant ice pack that contained a gel on the inside. This is a violation of a requirement in .2820(b). Hazardous products were stored appropriately during the visit. Today, I verified corrections of five (5) of the six (6) violations. A letter of compliance for the remaining violation is due on or before 10/15/2025. The following violations were documented during today’s visit: Violation Number Comment Rule 404 All staff did not wash their hands thoroughly after diapering each child. Space #4, while observing the staff member changing diapers, I observed the staff member did not wash their hands after changing a child’s diaper. The staff member went to assist with putting out cots 15A NCAC 18A .2803(a) 405 A child's hands were not washed after each diaper change. Space #4, while observing the staff member changing diapers, I observed the child did not wash their hands after the diaper change. The child went directly to their cot and laid down. 15A NCAC 18A .2803(c)(2) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Lunch consisted of chicken nuggets, peaches, beans, pita bread, and milk. The menu documented beef crumble, corn, mixed fruit, tortilla chips, cheese, salsa, and milk. The menu was not updated to reflect what was served prior to serving the children. 10A NCAC 09 .0901(b) 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. Space #5, one (1) outlet was observed uncovered and accessible to children 10A NCAC 09 .0604(c) Item #404- Space #4, while observing the staff member changing diapers, I observed the staff member did not wash their hands after changing a child’s diaper. The staff member went to assist with putting out cots. We discussed that staff must wash hands after each diaper change to prevent spreading any germs. Rule Reference: 15A NCAC 18A.2803(a) Item #405- Space #4, while observing the staff member changing diapers, I observed the child did not wash their hands after the diaper change. The child went directly to their cot and laid down. We discussed that children must wash hands after each diaper change to prevent spreading any germs. Rule Reference: 15A NCAC 18A.2803(c) Item #528- Lunch consisted of chicken nuggets, peaches, beans, pita bread, and milk. The menu documented beef crumble, corn, mixed fruit, tortilla chips, cheese, salsa, and milk. The menu was not updated to reflect what was served prior to serving the children. We discussed when the facility knows that the facility does not have enough of the item to serve. The kitchen staff need to notify the administrator and either the kitchen staff or the administrator will need to document the change on the menu posted in the lobby. Rule Reference: 10A NCAC 09 .0901(b) Item #812- Space #5, one (1) outlet was observed uncovered and accessible to children. The administrator covered the outlet with a safety outlet plug during the visit. We discussed conducting a classroom check daily to ensure all outlets are covered to ensure the safety of the children. Rule Reference: 10A NCAC 09.0604(c) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/27/2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: - Based on the nature of the violation that was cited on September 30, 2025, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required every four (4) to six (6) weeks. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0901 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: 0925-376L Visit Date: 10/13/2025 Number Present: 28 Completed Date: 10/13/2025 Age: From 0 To 6 Total Minutes: 200 Time In: 09:45 AM Time Out: 01:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced follow-up visit was to follow up on the nurture and care violation that was cited during the complaint visit on 10/1/2025. Please refer to the visit dated 10/1/2025 for full details regarding the violation cited. A computerized report of today’s visit was reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 10/8/2025. The program operates with a Five (5) Star Rated License, issued 9/1/2024. The permit restrictions were in compliance including first shift, meets enhanced ratios, meets enhanced space, and children under 2 ½ years old in rooms with direct exits only. Approved for NC Pre-K and Transportation. Group size, supervision, use of licensed space, space capacity, license restrictions, outdoor equipment, general safety, and nurture and care were monitored. The complaint was received by the Division of Child Development and Early Education on 9/26/2025 and sent to me on 9/26/2025. The initial visit was conducted on 10/1/2025. Today, I followed up with the administrator. The administrator stated that the NC Pre-K classroom facility is currently closed today for a teacher’s workday and school-age children are present in that classroom. Ms. Virella stated regarding the violation, for the broken gate latch, she has submitted work orders for it to be replaced. Supervision, the teachers call for administrator to walk with them out and they conduct a name to face count prior to leaving the classroom, entering the playground, and exiting the playground. A walkthrough of the indoor and outdoor environment was conducted. Space #1B, the group of infant- to one-year-old children were transitioning outdoors for gross motor play when I arrived. Once outside, the children engaged in playing with balls, trucks, blocks, and climber. After gross motor play, the group transitioned back to the classroom to wash hands and engage in free play. Space#4, the group of two-to-three-year-old were engaged in play with blocks, linking blocks, cash register and dramatic play. Then the group engaged in music and movement with the staff. When outdoor play concluded, the group transitioned indoors to wash hands. While monitoring indoors, one (1) outlet was observed uncovered and accessible to children. The administrator covered the outlet with a safety outlet plug during the visit. After lunch, the group was preparing for nap. One (1) staff was putting out cots, one (1) staff was changing diapers, one (1) staff member was assisting in the restroom. While observing the staff member changing diapers, I observed the staff member and the child did not wash their hands after the diaper change. The child went directly to their cot and laid down and the staff member went to assist with putting out cots. Space #5, the group of one-to-two-year-old children were engaged in free play with books, blocks, dramatic play. After free play, the group transitioned outdoors for gross motor play. Space #3, the group of four-to-six-year-old children were engaged in group activity on the carpet. After group activity the group prepared to transition outdoors for gross motor play. While outside, the group engaged in running around with the mud kitchen, steppers, and the jeep. At 10:55a, the administrator brought out the portable equipment for the children to engage in play with and reminded the staff members to bring the equipment when they transition outdoors. Space #2 is currently closed and being used as storage. We discussed while the classroom is being used as storage to keep the door closed to the lobby and ensure any hazardous products are stored appropriately if they are used in the storage room. If therapist use the storage room to work with children. They need to conduct a classroom safety check to ensure that hazardous items are stored appropriately, electrical outlets are covered, etc. Space #1A is currently closed. Space #6 is currently closed. The facility is looking to move the two-year-olds to this classroom and is in the process of repainting and making improvements to the classroom. Lunch consisted of chicken nuggets, peaches, beans, pita bread, and milk. The menu documented beef crumble, corn, mixed fruit, tortilla chips, cheese, salsa, and milk. The administrator updated the menu after the children were served to reflect what was served prior to serving the children. Item 303- Children were not adequately supervised at all times. Per staff interview, a four-year-old child was left unattended for less than five (5) minutes on September 18, 2025. This is a violation of a requirement in .1801(a)(1-5). During today’s visit, children were adequately supervised at all times. Item 410- Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. During naptime, I heard a staff member make a comment to the infant child that was awake "the outside you never see." This is a violation of a requirement in GS 110-91(2);.0508(c). The infants were observed going outside during the visit when I arrived. Item 434- The materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. Outdoor spaces were observed and did not provide sufficient materials to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. This is a violation of a requirement in 10A NCAC 09 .0509(2). Additional materials have been purchased for the children to use while outdoors. I observed the administrator brought the portable equipment to the infant and one year old playground. The preschool playground has the mud kitchen, log steppers, and jeep. Ms. Virella brought out portable equipment at 10:55a. Item 705- Equipment and furnishings were not sturdy, stable and free of hazards. Outdoor space 1 the metal jeep steering wheel was broken and hanging loosely. This is a violation of a requirement in .0601(c). I observed the steering wheels were removed. Now it is just the metal anchors that are remaining. I recommend to remove the jeep or add a pool noodle over the anchors until new steering wheels are added. Item 807- A safe indoor and outdoor environment was not provided for the children. Outdoor space #1, a rope was tied from one side of the jeep to another at the back creating a choking hazard. A staff member removed the rope from the jeep during the visit. Outdoor #2, had four (4) wooden privacy panels laying in the walk way with sharp edges and screw showing. The gate on outdoor space #3 that leads to the neighboring business was unlocked and the gate latch was broken. This is a violation of a requirement in 10A NCAC 09 .0601(a). The rope was removed from the jeep during the 10/1/2025 visit. While monitoring outdoors today, I observed the wooden privacy panels with sharp edges and screws have been removed. The administrator added a carabiner to the broken gate latch during the visit. Item 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. Space #3 a child was observed holding an instant ice pack that contained a gel on the inside. This is a violation of a requirement in .2820(b). Hazardous products were stored appropriately during the visit. Today, I verified corrections of five (5) of the six (6) violations. A letter of compliance for the remaining violation is due on or before 10/15/2025. The following violations were documented during today’s visit: Violation Number Comment Rule 404 All staff did not wash their hands thoroughly after diapering each child. Space #4, while observing the staff member changing diapers, I observed the staff member did not wash their hands after changing a child’s diaper. The staff member went to assist with putting out cots 15A NCAC 18A .2803(a) 405 A child's hands were not washed after each diaper change. Space #4, while observing the staff member changing diapers, I observed the child did not wash their hands after the diaper change. The child went directly to their cot and laid down. 15A NCAC 18A .2803(c)(2) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Lunch consisted of chicken nuggets, peaches, beans, pita bread, and milk. The menu documented beef crumble, corn, mixed fruit, tortilla chips, cheese, salsa, and milk. The menu was not updated to reflect what was served prior to serving the children. 10A NCAC 09 .0901(b) 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. Space #5, one (1) outlet was observed uncovered and accessible to children 10A NCAC 09 .0604(c) Item #404- Space #4, while observing the staff member changing diapers, I observed the staff member did not wash their hands after changing a child’s diaper. The staff member went to assist with putting out cots. We discussed that staff must wash hands after each diaper change to prevent spreading any germs. Rule Reference: 15A NCAC 18A.2803(a) Item #405- Space #4, while observing the staff member changing diapers, I observed the child did not wash their hands after the diaper change. The child went directly to their cot and laid down. We discussed that children must wash hands after each diaper change to prevent spreading any germs. Rule Reference: 15A NCAC 18A.2803(c) Item #528- Lunch consisted of chicken nuggets, peaches, beans, pita bread, and milk. The menu documented beef crumble, corn, mixed fruit, tortilla chips, cheese, salsa, and milk. The menu was not updated to reflect what was served prior to serving the children. We discussed when the facility knows that the facility does not have enough of the item to serve. The kitchen staff need to notify the administrator and either the kitchen staff or the administrator will need to document the change on the menu posted in the lobby. Rule Reference: 10A NCAC 09 .0901(b) Item #812- Space #5, one (1) outlet was observed uncovered and accessible to children. The administrator covered the outlet with a safety outlet plug during the visit. We discussed conducting a classroom check daily to ensure all outlets are covered to ensure the safety of the children. Rule Reference: 10A NCAC 09.0604(c) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/27/2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: - Based on the nature of the violation that was cited on September 30, 2025, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required every four (4) to six (6) weeks. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0509 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: 0925-376L Visit Date: 10/13/2025 Number Present: 28 Completed Date: 10/13/2025 Age: From 0 To 6 Total Minutes: 200 Time In: 09:45 AM Time Out: 01:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced follow-up visit was to follow up on the nurture and care violation that was cited during the complaint visit on 10/1/2025. Please refer to the visit dated 10/1/2025 for full details regarding the violation cited. A computerized report of today’s visit was reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 10/8/2025. The program operates with a Five (5) Star Rated License, issued 9/1/2024. The permit restrictions were in compliance including first shift, meets enhanced ratios, meets enhanced space, and children under 2 ½ years old in rooms with direct exits only. Approved for NC Pre-K and Transportation. Group size, supervision, use of licensed space, space capacity, license restrictions, outdoor equipment, general safety, and nurture and care were monitored. The complaint was received by the Division of Child Development and Early Education on 9/26/2025 and sent to me on 9/26/2025. The initial visit was conducted on 10/1/2025. Today, I followed up with the administrator. The administrator stated that the NC Pre-K classroom facility is currently closed today for a teacher’s workday and school-age children are present in that classroom. Ms. Virella stated regarding the violation, for the broken gate latch, she has submitted work orders for it to be replaced. Supervision, the teachers call for administrator to walk with them out and they conduct a name to face count prior to leaving the classroom, entering the playground, and exiting the playground. A walkthrough of the indoor and outdoor environment was conducted. Space #1B, the group of infant- to one-year-old children were transitioning outdoors for gross motor play when I arrived. Once outside, the children engaged in playing with balls, trucks, blocks, and climber. After gross motor play, the group transitioned back to the classroom to wash hands and engage in free play. Space#4, the group of two-to-three-year-old were engaged in play with blocks, linking blocks, cash register and dramatic play. Then the group engaged in music and movement with the staff. When outdoor play concluded, the group transitioned indoors to wash hands. While monitoring indoors, one (1) outlet was observed uncovered and accessible to children. The administrator covered the outlet with a safety outlet plug during the visit. After lunch, the group was preparing for nap. One (1) staff was putting out cots, one (1) staff was changing diapers, one (1) staff member was assisting in the restroom. While observing the staff member changing diapers, I observed the staff member and the child did not wash their hands after the diaper change. The child went directly to their cot and laid down and the staff member went to assist with putting out cots. Space #5, the group of one-to-two-year-old children were engaged in free play with books, blocks, dramatic play. After free play, the group transitioned outdoors for gross motor play. Space #3, the group of four-to-six-year-old children were engaged in group activity on the carpet. After group activity the group prepared to transition outdoors for gross motor play. While outside, the group engaged in running around with the mud kitchen, steppers, and the jeep. At 10:55a, the administrator brought out the portable equipment for the children to engage in play with and reminded the staff members to bring the equipment when they transition outdoors. Space #2 is currently closed and being used as storage. We discussed while the classroom is being used as storage to keep the door closed to the lobby and ensure any hazardous products are stored appropriately if they are used in the storage room. If therapist use the storage room to work with children. They need to conduct a classroom safety check to ensure that hazardous items are stored appropriately, electrical outlets are covered, etc. Space #1A is currently closed. Space #6 is currently closed. The facility is looking to move the two-year-olds to this classroom and is in the process of repainting and making improvements to the classroom. Lunch consisted of chicken nuggets, peaches, beans, pita bread, and milk. The menu documented beef crumble, corn, mixed fruit, tortilla chips, cheese, salsa, and milk. The administrator updated the menu after the children were served to reflect what was served prior to serving the children. Item 303- Children were not adequately supervised at all times. Per staff interview, a four-year-old child was left unattended for less than five (5) minutes on September 18, 2025. This is a violation of a requirement in .1801(a)(1-5). During today’s visit, children were adequately supervised at all times. Item 410- Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. During naptime, I heard a staff member make a comment to the infant child that was awake "the outside you never see." This is a violation of a requirement in GS 110-91(2);.0508(c). The infants were observed going outside during the visit when I arrived. Item 434- The materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. Outdoor spaces were observed and did not provide sufficient materials to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. This is a violation of a requirement in 10A NCAC 09 .0509(2). Additional materials have been purchased for the children to use while outdoors. I observed the administrator brought the portable equipment to the infant and one year old playground. The preschool playground has the mud kitchen, log steppers, and jeep. Ms. Virella brought out portable equipment at 10:55a. Item 705- Equipment and furnishings were not sturdy, stable and free of hazards. Outdoor space 1 the metal jeep steering wheel was broken and hanging loosely. This is a violation of a requirement in .0601(c). I observed the steering wheels were removed. Now it is just the metal anchors that are remaining. I recommend to remove the jeep or add a pool noodle over the anchors until new steering wheels are added. Item 807- A safe indoor and outdoor environment was not provided for the children. Outdoor space #1, a rope was tied from one side of the jeep to another at the back creating a choking hazard. A staff member removed the rope from the jeep during the visit. Outdoor #2, had four (4) wooden privacy panels laying in the walk way with sharp edges and screw showing. The gate on outdoor space #3 that leads to the neighboring business was unlocked and the gate latch was broken. This is a violation of a requirement in 10A NCAC 09 .0601(a). The rope was removed from the jeep during the 10/1/2025 visit. While monitoring outdoors today, I observed the wooden privacy panels with sharp edges and screws have been removed. The administrator added a carabiner to the broken gate latch during the visit. Item 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. Space #3 a child was observed holding an instant ice pack that contained a gel on the inside. This is a violation of a requirement in .2820(b). Hazardous products were stored appropriately during the visit. Today, I verified corrections of five (5) of the six (6) violations. A letter of compliance for the remaining violation is due on or before 10/15/2025. The following violations were documented during today’s visit: Violation Number Comment Rule 404 All staff did not wash their hands thoroughly after diapering each child. Space #4, while observing the staff member changing diapers, I observed the staff member did not wash their hands after changing a child’s diaper. The staff member went to assist with putting out cots 15A NCAC 18A .2803(a) 405 A child's hands were not washed after each diaper change. Space #4, while observing the staff member changing diapers, I observed the child did not wash their hands after the diaper change. The child went directly to their cot and laid down. 15A NCAC 18A .2803(c)(2) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Lunch consisted of chicken nuggets, peaches, beans, pita bread, and milk. The menu documented beef crumble, corn, mixed fruit, tortilla chips, cheese, salsa, and milk. The menu was not updated to reflect what was served prior to serving the children. 10A NCAC 09 .0901(b) 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. Space #5, one (1) outlet was observed uncovered and accessible to children 10A NCAC 09 .0604(c) Item #404- Space #4, while observing the staff member changing diapers, I observed the staff member did not wash their hands after changing a child’s diaper. The staff member went to assist with putting out cots. We discussed that staff must wash hands after each diaper change to prevent spreading any germs. Rule Reference: 15A NCAC 18A.2803(a) Item #405- Space #4, while observing the staff member changing diapers, I observed the child did not wash their hands after the diaper change. The child went directly to their cot and laid down. We discussed that children must wash hands after each diaper change to prevent spreading any germs. Rule Reference: 15A NCAC 18A.2803(c) Item #528- Lunch consisted of chicken nuggets, peaches, beans, pita bread, and milk. The menu documented beef crumble, corn, mixed fruit, tortilla chips, cheese, salsa, and milk. The menu was not updated to reflect what was served prior to serving the children. We discussed when the facility knows that the facility does not have enough of the item to serve. The kitchen staff need to notify the administrator and either the kitchen staff or the administrator will need to document the change on the menu posted in the lobby. Rule Reference: 10A NCAC 09 .0901(b) Item #812- Space #5, one (1) outlet was observed uncovered and accessible to children. The administrator covered the outlet with a safety outlet plug during the visit. We discussed conducting a classroom check daily to ensure all outlets are covered to ensure the safety of the children. Rule Reference: 10A NCAC 09.0604(c) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/27/2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: - Based on the nature of the violation that was cited on September 30, 2025, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required every four (4) to six (6) weeks. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0601 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: 0925-376L Visit Date: 10/13/2025 Number Present: 28 Completed Date: 10/13/2025 Age: From 0 To 6 Total Minutes: 200 Time In: 09:45 AM Time Out: 01:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced follow-up visit was to follow up on the nurture and care violation that was cited during the complaint visit on 10/1/2025. Please refer to the visit dated 10/1/2025 for full details regarding the violation cited. A computerized report of today’s visit was reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 10/8/2025. The program operates with a Five (5) Star Rated License, issued 9/1/2024. The permit restrictions were in compliance including first shift, meets enhanced ratios, meets enhanced space, and children under 2 ½ years old in rooms with direct exits only. Approved for NC Pre-K and Transportation. Group size, supervision, use of licensed space, space capacity, license restrictions, outdoor equipment, general safety, and nurture and care were monitored. The complaint was received by the Division of Child Development and Early Education on 9/26/2025 and sent to me on 9/26/2025. The initial visit was conducted on 10/1/2025. Today, I followed up with the administrator. The administrator stated that the NC Pre-K classroom facility is currently closed today for a teacher’s workday and school-age children are present in that classroom. Ms. Virella stated regarding the violation, for the broken gate latch, she has submitted work orders for it to be replaced. Supervision, the teachers call for administrator to walk with them out and they conduct a name to face count prior to leaving the classroom, entering the playground, and exiting the playground. A walkthrough of the indoor and outdoor environment was conducted. Space #1B, the group of infant- to one-year-old children were transitioning outdoors for gross motor play when I arrived. Once outside, the children engaged in playing with balls, trucks, blocks, and climber. After gross motor play, the group transitioned back to the classroom to wash hands and engage in free play. Space#4, the group of two-to-three-year-old were engaged in play with blocks, linking blocks, cash register and dramatic play. Then the group engaged in music and movement with the staff. When outdoor play concluded, the group transitioned indoors to wash hands. While monitoring indoors, one (1) outlet was observed uncovered and accessible to children. The administrator covered the outlet with a safety outlet plug during the visit. After lunch, the group was preparing for nap. One (1) staff was putting out cots, one (1) staff was changing diapers, one (1) staff member was assisting in the restroom. While observing the staff member changing diapers, I observed the staff member and the child did not wash their hands after the diaper change. The child went directly to their cot and laid down and the staff member went to assist with putting out cots. Space #5, the group of one-to-two-year-old children were engaged in free play with books, blocks, dramatic play. After free play, the group transitioned outdoors for gross motor play. Space #3, the group of four-to-six-year-old children were engaged in group activity on the carpet. After group activity the group prepared to transition outdoors for gross motor play. While outside, the group engaged in running around with the mud kitchen, steppers, and the jeep. At 10:55a, the administrator brought out the portable equipment for the children to engage in play with and reminded the staff members to bring the equipment when they transition outdoors. Space #2 is currently closed and being used as storage. We discussed while the classroom is being used as storage to keep the door closed to the lobby and ensure any hazardous products are stored appropriately if they are used in the storage room. If therapist use the storage room to work with children. They need to conduct a classroom safety check to ensure that hazardous items are stored appropriately, electrical outlets are covered, etc. Space #1A is currently closed. Space #6 is currently closed. The facility is looking to move the two-year-olds to this classroom and is in the process of repainting and making improvements to the classroom. Lunch consisted of chicken nuggets, peaches, beans, pita bread, and milk. The menu documented beef crumble, corn, mixed fruit, tortilla chips, cheese, salsa, and milk. The administrator updated the menu after the children were served to reflect what was served prior to serving the children. Item 303- Children were not adequately supervised at all times. Per staff interview, a four-year-old child was left unattended for less than five (5) minutes on September 18, 2025. This is a violation of a requirement in .1801(a)(1-5). During today’s visit, children were adequately supervised at all times. Item 410- Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. During naptime, I heard a staff member make a comment to the infant child that was awake "the outside you never see." This is a violation of a requirement in GS 110-91(2);.0508(c). The infants were observed going outside during the visit when I arrived. Item 434- The materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. Outdoor spaces were observed and did not provide sufficient materials to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. This is a violation of a requirement in 10A NCAC 09 .0509(2). Additional materials have been purchased for the children to use while outdoors. I observed the administrator brought the portable equipment to the infant and one year old playground. The preschool playground has the mud kitchen, log steppers, and jeep. Ms. Virella brought out portable equipment at 10:55a. Item 705- Equipment and furnishings were not sturdy, stable and free of hazards. Outdoor space 1 the metal jeep steering wheel was broken and hanging loosely. This is a violation of a requirement in .0601(c). I observed the steering wheels were removed. Now it is just the metal anchors that are remaining. I recommend to remove the jeep or add a pool noodle over the anchors until new steering wheels are added. Item 807- A safe indoor and outdoor environment was not provided for the children. Outdoor space #1, a rope was tied from one side of the jeep to another at the back creating a choking hazard. A staff member removed the rope from the jeep during the visit. Outdoor #2, had four (4) wooden privacy panels laying in the walk way with sharp edges and screw showing. The gate on outdoor space #3 that leads to the neighboring business was unlocked and the gate latch was broken. This is a violation of a requirement in 10A NCAC 09 .0601(a). The rope was removed from the jeep during the 10/1/2025 visit. While monitoring outdoors today, I observed the wooden privacy panels with sharp edges and screws have been removed. The administrator added a carabiner to the broken gate latch during the visit. Item 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. Space #3 a child was observed holding an instant ice pack that contained a gel on the inside. This is a violation of a requirement in .2820(b). Hazardous products were stored appropriately during the visit. Today, I verified corrections of five (5) of the six (6) violations. A letter of compliance for the remaining violation is due on or before 10/15/2025. The following violations were documented during today’s visit: Violation Number Comment Rule 404 All staff did not wash their hands thoroughly after diapering each child. Space #4, while observing the staff member changing diapers, I observed the staff member did not wash their hands after changing a child’s diaper. The staff member went to assist with putting out cots 15A NCAC 18A .2803(a) 405 A child's hands were not washed after each diaper change. Space #4, while observing the staff member changing diapers, I observed the child did not wash their hands after the diaper change. The child went directly to their cot and laid down. 15A NCAC 18A .2803(c)(2) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Lunch consisted of chicken nuggets, peaches, beans, pita bread, and milk. The menu documented beef crumble, corn, mixed fruit, tortilla chips, cheese, salsa, and milk. The menu was not updated to reflect what was served prior to serving the children. 10A NCAC 09 .0901(b) 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. Space #5, one (1) outlet was observed uncovered and accessible to children 10A NCAC 09 .0604(c) Item #404- Space #4, while observing the staff member changing diapers, I observed the staff member did not wash their hands after changing a child’s diaper. The staff member went to assist with putting out cots. We discussed that staff must wash hands after each diaper change to prevent spreading any germs. Rule Reference: 15A NCAC 18A.2803(a) Item #405- Space #4, while observing the staff member changing diapers, I observed the child did not wash their hands after the diaper change. The child went directly to their cot and laid down. We discussed that children must wash hands after each diaper change to prevent spreading any germs. Rule Reference: 15A NCAC 18A.2803(c) Item #528- Lunch consisted of chicken nuggets, peaches, beans, pita bread, and milk. The menu documented beef crumble, corn, mixed fruit, tortilla chips, cheese, salsa, and milk. The menu was not updated to reflect what was served prior to serving the children. We discussed when the facility knows that the facility does not have enough of the item to serve. The kitchen staff need to notify the administrator and either the kitchen staff or the administrator will need to document the change on the menu posted in the lobby. Rule Reference: 10A NCAC 09 .0901(b) Item #812- Space #5, one (1) outlet was observed uncovered and accessible to children. The administrator covered the outlet with a safety outlet plug during the visit. We discussed conducting a classroom check daily to ensure all outlets are covered to ensure the safety of the children. Rule Reference: 10A NCAC 09.0604(c) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/27/2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: - Based on the nature of the violation that was cited on September 30, 2025, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required every four (4) to six (6) weeks. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0901 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: 0925-376L Visit Date: 10/13/2025 Number Present: 28 Completed Date: 10/13/2025 Age: From 0 To 6 Total Minutes: 200 Time In: 09:45 AM Time Out: 01:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced follow-up visit was to follow up on the nurture and care violation that was cited during the complaint visit on 10/1/2025. Please refer to the visit dated 10/1/2025 for full details regarding the violation cited. A computerized report of today’s visit was reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 10/8/2025. The program operates with a Five (5) Star Rated License, issued 9/1/2024. The permit restrictions were in compliance including first shift, meets enhanced ratios, meets enhanced space, and children under 2 ½ years old in rooms with direct exits only. Approved for NC Pre-K and Transportation. Group size, supervision, use of licensed space, space capacity, license restrictions, outdoor equipment, general safety, and nurture and care were monitored. The complaint was received by the Division of Child Development and Early Education on 9/26/2025 and sent to me on 9/26/2025. The initial visit was conducted on 10/1/2025. Today, I followed up with the administrator. The administrator stated that the NC Pre-K classroom facility is currently closed today for a teacher’s workday and school-age children are present in that classroom. Ms. Virella stated regarding the violation, for the broken gate latch, she has submitted work orders for it to be replaced. Supervision, the teachers call for administrator to walk with them out and they conduct a name to face count prior to leaving the classroom, entering the playground, and exiting the playground. A walkthrough of the indoor and outdoor environment was conducted. Space #1B, the group of infant- to one-year-old children were transitioning outdoors for gross motor play when I arrived. Once outside, the children engaged in playing with balls, trucks, blocks, and climber. After gross motor play, the group transitioned back to the classroom to wash hands and engage in free play. Space#4, the group of two-to-three-year-old were engaged in play with blocks, linking blocks, cash register and dramatic play. Then the group engaged in music and movement with the staff. When outdoor play concluded, the group transitioned indoors to wash hands. While monitoring indoors, one (1) outlet was observed uncovered and accessible to children. The administrator covered the outlet with a safety outlet plug during the visit. After lunch, the group was preparing for nap. One (1) staff was putting out cots, one (1) staff was changing diapers, one (1) staff member was assisting in the restroom. While observing the staff member changing diapers, I observed the staff member and the child did not wash their hands after the diaper change. The child went directly to their cot and laid down and the staff member went to assist with putting out cots. Space #5, the group of one-to-two-year-old children were engaged in free play with books, blocks, dramatic play. After free play, the group transitioned outdoors for gross motor play. Space #3, the group of four-to-six-year-old children were engaged in group activity on the carpet. After group activity the group prepared to transition outdoors for gross motor play. While outside, the group engaged in running around with the mud kitchen, steppers, and the jeep. At 10:55a, the administrator brought out the portable equipment for the children to engage in play with and reminded the staff members to bring the equipment when they transition outdoors. Space #2 is currently closed and being used as storage. We discussed while the classroom is being used as storage to keep the door closed to the lobby and ensure any hazardous products are stored appropriately if they are used in the storage room. If therapist use the storage room to work with children. They need to conduct a classroom safety check to ensure that hazardous items are stored appropriately, electrical outlets are covered, etc. Space #1A is currently closed. Space #6 is currently closed. The facility is looking to move the two-year-olds to this classroom and is in the process of repainting and making improvements to the classroom. Lunch consisted of chicken nuggets, peaches, beans, pita bread, and milk. The menu documented beef crumble, corn, mixed fruit, tortilla chips, cheese, salsa, and milk. The administrator updated the menu after the children were served to reflect what was served prior to serving the children. Item 303- Children were not adequately supervised at all times. Per staff interview, a four-year-old child was left unattended for less than five (5) minutes on September 18, 2025. This is a violation of a requirement in .1801(a)(1-5). During today’s visit, children were adequately supervised at all times. Item 410- Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. During naptime, I heard a staff member make a comment to the infant child that was awake "the outside you never see." This is a violation of a requirement in GS 110-91(2);.0508(c). The infants were observed going outside during the visit when I arrived. Item 434- The materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. Outdoor spaces were observed and did not provide sufficient materials to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. This is a violation of a requirement in 10A NCAC 09 .0509(2). Additional materials have been purchased for the children to use while outdoors. I observed the administrator brought the portable equipment to the infant and one year old playground. The preschool playground has the mud kitchen, log steppers, and jeep. Ms. Virella brought out portable equipment at 10:55a. Item 705- Equipment and furnishings were not sturdy, stable and free of hazards. Outdoor space 1 the metal jeep steering wheel was broken and hanging loosely. This is a violation of a requirement in .0601(c). I observed the steering wheels were removed. Now it is just the metal anchors that are remaining. I recommend to remove the jeep or add a pool noodle over the anchors until new steering wheels are added. Item 807- A safe indoor and outdoor environment was not provided for the children. Outdoor space #1, a rope was tied from one side of the jeep to another at the back creating a choking hazard. A staff member removed the rope from the jeep during the visit. Outdoor #2, had four (4) wooden privacy panels laying in the walk way with sharp edges and screw showing. The gate on outdoor space #3 that leads to the neighboring business was unlocked and the gate latch was broken. This is a violation of a requirement in 10A NCAC 09 .0601(a). The rope was removed from the jeep during the 10/1/2025 visit. While monitoring outdoors today, I observed the wooden privacy panels with sharp edges and screws have been removed. The administrator added a carabiner to the broken gate latch during the visit. Item 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. Space #3 a child was observed holding an instant ice pack that contained a gel on the inside. This is a violation of a requirement in .2820(b). Hazardous products were stored appropriately during the visit. Today, I verified corrections of five (5) of the six (6) violations. A letter of compliance for the remaining violation is due on or before 10/15/2025. The following violations were documented during today’s visit: Violation Number Comment Rule 404 All staff did not wash their hands thoroughly after diapering each child. Space #4, while observing the staff member changing diapers, I observed the staff member did not wash their hands after changing a child’s diaper. The staff member went to assist with putting out cots 15A NCAC 18A .2803(a) 405 A child's hands were not washed after each diaper change. Space #4, while observing the staff member changing diapers, I observed the child did not wash their hands after the diaper change. The child went directly to their cot and laid down. 15A NCAC 18A .2803(c)(2) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Lunch consisted of chicken nuggets, peaches, beans, pita bread, and milk. The menu documented beef crumble, corn, mixed fruit, tortilla chips, cheese, salsa, and milk. The menu was not updated to reflect what was served prior to serving the children. 10A NCAC 09 .0901(b) 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. Space #5, one (1) outlet was observed uncovered and accessible to children 10A NCAC 09 .0604(c) Item #404- Space #4, while observing the staff member changing diapers, I observed the staff member did not wash their hands after changing a child’s diaper. The staff member went to assist with putting out cots. We discussed that staff must wash hands after each diaper change to prevent spreading any germs. Rule Reference: 15A NCAC 18A.2803(a) Item #405- Space #4, while observing the staff member changing diapers, I observed the child did not wash their hands after the diaper change. The child went directly to their cot and laid down. We discussed that children must wash hands after each diaper change to prevent spreading any germs. Rule Reference: 15A NCAC 18A.2803(c) Item #528- Lunch consisted of chicken nuggets, peaches, beans, pita bread, and milk. The menu documented beef crumble, corn, mixed fruit, tortilla chips, cheese, salsa, and milk. The menu was not updated to reflect what was served prior to serving the children. We discussed when the facility knows that the facility does not have enough of the item to serve. The kitchen staff need to notify the administrator and either the kitchen staff or the administrator will need to document the change on the menu posted in the lobby. Rule Reference: 10A NCAC 09 .0901(b) Item #812- Space #5, one (1) outlet was observed uncovered and accessible to children. The administrator covered the outlet with a safety outlet plug during the visit. We discussed conducting a classroom check daily to ensure all outlets are covered to ensure the safety of the children. Rule Reference: 10A NCAC 09.0604(c) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/27/2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: - Based on the nature of the violation that was cited on September 30, 2025, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required every four (4) to six (6) weeks. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .2201 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: 0925-376L Visit Date: 10/13/2025 Number Present: 28 Completed Date: 10/13/2025 Age: From 0 To 6 Total Minutes: 200 Time In: 09:45 AM Time Out: 01:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced follow-up visit was to follow up on the nurture and care violation that was cited during the complaint visit on 10/1/2025. Please refer to the visit dated 10/1/2025 for full details regarding the violation cited. A computerized report of today’s visit was reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 10/8/2025. The program operates with a Five (5) Star Rated License, issued 9/1/2024. The permit restrictions were in compliance including first shift, meets enhanced ratios, meets enhanced space, and children under 2 ½ years old in rooms with direct exits only. Approved for NC Pre-K and Transportation. Group size, supervision, use of licensed space, space capacity, license restrictions, outdoor equipment, general safety, and nurture and care were monitored. The complaint was received by the Division of Child Development and Early Education on 9/26/2025 and sent to me on 9/26/2025. The initial visit was conducted on 10/1/2025. Today, I followed up with the administrator. The administrator stated that the NC Pre-K classroom facility is currently closed today for a teacher’s workday and school-age children are present in that classroom. Ms. Virella stated regarding the violation, for the broken gate latch, she has submitted work orders for it to be replaced. Supervision, the teachers call for administrator to walk with them out and they conduct a name to face count prior to leaving the classroom, entering the playground, and exiting the playground. A walkthrough of the indoor and outdoor environment was conducted. Space #1B, the group of infant- to one-year-old children were transitioning outdoors for gross motor play when I arrived. Once outside, the children engaged in playing with balls, trucks, blocks, and climber. After gross motor play, the group transitioned back to the classroom to wash hands and engage in free play. Space#4, the group of two-to-three-year-old were engaged in play with blocks, linking blocks, cash register and dramatic play. Then the group engaged in music and movement with the staff. When outdoor play concluded, the group transitioned indoors to wash hands. While monitoring indoors, one (1) outlet was observed uncovered and accessible to children. The administrator covered the outlet with a safety outlet plug during the visit. After lunch, the group was preparing for nap. One (1) staff was putting out cots, one (1) staff was changing diapers, one (1) staff member was assisting in the restroom. While observing the staff member changing diapers, I observed the staff member and the child did not wash their hands after the diaper change. The child went directly to their cot and laid down and the staff member went to assist with putting out cots. Space #5, the group of one-to-two-year-old children were engaged in free play with books, blocks, dramatic play. After free play, the group transitioned outdoors for gross motor play. Space #3, the group of four-to-six-year-old children were engaged in group activity on the carpet. After group activity the group prepared to transition outdoors for gross motor play. While outside, the group engaged in running around with the mud kitchen, steppers, and the jeep. At 10:55a, the administrator brought out the portable equipment for the children to engage in play with and reminded the staff members to bring the equipment when they transition outdoors. Space #2 is currently closed and being used as storage. We discussed while the classroom is being used as storage to keep the door closed to the lobby and ensure any hazardous products are stored appropriately if they are used in the storage room. If therapist use the storage room to work with children. They need to conduct a classroom safety check to ensure that hazardous items are stored appropriately, electrical outlets are covered, etc. Space #1A is currently closed. Space #6 is currently closed. The facility is looking to move the two-year-olds to this classroom and is in the process of repainting and making improvements to the classroom. Lunch consisted of chicken nuggets, peaches, beans, pita bread, and milk. The menu documented beef crumble, corn, mixed fruit, tortilla chips, cheese, salsa, and milk. The administrator updated the menu after the children were served to reflect what was served prior to serving the children. Item 303- Children were not adequately supervised at all times. Per staff interview, a four-year-old child was left unattended for less than five (5) minutes on September 18, 2025. This is a violation of a requirement in .1801(a)(1-5). During today’s visit, children were adequately supervised at all times. Item 410- Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. During naptime, I heard a staff member make a comment to the infant child that was awake "the outside you never see." This is a violation of a requirement in GS 110-91(2);.0508(c). The infants were observed going outside during the visit when I arrived. Item 434- The materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. Outdoor spaces were observed and did not provide sufficient materials to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. This is a violation of a requirement in 10A NCAC 09 .0509(2). Additional materials have been purchased for the children to use while outdoors. I observed the administrator brought the portable equipment to the infant and one year old playground. The preschool playground has the mud kitchen, log steppers, and jeep. Ms. Virella brought out portable equipment at 10:55a. Item 705- Equipment and furnishings were not sturdy, stable and free of hazards. Outdoor space 1 the metal jeep steering wheel was broken and hanging loosely. This is a violation of a requirement in .0601(c). I observed the steering wheels were removed. Now it is just the metal anchors that are remaining. I recommend to remove the jeep or add a pool noodle over the anchors until new steering wheels are added. Item 807- A safe indoor and outdoor environment was not provided for the children. Outdoor space #1, a rope was tied from one side of the jeep to another at the back creating a choking hazard. A staff member removed the rope from the jeep during the visit. Outdoor #2, had four (4) wooden privacy panels laying in the walk way with sharp edges and screw showing. The gate on outdoor space #3 that leads to the neighboring business was unlocked and the gate latch was broken. This is a violation of a requirement in 10A NCAC 09 .0601(a). The rope was removed from the jeep during the 10/1/2025 visit. While monitoring outdoors today, I observed the wooden privacy panels with sharp edges and screws have been removed. The administrator added a carabiner to the broken gate latch during the visit. Item 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. Space #3 a child was observed holding an instant ice pack that contained a gel on the inside. This is a violation of a requirement in .2820(b). Hazardous products were stored appropriately during the visit. Today, I verified corrections of five (5) of the six (6) violations. A letter of compliance for the remaining violation is due on or before 10/15/2025. The following violations were documented during today’s visit: Violation Number Comment Rule 404 All staff did not wash their hands thoroughly after diapering each child. Space #4, while observing the staff member changing diapers, I observed the staff member did not wash their hands after changing a child’s diaper. The staff member went to assist with putting out cots 15A NCAC 18A .2803(a) 405 A child's hands were not washed after each diaper change. Space #4, while observing the staff member changing diapers, I observed the child did not wash their hands after the diaper change. The child went directly to their cot and laid down. 15A NCAC 18A .2803(c)(2) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Lunch consisted of chicken nuggets, peaches, beans, pita bread, and milk. The menu documented beef crumble, corn, mixed fruit, tortilla chips, cheese, salsa, and milk. The menu was not updated to reflect what was served prior to serving the children. 10A NCAC 09 .0901(b) 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. Space #5, one (1) outlet was observed uncovered and accessible to children 10A NCAC 09 .0604(c) Item #404- Space #4, while observing the staff member changing diapers, I observed the staff member did not wash their hands after changing a child’s diaper. The staff member went to assist with putting out cots. We discussed that staff must wash hands after each diaper change to prevent spreading any germs. Rule Reference: 15A NCAC 18A.2803(a) Item #405- Space #4, while observing the staff member changing diapers, I observed the child did not wash their hands after the diaper change. The child went directly to their cot and laid down. We discussed that children must wash hands after each diaper change to prevent spreading any germs. Rule Reference: 15A NCAC 18A.2803(c) Item #528- Lunch consisted of chicken nuggets, peaches, beans, pita bread, and milk. The menu documented beef crumble, corn, mixed fruit, tortilla chips, cheese, salsa, and milk. The menu was not updated to reflect what was served prior to serving the children. We discussed when the facility knows that the facility does not have enough of the item to serve. The kitchen staff need to notify the administrator and either the kitchen staff or the administrator will need to document the change on the menu posted in the lobby. Rule Reference: 10A NCAC 09 .0901(b) Item #812- Space #5, one (1) outlet was observed uncovered and accessible to children. The administrator covered the outlet with a safety outlet plug during the visit. We discussed conducting a classroom check daily to ensure all outlets are covered to ensure the safety of the children. Rule Reference: 10A NCAC 09.0604(c) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/27/2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: - Based on the nature of the violation that was cited on September 30, 2025, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required every four (4) to six (6) weeks. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 09.0604 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: 0925-376L Visit Date: 10/13/2025 Number Present: 28 Completed Date: 10/13/2025 Age: From 0 To 6 Total Minutes: 200 Time In: 09:45 AM Time Out: 01:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced follow-up visit was to follow up on the nurture and care violation that was cited during the complaint visit on 10/1/2025. Please refer to the visit dated 10/1/2025 for full details regarding the violation cited. A computerized report of today’s visit was reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 10/8/2025. The program operates with a Five (5) Star Rated License, issued 9/1/2024. The permit restrictions were in compliance including first shift, meets enhanced ratios, meets enhanced space, and children under 2 ½ years old in rooms with direct exits only. Approved for NC Pre-K and Transportation. Group size, supervision, use of licensed space, space capacity, license restrictions, outdoor equipment, general safety, and nurture and care were monitored. The complaint was received by the Division of Child Development and Early Education on 9/26/2025 and sent to me on 9/26/2025. The initial visit was conducted on 10/1/2025. Today, I followed up with the administrator. The administrator stated that the NC Pre-K classroom facility is currently closed today for a teacher’s workday and school-age children are present in that classroom. Ms. Virella stated regarding the violation, for the broken gate latch, she has submitted work orders for it to be replaced. Supervision, the teachers call for administrator to walk with them out and they conduct a name to face count prior to leaving the classroom, entering the playground, and exiting the playground. A walkthrough of the indoor and outdoor environment was conducted. Space #1B, the group of infant- to one-year-old children were transitioning outdoors for gross motor play when I arrived. Once outside, the children engaged in playing with balls, trucks, blocks, and climber. After gross motor play, the group transitioned back to the classroom to wash hands and engage in free play. Space#4, the group of two-to-three-year-old were engaged in play with blocks, linking blocks, cash register and dramatic play. Then the group engaged in music and movement with the staff. When outdoor play concluded, the group transitioned indoors to wash hands. While monitoring indoors, one (1) outlet was observed uncovered and accessible to children. The administrator covered the outlet with a safety outlet plug during the visit. After lunch, the group was preparing for nap. One (1) staff was putting out cots, one (1) staff was changing diapers, one (1) staff member was assisting in the restroom. While observing the staff member changing diapers, I observed the staff member and the child did not wash their hands after the diaper change. The child went directly to their cot and laid down and the staff member went to assist with putting out cots. Space #5, the group of one-to-two-year-old children were engaged in free play with books, blocks, dramatic play. After free play, the group transitioned outdoors for gross motor play. Space #3, the group of four-to-six-year-old children were engaged in group activity on the carpet. After group activity the group prepared to transition outdoors for gross motor play. While outside, the group engaged in running around with the mud kitchen, steppers, and the jeep. At 10:55a, the administrator brought out the portable equipment for the children to engage in play with and reminded the staff members to bring the equipment when they transition outdoors. Space #2 is currently closed and being used as storage. We discussed while the classroom is being used as storage to keep the door closed to the lobby and ensure any hazardous products are stored appropriately if they are used in the storage room. If therapist use the storage room to work with children. They need to conduct a classroom safety check to ensure that hazardous items are stored appropriately, electrical outlets are covered, etc. Space #1A is currently closed. Space #6 is currently closed. The facility is looking to move the two-year-olds to this classroom and is in the process of repainting and making improvements to the classroom. Lunch consisted of chicken nuggets, peaches, beans, pita bread, and milk. The menu documented beef crumble, corn, mixed fruit, tortilla chips, cheese, salsa, and milk. The administrator updated the menu after the children were served to reflect what was served prior to serving the children. Item 303- Children were not adequately supervised at all times. Per staff interview, a four-year-old child was left unattended for less than five (5) minutes on September 18, 2025. This is a violation of a requirement in .1801(a)(1-5). During today’s visit, children were adequately supervised at all times. Item 410- Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. During naptime, I heard a staff member make a comment to the infant child that was awake "the outside you never see." This is a violation of a requirement in GS 110-91(2);.0508(c). The infants were observed going outside during the visit when I arrived. Item 434- The materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. Outdoor spaces were observed and did not provide sufficient materials to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. This is a violation of a requirement in 10A NCAC 09 .0509(2). Additional materials have been purchased for the children to use while outdoors. I observed the administrator brought the portable equipment to the infant and one year old playground. The preschool playground has the mud kitchen, log steppers, and jeep. Ms. Virella brought out portable equipment at 10:55a. Item 705- Equipment and furnishings were not sturdy, stable and free of hazards. Outdoor space 1 the metal jeep steering wheel was broken and hanging loosely. This is a violation of a requirement in .0601(c). I observed the steering wheels were removed. Now it is just the metal anchors that are remaining. I recommend to remove the jeep or add a pool noodle over the anchors until new steering wheels are added. Item 807- A safe indoor and outdoor environment was not provided for the children. Outdoor space #1, a rope was tied from one side of the jeep to another at the back creating a choking hazard. A staff member removed the rope from the jeep during the visit. Outdoor #2, had four (4) wooden privacy panels laying in the walk way with sharp edges and screw showing. The gate on outdoor space #3 that leads to the neighboring business was unlocked and the gate latch was broken. This is a violation of a requirement in 10A NCAC 09 .0601(a). The rope was removed from the jeep during the 10/1/2025 visit. While monitoring outdoors today, I observed the wooden privacy panels with sharp edges and screws have been removed. The administrator added a carabiner to the broken gate latch during the visit. Item 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. Space #3 a child was observed holding an instant ice pack that contained a gel on the inside. This is a violation of a requirement in .2820(b). Hazardous products were stored appropriately during the visit. Today, I verified corrections of five (5) of the six (6) violations. A letter of compliance for the remaining violation is due on or before 10/15/2025. The following violations were documented during today’s visit: Violation Number Comment Rule 404 All staff did not wash their hands thoroughly after diapering each child. Space #4, while observing the staff member changing diapers, I observed the staff member did not wash their hands after changing a child’s diaper. The staff member went to assist with putting out cots 15A NCAC 18A .2803(a) 405 A child's hands were not washed after each diaper change. Space #4, while observing the staff member changing diapers, I observed the child did not wash their hands after the diaper change. The child went directly to their cot and laid down. 15A NCAC 18A .2803(c)(2) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Lunch consisted of chicken nuggets, peaches, beans, pita bread, and milk. The menu documented beef crumble, corn, mixed fruit, tortilla chips, cheese, salsa, and milk. The menu was not updated to reflect what was served prior to serving the children. 10A NCAC 09 .0901(b) 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. Space #5, one (1) outlet was observed uncovered and accessible to children 10A NCAC 09 .0604(c) Item #404- Space #4, while observing the staff member changing diapers, I observed the staff member did not wash their hands after changing a child’s diaper. The staff member went to assist with putting out cots. We discussed that staff must wash hands after each diaper change to prevent spreading any germs. Rule Reference: 15A NCAC 18A.2803(a) Item #405- Space #4, while observing the staff member changing diapers, I observed the child did not wash their hands after the diaper change. The child went directly to their cot and laid down. We discussed that children must wash hands after each diaper change to prevent spreading any germs. Rule Reference: 15A NCAC 18A.2803(c) Item #528- Lunch consisted of chicken nuggets, peaches, beans, pita bread, and milk. The menu documented beef crumble, corn, mixed fruit, tortilla chips, cheese, salsa, and milk. The menu was not updated to reflect what was served prior to serving the children. We discussed when the facility knows that the facility does not have enough of the item to serve. The kitchen staff need to notify the administrator and either the kitchen staff or the administrator will need to document the change on the menu posted in the lobby. Rule Reference: 10A NCAC 09 .0901(b) Item #812- Space #5, one (1) outlet was observed uncovered and accessible to children. The administrator covered the outlet with a safety outlet plug during the visit. We discussed conducting a classroom check daily to ensure all outlets are covered to ensure the safety of the children. Rule Reference: 10A NCAC 09.0604(c) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/27/2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: - Based on the nature of the violation that was cited on September 30, 2025, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required every four (4) to six (6) weeks. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: 0925-376L Visit Date: 10/13/2025 Number Present: 28 Completed Date: 10/13/2025 Age: From 0 To 6 Total Minutes: 200 Time In: 09:45 AM Time Out: 01:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced follow-up visit was to follow up on the nurture and care violation that was cited during the complaint visit on 10/1/2025. Please refer to the visit dated 10/1/2025 for full details regarding the violation cited. A computerized report of today’s visit was reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 10/8/2025. The program operates with a Five (5) Star Rated License, issued 9/1/2024. The permit restrictions were in compliance including first shift, meets enhanced ratios, meets enhanced space, and children under 2 ½ years old in rooms with direct exits only. Approved for NC Pre-K and Transportation. Group size, supervision, use of licensed space, space capacity, license restrictions, outdoor equipment, general safety, and nurture and care were monitored. The complaint was received by the Division of Child Development and Early Education on 9/26/2025 and sent to me on 9/26/2025. The initial visit was conducted on 10/1/2025. Today, I followed up with the administrator. The administrator stated that the NC Pre-K classroom facility is currently closed today for a teacher’s workday and school-age children are present in that classroom. Ms. Virella stated regarding the violation, for the broken gate latch, she has submitted work orders for it to be replaced. Supervision, the teachers call for administrator to walk with them out and they conduct a name to face count prior to leaving the classroom, entering the playground, and exiting the playground. A walkthrough of the indoor and outdoor environment was conducted. Space #1B, the group of infant- to one-year-old children were transitioning outdoors for gross motor play when I arrived. Once outside, the children engaged in playing with balls, trucks, blocks, and climber. After gross motor play, the group transitioned back to the classroom to wash hands and engage in free play. Space#4, the group of two-to-three-year-old were engaged in play with blocks, linking blocks, cash register and dramatic play. Then the group engaged in music and movement with the staff. When outdoor play concluded, the group transitioned indoors to wash hands. While monitoring indoors, one (1) outlet was observed uncovered and accessible to children. The administrator covered the outlet with a safety outlet plug during the visit. After lunch, the group was preparing for nap. One (1) staff was putting out cots, one (1) staff was changing diapers, one (1) staff member was assisting in the restroom. While observing the staff member changing diapers, I observed the staff member and the child did not wash their hands after the diaper change. The child went directly to their cot and laid down and the staff member went to assist with putting out cots. Space #5, the group of one-to-two-year-old children were engaged in free play with books, blocks, dramatic play. After free play, the group transitioned outdoors for gross motor play. Space #3, the group of four-to-six-year-old children were engaged in group activity on the carpet. After group activity the group prepared to transition outdoors for gross motor play. While outside, the group engaged in running around with the mud kitchen, steppers, and the jeep. At 10:55a, the administrator brought out the portable equipment for the children to engage in play with and reminded the staff members to bring the equipment when they transition outdoors. Space #2 is currently closed and being used as storage. We discussed while the classroom is being used as storage to keep the door closed to the lobby and ensure any hazardous products are stored appropriately if they are used in the storage room. If therapist use the storage room to work with children. They need to conduct a classroom safety check to ensure that hazardous items are stored appropriately, electrical outlets are covered, etc. Space #1A is currently closed. Space #6 is currently closed. The facility is looking to move the two-year-olds to this classroom and is in the process of repainting and making improvements to the classroom. Lunch consisted of chicken nuggets, peaches, beans, pita bread, and milk. The menu documented beef crumble, corn, mixed fruit, tortilla chips, cheese, salsa, and milk. The administrator updated the menu after the children were served to reflect what was served prior to serving the children. Item 303- Children were not adequately supervised at all times. Per staff interview, a four-year-old child was left unattended for less than five (5) minutes on September 18, 2025. This is a violation of a requirement in .1801(a)(1-5). During today’s visit, children were adequately supervised at all times. Item 410- Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. During naptime, I heard a staff member make a comment to the infant child that was awake "the outside you never see." This is a violation of a requirement in GS 110-91(2);.0508(c). The infants were observed going outside during the visit when I arrived. Item 434- The materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. Outdoor spaces were observed and did not provide sufficient materials to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. This is a violation of a requirement in 10A NCAC 09 .0509(2). Additional materials have been purchased for the children to use while outdoors. I observed the administrator brought the portable equipment to the infant and one year old playground. The preschool playground has the mud kitchen, log steppers, and jeep. Ms. Virella brought out portable equipment at 10:55a. Item 705- Equipment and furnishings were not sturdy, stable and free of hazards. Outdoor space 1 the metal jeep steering wheel was broken and hanging loosely. This is a violation of a requirement in .0601(c). I observed the steering wheels were removed. Now it is just the metal anchors that are remaining. I recommend to remove the jeep or add a pool noodle over the anchors until new steering wheels are added. Item 807- A safe indoor and outdoor environment was not provided for the children. Outdoor space #1, a rope was tied from one side of the jeep to another at the back creating a choking hazard. A staff member removed the rope from the jeep during the visit. Outdoor #2, had four (4) wooden privacy panels laying in the walk way with sharp edges and screw showing. The gate on outdoor space #3 that leads to the neighboring business was unlocked and the gate latch was broken. This is a violation of a requirement in 10A NCAC 09 .0601(a). The rope was removed from the jeep during the 10/1/2025 visit. While monitoring outdoors today, I observed the wooden privacy panels with sharp edges and screws have been removed. The administrator added a carabiner to the broken gate latch during the visit. Item 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. Space #3 a child was observed holding an instant ice pack that contained a gel on the inside. This is a violation of a requirement in .2820(b). Hazardous products were stored appropriately during the visit. Today, I verified corrections of five (5) of the six (6) violations. A letter of compliance for the remaining violation is due on or before 10/15/2025. The following violations were documented during today’s visit: Violation Number Comment Rule 404 All staff did not wash their hands thoroughly after diapering each child. Space #4, while observing the staff member changing diapers, I observed the staff member did not wash their hands after changing a child’s diaper. The staff member went to assist with putting out cots 15A NCAC 18A .2803(a) 405 A child's hands were not washed after each diaper change. Space #4, while observing the staff member changing diapers, I observed the child did not wash their hands after the diaper change. The child went directly to their cot and laid down. 15A NCAC 18A .2803(c)(2) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Lunch consisted of chicken nuggets, peaches, beans, pita bread, and milk. The menu documented beef crumble, corn, mixed fruit, tortilla chips, cheese, salsa, and milk. The menu was not updated to reflect what was served prior to serving the children. 10A NCAC 09 .0901(b) 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. Space #5, one (1) outlet was observed uncovered and accessible to children 10A NCAC 09 .0604(c) Item #404- Space #4, while observing the staff member changing diapers, I observed the staff member did not wash their hands after changing a child’s diaper. The staff member went to assist with putting out cots. We discussed that staff must wash hands after each diaper change to prevent spreading any germs. Rule Reference: 15A NCAC 18A.2803(a) Item #405- Space #4, while observing the staff member changing diapers, I observed the child did not wash their hands after the diaper change. The child went directly to their cot and laid down. We discussed that children must wash hands after each diaper change to prevent spreading any germs. Rule Reference: 15A NCAC 18A.2803(c) Item #528- Lunch consisted of chicken nuggets, peaches, beans, pita bread, and milk. The menu documented beef crumble, corn, mixed fruit, tortilla chips, cheese, salsa, and milk. The menu was not updated to reflect what was served prior to serving the children. We discussed when the facility knows that the facility does not have enough of the item to serve. The kitchen staff need to notify the administrator and either the kitchen staff or the administrator will need to document the change on the menu posted in the lobby. Rule Reference: 10A NCAC 09 .0901(b) Item #812- Space #5, one (1) outlet was observed uncovered and accessible to children. The administrator covered the outlet with a safety outlet plug during the visit. We discussed conducting a classroom check daily to ensure all outlets are covered to ensure the safety of the children. Rule Reference: 10A NCAC 09.0604(c) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/27/2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: - Based on the nature of the violation that was cited on September 30, 2025, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required every four (4) to six (6) weeks. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: 0925-376L Visit Date: 10/13/2025 Number Present: 28 Completed Date: 10/13/2025 Age: From 0 To 6 Total Minutes: 200 Time In: 09:45 AM Time Out: 01:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced follow-up visit was to follow up on the nurture and care violation that was cited during the complaint visit on 10/1/2025. Please refer to the visit dated 10/1/2025 for full details regarding the violation cited. A computerized report of today’s visit was reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 10/8/2025. The program operates with a Five (5) Star Rated License, issued 9/1/2024. The permit restrictions were in compliance including first shift, meets enhanced ratios, meets enhanced space, and children under 2 ½ years old in rooms with direct exits only. Approved for NC Pre-K and Transportation. Group size, supervision, use of licensed space, space capacity, license restrictions, outdoor equipment, general safety, and nurture and care were monitored. The complaint was received by the Division of Child Development and Early Education on 9/26/2025 and sent to me on 9/26/2025. The initial visit was conducted on 10/1/2025. Today, I followed up with the administrator. The administrator stated that the NC Pre-K classroom facility is currently closed today for a teacher’s workday and school-age children are present in that classroom. Ms. Virella stated regarding the violation, for the broken gate latch, she has submitted work orders for it to be replaced. Supervision, the teachers call for administrator to walk with them out and they conduct a name to face count prior to leaving the classroom, entering the playground, and exiting the playground. A walkthrough of the indoor and outdoor environment was conducted. Space #1B, the group of infant- to one-year-old children were transitioning outdoors for gross motor play when I arrived. Once outside, the children engaged in playing with balls, trucks, blocks, and climber. After gross motor play, the group transitioned back to the classroom to wash hands and engage in free play. Space#4, the group of two-to-three-year-old were engaged in play with blocks, linking blocks, cash register and dramatic play. Then the group engaged in music and movement with the staff. When outdoor play concluded, the group transitioned indoors to wash hands. While monitoring indoors, one (1) outlet was observed uncovered and accessible to children. The administrator covered the outlet with a safety outlet plug during the visit. After lunch, the group was preparing for nap. One (1) staff was putting out cots, one (1) staff was changing diapers, one (1) staff member was assisting in the restroom. While observing the staff member changing diapers, I observed the staff member and the child did not wash their hands after the diaper change. The child went directly to their cot and laid down and the staff member went to assist with putting out cots. Space #5, the group of one-to-two-year-old children were engaged in free play with books, blocks, dramatic play. After free play, the group transitioned outdoors for gross motor play. Space #3, the group of four-to-six-year-old children were engaged in group activity on the carpet. After group activity the group prepared to transition outdoors for gross motor play. While outside, the group engaged in running around with the mud kitchen, steppers, and the jeep. At 10:55a, the administrator brought out the portable equipment for the children to engage in play with and reminded the staff members to bring the equipment when they transition outdoors. Space #2 is currently closed and being used as storage. We discussed while the classroom is being used as storage to keep the door closed to the lobby and ensure any hazardous products are stored appropriately if they are used in the storage room. If therapist use the storage room to work with children. They need to conduct a classroom safety check to ensure that hazardous items are stored appropriately, electrical outlets are covered, etc. Space #1A is currently closed. Space #6 is currently closed. The facility is looking to move the two-year-olds to this classroom and is in the process of repainting and making improvements to the classroom. Lunch consisted of chicken nuggets, peaches, beans, pita bread, and milk. The menu documented beef crumble, corn, mixed fruit, tortilla chips, cheese, salsa, and milk. The administrator updated the menu after the children were served to reflect what was served prior to serving the children. Item 303- Children were not adequately supervised at all times. Per staff interview, a four-year-old child was left unattended for less than five (5) minutes on September 18, 2025. This is a violation of a requirement in .1801(a)(1-5). During today’s visit, children were adequately supervised at all times. Item 410- Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. During naptime, I heard a staff member make a comment to the infant child that was awake "the outside you never see." This is a violation of a requirement in GS 110-91(2);.0508(c). The infants were observed going outside during the visit when I arrived. Item 434- The materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. Outdoor spaces were observed and did not provide sufficient materials to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. This is a violation of a requirement in 10A NCAC 09 .0509(2). Additional materials have been purchased for the children to use while outdoors. I observed the administrator brought the portable equipment to the infant and one year old playground. The preschool playground has the mud kitchen, log steppers, and jeep. Ms. Virella brought out portable equipment at 10:55a. Item 705- Equipment and furnishings were not sturdy, stable and free of hazards. Outdoor space 1 the metal jeep steering wheel was broken and hanging loosely. This is a violation of a requirement in .0601(c). I observed the steering wheels were removed. Now it is just the metal anchors that are remaining. I recommend to remove the jeep or add a pool noodle over the anchors until new steering wheels are added. Item 807- A safe indoor and outdoor environment was not provided for the children. Outdoor space #1, a rope was tied from one side of the jeep to another at the back creating a choking hazard. A staff member removed the rope from the jeep during the visit. Outdoor #2, had four (4) wooden privacy panels laying in the walk way with sharp edges and screw showing. The gate on outdoor space #3 that leads to the neighboring business was unlocked and the gate latch was broken. This is a violation of a requirement in 10A NCAC 09 .0601(a). The rope was removed from the jeep during the 10/1/2025 visit. While monitoring outdoors today, I observed the wooden privacy panels with sharp edges and screws have been removed. The administrator added a carabiner to the broken gate latch during the visit. Item 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. Space #3 a child was observed holding an instant ice pack that contained a gel on the inside. This is a violation of a requirement in .2820(b). Hazardous products were stored appropriately during the visit. Today, I verified corrections of five (5) of the six (6) violations. A letter of compliance for the remaining violation is due on or before 10/15/2025. The following violations were documented during today’s visit: Violation Number Comment Rule 404 All staff did not wash their hands thoroughly after diapering each child. Space #4, while observing the staff member changing diapers, I observed the staff member did not wash their hands after changing a child’s diaper. The staff member went to assist with putting out cots 15A NCAC 18A .2803(a) 405 A child's hands were not washed after each diaper change. Space #4, while observing the staff member changing diapers, I observed the child did not wash their hands after the diaper change. The child went directly to their cot and laid down. 15A NCAC 18A .2803(c)(2) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Lunch consisted of chicken nuggets, peaches, beans, pita bread, and milk. The menu documented beef crumble, corn, mixed fruit, tortilla chips, cheese, salsa, and milk. The menu was not updated to reflect what was served prior to serving the children. 10A NCAC 09 .0901(b) 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. Space #5, one (1) outlet was observed uncovered and accessible to children 10A NCAC 09 .0604(c) Item #404- Space #4, while observing the staff member changing diapers, I observed the staff member did not wash their hands after changing a child’s diaper. The staff member went to assist with putting out cots. We discussed that staff must wash hands after each diaper change to prevent spreading any germs. Rule Reference: 15A NCAC 18A.2803(a) Item #405- Space #4, while observing the staff member changing diapers, I observed the child did not wash their hands after the diaper change. The child went directly to their cot and laid down. We discussed that children must wash hands after each diaper change to prevent spreading any germs. Rule Reference: 15A NCAC 18A.2803(c) Item #528- Lunch consisted of chicken nuggets, peaches, beans, pita bread, and milk. The menu documented beef crumble, corn, mixed fruit, tortilla chips, cheese, salsa, and milk. The menu was not updated to reflect what was served prior to serving the children. We discussed when the facility knows that the facility does not have enough of the item to serve. The kitchen staff need to notify the administrator and either the kitchen staff or the administrator will need to document the change on the menu posted in the lobby. Rule Reference: 10A NCAC 09 .0901(b) Item #812- Space #5, one (1) outlet was observed uncovered and accessible to children. The administrator covered the outlet with a safety outlet plug during the visit. We discussed conducting a classroom check daily to ensure all outlets are covered to ensure the safety of the children. Rule Reference: 10A NCAC 09.0604(c) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/27/2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: - Based on the nature of the violation that was cited on September 30, 2025, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required every four (4) to six (6) weeks. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0601 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: 0925-376L Visit Date: 10/1/2025 Number Present: 33 Completed Date: 10/1/2025 Age: From 0 To 5 Total Minutes: 260 Time In: 09:40 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator, during the visit. Bridget Owen, Child Care Consultant accompanied me today. An electronic signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent (92%) as of 9/29/2025. The facility operates with a five-star license issued on 9/1/2024. The Special Services/Restrictions includes first shift, meets enhanced ratios, meets enhanced space, children under two and a half years old in rooms with direct exits. The complaint was received by the Division of Child Development and Early Education on 9/26/2025 and sent to me on 9/26/2025. There is a concern of inadequate supervision, safe environment, and program records Information received documented that children were routinely getting out of the fence in are due to broken fence boards. The children were opening the gate between the playground spaces. The group of four- to five-year-old children had several children with behavioral issues and staff were struggling to manage the behaviors. The report also noted that a child was left behind un attend and found by another staff member. Children were getting hurt from children throwing toys to children being bitten by another child. Questionable if incident reports were being maintained. The report stated that safety was a concern During today’s visit, a walkthrough of the indoor and outdoor environment was conducted. When we arrived, we signed in at the front desk. The outdoor environment was monitored prior to children using the outdoor space. Outdoor space #3, several wooden fence boards have been replaced. The fence was secure to the anchor post. The gate on outdoor space #3 that leads to the neighboring business was unlocked and the gate latch was broken. We discussed that the fence would need to remain closed, and the lock would need to be replaced. The administrator stated that the children are currently not using this space. Outdoor space #1 had limited gross motor equipment a tunnel, steppers, jeep, and mud kitchen. The metal jeep had a broken steering wheel and hoodie string tied to it creating a trip and/or choking hazard. The staff member removed the string during the visit. Plastic bag of mulch was observed laying near the ramp and air conditioning storage space. The administrator stated that maintenance team was working earlier and was to remove it. Ms. Virella removed the mulch bag during the visit. Outdoor space #2A one year old playground the children had limited amount of gross motor equipment for the children to engage in gross motor play. The environment had a tree climber, blocks, and trikes. Space #5, the group of one- to two-year-old children were outdoors engaged in gross motor play with the tree climber, blocks, and trikes. We discussed that the outdoor environment needs a variety of equipment to stimulate gross motor play. After gross motor play, the group transitioned indoors to wash hands and engage in free play with books, climber, blocks, dramatic play. The staff were stationed and actively supervising the children and meeting their individual needs. Space #4, the group of two- to four-year-old children were engaged in free play with blocks. The staff member was reading a story to the children on the carpet. One (1) child was crying in the corner. The child wanted their mommy and the administrator sat and talked with the child to attempt to calm them down. The other staff member and children lined up to transition outdoors for gross motor play. When the children exited the room, the group lined up and the administrator conducted a head count to ensure all children had transitioned outdoors prior to moving to the playground. Once at the playground the administrator and staff conducted another head count prior to the children entering the playground. Space #3 the group of four- to five-year-old children were engaged in free play with blocks, writing, art, water table, science, and dramatic play. One (1) staff member working one-on-one with a child. The other staff member was redirecting them to avoid overcrowding in the dramatic play center. Then a child hit a child on the head and one (1) staff member immediately intervened and talked to the child that injured the other child. The other staff member called for an ice pack for the child that was injured. Another incident was observed with a child running around the room with scissors. One (1) of the staff members intervened to have the child put the scissors away and then invited them to work with the other teacher on a puzzle. Throughout the morning, staff members frequently redirected the children, regarding behavior. After free play, the group transition and outdoor play. While transitioning outdoors, two (2) children exhibited continued disruptive behavior, including throwing toys and overturning furniture, despite the presence and intervention of four (4) adults. The administrator remained with the children to monitor their behavior closely. While monitoring, a child was observed holding an instant ice pack that contained a gel on the inside. We discussed that the staff would need to use ice cubes and a paper towel for any injuries to prevent a child from puncturing the instant ice pack and swallowing the gel material inside the instant ice pack. Space #2 is currently closed. Space #1B is currently closed. Space #1A the group infant and one year old children were engaged in exploring the classroom environment. The staff member was reading a story to two (2) of the three (3) children that were present. We did not observe the children having the opportunity to be outdoors. During naptime, we heard a staff member make a comment to the infant child that was a awake "the outside you never see." Space #6 is currently closed. I interviewed the administrator and staff member. The administrator reported she was aware of the incident where a four-year-old child was left unattended but was not on-site that day. She stated I would need to speak with the staff member that was present. When asked about children getting out of fence routinely, she was not aware of any incidents where that had occurred. She went on to state that outdoor space #3 has been closed since August 18, 2025, until all repairs could be completed. The outdoor space #3 several wooden privacy panels have been replaced due to bears entering the playground and as they see any boards loose or broken boards they replace as needed. When asked about the incidents of children targeting other children, she was not aware of children targeting another child. When asked about incident reports she stated that all incidents were reported, reports completed, and the incident log was maintained. She went on to state that the facility is working with the corporate office to improve the quality of care. The facility has a quality improvement plan in place and is working with the coordinator to make necessary changes and improvements. Per staff interviewed, the staff member reported a four-year-old child was left unattended on September 18, 2025, for less than five (5) minutes. The class had transitioned to the playground for outdoor gross motor play and failed to use the walkie talkie to call for assistance and did not conduct a name to face count prior to the transition. The administrator was not on-site during the incident. The staff member who found the child was finishing a tour and was attempting to locate the district manager who was on-site that day. When looking for the district manager, the staff member looked into the classroom, and the staff member observed a child was left unattended in the room. The staff member immediately entered the room to ensure the child was ok and take the child to the group that was outdoors on the playground. The staff member immediately spoke with staff to ask why the staff did not use the walkie talkie to request assistance to transition to the playground. Further discussion was had with the staff involved. The following Monday a meeting was held, and disciplinary actions were taken. One (1) staff member resigned, and the other has an action plan in place. Based on the interviews, the allegation regarding the allegations of supervision is substantiated. Based on interviews and observations regarding the allegations of safe environment is substantiated. Based on interviews and review of incident reports and incident log, the allegations regarding program records is unsubstantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. Per staff interview, a four-year-old child was left unattended for less than five (5) minutes on September 18, 2025. .1801(a)(1-5) 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. During naptime, I heard a staff member make a comment to the infant child that was awake "the outside you never see." GS 110-91(2);.0508(c) 434 The materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. Outdoor spaces were observed and did not provide sufficient materials to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. 10A NCAC 09 .0509(2) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Outdoor space 1 the metal jeep steering wheel was broken and hanging loosely. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. Outdoor space #1, a rope was tied from one side of the jeep to another at the back creating a choking hazard. A staff member removed the rope from the jeep during the visit. Outdoor #2, had four (4) wooden privacy panels laying in the walk way with sharp edges and screw showing. The gate on outdoor space #3 that leads to the neighboring business was unlocked and the gate latch was broken. 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. Space #3 a child was observed holding an instant ice pack that contained a gel on the inside. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Outdoor space #1, one (1) plastic bag of mulch was observed laying near the building accessible to children. The bag had a hole in the bag and the plastic could be easily torn by the children. .0604(q) Technical assistance was provided as follows: Item 303- Per staff interview, a four-year-old child was left unattended for less than five (5) minutes on September 18, 2025. We discussed that children must be adequately supervised at all time. I recommended to reach out to the Buncombe County Partnership for Child to request active supervision training. Rule Reference: 10A NCAC 09.1801(a) Item 410- Space #1A, during naptime, we heard a staff member make a comment to the infant child that was a awake "the outside you never see." We discussed that all children should have the opportunity to go outside daily. Rule Reference: 10A NCAC 09 .0508(c) Item 434- Outdoor spaces were observed and did not provide sufficient materials to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. We discussed more gross motor equipment needs to added to the outdoor environment. Rule Reference: 10A NCAC 09.0509(2) Item 705- Outdoor space 1 the metal jeep steering wheel was broken and hanging loosely. We discussed that the jeep would need to be removed or repaired. Rule Reference: 10A NCAC 09.0601(c) Item 807- Outdoor space #1, a rope was tied from one side of the jeep to another at the back creating a choking hazard. A staff member removed the rope from the jeep during the visit. Outdoor #2, had four (4) wooden privacy panels laying in the walk way with sharp edges and screw showing. We discussed that the panels would need to be removed from the outdoor space to prevent any injuries. The gate on outdoor space #3 that leads to the neighboring business was unlocked and the gate latch was broken. We discussed that the fence would need to remain closed and the lock would need to be replaced. The administrator stated that the children are currently not using this space. Rule Reference: 10A NCAC 09.0601(a) Item 840- Space #3 a child was observed holding an instant ice pack that contained a gel on the inside. We discussed that the staff would need to use ice cubes and a paper towel for any injuries to prevent a child from puncturing the instant ice pack and swallowing the gel material inside the instant ice pack. Rule Refence: 15A NCAC 18A.2820(b) Item 858- Outdoor space #1, one (1) plastic bag of mulch was observed laying near the building accessible to children. The bag had a hole in the bag and the plastic could be easily torn by the children. The administrator opened and emptied the mulch on the playground during the visit and removed/discarded the plastic bag. Rule Reference: 10A NCAC 09.0604(q) Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if adequate supervision is being maintained per Child Care Rule .1801(a). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision and safe environment. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/15/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education ATTN: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -I recommend reaching out Buncombe County Partnership for Children to request active supervision and safe environment training. Also, I recommend reaching out to the behavior specialist for support with challenging behaviors. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0508 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: 0925-376L Visit Date: 10/1/2025 Number Present: 33 Completed Date: 10/1/2025 Age: From 0 To 5 Total Minutes: 260 Time In: 09:40 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator, during the visit. Bridget Owen, Child Care Consultant accompanied me today. An electronic signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent (92%) as of 9/29/2025. The facility operates with a five-star license issued on 9/1/2024. The Special Services/Restrictions includes first shift, meets enhanced ratios, meets enhanced space, children under two and a half years old in rooms with direct exits. The complaint was received by the Division of Child Development and Early Education on 9/26/2025 and sent to me on 9/26/2025. There is a concern of inadequate supervision, safe environment, and program records Information received documented that children were routinely getting out of the fence in are due to broken fence boards. The children were opening the gate between the playground spaces. The group of four- to five-year-old children had several children with behavioral issues and staff were struggling to manage the behaviors. The report also noted that a child was left behind un attend and found by another staff member. Children were getting hurt from children throwing toys to children being bitten by another child. Questionable if incident reports were being maintained. The report stated that safety was a concern During today’s visit, a walkthrough of the indoor and outdoor environment was conducted. When we arrived, we signed in at the front desk. The outdoor environment was monitored prior to children using the outdoor space. Outdoor space #3, several wooden fence boards have been replaced. The fence was secure to the anchor post. The gate on outdoor space #3 that leads to the neighboring business was unlocked and the gate latch was broken. We discussed that the fence would need to remain closed, and the lock would need to be replaced. The administrator stated that the children are currently not using this space. Outdoor space #1 had limited gross motor equipment a tunnel, steppers, jeep, and mud kitchen. The metal jeep had a broken steering wheel and hoodie string tied to it creating a trip and/or choking hazard. The staff member removed the string during the visit. Plastic bag of mulch was observed laying near the ramp and air conditioning storage space. The administrator stated that maintenance team was working earlier and was to remove it. Ms. Virella removed the mulch bag during the visit. Outdoor space #2A one year old playground the children had limited amount of gross motor equipment for the children to engage in gross motor play. The environment had a tree climber, blocks, and trikes. Space #5, the group of one- to two-year-old children were outdoors engaged in gross motor play with the tree climber, blocks, and trikes. We discussed that the outdoor environment needs a variety of equipment to stimulate gross motor play. After gross motor play, the group transitioned indoors to wash hands and engage in free play with books, climber, blocks, dramatic play. The staff were stationed and actively supervising the children and meeting their individual needs. Space #4, the group of two- to four-year-old children were engaged in free play with blocks. The staff member was reading a story to the children on the carpet. One (1) child was crying in the corner. The child wanted their mommy and the administrator sat and talked with the child to attempt to calm them down. The other staff member and children lined up to transition outdoors for gross motor play. When the children exited the room, the group lined up and the administrator conducted a head count to ensure all children had transitioned outdoors prior to moving to the playground. Once at the playground the administrator and staff conducted another head count prior to the children entering the playground. Space #3 the group of four- to five-year-old children were engaged in free play with blocks, writing, art, water table, science, and dramatic play. One (1) staff member working one-on-one with a child. The other staff member was redirecting them to avoid overcrowding in the dramatic play center. Then a child hit a child on the head and one (1) staff member immediately intervened and talked to the child that injured the other child. The other staff member called for an ice pack for the child that was injured. Another incident was observed with a child running around the room with scissors. One (1) of the staff members intervened to have the child put the scissors away and then invited them to work with the other teacher on a puzzle. Throughout the morning, staff members frequently redirected the children, regarding behavior. After free play, the group transition and outdoor play. While transitioning outdoors, two (2) children exhibited continued disruptive behavior, including throwing toys and overturning furniture, despite the presence and intervention of four (4) adults. The administrator remained with the children to monitor their behavior closely. While monitoring, a child was observed holding an instant ice pack that contained a gel on the inside. We discussed that the staff would need to use ice cubes and a paper towel for any injuries to prevent a child from puncturing the instant ice pack and swallowing the gel material inside the instant ice pack. Space #2 is currently closed. Space #1B is currently closed. Space #1A the group infant and one year old children were engaged in exploring the classroom environment. The staff member was reading a story to two (2) of the three (3) children that were present. We did not observe the children having the opportunity to be outdoors. During naptime, we heard a staff member make a comment to the infant child that was a awake "the outside you never see." Space #6 is currently closed. I interviewed the administrator and staff member. The administrator reported she was aware of the incident where a four-year-old child was left unattended but was not on-site that day. She stated I would need to speak with the staff member that was present. When asked about children getting out of fence routinely, she was not aware of any incidents where that had occurred. She went on to state that outdoor space #3 has been closed since August 18, 2025, until all repairs could be completed. The outdoor space #3 several wooden privacy panels have been replaced due to bears entering the playground and as they see any boards loose or broken boards they replace as needed. When asked about the incidents of children targeting other children, she was not aware of children targeting another child. When asked about incident reports she stated that all incidents were reported, reports completed, and the incident log was maintained. She went on to state that the facility is working with the corporate office to improve the quality of care. The facility has a quality improvement plan in place and is working with the coordinator to make necessary changes and improvements. Per staff interviewed, the staff member reported a four-year-old child was left unattended on September 18, 2025, for less than five (5) minutes. The class had transitioned to the playground for outdoor gross motor play and failed to use the walkie talkie to call for assistance and did not conduct a name to face count prior to the transition. The administrator was not on-site during the incident. The staff member who found the child was finishing a tour and was attempting to locate the district manager who was on-site that day. When looking for the district manager, the staff member looked into the classroom, and the staff member observed a child was left unattended in the room. The staff member immediately entered the room to ensure the child was ok and take the child to the group that was outdoors on the playground. The staff member immediately spoke with staff to ask why the staff did not use the walkie talkie to request assistance to transition to the playground. Further discussion was had with the staff involved. The following Monday a meeting was held, and disciplinary actions were taken. One (1) staff member resigned, and the other has an action plan in place. Based on the interviews, the allegation regarding the allegations of supervision is substantiated. Based on interviews and observations regarding the allegations of safe environment is substantiated. Based on interviews and review of incident reports and incident log, the allegations regarding program records is unsubstantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. Per staff interview, a four-year-old child was left unattended for less than five (5) minutes on September 18, 2025. .1801(a)(1-5) 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. During naptime, I heard a staff member make a comment to the infant child that was awake "the outside you never see." GS 110-91(2);.0508(c) 434 The materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. Outdoor spaces were observed and did not provide sufficient materials to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. 10A NCAC 09 .0509(2) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Outdoor space 1 the metal jeep steering wheel was broken and hanging loosely. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. Outdoor space #1, a rope was tied from one side of the jeep to another at the back creating a choking hazard. A staff member removed the rope from the jeep during the visit. Outdoor #2, had four (4) wooden privacy panels laying in the walk way with sharp edges and screw showing. The gate on outdoor space #3 that leads to the neighboring business was unlocked and the gate latch was broken. 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. Space #3 a child was observed holding an instant ice pack that contained a gel on the inside. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Outdoor space #1, one (1) plastic bag of mulch was observed laying near the building accessible to children. The bag had a hole in the bag and the plastic could be easily torn by the children. .0604(q) Technical assistance was provided as follows: Item 303- Per staff interview, a four-year-old child was left unattended for less than five (5) minutes on September 18, 2025. We discussed that children must be adequately supervised at all time. I recommended to reach out to the Buncombe County Partnership for Child to request active supervision training. Rule Reference: 10A NCAC 09.1801(a) Item 410- Space #1A, during naptime, we heard a staff member make a comment to the infant child that was a awake "the outside you never see." We discussed that all children should have the opportunity to go outside daily. Rule Reference: 10A NCAC 09 .0508(c) Item 434- Outdoor spaces were observed and did not provide sufficient materials to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. We discussed more gross motor equipment needs to added to the outdoor environment. Rule Reference: 10A NCAC 09.0509(2) Item 705- Outdoor space 1 the metal jeep steering wheel was broken and hanging loosely. We discussed that the jeep would need to be removed or repaired. Rule Reference: 10A NCAC 09.0601(c) Item 807- Outdoor space #1, a rope was tied from one side of the jeep to another at the back creating a choking hazard. A staff member removed the rope from the jeep during the visit. Outdoor #2, had four (4) wooden privacy panels laying in the walk way with sharp edges and screw showing. We discussed that the panels would need to be removed from the outdoor space to prevent any injuries. The gate on outdoor space #3 that leads to the neighboring business was unlocked and the gate latch was broken. We discussed that the fence would need to remain closed and the lock would need to be replaced. The administrator stated that the children are currently not using this space. Rule Reference: 10A NCAC 09.0601(a) Item 840- Space #3 a child was observed holding an instant ice pack that contained a gel on the inside. We discussed that the staff would need to use ice cubes and a paper towel for any injuries to prevent a child from puncturing the instant ice pack and swallowing the gel material inside the instant ice pack. Rule Refence: 15A NCAC 18A.2820(b) Item 858- Outdoor space #1, one (1) plastic bag of mulch was observed laying near the building accessible to children. The bag had a hole in the bag and the plastic could be easily torn by the children. The administrator opened and emptied the mulch on the playground during the visit and removed/discarded the plastic bag. Rule Reference: 10A NCAC 09.0604(q) Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if adequate supervision is being maintained per Child Care Rule .1801(a). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision and safe environment. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/15/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education ATTN: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -I recommend reaching out Buncombe County Partnership for Children to request active supervision and safe environment training. Also, I recommend reaching out to the behavior specialist for support with challenging behaviors. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0509 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: 0925-376L Visit Date: 10/1/2025 Number Present: 33 Completed Date: 10/1/2025 Age: From 0 To 5 Total Minutes: 260 Time In: 09:40 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator, during the visit. Bridget Owen, Child Care Consultant accompanied me today. An electronic signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent (92%) as of 9/29/2025. The facility operates with a five-star license issued on 9/1/2024. The Special Services/Restrictions includes first shift, meets enhanced ratios, meets enhanced space, children under two and a half years old in rooms with direct exits. The complaint was received by the Division of Child Development and Early Education on 9/26/2025 and sent to me on 9/26/2025. There is a concern of inadequate supervision, safe environment, and program records Information received documented that children were routinely getting out of the fence in are due to broken fence boards. The children were opening the gate between the playground spaces. The group of four- to five-year-old children had several children with behavioral issues and staff were struggling to manage the behaviors. The report also noted that a child was left behind un attend and found by another staff member. Children were getting hurt from children throwing toys to children being bitten by another child. Questionable if incident reports were being maintained. The report stated that safety was a concern During today’s visit, a walkthrough of the indoor and outdoor environment was conducted. When we arrived, we signed in at the front desk. The outdoor environment was monitored prior to children using the outdoor space. Outdoor space #3, several wooden fence boards have been replaced. The fence was secure to the anchor post. The gate on outdoor space #3 that leads to the neighboring business was unlocked and the gate latch was broken. We discussed that the fence would need to remain closed, and the lock would need to be replaced. The administrator stated that the children are currently not using this space. Outdoor space #1 had limited gross motor equipment a tunnel, steppers, jeep, and mud kitchen. The metal jeep had a broken steering wheel and hoodie string tied to it creating a trip and/or choking hazard. The staff member removed the string during the visit. Plastic bag of mulch was observed laying near the ramp and air conditioning storage space. The administrator stated that maintenance team was working earlier and was to remove it. Ms. Virella removed the mulch bag during the visit. Outdoor space #2A one year old playground the children had limited amount of gross motor equipment for the children to engage in gross motor play. The environment had a tree climber, blocks, and trikes. Space #5, the group of one- to two-year-old children were outdoors engaged in gross motor play with the tree climber, blocks, and trikes. We discussed that the outdoor environment needs a variety of equipment to stimulate gross motor play. After gross motor play, the group transitioned indoors to wash hands and engage in free play with books, climber, blocks, dramatic play. The staff were stationed and actively supervising the children and meeting their individual needs. Space #4, the group of two- to four-year-old children were engaged in free play with blocks. The staff member was reading a story to the children on the carpet. One (1) child was crying in the corner. The child wanted their mommy and the administrator sat and talked with the child to attempt to calm them down. The other staff member and children lined up to transition outdoors for gross motor play. When the children exited the room, the group lined up and the administrator conducted a head count to ensure all children had transitioned outdoors prior to moving to the playground. Once at the playground the administrator and staff conducted another head count prior to the children entering the playground. Space #3 the group of four- to five-year-old children were engaged in free play with blocks, writing, art, water table, science, and dramatic play. One (1) staff member working one-on-one with a child. The other staff member was redirecting them to avoid overcrowding in the dramatic play center. Then a child hit a child on the head and one (1) staff member immediately intervened and talked to the child that injured the other child. The other staff member called for an ice pack for the child that was injured. Another incident was observed with a child running around the room with scissors. One (1) of the staff members intervened to have the child put the scissors away and then invited them to work with the other teacher on a puzzle. Throughout the morning, staff members frequently redirected the children, regarding behavior. After free play, the group transition and outdoor play. While transitioning outdoors, two (2) children exhibited continued disruptive behavior, including throwing toys and overturning furniture, despite the presence and intervention of four (4) adults. The administrator remained with the children to monitor their behavior closely. While monitoring, a child was observed holding an instant ice pack that contained a gel on the inside. We discussed that the staff would need to use ice cubes and a paper towel for any injuries to prevent a child from puncturing the instant ice pack and swallowing the gel material inside the instant ice pack. Space #2 is currently closed. Space #1B is currently closed. Space #1A the group infant and one year old children were engaged in exploring the classroom environment. The staff member was reading a story to two (2) of the three (3) children that were present. We did not observe the children having the opportunity to be outdoors. During naptime, we heard a staff member make a comment to the infant child that was a awake "the outside you never see." Space #6 is currently closed. I interviewed the administrator and staff member. The administrator reported she was aware of the incident where a four-year-old child was left unattended but was not on-site that day. She stated I would need to speak with the staff member that was present. When asked about children getting out of fence routinely, she was not aware of any incidents where that had occurred. She went on to state that outdoor space #3 has been closed since August 18, 2025, until all repairs could be completed. The outdoor space #3 several wooden privacy panels have been replaced due to bears entering the playground and as they see any boards loose or broken boards they replace as needed. When asked about the incidents of children targeting other children, she was not aware of children targeting another child. When asked about incident reports she stated that all incidents were reported, reports completed, and the incident log was maintained. She went on to state that the facility is working with the corporate office to improve the quality of care. The facility has a quality improvement plan in place and is working with the coordinator to make necessary changes and improvements. Per staff interviewed, the staff member reported a four-year-old child was left unattended on September 18, 2025, for less than five (5) minutes. The class had transitioned to the playground for outdoor gross motor play and failed to use the walkie talkie to call for assistance and did not conduct a name to face count prior to the transition. The administrator was not on-site during the incident. The staff member who found the child was finishing a tour and was attempting to locate the district manager who was on-site that day. When looking for the district manager, the staff member looked into the classroom, and the staff member observed a child was left unattended in the room. The staff member immediately entered the room to ensure the child was ok and take the child to the group that was outdoors on the playground. The staff member immediately spoke with staff to ask why the staff did not use the walkie talkie to request assistance to transition to the playground. Further discussion was had with the staff involved. The following Monday a meeting was held, and disciplinary actions were taken. One (1) staff member resigned, and the other has an action plan in place. Based on the interviews, the allegation regarding the allegations of supervision is substantiated. Based on interviews and observations regarding the allegations of safe environment is substantiated. Based on interviews and review of incident reports and incident log, the allegations regarding program records is unsubstantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. Per staff interview, a four-year-old child was left unattended for less than five (5) minutes on September 18, 2025. .1801(a)(1-5) 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. During naptime, I heard a staff member make a comment to the infant child that was awake "the outside you never see." GS 110-91(2);.0508(c) 434 The materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. Outdoor spaces were observed and did not provide sufficient materials to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. 10A NCAC 09 .0509(2) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Outdoor space 1 the metal jeep steering wheel was broken and hanging loosely. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. Outdoor space #1, a rope was tied from one side of the jeep to another at the back creating a choking hazard. A staff member removed the rope from the jeep during the visit. Outdoor #2, had four (4) wooden privacy panels laying in the walk way with sharp edges and screw showing. The gate on outdoor space #3 that leads to the neighboring business was unlocked and the gate latch was broken. 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. Space #3 a child was observed holding an instant ice pack that contained a gel on the inside. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Outdoor space #1, one (1) plastic bag of mulch was observed laying near the building accessible to children. The bag had a hole in the bag and the plastic could be easily torn by the children. .0604(q) Technical assistance was provided as follows: Item 303- Per staff interview, a four-year-old child was left unattended for less than five (5) minutes on September 18, 2025. We discussed that children must be adequately supervised at all time. I recommended to reach out to the Buncombe County Partnership for Child to request active supervision training. Rule Reference: 10A NCAC 09.1801(a) Item 410- Space #1A, during naptime, we heard a staff member make a comment to the infant child that was a awake "the outside you never see." We discussed that all children should have the opportunity to go outside daily. Rule Reference: 10A NCAC 09 .0508(c) Item 434- Outdoor spaces were observed and did not provide sufficient materials to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. We discussed more gross motor equipment needs to added to the outdoor environment. Rule Reference: 10A NCAC 09.0509(2) Item 705- Outdoor space 1 the metal jeep steering wheel was broken and hanging loosely. We discussed that the jeep would need to be removed or repaired. Rule Reference: 10A NCAC 09.0601(c) Item 807- Outdoor space #1, a rope was tied from one side of the jeep to another at the back creating a choking hazard. A staff member removed the rope from the jeep during the visit. Outdoor #2, had four (4) wooden privacy panels laying in the walk way with sharp edges and screw showing. We discussed that the panels would need to be removed from the outdoor space to prevent any injuries. The gate on outdoor space #3 that leads to the neighboring business was unlocked and the gate latch was broken. We discussed that the fence would need to remain closed and the lock would need to be replaced. The administrator stated that the children are currently not using this space. Rule Reference: 10A NCAC 09.0601(a) Item 840- Space #3 a child was observed holding an instant ice pack that contained a gel on the inside. We discussed that the staff would need to use ice cubes and a paper towel for any injuries to prevent a child from puncturing the instant ice pack and swallowing the gel material inside the instant ice pack. Rule Refence: 15A NCAC 18A.2820(b) Item 858- Outdoor space #1, one (1) plastic bag of mulch was observed laying near the building accessible to children. The bag had a hole in the bag and the plastic could be easily torn by the children. The administrator opened and emptied the mulch on the playground during the visit and removed/discarded the plastic bag. Rule Reference: 10A NCAC 09.0604(q) Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if adequate supervision is being maintained per Child Care Rule .1801(a). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision and safe environment. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/15/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education ATTN: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -I recommend reaching out Buncombe County Partnership for Children to request active supervision and safe environment training. Also, I recommend reaching out to the behavior specialist for support with challenging behaviors. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .2201 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: 0925-376L Visit Date: 10/1/2025 Number Present: 33 Completed Date: 10/1/2025 Age: From 0 To 5 Total Minutes: 260 Time In: 09:40 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator, during the visit. Bridget Owen, Child Care Consultant accompanied me today. An electronic signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent (92%) as of 9/29/2025. The facility operates with a five-star license issued on 9/1/2024. The Special Services/Restrictions includes first shift, meets enhanced ratios, meets enhanced space, children under two and a half years old in rooms with direct exits. The complaint was received by the Division of Child Development and Early Education on 9/26/2025 and sent to me on 9/26/2025. There is a concern of inadequate supervision, safe environment, and program records Information received documented that children were routinely getting out of the fence in are due to broken fence boards. The children were opening the gate between the playground spaces. The group of four- to five-year-old children had several children with behavioral issues and staff were struggling to manage the behaviors. The report also noted that a child was left behind un attend and found by another staff member. Children were getting hurt from children throwing toys to children being bitten by another child. Questionable if incident reports were being maintained. The report stated that safety was a concern During today’s visit, a walkthrough of the indoor and outdoor environment was conducted. When we arrived, we signed in at the front desk. The outdoor environment was monitored prior to children using the outdoor space. Outdoor space #3, several wooden fence boards have been replaced. The fence was secure to the anchor post. The gate on outdoor space #3 that leads to the neighboring business was unlocked and the gate latch was broken. We discussed that the fence would need to remain closed, and the lock would need to be replaced. The administrator stated that the children are currently not using this space. Outdoor space #1 had limited gross motor equipment a tunnel, steppers, jeep, and mud kitchen. The metal jeep had a broken steering wheel and hoodie string tied to it creating a trip and/or choking hazard. The staff member removed the string during the visit. Plastic bag of mulch was observed laying near the ramp and air conditioning storage space. The administrator stated that maintenance team was working earlier and was to remove it. Ms. Virella removed the mulch bag during the visit. Outdoor space #2A one year old playground the children had limited amount of gross motor equipment for the children to engage in gross motor play. The environment had a tree climber, blocks, and trikes. Space #5, the group of one- to two-year-old children were outdoors engaged in gross motor play with the tree climber, blocks, and trikes. We discussed that the outdoor environment needs a variety of equipment to stimulate gross motor play. After gross motor play, the group transitioned indoors to wash hands and engage in free play with books, climber, blocks, dramatic play. The staff were stationed and actively supervising the children and meeting their individual needs. Space #4, the group of two- to four-year-old children were engaged in free play with blocks. The staff member was reading a story to the children on the carpet. One (1) child was crying in the corner. The child wanted their mommy and the administrator sat and talked with the child to attempt to calm them down. The other staff member and children lined up to transition outdoors for gross motor play. When the children exited the room, the group lined up and the administrator conducted a head count to ensure all children had transitioned outdoors prior to moving to the playground. Once at the playground the administrator and staff conducted another head count prior to the children entering the playground. Space #3 the group of four- to five-year-old children were engaged in free play with blocks, writing, art, water table, science, and dramatic play. One (1) staff member working one-on-one with a child. The other staff member was redirecting them to avoid overcrowding in the dramatic play center. Then a child hit a child on the head and one (1) staff member immediately intervened and talked to the child that injured the other child. The other staff member called for an ice pack for the child that was injured. Another incident was observed with a child running around the room with scissors. One (1) of the staff members intervened to have the child put the scissors away and then invited them to work with the other teacher on a puzzle. Throughout the morning, staff members frequently redirected the children, regarding behavior. After free play, the group transition and outdoor play. While transitioning outdoors, two (2) children exhibited continued disruptive behavior, including throwing toys and overturning furniture, despite the presence and intervention of four (4) adults. The administrator remained with the children to monitor their behavior closely. While monitoring, a child was observed holding an instant ice pack that contained a gel on the inside. We discussed that the staff would need to use ice cubes and a paper towel for any injuries to prevent a child from puncturing the instant ice pack and swallowing the gel material inside the instant ice pack. Space #2 is currently closed. Space #1B is currently closed. Space #1A the group infant and one year old children were engaged in exploring the classroom environment. The staff member was reading a story to two (2) of the three (3) children that were present. We did not observe the children having the opportunity to be outdoors. During naptime, we heard a staff member make a comment to the infant child that was a awake "the outside you never see." Space #6 is currently closed. I interviewed the administrator and staff member. The administrator reported she was aware of the incident where a four-year-old child was left unattended but was not on-site that day. She stated I would need to speak with the staff member that was present. When asked about children getting out of fence routinely, she was not aware of any incidents where that had occurred. She went on to state that outdoor space #3 has been closed since August 18, 2025, until all repairs could be completed. The outdoor space #3 several wooden privacy panels have been replaced due to bears entering the playground and as they see any boards loose or broken boards they replace as needed. When asked about the incidents of children targeting other children, she was not aware of children targeting another child. When asked about incident reports she stated that all incidents were reported, reports completed, and the incident log was maintained. She went on to state that the facility is working with the corporate office to improve the quality of care. The facility has a quality improvement plan in place and is working with the coordinator to make necessary changes and improvements. Per staff interviewed, the staff member reported a four-year-old child was left unattended on September 18, 2025, for less than five (5) minutes. The class had transitioned to the playground for outdoor gross motor play and failed to use the walkie talkie to call for assistance and did not conduct a name to face count prior to the transition. The administrator was not on-site during the incident. The staff member who found the child was finishing a tour and was attempting to locate the district manager who was on-site that day. When looking for the district manager, the staff member looked into the classroom, and the staff member observed a child was left unattended in the room. The staff member immediately entered the room to ensure the child was ok and take the child to the group that was outdoors on the playground. The staff member immediately spoke with staff to ask why the staff did not use the walkie talkie to request assistance to transition to the playground. Further discussion was had with the staff involved. The following Monday a meeting was held, and disciplinary actions were taken. One (1) staff member resigned, and the other has an action plan in place. Based on the interviews, the allegation regarding the allegations of supervision is substantiated. Based on interviews and observations regarding the allegations of safe environment is substantiated. Based on interviews and review of incident reports and incident log, the allegations regarding program records is unsubstantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. Per staff interview, a four-year-old child was left unattended for less than five (5) minutes on September 18, 2025. .1801(a)(1-5) 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. During naptime, I heard a staff member make a comment to the infant child that was awake "the outside you never see." GS 110-91(2);.0508(c) 434 The materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. Outdoor spaces were observed and did not provide sufficient materials to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. 10A NCAC 09 .0509(2) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Outdoor space 1 the metal jeep steering wheel was broken and hanging loosely. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. Outdoor space #1, a rope was tied from one side of the jeep to another at the back creating a choking hazard. A staff member removed the rope from the jeep during the visit. Outdoor #2, had four (4) wooden privacy panels laying in the walk way with sharp edges and screw showing. The gate on outdoor space #3 that leads to the neighboring business was unlocked and the gate latch was broken. 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. Space #3 a child was observed holding an instant ice pack that contained a gel on the inside. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Outdoor space #1, one (1) plastic bag of mulch was observed laying near the building accessible to children. The bag had a hole in the bag and the plastic could be easily torn by the children. .0604(q) Technical assistance was provided as follows: Item 303- Per staff interview, a four-year-old child was left unattended for less than five (5) minutes on September 18, 2025. We discussed that children must be adequately supervised at all time. I recommended to reach out to the Buncombe County Partnership for Child to request active supervision training. Rule Reference: 10A NCAC 09.1801(a) Item 410- Space #1A, during naptime, we heard a staff member make a comment to the infant child that was a awake "the outside you never see." We discussed that all children should have the opportunity to go outside daily. Rule Reference: 10A NCAC 09 .0508(c) Item 434- Outdoor spaces were observed and did not provide sufficient materials to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. We discussed more gross motor equipment needs to added to the outdoor environment. Rule Reference: 10A NCAC 09.0509(2) Item 705- Outdoor space 1 the metal jeep steering wheel was broken and hanging loosely. We discussed that the jeep would need to be removed or repaired. Rule Reference: 10A NCAC 09.0601(c) Item 807- Outdoor space #1, a rope was tied from one side of the jeep to another at the back creating a choking hazard. A staff member removed the rope from the jeep during the visit. Outdoor #2, had four (4) wooden privacy panels laying in the walk way with sharp edges and screw showing. We discussed that the panels would need to be removed from the outdoor space to prevent any injuries. The gate on outdoor space #3 that leads to the neighboring business was unlocked and the gate latch was broken. We discussed that the fence would need to remain closed and the lock would need to be replaced. The administrator stated that the children are currently not using this space. Rule Reference: 10A NCAC 09.0601(a) Item 840- Space #3 a child was observed holding an instant ice pack that contained a gel on the inside. We discussed that the staff would need to use ice cubes and a paper towel for any injuries to prevent a child from puncturing the instant ice pack and swallowing the gel material inside the instant ice pack. Rule Refence: 15A NCAC 18A.2820(b) Item 858- Outdoor space #1, one (1) plastic bag of mulch was observed laying near the building accessible to children. The bag had a hole in the bag and the plastic could be easily torn by the children. The administrator opened and emptied the mulch on the playground during the visit and removed/discarded the plastic bag. Rule Reference: 10A NCAC 09.0604(q) Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if adequate supervision is being maintained per Child Care Rule .1801(a). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision and safe environment. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/15/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education ATTN: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -I recommend reaching out Buncombe County Partnership for Children to request active supervision and safe environment training. Also, I recommend reaching out to the behavior specialist for support with challenging behaviors. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 09.0509 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: 0925-376L Visit Date: 10/1/2025 Number Present: 33 Completed Date: 10/1/2025 Age: From 0 To 5 Total Minutes: 260 Time In: 09:40 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator, during the visit. Bridget Owen, Child Care Consultant accompanied me today. An electronic signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent (92%) as of 9/29/2025. The facility operates with a five-star license issued on 9/1/2024. The Special Services/Restrictions includes first shift, meets enhanced ratios, meets enhanced space, children under two and a half years old in rooms with direct exits. The complaint was received by the Division of Child Development and Early Education on 9/26/2025 and sent to me on 9/26/2025. There is a concern of inadequate supervision, safe environment, and program records Information received documented that children were routinely getting out of the fence in are due to broken fence boards. The children were opening the gate between the playground spaces. The group of four- to five-year-old children had several children with behavioral issues and staff were struggling to manage the behaviors. The report also noted that a child was left behind un attend and found by another staff member. Children were getting hurt from children throwing toys to children being bitten by another child. Questionable if incident reports were being maintained. The report stated that safety was a concern During today’s visit, a walkthrough of the indoor and outdoor environment was conducted. When we arrived, we signed in at the front desk. The outdoor environment was monitored prior to children using the outdoor space. Outdoor space #3, several wooden fence boards have been replaced. The fence was secure to the anchor post. The gate on outdoor space #3 that leads to the neighboring business was unlocked and the gate latch was broken. We discussed that the fence would need to remain closed, and the lock would need to be replaced. The administrator stated that the children are currently not using this space. Outdoor space #1 had limited gross motor equipment a tunnel, steppers, jeep, and mud kitchen. The metal jeep had a broken steering wheel and hoodie string tied to it creating a trip and/or choking hazard. The staff member removed the string during the visit. Plastic bag of mulch was observed laying near the ramp and air conditioning storage space. The administrator stated that maintenance team was working earlier and was to remove it. Ms. Virella removed the mulch bag during the visit. Outdoor space #2A one year old playground the children had limited amount of gross motor equipment for the children to engage in gross motor play. The environment had a tree climber, blocks, and trikes. Space #5, the group of one- to two-year-old children were outdoors engaged in gross motor play with the tree climber, blocks, and trikes. We discussed that the outdoor environment needs a variety of equipment to stimulate gross motor play. After gross motor play, the group transitioned indoors to wash hands and engage in free play with books, climber, blocks, dramatic play. The staff were stationed and actively supervising the children and meeting their individual needs. Space #4, the group of two- to four-year-old children were engaged in free play with blocks. The staff member was reading a story to the children on the carpet. One (1) child was crying in the corner. The child wanted their mommy and the administrator sat and talked with the child to attempt to calm them down. The other staff member and children lined up to transition outdoors for gross motor play. When the children exited the room, the group lined up and the administrator conducted a head count to ensure all children had transitioned outdoors prior to moving to the playground. Once at the playground the administrator and staff conducted another head count prior to the children entering the playground. Space #3 the group of four- to five-year-old children were engaged in free play with blocks, writing, art, water table, science, and dramatic play. One (1) staff member working one-on-one with a child. The other staff member was redirecting them to avoid overcrowding in the dramatic play center. Then a child hit a child on the head and one (1) staff member immediately intervened and talked to the child that injured the other child. The other staff member called for an ice pack for the child that was injured. Another incident was observed with a child running around the room with scissors. One (1) of the staff members intervened to have the child put the scissors away and then invited them to work with the other teacher on a puzzle. Throughout the morning, staff members frequently redirected the children, regarding behavior. After free play, the group transition and outdoor play. While transitioning outdoors, two (2) children exhibited continued disruptive behavior, including throwing toys and overturning furniture, despite the presence and intervention of four (4) adults. The administrator remained with the children to monitor their behavior closely. While monitoring, a child was observed holding an instant ice pack that contained a gel on the inside. We discussed that the staff would need to use ice cubes and a paper towel for any injuries to prevent a child from puncturing the instant ice pack and swallowing the gel material inside the instant ice pack. Space #2 is currently closed. Space #1B is currently closed. Space #1A the group infant and one year old children were engaged in exploring the classroom environment. The staff member was reading a story to two (2) of the three (3) children that were present. We did not observe the children having the opportunity to be outdoors. During naptime, we heard a staff member make a comment to the infant child that was a awake "the outside you never see." Space #6 is currently closed. I interviewed the administrator and staff member. The administrator reported she was aware of the incident where a four-year-old child was left unattended but was not on-site that day. She stated I would need to speak with the staff member that was present. When asked about children getting out of fence routinely, she was not aware of any incidents where that had occurred. She went on to state that outdoor space #3 has been closed since August 18, 2025, until all repairs could be completed. The outdoor space #3 several wooden privacy panels have been replaced due to bears entering the playground and as they see any boards loose or broken boards they replace as needed. When asked about the incidents of children targeting other children, she was not aware of children targeting another child. When asked about incident reports she stated that all incidents were reported, reports completed, and the incident log was maintained. She went on to state that the facility is working with the corporate office to improve the quality of care. The facility has a quality improvement plan in place and is working with the coordinator to make necessary changes and improvements. Per staff interviewed, the staff member reported a four-year-old child was left unattended on September 18, 2025, for less than five (5) minutes. The class had transitioned to the playground for outdoor gross motor play and failed to use the walkie talkie to call for assistance and did not conduct a name to face count prior to the transition. The administrator was not on-site during the incident. The staff member who found the child was finishing a tour and was attempting to locate the district manager who was on-site that day. When looking for the district manager, the staff member looked into the classroom, and the staff member observed a child was left unattended in the room. The staff member immediately entered the room to ensure the child was ok and take the child to the group that was outdoors on the playground. The staff member immediately spoke with staff to ask why the staff did not use the walkie talkie to request assistance to transition to the playground. Further discussion was had with the staff involved. The following Monday a meeting was held, and disciplinary actions were taken. One (1) staff member resigned, and the other has an action plan in place. Based on the interviews, the allegation regarding the allegations of supervision is substantiated. Based on interviews and observations regarding the allegations of safe environment is substantiated. Based on interviews and review of incident reports and incident log, the allegations regarding program records is unsubstantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. Per staff interview, a four-year-old child was left unattended for less than five (5) minutes on September 18, 2025. .1801(a)(1-5) 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. During naptime, I heard a staff member make a comment to the infant child that was awake "the outside you never see." GS 110-91(2);.0508(c) 434 The materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. Outdoor spaces were observed and did not provide sufficient materials to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. 10A NCAC 09 .0509(2) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Outdoor space 1 the metal jeep steering wheel was broken and hanging loosely. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. Outdoor space #1, a rope was tied from one side of the jeep to another at the back creating a choking hazard. A staff member removed the rope from the jeep during the visit. Outdoor #2, had four (4) wooden privacy panels laying in the walk way with sharp edges and screw showing. The gate on outdoor space #3 that leads to the neighboring business was unlocked and the gate latch was broken. 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. Space #3 a child was observed holding an instant ice pack that contained a gel on the inside. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Outdoor space #1, one (1) plastic bag of mulch was observed laying near the building accessible to children. The bag had a hole in the bag and the plastic could be easily torn by the children. .0604(q) Technical assistance was provided as follows: Item 303- Per staff interview, a four-year-old child was left unattended for less than five (5) minutes on September 18, 2025. We discussed that children must be adequately supervised at all time. I recommended to reach out to the Buncombe County Partnership for Child to request active supervision training. Rule Reference: 10A NCAC 09.1801(a) Item 410- Space #1A, during naptime, we heard a staff member make a comment to the infant child that was a awake "the outside you never see." We discussed that all children should have the opportunity to go outside daily. Rule Reference: 10A NCAC 09 .0508(c) Item 434- Outdoor spaces were observed and did not provide sufficient materials to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. We discussed more gross motor equipment needs to added to the outdoor environment. Rule Reference: 10A NCAC 09.0509(2) Item 705- Outdoor space 1 the metal jeep steering wheel was broken and hanging loosely. We discussed that the jeep would need to be removed or repaired. Rule Reference: 10A NCAC 09.0601(c) Item 807- Outdoor space #1, a rope was tied from one side of the jeep to another at the back creating a choking hazard. A staff member removed the rope from the jeep during the visit. Outdoor #2, had four (4) wooden privacy panels laying in the walk way with sharp edges and screw showing. We discussed that the panels would need to be removed from the outdoor space to prevent any injuries. The gate on outdoor space #3 that leads to the neighboring business was unlocked and the gate latch was broken. We discussed that the fence would need to remain closed and the lock would need to be replaced. The administrator stated that the children are currently not using this space. Rule Reference: 10A NCAC 09.0601(a) Item 840- Space #3 a child was observed holding an instant ice pack that contained a gel on the inside. We discussed that the staff would need to use ice cubes and a paper towel for any injuries to prevent a child from puncturing the instant ice pack and swallowing the gel material inside the instant ice pack. Rule Refence: 15A NCAC 18A.2820(b) Item 858- Outdoor space #1, one (1) plastic bag of mulch was observed laying near the building accessible to children. The bag had a hole in the bag and the plastic could be easily torn by the children. The administrator opened and emptied the mulch on the playground during the visit and removed/discarded the plastic bag. Rule Reference: 10A NCAC 09.0604(q) Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if adequate supervision is being maintained per Child Care Rule .1801(a). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision and safe environment. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/15/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education ATTN: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -I recommend reaching out Buncombe County Partnership for Children to request active supervision and safe environment training. Also, I recommend reaching out to the behavior specialist for support with challenging behaviors. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 09.0601 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: 0925-376L Visit Date: 10/1/2025 Number Present: 33 Completed Date: 10/1/2025 Age: From 0 To 5 Total Minutes: 260 Time In: 09:40 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator, during the visit. Bridget Owen, Child Care Consultant accompanied me today. An electronic signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent (92%) as of 9/29/2025. The facility operates with a five-star license issued on 9/1/2024. The Special Services/Restrictions includes first shift, meets enhanced ratios, meets enhanced space, children under two and a half years old in rooms with direct exits. The complaint was received by the Division of Child Development and Early Education on 9/26/2025 and sent to me on 9/26/2025. There is a concern of inadequate supervision, safe environment, and program records Information received documented that children were routinely getting out of the fence in are due to broken fence boards. The children were opening the gate between the playground spaces. The group of four- to five-year-old children had several children with behavioral issues and staff were struggling to manage the behaviors. The report also noted that a child was left behind un attend and found by another staff member. Children were getting hurt from children throwing toys to children being bitten by another child. Questionable if incident reports were being maintained. The report stated that safety was a concern During today’s visit, a walkthrough of the indoor and outdoor environment was conducted. When we arrived, we signed in at the front desk. The outdoor environment was monitored prior to children using the outdoor space. Outdoor space #3, several wooden fence boards have been replaced. The fence was secure to the anchor post. The gate on outdoor space #3 that leads to the neighboring business was unlocked and the gate latch was broken. We discussed that the fence would need to remain closed, and the lock would need to be replaced. The administrator stated that the children are currently not using this space. Outdoor space #1 had limited gross motor equipment a tunnel, steppers, jeep, and mud kitchen. The metal jeep had a broken steering wheel and hoodie string tied to it creating a trip and/or choking hazard. The staff member removed the string during the visit. Plastic bag of mulch was observed laying near the ramp and air conditioning storage space. The administrator stated that maintenance team was working earlier and was to remove it. Ms. Virella removed the mulch bag during the visit. Outdoor space #2A one year old playground the children had limited amount of gross motor equipment for the children to engage in gross motor play. The environment had a tree climber, blocks, and trikes. Space #5, the group of one- to two-year-old children were outdoors engaged in gross motor play with the tree climber, blocks, and trikes. We discussed that the outdoor environment needs a variety of equipment to stimulate gross motor play. After gross motor play, the group transitioned indoors to wash hands and engage in free play with books, climber, blocks, dramatic play. The staff were stationed and actively supervising the children and meeting their individual needs. Space #4, the group of two- to four-year-old children were engaged in free play with blocks. The staff member was reading a story to the children on the carpet. One (1) child was crying in the corner. The child wanted their mommy and the administrator sat and talked with the child to attempt to calm them down. The other staff member and children lined up to transition outdoors for gross motor play. When the children exited the room, the group lined up and the administrator conducted a head count to ensure all children had transitioned outdoors prior to moving to the playground. Once at the playground the administrator and staff conducted another head count prior to the children entering the playground. Space #3 the group of four- to five-year-old children were engaged in free play with blocks, writing, art, water table, science, and dramatic play. One (1) staff member working one-on-one with a child. The other staff member was redirecting them to avoid overcrowding in the dramatic play center. Then a child hit a child on the head and one (1) staff member immediately intervened and talked to the child that injured the other child. The other staff member called for an ice pack for the child that was injured. Another incident was observed with a child running around the room with scissors. One (1) of the staff members intervened to have the child put the scissors away and then invited them to work with the other teacher on a puzzle. Throughout the morning, staff members frequently redirected the children, regarding behavior. After free play, the group transition and outdoor play. While transitioning outdoors, two (2) children exhibited continued disruptive behavior, including throwing toys and overturning furniture, despite the presence and intervention of four (4) adults. The administrator remained with the children to monitor their behavior closely. While monitoring, a child was observed holding an instant ice pack that contained a gel on the inside. We discussed that the staff would need to use ice cubes and a paper towel for any injuries to prevent a child from puncturing the instant ice pack and swallowing the gel material inside the instant ice pack. Space #2 is currently closed. Space #1B is currently closed. Space #1A the group infant and one year old children were engaged in exploring the classroom environment. The staff member was reading a story to two (2) of the three (3) children that were present. We did not observe the children having the opportunity to be outdoors. During naptime, we heard a staff member make a comment to the infant child that was a awake "the outside you never see." Space #6 is currently closed. I interviewed the administrator and staff member. The administrator reported she was aware of the incident where a four-year-old child was left unattended but was not on-site that day. She stated I would need to speak with the staff member that was present. When asked about children getting out of fence routinely, she was not aware of any incidents where that had occurred. She went on to state that outdoor space #3 has been closed since August 18, 2025, until all repairs could be completed. The outdoor space #3 several wooden privacy panels have been replaced due to bears entering the playground and as they see any boards loose or broken boards they replace as needed. When asked about the incidents of children targeting other children, she was not aware of children targeting another child. When asked about incident reports she stated that all incidents were reported, reports completed, and the incident log was maintained. She went on to state that the facility is working with the corporate office to improve the quality of care. The facility has a quality improvement plan in place and is working with the coordinator to make necessary changes and improvements. Per staff interviewed, the staff member reported a four-year-old child was left unattended on September 18, 2025, for less than five (5) minutes. The class had transitioned to the playground for outdoor gross motor play and failed to use the walkie talkie to call for assistance and did not conduct a name to face count prior to the transition. The administrator was not on-site during the incident. The staff member who found the child was finishing a tour and was attempting to locate the district manager who was on-site that day. When looking for the district manager, the staff member looked into the classroom, and the staff member observed a child was left unattended in the room. The staff member immediately entered the room to ensure the child was ok and take the child to the group that was outdoors on the playground. The staff member immediately spoke with staff to ask why the staff did not use the walkie talkie to request assistance to transition to the playground. Further discussion was had with the staff involved. The following Monday a meeting was held, and disciplinary actions were taken. One (1) staff member resigned, and the other has an action plan in place. Based on the interviews, the allegation regarding the allegations of supervision is substantiated. Based on interviews and observations regarding the allegations of safe environment is substantiated. Based on interviews and review of incident reports and incident log, the allegations regarding program records is unsubstantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. Per staff interview, a four-year-old child was left unattended for less than five (5) minutes on September 18, 2025. .1801(a)(1-5) 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. During naptime, I heard a staff member make a comment to the infant child that was awake "the outside you never see." GS 110-91(2);.0508(c) 434 The materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. Outdoor spaces were observed and did not provide sufficient materials to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. 10A NCAC 09 .0509(2) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Outdoor space 1 the metal jeep steering wheel was broken and hanging loosely. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. Outdoor space #1, a rope was tied from one side of the jeep to another at the back creating a choking hazard. A staff member removed the rope from the jeep during the visit. Outdoor #2, had four (4) wooden privacy panels laying in the walk way with sharp edges and screw showing. The gate on outdoor space #3 that leads to the neighboring business was unlocked and the gate latch was broken. 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. Space #3 a child was observed holding an instant ice pack that contained a gel on the inside. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Outdoor space #1, one (1) plastic bag of mulch was observed laying near the building accessible to children. The bag had a hole in the bag and the plastic could be easily torn by the children. .0604(q) Technical assistance was provided as follows: Item 303- Per staff interview, a four-year-old child was left unattended for less than five (5) minutes on September 18, 2025. We discussed that children must be adequately supervised at all time. I recommended to reach out to the Buncombe County Partnership for Child to request active supervision training. Rule Reference: 10A NCAC 09.1801(a) Item 410- Space #1A, during naptime, we heard a staff member make a comment to the infant child that was a awake "the outside you never see." We discussed that all children should have the opportunity to go outside daily. Rule Reference: 10A NCAC 09 .0508(c) Item 434- Outdoor spaces were observed and did not provide sufficient materials to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. We discussed more gross motor equipment needs to added to the outdoor environment. Rule Reference: 10A NCAC 09.0509(2) Item 705- Outdoor space 1 the metal jeep steering wheel was broken and hanging loosely. We discussed that the jeep would need to be removed or repaired. Rule Reference: 10A NCAC 09.0601(c) Item 807- Outdoor space #1, a rope was tied from one side of the jeep to another at the back creating a choking hazard. A staff member removed the rope from the jeep during the visit. Outdoor #2, had four (4) wooden privacy panels laying in the walk way with sharp edges and screw showing. We discussed that the panels would need to be removed from the outdoor space to prevent any injuries. The gate on outdoor space #3 that leads to the neighboring business was unlocked and the gate latch was broken. We discussed that the fence would need to remain closed and the lock would need to be replaced. The administrator stated that the children are currently not using this space. Rule Reference: 10A NCAC 09.0601(a) Item 840- Space #3 a child was observed holding an instant ice pack that contained a gel on the inside. We discussed that the staff would need to use ice cubes and a paper towel for any injuries to prevent a child from puncturing the instant ice pack and swallowing the gel material inside the instant ice pack. Rule Refence: 15A NCAC 18A.2820(b) Item 858- Outdoor space #1, one (1) plastic bag of mulch was observed laying near the building accessible to children. The bag had a hole in the bag and the plastic could be easily torn by the children. The administrator opened and emptied the mulch on the playground during the visit and removed/discarded the plastic bag. Rule Reference: 10A NCAC 09.0604(q) Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if adequate supervision is being maintained per Child Care Rule .1801(a). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision and safe environment. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/15/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education ATTN: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -I recommend reaching out Buncombe County Partnership for Children to request active supervision and safe environment training. Also, I recommend reaching out to the behavior specialist for support with challenging behaviors. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 09.0604 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: 0925-376L Visit Date: 10/1/2025 Number Present: 33 Completed Date: 10/1/2025 Age: From 0 To 5 Total Minutes: 260 Time In: 09:40 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator, during the visit. Bridget Owen, Child Care Consultant accompanied me today. An electronic signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent (92%) as of 9/29/2025. The facility operates with a five-star license issued on 9/1/2024. The Special Services/Restrictions includes first shift, meets enhanced ratios, meets enhanced space, children under two and a half years old in rooms with direct exits. The complaint was received by the Division of Child Development and Early Education on 9/26/2025 and sent to me on 9/26/2025. There is a concern of inadequate supervision, safe environment, and program records Information received documented that children were routinely getting out of the fence in are due to broken fence boards. The children were opening the gate between the playground spaces. The group of four- to five-year-old children had several children with behavioral issues and staff were struggling to manage the behaviors. The report also noted that a child was left behind un attend and found by another staff member. Children were getting hurt from children throwing toys to children being bitten by another child. Questionable if incident reports were being maintained. The report stated that safety was a concern During today’s visit, a walkthrough of the indoor and outdoor environment was conducted. When we arrived, we signed in at the front desk. The outdoor environment was monitored prior to children using the outdoor space. Outdoor space #3, several wooden fence boards have been replaced. The fence was secure to the anchor post. The gate on outdoor space #3 that leads to the neighboring business was unlocked and the gate latch was broken. We discussed that the fence would need to remain closed, and the lock would need to be replaced. The administrator stated that the children are currently not using this space. Outdoor space #1 had limited gross motor equipment a tunnel, steppers, jeep, and mud kitchen. The metal jeep had a broken steering wheel and hoodie string tied to it creating a trip and/or choking hazard. The staff member removed the string during the visit. Plastic bag of mulch was observed laying near the ramp and air conditioning storage space. The administrator stated that maintenance team was working earlier and was to remove it. Ms. Virella removed the mulch bag during the visit. Outdoor space #2A one year old playground the children had limited amount of gross motor equipment for the children to engage in gross motor play. The environment had a tree climber, blocks, and trikes. Space #5, the group of one- to two-year-old children were outdoors engaged in gross motor play with the tree climber, blocks, and trikes. We discussed that the outdoor environment needs a variety of equipment to stimulate gross motor play. After gross motor play, the group transitioned indoors to wash hands and engage in free play with books, climber, blocks, dramatic play. The staff were stationed and actively supervising the children and meeting their individual needs. Space #4, the group of two- to four-year-old children were engaged in free play with blocks. The staff member was reading a story to the children on the carpet. One (1) child was crying in the corner. The child wanted their mommy and the administrator sat and talked with the child to attempt to calm them down. The other staff member and children lined up to transition outdoors for gross motor play. When the children exited the room, the group lined up and the administrator conducted a head count to ensure all children had transitioned outdoors prior to moving to the playground. Once at the playground the administrator and staff conducted another head count prior to the children entering the playground. Space #3 the group of four- to five-year-old children were engaged in free play with blocks, writing, art, water table, science, and dramatic play. One (1) staff member working one-on-one with a child. The other staff member was redirecting them to avoid overcrowding in the dramatic play center. Then a child hit a child on the head and one (1) staff member immediately intervened and talked to the child that injured the other child. The other staff member called for an ice pack for the child that was injured. Another incident was observed with a child running around the room with scissors. One (1) of the staff members intervened to have the child put the scissors away and then invited them to work with the other teacher on a puzzle. Throughout the morning, staff members frequently redirected the children, regarding behavior. After free play, the group transition and outdoor play. While transitioning outdoors, two (2) children exhibited continued disruptive behavior, including throwing toys and overturning furniture, despite the presence and intervention of four (4) adults. The administrator remained with the children to monitor their behavior closely. While monitoring, a child was observed holding an instant ice pack that contained a gel on the inside. We discussed that the staff would need to use ice cubes and a paper towel for any injuries to prevent a child from puncturing the instant ice pack and swallowing the gel material inside the instant ice pack. Space #2 is currently closed. Space #1B is currently closed. Space #1A the group infant and one year old children were engaged in exploring the classroom environment. The staff member was reading a story to two (2) of the three (3) children that were present. We did not observe the children having the opportunity to be outdoors. During naptime, we heard a staff member make a comment to the infant child that was a awake "the outside you never see." Space #6 is currently closed. I interviewed the administrator and staff member. The administrator reported she was aware of the incident where a four-year-old child was left unattended but was not on-site that day. She stated I would need to speak with the staff member that was present. When asked about children getting out of fence routinely, she was not aware of any incidents where that had occurred. She went on to state that outdoor space #3 has been closed since August 18, 2025, until all repairs could be completed. The outdoor space #3 several wooden privacy panels have been replaced due to bears entering the playground and as they see any boards loose or broken boards they replace as needed. When asked about the incidents of children targeting other children, she was not aware of children targeting another child. When asked about incident reports she stated that all incidents were reported, reports completed, and the incident log was maintained. She went on to state that the facility is working with the corporate office to improve the quality of care. The facility has a quality improvement plan in place and is working with the coordinator to make necessary changes and improvements. Per staff interviewed, the staff member reported a four-year-old child was left unattended on September 18, 2025, for less than five (5) minutes. The class had transitioned to the playground for outdoor gross motor play and failed to use the walkie talkie to call for assistance and did not conduct a name to face count prior to the transition. The administrator was not on-site during the incident. The staff member who found the child was finishing a tour and was attempting to locate the district manager who was on-site that day. When looking for the district manager, the staff member looked into the classroom, and the staff member observed a child was left unattended in the room. The staff member immediately entered the room to ensure the child was ok and take the child to the group that was outdoors on the playground. The staff member immediately spoke with staff to ask why the staff did not use the walkie talkie to request assistance to transition to the playground. Further discussion was had with the staff involved. The following Monday a meeting was held, and disciplinary actions were taken. One (1) staff member resigned, and the other has an action plan in place. Based on the interviews, the allegation regarding the allegations of supervision is substantiated. Based on interviews and observations regarding the allegations of safe environment is substantiated. Based on interviews and review of incident reports and incident log, the allegations regarding program records is unsubstantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. Per staff interview, a four-year-old child was left unattended for less than five (5) minutes on September 18, 2025. .1801(a)(1-5) 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. During naptime, I heard a staff member make a comment to the infant child that was awake "the outside you never see." GS 110-91(2);.0508(c) 434 The materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. Outdoor spaces were observed and did not provide sufficient materials to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. 10A NCAC 09 .0509(2) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Outdoor space 1 the metal jeep steering wheel was broken and hanging loosely. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. Outdoor space #1, a rope was tied from one side of the jeep to another at the back creating a choking hazard. A staff member removed the rope from the jeep during the visit. Outdoor #2, had four (4) wooden privacy panels laying in the walk way with sharp edges and screw showing. The gate on outdoor space #3 that leads to the neighboring business was unlocked and the gate latch was broken. 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. Space #3 a child was observed holding an instant ice pack that contained a gel on the inside. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Outdoor space #1, one (1) plastic bag of mulch was observed laying near the building accessible to children. The bag had a hole in the bag and the plastic could be easily torn by the children. .0604(q) Technical assistance was provided as follows: Item 303- Per staff interview, a four-year-old child was left unattended for less than five (5) minutes on September 18, 2025. We discussed that children must be adequately supervised at all time. I recommended to reach out to the Buncombe County Partnership for Child to request active supervision training. Rule Reference: 10A NCAC 09.1801(a) Item 410- Space #1A, during naptime, we heard a staff member make a comment to the infant child that was a awake "the outside you never see." We discussed that all children should have the opportunity to go outside daily. Rule Reference: 10A NCAC 09 .0508(c) Item 434- Outdoor spaces were observed and did not provide sufficient materials to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. We discussed more gross motor equipment needs to added to the outdoor environment. Rule Reference: 10A NCAC 09.0509(2) Item 705- Outdoor space 1 the metal jeep steering wheel was broken and hanging loosely. We discussed that the jeep would need to be removed or repaired. Rule Reference: 10A NCAC 09.0601(c) Item 807- Outdoor space #1, a rope was tied from one side of the jeep to another at the back creating a choking hazard. A staff member removed the rope from the jeep during the visit. Outdoor #2, had four (4) wooden privacy panels laying in the walk way with sharp edges and screw showing. We discussed that the panels would need to be removed from the outdoor space to prevent any injuries. The gate on outdoor space #3 that leads to the neighboring business was unlocked and the gate latch was broken. We discussed that the fence would need to remain closed and the lock would need to be replaced. The administrator stated that the children are currently not using this space. Rule Reference: 10A NCAC 09.0601(a) Item 840- Space #3 a child was observed holding an instant ice pack that contained a gel on the inside. We discussed that the staff would need to use ice cubes and a paper towel for any injuries to prevent a child from puncturing the instant ice pack and swallowing the gel material inside the instant ice pack. Rule Refence: 15A NCAC 18A.2820(b) Item 858- Outdoor space #1, one (1) plastic bag of mulch was observed laying near the building accessible to children. The bag had a hole in the bag and the plastic could be easily torn by the children. The administrator opened and emptied the mulch on the playground during the visit and removed/discarded the plastic bag. Rule Reference: 10A NCAC 09.0604(q) Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if adequate supervision is being maintained per Child Care Rule .1801(a). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision and safe environment. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/15/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education ATTN: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -I recommend reaching out Buncombe County Partnership for Children to request active supervision and safe environment training. Also, I recommend reaching out to the behavior specialist for support with challenging behaviors. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 09.1801 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: 0925-376L Visit Date: 10/1/2025 Number Present: 33 Completed Date: 10/1/2025 Age: From 0 To 5 Total Minutes: 260 Time In: 09:40 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator, during the visit. Bridget Owen, Child Care Consultant accompanied me today. An electronic signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent (92%) as of 9/29/2025. The facility operates with a five-star license issued on 9/1/2024. The Special Services/Restrictions includes first shift, meets enhanced ratios, meets enhanced space, children under two and a half years old in rooms with direct exits. The complaint was received by the Division of Child Development and Early Education on 9/26/2025 and sent to me on 9/26/2025. There is a concern of inadequate supervision, safe environment, and program records Information received documented that children were routinely getting out of the fence in are due to broken fence boards. The children were opening the gate between the playground spaces. The group of four- to five-year-old children had several children with behavioral issues and staff were struggling to manage the behaviors. The report also noted that a child was left behind un attend and found by another staff member. Children were getting hurt from children throwing toys to children being bitten by another child. Questionable if incident reports were being maintained. The report stated that safety was a concern During today’s visit, a walkthrough of the indoor and outdoor environment was conducted. When we arrived, we signed in at the front desk. The outdoor environment was monitored prior to children using the outdoor space. Outdoor space #3, several wooden fence boards have been replaced. The fence was secure to the anchor post. The gate on outdoor space #3 that leads to the neighboring business was unlocked and the gate latch was broken. We discussed that the fence would need to remain closed, and the lock would need to be replaced. The administrator stated that the children are currently not using this space. Outdoor space #1 had limited gross motor equipment a tunnel, steppers, jeep, and mud kitchen. The metal jeep had a broken steering wheel and hoodie string tied to it creating a trip and/or choking hazard. The staff member removed the string during the visit. Plastic bag of mulch was observed laying near the ramp and air conditioning storage space. The administrator stated that maintenance team was working earlier and was to remove it. Ms. Virella removed the mulch bag during the visit. Outdoor space #2A one year old playground the children had limited amount of gross motor equipment for the children to engage in gross motor play. The environment had a tree climber, blocks, and trikes. Space #5, the group of one- to two-year-old children were outdoors engaged in gross motor play with the tree climber, blocks, and trikes. We discussed that the outdoor environment needs a variety of equipment to stimulate gross motor play. After gross motor play, the group transitioned indoors to wash hands and engage in free play with books, climber, blocks, dramatic play. The staff were stationed and actively supervising the children and meeting their individual needs. Space #4, the group of two- to four-year-old children were engaged in free play with blocks. The staff member was reading a story to the children on the carpet. One (1) child was crying in the corner. The child wanted their mommy and the administrator sat and talked with the child to attempt to calm them down. The other staff member and children lined up to transition outdoors for gross motor play. When the children exited the room, the group lined up and the administrator conducted a head count to ensure all children had transitioned outdoors prior to moving to the playground. Once at the playground the administrator and staff conducted another head count prior to the children entering the playground. Space #3 the group of four- to five-year-old children were engaged in free play with blocks, writing, art, water table, science, and dramatic play. One (1) staff member working one-on-one with a child. The other staff member was redirecting them to avoid overcrowding in the dramatic play center. Then a child hit a child on the head and one (1) staff member immediately intervened and talked to the child that injured the other child. The other staff member called for an ice pack for the child that was injured. Another incident was observed with a child running around the room with scissors. One (1) of the staff members intervened to have the child put the scissors away and then invited them to work with the other teacher on a puzzle. Throughout the morning, staff members frequently redirected the children, regarding behavior. After free play, the group transition and outdoor play. While transitioning outdoors, two (2) children exhibited continued disruptive behavior, including throwing toys and overturning furniture, despite the presence and intervention of four (4) adults. The administrator remained with the children to monitor their behavior closely. While monitoring, a child was observed holding an instant ice pack that contained a gel on the inside. We discussed that the staff would need to use ice cubes and a paper towel for any injuries to prevent a child from puncturing the instant ice pack and swallowing the gel material inside the instant ice pack. Space #2 is currently closed. Space #1B is currently closed. Space #1A the group infant and one year old children were engaged in exploring the classroom environment. The staff member was reading a story to two (2) of the three (3) children that were present. We did not observe the children having the opportunity to be outdoors. During naptime, we heard a staff member make a comment to the infant child that was a awake "the outside you never see." Space #6 is currently closed. I interviewed the administrator and staff member. The administrator reported she was aware of the incident where a four-year-old child was left unattended but was not on-site that day. She stated I would need to speak with the staff member that was present. When asked about children getting out of fence routinely, she was not aware of any incidents where that had occurred. She went on to state that outdoor space #3 has been closed since August 18, 2025, until all repairs could be completed. The outdoor space #3 several wooden privacy panels have been replaced due to bears entering the playground and as they see any boards loose or broken boards they replace as needed. When asked about the incidents of children targeting other children, she was not aware of children targeting another child. When asked about incident reports she stated that all incidents were reported, reports completed, and the incident log was maintained. She went on to state that the facility is working with the corporate office to improve the quality of care. The facility has a quality improvement plan in place and is working with the coordinator to make necessary changes and improvements. Per staff interviewed, the staff member reported a four-year-old child was left unattended on September 18, 2025, for less than five (5) minutes. The class had transitioned to the playground for outdoor gross motor play and failed to use the walkie talkie to call for assistance and did not conduct a name to face count prior to the transition. The administrator was not on-site during the incident. The staff member who found the child was finishing a tour and was attempting to locate the district manager who was on-site that day. When looking for the district manager, the staff member looked into the classroom, and the staff member observed a child was left unattended in the room. The staff member immediately entered the room to ensure the child was ok and take the child to the group that was outdoors on the playground. The staff member immediately spoke with staff to ask why the staff did not use the walkie talkie to request assistance to transition to the playground. Further discussion was had with the staff involved. The following Monday a meeting was held, and disciplinary actions were taken. One (1) staff member resigned, and the other has an action plan in place. Based on the interviews, the allegation regarding the allegations of supervision is substantiated. Based on interviews and observations regarding the allegations of safe environment is substantiated. Based on interviews and review of incident reports and incident log, the allegations regarding program records is unsubstantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. Per staff interview, a four-year-old child was left unattended for less than five (5) minutes on September 18, 2025. .1801(a)(1-5) 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. During naptime, I heard a staff member make a comment to the infant child that was awake "the outside you never see." GS 110-91(2);.0508(c) 434 The materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. Outdoor spaces were observed and did not provide sufficient materials to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. 10A NCAC 09 .0509(2) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Outdoor space 1 the metal jeep steering wheel was broken and hanging loosely. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. Outdoor space #1, a rope was tied from one side of the jeep to another at the back creating a choking hazard. A staff member removed the rope from the jeep during the visit. Outdoor #2, had four (4) wooden privacy panels laying in the walk way with sharp edges and screw showing. The gate on outdoor space #3 that leads to the neighboring business was unlocked and the gate latch was broken. 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. Space #3 a child was observed holding an instant ice pack that contained a gel on the inside. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Outdoor space #1, one (1) plastic bag of mulch was observed laying near the building accessible to children. The bag had a hole in the bag and the plastic could be easily torn by the children. .0604(q) Technical assistance was provided as follows: Item 303- Per staff interview, a four-year-old child was left unattended for less than five (5) minutes on September 18, 2025. We discussed that children must be adequately supervised at all time. I recommended to reach out to the Buncombe County Partnership for Child to request active supervision training. Rule Reference: 10A NCAC 09.1801(a) Item 410- Space #1A, during naptime, we heard a staff member make a comment to the infant child that was a awake "the outside you never see." We discussed that all children should have the opportunity to go outside daily. Rule Reference: 10A NCAC 09 .0508(c) Item 434- Outdoor spaces were observed and did not provide sufficient materials to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. We discussed more gross motor equipment needs to added to the outdoor environment. Rule Reference: 10A NCAC 09.0509(2) Item 705- Outdoor space 1 the metal jeep steering wheel was broken and hanging loosely. We discussed that the jeep would need to be removed or repaired. Rule Reference: 10A NCAC 09.0601(c) Item 807- Outdoor space #1, a rope was tied from one side of the jeep to another at the back creating a choking hazard. A staff member removed the rope from the jeep during the visit. Outdoor #2, had four (4) wooden privacy panels laying in the walk way with sharp edges and screw showing. We discussed that the panels would need to be removed from the outdoor space to prevent any injuries. The gate on outdoor space #3 that leads to the neighboring business was unlocked and the gate latch was broken. We discussed that the fence would need to remain closed and the lock would need to be replaced. The administrator stated that the children are currently not using this space. Rule Reference: 10A NCAC 09.0601(a) Item 840- Space #3 a child was observed holding an instant ice pack that contained a gel on the inside. We discussed that the staff would need to use ice cubes and a paper towel for any injuries to prevent a child from puncturing the instant ice pack and swallowing the gel material inside the instant ice pack. Rule Refence: 15A NCAC 18A.2820(b) Item 858- Outdoor space #1, one (1) plastic bag of mulch was observed laying near the building accessible to children. The bag had a hole in the bag and the plastic could be easily torn by the children. The administrator opened and emptied the mulch on the playground during the visit and removed/discarded the plastic bag. Rule Reference: 10A NCAC 09.0604(q) Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if adequate supervision is being maintained per Child Care Rule .1801(a). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision and safe environment. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/15/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education ATTN: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -I recommend reaching out Buncombe County Partnership for Children to request active supervision and safe environment training. Also, I recommend reaching out to the behavior specialist for support with challenging behaviors. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: 0925-376L Visit Date: 10/1/2025 Number Present: 33 Completed Date: 10/1/2025 Age: From 0 To 5 Total Minutes: 260 Time In: 09:40 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator, during the visit. Bridget Owen, Child Care Consultant accompanied me today. An electronic signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent (92%) as of 9/29/2025. The facility operates with a five-star license issued on 9/1/2024. The Special Services/Restrictions includes first shift, meets enhanced ratios, meets enhanced space, children under two and a half years old in rooms with direct exits. The complaint was received by the Division of Child Development and Early Education on 9/26/2025 and sent to me on 9/26/2025. There is a concern of inadequate supervision, safe environment, and program records Information received documented that children were routinely getting out of the fence in are due to broken fence boards. The children were opening the gate between the playground spaces. The group of four- to five-year-old children had several children with behavioral issues and staff were struggling to manage the behaviors. The report also noted that a child was left behind un attend and found by another staff member. Children were getting hurt from children throwing toys to children being bitten by another child. Questionable if incident reports were being maintained. The report stated that safety was a concern During today’s visit, a walkthrough of the indoor and outdoor environment was conducted. When we arrived, we signed in at the front desk. The outdoor environment was monitored prior to children using the outdoor space. Outdoor space #3, several wooden fence boards have been replaced. The fence was secure to the anchor post. The gate on outdoor space #3 that leads to the neighboring business was unlocked and the gate latch was broken. We discussed that the fence would need to remain closed, and the lock would need to be replaced. The administrator stated that the children are currently not using this space. Outdoor space #1 had limited gross motor equipment a tunnel, steppers, jeep, and mud kitchen. The metal jeep had a broken steering wheel and hoodie string tied to it creating a trip and/or choking hazard. The staff member removed the string during the visit. Plastic bag of mulch was observed laying near the ramp and air conditioning storage space. The administrator stated that maintenance team was working earlier and was to remove it. Ms. Virella removed the mulch bag during the visit. Outdoor space #2A one year old playground the children had limited amount of gross motor equipment for the children to engage in gross motor play. The environment had a tree climber, blocks, and trikes. Space #5, the group of one- to two-year-old children were outdoors engaged in gross motor play with the tree climber, blocks, and trikes. We discussed that the outdoor environment needs a variety of equipment to stimulate gross motor play. After gross motor play, the group transitioned indoors to wash hands and engage in free play with books, climber, blocks, dramatic play. The staff were stationed and actively supervising the children and meeting their individual needs. Space #4, the group of two- to four-year-old children were engaged in free play with blocks. The staff member was reading a story to the children on the carpet. One (1) child was crying in the corner. The child wanted their mommy and the administrator sat and talked with the child to attempt to calm them down. The other staff member and children lined up to transition outdoors for gross motor play. When the children exited the room, the group lined up and the administrator conducted a head count to ensure all children had transitioned outdoors prior to moving to the playground. Once at the playground the administrator and staff conducted another head count prior to the children entering the playground. Space #3 the group of four- to five-year-old children were engaged in free play with blocks, writing, art, water table, science, and dramatic play. One (1) staff member working one-on-one with a child. The other staff member was redirecting them to avoid overcrowding in the dramatic play center. Then a child hit a child on the head and one (1) staff member immediately intervened and talked to the child that injured the other child. The other staff member called for an ice pack for the child that was injured. Another incident was observed with a child running around the room with scissors. One (1) of the staff members intervened to have the child put the scissors away and then invited them to work with the other teacher on a puzzle. Throughout the morning, staff members frequently redirected the children, regarding behavior. After free play, the group transition and outdoor play. While transitioning outdoors, two (2) children exhibited continued disruptive behavior, including throwing toys and overturning furniture, despite the presence and intervention of four (4) adults. The administrator remained with the children to monitor their behavior closely. While monitoring, a child was observed holding an instant ice pack that contained a gel on the inside. We discussed that the staff would need to use ice cubes and a paper towel for any injuries to prevent a child from puncturing the instant ice pack and swallowing the gel material inside the instant ice pack. Space #2 is currently closed. Space #1B is currently closed. Space #1A the group infant and one year old children were engaged in exploring the classroom environment. The staff member was reading a story to two (2) of the three (3) children that were present. We did not observe the children having the opportunity to be outdoors. During naptime, we heard a staff member make a comment to the infant child that was a awake "the outside you never see." Space #6 is currently closed. I interviewed the administrator and staff member. The administrator reported she was aware of the incident where a four-year-old child was left unattended but was not on-site that day. She stated I would need to speak with the staff member that was present. When asked about children getting out of fence routinely, she was not aware of any incidents where that had occurred. She went on to state that outdoor space #3 has been closed since August 18, 2025, until all repairs could be completed. The outdoor space #3 several wooden privacy panels have been replaced due to bears entering the playground and as they see any boards loose or broken boards they replace as needed. When asked about the incidents of children targeting other children, she was not aware of children targeting another child. When asked about incident reports she stated that all incidents were reported, reports completed, and the incident log was maintained. She went on to state that the facility is working with the corporate office to improve the quality of care. The facility has a quality improvement plan in place and is working with the coordinator to make necessary changes and improvements. Per staff interviewed, the staff member reported a four-year-old child was left unattended on September 18, 2025, for less than five (5) minutes. The class had transitioned to the playground for outdoor gross motor play and failed to use the walkie talkie to call for assistance and did not conduct a name to face count prior to the transition. The administrator was not on-site during the incident. The staff member who found the child was finishing a tour and was attempting to locate the district manager who was on-site that day. When looking for the district manager, the staff member looked into the classroom, and the staff member observed a child was left unattended in the room. The staff member immediately entered the room to ensure the child was ok and take the child to the group that was outdoors on the playground. The staff member immediately spoke with staff to ask why the staff did not use the walkie talkie to request assistance to transition to the playground. Further discussion was had with the staff involved. The following Monday a meeting was held, and disciplinary actions were taken. One (1) staff member resigned, and the other has an action plan in place. Based on the interviews, the allegation regarding the allegations of supervision is substantiated. Based on interviews and observations regarding the allegations of safe environment is substantiated. Based on interviews and review of incident reports and incident log, the allegations regarding program records is unsubstantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. Per staff interview, a four-year-old child was left unattended for less than five (5) minutes on September 18, 2025. .1801(a)(1-5) 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. During naptime, I heard a staff member make a comment to the infant child that was awake "the outside you never see." GS 110-91(2);.0508(c) 434 The materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. Outdoor spaces were observed and did not provide sufficient materials to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. 10A NCAC 09 .0509(2) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Outdoor space 1 the metal jeep steering wheel was broken and hanging loosely. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. Outdoor space #1, a rope was tied from one side of the jeep to another at the back creating a choking hazard. A staff member removed the rope from the jeep during the visit. Outdoor #2, had four (4) wooden privacy panels laying in the walk way with sharp edges and screw showing. The gate on outdoor space #3 that leads to the neighboring business was unlocked and the gate latch was broken. 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. Space #3 a child was observed holding an instant ice pack that contained a gel on the inside. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Outdoor space #1, one (1) plastic bag of mulch was observed laying near the building accessible to children. The bag had a hole in the bag and the plastic could be easily torn by the children. .0604(q) Technical assistance was provided as follows: Item 303- Per staff interview, a four-year-old child was left unattended for less than five (5) minutes on September 18, 2025. We discussed that children must be adequately supervised at all time. I recommended to reach out to the Buncombe County Partnership for Child to request active supervision training. Rule Reference: 10A NCAC 09.1801(a) Item 410- Space #1A, during naptime, we heard a staff member make a comment to the infant child that was a awake "the outside you never see." We discussed that all children should have the opportunity to go outside daily. Rule Reference: 10A NCAC 09 .0508(c) Item 434- Outdoor spaces were observed and did not provide sufficient materials to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. We discussed more gross motor equipment needs to added to the outdoor environment. Rule Reference: 10A NCAC 09.0509(2) Item 705- Outdoor space 1 the metal jeep steering wheel was broken and hanging loosely. We discussed that the jeep would need to be removed or repaired. Rule Reference: 10A NCAC 09.0601(c) Item 807- Outdoor space #1, a rope was tied from one side of the jeep to another at the back creating a choking hazard. A staff member removed the rope from the jeep during the visit. Outdoor #2, had four (4) wooden privacy panels laying in the walk way with sharp edges and screw showing. We discussed that the panels would need to be removed from the outdoor space to prevent any injuries. The gate on outdoor space #3 that leads to the neighboring business was unlocked and the gate latch was broken. We discussed that the fence would need to remain closed and the lock would need to be replaced. The administrator stated that the children are currently not using this space. Rule Reference: 10A NCAC 09.0601(a) Item 840- Space #3 a child was observed holding an instant ice pack that contained a gel on the inside. We discussed that the staff would need to use ice cubes and a paper towel for any injuries to prevent a child from puncturing the instant ice pack and swallowing the gel material inside the instant ice pack. Rule Refence: 15A NCAC 18A.2820(b) Item 858- Outdoor space #1, one (1) plastic bag of mulch was observed laying near the building accessible to children. The bag had a hole in the bag and the plastic could be easily torn by the children. The administrator opened and emptied the mulch on the playground during the visit and removed/discarded the plastic bag. Rule Reference: 10A NCAC 09.0604(q) Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if adequate supervision is being maintained per Child Care Rule .1801(a). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision and safe environment. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/15/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education ATTN: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -I recommend reaching out Buncombe County Partnership for Children to request active supervision and safe environment training. Also, I recommend reaching out to the behavior specialist for support with challenging behaviors. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0601 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/7/2025 Number Present: 31 Completed Date: 8/7/2025 Age: From 0 To 11 Total Minutes: 360 Time In: 10:00 AM Time Out: 04:00 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 2/10/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License, issued 9/1/2024. Special Services/Restrictions – First shift (Daytime care), children under 2 ½ years old in rooms with direct exits only, meets enhanced ratios, meets enhanced space. The last fire drill was practiced on 7/28/2025. The last emergency drill, lockdown drill, was practiced on 6/11/2025. The last fire inspection was approved on 6/16/2025. The previous fire inspection was completed on 3/12/2024. The fire inspection was not conducted within twelve (12) months of the previous inspection. The program’s most recent sanitation inspection was completed on 4/3/2025, with fifteen (15) demerits. The last lead water testing was completed on 12/11/2023. The next testing is due by 12/11/2026. The last lead paint and asbestos testing was completed on 5/16/2024. The next testing is due by 5/16/2027. The Emergency Preparedness and Response (EPR) plan is current as of 6/27/2024. EPR plan was due to be updated by 6/27/2025. The Emergency Medical Care Plan is posted and was updated in 7/25/2025. The program does provide transportation. Upon arrival, I was greeted by Mary Virella, Administrator. A walkthrough of the indoor and outdoor environment was conducted. Space #1A the group of infant and one-year olds were engaged in floor play exploring the classroom. The staff member was conducting routine diaper changes as needed. While monitoring the room, I observed one (1) one year old visiting from space #5. During nap time, the staff member assisted the one (1) child on the cot with calming down to rest. Two (2) children were eating lunch in the highchairs, and one (1) child was laying on the activity mat engaged in play. Space #1B is currently closed. Space #2 is currently closed. A therapist was using the space with one (1) child. Space #3 the group of four- to eleven-year-olds were engaged in free play, free art, and making playdough. After free play, the group transitioned outdoors for gross motor play. While monitoring the indoor space, I observed one emergency medical action plan expired 5/1/2025. The classroom storage closed was unlocked with the key in the lock a staff purse was accessible and adult tools. The staff member locked the door and removed the key during the visit. Space #4 the group of two- to four-year-old children were engaged in outdoor gross motor play with tunnel, metal jeep, trikes, balls, and steppers. While monitoring the indoor space, I observed one (1) Aquaphor that expired 7/2025. During nap time, I observed the room used natural lighting from the front windows and soft music. The cots in the block center measured sixteen (16) inches rather than the required eighteen (18) inches. Space #5 the group of one- to two-year-olds were engaged in free play with the kitchen set, blocks, books, and climber. The staff member was conducting routine diaper change. While monitoring the indoor space, I observed one (1) electrical outlet uncovered. The staff corrected this during the visit. One (1) emergency medication end date was dated 1/30/2025. Three (3) diaper creams permission to administer medication forms were expired (Petroleum Jelly expired 8/6/2025, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #6 is currently closed. Lunch today consisted of meatloaf, carrots, blueberries, peaches, cornbread, and milk. Menu posted documented lunch was turkey roast, broccoli, peaches, bread, and milk. The menu was updated during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. Staff file concerns: Staff member hired on 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired on 7/25/2016 did not complete the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. We discussed creating a chart to document the required training hours for each staff member and continuously reminding the staff that they have until their employment date the following year to complete the required hours of on-going training. Staff member hired on 3/26/2024 did not complete the health and safety training within one year of employment. We discussed when new staff are hired, they have one (1) year from their employment date to complete the required health and safety training. While reviewing the incident report I observed, the form was missing the name of the medical facility the child received treatment at, and the witness of the incident. The incident was not mailed within seven (7) calendar days, and was not documented on the incident log. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The annual fire inspection was not completed within twelve (12) months of the previous fire inspection. The current fire inspection on file was dated 6/16/2025, and the previous inspection was dated 3/12/2024. 10A NCAC 09 .0304(a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The meal substitutions were not recorded on the menu prior to serving the meal to the children. Lunch served to the children was meatloaf, blueberries, peaches, carrots, corn bread, and milk. The menu posted documented turkey roast, broccoli, peaches, bread, and milk. 10A NCAC 09 .0901(b) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #4, cots in the block center were not placed at least eighteen (18) inches apart or separated with a solid barrier extending the full length of the cot. The cots measured sixteen (16) inches apart and no solid barrier was used to separate the children on their cots. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. outdoor storage container was broken with sharp edges accessible to children. Broken fence enclosing the air conditioning units was broken leaning in towards the two (2) units. The gate that enclosed the air conditioning units would not latch and rust was showing at the bottom of the gate and on the post. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. Outdoor space #3 the mulch has washed away exposing the dirt creating a tripping hazard around the concrete walkways, and the wooden privacy fence was deteriorating at the base creating sharp edges. Space #4 during nap time, the mop bucket was accessible to children. Space #3 The classroom storage closet was unlocked with the key in the lock. A staff member's purse was accessible. The purse storage was corrected during the visit. 10A NCAC 09 .0601(a) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Space #3 The classroom storage closet was unlocked with the key in the lock. Adult tools were accessible. .0604(a) 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. In space #5, I observed one (1) electrical outlet uncovered in the block center. The staff member corrected this during the visit. 10A NCAC 09 .0604(c) 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. Space #4 one (1) Aquaphor expired 7/2025. Space #5 three (3) diaper creams permission to administer medication forms expired (Petroleum Jelly expired 8/6/25, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #5 one (1) emergency medication permission to administer medication form expired 1/30/2025. .0803(12) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. Space #3 one (1) emergency medication was administered, and staff did not document all the required information. The staff did not document the dosage and route the medication was administered. .0803(13)(a-e); .2318(3) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident report for incident that occurred on 7/8/2025 was missing the name of the medical facility the child received treatment, and the witness of the incident. .0802 (e) 853 Incident logs were not completed and maintained as required. Incident that occurred on 7/8/2025 was not logged on the incident log. .0802(g)(1-6) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 4/2/2025 emergency information was not completed on or before the first day of work. The emergency information on file was dated 4/8/2025. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member hired 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired 7/25/2016 did not complete the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. .1103(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. EPR plan was not updated annually. The EPR plan on file for review was dated 6/27/2024 and was due to be updated by 6/27/2025. .0607(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. Space #3 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. Space #5 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. .0801(b) 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. Space #3 one (1) medical action plan was not updated annually. The medical action plan onsite was dated 5/1/2024 and expired 5/1/2025. .0801(b) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 3/26/2024 did not complete the health and safety training within one year of employment. .1102(a) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. Incident report dated 7/8/2025 was not mailed to the Division representative within seven (7) calendar days after the incident when medical treatment was received. The incident report was received during the visit today. .0802(f) Technical assistance was provided as follows: Item 106 The annual fire inspection was not completed within twelve (12) months of the previous fire inspection. The current fire inspection on file was dated 6/16/2025, and the previous inspection was dated 3/12/2024. We discussed to reach out to the Fire Marshal two (2) months prior to the date the inspection is due to ensure that the facility is on the schedule for inspection. Rule Reference: 10A NCAC 09.0304(a) Item 528 The meal substitutions were not recorded on the menu prior to serving the meal to the children. Lunch served to the children was meatloaf, blueberries, peaches, carrots, corn bread, and milk. The menu posted documented turkey roast, broccoli, peaches, bread, and milk. We discussed that if the facility is making meal substitutions, the substitutions need to be recorded on the menu posted prior to serving the meal to the children. Rule Reference: 10A NCAC 09.0901(b) Item 614 Space #4, cots in the block center were not placed at least eighteen (18) inches apart or separated with a solid barrier extending the full length of the cot. The cots measured sixteen (16) inches apart and no solid barrier was used to separate the children on their cots. We discussed that the cots must be at minimum of eighteen (18) inches apart. The staff will need to move one (1) of the three (3) cots in the block center to allow for enough space between cots. Rule Reference: 15A NCAC 18A.2821(e) Item 705 outdoor storage container was broken with sharp edges accessible to children. Broken fence enclosing the air conditioning units was broken leaning in towards the two (2) units. The gate that enclosed the air conditioning units would not latch and rust was showing at the bottom of the gate and on the post. We discussed the storage container would need to be replaced or remove the top cover that is broken to allow continued use. The fence and gate would need to be repaired. The administrator stated that a workorder has been submitted for repairs. Rule Reference: 10A NCAC 09 .0601(c) Item 807 Outdoor space #3 the mulch has washed away exposing the dirt creating a tripping hazard around the concrete walkways, and the wooden privacy fence was deteriorating the in the base creating sharp edges. We discussed that mulch would need to installed to or the facility would need to come up with a temporary solution to prevent children from tripping and being injured. The facility would need to repair the wooden privacy fence to remove the deteriorating area. Space #4 during nap time, the mop bucket was accessible to children. We discussed when the mop bucket is out in the classroom, the staff must be with mop bucket at all times to ensure a child does not access the chemicals in the mop bucket. Rule Reference: 10A NCAC 09.0601(a) Item 812 In space #5, I observed one (1) electrical outlet uncovered in the block center. The staff member corrected this during the visit. We discussed conducting routine classroom checks to ensure the environment is safe for the children. Rule reference: 10A NCAC 09.0604(c) Item 849- Space #4 one (1) Aquaphor expired 7/2025. Space #5 three (3) diaper creams permission to administer medication forms expired (Petroleum Jelly expired 8/6/205, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #5 one (1) emergency medication permission to administer medication form expired 1/30/2025. We discussed conducting a monthly medication check to ensure all medications and permission to administer medication forms are current and in compliance. Rule Reference: 10A NCAC 09.0803(12) Item 851- Space #3 one (1) emergency medication was administered, and staff did not document all the required information. The staff did not document the dosage and route the medication was administered. We discussed when completing the medication log it must be completed in its entirety including the dosage and route the medication was administered. Rule reference: 10A NCAC 09 .0803(13)(a-e);.2318(3) Item 852 Incident report for incident that occurred on 7/8/2025 was missing the name of the medical facility the child received treatment, and the witness of the incident. We discussed when an incident occurs to document the incident immediately. Rule Reference: 10A NCAC 09 .0802 (e) Item 853- Incident that occurred on 7/8/2025 was not logged on the incident log. The administrator logged it on the incident log during the visit. We discussed when an incident occurs to log it immediately. Rule Reference: 10A NCAC 09.0802 (g) Item 1035- Staff member hired 4/2/2025 emergency information was not completed on or before the first day of work. The emergency information on file was dated 4/8/2025. We discussed when a new staff member is hired, the staff member would need to complete the emergency information. Rule reference: 10A NCAC 09 .0701(a) Item 1052 Staff member hired 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired 7/25/2016 did not completed the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. We discussed creating a chart to document the required training hours for each staff member and continuously reminding the staff that they have until their employment date the following year to complete the required hours of on-going training. Rule Reference: 10A NCAC 09 .1103(a) Item 1422 Space #3 The classroom storage closet was unlocked with the key in the lock a staff purse was accessible and adult tools. The staff member locked the door and removed the key during the visit. We discussed conducting a routine check to ensure the closet is locked. Rule reference: 10A NCAC 09.2506(c) Item 1824 EPR plan was not updated annually. The EPR plan on file for review was dated 6/27/2024 and was due to be updated by 6/27/2025. We discussed to document on your calendar when to update the EPR plan as a reminder. Rule reference: 10A NCAC 09 .0607(e) Item 1834- Space #3 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. Space #5 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. We discussed the medical action plan must be completed and on-site with the medication and attached to the child’s application for the child’s medical health care needs. Rule Reference: 10A NCAC 09 .0801(b) Item 1835 Space #3 one (1) medical action plan was not updated annually. The medical action plan onsite was dated 5/1/2024 and expired 5/1/2025. We discussed conducted monthly medication checks to ensure all medications, medication forms, and action plans are current and valid. Rule reference: 10A NCAC 09 .0801(b)(1-4) Item 1898 Staff member hired 3/26/2024 did not complete the health and safety training within one year of employment. We discussed when new staff is hired, they have one (1) year from their employment date to complete the required health and safety training. Rule reference: 10A NCAC 09 .1102(a) Item 1911 Incident report dated 7/8/2025 was not mailed to the Division representative within seven (7) calendar days after the incident when medical treatment was received. The incident report was received during the visit today. We discussed when an incident occurs and a child receives medical treatment, the incident report must be mailed to me within seven (7) days. Rule Reference: 10A NCAC 09.0802(f) Achieving Compliance: A follow-up visit could be conducted to verify compliance. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/21/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -New administrator will need to register for EPR training and complete the training by December. -We discussed medical actions plans must be attached to the child’s application, and I recommend to put a copy of the medical action plan with the emergency medication in the classroom. -On-going training hours are due annually from the staff members employment date to the staff members employment anniversary date each year (ex. Staff member hired 7/25/2016 on-going training hours are due by July 25th of each year). -Review with staff storage of hazardous products including the mop bucket. -I recommend reaching out to Buncombe County Partnership for Children to provide medication administration training to refresh staff. - DCDEE has added a new training module about Child Development on the DCDEE Moodle Learning Platform. This is the first of several planned modules to support orientation and the health and safety training requirements. This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID is needed to access the Child Development Module. If you do not have an NCID, visit MYNCID.nc.gov to register for a free NCID account. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0604 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/7/2025 Number Present: 31 Completed Date: 8/7/2025 Age: From 0 To 11 Total Minutes: 360 Time In: 10:00 AM Time Out: 04:00 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 2/10/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License, issued 9/1/2024. Special Services/Restrictions – First shift (Daytime care), children under 2 ½ years old in rooms with direct exits only, meets enhanced ratios, meets enhanced space. The last fire drill was practiced on 7/28/2025. The last emergency drill, lockdown drill, was practiced on 6/11/2025. The last fire inspection was approved on 6/16/2025. The previous fire inspection was completed on 3/12/2024. The fire inspection was not conducted within twelve (12) months of the previous inspection. The program’s most recent sanitation inspection was completed on 4/3/2025, with fifteen (15) demerits. The last lead water testing was completed on 12/11/2023. The next testing is due by 12/11/2026. The last lead paint and asbestos testing was completed on 5/16/2024. The next testing is due by 5/16/2027. The Emergency Preparedness and Response (EPR) plan is current as of 6/27/2024. EPR plan was due to be updated by 6/27/2025. The Emergency Medical Care Plan is posted and was updated in 7/25/2025. The program does provide transportation. Upon arrival, I was greeted by Mary Virella, Administrator. A walkthrough of the indoor and outdoor environment was conducted. Space #1A the group of infant and one-year olds were engaged in floor play exploring the classroom. The staff member was conducting routine diaper changes as needed. While monitoring the room, I observed one (1) one year old visiting from space #5. During nap time, the staff member assisted the one (1) child on the cot with calming down to rest. Two (2) children were eating lunch in the highchairs, and one (1) child was laying on the activity mat engaged in play. Space #1B is currently closed. Space #2 is currently closed. A therapist was using the space with one (1) child. Space #3 the group of four- to eleven-year-olds were engaged in free play, free art, and making playdough. After free play, the group transitioned outdoors for gross motor play. While monitoring the indoor space, I observed one emergency medical action plan expired 5/1/2025. The classroom storage closed was unlocked with the key in the lock a staff purse was accessible and adult tools. The staff member locked the door and removed the key during the visit. Space #4 the group of two- to four-year-old children were engaged in outdoor gross motor play with tunnel, metal jeep, trikes, balls, and steppers. While monitoring the indoor space, I observed one (1) Aquaphor that expired 7/2025. During nap time, I observed the room used natural lighting from the front windows and soft music. The cots in the block center measured sixteen (16) inches rather than the required eighteen (18) inches. Space #5 the group of one- to two-year-olds were engaged in free play with the kitchen set, blocks, books, and climber. The staff member was conducting routine diaper change. While monitoring the indoor space, I observed one (1) electrical outlet uncovered. The staff corrected this during the visit. One (1) emergency medication end date was dated 1/30/2025. Three (3) diaper creams permission to administer medication forms were expired (Petroleum Jelly expired 8/6/2025, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #6 is currently closed. Lunch today consisted of meatloaf, carrots, blueberries, peaches, cornbread, and milk. Menu posted documented lunch was turkey roast, broccoli, peaches, bread, and milk. The menu was updated during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. Staff file concerns: Staff member hired on 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired on 7/25/2016 did not complete the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. We discussed creating a chart to document the required training hours for each staff member and continuously reminding the staff that they have until their employment date the following year to complete the required hours of on-going training. Staff member hired on 3/26/2024 did not complete the health and safety training within one year of employment. We discussed when new staff are hired, they have one (1) year from their employment date to complete the required health and safety training. While reviewing the incident report I observed, the form was missing the name of the medical facility the child received treatment at, and the witness of the incident. The incident was not mailed within seven (7) calendar days, and was not documented on the incident log. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The annual fire inspection was not completed within twelve (12) months of the previous fire inspection. The current fire inspection on file was dated 6/16/2025, and the previous inspection was dated 3/12/2024. 10A NCAC 09 .0304(a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The meal substitutions were not recorded on the menu prior to serving the meal to the children. Lunch served to the children was meatloaf, blueberries, peaches, carrots, corn bread, and milk. The menu posted documented turkey roast, broccoli, peaches, bread, and milk. 10A NCAC 09 .0901(b) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #4, cots in the block center were not placed at least eighteen (18) inches apart or separated with a solid barrier extending the full length of the cot. The cots measured sixteen (16) inches apart and no solid barrier was used to separate the children on their cots. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. outdoor storage container was broken with sharp edges accessible to children. Broken fence enclosing the air conditioning units was broken leaning in towards the two (2) units. The gate that enclosed the air conditioning units would not latch and rust was showing at the bottom of the gate and on the post. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. Outdoor space #3 the mulch has washed away exposing the dirt creating a tripping hazard around the concrete walkways, and the wooden privacy fence was deteriorating at the base creating sharp edges. Space #4 during nap time, the mop bucket was accessible to children. Space #3 The classroom storage closet was unlocked with the key in the lock. A staff member's purse was accessible. The purse storage was corrected during the visit. 10A NCAC 09 .0601(a) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Space #3 The classroom storage closet was unlocked with the key in the lock. Adult tools were accessible. .0604(a) 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. In space #5, I observed one (1) electrical outlet uncovered in the block center. The staff member corrected this during the visit. 10A NCAC 09 .0604(c) 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. Space #4 one (1) Aquaphor expired 7/2025. Space #5 three (3) diaper creams permission to administer medication forms expired (Petroleum Jelly expired 8/6/25, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #5 one (1) emergency medication permission to administer medication form expired 1/30/2025. .0803(12) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. Space #3 one (1) emergency medication was administered, and staff did not document all the required information. The staff did not document the dosage and route the medication was administered. .0803(13)(a-e); .2318(3) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident report for incident that occurred on 7/8/2025 was missing the name of the medical facility the child received treatment, and the witness of the incident. .0802 (e) 853 Incident logs were not completed and maintained as required. Incident that occurred on 7/8/2025 was not logged on the incident log. .0802(g)(1-6) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 4/2/2025 emergency information was not completed on or before the first day of work. The emergency information on file was dated 4/8/2025. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member hired 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired 7/25/2016 did not complete the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. .1103(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. EPR plan was not updated annually. The EPR plan on file for review was dated 6/27/2024 and was due to be updated by 6/27/2025. .0607(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. Space #3 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. Space #5 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. .0801(b) 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. Space #3 one (1) medical action plan was not updated annually. The medical action plan onsite was dated 5/1/2024 and expired 5/1/2025. .0801(b) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 3/26/2024 did not complete the health and safety training within one year of employment. .1102(a) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. Incident report dated 7/8/2025 was not mailed to the Division representative within seven (7) calendar days after the incident when medical treatment was received. The incident report was received during the visit today. .0802(f) Technical assistance was provided as follows: Item 106 The annual fire inspection was not completed within twelve (12) months of the previous fire inspection. The current fire inspection on file was dated 6/16/2025, and the previous inspection was dated 3/12/2024. We discussed to reach out to the Fire Marshal two (2) months prior to the date the inspection is due to ensure that the facility is on the schedule for inspection. Rule Reference: 10A NCAC 09.0304(a) Item 528 The meal substitutions were not recorded on the menu prior to serving the meal to the children. Lunch served to the children was meatloaf, blueberries, peaches, carrots, corn bread, and milk. The menu posted documented turkey roast, broccoli, peaches, bread, and milk. We discussed that if the facility is making meal substitutions, the substitutions need to be recorded on the menu posted prior to serving the meal to the children. Rule Reference: 10A NCAC 09.0901(b) Item 614 Space #4, cots in the block center were not placed at least eighteen (18) inches apart or separated with a solid barrier extending the full length of the cot. The cots measured sixteen (16) inches apart and no solid barrier was used to separate the children on their cots. We discussed that the cots must be at minimum of eighteen (18) inches apart. The staff will need to move one (1) of the three (3) cots in the block center to allow for enough space between cots. Rule Reference: 15A NCAC 18A.2821(e) Item 705 outdoor storage container was broken with sharp edges accessible to children. Broken fence enclosing the air conditioning units was broken leaning in towards the two (2) units. The gate that enclosed the air conditioning units would not latch and rust was showing at the bottom of the gate and on the post. We discussed the storage container would need to be replaced or remove the top cover that is broken to allow continued use. The fence and gate would need to be repaired. The administrator stated that a workorder has been submitted for repairs. Rule Reference: 10A NCAC 09 .0601(c) Item 807 Outdoor space #3 the mulch has washed away exposing the dirt creating a tripping hazard around the concrete walkways, and the wooden privacy fence was deteriorating the in the base creating sharp edges. We discussed that mulch would need to installed to or the facility would need to come up with a temporary solution to prevent children from tripping and being injured. The facility would need to repair the wooden privacy fence to remove the deteriorating area. Space #4 during nap time, the mop bucket was accessible to children. We discussed when the mop bucket is out in the classroom, the staff must be with mop bucket at all times to ensure a child does not access the chemicals in the mop bucket. Rule Reference: 10A NCAC 09.0601(a) Item 812 In space #5, I observed one (1) electrical outlet uncovered in the block center. The staff member corrected this during the visit. We discussed conducting routine classroom checks to ensure the environment is safe for the children. Rule reference: 10A NCAC 09.0604(c) Item 849- Space #4 one (1) Aquaphor expired 7/2025. Space #5 three (3) diaper creams permission to administer medication forms expired (Petroleum Jelly expired 8/6/205, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #5 one (1) emergency medication permission to administer medication form expired 1/30/2025. We discussed conducting a monthly medication check to ensure all medications and permission to administer medication forms are current and in compliance. Rule Reference: 10A NCAC 09.0803(12) Item 851- Space #3 one (1) emergency medication was administered, and staff did not document all the required information. The staff did not document the dosage and route the medication was administered. We discussed when completing the medication log it must be completed in its entirety including the dosage and route the medication was administered. Rule reference: 10A NCAC 09 .0803(13)(a-e);.2318(3) Item 852 Incident report for incident that occurred on 7/8/2025 was missing the name of the medical facility the child received treatment, and the witness of the incident. We discussed when an incident occurs to document the incident immediately. Rule Reference: 10A NCAC 09 .0802 (e) Item 853- Incident that occurred on 7/8/2025 was not logged on the incident log. The administrator logged it on the incident log during the visit. We discussed when an incident occurs to log it immediately. Rule Reference: 10A NCAC 09.0802 (g) Item 1035- Staff member hired 4/2/2025 emergency information was not completed on or before the first day of work. The emergency information on file was dated 4/8/2025. We discussed when a new staff member is hired, the staff member would need to complete the emergency information. Rule reference: 10A NCAC 09 .0701(a) Item 1052 Staff member hired 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired 7/25/2016 did not completed the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. We discussed creating a chart to document the required training hours for each staff member and continuously reminding the staff that they have until their employment date the following year to complete the required hours of on-going training. Rule Reference: 10A NCAC 09 .1103(a) Item 1422 Space #3 The classroom storage closet was unlocked with the key in the lock a staff purse was accessible and adult tools. The staff member locked the door and removed the key during the visit. We discussed conducting a routine check to ensure the closet is locked. Rule reference: 10A NCAC 09.2506(c) Item 1824 EPR plan was not updated annually. The EPR plan on file for review was dated 6/27/2024 and was due to be updated by 6/27/2025. We discussed to document on your calendar when to update the EPR plan as a reminder. Rule reference: 10A NCAC 09 .0607(e) Item 1834- Space #3 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. Space #5 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. We discussed the medical action plan must be completed and on-site with the medication and attached to the child’s application for the child’s medical health care needs. Rule Reference: 10A NCAC 09 .0801(b) Item 1835 Space #3 one (1) medical action plan was not updated annually. The medical action plan onsite was dated 5/1/2024 and expired 5/1/2025. We discussed conducted monthly medication checks to ensure all medications, medication forms, and action plans are current and valid. Rule reference: 10A NCAC 09 .0801(b)(1-4) Item 1898 Staff member hired 3/26/2024 did not complete the health and safety training within one year of employment. We discussed when new staff is hired, they have one (1) year from their employment date to complete the required health and safety training. Rule reference: 10A NCAC 09 .1102(a) Item 1911 Incident report dated 7/8/2025 was not mailed to the Division representative within seven (7) calendar days after the incident when medical treatment was received. The incident report was received during the visit today. We discussed when an incident occurs and a child receives medical treatment, the incident report must be mailed to me within seven (7) days. Rule Reference: 10A NCAC 09.0802(f) Achieving Compliance: A follow-up visit could be conducted to verify compliance. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/21/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -New administrator will need to register for EPR training and complete the training by December. -We discussed medical actions plans must be attached to the child’s application, and I recommend to put a copy of the medical action plan with the emergency medication in the classroom. -On-going training hours are due annually from the staff members employment date to the staff members employment anniversary date each year (ex. Staff member hired 7/25/2016 on-going training hours are due by July 25th of each year). -Review with staff storage of hazardous products including the mop bucket. -I recommend reaching out to Buncombe County Partnership for Children to provide medication administration training to refresh staff. - DCDEE has added a new training module about Child Development on the DCDEE Moodle Learning Platform. This is the first of several planned modules to support orientation and the health and safety training requirements. This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID is needed to access the Child Development Module. If you do not have an NCID, visit MYNCID.nc.gov to register for a free NCID account. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0901 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/7/2025 Number Present: 31 Completed Date: 8/7/2025 Age: From 0 To 11 Total Minutes: 360 Time In: 10:00 AM Time Out: 04:00 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 2/10/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License, issued 9/1/2024. Special Services/Restrictions – First shift (Daytime care), children under 2 ½ years old in rooms with direct exits only, meets enhanced ratios, meets enhanced space. The last fire drill was practiced on 7/28/2025. The last emergency drill, lockdown drill, was practiced on 6/11/2025. The last fire inspection was approved on 6/16/2025. The previous fire inspection was completed on 3/12/2024. The fire inspection was not conducted within twelve (12) months of the previous inspection. The program’s most recent sanitation inspection was completed on 4/3/2025, with fifteen (15) demerits. The last lead water testing was completed on 12/11/2023. The next testing is due by 12/11/2026. The last lead paint and asbestos testing was completed on 5/16/2024. The next testing is due by 5/16/2027. The Emergency Preparedness and Response (EPR) plan is current as of 6/27/2024. EPR plan was due to be updated by 6/27/2025. The Emergency Medical Care Plan is posted and was updated in 7/25/2025. The program does provide transportation. Upon arrival, I was greeted by Mary Virella, Administrator. A walkthrough of the indoor and outdoor environment was conducted. Space #1A the group of infant and one-year olds were engaged in floor play exploring the classroom. The staff member was conducting routine diaper changes as needed. While monitoring the room, I observed one (1) one year old visiting from space #5. During nap time, the staff member assisted the one (1) child on the cot with calming down to rest. Two (2) children were eating lunch in the highchairs, and one (1) child was laying on the activity mat engaged in play. Space #1B is currently closed. Space #2 is currently closed. A therapist was using the space with one (1) child. Space #3 the group of four- to eleven-year-olds were engaged in free play, free art, and making playdough. After free play, the group transitioned outdoors for gross motor play. While monitoring the indoor space, I observed one emergency medical action plan expired 5/1/2025. The classroom storage closed was unlocked with the key in the lock a staff purse was accessible and adult tools. The staff member locked the door and removed the key during the visit. Space #4 the group of two- to four-year-old children were engaged in outdoor gross motor play with tunnel, metal jeep, trikes, balls, and steppers. While monitoring the indoor space, I observed one (1) Aquaphor that expired 7/2025. During nap time, I observed the room used natural lighting from the front windows and soft music. The cots in the block center measured sixteen (16) inches rather than the required eighteen (18) inches. Space #5 the group of one- to two-year-olds were engaged in free play with the kitchen set, blocks, books, and climber. The staff member was conducting routine diaper change. While monitoring the indoor space, I observed one (1) electrical outlet uncovered. The staff corrected this during the visit. One (1) emergency medication end date was dated 1/30/2025. Three (3) diaper creams permission to administer medication forms were expired (Petroleum Jelly expired 8/6/2025, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #6 is currently closed. Lunch today consisted of meatloaf, carrots, blueberries, peaches, cornbread, and milk. Menu posted documented lunch was turkey roast, broccoli, peaches, bread, and milk. The menu was updated during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. Staff file concerns: Staff member hired on 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired on 7/25/2016 did not complete the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. We discussed creating a chart to document the required training hours for each staff member and continuously reminding the staff that they have until their employment date the following year to complete the required hours of on-going training. Staff member hired on 3/26/2024 did not complete the health and safety training within one year of employment. We discussed when new staff are hired, they have one (1) year from their employment date to complete the required health and safety training. While reviewing the incident report I observed, the form was missing the name of the medical facility the child received treatment at, and the witness of the incident. The incident was not mailed within seven (7) calendar days, and was not documented on the incident log. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The annual fire inspection was not completed within twelve (12) months of the previous fire inspection. The current fire inspection on file was dated 6/16/2025, and the previous inspection was dated 3/12/2024. 10A NCAC 09 .0304(a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The meal substitutions were not recorded on the menu prior to serving the meal to the children. Lunch served to the children was meatloaf, blueberries, peaches, carrots, corn bread, and milk. The menu posted documented turkey roast, broccoli, peaches, bread, and milk. 10A NCAC 09 .0901(b) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #4, cots in the block center were not placed at least eighteen (18) inches apart or separated with a solid barrier extending the full length of the cot. The cots measured sixteen (16) inches apart and no solid barrier was used to separate the children on their cots. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. outdoor storage container was broken with sharp edges accessible to children. Broken fence enclosing the air conditioning units was broken leaning in towards the two (2) units. The gate that enclosed the air conditioning units would not latch and rust was showing at the bottom of the gate and on the post. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. Outdoor space #3 the mulch has washed away exposing the dirt creating a tripping hazard around the concrete walkways, and the wooden privacy fence was deteriorating at the base creating sharp edges. Space #4 during nap time, the mop bucket was accessible to children. Space #3 The classroom storage closet was unlocked with the key in the lock. A staff member's purse was accessible. The purse storage was corrected during the visit. 10A NCAC 09 .0601(a) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Space #3 The classroom storage closet was unlocked with the key in the lock. Adult tools were accessible. .0604(a) 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. In space #5, I observed one (1) electrical outlet uncovered in the block center. The staff member corrected this during the visit. 10A NCAC 09 .0604(c) 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. Space #4 one (1) Aquaphor expired 7/2025. Space #5 three (3) diaper creams permission to administer medication forms expired (Petroleum Jelly expired 8/6/25, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #5 one (1) emergency medication permission to administer medication form expired 1/30/2025. .0803(12) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. Space #3 one (1) emergency medication was administered, and staff did not document all the required information. The staff did not document the dosage and route the medication was administered. .0803(13)(a-e); .2318(3) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident report for incident that occurred on 7/8/2025 was missing the name of the medical facility the child received treatment, and the witness of the incident. .0802 (e) 853 Incident logs were not completed and maintained as required. Incident that occurred on 7/8/2025 was not logged on the incident log. .0802(g)(1-6) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 4/2/2025 emergency information was not completed on or before the first day of work. The emergency information on file was dated 4/8/2025. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member hired 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired 7/25/2016 did not complete the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. .1103(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. EPR plan was not updated annually. The EPR plan on file for review was dated 6/27/2024 and was due to be updated by 6/27/2025. .0607(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. Space #3 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. Space #5 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. .0801(b) 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. Space #3 one (1) medical action plan was not updated annually. The medical action plan onsite was dated 5/1/2024 and expired 5/1/2025. .0801(b) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 3/26/2024 did not complete the health and safety training within one year of employment. .1102(a) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. Incident report dated 7/8/2025 was not mailed to the Division representative within seven (7) calendar days after the incident when medical treatment was received. The incident report was received during the visit today. .0802(f) Technical assistance was provided as follows: Item 106 The annual fire inspection was not completed within twelve (12) months of the previous fire inspection. The current fire inspection on file was dated 6/16/2025, and the previous inspection was dated 3/12/2024. We discussed to reach out to the Fire Marshal two (2) months prior to the date the inspection is due to ensure that the facility is on the schedule for inspection. Rule Reference: 10A NCAC 09.0304(a) Item 528 The meal substitutions were not recorded on the menu prior to serving the meal to the children. Lunch served to the children was meatloaf, blueberries, peaches, carrots, corn bread, and milk. The menu posted documented turkey roast, broccoli, peaches, bread, and milk. We discussed that if the facility is making meal substitutions, the substitutions need to be recorded on the menu posted prior to serving the meal to the children. Rule Reference: 10A NCAC 09.0901(b) Item 614 Space #4, cots in the block center were not placed at least eighteen (18) inches apart or separated with a solid barrier extending the full length of the cot. The cots measured sixteen (16) inches apart and no solid barrier was used to separate the children on their cots. We discussed that the cots must be at minimum of eighteen (18) inches apart. The staff will need to move one (1) of the three (3) cots in the block center to allow for enough space between cots. Rule Reference: 15A NCAC 18A.2821(e) Item 705 outdoor storage container was broken with sharp edges accessible to children. Broken fence enclosing the air conditioning units was broken leaning in towards the two (2) units. The gate that enclosed the air conditioning units would not latch and rust was showing at the bottom of the gate and on the post. We discussed the storage container would need to be replaced or remove the top cover that is broken to allow continued use. The fence and gate would need to be repaired. The administrator stated that a workorder has been submitted for repairs. Rule Reference: 10A NCAC 09 .0601(c) Item 807 Outdoor space #3 the mulch has washed away exposing the dirt creating a tripping hazard around the concrete walkways, and the wooden privacy fence was deteriorating the in the base creating sharp edges. We discussed that mulch would need to installed to or the facility would need to come up with a temporary solution to prevent children from tripping and being injured. The facility would need to repair the wooden privacy fence to remove the deteriorating area. Space #4 during nap time, the mop bucket was accessible to children. We discussed when the mop bucket is out in the classroom, the staff must be with mop bucket at all times to ensure a child does not access the chemicals in the mop bucket. Rule Reference: 10A NCAC 09.0601(a) Item 812 In space #5, I observed one (1) electrical outlet uncovered in the block center. The staff member corrected this during the visit. We discussed conducting routine classroom checks to ensure the environment is safe for the children. Rule reference: 10A NCAC 09.0604(c) Item 849- Space #4 one (1) Aquaphor expired 7/2025. Space #5 three (3) diaper creams permission to administer medication forms expired (Petroleum Jelly expired 8/6/205, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #5 one (1) emergency medication permission to administer medication form expired 1/30/2025. We discussed conducting a monthly medication check to ensure all medications and permission to administer medication forms are current and in compliance. Rule Reference: 10A NCAC 09.0803(12) Item 851- Space #3 one (1) emergency medication was administered, and staff did not document all the required information. The staff did not document the dosage and route the medication was administered. We discussed when completing the medication log it must be completed in its entirety including the dosage and route the medication was administered. Rule reference: 10A NCAC 09 .0803(13)(a-e);.2318(3) Item 852 Incident report for incident that occurred on 7/8/2025 was missing the name of the medical facility the child received treatment, and the witness of the incident. We discussed when an incident occurs to document the incident immediately. Rule Reference: 10A NCAC 09 .0802 (e) Item 853- Incident that occurred on 7/8/2025 was not logged on the incident log. The administrator logged it on the incident log during the visit. We discussed when an incident occurs to log it immediately. Rule Reference: 10A NCAC 09.0802 (g) Item 1035- Staff member hired 4/2/2025 emergency information was not completed on or before the first day of work. The emergency information on file was dated 4/8/2025. We discussed when a new staff member is hired, the staff member would need to complete the emergency information. Rule reference: 10A NCAC 09 .0701(a) Item 1052 Staff member hired 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired 7/25/2016 did not completed the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. We discussed creating a chart to document the required training hours for each staff member and continuously reminding the staff that they have until their employment date the following year to complete the required hours of on-going training. Rule Reference: 10A NCAC 09 .1103(a) Item 1422 Space #3 The classroom storage closet was unlocked with the key in the lock a staff purse was accessible and adult tools. The staff member locked the door and removed the key during the visit. We discussed conducting a routine check to ensure the closet is locked. Rule reference: 10A NCAC 09.2506(c) Item 1824 EPR plan was not updated annually. The EPR plan on file for review was dated 6/27/2024 and was due to be updated by 6/27/2025. We discussed to document on your calendar when to update the EPR plan as a reminder. Rule reference: 10A NCAC 09 .0607(e) Item 1834- Space #3 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. Space #5 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. We discussed the medical action plan must be completed and on-site with the medication and attached to the child’s application for the child’s medical health care needs. Rule Reference: 10A NCAC 09 .0801(b) Item 1835 Space #3 one (1) medical action plan was not updated annually. The medical action plan onsite was dated 5/1/2024 and expired 5/1/2025. We discussed conducted monthly medication checks to ensure all medications, medication forms, and action plans are current and valid. Rule reference: 10A NCAC 09 .0801(b)(1-4) Item 1898 Staff member hired 3/26/2024 did not complete the health and safety training within one year of employment. We discussed when new staff is hired, they have one (1) year from their employment date to complete the required health and safety training. Rule reference: 10A NCAC 09 .1102(a) Item 1911 Incident report dated 7/8/2025 was not mailed to the Division representative within seven (7) calendar days after the incident when medical treatment was received. The incident report was received during the visit today. We discussed when an incident occurs and a child receives medical treatment, the incident report must be mailed to me within seven (7) days. Rule Reference: 10A NCAC 09.0802(f) Achieving Compliance: A follow-up visit could be conducted to verify compliance. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/21/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -New administrator will need to register for EPR training and complete the training by December. -We discussed medical actions plans must be attached to the child’s application, and I recommend to put a copy of the medical action plan with the emergency medication in the classroom. -On-going training hours are due annually from the staff members employment date to the staff members employment anniversary date each year (ex. Staff member hired 7/25/2016 on-going training hours are due by July 25th of each year). -Review with staff storage of hazardous products including the mop bucket. -I recommend reaching out to Buncombe County Partnership for Children to provide medication administration training to refresh staff. - DCDEE has added a new training module about Child Development on the DCDEE Moodle Learning Platform. This is the first of several planned modules to support orientation and the health and safety training requirements. This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID is needed to access the Child Development Module. If you do not have an NCID, visit MYNCID.nc.gov to register for a free NCID account. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0304 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/7/2025 Number Present: 31 Completed Date: 8/7/2025 Age: From 0 To 11 Total Minutes: 360 Time In: 10:00 AM Time Out: 04:00 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 2/10/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License, issued 9/1/2024. Special Services/Restrictions – First shift (Daytime care), children under 2 ½ years old in rooms with direct exits only, meets enhanced ratios, meets enhanced space. The last fire drill was practiced on 7/28/2025. The last emergency drill, lockdown drill, was practiced on 6/11/2025. The last fire inspection was approved on 6/16/2025. The previous fire inspection was completed on 3/12/2024. The fire inspection was not conducted within twelve (12) months of the previous inspection. The program’s most recent sanitation inspection was completed on 4/3/2025, with fifteen (15) demerits. The last lead water testing was completed on 12/11/2023. The next testing is due by 12/11/2026. The last lead paint and asbestos testing was completed on 5/16/2024. The next testing is due by 5/16/2027. The Emergency Preparedness and Response (EPR) plan is current as of 6/27/2024. EPR plan was due to be updated by 6/27/2025. The Emergency Medical Care Plan is posted and was updated in 7/25/2025. The program does provide transportation. Upon arrival, I was greeted by Mary Virella, Administrator. A walkthrough of the indoor and outdoor environment was conducted. Space #1A the group of infant and one-year olds were engaged in floor play exploring the classroom. The staff member was conducting routine diaper changes as needed. While monitoring the room, I observed one (1) one year old visiting from space #5. During nap time, the staff member assisted the one (1) child on the cot with calming down to rest. Two (2) children were eating lunch in the highchairs, and one (1) child was laying on the activity mat engaged in play. Space #1B is currently closed. Space #2 is currently closed. A therapist was using the space with one (1) child. Space #3 the group of four- to eleven-year-olds were engaged in free play, free art, and making playdough. After free play, the group transitioned outdoors for gross motor play. While monitoring the indoor space, I observed one emergency medical action plan expired 5/1/2025. The classroom storage closed was unlocked with the key in the lock a staff purse was accessible and adult tools. The staff member locked the door and removed the key during the visit. Space #4 the group of two- to four-year-old children were engaged in outdoor gross motor play with tunnel, metal jeep, trikes, balls, and steppers. While monitoring the indoor space, I observed one (1) Aquaphor that expired 7/2025. During nap time, I observed the room used natural lighting from the front windows and soft music. The cots in the block center measured sixteen (16) inches rather than the required eighteen (18) inches. Space #5 the group of one- to two-year-olds were engaged in free play with the kitchen set, blocks, books, and climber. The staff member was conducting routine diaper change. While monitoring the indoor space, I observed one (1) electrical outlet uncovered. The staff corrected this during the visit. One (1) emergency medication end date was dated 1/30/2025. Three (3) diaper creams permission to administer medication forms were expired (Petroleum Jelly expired 8/6/2025, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #6 is currently closed. Lunch today consisted of meatloaf, carrots, blueberries, peaches, cornbread, and milk. Menu posted documented lunch was turkey roast, broccoli, peaches, bread, and milk. The menu was updated during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. Staff file concerns: Staff member hired on 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired on 7/25/2016 did not complete the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. We discussed creating a chart to document the required training hours for each staff member and continuously reminding the staff that they have until their employment date the following year to complete the required hours of on-going training. Staff member hired on 3/26/2024 did not complete the health and safety training within one year of employment. We discussed when new staff are hired, they have one (1) year from their employment date to complete the required health and safety training. While reviewing the incident report I observed, the form was missing the name of the medical facility the child received treatment at, and the witness of the incident. The incident was not mailed within seven (7) calendar days, and was not documented on the incident log. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The annual fire inspection was not completed within twelve (12) months of the previous fire inspection. The current fire inspection on file was dated 6/16/2025, and the previous inspection was dated 3/12/2024. 10A NCAC 09 .0304(a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The meal substitutions were not recorded on the menu prior to serving the meal to the children. Lunch served to the children was meatloaf, blueberries, peaches, carrots, corn bread, and milk. The menu posted documented turkey roast, broccoli, peaches, bread, and milk. 10A NCAC 09 .0901(b) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #4, cots in the block center were not placed at least eighteen (18) inches apart or separated with a solid barrier extending the full length of the cot. The cots measured sixteen (16) inches apart and no solid barrier was used to separate the children on their cots. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. outdoor storage container was broken with sharp edges accessible to children. Broken fence enclosing the air conditioning units was broken leaning in towards the two (2) units. The gate that enclosed the air conditioning units would not latch and rust was showing at the bottom of the gate and on the post. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. Outdoor space #3 the mulch has washed away exposing the dirt creating a tripping hazard around the concrete walkways, and the wooden privacy fence was deteriorating at the base creating sharp edges. Space #4 during nap time, the mop bucket was accessible to children. Space #3 The classroom storage closet was unlocked with the key in the lock. A staff member's purse was accessible. The purse storage was corrected during the visit. 10A NCAC 09 .0601(a) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Space #3 The classroom storage closet was unlocked with the key in the lock. Adult tools were accessible. .0604(a) 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. In space #5, I observed one (1) electrical outlet uncovered in the block center. The staff member corrected this during the visit. 10A NCAC 09 .0604(c) 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. Space #4 one (1) Aquaphor expired 7/2025. Space #5 three (3) diaper creams permission to administer medication forms expired (Petroleum Jelly expired 8/6/25, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #5 one (1) emergency medication permission to administer medication form expired 1/30/2025. .0803(12) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. Space #3 one (1) emergency medication was administered, and staff did not document all the required information. The staff did not document the dosage and route the medication was administered. .0803(13)(a-e); .2318(3) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident report for incident that occurred on 7/8/2025 was missing the name of the medical facility the child received treatment, and the witness of the incident. .0802 (e) 853 Incident logs were not completed and maintained as required. Incident that occurred on 7/8/2025 was not logged on the incident log. .0802(g)(1-6) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 4/2/2025 emergency information was not completed on or before the first day of work. The emergency information on file was dated 4/8/2025. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member hired 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired 7/25/2016 did not complete the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. .1103(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. EPR plan was not updated annually. The EPR plan on file for review was dated 6/27/2024 and was due to be updated by 6/27/2025. .0607(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. Space #3 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. Space #5 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. .0801(b) 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. Space #3 one (1) medical action plan was not updated annually. The medical action plan onsite was dated 5/1/2024 and expired 5/1/2025. .0801(b) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 3/26/2024 did not complete the health and safety training within one year of employment. .1102(a) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. Incident report dated 7/8/2025 was not mailed to the Division representative within seven (7) calendar days after the incident when medical treatment was received. The incident report was received during the visit today. .0802(f) Technical assistance was provided as follows: Item 106 The annual fire inspection was not completed within twelve (12) months of the previous fire inspection. The current fire inspection on file was dated 6/16/2025, and the previous inspection was dated 3/12/2024. We discussed to reach out to the Fire Marshal two (2) months prior to the date the inspection is due to ensure that the facility is on the schedule for inspection. Rule Reference: 10A NCAC 09.0304(a) Item 528 The meal substitutions were not recorded on the menu prior to serving the meal to the children. Lunch served to the children was meatloaf, blueberries, peaches, carrots, corn bread, and milk. The menu posted documented turkey roast, broccoli, peaches, bread, and milk. We discussed that if the facility is making meal substitutions, the substitutions need to be recorded on the menu posted prior to serving the meal to the children. Rule Reference: 10A NCAC 09.0901(b) Item 614 Space #4, cots in the block center were not placed at least eighteen (18) inches apart or separated with a solid barrier extending the full length of the cot. The cots measured sixteen (16) inches apart and no solid barrier was used to separate the children on their cots. We discussed that the cots must be at minimum of eighteen (18) inches apart. The staff will need to move one (1) of the three (3) cots in the block center to allow for enough space between cots. Rule Reference: 15A NCAC 18A.2821(e) Item 705 outdoor storage container was broken with sharp edges accessible to children. Broken fence enclosing the air conditioning units was broken leaning in towards the two (2) units. The gate that enclosed the air conditioning units would not latch and rust was showing at the bottom of the gate and on the post. We discussed the storage container would need to be replaced or remove the top cover that is broken to allow continued use. The fence and gate would need to be repaired. The administrator stated that a workorder has been submitted for repairs. Rule Reference: 10A NCAC 09 .0601(c) Item 807 Outdoor space #3 the mulch has washed away exposing the dirt creating a tripping hazard around the concrete walkways, and the wooden privacy fence was deteriorating the in the base creating sharp edges. We discussed that mulch would need to installed to or the facility would need to come up with a temporary solution to prevent children from tripping and being injured. The facility would need to repair the wooden privacy fence to remove the deteriorating area. Space #4 during nap time, the mop bucket was accessible to children. We discussed when the mop bucket is out in the classroom, the staff must be with mop bucket at all times to ensure a child does not access the chemicals in the mop bucket. Rule Reference: 10A NCAC 09.0601(a) Item 812 In space #5, I observed one (1) electrical outlet uncovered in the block center. The staff member corrected this during the visit. We discussed conducting routine classroom checks to ensure the environment is safe for the children. Rule reference: 10A NCAC 09.0604(c) Item 849- Space #4 one (1) Aquaphor expired 7/2025. Space #5 three (3) diaper creams permission to administer medication forms expired (Petroleum Jelly expired 8/6/205, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #5 one (1) emergency medication permission to administer medication form expired 1/30/2025. We discussed conducting a monthly medication check to ensure all medications and permission to administer medication forms are current and in compliance. Rule Reference: 10A NCAC 09.0803(12) Item 851- Space #3 one (1) emergency medication was administered, and staff did not document all the required information. The staff did not document the dosage and route the medication was administered. We discussed when completing the medication log it must be completed in its entirety including the dosage and route the medication was administered. Rule reference: 10A NCAC 09 .0803(13)(a-e);.2318(3) Item 852 Incident report for incident that occurred on 7/8/2025 was missing the name of the medical facility the child received treatment, and the witness of the incident. We discussed when an incident occurs to document the incident immediately. Rule Reference: 10A NCAC 09 .0802 (e) Item 853- Incident that occurred on 7/8/2025 was not logged on the incident log. The administrator logged it on the incident log during the visit. We discussed when an incident occurs to log it immediately. Rule Reference: 10A NCAC 09.0802 (g) Item 1035- Staff member hired 4/2/2025 emergency information was not completed on or before the first day of work. The emergency information on file was dated 4/8/2025. We discussed when a new staff member is hired, the staff member would need to complete the emergency information. Rule reference: 10A NCAC 09 .0701(a) Item 1052 Staff member hired 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired 7/25/2016 did not completed the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. We discussed creating a chart to document the required training hours for each staff member and continuously reminding the staff that they have until their employment date the following year to complete the required hours of on-going training. Rule Reference: 10A NCAC 09 .1103(a) Item 1422 Space #3 The classroom storage closet was unlocked with the key in the lock a staff purse was accessible and adult tools. The staff member locked the door and removed the key during the visit. We discussed conducting a routine check to ensure the closet is locked. Rule reference: 10A NCAC 09.2506(c) Item 1824 EPR plan was not updated annually. The EPR plan on file for review was dated 6/27/2024 and was due to be updated by 6/27/2025. We discussed to document on your calendar when to update the EPR plan as a reminder. Rule reference: 10A NCAC 09 .0607(e) Item 1834- Space #3 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. Space #5 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. We discussed the medical action plan must be completed and on-site with the medication and attached to the child’s application for the child’s medical health care needs. Rule Reference: 10A NCAC 09 .0801(b) Item 1835 Space #3 one (1) medical action plan was not updated annually. The medical action plan onsite was dated 5/1/2024 and expired 5/1/2025. We discussed conducted monthly medication checks to ensure all medications, medication forms, and action plans are current and valid. Rule reference: 10A NCAC 09 .0801(b)(1-4) Item 1898 Staff member hired 3/26/2024 did not complete the health and safety training within one year of employment. We discussed when new staff is hired, they have one (1) year from their employment date to complete the required health and safety training. Rule reference: 10A NCAC 09 .1102(a) Item 1911 Incident report dated 7/8/2025 was not mailed to the Division representative within seven (7) calendar days after the incident when medical treatment was received. The incident report was received during the visit today. We discussed when an incident occurs and a child receives medical treatment, the incident report must be mailed to me within seven (7) days. Rule Reference: 10A NCAC 09.0802(f) Achieving Compliance: A follow-up visit could be conducted to verify compliance. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/21/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -New administrator will need to register for EPR training and complete the training by December. -We discussed medical actions plans must be attached to the child’s application, and I recommend to put a copy of the medical action plan with the emergency medication in the classroom. -On-going training hours are due annually from the staff members employment date to the staff members employment anniversary date each year (ex. Staff member hired 7/25/2016 on-going training hours are due by July 25th of each year). -Review with staff storage of hazardous products including the mop bucket. -I recommend reaching out to Buncombe County Partnership for Children to provide medication administration training to refresh staff. - DCDEE has added a new training module about Child Development on the DCDEE Moodle Learning Platform. This is the first of several planned modules to support orientation and the health and safety training requirements. This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID is needed to access the Child Development Module. If you do not have an NCID, visit MYNCID.nc.gov to register for a free NCID account. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0601 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/7/2025 Number Present: 31 Completed Date: 8/7/2025 Age: From 0 To 11 Total Minutes: 360 Time In: 10:00 AM Time Out: 04:00 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 2/10/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License, issued 9/1/2024. Special Services/Restrictions – First shift (Daytime care), children under 2 ½ years old in rooms with direct exits only, meets enhanced ratios, meets enhanced space. The last fire drill was practiced on 7/28/2025. The last emergency drill, lockdown drill, was practiced on 6/11/2025. The last fire inspection was approved on 6/16/2025. The previous fire inspection was completed on 3/12/2024. The fire inspection was not conducted within twelve (12) months of the previous inspection. The program’s most recent sanitation inspection was completed on 4/3/2025, with fifteen (15) demerits. The last lead water testing was completed on 12/11/2023. The next testing is due by 12/11/2026. The last lead paint and asbestos testing was completed on 5/16/2024. The next testing is due by 5/16/2027. The Emergency Preparedness and Response (EPR) plan is current as of 6/27/2024. EPR plan was due to be updated by 6/27/2025. The Emergency Medical Care Plan is posted and was updated in 7/25/2025. The program does provide transportation. Upon arrival, I was greeted by Mary Virella, Administrator. A walkthrough of the indoor and outdoor environment was conducted. Space #1A the group of infant and one-year olds were engaged in floor play exploring the classroom. The staff member was conducting routine diaper changes as needed. While monitoring the room, I observed one (1) one year old visiting from space #5. During nap time, the staff member assisted the one (1) child on the cot with calming down to rest. Two (2) children were eating lunch in the highchairs, and one (1) child was laying on the activity mat engaged in play. Space #1B is currently closed. Space #2 is currently closed. A therapist was using the space with one (1) child. Space #3 the group of four- to eleven-year-olds were engaged in free play, free art, and making playdough. After free play, the group transitioned outdoors for gross motor play. While monitoring the indoor space, I observed one emergency medical action plan expired 5/1/2025. The classroom storage closed was unlocked with the key in the lock a staff purse was accessible and adult tools. The staff member locked the door and removed the key during the visit. Space #4 the group of two- to four-year-old children were engaged in outdoor gross motor play with tunnel, metal jeep, trikes, balls, and steppers. While monitoring the indoor space, I observed one (1) Aquaphor that expired 7/2025. During nap time, I observed the room used natural lighting from the front windows and soft music. The cots in the block center measured sixteen (16) inches rather than the required eighteen (18) inches. Space #5 the group of one- to two-year-olds were engaged in free play with the kitchen set, blocks, books, and climber. The staff member was conducting routine diaper change. While monitoring the indoor space, I observed one (1) electrical outlet uncovered. The staff corrected this during the visit. One (1) emergency medication end date was dated 1/30/2025. Three (3) diaper creams permission to administer medication forms were expired (Petroleum Jelly expired 8/6/2025, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #6 is currently closed. Lunch today consisted of meatloaf, carrots, blueberries, peaches, cornbread, and milk. Menu posted documented lunch was turkey roast, broccoli, peaches, bread, and milk. The menu was updated during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. Staff file concerns: Staff member hired on 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired on 7/25/2016 did not complete the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. We discussed creating a chart to document the required training hours for each staff member and continuously reminding the staff that they have until their employment date the following year to complete the required hours of on-going training. Staff member hired on 3/26/2024 did not complete the health and safety training within one year of employment. We discussed when new staff are hired, they have one (1) year from their employment date to complete the required health and safety training. While reviewing the incident report I observed, the form was missing the name of the medical facility the child received treatment at, and the witness of the incident. The incident was not mailed within seven (7) calendar days, and was not documented on the incident log. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The annual fire inspection was not completed within twelve (12) months of the previous fire inspection. The current fire inspection on file was dated 6/16/2025, and the previous inspection was dated 3/12/2024. 10A NCAC 09 .0304(a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The meal substitutions were not recorded on the menu prior to serving the meal to the children. Lunch served to the children was meatloaf, blueberries, peaches, carrots, corn bread, and milk. The menu posted documented turkey roast, broccoli, peaches, bread, and milk. 10A NCAC 09 .0901(b) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #4, cots in the block center were not placed at least eighteen (18) inches apart or separated with a solid barrier extending the full length of the cot. The cots measured sixteen (16) inches apart and no solid barrier was used to separate the children on their cots. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. outdoor storage container was broken with sharp edges accessible to children. Broken fence enclosing the air conditioning units was broken leaning in towards the two (2) units. The gate that enclosed the air conditioning units would not latch and rust was showing at the bottom of the gate and on the post. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. Outdoor space #3 the mulch has washed away exposing the dirt creating a tripping hazard around the concrete walkways, and the wooden privacy fence was deteriorating at the base creating sharp edges. Space #4 during nap time, the mop bucket was accessible to children. Space #3 The classroom storage closet was unlocked with the key in the lock. A staff member's purse was accessible. The purse storage was corrected during the visit. 10A NCAC 09 .0601(a) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Space #3 The classroom storage closet was unlocked with the key in the lock. Adult tools were accessible. .0604(a) 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. In space #5, I observed one (1) electrical outlet uncovered in the block center. The staff member corrected this during the visit. 10A NCAC 09 .0604(c) 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. Space #4 one (1) Aquaphor expired 7/2025. Space #5 three (3) diaper creams permission to administer medication forms expired (Petroleum Jelly expired 8/6/25, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #5 one (1) emergency medication permission to administer medication form expired 1/30/2025. .0803(12) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. Space #3 one (1) emergency medication was administered, and staff did not document all the required information. The staff did not document the dosage and route the medication was administered. .0803(13)(a-e); .2318(3) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident report for incident that occurred on 7/8/2025 was missing the name of the medical facility the child received treatment, and the witness of the incident. .0802 (e) 853 Incident logs were not completed and maintained as required. Incident that occurred on 7/8/2025 was not logged on the incident log. .0802(g)(1-6) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 4/2/2025 emergency information was not completed on or before the first day of work. The emergency information on file was dated 4/8/2025. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member hired 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired 7/25/2016 did not complete the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. .1103(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. EPR plan was not updated annually. The EPR plan on file for review was dated 6/27/2024 and was due to be updated by 6/27/2025. .0607(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. Space #3 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. Space #5 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. .0801(b) 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. Space #3 one (1) medical action plan was not updated annually. The medical action plan onsite was dated 5/1/2024 and expired 5/1/2025. .0801(b) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 3/26/2024 did not complete the health and safety training within one year of employment. .1102(a) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. Incident report dated 7/8/2025 was not mailed to the Division representative within seven (7) calendar days after the incident when medical treatment was received. The incident report was received during the visit today. .0802(f) Technical assistance was provided as follows: Item 106 The annual fire inspection was not completed within twelve (12) months of the previous fire inspection. The current fire inspection on file was dated 6/16/2025, and the previous inspection was dated 3/12/2024. We discussed to reach out to the Fire Marshal two (2) months prior to the date the inspection is due to ensure that the facility is on the schedule for inspection. Rule Reference: 10A NCAC 09.0304(a) Item 528 The meal substitutions were not recorded on the menu prior to serving the meal to the children. Lunch served to the children was meatloaf, blueberries, peaches, carrots, corn bread, and milk. The menu posted documented turkey roast, broccoli, peaches, bread, and milk. We discussed that if the facility is making meal substitutions, the substitutions need to be recorded on the menu posted prior to serving the meal to the children. Rule Reference: 10A NCAC 09.0901(b) Item 614 Space #4, cots in the block center were not placed at least eighteen (18) inches apart or separated with a solid barrier extending the full length of the cot. The cots measured sixteen (16) inches apart and no solid barrier was used to separate the children on their cots. We discussed that the cots must be at minimum of eighteen (18) inches apart. The staff will need to move one (1) of the three (3) cots in the block center to allow for enough space between cots. Rule Reference: 15A NCAC 18A.2821(e) Item 705 outdoor storage container was broken with sharp edges accessible to children. Broken fence enclosing the air conditioning units was broken leaning in towards the two (2) units. The gate that enclosed the air conditioning units would not latch and rust was showing at the bottom of the gate and on the post. We discussed the storage container would need to be replaced or remove the top cover that is broken to allow continued use. The fence and gate would need to be repaired. The administrator stated that a workorder has been submitted for repairs. Rule Reference: 10A NCAC 09 .0601(c) Item 807 Outdoor space #3 the mulch has washed away exposing the dirt creating a tripping hazard around the concrete walkways, and the wooden privacy fence was deteriorating the in the base creating sharp edges. We discussed that mulch would need to installed to or the facility would need to come up with a temporary solution to prevent children from tripping and being injured. The facility would need to repair the wooden privacy fence to remove the deteriorating area. Space #4 during nap time, the mop bucket was accessible to children. We discussed when the mop bucket is out in the classroom, the staff must be with mop bucket at all times to ensure a child does not access the chemicals in the mop bucket. Rule Reference: 10A NCAC 09.0601(a) Item 812 In space #5, I observed one (1) electrical outlet uncovered in the block center. The staff member corrected this during the visit. We discussed conducting routine classroom checks to ensure the environment is safe for the children. Rule reference: 10A NCAC 09.0604(c) Item 849- Space #4 one (1) Aquaphor expired 7/2025. Space #5 three (3) diaper creams permission to administer medication forms expired (Petroleum Jelly expired 8/6/205, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #5 one (1) emergency medication permission to administer medication form expired 1/30/2025. We discussed conducting a monthly medication check to ensure all medications and permission to administer medication forms are current and in compliance. Rule Reference: 10A NCAC 09.0803(12) Item 851- Space #3 one (1) emergency medication was administered, and staff did not document all the required information. The staff did not document the dosage and route the medication was administered. We discussed when completing the medication log it must be completed in its entirety including the dosage and route the medication was administered. Rule reference: 10A NCAC 09 .0803(13)(a-e);.2318(3) Item 852 Incident report for incident that occurred on 7/8/2025 was missing the name of the medical facility the child received treatment, and the witness of the incident. We discussed when an incident occurs to document the incident immediately. Rule Reference: 10A NCAC 09 .0802 (e) Item 853- Incident that occurred on 7/8/2025 was not logged on the incident log. The administrator logged it on the incident log during the visit. We discussed when an incident occurs to log it immediately. Rule Reference: 10A NCAC 09.0802 (g) Item 1035- Staff member hired 4/2/2025 emergency information was not completed on or before the first day of work. The emergency information on file was dated 4/8/2025. We discussed when a new staff member is hired, the staff member would need to complete the emergency information. Rule reference: 10A NCAC 09 .0701(a) Item 1052 Staff member hired 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired 7/25/2016 did not completed the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. We discussed creating a chart to document the required training hours for each staff member and continuously reminding the staff that they have until their employment date the following year to complete the required hours of on-going training. Rule Reference: 10A NCAC 09 .1103(a) Item 1422 Space #3 The classroom storage closet was unlocked with the key in the lock a staff purse was accessible and adult tools. The staff member locked the door and removed the key during the visit. We discussed conducting a routine check to ensure the closet is locked. Rule reference: 10A NCAC 09.2506(c) Item 1824 EPR plan was not updated annually. The EPR plan on file for review was dated 6/27/2024 and was due to be updated by 6/27/2025. We discussed to document on your calendar when to update the EPR plan as a reminder. Rule reference: 10A NCAC 09 .0607(e) Item 1834- Space #3 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. Space #5 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. We discussed the medical action plan must be completed and on-site with the medication and attached to the child’s application for the child’s medical health care needs. Rule Reference: 10A NCAC 09 .0801(b) Item 1835 Space #3 one (1) medical action plan was not updated annually. The medical action plan onsite was dated 5/1/2024 and expired 5/1/2025. We discussed conducted monthly medication checks to ensure all medications, medication forms, and action plans are current and valid. Rule reference: 10A NCAC 09 .0801(b)(1-4) Item 1898 Staff member hired 3/26/2024 did not complete the health and safety training within one year of employment. We discussed when new staff is hired, they have one (1) year from their employment date to complete the required health and safety training. Rule reference: 10A NCAC 09 .1102(a) Item 1911 Incident report dated 7/8/2025 was not mailed to the Division representative within seven (7) calendar days after the incident when medical treatment was received. The incident report was received during the visit today. We discussed when an incident occurs and a child receives medical treatment, the incident report must be mailed to me within seven (7) days. Rule Reference: 10A NCAC 09.0802(f) Achieving Compliance: A follow-up visit could be conducted to verify compliance. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/21/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -New administrator will need to register for EPR training and complete the training by December. -We discussed medical actions plans must be attached to the child’s application, and I recommend to put a copy of the medical action plan with the emergency medication in the classroom. -On-going training hours are due annually from the staff members employment date to the staff members employment anniversary date each year (ex. Staff member hired 7/25/2016 on-going training hours are due by July 25th of each year). -Review with staff storage of hazardous products including the mop bucket. -I recommend reaching out to Buncombe County Partnership for Children to provide medication administration training to refresh staff. - DCDEE has added a new training module about Child Development on the DCDEE Moodle Learning Platform. This is the first of several planned modules to support orientation and the health and safety training requirements. This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID is needed to access the Child Development Module. If you do not have an NCID, visit MYNCID.nc.gov to register for a free NCID account. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0607 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/7/2025 Number Present: 31 Completed Date: 8/7/2025 Age: From 0 To 11 Total Minutes: 360 Time In: 10:00 AM Time Out: 04:00 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 2/10/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License, issued 9/1/2024. Special Services/Restrictions – First shift (Daytime care), children under 2 ½ years old in rooms with direct exits only, meets enhanced ratios, meets enhanced space. The last fire drill was practiced on 7/28/2025. The last emergency drill, lockdown drill, was practiced on 6/11/2025. The last fire inspection was approved on 6/16/2025. The previous fire inspection was completed on 3/12/2024. The fire inspection was not conducted within twelve (12) months of the previous inspection. The program’s most recent sanitation inspection was completed on 4/3/2025, with fifteen (15) demerits. The last lead water testing was completed on 12/11/2023. The next testing is due by 12/11/2026. The last lead paint and asbestos testing was completed on 5/16/2024. The next testing is due by 5/16/2027. The Emergency Preparedness and Response (EPR) plan is current as of 6/27/2024. EPR plan was due to be updated by 6/27/2025. The Emergency Medical Care Plan is posted and was updated in 7/25/2025. The program does provide transportation. Upon arrival, I was greeted by Mary Virella, Administrator. A walkthrough of the indoor and outdoor environment was conducted. Space #1A the group of infant and one-year olds were engaged in floor play exploring the classroom. The staff member was conducting routine diaper changes as needed. While monitoring the room, I observed one (1) one year old visiting from space #5. During nap time, the staff member assisted the one (1) child on the cot with calming down to rest. Two (2) children were eating lunch in the highchairs, and one (1) child was laying on the activity mat engaged in play. Space #1B is currently closed. Space #2 is currently closed. A therapist was using the space with one (1) child. Space #3 the group of four- to eleven-year-olds were engaged in free play, free art, and making playdough. After free play, the group transitioned outdoors for gross motor play. While monitoring the indoor space, I observed one emergency medical action plan expired 5/1/2025. The classroom storage closed was unlocked with the key in the lock a staff purse was accessible and adult tools. The staff member locked the door and removed the key during the visit. Space #4 the group of two- to four-year-old children were engaged in outdoor gross motor play with tunnel, metal jeep, trikes, balls, and steppers. While monitoring the indoor space, I observed one (1) Aquaphor that expired 7/2025. During nap time, I observed the room used natural lighting from the front windows and soft music. The cots in the block center measured sixteen (16) inches rather than the required eighteen (18) inches. Space #5 the group of one- to two-year-olds were engaged in free play with the kitchen set, blocks, books, and climber. The staff member was conducting routine diaper change. While monitoring the indoor space, I observed one (1) electrical outlet uncovered. The staff corrected this during the visit. One (1) emergency medication end date was dated 1/30/2025. Three (3) diaper creams permission to administer medication forms were expired (Petroleum Jelly expired 8/6/2025, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #6 is currently closed. Lunch today consisted of meatloaf, carrots, blueberries, peaches, cornbread, and milk. Menu posted documented lunch was turkey roast, broccoli, peaches, bread, and milk. The menu was updated during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. Staff file concerns: Staff member hired on 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired on 7/25/2016 did not complete the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. We discussed creating a chart to document the required training hours for each staff member and continuously reminding the staff that they have until their employment date the following year to complete the required hours of on-going training. Staff member hired on 3/26/2024 did not complete the health and safety training within one year of employment. We discussed when new staff are hired, they have one (1) year from their employment date to complete the required health and safety training. While reviewing the incident report I observed, the form was missing the name of the medical facility the child received treatment at, and the witness of the incident. The incident was not mailed within seven (7) calendar days, and was not documented on the incident log. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The annual fire inspection was not completed within twelve (12) months of the previous fire inspection. The current fire inspection on file was dated 6/16/2025, and the previous inspection was dated 3/12/2024. 10A NCAC 09 .0304(a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The meal substitutions were not recorded on the menu prior to serving the meal to the children. Lunch served to the children was meatloaf, blueberries, peaches, carrots, corn bread, and milk. The menu posted documented turkey roast, broccoli, peaches, bread, and milk. 10A NCAC 09 .0901(b) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #4, cots in the block center were not placed at least eighteen (18) inches apart or separated with a solid barrier extending the full length of the cot. The cots measured sixteen (16) inches apart and no solid barrier was used to separate the children on their cots. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. outdoor storage container was broken with sharp edges accessible to children. Broken fence enclosing the air conditioning units was broken leaning in towards the two (2) units. The gate that enclosed the air conditioning units would not latch and rust was showing at the bottom of the gate and on the post. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. Outdoor space #3 the mulch has washed away exposing the dirt creating a tripping hazard around the concrete walkways, and the wooden privacy fence was deteriorating at the base creating sharp edges. Space #4 during nap time, the mop bucket was accessible to children. Space #3 The classroom storage closet was unlocked with the key in the lock. A staff member's purse was accessible. The purse storage was corrected during the visit. 10A NCAC 09 .0601(a) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Space #3 The classroom storage closet was unlocked with the key in the lock. Adult tools were accessible. .0604(a) 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. In space #5, I observed one (1) electrical outlet uncovered in the block center. The staff member corrected this during the visit. 10A NCAC 09 .0604(c) 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. Space #4 one (1) Aquaphor expired 7/2025. Space #5 three (3) diaper creams permission to administer medication forms expired (Petroleum Jelly expired 8/6/25, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #5 one (1) emergency medication permission to administer medication form expired 1/30/2025. .0803(12) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. Space #3 one (1) emergency medication was administered, and staff did not document all the required information. The staff did not document the dosage and route the medication was administered. .0803(13)(a-e); .2318(3) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident report for incident that occurred on 7/8/2025 was missing the name of the medical facility the child received treatment, and the witness of the incident. .0802 (e) 853 Incident logs were not completed and maintained as required. Incident that occurred on 7/8/2025 was not logged on the incident log. .0802(g)(1-6) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 4/2/2025 emergency information was not completed on or before the first day of work. The emergency information on file was dated 4/8/2025. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member hired 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired 7/25/2016 did not complete the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. .1103(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. EPR plan was not updated annually. The EPR plan on file for review was dated 6/27/2024 and was due to be updated by 6/27/2025. .0607(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. Space #3 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. Space #5 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. .0801(b) 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. Space #3 one (1) medical action plan was not updated annually. The medical action plan onsite was dated 5/1/2024 and expired 5/1/2025. .0801(b) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 3/26/2024 did not complete the health and safety training within one year of employment. .1102(a) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. Incident report dated 7/8/2025 was not mailed to the Division representative within seven (7) calendar days after the incident when medical treatment was received. The incident report was received during the visit today. .0802(f) Technical assistance was provided as follows: Item 106 The annual fire inspection was not completed within twelve (12) months of the previous fire inspection. The current fire inspection on file was dated 6/16/2025, and the previous inspection was dated 3/12/2024. We discussed to reach out to the Fire Marshal two (2) months prior to the date the inspection is due to ensure that the facility is on the schedule for inspection. Rule Reference: 10A NCAC 09.0304(a) Item 528 The meal substitutions were not recorded on the menu prior to serving the meal to the children. Lunch served to the children was meatloaf, blueberries, peaches, carrots, corn bread, and milk. The menu posted documented turkey roast, broccoli, peaches, bread, and milk. We discussed that if the facility is making meal substitutions, the substitutions need to be recorded on the menu posted prior to serving the meal to the children. Rule Reference: 10A NCAC 09.0901(b) Item 614 Space #4, cots in the block center were not placed at least eighteen (18) inches apart or separated with a solid barrier extending the full length of the cot. The cots measured sixteen (16) inches apart and no solid barrier was used to separate the children on their cots. We discussed that the cots must be at minimum of eighteen (18) inches apart. The staff will need to move one (1) of the three (3) cots in the block center to allow for enough space between cots. Rule Reference: 15A NCAC 18A.2821(e) Item 705 outdoor storage container was broken with sharp edges accessible to children. Broken fence enclosing the air conditioning units was broken leaning in towards the two (2) units. The gate that enclosed the air conditioning units would not latch and rust was showing at the bottom of the gate and on the post. We discussed the storage container would need to be replaced or remove the top cover that is broken to allow continued use. The fence and gate would need to be repaired. The administrator stated that a workorder has been submitted for repairs. Rule Reference: 10A NCAC 09 .0601(c) Item 807 Outdoor space #3 the mulch has washed away exposing the dirt creating a tripping hazard around the concrete walkways, and the wooden privacy fence was deteriorating the in the base creating sharp edges. We discussed that mulch would need to installed to or the facility would need to come up with a temporary solution to prevent children from tripping and being injured. The facility would need to repair the wooden privacy fence to remove the deteriorating area. Space #4 during nap time, the mop bucket was accessible to children. We discussed when the mop bucket is out in the classroom, the staff must be with mop bucket at all times to ensure a child does not access the chemicals in the mop bucket. Rule Reference: 10A NCAC 09.0601(a) Item 812 In space #5, I observed one (1) electrical outlet uncovered in the block center. The staff member corrected this during the visit. We discussed conducting routine classroom checks to ensure the environment is safe for the children. Rule reference: 10A NCAC 09.0604(c) Item 849- Space #4 one (1) Aquaphor expired 7/2025. Space #5 three (3) diaper creams permission to administer medication forms expired (Petroleum Jelly expired 8/6/205, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #5 one (1) emergency medication permission to administer medication form expired 1/30/2025. We discussed conducting a monthly medication check to ensure all medications and permission to administer medication forms are current and in compliance. Rule Reference: 10A NCAC 09.0803(12) Item 851- Space #3 one (1) emergency medication was administered, and staff did not document all the required information. The staff did not document the dosage and route the medication was administered. We discussed when completing the medication log it must be completed in its entirety including the dosage and route the medication was administered. Rule reference: 10A NCAC 09 .0803(13)(a-e);.2318(3) Item 852 Incident report for incident that occurred on 7/8/2025 was missing the name of the medical facility the child received treatment, and the witness of the incident. We discussed when an incident occurs to document the incident immediately. Rule Reference: 10A NCAC 09 .0802 (e) Item 853- Incident that occurred on 7/8/2025 was not logged on the incident log. The administrator logged it on the incident log during the visit. We discussed when an incident occurs to log it immediately. Rule Reference: 10A NCAC 09.0802 (g) Item 1035- Staff member hired 4/2/2025 emergency information was not completed on or before the first day of work. The emergency information on file was dated 4/8/2025. We discussed when a new staff member is hired, the staff member would need to complete the emergency information. Rule reference: 10A NCAC 09 .0701(a) Item 1052 Staff member hired 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired 7/25/2016 did not completed the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. We discussed creating a chart to document the required training hours for each staff member and continuously reminding the staff that they have until their employment date the following year to complete the required hours of on-going training. Rule Reference: 10A NCAC 09 .1103(a) Item 1422 Space #3 The classroom storage closet was unlocked with the key in the lock a staff purse was accessible and adult tools. The staff member locked the door and removed the key during the visit. We discussed conducting a routine check to ensure the closet is locked. Rule reference: 10A NCAC 09.2506(c) Item 1824 EPR plan was not updated annually. The EPR plan on file for review was dated 6/27/2024 and was due to be updated by 6/27/2025. We discussed to document on your calendar when to update the EPR plan as a reminder. Rule reference: 10A NCAC 09 .0607(e) Item 1834- Space #3 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. Space #5 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. We discussed the medical action plan must be completed and on-site with the medication and attached to the child’s application for the child’s medical health care needs. Rule Reference: 10A NCAC 09 .0801(b) Item 1835 Space #3 one (1) medical action plan was not updated annually. The medical action plan onsite was dated 5/1/2024 and expired 5/1/2025. We discussed conducted monthly medication checks to ensure all medications, medication forms, and action plans are current and valid. Rule reference: 10A NCAC 09 .0801(b)(1-4) Item 1898 Staff member hired 3/26/2024 did not complete the health and safety training within one year of employment. We discussed when new staff is hired, they have one (1) year from their employment date to complete the required health and safety training. Rule reference: 10A NCAC 09 .1102(a) Item 1911 Incident report dated 7/8/2025 was not mailed to the Division representative within seven (7) calendar days after the incident when medical treatment was received. The incident report was received during the visit today. We discussed when an incident occurs and a child receives medical treatment, the incident report must be mailed to me within seven (7) days. Rule Reference: 10A NCAC 09.0802(f) Achieving Compliance: A follow-up visit could be conducted to verify compliance. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/21/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -New administrator will need to register for EPR training and complete the training by December. -We discussed medical actions plans must be attached to the child’s application, and I recommend to put a copy of the medical action plan with the emergency medication in the classroom. -On-going training hours are due annually from the staff members employment date to the staff members employment anniversary date each year (ex. Staff member hired 7/25/2016 on-going training hours are due by July 25th of each year). -Review with staff storage of hazardous products including the mop bucket. -I recommend reaching out to Buncombe County Partnership for Children to provide medication administration training to refresh staff. - DCDEE has added a new training module about Child Development on the DCDEE Moodle Learning Platform. This is the first of several planned modules to support orientation and the health and safety training requirements. This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID is needed to access the Child Development Module. If you do not have an NCID, visit MYNCID.nc.gov to register for a free NCID account. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0701 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/7/2025 Number Present: 31 Completed Date: 8/7/2025 Age: From 0 To 11 Total Minutes: 360 Time In: 10:00 AM Time Out: 04:00 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 2/10/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License, issued 9/1/2024. Special Services/Restrictions – First shift (Daytime care), children under 2 ½ years old in rooms with direct exits only, meets enhanced ratios, meets enhanced space. The last fire drill was practiced on 7/28/2025. The last emergency drill, lockdown drill, was practiced on 6/11/2025. The last fire inspection was approved on 6/16/2025. The previous fire inspection was completed on 3/12/2024. The fire inspection was not conducted within twelve (12) months of the previous inspection. The program’s most recent sanitation inspection was completed on 4/3/2025, with fifteen (15) demerits. The last lead water testing was completed on 12/11/2023. The next testing is due by 12/11/2026. The last lead paint and asbestos testing was completed on 5/16/2024. The next testing is due by 5/16/2027. The Emergency Preparedness and Response (EPR) plan is current as of 6/27/2024. EPR plan was due to be updated by 6/27/2025. The Emergency Medical Care Plan is posted and was updated in 7/25/2025. The program does provide transportation. Upon arrival, I was greeted by Mary Virella, Administrator. A walkthrough of the indoor and outdoor environment was conducted. Space #1A the group of infant and one-year olds were engaged in floor play exploring the classroom. The staff member was conducting routine diaper changes as needed. While monitoring the room, I observed one (1) one year old visiting from space #5. During nap time, the staff member assisted the one (1) child on the cot with calming down to rest. Two (2) children were eating lunch in the highchairs, and one (1) child was laying on the activity mat engaged in play. Space #1B is currently closed. Space #2 is currently closed. A therapist was using the space with one (1) child. Space #3 the group of four- to eleven-year-olds were engaged in free play, free art, and making playdough. After free play, the group transitioned outdoors for gross motor play. While monitoring the indoor space, I observed one emergency medical action plan expired 5/1/2025. The classroom storage closed was unlocked with the key in the lock a staff purse was accessible and adult tools. The staff member locked the door and removed the key during the visit. Space #4 the group of two- to four-year-old children were engaged in outdoor gross motor play with tunnel, metal jeep, trikes, balls, and steppers. While monitoring the indoor space, I observed one (1) Aquaphor that expired 7/2025. During nap time, I observed the room used natural lighting from the front windows and soft music. The cots in the block center measured sixteen (16) inches rather than the required eighteen (18) inches. Space #5 the group of one- to two-year-olds were engaged in free play with the kitchen set, blocks, books, and climber. The staff member was conducting routine diaper change. While monitoring the indoor space, I observed one (1) electrical outlet uncovered. The staff corrected this during the visit. One (1) emergency medication end date was dated 1/30/2025. Three (3) diaper creams permission to administer medication forms were expired (Petroleum Jelly expired 8/6/2025, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #6 is currently closed. Lunch today consisted of meatloaf, carrots, blueberries, peaches, cornbread, and milk. Menu posted documented lunch was turkey roast, broccoli, peaches, bread, and milk. The menu was updated during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. Staff file concerns: Staff member hired on 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired on 7/25/2016 did not complete the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. We discussed creating a chart to document the required training hours for each staff member and continuously reminding the staff that they have until their employment date the following year to complete the required hours of on-going training. Staff member hired on 3/26/2024 did not complete the health and safety training within one year of employment. We discussed when new staff are hired, they have one (1) year from their employment date to complete the required health and safety training. While reviewing the incident report I observed, the form was missing the name of the medical facility the child received treatment at, and the witness of the incident. The incident was not mailed within seven (7) calendar days, and was not documented on the incident log. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The annual fire inspection was not completed within twelve (12) months of the previous fire inspection. The current fire inspection on file was dated 6/16/2025, and the previous inspection was dated 3/12/2024. 10A NCAC 09 .0304(a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The meal substitutions were not recorded on the menu prior to serving the meal to the children. Lunch served to the children was meatloaf, blueberries, peaches, carrots, corn bread, and milk. The menu posted documented turkey roast, broccoli, peaches, bread, and milk. 10A NCAC 09 .0901(b) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #4, cots in the block center were not placed at least eighteen (18) inches apart or separated with a solid barrier extending the full length of the cot. The cots measured sixteen (16) inches apart and no solid barrier was used to separate the children on their cots. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. outdoor storage container was broken with sharp edges accessible to children. Broken fence enclosing the air conditioning units was broken leaning in towards the two (2) units. The gate that enclosed the air conditioning units would not latch and rust was showing at the bottom of the gate and on the post. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. Outdoor space #3 the mulch has washed away exposing the dirt creating a tripping hazard around the concrete walkways, and the wooden privacy fence was deteriorating at the base creating sharp edges. Space #4 during nap time, the mop bucket was accessible to children. Space #3 The classroom storage closet was unlocked with the key in the lock. A staff member's purse was accessible. The purse storage was corrected during the visit. 10A NCAC 09 .0601(a) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Space #3 The classroom storage closet was unlocked with the key in the lock. Adult tools were accessible. .0604(a) 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. In space #5, I observed one (1) electrical outlet uncovered in the block center. The staff member corrected this during the visit. 10A NCAC 09 .0604(c) 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. Space #4 one (1) Aquaphor expired 7/2025. Space #5 three (3) diaper creams permission to administer medication forms expired (Petroleum Jelly expired 8/6/25, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #5 one (1) emergency medication permission to administer medication form expired 1/30/2025. .0803(12) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. Space #3 one (1) emergency medication was administered, and staff did not document all the required information. The staff did not document the dosage and route the medication was administered. .0803(13)(a-e); .2318(3) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident report for incident that occurred on 7/8/2025 was missing the name of the medical facility the child received treatment, and the witness of the incident. .0802 (e) 853 Incident logs were not completed and maintained as required. Incident that occurred on 7/8/2025 was not logged on the incident log. .0802(g)(1-6) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 4/2/2025 emergency information was not completed on or before the first day of work. The emergency information on file was dated 4/8/2025. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member hired 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired 7/25/2016 did not complete the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. .1103(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. EPR plan was not updated annually. The EPR plan on file for review was dated 6/27/2024 and was due to be updated by 6/27/2025. .0607(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. Space #3 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. Space #5 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. .0801(b) 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. Space #3 one (1) medical action plan was not updated annually. The medical action plan onsite was dated 5/1/2024 and expired 5/1/2025. .0801(b) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 3/26/2024 did not complete the health and safety training within one year of employment. .1102(a) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. Incident report dated 7/8/2025 was not mailed to the Division representative within seven (7) calendar days after the incident when medical treatment was received. The incident report was received during the visit today. .0802(f) Technical assistance was provided as follows: Item 106 The annual fire inspection was not completed within twelve (12) months of the previous fire inspection. The current fire inspection on file was dated 6/16/2025, and the previous inspection was dated 3/12/2024. We discussed to reach out to the Fire Marshal two (2) months prior to the date the inspection is due to ensure that the facility is on the schedule for inspection. Rule Reference: 10A NCAC 09.0304(a) Item 528 The meal substitutions were not recorded on the menu prior to serving the meal to the children. Lunch served to the children was meatloaf, blueberries, peaches, carrots, corn bread, and milk. The menu posted documented turkey roast, broccoli, peaches, bread, and milk. We discussed that if the facility is making meal substitutions, the substitutions need to be recorded on the menu posted prior to serving the meal to the children. Rule Reference: 10A NCAC 09.0901(b) Item 614 Space #4, cots in the block center were not placed at least eighteen (18) inches apart or separated with a solid barrier extending the full length of the cot. The cots measured sixteen (16) inches apart and no solid barrier was used to separate the children on their cots. We discussed that the cots must be at minimum of eighteen (18) inches apart. The staff will need to move one (1) of the three (3) cots in the block center to allow for enough space between cots. Rule Reference: 15A NCAC 18A.2821(e) Item 705 outdoor storage container was broken with sharp edges accessible to children. Broken fence enclosing the air conditioning units was broken leaning in towards the two (2) units. The gate that enclosed the air conditioning units would not latch and rust was showing at the bottom of the gate and on the post. We discussed the storage container would need to be replaced or remove the top cover that is broken to allow continued use. The fence and gate would need to be repaired. The administrator stated that a workorder has been submitted for repairs. Rule Reference: 10A NCAC 09 .0601(c) Item 807 Outdoor space #3 the mulch has washed away exposing the dirt creating a tripping hazard around the concrete walkways, and the wooden privacy fence was deteriorating the in the base creating sharp edges. We discussed that mulch would need to installed to or the facility would need to come up with a temporary solution to prevent children from tripping and being injured. The facility would need to repair the wooden privacy fence to remove the deteriorating area. Space #4 during nap time, the mop bucket was accessible to children. We discussed when the mop bucket is out in the classroom, the staff must be with mop bucket at all times to ensure a child does not access the chemicals in the mop bucket. Rule Reference: 10A NCAC 09.0601(a) Item 812 In space #5, I observed one (1) electrical outlet uncovered in the block center. The staff member corrected this during the visit. We discussed conducting routine classroom checks to ensure the environment is safe for the children. Rule reference: 10A NCAC 09.0604(c) Item 849- Space #4 one (1) Aquaphor expired 7/2025. Space #5 three (3) diaper creams permission to administer medication forms expired (Petroleum Jelly expired 8/6/205, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #5 one (1) emergency medication permission to administer medication form expired 1/30/2025. We discussed conducting a monthly medication check to ensure all medications and permission to administer medication forms are current and in compliance. Rule Reference: 10A NCAC 09.0803(12) Item 851- Space #3 one (1) emergency medication was administered, and staff did not document all the required information. The staff did not document the dosage and route the medication was administered. We discussed when completing the medication log it must be completed in its entirety including the dosage and route the medication was administered. Rule reference: 10A NCAC 09 .0803(13)(a-e);.2318(3) Item 852 Incident report for incident that occurred on 7/8/2025 was missing the name of the medical facility the child received treatment, and the witness of the incident. We discussed when an incident occurs to document the incident immediately. Rule Reference: 10A NCAC 09 .0802 (e) Item 853- Incident that occurred on 7/8/2025 was not logged on the incident log. The administrator logged it on the incident log during the visit. We discussed when an incident occurs to log it immediately. Rule Reference: 10A NCAC 09.0802 (g) Item 1035- Staff member hired 4/2/2025 emergency information was not completed on or before the first day of work. The emergency information on file was dated 4/8/2025. We discussed when a new staff member is hired, the staff member would need to complete the emergency information. Rule reference: 10A NCAC 09 .0701(a) Item 1052 Staff member hired 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired 7/25/2016 did not completed the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. We discussed creating a chart to document the required training hours for each staff member and continuously reminding the staff that they have until their employment date the following year to complete the required hours of on-going training. Rule Reference: 10A NCAC 09 .1103(a) Item 1422 Space #3 The classroom storage closet was unlocked with the key in the lock a staff purse was accessible and adult tools. The staff member locked the door and removed the key during the visit. We discussed conducting a routine check to ensure the closet is locked. Rule reference: 10A NCAC 09.2506(c) Item 1824 EPR plan was not updated annually. The EPR plan on file for review was dated 6/27/2024 and was due to be updated by 6/27/2025. We discussed to document on your calendar when to update the EPR plan as a reminder. Rule reference: 10A NCAC 09 .0607(e) Item 1834- Space #3 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. Space #5 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. We discussed the medical action plan must be completed and on-site with the medication and attached to the child’s application for the child’s medical health care needs. Rule Reference: 10A NCAC 09 .0801(b) Item 1835 Space #3 one (1) medical action plan was not updated annually. The medical action plan onsite was dated 5/1/2024 and expired 5/1/2025. We discussed conducted monthly medication checks to ensure all medications, medication forms, and action plans are current and valid. Rule reference: 10A NCAC 09 .0801(b)(1-4) Item 1898 Staff member hired 3/26/2024 did not complete the health and safety training within one year of employment. We discussed when new staff is hired, they have one (1) year from their employment date to complete the required health and safety training. Rule reference: 10A NCAC 09 .1102(a) Item 1911 Incident report dated 7/8/2025 was not mailed to the Division representative within seven (7) calendar days after the incident when medical treatment was received. The incident report was received during the visit today. We discussed when an incident occurs and a child receives medical treatment, the incident report must be mailed to me within seven (7) days. Rule Reference: 10A NCAC 09.0802(f) Achieving Compliance: A follow-up visit could be conducted to verify compliance. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/21/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -New administrator will need to register for EPR training and complete the training by December. -We discussed medical actions plans must be attached to the child’s application, and I recommend to put a copy of the medical action plan with the emergency medication in the classroom. -On-going training hours are due annually from the staff members employment date to the staff members employment anniversary date each year (ex. Staff member hired 7/25/2016 on-going training hours are due by July 25th of each year). -Review with staff storage of hazardous products including the mop bucket. -I recommend reaching out to Buncombe County Partnership for Children to provide medication administration training to refresh staff. - DCDEE has added a new training module about Child Development on the DCDEE Moodle Learning Platform. This is the first of several planned modules to support orientation and the health and safety training requirements. This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID is needed to access the Child Development Module. If you do not have an NCID, visit MYNCID.nc.gov to register for a free NCID account. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0801 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/7/2025 Number Present: 31 Completed Date: 8/7/2025 Age: From 0 To 11 Total Minutes: 360 Time In: 10:00 AM Time Out: 04:00 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 2/10/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License, issued 9/1/2024. Special Services/Restrictions – First shift (Daytime care), children under 2 ½ years old in rooms with direct exits only, meets enhanced ratios, meets enhanced space. The last fire drill was practiced on 7/28/2025. The last emergency drill, lockdown drill, was practiced on 6/11/2025. The last fire inspection was approved on 6/16/2025. The previous fire inspection was completed on 3/12/2024. The fire inspection was not conducted within twelve (12) months of the previous inspection. The program’s most recent sanitation inspection was completed on 4/3/2025, with fifteen (15) demerits. The last lead water testing was completed on 12/11/2023. The next testing is due by 12/11/2026. The last lead paint and asbestos testing was completed on 5/16/2024. The next testing is due by 5/16/2027. The Emergency Preparedness and Response (EPR) plan is current as of 6/27/2024. EPR plan was due to be updated by 6/27/2025. The Emergency Medical Care Plan is posted and was updated in 7/25/2025. The program does provide transportation. Upon arrival, I was greeted by Mary Virella, Administrator. A walkthrough of the indoor and outdoor environment was conducted. Space #1A the group of infant and one-year olds were engaged in floor play exploring the classroom. The staff member was conducting routine diaper changes as needed. While monitoring the room, I observed one (1) one year old visiting from space #5. During nap time, the staff member assisted the one (1) child on the cot with calming down to rest. Two (2) children were eating lunch in the highchairs, and one (1) child was laying on the activity mat engaged in play. Space #1B is currently closed. Space #2 is currently closed. A therapist was using the space with one (1) child. Space #3 the group of four- to eleven-year-olds were engaged in free play, free art, and making playdough. After free play, the group transitioned outdoors for gross motor play. While monitoring the indoor space, I observed one emergency medical action plan expired 5/1/2025. The classroom storage closed was unlocked with the key in the lock a staff purse was accessible and adult tools. The staff member locked the door and removed the key during the visit. Space #4 the group of two- to four-year-old children were engaged in outdoor gross motor play with tunnel, metal jeep, trikes, balls, and steppers. While monitoring the indoor space, I observed one (1) Aquaphor that expired 7/2025. During nap time, I observed the room used natural lighting from the front windows and soft music. The cots in the block center measured sixteen (16) inches rather than the required eighteen (18) inches. Space #5 the group of one- to two-year-olds were engaged in free play with the kitchen set, blocks, books, and climber. The staff member was conducting routine diaper change. While monitoring the indoor space, I observed one (1) electrical outlet uncovered. The staff corrected this during the visit. One (1) emergency medication end date was dated 1/30/2025. Three (3) diaper creams permission to administer medication forms were expired (Petroleum Jelly expired 8/6/2025, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #6 is currently closed. Lunch today consisted of meatloaf, carrots, blueberries, peaches, cornbread, and milk. Menu posted documented lunch was turkey roast, broccoli, peaches, bread, and milk. The menu was updated during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. Staff file concerns: Staff member hired on 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired on 7/25/2016 did not complete the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. We discussed creating a chart to document the required training hours for each staff member and continuously reminding the staff that they have until their employment date the following year to complete the required hours of on-going training. Staff member hired on 3/26/2024 did not complete the health and safety training within one year of employment. We discussed when new staff are hired, they have one (1) year from their employment date to complete the required health and safety training. While reviewing the incident report I observed, the form was missing the name of the medical facility the child received treatment at, and the witness of the incident. The incident was not mailed within seven (7) calendar days, and was not documented on the incident log. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The annual fire inspection was not completed within twelve (12) months of the previous fire inspection. The current fire inspection on file was dated 6/16/2025, and the previous inspection was dated 3/12/2024. 10A NCAC 09 .0304(a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The meal substitutions were not recorded on the menu prior to serving the meal to the children. Lunch served to the children was meatloaf, blueberries, peaches, carrots, corn bread, and milk. The menu posted documented turkey roast, broccoli, peaches, bread, and milk. 10A NCAC 09 .0901(b) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #4, cots in the block center were not placed at least eighteen (18) inches apart or separated with a solid barrier extending the full length of the cot. The cots measured sixteen (16) inches apart and no solid barrier was used to separate the children on their cots. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. outdoor storage container was broken with sharp edges accessible to children. Broken fence enclosing the air conditioning units was broken leaning in towards the two (2) units. The gate that enclosed the air conditioning units would not latch and rust was showing at the bottom of the gate and on the post. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. Outdoor space #3 the mulch has washed away exposing the dirt creating a tripping hazard around the concrete walkways, and the wooden privacy fence was deteriorating at the base creating sharp edges. Space #4 during nap time, the mop bucket was accessible to children. Space #3 The classroom storage closet was unlocked with the key in the lock. A staff member's purse was accessible. The purse storage was corrected during the visit. 10A NCAC 09 .0601(a) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Space #3 The classroom storage closet was unlocked with the key in the lock. Adult tools were accessible. .0604(a) 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. In space #5, I observed one (1) electrical outlet uncovered in the block center. The staff member corrected this during the visit. 10A NCAC 09 .0604(c) 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. Space #4 one (1) Aquaphor expired 7/2025. Space #5 three (3) diaper creams permission to administer medication forms expired (Petroleum Jelly expired 8/6/25, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #5 one (1) emergency medication permission to administer medication form expired 1/30/2025. .0803(12) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. Space #3 one (1) emergency medication was administered, and staff did not document all the required information. The staff did not document the dosage and route the medication was administered. .0803(13)(a-e); .2318(3) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident report for incident that occurred on 7/8/2025 was missing the name of the medical facility the child received treatment, and the witness of the incident. .0802 (e) 853 Incident logs were not completed and maintained as required. Incident that occurred on 7/8/2025 was not logged on the incident log. .0802(g)(1-6) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 4/2/2025 emergency information was not completed on or before the first day of work. The emergency information on file was dated 4/8/2025. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member hired 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired 7/25/2016 did not complete the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. .1103(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. EPR plan was not updated annually. The EPR plan on file for review was dated 6/27/2024 and was due to be updated by 6/27/2025. .0607(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. Space #3 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. Space #5 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. .0801(b) 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. Space #3 one (1) medical action plan was not updated annually. The medical action plan onsite was dated 5/1/2024 and expired 5/1/2025. .0801(b) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 3/26/2024 did not complete the health and safety training within one year of employment. .1102(a) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. Incident report dated 7/8/2025 was not mailed to the Division representative within seven (7) calendar days after the incident when medical treatment was received. The incident report was received during the visit today. .0802(f) Technical assistance was provided as follows: Item 106 The annual fire inspection was not completed within twelve (12) months of the previous fire inspection. The current fire inspection on file was dated 6/16/2025, and the previous inspection was dated 3/12/2024. We discussed to reach out to the Fire Marshal two (2) months prior to the date the inspection is due to ensure that the facility is on the schedule for inspection. Rule Reference: 10A NCAC 09.0304(a) Item 528 The meal substitutions were not recorded on the menu prior to serving the meal to the children. Lunch served to the children was meatloaf, blueberries, peaches, carrots, corn bread, and milk. The menu posted documented turkey roast, broccoli, peaches, bread, and milk. We discussed that if the facility is making meal substitutions, the substitutions need to be recorded on the menu posted prior to serving the meal to the children. Rule Reference: 10A NCAC 09.0901(b) Item 614 Space #4, cots in the block center were not placed at least eighteen (18) inches apart or separated with a solid barrier extending the full length of the cot. The cots measured sixteen (16) inches apart and no solid barrier was used to separate the children on their cots. We discussed that the cots must be at minimum of eighteen (18) inches apart. The staff will need to move one (1) of the three (3) cots in the block center to allow for enough space between cots. Rule Reference: 15A NCAC 18A.2821(e) Item 705 outdoor storage container was broken with sharp edges accessible to children. Broken fence enclosing the air conditioning units was broken leaning in towards the two (2) units. The gate that enclosed the air conditioning units would not latch and rust was showing at the bottom of the gate and on the post. We discussed the storage container would need to be replaced or remove the top cover that is broken to allow continued use. The fence and gate would need to be repaired. The administrator stated that a workorder has been submitted for repairs. Rule Reference: 10A NCAC 09 .0601(c) Item 807 Outdoor space #3 the mulch has washed away exposing the dirt creating a tripping hazard around the concrete walkways, and the wooden privacy fence was deteriorating the in the base creating sharp edges. We discussed that mulch would need to installed to or the facility would need to come up with a temporary solution to prevent children from tripping and being injured. The facility would need to repair the wooden privacy fence to remove the deteriorating area. Space #4 during nap time, the mop bucket was accessible to children. We discussed when the mop bucket is out in the classroom, the staff must be with mop bucket at all times to ensure a child does not access the chemicals in the mop bucket. Rule Reference: 10A NCAC 09.0601(a) Item 812 In space #5, I observed one (1) electrical outlet uncovered in the block center. The staff member corrected this during the visit. We discussed conducting routine classroom checks to ensure the environment is safe for the children. Rule reference: 10A NCAC 09.0604(c) Item 849- Space #4 one (1) Aquaphor expired 7/2025. Space #5 three (3) diaper creams permission to administer medication forms expired (Petroleum Jelly expired 8/6/205, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #5 one (1) emergency medication permission to administer medication form expired 1/30/2025. We discussed conducting a monthly medication check to ensure all medications and permission to administer medication forms are current and in compliance. Rule Reference: 10A NCAC 09.0803(12) Item 851- Space #3 one (1) emergency medication was administered, and staff did not document all the required information. The staff did not document the dosage and route the medication was administered. We discussed when completing the medication log it must be completed in its entirety including the dosage and route the medication was administered. Rule reference: 10A NCAC 09 .0803(13)(a-e);.2318(3) Item 852 Incident report for incident that occurred on 7/8/2025 was missing the name of the medical facility the child received treatment, and the witness of the incident. We discussed when an incident occurs to document the incident immediately. Rule Reference: 10A NCAC 09 .0802 (e) Item 853- Incident that occurred on 7/8/2025 was not logged on the incident log. The administrator logged it on the incident log during the visit. We discussed when an incident occurs to log it immediately. Rule Reference: 10A NCAC 09.0802 (g) Item 1035- Staff member hired 4/2/2025 emergency information was not completed on or before the first day of work. The emergency information on file was dated 4/8/2025. We discussed when a new staff member is hired, the staff member would need to complete the emergency information. Rule reference: 10A NCAC 09 .0701(a) Item 1052 Staff member hired 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired 7/25/2016 did not completed the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. We discussed creating a chart to document the required training hours for each staff member and continuously reminding the staff that they have until their employment date the following year to complete the required hours of on-going training. Rule Reference: 10A NCAC 09 .1103(a) Item 1422 Space #3 The classroom storage closet was unlocked with the key in the lock a staff purse was accessible and adult tools. The staff member locked the door and removed the key during the visit. We discussed conducting a routine check to ensure the closet is locked. Rule reference: 10A NCAC 09.2506(c) Item 1824 EPR plan was not updated annually. The EPR plan on file for review was dated 6/27/2024 and was due to be updated by 6/27/2025. We discussed to document on your calendar when to update the EPR plan as a reminder. Rule reference: 10A NCAC 09 .0607(e) Item 1834- Space #3 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. Space #5 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. We discussed the medical action plan must be completed and on-site with the medication and attached to the child’s application for the child’s medical health care needs. Rule Reference: 10A NCAC 09 .0801(b) Item 1835 Space #3 one (1) medical action plan was not updated annually. The medical action plan onsite was dated 5/1/2024 and expired 5/1/2025. We discussed conducted monthly medication checks to ensure all medications, medication forms, and action plans are current and valid. Rule reference: 10A NCAC 09 .0801(b)(1-4) Item 1898 Staff member hired 3/26/2024 did not complete the health and safety training within one year of employment. We discussed when new staff is hired, they have one (1) year from their employment date to complete the required health and safety training. Rule reference: 10A NCAC 09 .1102(a) Item 1911 Incident report dated 7/8/2025 was not mailed to the Division representative within seven (7) calendar days after the incident when medical treatment was received. The incident report was received during the visit today. We discussed when an incident occurs and a child receives medical treatment, the incident report must be mailed to me within seven (7) days. Rule Reference: 10A NCAC 09.0802(f) Achieving Compliance: A follow-up visit could be conducted to verify compliance. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/21/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -New administrator will need to register for EPR training and complete the training by December. -We discussed medical actions plans must be attached to the child’s application, and I recommend to put a copy of the medical action plan with the emergency medication in the classroom. -On-going training hours are due annually from the staff members employment date to the staff members employment anniversary date each year (ex. Staff member hired 7/25/2016 on-going training hours are due by July 25th of each year). -Review with staff storage of hazardous products including the mop bucket. -I recommend reaching out to Buncombe County Partnership for Children to provide medication administration training to refresh staff. - DCDEE has added a new training module about Child Development on the DCDEE Moodle Learning Platform. This is the first of several planned modules to support orientation and the health and safety training requirements. This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID is needed to access the Child Development Module. If you do not have an NCID, visit MYNCID.nc.gov to register for a free NCID account. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/7/2025 Number Present: 31 Completed Date: 8/7/2025 Age: From 0 To 11 Total Minutes: 360 Time In: 10:00 AM Time Out: 04:00 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 2/10/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License, issued 9/1/2024. Special Services/Restrictions – First shift (Daytime care), children under 2 ½ years old in rooms with direct exits only, meets enhanced ratios, meets enhanced space. The last fire drill was practiced on 7/28/2025. The last emergency drill, lockdown drill, was practiced on 6/11/2025. The last fire inspection was approved on 6/16/2025. The previous fire inspection was completed on 3/12/2024. The fire inspection was not conducted within twelve (12) months of the previous inspection. The program’s most recent sanitation inspection was completed on 4/3/2025, with fifteen (15) demerits. The last lead water testing was completed on 12/11/2023. The next testing is due by 12/11/2026. The last lead paint and asbestos testing was completed on 5/16/2024. The next testing is due by 5/16/2027. The Emergency Preparedness and Response (EPR) plan is current as of 6/27/2024. EPR plan was due to be updated by 6/27/2025. The Emergency Medical Care Plan is posted and was updated in 7/25/2025. The program does provide transportation. Upon arrival, I was greeted by Mary Virella, Administrator. A walkthrough of the indoor and outdoor environment was conducted. Space #1A the group of infant and one-year olds were engaged in floor play exploring the classroom. The staff member was conducting routine diaper changes as needed. While monitoring the room, I observed one (1) one year old visiting from space #5. During nap time, the staff member assisted the one (1) child on the cot with calming down to rest. Two (2) children were eating lunch in the highchairs, and one (1) child was laying on the activity mat engaged in play. Space #1B is currently closed. Space #2 is currently closed. A therapist was using the space with one (1) child. Space #3 the group of four- to eleven-year-olds were engaged in free play, free art, and making playdough. After free play, the group transitioned outdoors for gross motor play. While monitoring the indoor space, I observed one emergency medical action plan expired 5/1/2025. The classroom storage closed was unlocked with the key in the lock a staff purse was accessible and adult tools. The staff member locked the door and removed the key during the visit. Space #4 the group of two- to four-year-old children were engaged in outdoor gross motor play with tunnel, metal jeep, trikes, balls, and steppers. While monitoring the indoor space, I observed one (1) Aquaphor that expired 7/2025. During nap time, I observed the room used natural lighting from the front windows and soft music. The cots in the block center measured sixteen (16) inches rather than the required eighteen (18) inches. Space #5 the group of one- to two-year-olds were engaged in free play with the kitchen set, blocks, books, and climber. The staff member was conducting routine diaper change. While monitoring the indoor space, I observed one (1) electrical outlet uncovered. The staff corrected this during the visit. One (1) emergency medication end date was dated 1/30/2025. Three (3) diaper creams permission to administer medication forms were expired (Petroleum Jelly expired 8/6/2025, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #6 is currently closed. Lunch today consisted of meatloaf, carrots, blueberries, peaches, cornbread, and milk. Menu posted documented lunch was turkey roast, broccoli, peaches, bread, and milk. The menu was updated during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. Staff file concerns: Staff member hired on 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired on 7/25/2016 did not complete the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. We discussed creating a chart to document the required training hours for each staff member and continuously reminding the staff that they have until their employment date the following year to complete the required hours of on-going training. Staff member hired on 3/26/2024 did not complete the health and safety training within one year of employment. We discussed when new staff are hired, they have one (1) year from their employment date to complete the required health and safety training. While reviewing the incident report I observed, the form was missing the name of the medical facility the child received treatment at, and the witness of the incident. The incident was not mailed within seven (7) calendar days, and was not documented on the incident log. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The annual fire inspection was not completed within twelve (12) months of the previous fire inspection. The current fire inspection on file was dated 6/16/2025, and the previous inspection was dated 3/12/2024. 10A NCAC 09 .0304(a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The meal substitutions were not recorded on the menu prior to serving the meal to the children. Lunch served to the children was meatloaf, blueberries, peaches, carrots, corn bread, and milk. The menu posted documented turkey roast, broccoli, peaches, bread, and milk. 10A NCAC 09 .0901(b) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #4, cots in the block center were not placed at least eighteen (18) inches apart or separated with a solid barrier extending the full length of the cot. The cots measured sixteen (16) inches apart and no solid barrier was used to separate the children on their cots. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. outdoor storage container was broken with sharp edges accessible to children. Broken fence enclosing the air conditioning units was broken leaning in towards the two (2) units. The gate that enclosed the air conditioning units would not latch and rust was showing at the bottom of the gate and on the post. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. Outdoor space #3 the mulch has washed away exposing the dirt creating a tripping hazard around the concrete walkways, and the wooden privacy fence was deteriorating at the base creating sharp edges. Space #4 during nap time, the mop bucket was accessible to children. Space #3 The classroom storage closet was unlocked with the key in the lock. A staff member's purse was accessible. The purse storage was corrected during the visit. 10A NCAC 09 .0601(a) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Space #3 The classroom storage closet was unlocked with the key in the lock. Adult tools were accessible. .0604(a) 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. In space #5, I observed one (1) electrical outlet uncovered in the block center. The staff member corrected this during the visit. 10A NCAC 09 .0604(c) 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. Space #4 one (1) Aquaphor expired 7/2025. Space #5 three (3) diaper creams permission to administer medication forms expired (Petroleum Jelly expired 8/6/25, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #5 one (1) emergency medication permission to administer medication form expired 1/30/2025. .0803(12) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. Space #3 one (1) emergency medication was administered, and staff did not document all the required information. The staff did not document the dosage and route the medication was administered. .0803(13)(a-e); .2318(3) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident report for incident that occurred on 7/8/2025 was missing the name of the medical facility the child received treatment, and the witness of the incident. .0802 (e) 853 Incident logs were not completed and maintained as required. Incident that occurred on 7/8/2025 was not logged on the incident log. .0802(g)(1-6) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 4/2/2025 emergency information was not completed on or before the first day of work. The emergency information on file was dated 4/8/2025. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member hired 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired 7/25/2016 did not complete the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. .1103(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. EPR plan was not updated annually. The EPR plan on file for review was dated 6/27/2024 and was due to be updated by 6/27/2025. .0607(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. Space #3 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. Space #5 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. .0801(b) 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. Space #3 one (1) medical action plan was not updated annually. The medical action plan onsite was dated 5/1/2024 and expired 5/1/2025. .0801(b) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 3/26/2024 did not complete the health and safety training within one year of employment. .1102(a) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. Incident report dated 7/8/2025 was not mailed to the Division representative within seven (7) calendar days after the incident when medical treatment was received. The incident report was received during the visit today. .0802(f) Technical assistance was provided as follows: Item 106 The annual fire inspection was not completed within twelve (12) months of the previous fire inspection. The current fire inspection on file was dated 6/16/2025, and the previous inspection was dated 3/12/2024. We discussed to reach out to the Fire Marshal two (2) months prior to the date the inspection is due to ensure that the facility is on the schedule for inspection. Rule Reference: 10A NCAC 09.0304(a) Item 528 The meal substitutions were not recorded on the menu prior to serving the meal to the children. Lunch served to the children was meatloaf, blueberries, peaches, carrots, corn bread, and milk. The menu posted documented turkey roast, broccoli, peaches, bread, and milk. We discussed that if the facility is making meal substitutions, the substitutions need to be recorded on the menu posted prior to serving the meal to the children. Rule Reference: 10A NCAC 09.0901(b) Item 614 Space #4, cots in the block center were not placed at least eighteen (18) inches apart or separated with a solid barrier extending the full length of the cot. The cots measured sixteen (16) inches apart and no solid barrier was used to separate the children on their cots. We discussed that the cots must be at minimum of eighteen (18) inches apart. The staff will need to move one (1) of the three (3) cots in the block center to allow for enough space between cots. Rule Reference: 15A NCAC 18A.2821(e) Item 705 outdoor storage container was broken with sharp edges accessible to children. Broken fence enclosing the air conditioning units was broken leaning in towards the two (2) units. The gate that enclosed the air conditioning units would not latch and rust was showing at the bottom of the gate and on the post. We discussed the storage container would need to be replaced or remove the top cover that is broken to allow continued use. The fence and gate would need to be repaired. The administrator stated that a workorder has been submitted for repairs. Rule Reference: 10A NCAC 09 .0601(c) Item 807 Outdoor space #3 the mulch has washed away exposing the dirt creating a tripping hazard around the concrete walkways, and the wooden privacy fence was deteriorating the in the base creating sharp edges. We discussed that mulch would need to installed to or the facility would need to come up with a temporary solution to prevent children from tripping and being injured. The facility would need to repair the wooden privacy fence to remove the deteriorating area. Space #4 during nap time, the mop bucket was accessible to children. We discussed when the mop bucket is out in the classroom, the staff must be with mop bucket at all times to ensure a child does not access the chemicals in the mop bucket. Rule Reference: 10A NCAC 09.0601(a) Item 812 In space #5, I observed one (1) electrical outlet uncovered in the block center. The staff member corrected this during the visit. We discussed conducting routine classroom checks to ensure the environment is safe for the children. Rule reference: 10A NCAC 09.0604(c) Item 849- Space #4 one (1) Aquaphor expired 7/2025. Space #5 three (3) diaper creams permission to administer medication forms expired (Petroleum Jelly expired 8/6/205, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #5 one (1) emergency medication permission to administer medication form expired 1/30/2025. We discussed conducting a monthly medication check to ensure all medications and permission to administer medication forms are current and in compliance. Rule Reference: 10A NCAC 09.0803(12) Item 851- Space #3 one (1) emergency medication was administered, and staff did not document all the required information. The staff did not document the dosage and route the medication was administered. We discussed when completing the medication log it must be completed in its entirety including the dosage and route the medication was administered. Rule reference: 10A NCAC 09 .0803(13)(a-e);.2318(3) Item 852 Incident report for incident that occurred on 7/8/2025 was missing the name of the medical facility the child received treatment, and the witness of the incident. We discussed when an incident occurs to document the incident immediately. Rule Reference: 10A NCAC 09 .0802 (e) Item 853- Incident that occurred on 7/8/2025 was not logged on the incident log. The administrator logged it on the incident log during the visit. We discussed when an incident occurs to log it immediately. Rule Reference: 10A NCAC 09.0802 (g) Item 1035- Staff member hired 4/2/2025 emergency information was not completed on or before the first day of work. The emergency information on file was dated 4/8/2025. We discussed when a new staff member is hired, the staff member would need to complete the emergency information. Rule reference: 10A NCAC 09 .0701(a) Item 1052 Staff member hired 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired 7/25/2016 did not completed the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. We discussed creating a chart to document the required training hours for each staff member and continuously reminding the staff that they have until their employment date the following year to complete the required hours of on-going training. Rule Reference: 10A NCAC 09 .1103(a) Item 1422 Space #3 The classroom storage closet was unlocked with the key in the lock a staff purse was accessible and adult tools. The staff member locked the door and removed the key during the visit. We discussed conducting a routine check to ensure the closet is locked. Rule reference: 10A NCAC 09.2506(c) Item 1824 EPR plan was not updated annually. The EPR plan on file for review was dated 6/27/2024 and was due to be updated by 6/27/2025. We discussed to document on your calendar when to update the EPR plan as a reminder. Rule reference: 10A NCAC 09 .0607(e) Item 1834- Space #3 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. Space #5 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. We discussed the medical action plan must be completed and on-site with the medication and attached to the child’s application for the child’s medical health care needs. Rule Reference: 10A NCAC 09 .0801(b) Item 1835 Space #3 one (1) medical action plan was not updated annually. The medical action plan onsite was dated 5/1/2024 and expired 5/1/2025. We discussed conducted monthly medication checks to ensure all medications, medication forms, and action plans are current and valid. Rule reference: 10A NCAC 09 .0801(b)(1-4) Item 1898 Staff member hired 3/26/2024 did not complete the health and safety training within one year of employment. We discussed when new staff is hired, they have one (1) year from their employment date to complete the required health and safety training. Rule reference: 10A NCAC 09 .1102(a) Item 1911 Incident report dated 7/8/2025 was not mailed to the Division representative within seven (7) calendar days after the incident when medical treatment was received. The incident report was received during the visit today. We discussed when an incident occurs and a child receives medical treatment, the incident report must be mailed to me within seven (7) days. Rule Reference: 10A NCAC 09.0802(f) Achieving Compliance: A follow-up visit could be conducted to verify compliance. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/21/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -New administrator will need to register for EPR training and complete the training by December. -We discussed medical actions plans must be attached to the child’s application, and I recommend to put a copy of the medical action plan with the emergency medication in the classroom. -On-going training hours are due annually from the staff members employment date to the staff members employment anniversary date each year (ex. Staff member hired 7/25/2016 on-going training hours are due by July 25th of each year). -Review with staff storage of hazardous products including the mop bucket. -I recommend reaching out to Buncombe County Partnership for Children to provide medication administration training to refresh staff. - DCDEE has added a new training module about Child Development on the DCDEE Moodle Learning Platform. This is the first of several planned modules to support orientation and the health and safety training requirements. This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID is needed to access the Child Development Module. If you do not have an NCID, visit MYNCID.nc.gov to register for a free NCID account. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/7/2025 Number Present: 31 Completed Date: 8/7/2025 Age: From 0 To 11 Total Minutes: 360 Time In: 10:00 AM Time Out: 04:00 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 2/10/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License, issued 9/1/2024. Special Services/Restrictions – First shift (Daytime care), children under 2 ½ years old in rooms with direct exits only, meets enhanced ratios, meets enhanced space. The last fire drill was practiced on 7/28/2025. The last emergency drill, lockdown drill, was practiced on 6/11/2025. The last fire inspection was approved on 6/16/2025. The previous fire inspection was completed on 3/12/2024. The fire inspection was not conducted within twelve (12) months of the previous inspection. The program’s most recent sanitation inspection was completed on 4/3/2025, with fifteen (15) demerits. The last lead water testing was completed on 12/11/2023. The next testing is due by 12/11/2026. The last lead paint and asbestos testing was completed on 5/16/2024. The next testing is due by 5/16/2027. The Emergency Preparedness and Response (EPR) plan is current as of 6/27/2024. EPR plan was due to be updated by 6/27/2025. The Emergency Medical Care Plan is posted and was updated in 7/25/2025. The program does provide transportation. Upon arrival, I was greeted by Mary Virella, Administrator. A walkthrough of the indoor and outdoor environment was conducted. Space #1A the group of infant and one-year olds were engaged in floor play exploring the classroom. The staff member was conducting routine diaper changes as needed. While monitoring the room, I observed one (1) one year old visiting from space #5. During nap time, the staff member assisted the one (1) child on the cot with calming down to rest. Two (2) children were eating lunch in the highchairs, and one (1) child was laying on the activity mat engaged in play. Space #1B is currently closed. Space #2 is currently closed. A therapist was using the space with one (1) child. Space #3 the group of four- to eleven-year-olds were engaged in free play, free art, and making playdough. After free play, the group transitioned outdoors for gross motor play. While monitoring the indoor space, I observed one emergency medical action plan expired 5/1/2025. The classroom storage closed was unlocked with the key in the lock a staff purse was accessible and adult tools. The staff member locked the door and removed the key during the visit. Space #4 the group of two- to four-year-old children were engaged in outdoor gross motor play with tunnel, metal jeep, trikes, balls, and steppers. While monitoring the indoor space, I observed one (1) Aquaphor that expired 7/2025. During nap time, I observed the room used natural lighting from the front windows and soft music. The cots in the block center measured sixteen (16) inches rather than the required eighteen (18) inches. Space #5 the group of one- to two-year-olds were engaged in free play with the kitchen set, blocks, books, and climber. The staff member was conducting routine diaper change. While monitoring the indoor space, I observed one (1) electrical outlet uncovered. The staff corrected this during the visit. One (1) emergency medication end date was dated 1/30/2025. Three (3) diaper creams permission to administer medication forms were expired (Petroleum Jelly expired 8/6/2025, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #6 is currently closed. Lunch today consisted of meatloaf, carrots, blueberries, peaches, cornbread, and milk. Menu posted documented lunch was turkey roast, broccoli, peaches, bread, and milk. The menu was updated during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. Staff file concerns: Staff member hired on 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired on 7/25/2016 did not complete the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. We discussed creating a chart to document the required training hours for each staff member and continuously reminding the staff that they have until their employment date the following year to complete the required hours of on-going training. Staff member hired on 3/26/2024 did not complete the health and safety training within one year of employment. We discussed when new staff are hired, they have one (1) year from their employment date to complete the required health and safety training. While reviewing the incident report I observed, the form was missing the name of the medical facility the child received treatment at, and the witness of the incident. The incident was not mailed within seven (7) calendar days, and was not documented on the incident log. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The annual fire inspection was not completed within twelve (12) months of the previous fire inspection. The current fire inspection on file was dated 6/16/2025, and the previous inspection was dated 3/12/2024. 10A NCAC 09 .0304(a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The meal substitutions were not recorded on the menu prior to serving the meal to the children. Lunch served to the children was meatloaf, blueberries, peaches, carrots, corn bread, and milk. The menu posted documented turkey roast, broccoli, peaches, bread, and milk. 10A NCAC 09 .0901(b) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #4, cots in the block center were not placed at least eighteen (18) inches apart or separated with a solid barrier extending the full length of the cot. The cots measured sixteen (16) inches apart and no solid barrier was used to separate the children on their cots. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. outdoor storage container was broken with sharp edges accessible to children. Broken fence enclosing the air conditioning units was broken leaning in towards the two (2) units. The gate that enclosed the air conditioning units would not latch and rust was showing at the bottom of the gate and on the post. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. Outdoor space #3 the mulch has washed away exposing the dirt creating a tripping hazard around the concrete walkways, and the wooden privacy fence was deteriorating at the base creating sharp edges. Space #4 during nap time, the mop bucket was accessible to children. Space #3 The classroom storage closet was unlocked with the key in the lock. A staff member's purse was accessible. The purse storage was corrected during the visit. 10A NCAC 09 .0601(a) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Space #3 The classroom storage closet was unlocked with the key in the lock. Adult tools were accessible. .0604(a) 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. In space #5, I observed one (1) electrical outlet uncovered in the block center. The staff member corrected this during the visit. 10A NCAC 09 .0604(c) 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. Space #4 one (1) Aquaphor expired 7/2025. Space #5 three (3) diaper creams permission to administer medication forms expired (Petroleum Jelly expired 8/6/25, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #5 one (1) emergency medication permission to administer medication form expired 1/30/2025. .0803(12) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. Space #3 one (1) emergency medication was administered, and staff did not document all the required information. The staff did not document the dosage and route the medication was administered. .0803(13)(a-e); .2318(3) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident report for incident that occurred on 7/8/2025 was missing the name of the medical facility the child received treatment, and the witness of the incident. .0802 (e) 853 Incident logs were not completed and maintained as required. Incident that occurred on 7/8/2025 was not logged on the incident log. .0802(g)(1-6) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 4/2/2025 emergency information was not completed on or before the first day of work. The emergency information on file was dated 4/8/2025. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member hired 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired 7/25/2016 did not complete the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. .1103(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. EPR plan was not updated annually. The EPR plan on file for review was dated 6/27/2024 and was due to be updated by 6/27/2025. .0607(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. Space #3 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. Space #5 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. .0801(b) 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. Space #3 one (1) medical action plan was not updated annually. The medical action plan onsite was dated 5/1/2024 and expired 5/1/2025. .0801(b) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 3/26/2024 did not complete the health and safety training within one year of employment. .1102(a) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. Incident report dated 7/8/2025 was not mailed to the Division representative within seven (7) calendar days after the incident when medical treatment was received. The incident report was received during the visit today. .0802(f) Technical assistance was provided as follows: Item 106 The annual fire inspection was not completed within twelve (12) months of the previous fire inspection. The current fire inspection on file was dated 6/16/2025, and the previous inspection was dated 3/12/2024. We discussed to reach out to the Fire Marshal two (2) months prior to the date the inspection is due to ensure that the facility is on the schedule for inspection. Rule Reference: 10A NCAC 09.0304(a) Item 528 The meal substitutions were not recorded on the menu prior to serving the meal to the children. Lunch served to the children was meatloaf, blueberries, peaches, carrots, corn bread, and milk. The menu posted documented turkey roast, broccoli, peaches, bread, and milk. We discussed that if the facility is making meal substitutions, the substitutions need to be recorded on the menu posted prior to serving the meal to the children. Rule Reference: 10A NCAC 09.0901(b) Item 614 Space #4, cots in the block center were not placed at least eighteen (18) inches apart or separated with a solid barrier extending the full length of the cot. The cots measured sixteen (16) inches apart and no solid barrier was used to separate the children on their cots. We discussed that the cots must be at minimum of eighteen (18) inches apart. The staff will need to move one (1) of the three (3) cots in the block center to allow for enough space between cots. Rule Reference: 15A NCAC 18A.2821(e) Item 705 outdoor storage container was broken with sharp edges accessible to children. Broken fence enclosing the air conditioning units was broken leaning in towards the two (2) units. The gate that enclosed the air conditioning units would not latch and rust was showing at the bottom of the gate and on the post. We discussed the storage container would need to be replaced or remove the top cover that is broken to allow continued use. The fence and gate would need to be repaired. The administrator stated that a workorder has been submitted for repairs. Rule Reference: 10A NCAC 09 .0601(c) Item 807 Outdoor space #3 the mulch has washed away exposing the dirt creating a tripping hazard around the concrete walkways, and the wooden privacy fence was deteriorating the in the base creating sharp edges. We discussed that mulch would need to installed to or the facility would need to come up with a temporary solution to prevent children from tripping and being injured. The facility would need to repair the wooden privacy fence to remove the deteriorating area. Space #4 during nap time, the mop bucket was accessible to children. We discussed when the mop bucket is out in the classroom, the staff must be with mop bucket at all times to ensure a child does not access the chemicals in the mop bucket. Rule Reference: 10A NCAC 09.0601(a) Item 812 In space #5, I observed one (1) electrical outlet uncovered in the block center. The staff member corrected this during the visit. We discussed conducting routine classroom checks to ensure the environment is safe for the children. Rule reference: 10A NCAC 09.0604(c) Item 849- Space #4 one (1) Aquaphor expired 7/2025. Space #5 three (3) diaper creams permission to administer medication forms expired (Petroleum Jelly expired 8/6/205, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #5 one (1) emergency medication permission to administer medication form expired 1/30/2025. We discussed conducting a monthly medication check to ensure all medications and permission to administer medication forms are current and in compliance. Rule Reference: 10A NCAC 09.0803(12) Item 851- Space #3 one (1) emergency medication was administered, and staff did not document all the required information. The staff did not document the dosage and route the medication was administered. We discussed when completing the medication log it must be completed in its entirety including the dosage and route the medication was administered. Rule reference: 10A NCAC 09 .0803(13)(a-e);.2318(3) Item 852 Incident report for incident that occurred on 7/8/2025 was missing the name of the medical facility the child received treatment, and the witness of the incident. We discussed when an incident occurs to document the incident immediately. Rule Reference: 10A NCAC 09 .0802 (e) Item 853- Incident that occurred on 7/8/2025 was not logged on the incident log. The administrator logged it on the incident log during the visit. We discussed when an incident occurs to log it immediately. Rule Reference: 10A NCAC 09.0802 (g) Item 1035- Staff member hired 4/2/2025 emergency information was not completed on or before the first day of work. The emergency information on file was dated 4/8/2025. We discussed when a new staff member is hired, the staff member would need to complete the emergency information. Rule reference: 10A NCAC 09 .0701(a) Item 1052 Staff member hired 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired 7/25/2016 did not completed the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. We discussed creating a chart to document the required training hours for each staff member and continuously reminding the staff that they have until their employment date the following year to complete the required hours of on-going training. Rule Reference: 10A NCAC 09 .1103(a) Item 1422 Space #3 The classroom storage closet was unlocked with the key in the lock a staff purse was accessible and adult tools. The staff member locked the door and removed the key during the visit. We discussed conducting a routine check to ensure the closet is locked. Rule reference: 10A NCAC 09.2506(c) Item 1824 EPR plan was not updated annually. The EPR plan on file for review was dated 6/27/2024 and was due to be updated by 6/27/2025. We discussed to document on your calendar when to update the EPR plan as a reminder. Rule reference: 10A NCAC 09 .0607(e) Item 1834- Space #3 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. Space #5 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. We discussed the medical action plan must be completed and on-site with the medication and attached to the child’s application for the child’s medical health care needs. Rule Reference: 10A NCAC 09 .0801(b) Item 1835 Space #3 one (1) medical action plan was not updated annually. The medical action plan onsite was dated 5/1/2024 and expired 5/1/2025. We discussed conducted monthly medication checks to ensure all medications, medication forms, and action plans are current and valid. Rule reference: 10A NCAC 09 .0801(b)(1-4) Item 1898 Staff member hired 3/26/2024 did not complete the health and safety training within one year of employment. We discussed when new staff is hired, they have one (1) year from their employment date to complete the required health and safety training. Rule reference: 10A NCAC 09 .1102(a) Item 1911 Incident report dated 7/8/2025 was not mailed to the Division representative within seven (7) calendar days after the incident when medical treatment was received. The incident report was received during the visit today. We discussed when an incident occurs and a child receives medical treatment, the incident report must be mailed to me within seven (7) days. Rule Reference: 10A NCAC 09.0802(f) Achieving Compliance: A follow-up visit could be conducted to verify compliance. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/21/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -New administrator will need to register for EPR training and complete the training by December. -We discussed medical actions plans must be attached to the child’s application, and I recommend to put a copy of the medical action plan with the emergency medication in the classroom. -On-going training hours are due annually from the staff members employment date to the staff members employment anniversary date each year (ex. Staff member hired 7/25/2016 on-going training hours are due by July 25th of each year). -Review with staff storage of hazardous products including the mop bucket. -I recommend reaching out to Buncombe County Partnership for Children to provide medication administration training to refresh staff. - DCDEE has added a new training module about Child Development on the DCDEE Moodle Learning Platform. This is the first of several planned modules to support orientation and the health and safety training requirements. This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID is needed to access the Child Development Module. If you do not have an NCID, visit MYNCID.nc.gov to register for a free NCID account. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1102 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/7/2025 Number Present: 31 Completed Date: 8/7/2025 Age: From 0 To 11 Total Minutes: 360 Time In: 10:00 AM Time Out: 04:00 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 2/10/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License, issued 9/1/2024. Special Services/Restrictions – First shift (Daytime care), children under 2 ½ years old in rooms with direct exits only, meets enhanced ratios, meets enhanced space. The last fire drill was practiced on 7/28/2025. The last emergency drill, lockdown drill, was practiced on 6/11/2025. The last fire inspection was approved on 6/16/2025. The previous fire inspection was completed on 3/12/2024. The fire inspection was not conducted within twelve (12) months of the previous inspection. The program’s most recent sanitation inspection was completed on 4/3/2025, with fifteen (15) demerits. The last lead water testing was completed on 12/11/2023. The next testing is due by 12/11/2026. The last lead paint and asbestos testing was completed on 5/16/2024. The next testing is due by 5/16/2027. The Emergency Preparedness and Response (EPR) plan is current as of 6/27/2024. EPR plan was due to be updated by 6/27/2025. The Emergency Medical Care Plan is posted and was updated in 7/25/2025. The program does provide transportation. Upon arrival, I was greeted by Mary Virella, Administrator. A walkthrough of the indoor and outdoor environment was conducted. Space #1A the group of infant and one-year olds were engaged in floor play exploring the classroom. The staff member was conducting routine diaper changes as needed. While monitoring the room, I observed one (1) one year old visiting from space #5. During nap time, the staff member assisted the one (1) child on the cot with calming down to rest. Two (2) children were eating lunch in the highchairs, and one (1) child was laying on the activity mat engaged in play. Space #1B is currently closed. Space #2 is currently closed. A therapist was using the space with one (1) child. Space #3 the group of four- to eleven-year-olds were engaged in free play, free art, and making playdough. After free play, the group transitioned outdoors for gross motor play. While monitoring the indoor space, I observed one emergency medical action plan expired 5/1/2025. The classroom storage closed was unlocked with the key in the lock a staff purse was accessible and adult tools. The staff member locked the door and removed the key during the visit. Space #4 the group of two- to four-year-old children were engaged in outdoor gross motor play with tunnel, metal jeep, trikes, balls, and steppers. While monitoring the indoor space, I observed one (1) Aquaphor that expired 7/2025. During nap time, I observed the room used natural lighting from the front windows and soft music. The cots in the block center measured sixteen (16) inches rather than the required eighteen (18) inches. Space #5 the group of one- to two-year-olds were engaged in free play with the kitchen set, blocks, books, and climber. The staff member was conducting routine diaper change. While monitoring the indoor space, I observed one (1) electrical outlet uncovered. The staff corrected this during the visit. One (1) emergency medication end date was dated 1/30/2025. Three (3) diaper creams permission to administer medication forms were expired (Petroleum Jelly expired 8/6/2025, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #6 is currently closed. Lunch today consisted of meatloaf, carrots, blueberries, peaches, cornbread, and milk. Menu posted documented lunch was turkey roast, broccoli, peaches, bread, and milk. The menu was updated during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. Staff file concerns: Staff member hired on 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired on 7/25/2016 did not complete the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. We discussed creating a chart to document the required training hours for each staff member and continuously reminding the staff that they have until their employment date the following year to complete the required hours of on-going training. Staff member hired on 3/26/2024 did not complete the health and safety training within one year of employment. We discussed when new staff are hired, they have one (1) year from their employment date to complete the required health and safety training. While reviewing the incident report I observed, the form was missing the name of the medical facility the child received treatment at, and the witness of the incident. The incident was not mailed within seven (7) calendar days, and was not documented on the incident log. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The annual fire inspection was not completed within twelve (12) months of the previous fire inspection. The current fire inspection on file was dated 6/16/2025, and the previous inspection was dated 3/12/2024. 10A NCAC 09 .0304(a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The meal substitutions were not recorded on the menu prior to serving the meal to the children. Lunch served to the children was meatloaf, blueberries, peaches, carrots, corn bread, and milk. The menu posted documented turkey roast, broccoli, peaches, bread, and milk. 10A NCAC 09 .0901(b) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #4, cots in the block center were not placed at least eighteen (18) inches apart or separated with a solid barrier extending the full length of the cot. The cots measured sixteen (16) inches apart and no solid barrier was used to separate the children on their cots. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. outdoor storage container was broken with sharp edges accessible to children. Broken fence enclosing the air conditioning units was broken leaning in towards the two (2) units. The gate that enclosed the air conditioning units would not latch and rust was showing at the bottom of the gate and on the post. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. Outdoor space #3 the mulch has washed away exposing the dirt creating a tripping hazard around the concrete walkways, and the wooden privacy fence was deteriorating at the base creating sharp edges. Space #4 during nap time, the mop bucket was accessible to children. Space #3 The classroom storage closet was unlocked with the key in the lock. A staff member's purse was accessible. The purse storage was corrected during the visit. 10A NCAC 09 .0601(a) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Space #3 The classroom storage closet was unlocked with the key in the lock. Adult tools were accessible. .0604(a) 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. In space #5, I observed one (1) electrical outlet uncovered in the block center. The staff member corrected this during the visit. 10A NCAC 09 .0604(c) 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. Space #4 one (1) Aquaphor expired 7/2025. Space #5 three (3) diaper creams permission to administer medication forms expired (Petroleum Jelly expired 8/6/25, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #5 one (1) emergency medication permission to administer medication form expired 1/30/2025. .0803(12) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. Space #3 one (1) emergency medication was administered, and staff did not document all the required information. The staff did not document the dosage and route the medication was administered. .0803(13)(a-e); .2318(3) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident report for incident that occurred on 7/8/2025 was missing the name of the medical facility the child received treatment, and the witness of the incident. .0802 (e) 853 Incident logs were not completed and maintained as required. Incident that occurred on 7/8/2025 was not logged on the incident log. .0802(g)(1-6) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 4/2/2025 emergency information was not completed on or before the first day of work. The emergency information on file was dated 4/8/2025. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member hired 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired 7/25/2016 did not complete the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. .1103(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. EPR plan was not updated annually. The EPR plan on file for review was dated 6/27/2024 and was due to be updated by 6/27/2025. .0607(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. Space #3 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. Space #5 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. .0801(b) 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. Space #3 one (1) medical action plan was not updated annually. The medical action plan onsite was dated 5/1/2024 and expired 5/1/2025. .0801(b) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 3/26/2024 did not complete the health and safety training within one year of employment. .1102(a) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. Incident report dated 7/8/2025 was not mailed to the Division representative within seven (7) calendar days after the incident when medical treatment was received. The incident report was received during the visit today. .0802(f) Technical assistance was provided as follows: Item 106 The annual fire inspection was not completed within twelve (12) months of the previous fire inspection. The current fire inspection on file was dated 6/16/2025, and the previous inspection was dated 3/12/2024. We discussed to reach out to the Fire Marshal two (2) months prior to the date the inspection is due to ensure that the facility is on the schedule for inspection. Rule Reference: 10A NCAC 09.0304(a) Item 528 The meal substitutions were not recorded on the menu prior to serving the meal to the children. Lunch served to the children was meatloaf, blueberries, peaches, carrots, corn bread, and milk. The menu posted documented turkey roast, broccoli, peaches, bread, and milk. We discussed that if the facility is making meal substitutions, the substitutions need to be recorded on the menu posted prior to serving the meal to the children. Rule Reference: 10A NCAC 09.0901(b) Item 614 Space #4, cots in the block center were not placed at least eighteen (18) inches apart or separated with a solid barrier extending the full length of the cot. The cots measured sixteen (16) inches apart and no solid barrier was used to separate the children on their cots. We discussed that the cots must be at minimum of eighteen (18) inches apart. The staff will need to move one (1) of the three (3) cots in the block center to allow for enough space between cots. Rule Reference: 15A NCAC 18A.2821(e) Item 705 outdoor storage container was broken with sharp edges accessible to children. Broken fence enclosing the air conditioning units was broken leaning in towards the two (2) units. The gate that enclosed the air conditioning units would not latch and rust was showing at the bottom of the gate and on the post. We discussed the storage container would need to be replaced or remove the top cover that is broken to allow continued use. The fence and gate would need to be repaired. The administrator stated that a workorder has been submitted for repairs. Rule Reference: 10A NCAC 09 .0601(c) Item 807 Outdoor space #3 the mulch has washed away exposing the dirt creating a tripping hazard around the concrete walkways, and the wooden privacy fence was deteriorating the in the base creating sharp edges. We discussed that mulch would need to installed to or the facility would need to come up with a temporary solution to prevent children from tripping and being injured. The facility would need to repair the wooden privacy fence to remove the deteriorating area. Space #4 during nap time, the mop bucket was accessible to children. We discussed when the mop bucket is out in the classroom, the staff must be with mop bucket at all times to ensure a child does not access the chemicals in the mop bucket. Rule Reference: 10A NCAC 09.0601(a) Item 812 In space #5, I observed one (1) electrical outlet uncovered in the block center. The staff member corrected this during the visit. We discussed conducting routine classroom checks to ensure the environment is safe for the children. Rule reference: 10A NCAC 09.0604(c) Item 849- Space #4 one (1) Aquaphor expired 7/2025. Space #5 three (3) diaper creams permission to administer medication forms expired (Petroleum Jelly expired 8/6/205, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #5 one (1) emergency medication permission to administer medication form expired 1/30/2025. We discussed conducting a monthly medication check to ensure all medications and permission to administer medication forms are current and in compliance. Rule Reference: 10A NCAC 09.0803(12) Item 851- Space #3 one (1) emergency medication was administered, and staff did not document all the required information. The staff did not document the dosage and route the medication was administered. We discussed when completing the medication log it must be completed in its entirety including the dosage and route the medication was administered. Rule reference: 10A NCAC 09 .0803(13)(a-e);.2318(3) Item 852 Incident report for incident that occurred on 7/8/2025 was missing the name of the medical facility the child received treatment, and the witness of the incident. We discussed when an incident occurs to document the incident immediately. Rule Reference: 10A NCAC 09 .0802 (e) Item 853- Incident that occurred on 7/8/2025 was not logged on the incident log. The administrator logged it on the incident log during the visit. We discussed when an incident occurs to log it immediately. Rule Reference: 10A NCAC 09.0802 (g) Item 1035- Staff member hired 4/2/2025 emergency information was not completed on or before the first day of work. The emergency information on file was dated 4/8/2025. We discussed when a new staff member is hired, the staff member would need to complete the emergency information. Rule reference: 10A NCAC 09 .0701(a) Item 1052 Staff member hired 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired 7/25/2016 did not completed the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. We discussed creating a chart to document the required training hours for each staff member and continuously reminding the staff that they have until their employment date the following year to complete the required hours of on-going training. Rule Reference: 10A NCAC 09 .1103(a) Item 1422 Space #3 The classroom storage closet was unlocked with the key in the lock a staff purse was accessible and adult tools. The staff member locked the door and removed the key during the visit. We discussed conducting a routine check to ensure the closet is locked. Rule reference: 10A NCAC 09.2506(c) Item 1824 EPR plan was not updated annually. The EPR plan on file for review was dated 6/27/2024 and was due to be updated by 6/27/2025. We discussed to document on your calendar when to update the EPR plan as a reminder. Rule reference: 10A NCAC 09 .0607(e) Item 1834- Space #3 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. Space #5 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. We discussed the medical action plan must be completed and on-site with the medication and attached to the child’s application for the child’s medical health care needs. Rule Reference: 10A NCAC 09 .0801(b) Item 1835 Space #3 one (1) medical action plan was not updated annually. The medical action plan onsite was dated 5/1/2024 and expired 5/1/2025. We discussed conducted monthly medication checks to ensure all medications, medication forms, and action plans are current and valid. Rule reference: 10A NCAC 09 .0801(b)(1-4) Item 1898 Staff member hired 3/26/2024 did not complete the health and safety training within one year of employment. We discussed when new staff is hired, they have one (1) year from their employment date to complete the required health and safety training. Rule reference: 10A NCAC 09 .1102(a) Item 1911 Incident report dated 7/8/2025 was not mailed to the Division representative within seven (7) calendar days after the incident when medical treatment was received. The incident report was received during the visit today. We discussed when an incident occurs and a child receives medical treatment, the incident report must be mailed to me within seven (7) days. Rule Reference: 10A NCAC 09.0802(f) Achieving Compliance: A follow-up visit could be conducted to verify compliance. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/21/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -New administrator will need to register for EPR training and complete the training by December. -We discussed medical actions plans must be attached to the child’s application, and I recommend to put a copy of the medical action plan with the emergency medication in the classroom. -On-going training hours are due annually from the staff members employment date to the staff members employment anniversary date each year (ex. Staff member hired 7/25/2016 on-going training hours are due by July 25th of each year). -Review with staff storage of hazardous products including the mop bucket. -I recommend reaching out to Buncombe County Partnership for Children to provide medication administration training to refresh staff. - DCDEE has added a new training module about Child Development on the DCDEE Moodle Learning Platform. This is the first of several planned modules to support orientation and the health and safety training requirements. This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID is needed to access the Child Development Module. If you do not have an NCID, visit MYNCID.nc.gov to register for a free NCID account. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1103 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/7/2025 Number Present: 31 Completed Date: 8/7/2025 Age: From 0 To 11 Total Minutes: 360 Time In: 10:00 AM Time Out: 04:00 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 2/10/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License, issued 9/1/2024. Special Services/Restrictions – First shift (Daytime care), children under 2 ½ years old in rooms with direct exits only, meets enhanced ratios, meets enhanced space. The last fire drill was practiced on 7/28/2025. The last emergency drill, lockdown drill, was practiced on 6/11/2025. The last fire inspection was approved on 6/16/2025. The previous fire inspection was completed on 3/12/2024. The fire inspection was not conducted within twelve (12) months of the previous inspection. The program’s most recent sanitation inspection was completed on 4/3/2025, with fifteen (15) demerits. The last lead water testing was completed on 12/11/2023. The next testing is due by 12/11/2026. The last lead paint and asbestos testing was completed on 5/16/2024. The next testing is due by 5/16/2027. The Emergency Preparedness and Response (EPR) plan is current as of 6/27/2024. EPR plan was due to be updated by 6/27/2025. The Emergency Medical Care Plan is posted and was updated in 7/25/2025. The program does provide transportation. Upon arrival, I was greeted by Mary Virella, Administrator. A walkthrough of the indoor and outdoor environment was conducted. Space #1A the group of infant and one-year olds were engaged in floor play exploring the classroom. The staff member was conducting routine diaper changes as needed. While monitoring the room, I observed one (1) one year old visiting from space #5. During nap time, the staff member assisted the one (1) child on the cot with calming down to rest. Two (2) children were eating lunch in the highchairs, and one (1) child was laying on the activity mat engaged in play. Space #1B is currently closed. Space #2 is currently closed. A therapist was using the space with one (1) child. Space #3 the group of four- to eleven-year-olds were engaged in free play, free art, and making playdough. After free play, the group transitioned outdoors for gross motor play. While monitoring the indoor space, I observed one emergency medical action plan expired 5/1/2025. The classroom storage closed was unlocked with the key in the lock a staff purse was accessible and adult tools. The staff member locked the door and removed the key during the visit. Space #4 the group of two- to four-year-old children were engaged in outdoor gross motor play with tunnel, metal jeep, trikes, balls, and steppers. While monitoring the indoor space, I observed one (1) Aquaphor that expired 7/2025. During nap time, I observed the room used natural lighting from the front windows and soft music. The cots in the block center measured sixteen (16) inches rather than the required eighteen (18) inches. Space #5 the group of one- to two-year-olds were engaged in free play with the kitchen set, blocks, books, and climber. The staff member was conducting routine diaper change. While monitoring the indoor space, I observed one (1) electrical outlet uncovered. The staff corrected this during the visit. One (1) emergency medication end date was dated 1/30/2025. Three (3) diaper creams permission to administer medication forms were expired (Petroleum Jelly expired 8/6/2025, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #6 is currently closed. Lunch today consisted of meatloaf, carrots, blueberries, peaches, cornbread, and milk. Menu posted documented lunch was turkey roast, broccoli, peaches, bread, and milk. The menu was updated during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. Staff file concerns: Staff member hired on 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired on 7/25/2016 did not complete the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. We discussed creating a chart to document the required training hours for each staff member and continuously reminding the staff that they have until their employment date the following year to complete the required hours of on-going training. Staff member hired on 3/26/2024 did not complete the health and safety training within one year of employment. We discussed when new staff are hired, they have one (1) year from their employment date to complete the required health and safety training. While reviewing the incident report I observed, the form was missing the name of the medical facility the child received treatment at, and the witness of the incident. The incident was not mailed within seven (7) calendar days, and was not documented on the incident log. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The annual fire inspection was not completed within twelve (12) months of the previous fire inspection. The current fire inspection on file was dated 6/16/2025, and the previous inspection was dated 3/12/2024. 10A NCAC 09 .0304(a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The meal substitutions were not recorded on the menu prior to serving the meal to the children. Lunch served to the children was meatloaf, blueberries, peaches, carrots, corn bread, and milk. The menu posted documented turkey roast, broccoli, peaches, bread, and milk. 10A NCAC 09 .0901(b) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #4, cots in the block center were not placed at least eighteen (18) inches apart or separated with a solid barrier extending the full length of the cot. The cots measured sixteen (16) inches apart and no solid barrier was used to separate the children on their cots. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. outdoor storage container was broken with sharp edges accessible to children. Broken fence enclosing the air conditioning units was broken leaning in towards the two (2) units. The gate that enclosed the air conditioning units would not latch and rust was showing at the bottom of the gate and on the post. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. Outdoor space #3 the mulch has washed away exposing the dirt creating a tripping hazard around the concrete walkways, and the wooden privacy fence was deteriorating at the base creating sharp edges. Space #4 during nap time, the mop bucket was accessible to children. Space #3 The classroom storage closet was unlocked with the key in the lock. A staff member's purse was accessible. The purse storage was corrected during the visit. 10A NCAC 09 .0601(a) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Space #3 The classroom storage closet was unlocked with the key in the lock. Adult tools were accessible. .0604(a) 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. In space #5, I observed one (1) electrical outlet uncovered in the block center. The staff member corrected this during the visit. 10A NCAC 09 .0604(c) 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. Space #4 one (1) Aquaphor expired 7/2025. Space #5 three (3) diaper creams permission to administer medication forms expired (Petroleum Jelly expired 8/6/25, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #5 one (1) emergency medication permission to administer medication form expired 1/30/2025. .0803(12) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. Space #3 one (1) emergency medication was administered, and staff did not document all the required information. The staff did not document the dosage and route the medication was administered. .0803(13)(a-e); .2318(3) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident report for incident that occurred on 7/8/2025 was missing the name of the medical facility the child received treatment, and the witness of the incident. .0802 (e) 853 Incident logs were not completed and maintained as required. Incident that occurred on 7/8/2025 was not logged on the incident log. .0802(g)(1-6) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 4/2/2025 emergency information was not completed on or before the first day of work. The emergency information on file was dated 4/8/2025. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member hired 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired 7/25/2016 did not complete the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. .1103(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. EPR plan was not updated annually. The EPR plan on file for review was dated 6/27/2024 and was due to be updated by 6/27/2025. .0607(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. Space #3 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. Space #5 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. .0801(b) 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. Space #3 one (1) medical action plan was not updated annually. The medical action plan onsite was dated 5/1/2024 and expired 5/1/2025. .0801(b) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 3/26/2024 did not complete the health and safety training within one year of employment. .1102(a) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. Incident report dated 7/8/2025 was not mailed to the Division representative within seven (7) calendar days after the incident when medical treatment was received. The incident report was received during the visit today. .0802(f) Technical assistance was provided as follows: Item 106 The annual fire inspection was not completed within twelve (12) months of the previous fire inspection. The current fire inspection on file was dated 6/16/2025, and the previous inspection was dated 3/12/2024. We discussed to reach out to the Fire Marshal two (2) months prior to the date the inspection is due to ensure that the facility is on the schedule for inspection. Rule Reference: 10A NCAC 09.0304(a) Item 528 The meal substitutions were not recorded on the menu prior to serving the meal to the children. Lunch served to the children was meatloaf, blueberries, peaches, carrots, corn bread, and milk. The menu posted documented turkey roast, broccoli, peaches, bread, and milk. We discussed that if the facility is making meal substitutions, the substitutions need to be recorded on the menu posted prior to serving the meal to the children. Rule Reference: 10A NCAC 09.0901(b) Item 614 Space #4, cots in the block center were not placed at least eighteen (18) inches apart or separated with a solid barrier extending the full length of the cot. The cots measured sixteen (16) inches apart and no solid barrier was used to separate the children on their cots. We discussed that the cots must be at minimum of eighteen (18) inches apart. The staff will need to move one (1) of the three (3) cots in the block center to allow for enough space between cots. Rule Reference: 15A NCAC 18A.2821(e) Item 705 outdoor storage container was broken with sharp edges accessible to children. Broken fence enclosing the air conditioning units was broken leaning in towards the two (2) units. The gate that enclosed the air conditioning units would not latch and rust was showing at the bottom of the gate and on the post. We discussed the storage container would need to be replaced or remove the top cover that is broken to allow continued use. The fence and gate would need to be repaired. The administrator stated that a workorder has been submitted for repairs. Rule Reference: 10A NCAC 09 .0601(c) Item 807 Outdoor space #3 the mulch has washed away exposing the dirt creating a tripping hazard around the concrete walkways, and the wooden privacy fence was deteriorating the in the base creating sharp edges. We discussed that mulch would need to installed to or the facility would need to come up with a temporary solution to prevent children from tripping and being injured. The facility would need to repair the wooden privacy fence to remove the deteriorating area. Space #4 during nap time, the mop bucket was accessible to children. We discussed when the mop bucket is out in the classroom, the staff must be with mop bucket at all times to ensure a child does not access the chemicals in the mop bucket. Rule Reference: 10A NCAC 09.0601(a) Item 812 In space #5, I observed one (1) electrical outlet uncovered in the block center. The staff member corrected this during the visit. We discussed conducting routine classroom checks to ensure the environment is safe for the children. Rule reference: 10A NCAC 09.0604(c) Item 849- Space #4 one (1) Aquaphor expired 7/2025. Space #5 three (3) diaper creams permission to administer medication forms expired (Petroleum Jelly expired 8/6/205, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #5 one (1) emergency medication permission to administer medication form expired 1/30/2025. We discussed conducting a monthly medication check to ensure all medications and permission to administer medication forms are current and in compliance. Rule Reference: 10A NCAC 09.0803(12) Item 851- Space #3 one (1) emergency medication was administered, and staff did not document all the required information. The staff did not document the dosage and route the medication was administered. We discussed when completing the medication log it must be completed in its entirety including the dosage and route the medication was administered. Rule reference: 10A NCAC 09 .0803(13)(a-e);.2318(3) Item 852 Incident report for incident that occurred on 7/8/2025 was missing the name of the medical facility the child received treatment, and the witness of the incident. We discussed when an incident occurs to document the incident immediately. Rule Reference: 10A NCAC 09 .0802 (e) Item 853- Incident that occurred on 7/8/2025 was not logged on the incident log. The administrator logged it on the incident log during the visit. We discussed when an incident occurs to log it immediately. Rule Reference: 10A NCAC 09.0802 (g) Item 1035- Staff member hired 4/2/2025 emergency information was not completed on or before the first day of work. The emergency information on file was dated 4/8/2025. We discussed when a new staff member is hired, the staff member would need to complete the emergency information. Rule reference: 10A NCAC 09 .0701(a) Item 1052 Staff member hired 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired 7/25/2016 did not completed the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. We discussed creating a chart to document the required training hours for each staff member and continuously reminding the staff that they have until their employment date the following year to complete the required hours of on-going training. Rule Reference: 10A NCAC 09 .1103(a) Item 1422 Space #3 The classroom storage closet was unlocked with the key in the lock a staff purse was accessible and adult tools. The staff member locked the door and removed the key during the visit. We discussed conducting a routine check to ensure the closet is locked. Rule reference: 10A NCAC 09.2506(c) Item 1824 EPR plan was not updated annually. The EPR plan on file for review was dated 6/27/2024 and was due to be updated by 6/27/2025. We discussed to document on your calendar when to update the EPR plan as a reminder. Rule reference: 10A NCAC 09 .0607(e) Item 1834- Space #3 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. Space #5 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. We discussed the medical action plan must be completed and on-site with the medication and attached to the child’s application for the child’s medical health care needs. Rule Reference: 10A NCAC 09 .0801(b) Item 1835 Space #3 one (1) medical action plan was not updated annually. The medical action plan onsite was dated 5/1/2024 and expired 5/1/2025. We discussed conducted monthly medication checks to ensure all medications, medication forms, and action plans are current and valid. Rule reference: 10A NCAC 09 .0801(b)(1-4) Item 1898 Staff member hired 3/26/2024 did not complete the health and safety training within one year of employment. We discussed when new staff is hired, they have one (1) year from their employment date to complete the required health and safety training. Rule reference: 10A NCAC 09 .1102(a) Item 1911 Incident report dated 7/8/2025 was not mailed to the Division representative within seven (7) calendar days after the incident when medical treatment was received. The incident report was received during the visit today. We discussed when an incident occurs and a child receives medical treatment, the incident report must be mailed to me within seven (7) days. Rule Reference: 10A NCAC 09.0802(f) Achieving Compliance: A follow-up visit could be conducted to verify compliance. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/21/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -New administrator will need to register for EPR training and complete the training by December. -We discussed medical actions plans must be attached to the child’s application, and I recommend to put a copy of the medical action plan with the emergency medication in the classroom. -On-going training hours are due annually from the staff members employment date to the staff members employment anniversary date each year (ex. Staff member hired 7/25/2016 on-going training hours are due by July 25th of each year). -Review with staff storage of hazardous products including the mop bucket. -I recommend reaching out to Buncombe County Partnership for Children to provide medication administration training to refresh staff. - DCDEE has added a new training module about Child Development on the DCDEE Moodle Learning Platform. This is the first of several planned modules to support orientation and the health and safety training requirements. This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID is needed to access the Child Development Module. If you do not have an NCID, visit MYNCID.nc.gov to register for a free NCID account. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1703 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/7/2025 Number Present: 31 Completed Date: 8/7/2025 Age: From 0 To 11 Total Minutes: 360 Time In: 10:00 AM Time Out: 04:00 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 2/10/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License, issued 9/1/2024. Special Services/Restrictions – First shift (Daytime care), children under 2 ½ years old in rooms with direct exits only, meets enhanced ratios, meets enhanced space. The last fire drill was practiced on 7/28/2025. The last emergency drill, lockdown drill, was practiced on 6/11/2025. The last fire inspection was approved on 6/16/2025. The previous fire inspection was completed on 3/12/2024. The fire inspection was not conducted within twelve (12) months of the previous inspection. The program’s most recent sanitation inspection was completed on 4/3/2025, with fifteen (15) demerits. The last lead water testing was completed on 12/11/2023. The next testing is due by 12/11/2026. The last lead paint and asbestos testing was completed on 5/16/2024. The next testing is due by 5/16/2027. The Emergency Preparedness and Response (EPR) plan is current as of 6/27/2024. EPR plan was due to be updated by 6/27/2025. The Emergency Medical Care Plan is posted and was updated in 7/25/2025. The program does provide transportation. Upon arrival, I was greeted by Mary Virella, Administrator. A walkthrough of the indoor and outdoor environment was conducted. Space #1A the group of infant and one-year olds were engaged in floor play exploring the classroom. The staff member was conducting routine diaper changes as needed. While monitoring the room, I observed one (1) one year old visiting from space #5. During nap time, the staff member assisted the one (1) child on the cot with calming down to rest. Two (2) children were eating lunch in the highchairs, and one (1) child was laying on the activity mat engaged in play. Space #1B is currently closed. Space #2 is currently closed. A therapist was using the space with one (1) child. Space #3 the group of four- to eleven-year-olds were engaged in free play, free art, and making playdough. After free play, the group transitioned outdoors for gross motor play. While monitoring the indoor space, I observed one emergency medical action plan expired 5/1/2025. The classroom storage closed was unlocked with the key in the lock a staff purse was accessible and adult tools. The staff member locked the door and removed the key during the visit. Space #4 the group of two- to four-year-old children were engaged in outdoor gross motor play with tunnel, metal jeep, trikes, balls, and steppers. While monitoring the indoor space, I observed one (1) Aquaphor that expired 7/2025. During nap time, I observed the room used natural lighting from the front windows and soft music. The cots in the block center measured sixteen (16) inches rather than the required eighteen (18) inches. Space #5 the group of one- to two-year-olds were engaged in free play with the kitchen set, blocks, books, and climber. The staff member was conducting routine diaper change. While monitoring the indoor space, I observed one (1) electrical outlet uncovered. The staff corrected this during the visit. One (1) emergency medication end date was dated 1/30/2025. Three (3) diaper creams permission to administer medication forms were expired (Petroleum Jelly expired 8/6/2025, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #6 is currently closed. Lunch today consisted of meatloaf, carrots, blueberries, peaches, cornbread, and milk. Menu posted documented lunch was turkey roast, broccoli, peaches, bread, and milk. The menu was updated during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. Staff file concerns: Staff member hired on 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired on 7/25/2016 did not complete the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. We discussed creating a chart to document the required training hours for each staff member and continuously reminding the staff that they have until their employment date the following year to complete the required hours of on-going training. Staff member hired on 3/26/2024 did not complete the health and safety training within one year of employment. We discussed when new staff are hired, they have one (1) year from their employment date to complete the required health and safety training. While reviewing the incident report I observed, the form was missing the name of the medical facility the child received treatment at, and the witness of the incident. The incident was not mailed within seven (7) calendar days, and was not documented on the incident log. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The annual fire inspection was not completed within twelve (12) months of the previous fire inspection. The current fire inspection on file was dated 6/16/2025, and the previous inspection was dated 3/12/2024. 10A NCAC 09 .0304(a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The meal substitutions were not recorded on the menu prior to serving the meal to the children. Lunch served to the children was meatloaf, blueberries, peaches, carrots, corn bread, and milk. The menu posted documented turkey roast, broccoli, peaches, bread, and milk. 10A NCAC 09 .0901(b) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #4, cots in the block center were not placed at least eighteen (18) inches apart or separated with a solid barrier extending the full length of the cot. The cots measured sixteen (16) inches apart and no solid barrier was used to separate the children on their cots. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. outdoor storage container was broken with sharp edges accessible to children. Broken fence enclosing the air conditioning units was broken leaning in towards the two (2) units. The gate that enclosed the air conditioning units would not latch and rust was showing at the bottom of the gate and on the post. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. Outdoor space #3 the mulch has washed away exposing the dirt creating a tripping hazard around the concrete walkways, and the wooden privacy fence was deteriorating at the base creating sharp edges. Space #4 during nap time, the mop bucket was accessible to children. Space #3 The classroom storage closet was unlocked with the key in the lock. A staff member's purse was accessible. The purse storage was corrected during the visit. 10A NCAC 09 .0601(a) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Space #3 The classroom storage closet was unlocked with the key in the lock. Adult tools were accessible. .0604(a) 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. In space #5, I observed one (1) electrical outlet uncovered in the block center. The staff member corrected this during the visit. 10A NCAC 09 .0604(c) 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. Space #4 one (1) Aquaphor expired 7/2025. Space #5 three (3) diaper creams permission to administer medication forms expired (Petroleum Jelly expired 8/6/25, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #5 one (1) emergency medication permission to administer medication form expired 1/30/2025. .0803(12) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. Space #3 one (1) emergency medication was administered, and staff did not document all the required information. The staff did not document the dosage and route the medication was administered. .0803(13)(a-e); .2318(3) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident report for incident that occurred on 7/8/2025 was missing the name of the medical facility the child received treatment, and the witness of the incident. .0802 (e) 853 Incident logs were not completed and maintained as required. Incident that occurred on 7/8/2025 was not logged on the incident log. .0802(g)(1-6) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 4/2/2025 emergency information was not completed on or before the first day of work. The emergency information on file was dated 4/8/2025. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member hired 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired 7/25/2016 did not complete the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. .1103(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. EPR plan was not updated annually. The EPR plan on file for review was dated 6/27/2024 and was due to be updated by 6/27/2025. .0607(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. Space #3 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. Space #5 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. .0801(b) 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. Space #3 one (1) medical action plan was not updated annually. The medical action plan onsite was dated 5/1/2024 and expired 5/1/2025. .0801(b) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 3/26/2024 did not complete the health and safety training within one year of employment. .1102(a) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. Incident report dated 7/8/2025 was not mailed to the Division representative within seven (7) calendar days after the incident when medical treatment was received. The incident report was received during the visit today. .0802(f) Technical assistance was provided as follows: Item 106 The annual fire inspection was not completed within twelve (12) months of the previous fire inspection. The current fire inspection on file was dated 6/16/2025, and the previous inspection was dated 3/12/2024. We discussed to reach out to the Fire Marshal two (2) months prior to the date the inspection is due to ensure that the facility is on the schedule for inspection. Rule Reference: 10A NCAC 09.0304(a) Item 528 The meal substitutions were not recorded on the menu prior to serving the meal to the children. Lunch served to the children was meatloaf, blueberries, peaches, carrots, corn bread, and milk. The menu posted documented turkey roast, broccoli, peaches, bread, and milk. We discussed that if the facility is making meal substitutions, the substitutions need to be recorded on the menu posted prior to serving the meal to the children. Rule Reference: 10A NCAC 09.0901(b) Item 614 Space #4, cots in the block center were not placed at least eighteen (18) inches apart or separated with a solid barrier extending the full length of the cot. The cots measured sixteen (16) inches apart and no solid barrier was used to separate the children on their cots. We discussed that the cots must be at minimum of eighteen (18) inches apart. The staff will need to move one (1) of the three (3) cots in the block center to allow for enough space between cots. Rule Reference: 15A NCAC 18A.2821(e) Item 705 outdoor storage container was broken with sharp edges accessible to children. Broken fence enclosing the air conditioning units was broken leaning in towards the two (2) units. The gate that enclosed the air conditioning units would not latch and rust was showing at the bottom of the gate and on the post. We discussed the storage container would need to be replaced or remove the top cover that is broken to allow continued use. The fence and gate would need to be repaired. The administrator stated that a workorder has been submitted for repairs. Rule Reference: 10A NCAC 09 .0601(c) Item 807 Outdoor space #3 the mulch has washed away exposing the dirt creating a tripping hazard around the concrete walkways, and the wooden privacy fence was deteriorating the in the base creating sharp edges. We discussed that mulch would need to installed to or the facility would need to come up with a temporary solution to prevent children from tripping and being injured. The facility would need to repair the wooden privacy fence to remove the deteriorating area. Space #4 during nap time, the mop bucket was accessible to children. We discussed when the mop bucket is out in the classroom, the staff must be with mop bucket at all times to ensure a child does not access the chemicals in the mop bucket. Rule Reference: 10A NCAC 09.0601(a) Item 812 In space #5, I observed one (1) electrical outlet uncovered in the block center. The staff member corrected this during the visit. We discussed conducting routine classroom checks to ensure the environment is safe for the children. Rule reference: 10A NCAC 09.0604(c) Item 849- Space #4 one (1) Aquaphor expired 7/2025. Space #5 three (3) diaper creams permission to administer medication forms expired (Petroleum Jelly expired 8/6/205, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #5 one (1) emergency medication permission to administer medication form expired 1/30/2025. We discussed conducting a monthly medication check to ensure all medications and permission to administer medication forms are current and in compliance. Rule Reference: 10A NCAC 09.0803(12) Item 851- Space #3 one (1) emergency medication was administered, and staff did not document all the required information. The staff did not document the dosage and route the medication was administered. We discussed when completing the medication log it must be completed in its entirety including the dosage and route the medication was administered. Rule reference: 10A NCAC 09 .0803(13)(a-e);.2318(3) Item 852 Incident report for incident that occurred on 7/8/2025 was missing the name of the medical facility the child received treatment, and the witness of the incident. We discussed when an incident occurs to document the incident immediately. Rule Reference: 10A NCAC 09 .0802 (e) Item 853- Incident that occurred on 7/8/2025 was not logged on the incident log. The administrator logged it on the incident log during the visit. We discussed when an incident occurs to log it immediately. Rule Reference: 10A NCAC 09.0802 (g) Item 1035- Staff member hired 4/2/2025 emergency information was not completed on or before the first day of work. The emergency information on file was dated 4/8/2025. We discussed when a new staff member is hired, the staff member would need to complete the emergency information. Rule reference: 10A NCAC 09 .0701(a) Item 1052 Staff member hired 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired 7/25/2016 did not completed the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. We discussed creating a chart to document the required training hours for each staff member and continuously reminding the staff that they have until their employment date the following year to complete the required hours of on-going training. Rule Reference: 10A NCAC 09 .1103(a) Item 1422 Space #3 The classroom storage closet was unlocked with the key in the lock a staff purse was accessible and adult tools. The staff member locked the door and removed the key during the visit. We discussed conducting a routine check to ensure the closet is locked. Rule reference: 10A NCAC 09.2506(c) Item 1824 EPR plan was not updated annually. The EPR plan on file for review was dated 6/27/2024 and was due to be updated by 6/27/2025. We discussed to document on your calendar when to update the EPR plan as a reminder. Rule reference: 10A NCAC 09 .0607(e) Item 1834- Space #3 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. Space #5 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. We discussed the medical action plan must be completed and on-site with the medication and attached to the child’s application for the child’s medical health care needs. Rule Reference: 10A NCAC 09 .0801(b) Item 1835 Space #3 one (1) medical action plan was not updated annually. The medical action plan onsite was dated 5/1/2024 and expired 5/1/2025. We discussed conducted monthly medication checks to ensure all medications, medication forms, and action plans are current and valid. Rule reference: 10A NCAC 09 .0801(b)(1-4) Item 1898 Staff member hired 3/26/2024 did not complete the health and safety training within one year of employment. We discussed when new staff is hired, they have one (1) year from their employment date to complete the required health and safety training. Rule reference: 10A NCAC 09 .1102(a) Item 1911 Incident report dated 7/8/2025 was not mailed to the Division representative within seven (7) calendar days after the incident when medical treatment was received. The incident report was received during the visit today. We discussed when an incident occurs and a child receives medical treatment, the incident report must be mailed to me within seven (7) days. Rule Reference: 10A NCAC 09.0802(f) Achieving Compliance: A follow-up visit could be conducted to verify compliance. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/21/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -New administrator will need to register for EPR training and complete the training by December. -We discussed medical actions plans must be attached to the child’s application, and I recommend to put a copy of the medical action plan with the emergency medication in the classroom. -On-going training hours are due annually from the staff members employment date to the staff members employment anniversary date each year (ex. Staff member hired 7/25/2016 on-going training hours are due by July 25th of each year). -Review with staff storage of hazardous products including the mop bucket. -I recommend reaching out to Buncombe County Partnership for Children to provide medication administration training to refresh staff. - DCDEE has added a new training module about Child Development on the DCDEE Moodle Learning Platform. This is the first of several planned modules to support orientation and the health and safety training requirements. This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID is needed to access the Child Development Module. If you do not have an NCID, visit MYNCID.nc.gov to register for a free NCID account. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .2830 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/7/2025 Number Present: 31 Completed Date: 8/7/2025 Age: From 0 To 11 Total Minutes: 360 Time In: 10:00 AM Time Out: 04:00 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 2/10/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License, issued 9/1/2024. Special Services/Restrictions – First shift (Daytime care), children under 2 ½ years old in rooms with direct exits only, meets enhanced ratios, meets enhanced space. The last fire drill was practiced on 7/28/2025. The last emergency drill, lockdown drill, was practiced on 6/11/2025. The last fire inspection was approved on 6/16/2025. The previous fire inspection was completed on 3/12/2024. The fire inspection was not conducted within twelve (12) months of the previous inspection. The program’s most recent sanitation inspection was completed on 4/3/2025, with fifteen (15) demerits. The last lead water testing was completed on 12/11/2023. The next testing is due by 12/11/2026. The last lead paint and asbestos testing was completed on 5/16/2024. The next testing is due by 5/16/2027. The Emergency Preparedness and Response (EPR) plan is current as of 6/27/2024. EPR plan was due to be updated by 6/27/2025. The Emergency Medical Care Plan is posted and was updated in 7/25/2025. The program does provide transportation. Upon arrival, I was greeted by Mary Virella, Administrator. A walkthrough of the indoor and outdoor environment was conducted. Space #1A the group of infant and one-year olds were engaged in floor play exploring the classroom. The staff member was conducting routine diaper changes as needed. While monitoring the room, I observed one (1) one year old visiting from space #5. During nap time, the staff member assisted the one (1) child on the cot with calming down to rest. Two (2) children were eating lunch in the highchairs, and one (1) child was laying on the activity mat engaged in play. Space #1B is currently closed. Space #2 is currently closed. A therapist was using the space with one (1) child. Space #3 the group of four- to eleven-year-olds were engaged in free play, free art, and making playdough. After free play, the group transitioned outdoors for gross motor play. While monitoring the indoor space, I observed one emergency medical action plan expired 5/1/2025. The classroom storage closed was unlocked with the key in the lock a staff purse was accessible and adult tools. The staff member locked the door and removed the key during the visit. Space #4 the group of two- to four-year-old children were engaged in outdoor gross motor play with tunnel, metal jeep, trikes, balls, and steppers. While monitoring the indoor space, I observed one (1) Aquaphor that expired 7/2025. During nap time, I observed the room used natural lighting from the front windows and soft music. The cots in the block center measured sixteen (16) inches rather than the required eighteen (18) inches. Space #5 the group of one- to two-year-olds were engaged in free play with the kitchen set, blocks, books, and climber. The staff member was conducting routine diaper change. While monitoring the indoor space, I observed one (1) electrical outlet uncovered. The staff corrected this during the visit. One (1) emergency medication end date was dated 1/30/2025. Three (3) diaper creams permission to administer medication forms were expired (Petroleum Jelly expired 8/6/2025, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #6 is currently closed. Lunch today consisted of meatloaf, carrots, blueberries, peaches, cornbread, and milk. Menu posted documented lunch was turkey roast, broccoli, peaches, bread, and milk. The menu was updated during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. Staff file concerns: Staff member hired on 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired on 7/25/2016 did not complete the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. We discussed creating a chart to document the required training hours for each staff member and continuously reminding the staff that they have until their employment date the following year to complete the required hours of on-going training. Staff member hired on 3/26/2024 did not complete the health and safety training within one year of employment. We discussed when new staff are hired, they have one (1) year from their employment date to complete the required health and safety training. While reviewing the incident report I observed, the form was missing the name of the medical facility the child received treatment at, and the witness of the incident. The incident was not mailed within seven (7) calendar days, and was not documented on the incident log. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The annual fire inspection was not completed within twelve (12) months of the previous fire inspection. The current fire inspection on file was dated 6/16/2025, and the previous inspection was dated 3/12/2024. 10A NCAC 09 .0304(a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The meal substitutions were not recorded on the menu prior to serving the meal to the children. Lunch served to the children was meatloaf, blueberries, peaches, carrots, corn bread, and milk. The menu posted documented turkey roast, broccoli, peaches, bread, and milk. 10A NCAC 09 .0901(b) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #4, cots in the block center were not placed at least eighteen (18) inches apart or separated with a solid barrier extending the full length of the cot. The cots measured sixteen (16) inches apart and no solid barrier was used to separate the children on their cots. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. outdoor storage container was broken with sharp edges accessible to children. Broken fence enclosing the air conditioning units was broken leaning in towards the two (2) units. The gate that enclosed the air conditioning units would not latch and rust was showing at the bottom of the gate and on the post. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. Outdoor space #3 the mulch has washed away exposing the dirt creating a tripping hazard around the concrete walkways, and the wooden privacy fence was deteriorating at the base creating sharp edges. Space #4 during nap time, the mop bucket was accessible to children. Space #3 The classroom storage closet was unlocked with the key in the lock. A staff member's purse was accessible. The purse storage was corrected during the visit. 10A NCAC 09 .0601(a) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Space #3 The classroom storage closet was unlocked with the key in the lock. Adult tools were accessible. .0604(a) 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. In space #5, I observed one (1) electrical outlet uncovered in the block center. The staff member corrected this during the visit. 10A NCAC 09 .0604(c) 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. Space #4 one (1) Aquaphor expired 7/2025. Space #5 three (3) diaper creams permission to administer medication forms expired (Petroleum Jelly expired 8/6/25, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #5 one (1) emergency medication permission to administer medication form expired 1/30/2025. .0803(12) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. Space #3 one (1) emergency medication was administered, and staff did not document all the required information. The staff did not document the dosage and route the medication was administered. .0803(13)(a-e); .2318(3) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident report for incident that occurred on 7/8/2025 was missing the name of the medical facility the child received treatment, and the witness of the incident. .0802 (e) 853 Incident logs were not completed and maintained as required. Incident that occurred on 7/8/2025 was not logged on the incident log. .0802(g)(1-6) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 4/2/2025 emergency information was not completed on or before the first day of work. The emergency information on file was dated 4/8/2025. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member hired 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired 7/25/2016 did not complete the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. .1103(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. EPR plan was not updated annually. The EPR plan on file for review was dated 6/27/2024 and was due to be updated by 6/27/2025. .0607(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. Space #3 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. Space #5 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. .0801(b) 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. Space #3 one (1) medical action plan was not updated annually. The medical action plan onsite was dated 5/1/2024 and expired 5/1/2025. .0801(b) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 3/26/2024 did not complete the health and safety training within one year of employment. .1102(a) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. Incident report dated 7/8/2025 was not mailed to the Division representative within seven (7) calendar days after the incident when medical treatment was received. The incident report was received during the visit today. .0802(f) Technical assistance was provided as follows: Item 106 The annual fire inspection was not completed within twelve (12) months of the previous fire inspection. The current fire inspection on file was dated 6/16/2025, and the previous inspection was dated 3/12/2024. We discussed to reach out to the Fire Marshal two (2) months prior to the date the inspection is due to ensure that the facility is on the schedule for inspection. Rule Reference: 10A NCAC 09.0304(a) Item 528 The meal substitutions were not recorded on the menu prior to serving the meal to the children. Lunch served to the children was meatloaf, blueberries, peaches, carrots, corn bread, and milk. The menu posted documented turkey roast, broccoli, peaches, bread, and milk. We discussed that if the facility is making meal substitutions, the substitutions need to be recorded on the menu posted prior to serving the meal to the children. Rule Reference: 10A NCAC 09.0901(b) Item 614 Space #4, cots in the block center were not placed at least eighteen (18) inches apart or separated with a solid barrier extending the full length of the cot. The cots measured sixteen (16) inches apart and no solid barrier was used to separate the children on their cots. We discussed that the cots must be at minimum of eighteen (18) inches apart. The staff will need to move one (1) of the three (3) cots in the block center to allow for enough space between cots. Rule Reference: 15A NCAC 18A.2821(e) Item 705 outdoor storage container was broken with sharp edges accessible to children. Broken fence enclosing the air conditioning units was broken leaning in towards the two (2) units. The gate that enclosed the air conditioning units would not latch and rust was showing at the bottom of the gate and on the post. We discussed the storage container would need to be replaced or remove the top cover that is broken to allow continued use. The fence and gate would need to be repaired. The administrator stated that a workorder has been submitted for repairs. Rule Reference: 10A NCAC 09 .0601(c) Item 807 Outdoor space #3 the mulch has washed away exposing the dirt creating a tripping hazard around the concrete walkways, and the wooden privacy fence was deteriorating the in the base creating sharp edges. We discussed that mulch would need to installed to or the facility would need to come up with a temporary solution to prevent children from tripping and being injured. The facility would need to repair the wooden privacy fence to remove the deteriorating area. Space #4 during nap time, the mop bucket was accessible to children. We discussed when the mop bucket is out in the classroom, the staff must be with mop bucket at all times to ensure a child does not access the chemicals in the mop bucket. Rule Reference: 10A NCAC 09.0601(a) Item 812 In space #5, I observed one (1) electrical outlet uncovered in the block center. The staff member corrected this during the visit. We discussed conducting routine classroom checks to ensure the environment is safe for the children. Rule reference: 10A NCAC 09.0604(c) Item 849- Space #4 one (1) Aquaphor expired 7/2025. Space #5 three (3) diaper creams permission to administer medication forms expired (Petroleum Jelly expired 8/6/205, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #5 one (1) emergency medication permission to administer medication form expired 1/30/2025. We discussed conducting a monthly medication check to ensure all medications and permission to administer medication forms are current and in compliance. Rule Reference: 10A NCAC 09.0803(12) Item 851- Space #3 one (1) emergency medication was administered, and staff did not document all the required information. The staff did not document the dosage and route the medication was administered. We discussed when completing the medication log it must be completed in its entirety including the dosage and route the medication was administered. Rule reference: 10A NCAC 09 .0803(13)(a-e);.2318(3) Item 852 Incident report for incident that occurred on 7/8/2025 was missing the name of the medical facility the child received treatment, and the witness of the incident. We discussed when an incident occurs to document the incident immediately. Rule Reference: 10A NCAC 09 .0802 (e) Item 853- Incident that occurred on 7/8/2025 was not logged on the incident log. The administrator logged it on the incident log during the visit. We discussed when an incident occurs to log it immediately. Rule Reference: 10A NCAC 09.0802 (g) Item 1035- Staff member hired 4/2/2025 emergency information was not completed on or before the first day of work. The emergency information on file was dated 4/8/2025. We discussed when a new staff member is hired, the staff member would need to complete the emergency information. Rule reference: 10A NCAC 09 .0701(a) Item 1052 Staff member hired 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired 7/25/2016 did not completed the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. We discussed creating a chart to document the required training hours for each staff member and continuously reminding the staff that they have until their employment date the following year to complete the required hours of on-going training. Rule Reference: 10A NCAC 09 .1103(a) Item 1422 Space #3 The classroom storage closet was unlocked with the key in the lock a staff purse was accessible and adult tools. The staff member locked the door and removed the key during the visit. We discussed conducting a routine check to ensure the closet is locked. Rule reference: 10A NCAC 09.2506(c) Item 1824 EPR plan was not updated annually. The EPR plan on file for review was dated 6/27/2024 and was due to be updated by 6/27/2025. We discussed to document on your calendar when to update the EPR plan as a reminder. Rule reference: 10A NCAC 09 .0607(e) Item 1834- Space #3 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. Space #5 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. We discussed the medical action plan must be completed and on-site with the medication and attached to the child’s application for the child’s medical health care needs. Rule Reference: 10A NCAC 09 .0801(b) Item 1835 Space #3 one (1) medical action plan was not updated annually. The medical action plan onsite was dated 5/1/2024 and expired 5/1/2025. We discussed conducted monthly medication checks to ensure all medications, medication forms, and action plans are current and valid. Rule reference: 10A NCAC 09 .0801(b)(1-4) Item 1898 Staff member hired 3/26/2024 did not complete the health and safety training within one year of employment. We discussed when new staff is hired, they have one (1) year from their employment date to complete the required health and safety training. Rule reference: 10A NCAC 09 .1102(a) Item 1911 Incident report dated 7/8/2025 was not mailed to the Division representative within seven (7) calendar days after the incident when medical treatment was received. The incident report was received during the visit today. We discussed when an incident occurs and a child receives medical treatment, the incident report must be mailed to me within seven (7) days. Rule Reference: 10A NCAC 09.0802(f) Achieving Compliance: A follow-up visit could be conducted to verify compliance. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/21/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -New administrator will need to register for EPR training and complete the training by December. -We discussed medical actions plans must be attached to the child’s application, and I recommend to put a copy of the medical action plan with the emergency medication in the classroom. -On-going training hours are due annually from the staff members employment date to the staff members employment anniversary date each year (ex. Staff member hired 7/25/2016 on-going training hours are due by July 25th of each year). -Review with staff storage of hazardous products including the mop bucket. -I recommend reaching out to Buncombe County Partnership for Children to provide medication administration training to refresh staff. - DCDEE has added a new training module about Child Development on the DCDEE Moodle Learning Platform. This is the first of several planned modules to support orientation and the health and safety training requirements. This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID is needed to access the Child Development Module. If you do not have an NCID, visit MYNCID.nc.gov to register for a free NCID account. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 09.0304 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/7/2025 Number Present: 31 Completed Date: 8/7/2025 Age: From 0 To 11 Total Minutes: 360 Time In: 10:00 AM Time Out: 04:00 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 2/10/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License, issued 9/1/2024. Special Services/Restrictions – First shift (Daytime care), children under 2 ½ years old in rooms with direct exits only, meets enhanced ratios, meets enhanced space. The last fire drill was practiced on 7/28/2025. The last emergency drill, lockdown drill, was practiced on 6/11/2025. The last fire inspection was approved on 6/16/2025. The previous fire inspection was completed on 3/12/2024. The fire inspection was not conducted within twelve (12) months of the previous inspection. The program’s most recent sanitation inspection was completed on 4/3/2025, with fifteen (15) demerits. The last lead water testing was completed on 12/11/2023. The next testing is due by 12/11/2026. The last lead paint and asbestos testing was completed on 5/16/2024. The next testing is due by 5/16/2027. The Emergency Preparedness and Response (EPR) plan is current as of 6/27/2024. EPR plan was due to be updated by 6/27/2025. The Emergency Medical Care Plan is posted and was updated in 7/25/2025. The program does provide transportation. Upon arrival, I was greeted by Mary Virella, Administrator. A walkthrough of the indoor and outdoor environment was conducted. Space #1A the group of infant and one-year olds were engaged in floor play exploring the classroom. The staff member was conducting routine diaper changes as needed. While monitoring the room, I observed one (1) one year old visiting from space #5. During nap time, the staff member assisted the one (1) child on the cot with calming down to rest. Two (2) children were eating lunch in the highchairs, and one (1) child was laying on the activity mat engaged in play. Space #1B is currently closed. Space #2 is currently closed. A therapist was using the space with one (1) child. Space #3 the group of four- to eleven-year-olds were engaged in free play, free art, and making playdough. After free play, the group transitioned outdoors for gross motor play. While monitoring the indoor space, I observed one emergency medical action plan expired 5/1/2025. The classroom storage closed was unlocked with the key in the lock a staff purse was accessible and adult tools. The staff member locked the door and removed the key during the visit. Space #4 the group of two- to four-year-old children were engaged in outdoor gross motor play with tunnel, metal jeep, trikes, balls, and steppers. While monitoring the indoor space, I observed one (1) Aquaphor that expired 7/2025. During nap time, I observed the room used natural lighting from the front windows and soft music. The cots in the block center measured sixteen (16) inches rather than the required eighteen (18) inches. Space #5 the group of one- to two-year-olds were engaged in free play with the kitchen set, blocks, books, and climber. The staff member was conducting routine diaper change. While monitoring the indoor space, I observed one (1) electrical outlet uncovered. The staff corrected this during the visit. One (1) emergency medication end date was dated 1/30/2025. Three (3) diaper creams permission to administer medication forms were expired (Petroleum Jelly expired 8/6/2025, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #6 is currently closed. Lunch today consisted of meatloaf, carrots, blueberries, peaches, cornbread, and milk. Menu posted documented lunch was turkey roast, broccoli, peaches, bread, and milk. The menu was updated during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. Staff file concerns: Staff member hired on 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired on 7/25/2016 did not complete the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. We discussed creating a chart to document the required training hours for each staff member and continuously reminding the staff that they have until their employment date the following year to complete the required hours of on-going training. Staff member hired on 3/26/2024 did not complete the health and safety training within one year of employment. We discussed when new staff are hired, they have one (1) year from their employment date to complete the required health and safety training. While reviewing the incident report I observed, the form was missing the name of the medical facility the child received treatment at, and the witness of the incident. The incident was not mailed within seven (7) calendar days, and was not documented on the incident log. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The annual fire inspection was not completed within twelve (12) months of the previous fire inspection. The current fire inspection on file was dated 6/16/2025, and the previous inspection was dated 3/12/2024. 10A NCAC 09 .0304(a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The meal substitutions were not recorded on the menu prior to serving the meal to the children. Lunch served to the children was meatloaf, blueberries, peaches, carrots, corn bread, and milk. The menu posted documented turkey roast, broccoli, peaches, bread, and milk. 10A NCAC 09 .0901(b) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #4, cots in the block center were not placed at least eighteen (18) inches apart or separated with a solid barrier extending the full length of the cot. The cots measured sixteen (16) inches apart and no solid barrier was used to separate the children on their cots. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. outdoor storage container was broken with sharp edges accessible to children. Broken fence enclosing the air conditioning units was broken leaning in towards the two (2) units. The gate that enclosed the air conditioning units would not latch and rust was showing at the bottom of the gate and on the post. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. Outdoor space #3 the mulch has washed away exposing the dirt creating a tripping hazard around the concrete walkways, and the wooden privacy fence was deteriorating at the base creating sharp edges. Space #4 during nap time, the mop bucket was accessible to children. Space #3 The classroom storage closet was unlocked with the key in the lock. A staff member's purse was accessible. The purse storage was corrected during the visit. 10A NCAC 09 .0601(a) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Space #3 The classroom storage closet was unlocked with the key in the lock. Adult tools were accessible. .0604(a) 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. In space #5, I observed one (1) electrical outlet uncovered in the block center. The staff member corrected this during the visit. 10A NCAC 09 .0604(c) 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. Space #4 one (1) Aquaphor expired 7/2025. Space #5 three (3) diaper creams permission to administer medication forms expired (Petroleum Jelly expired 8/6/25, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #5 one (1) emergency medication permission to administer medication form expired 1/30/2025. .0803(12) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. Space #3 one (1) emergency medication was administered, and staff did not document all the required information. The staff did not document the dosage and route the medication was administered. .0803(13)(a-e); .2318(3) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident report for incident that occurred on 7/8/2025 was missing the name of the medical facility the child received treatment, and the witness of the incident. .0802 (e) 853 Incident logs were not completed and maintained as required. Incident that occurred on 7/8/2025 was not logged on the incident log. .0802(g)(1-6) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 4/2/2025 emergency information was not completed on or before the first day of work. The emergency information on file was dated 4/8/2025. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member hired 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired 7/25/2016 did not complete the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. .1103(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. EPR plan was not updated annually. The EPR plan on file for review was dated 6/27/2024 and was due to be updated by 6/27/2025. .0607(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. Space #3 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. Space #5 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. .0801(b) 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. Space #3 one (1) medical action plan was not updated annually. The medical action plan onsite was dated 5/1/2024 and expired 5/1/2025. .0801(b) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 3/26/2024 did not complete the health and safety training within one year of employment. .1102(a) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. Incident report dated 7/8/2025 was not mailed to the Division representative within seven (7) calendar days after the incident when medical treatment was received. The incident report was received during the visit today. .0802(f) Technical assistance was provided as follows: Item 106 The annual fire inspection was not completed within twelve (12) months of the previous fire inspection. The current fire inspection on file was dated 6/16/2025, and the previous inspection was dated 3/12/2024. We discussed to reach out to the Fire Marshal two (2) months prior to the date the inspection is due to ensure that the facility is on the schedule for inspection. Rule Reference: 10A NCAC 09.0304(a) Item 528 The meal substitutions were not recorded on the menu prior to serving the meal to the children. Lunch served to the children was meatloaf, blueberries, peaches, carrots, corn bread, and milk. The menu posted documented turkey roast, broccoli, peaches, bread, and milk. We discussed that if the facility is making meal substitutions, the substitutions need to be recorded on the menu posted prior to serving the meal to the children. Rule Reference: 10A NCAC 09.0901(b) Item 614 Space #4, cots in the block center were not placed at least eighteen (18) inches apart or separated with a solid barrier extending the full length of the cot. The cots measured sixteen (16) inches apart and no solid barrier was used to separate the children on their cots. We discussed that the cots must be at minimum of eighteen (18) inches apart. The staff will need to move one (1) of the three (3) cots in the block center to allow for enough space between cots. Rule Reference: 15A NCAC 18A.2821(e) Item 705 outdoor storage container was broken with sharp edges accessible to children. Broken fence enclosing the air conditioning units was broken leaning in towards the two (2) units. The gate that enclosed the air conditioning units would not latch and rust was showing at the bottom of the gate and on the post. We discussed the storage container would need to be replaced or remove the top cover that is broken to allow continued use. The fence and gate would need to be repaired. The administrator stated that a workorder has been submitted for repairs. Rule Reference: 10A NCAC 09 .0601(c) Item 807 Outdoor space #3 the mulch has washed away exposing the dirt creating a tripping hazard around the concrete walkways, and the wooden privacy fence was deteriorating the in the base creating sharp edges. We discussed that mulch would need to installed to or the facility would need to come up with a temporary solution to prevent children from tripping and being injured. The facility would need to repair the wooden privacy fence to remove the deteriorating area. Space #4 during nap time, the mop bucket was accessible to children. We discussed when the mop bucket is out in the classroom, the staff must be with mop bucket at all times to ensure a child does not access the chemicals in the mop bucket. Rule Reference: 10A NCAC 09.0601(a) Item 812 In space #5, I observed one (1) electrical outlet uncovered in the block center. The staff member corrected this during the visit. We discussed conducting routine classroom checks to ensure the environment is safe for the children. Rule reference: 10A NCAC 09.0604(c) Item 849- Space #4 one (1) Aquaphor expired 7/2025. Space #5 three (3) diaper creams permission to administer medication forms expired (Petroleum Jelly expired 8/6/205, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #5 one (1) emergency medication permission to administer medication form expired 1/30/2025. We discussed conducting a monthly medication check to ensure all medications and permission to administer medication forms are current and in compliance. Rule Reference: 10A NCAC 09.0803(12) Item 851- Space #3 one (1) emergency medication was administered, and staff did not document all the required information. The staff did not document the dosage and route the medication was administered. We discussed when completing the medication log it must be completed in its entirety including the dosage and route the medication was administered. Rule reference: 10A NCAC 09 .0803(13)(a-e);.2318(3) Item 852 Incident report for incident that occurred on 7/8/2025 was missing the name of the medical facility the child received treatment, and the witness of the incident. We discussed when an incident occurs to document the incident immediately. Rule Reference: 10A NCAC 09 .0802 (e) Item 853- Incident that occurred on 7/8/2025 was not logged on the incident log. The administrator logged it on the incident log during the visit. We discussed when an incident occurs to log it immediately. Rule Reference: 10A NCAC 09.0802 (g) Item 1035- Staff member hired 4/2/2025 emergency information was not completed on or before the first day of work. The emergency information on file was dated 4/8/2025. We discussed when a new staff member is hired, the staff member would need to complete the emergency information. Rule reference: 10A NCAC 09 .0701(a) Item 1052 Staff member hired 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired 7/25/2016 did not completed the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. We discussed creating a chart to document the required training hours for each staff member and continuously reminding the staff that they have until their employment date the following year to complete the required hours of on-going training. Rule Reference: 10A NCAC 09 .1103(a) Item 1422 Space #3 The classroom storage closet was unlocked with the key in the lock a staff purse was accessible and adult tools. The staff member locked the door and removed the key during the visit. We discussed conducting a routine check to ensure the closet is locked. Rule reference: 10A NCAC 09.2506(c) Item 1824 EPR plan was not updated annually. The EPR plan on file for review was dated 6/27/2024 and was due to be updated by 6/27/2025. We discussed to document on your calendar when to update the EPR plan as a reminder. Rule reference: 10A NCAC 09 .0607(e) Item 1834- Space #3 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. Space #5 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. We discussed the medical action plan must be completed and on-site with the medication and attached to the child’s application for the child’s medical health care needs. Rule Reference: 10A NCAC 09 .0801(b) Item 1835 Space #3 one (1) medical action plan was not updated annually. The medical action plan onsite was dated 5/1/2024 and expired 5/1/2025. We discussed conducted monthly medication checks to ensure all medications, medication forms, and action plans are current and valid. Rule reference: 10A NCAC 09 .0801(b)(1-4) Item 1898 Staff member hired 3/26/2024 did not complete the health and safety training within one year of employment. We discussed when new staff is hired, they have one (1) year from their employment date to complete the required health and safety training. Rule reference: 10A NCAC 09 .1102(a) Item 1911 Incident report dated 7/8/2025 was not mailed to the Division representative within seven (7) calendar days after the incident when medical treatment was received. The incident report was received during the visit today. We discussed when an incident occurs and a child receives medical treatment, the incident report must be mailed to me within seven (7) days. Rule Reference: 10A NCAC 09.0802(f) Achieving Compliance: A follow-up visit could be conducted to verify compliance. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/21/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -New administrator will need to register for EPR training and complete the training by December. -We discussed medical actions plans must be attached to the child’s application, and I recommend to put a copy of the medical action plan with the emergency medication in the classroom. -On-going training hours are due annually from the staff members employment date to the staff members employment anniversary date each year (ex. Staff member hired 7/25/2016 on-going training hours are due by July 25th of each year). -Review with staff storage of hazardous products including the mop bucket. -I recommend reaching out to Buncombe County Partnership for Children to provide medication administration training to refresh staff. - DCDEE has added a new training module about Child Development on the DCDEE Moodle Learning Platform. This is the first of several planned modules to support orientation and the health and safety training requirements. This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID is needed to access the Child Development Module. If you do not have an NCID, visit MYNCID.nc.gov to register for a free NCID account. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 09.0601 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/7/2025 Number Present: 31 Completed Date: 8/7/2025 Age: From 0 To 11 Total Minutes: 360 Time In: 10:00 AM Time Out: 04:00 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 2/10/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License, issued 9/1/2024. Special Services/Restrictions – First shift (Daytime care), children under 2 ½ years old in rooms with direct exits only, meets enhanced ratios, meets enhanced space. The last fire drill was practiced on 7/28/2025. The last emergency drill, lockdown drill, was practiced on 6/11/2025. The last fire inspection was approved on 6/16/2025. The previous fire inspection was completed on 3/12/2024. The fire inspection was not conducted within twelve (12) months of the previous inspection. The program’s most recent sanitation inspection was completed on 4/3/2025, with fifteen (15) demerits. The last lead water testing was completed on 12/11/2023. The next testing is due by 12/11/2026. The last lead paint and asbestos testing was completed on 5/16/2024. The next testing is due by 5/16/2027. The Emergency Preparedness and Response (EPR) plan is current as of 6/27/2024. EPR plan was due to be updated by 6/27/2025. The Emergency Medical Care Plan is posted and was updated in 7/25/2025. The program does provide transportation. Upon arrival, I was greeted by Mary Virella, Administrator. A walkthrough of the indoor and outdoor environment was conducted. Space #1A the group of infant and one-year olds were engaged in floor play exploring the classroom. The staff member was conducting routine diaper changes as needed. While monitoring the room, I observed one (1) one year old visiting from space #5. During nap time, the staff member assisted the one (1) child on the cot with calming down to rest. Two (2) children were eating lunch in the highchairs, and one (1) child was laying on the activity mat engaged in play. Space #1B is currently closed. Space #2 is currently closed. A therapist was using the space with one (1) child. Space #3 the group of four- to eleven-year-olds were engaged in free play, free art, and making playdough. After free play, the group transitioned outdoors for gross motor play. While monitoring the indoor space, I observed one emergency medical action plan expired 5/1/2025. The classroom storage closed was unlocked with the key in the lock a staff purse was accessible and adult tools. The staff member locked the door and removed the key during the visit. Space #4 the group of two- to four-year-old children were engaged in outdoor gross motor play with tunnel, metal jeep, trikes, balls, and steppers. While monitoring the indoor space, I observed one (1) Aquaphor that expired 7/2025. During nap time, I observed the room used natural lighting from the front windows and soft music. The cots in the block center measured sixteen (16) inches rather than the required eighteen (18) inches. Space #5 the group of one- to two-year-olds were engaged in free play with the kitchen set, blocks, books, and climber. The staff member was conducting routine diaper change. While monitoring the indoor space, I observed one (1) electrical outlet uncovered. The staff corrected this during the visit. One (1) emergency medication end date was dated 1/30/2025. Three (3) diaper creams permission to administer medication forms were expired (Petroleum Jelly expired 8/6/2025, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #6 is currently closed. Lunch today consisted of meatloaf, carrots, blueberries, peaches, cornbread, and milk. Menu posted documented lunch was turkey roast, broccoli, peaches, bread, and milk. The menu was updated during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. Staff file concerns: Staff member hired on 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired on 7/25/2016 did not complete the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. We discussed creating a chart to document the required training hours for each staff member and continuously reminding the staff that they have until their employment date the following year to complete the required hours of on-going training. Staff member hired on 3/26/2024 did not complete the health and safety training within one year of employment. We discussed when new staff are hired, they have one (1) year from their employment date to complete the required health and safety training. While reviewing the incident report I observed, the form was missing the name of the medical facility the child received treatment at, and the witness of the incident. The incident was not mailed within seven (7) calendar days, and was not documented on the incident log. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The annual fire inspection was not completed within twelve (12) months of the previous fire inspection. The current fire inspection on file was dated 6/16/2025, and the previous inspection was dated 3/12/2024. 10A NCAC 09 .0304(a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The meal substitutions were not recorded on the menu prior to serving the meal to the children. Lunch served to the children was meatloaf, blueberries, peaches, carrots, corn bread, and milk. The menu posted documented turkey roast, broccoli, peaches, bread, and milk. 10A NCAC 09 .0901(b) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #4, cots in the block center were not placed at least eighteen (18) inches apart or separated with a solid barrier extending the full length of the cot. The cots measured sixteen (16) inches apart and no solid barrier was used to separate the children on their cots. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. outdoor storage container was broken with sharp edges accessible to children. Broken fence enclosing the air conditioning units was broken leaning in towards the two (2) units. The gate that enclosed the air conditioning units would not latch and rust was showing at the bottom of the gate and on the post. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. Outdoor space #3 the mulch has washed away exposing the dirt creating a tripping hazard around the concrete walkways, and the wooden privacy fence was deteriorating at the base creating sharp edges. Space #4 during nap time, the mop bucket was accessible to children. Space #3 The classroom storage closet was unlocked with the key in the lock. A staff member's purse was accessible. The purse storage was corrected during the visit. 10A NCAC 09 .0601(a) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Space #3 The classroom storage closet was unlocked with the key in the lock. Adult tools were accessible. .0604(a) 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. In space #5, I observed one (1) electrical outlet uncovered in the block center. The staff member corrected this during the visit. 10A NCAC 09 .0604(c) 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. Space #4 one (1) Aquaphor expired 7/2025. Space #5 three (3) diaper creams permission to administer medication forms expired (Petroleum Jelly expired 8/6/25, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #5 one (1) emergency medication permission to administer medication form expired 1/30/2025. .0803(12) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. Space #3 one (1) emergency medication was administered, and staff did not document all the required information. The staff did not document the dosage and route the medication was administered. .0803(13)(a-e); .2318(3) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident report for incident that occurred on 7/8/2025 was missing the name of the medical facility the child received treatment, and the witness of the incident. .0802 (e) 853 Incident logs were not completed and maintained as required. Incident that occurred on 7/8/2025 was not logged on the incident log. .0802(g)(1-6) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 4/2/2025 emergency information was not completed on or before the first day of work. The emergency information on file was dated 4/8/2025. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member hired 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired 7/25/2016 did not complete the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. .1103(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. EPR plan was not updated annually. The EPR plan on file for review was dated 6/27/2024 and was due to be updated by 6/27/2025. .0607(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. Space #3 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. Space #5 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. .0801(b) 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. Space #3 one (1) medical action plan was not updated annually. The medical action plan onsite was dated 5/1/2024 and expired 5/1/2025. .0801(b) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 3/26/2024 did not complete the health and safety training within one year of employment. .1102(a) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. Incident report dated 7/8/2025 was not mailed to the Division representative within seven (7) calendar days after the incident when medical treatment was received. The incident report was received during the visit today. .0802(f) Technical assistance was provided as follows: Item 106 The annual fire inspection was not completed within twelve (12) months of the previous fire inspection. The current fire inspection on file was dated 6/16/2025, and the previous inspection was dated 3/12/2024. We discussed to reach out to the Fire Marshal two (2) months prior to the date the inspection is due to ensure that the facility is on the schedule for inspection. Rule Reference: 10A NCAC 09.0304(a) Item 528 The meal substitutions were not recorded on the menu prior to serving the meal to the children. Lunch served to the children was meatloaf, blueberries, peaches, carrots, corn bread, and milk. The menu posted documented turkey roast, broccoli, peaches, bread, and milk. We discussed that if the facility is making meal substitutions, the substitutions need to be recorded on the menu posted prior to serving the meal to the children. Rule Reference: 10A NCAC 09.0901(b) Item 614 Space #4, cots in the block center were not placed at least eighteen (18) inches apart or separated with a solid barrier extending the full length of the cot. The cots measured sixteen (16) inches apart and no solid barrier was used to separate the children on their cots. We discussed that the cots must be at minimum of eighteen (18) inches apart. The staff will need to move one (1) of the three (3) cots in the block center to allow for enough space between cots. Rule Reference: 15A NCAC 18A.2821(e) Item 705 outdoor storage container was broken with sharp edges accessible to children. Broken fence enclosing the air conditioning units was broken leaning in towards the two (2) units. The gate that enclosed the air conditioning units would not latch and rust was showing at the bottom of the gate and on the post. We discussed the storage container would need to be replaced or remove the top cover that is broken to allow continued use. The fence and gate would need to be repaired. The administrator stated that a workorder has been submitted for repairs. Rule Reference: 10A NCAC 09 .0601(c) Item 807 Outdoor space #3 the mulch has washed away exposing the dirt creating a tripping hazard around the concrete walkways, and the wooden privacy fence was deteriorating the in the base creating sharp edges. We discussed that mulch would need to installed to or the facility would need to come up with a temporary solution to prevent children from tripping and being injured. The facility would need to repair the wooden privacy fence to remove the deteriorating area. Space #4 during nap time, the mop bucket was accessible to children. We discussed when the mop bucket is out in the classroom, the staff must be with mop bucket at all times to ensure a child does not access the chemicals in the mop bucket. Rule Reference: 10A NCAC 09.0601(a) Item 812 In space #5, I observed one (1) electrical outlet uncovered in the block center. The staff member corrected this during the visit. We discussed conducting routine classroom checks to ensure the environment is safe for the children. Rule reference: 10A NCAC 09.0604(c) Item 849- Space #4 one (1) Aquaphor expired 7/2025. Space #5 three (3) diaper creams permission to administer medication forms expired (Petroleum Jelly expired 8/6/205, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #5 one (1) emergency medication permission to administer medication form expired 1/30/2025. We discussed conducting a monthly medication check to ensure all medications and permission to administer medication forms are current and in compliance. Rule Reference: 10A NCAC 09.0803(12) Item 851- Space #3 one (1) emergency medication was administered, and staff did not document all the required information. The staff did not document the dosage and route the medication was administered. We discussed when completing the medication log it must be completed in its entirety including the dosage and route the medication was administered. Rule reference: 10A NCAC 09 .0803(13)(a-e);.2318(3) Item 852 Incident report for incident that occurred on 7/8/2025 was missing the name of the medical facility the child received treatment, and the witness of the incident. We discussed when an incident occurs to document the incident immediately. Rule Reference: 10A NCAC 09 .0802 (e) Item 853- Incident that occurred on 7/8/2025 was not logged on the incident log. The administrator logged it on the incident log during the visit. We discussed when an incident occurs to log it immediately. Rule Reference: 10A NCAC 09.0802 (g) Item 1035- Staff member hired 4/2/2025 emergency information was not completed on or before the first day of work. The emergency information on file was dated 4/8/2025. We discussed when a new staff member is hired, the staff member would need to complete the emergency information. Rule reference: 10A NCAC 09 .0701(a) Item 1052 Staff member hired 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired 7/25/2016 did not completed the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. We discussed creating a chart to document the required training hours for each staff member and continuously reminding the staff that they have until their employment date the following year to complete the required hours of on-going training. Rule Reference: 10A NCAC 09 .1103(a) Item 1422 Space #3 The classroom storage closet was unlocked with the key in the lock a staff purse was accessible and adult tools. The staff member locked the door and removed the key during the visit. We discussed conducting a routine check to ensure the closet is locked. Rule reference: 10A NCAC 09.2506(c) Item 1824 EPR plan was not updated annually. The EPR plan on file for review was dated 6/27/2024 and was due to be updated by 6/27/2025. We discussed to document on your calendar when to update the EPR plan as a reminder. Rule reference: 10A NCAC 09 .0607(e) Item 1834- Space #3 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. Space #5 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. We discussed the medical action plan must be completed and on-site with the medication and attached to the child’s application for the child’s medical health care needs. Rule Reference: 10A NCAC 09 .0801(b) Item 1835 Space #3 one (1) medical action plan was not updated annually. The medical action plan onsite was dated 5/1/2024 and expired 5/1/2025. We discussed conducted monthly medication checks to ensure all medications, medication forms, and action plans are current and valid. Rule reference: 10A NCAC 09 .0801(b)(1-4) Item 1898 Staff member hired 3/26/2024 did not complete the health and safety training within one year of employment. We discussed when new staff is hired, they have one (1) year from their employment date to complete the required health and safety training. Rule reference: 10A NCAC 09 .1102(a) Item 1911 Incident report dated 7/8/2025 was not mailed to the Division representative within seven (7) calendar days after the incident when medical treatment was received. The incident report was received during the visit today. We discussed when an incident occurs and a child receives medical treatment, the incident report must be mailed to me within seven (7) days. Rule Reference: 10A NCAC 09.0802(f) Achieving Compliance: A follow-up visit could be conducted to verify compliance. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/21/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -New administrator will need to register for EPR training and complete the training by December. -We discussed medical actions plans must be attached to the child’s application, and I recommend to put a copy of the medical action plan with the emergency medication in the classroom. -On-going training hours are due annually from the staff members employment date to the staff members employment anniversary date each year (ex. Staff member hired 7/25/2016 on-going training hours are due by July 25th of each year). -Review with staff storage of hazardous products including the mop bucket. -I recommend reaching out to Buncombe County Partnership for Children to provide medication administration training to refresh staff. - DCDEE has added a new training module about Child Development on the DCDEE Moodle Learning Platform. This is the first of several planned modules to support orientation and the health and safety training requirements. This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID is needed to access the Child Development Module. If you do not have an NCID, visit MYNCID.nc.gov to register for a free NCID account. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 09.0604 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/7/2025 Number Present: 31 Completed Date: 8/7/2025 Age: From 0 To 11 Total Minutes: 360 Time In: 10:00 AM Time Out: 04:00 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 2/10/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License, issued 9/1/2024. Special Services/Restrictions – First shift (Daytime care), children under 2 ½ years old in rooms with direct exits only, meets enhanced ratios, meets enhanced space. The last fire drill was practiced on 7/28/2025. The last emergency drill, lockdown drill, was practiced on 6/11/2025. The last fire inspection was approved on 6/16/2025. The previous fire inspection was completed on 3/12/2024. The fire inspection was not conducted within twelve (12) months of the previous inspection. The program’s most recent sanitation inspection was completed on 4/3/2025, with fifteen (15) demerits. The last lead water testing was completed on 12/11/2023. The next testing is due by 12/11/2026. The last lead paint and asbestos testing was completed on 5/16/2024. The next testing is due by 5/16/2027. The Emergency Preparedness and Response (EPR) plan is current as of 6/27/2024. EPR plan was due to be updated by 6/27/2025. The Emergency Medical Care Plan is posted and was updated in 7/25/2025. The program does provide transportation. Upon arrival, I was greeted by Mary Virella, Administrator. A walkthrough of the indoor and outdoor environment was conducted. Space #1A the group of infant and one-year olds were engaged in floor play exploring the classroom. The staff member was conducting routine diaper changes as needed. While monitoring the room, I observed one (1) one year old visiting from space #5. During nap time, the staff member assisted the one (1) child on the cot with calming down to rest. Two (2) children were eating lunch in the highchairs, and one (1) child was laying on the activity mat engaged in play. Space #1B is currently closed. Space #2 is currently closed. A therapist was using the space with one (1) child. Space #3 the group of four- to eleven-year-olds were engaged in free play, free art, and making playdough. After free play, the group transitioned outdoors for gross motor play. While monitoring the indoor space, I observed one emergency medical action plan expired 5/1/2025. The classroom storage closed was unlocked with the key in the lock a staff purse was accessible and adult tools. The staff member locked the door and removed the key during the visit. Space #4 the group of two- to four-year-old children were engaged in outdoor gross motor play with tunnel, metal jeep, trikes, balls, and steppers. While monitoring the indoor space, I observed one (1) Aquaphor that expired 7/2025. During nap time, I observed the room used natural lighting from the front windows and soft music. The cots in the block center measured sixteen (16) inches rather than the required eighteen (18) inches. Space #5 the group of one- to two-year-olds were engaged in free play with the kitchen set, blocks, books, and climber. The staff member was conducting routine diaper change. While monitoring the indoor space, I observed one (1) electrical outlet uncovered. The staff corrected this during the visit. One (1) emergency medication end date was dated 1/30/2025. Three (3) diaper creams permission to administer medication forms were expired (Petroleum Jelly expired 8/6/2025, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #6 is currently closed. Lunch today consisted of meatloaf, carrots, blueberries, peaches, cornbread, and milk. Menu posted documented lunch was turkey roast, broccoli, peaches, bread, and milk. The menu was updated during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. Staff file concerns: Staff member hired on 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired on 7/25/2016 did not complete the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. We discussed creating a chart to document the required training hours for each staff member and continuously reminding the staff that they have until their employment date the following year to complete the required hours of on-going training. Staff member hired on 3/26/2024 did not complete the health and safety training within one year of employment. We discussed when new staff are hired, they have one (1) year from their employment date to complete the required health and safety training. While reviewing the incident report I observed, the form was missing the name of the medical facility the child received treatment at, and the witness of the incident. The incident was not mailed within seven (7) calendar days, and was not documented on the incident log. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The annual fire inspection was not completed within twelve (12) months of the previous fire inspection. The current fire inspection on file was dated 6/16/2025, and the previous inspection was dated 3/12/2024. 10A NCAC 09 .0304(a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The meal substitutions were not recorded on the menu prior to serving the meal to the children. Lunch served to the children was meatloaf, blueberries, peaches, carrots, corn bread, and milk. The menu posted documented turkey roast, broccoli, peaches, bread, and milk. 10A NCAC 09 .0901(b) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #4, cots in the block center were not placed at least eighteen (18) inches apart or separated with a solid barrier extending the full length of the cot. The cots measured sixteen (16) inches apart and no solid barrier was used to separate the children on their cots. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. outdoor storage container was broken with sharp edges accessible to children. Broken fence enclosing the air conditioning units was broken leaning in towards the two (2) units. The gate that enclosed the air conditioning units would not latch and rust was showing at the bottom of the gate and on the post. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. Outdoor space #3 the mulch has washed away exposing the dirt creating a tripping hazard around the concrete walkways, and the wooden privacy fence was deteriorating at the base creating sharp edges. Space #4 during nap time, the mop bucket was accessible to children. Space #3 The classroom storage closet was unlocked with the key in the lock. A staff member's purse was accessible. The purse storage was corrected during the visit. 10A NCAC 09 .0601(a) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Space #3 The classroom storage closet was unlocked with the key in the lock. Adult tools were accessible. .0604(a) 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. In space #5, I observed one (1) electrical outlet uncovered in the block center. The staff member corrected this during the visit. 10A NCAC 09 .0604(c) 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. Space #4 one (1) Aquaphor expired 7/2025. Space #5 three (3) diaper creams permission to administer medication forms expired (Petroleum Jelly expired 8/6/25, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #5 one (1) emergency medication permission to administer medication form expired 1/30/2025. .0803(12) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. Space #3 one (1) emergency medication was administered, and staff did not document all the required information. The staff did not document the dosage and route the medication was administered. .0803(13)(a-e); .2318(3) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident report for incident that occurred on 7/8/2025 was missing the name of the medical facility the child received treatment, and the witness of the incident. .0802 (e) 853 Incident logs were not completed and maintained as required. Incident that occurred on 7/8/2025 was not logged on the incident log. .0802(g)(1-6) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 4/2/2025 emergency information was not completed on or before the first day of work. The emergency information on file was dated 4/8/2025. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member hired 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired 7/25/2016 did not complete the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. .1103(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. EPR plan was not updated annually. The EPR plan on file for review was dated 6/27/2024 and was due to be updated by 6/27/2025. .0607(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. Space #3 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. Space #5 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. .0801(b) 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. Space #3 one (1) medical action plan was not updated annually. The medical action plan onsite was dated 5/1/2024 and expired 5/1/2025. .0801(b) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 3/26/2024 did not complete the health and safety training within one year of employment. .1102(a) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. Incident report dated 7/8/2025 was not mailed to the Division representative within seven (7) calendar days after the incident when medical treatment was received. The incident report was received during the visit today. .0802(f) Technical assistance was provided as follows: Item 106 The annual fire inspection was not completed within twelve (12) months of the previous fire inspection. The current fire inspection on file was dated 6/16/2025, and the previous inspection was dated 3/12/2024. We discussed to reach out to the Fire Marshal two (2) months prior to the date the inspection is due to ensure that the facility is on the schedule for inspection. Rule Reference: 10A NCAC 09.0304(a) Item 528 The meal substitutions were not recorded on the menu prior to serving the meal to the children. Lunch served to the children was meatloaf, blueberries, peaches, carrots, corn bread, and milk. The menu posted documented turkey roast, broccoli, peaches, bread, and milk. We discussed that if the facility is making meal substitutions, the substitutions need to be recorded on the menu posted prior to serving the meal to the children. Rule Reference: 10A NCAC 09.0901(b) Item 614 Space #4, cots in the block center were not placed at least eighteen (18) inches apart or separated with a solid barrier extending the full length of the cot. The cots measured sixteen (16) inches apart and no solid barrier was used to separate the children on their cots. We discussed that the cots must be at minimum of eighteen (18) inches apart. The staff will need to move one (1) of the three (3) cots in the block center to allow for enough space between cots. Rule Reference: 15A NCAC 18A.2821(e) Item 705 outdoor storage container was broken with sharp edges accessible to children. Broken fence enclosing the air conditioning units was broken leaning in towards the two (2) units. The gate that enclosed the air conditioning units would not latch and rust was showing at the bottom of the gate and on the post. We discussed the storage container would need to be replaced or remove the top cover that is broken to allow continued use. The fence and gate would need to be repaired. The administrator stated that a workorder has been submitted for repairs. Rule Reference: 10A NCAC 09 .0601(c) Item 807 Outdoor space #3 the mulch has washed away exposing the dirt creating a tripping hazard around the concrete walkways, and the wooden privacy fence was deteriorating the in the base creating sharp edges. We discussed that mulch would need to installed to or the facility would need to come up with a temporary solution to prevent children from tripping and being injured. The facility would need to repair the wooden privacy fence to remove the deteriorating area. Space #4 during nap time, the mop bucket was accessible to children. We discussed when the mop bucket is out in the classroom, the staff must be with mop bucket at all times to ensure a child does not access the chemicals in the mop bucket. Rule Reference: 10A NCAC 09.0601(a) Item 812 In space #5, I observed one (1) electrical outlet uncovered in the block center. The staff member corrected this during the visit. We discussed conducting routine classroom checks to ensure the environment is safe for the children. Rule reference: 10A NCAC 09.0604(c) Item 849- Space #4 one (1) Aquaphor expired 7/2025. Space #5 three (3) diaper creams permission to administer medication forms expired (Petroleum Jelly expired 8/6/205, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #5 one (1) emergency medication permission to administer medication form expired 1/30/2025. We discussed conducting a monthly medication check to ensure all medications and permission to administer medication forms are current and in compliance. Rule Reference: 10A NCAC 09.0803(12) Item 851- Space #3 one (1) emergency medication was administered, and staff did not document all the required information. The staff did not document the dosage and route the medication was administered. We discussed when completing the medication log it must be completed in its entirety including the dosage and route the medication was administered. Rule reference: 10A NCAC 09 .0803(13)(a-e);.2318(3) Item 852 Incident report for incident that occurred on 7/8/2025 was missing the name of the medical facility the child received treatment, and the witness of the incident. We discussed when an incident occurs to document the incident immediately. Rule Reference: 10A NCAC 09 .0802 (e) Item 853- Incident that occurred on 7/8/2025 was not logged on the incident log. The administrator logged it on the incident log during the visit. We discussed when an incident occurs to log it immediately. Rule Reference: 10A NCAC 09.0802 (g) Item 1035- Staff member hired 4/2/2025 emergency information was not completed on or before the first day of work. The emergency information on file was dated 4/8/2025. We discussed when a new staff member is hired, the staff member would need to complete the emergency information. Rule reference: 10A NCAC 09 .0701(a) Item 1052 Staff member hired 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired 7/25/2016 did not completed the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. We discussed creating a chart to document the required training hours for each staff member and continuously reminding the staff that they have until their employment date the following year to complete the required hours of on-going training. Rule Reference: 10A NCAC 09 .1103(a) Item 1422 Space #3 The classroom storage closet was unlocked with the key in the lock a staff purse was accessible and adult tools. The staff member locked the door and removed the key during the visit. We discussed conducting a routine check to ensure the closet is locked. Rule reference: 10A NCAC 09.2506(c) Item 1824 EPR plan was not updated annually. The EPR plan on file for review was dated 6/27/2024 and was due to be updated by 6/27/2025. We discussed to document on your calendar when to update the EPR plan as a reminder. Rule reference: 10A NCAC 09 .0607(e) Item 1834- Space #3 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. Space #5 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. We discussed the medical action plan must be completed and on-site with the medication and attached to the child’s application for the child’s medical health care needs. Rule Reference: 10A NCAC 09 .0801(b) Item 1835 Space #3 one (1) medical action plan was not updated annually. The medical action plan onsite was dated 5/1/2024 and expired 5/1/2025. We discussed conducted monthly medication checks to ensure all medications, medication forms, and action plans are current and valid. Rule reference: 10A NCAC 09 .0801(b)(1-4) Item 1898 Staff member hired 3/26/2024 did not complete the health and safety training within one year of employment. We discussed when new staff is hired, they have one (1) year from their employment date to complete the required health and safety training. Rule reference: 10A NCAC 09 .1102(a) Item 1911 Incident report dated 7/8/2025 was not mailed to the Division representative within seven (7) calendar days after the incident when medical treatment was received. The incident report was received during the visit today. We discussed when an incident occurs and a child receives medical treatment, the incident report must be mailed to me within seven (7) days. Rule Reference: 10A NCAC 09.0802(f) Achieving Compliance: A follow-up visit could be conducted to verify compliance. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/21/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -New administrator will need to register for EPR training and complete the training by December. -We discussed medical actions plans must be attached to the child’s application, and I recommend to put a copy of the medical action plan with the emergency medication in the classroom. -On-going training hours are due annually from the staff members employment date to the staff members employment anniversary date each year (ex. Staff member hired 7/25/2016 on-going training hours are due by July 25th of each year). -Review with staff storage of hazardous products including the mop bucket. -I recommend reaching out to Buncombe County Partnership for Children to provide medication administration training to refresh staff. - DCDEE has added a new training module about Child Development on the DCDEE Moodle Learning Platform. This is the first of several planned modules to support orientation and the health and safety training requirements. This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID is needed to access the Child Development Module. If you do not have an NCID, visit MYNCID.nc.gov to register for a free NCID account. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/7/2025 Number Present: 31 Completed Date: 8/7/2025 Age: From 0 To 11 Total Minutes: 360 Time In: 10:00 AM Time Out: 04:00 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 2/10/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License, issued 9/1/2024. Special Services/Restrictions – First shift (Daytime care), children under 2 ½ years old in rooms with direct exits only, meets enhanced ratios, meets enhanced space. The last fire drill was practiced on 7/28/2025. The last emergency drill, lockdown drill, was practiced on 6/11/2025. The last fire inspection was approved on 6/16/2025. The previous fire inspection was completed on 3/12/2024. The fire inspection was not conducted within twelve (12) months of the previous inspection. The program’s most recent sanitation inspection was completed on 4/3/2025, with fifteen (15) demerits. The last lead water testing was completed on 12/11/2023. The next testing is due by 12/11/2026. The last lead paint and asbestos testing was completed on 5/16/2024. The next testing is due by 5/16/2027. The Emergency Preparedness and Response (EPR) plan is current as of 6/27/2024. EPR plan was due to be updated by 6/27/2025. The Emergency Medical Care Plan is posted and was updated in 7/25/2025. The program does provide transportation. Upon arrival, I was greeted by Mary Virella, Administrator. A walkthrough of the indoor and outdoor environment was conducted. Space #1A the group of infant and one-year olds were engaged in floor play exploring the classroom. The staff member was conducting routine diaper changes as needed. While monitoring the room, I observed one (1) one year old visiting from space #5. During nap time, the staff member assisted the one (1) child on the cot with calming down to rest. Two (2) children were eating lunch in the highchairs, and one (1) child was laying on the activity mat engaged in play. Space #1B is currently closed. Space #2 is currently closed. A therapist was using the space with one (1) child. Space #3 the group of four- to eleven-year-olds were engaged in free play, free art, and making playdough. After free play, the group transitioned outdoors for gross motor play. While monitoring the indoor space, I observed one emergency medical action plan expired 5/1/2025. The classroom storage closed was unlocked with the key in the lock a staff purse was accessible and adult tools. The staff member locked the door and removed the key during the visit. Space #4 the group of two- to four-year-old children were engaged in outdoor gross motor play with tunnel, metal jeep, trikes, balls, and steppers. While monitoring the indoor space, I observed one (1) Aquaphor that expired 7/2025. During nap time, I observed the room used natural lighting from the front windows and soft music. The cots in the block center measured sixteen (16) inches rather than the required eighteen (18) inches. Space #5 the group of one- to two-year-olds were engaged in free play with the kitchen set, blocks, books, and climber. The staff member was conducting routine diaper change. While monitoring the indoor space, I observed one (1) electrical outlet uncovered. The staff corrected this during the visit. One (1) emergency medication end date was dated 1/30/2025. Three (3) diaper creams permission to administer medication forms were expired (Petroleum Jelly expired 8/6/2025, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #6 is currently closed. Lunch today consisted of meatloaf, carrots, blueberries, peaches, cornbread, and milk. Menu posted documented lunch was turkey roast, broccoli, peaches, bread, and milk. The menu was updated during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. Staff file concerns: Staff member hired on 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired on 7/25/2016 did not complete the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. We discussed creating a chart to document the required training hours for each staff member and continuously reminding the staff that they have until their employment date the following year to complete the required hours of on-going training. Staff member hired on 3/26/2024 did not complete the health and safety training within one year of employment. We discussed when new staff are hired, they have one (1) year from their employment date to complete the required health and safety training. While reviewing the incident report I observed, the form was missing the name of the medical facility the child received treatment at, and the witness of the incident. The incident was not mailed within seven (7) calendar days, and was not documented on the incident log. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The annual fire inspection was not completed within twelve (12) months of the previous fire inspection. The current fire inspection on file was dated 6/16/2025, and the previous inspection was dated 3/12/2024. 10A NCAC 09 .0304(a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The meal substitutions were not recorded on the menu prior to serving the meal to the children. Lunch served to the children was meatloaf, blueberries, peaches, carrots, corn bread, and milk. The menu posted documented turkey roast, broccoli, peaches, bread, and milk. 10A NCAC 09 .0901(b) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #4, cots in the block center were not placed at least eighteen (18) inches apart or separated with a solid barrier extending the full length of the cot. The cots measured sixteen (16) inches apart and no solid barrier was used to separate the children on their cots. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. outdoor storage container was broken with sharp edges accessible to children. Broken fence enclosing the air conditioning units was broken leaning in towards the two (2) units. The gate that enclosed the air conditioning units would not latch and rust was showing at the bottom of the gate and on the post. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. Outdoor space #3 the mulch has washed away exposing the dirt creating a tripping hazard around the concrete walkways, and the wooden privacy fence was deteriorating at the base creating sharp edges. Space #4 during nap time, the mop bucket was accessible to children. Space #3 The classroom storage closet was unlocked with the key in the lock. A staff member's purse was accessible. The purse storage was corrected during the visit. 10A NCAC 09 .0601(a) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Space #3 The classroom storage closet was unlocked with the key in the lock. Adult tools were accessible. .0604(a) 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. In space #5, I observed one (1) electrical outlet uncovered in the block center. The staff member corrected this during the visit. 10A NCAC 09 .0604(c) 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. Space #4 one (1) Aquaphor expired 7/2025. Space #5 three (3) diaper creams permission to administer medication forms expired (Petroleum Jelly expired 8/6/25, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #5 one (1) emergency medication permission to administer medication form expired 1/30/2025. .0803(12) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. Space #3 one (1) emergency medication was administered, and staff did not document all the required information. The staff did not document the dosage and route the medication was administered. .0803(13)(a-e); .2318(3) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident report for incident that occurred on 7/8/2025 was missing the name of the medical facility the child received treatment, and the witness of the incident. .0802 (e) 853 Incident logs were not completed and maintained as required. Incident that occurred on 7/8/2025 was not logged on the incident log. .0802(g)(1-6) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 4/2/2025 emergency information was not completed on or before the first day of work. The emergency information on file was dated 4/8/2025. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member hired 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired 7/25/2016 did not complete the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. .1103(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. EPR plan was not updated annually. The EPR plan on file for review was dated 6/27/2024 and was due to be updated by 6/27/2025. .0607(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. Space #3 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. Space #5 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. .0801(b) 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. Space #3 one (1) medical action plan was not updated annually. The medical action plan onsite was dated 5/1/2024 and expired 5/1/2025. .0801(b) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 3/26/2024 did not complete the health and safety training within one year of employment. .1102(a) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. Incident report dated 7/8/2025 was not mailed to the Division representative within seven (7) calendar days after the incident when medical treatment was received. The incident report was received during the visit today. .0802(f) Technical assistance was provided as follows: Item 106 The annual fire inspection was not completed within twelve (12) months of the previous fire inspection. The current fire inspection on file was dated 6/16/2025, and the previous inspection was dated 3/12/2024. We discussed to reach out to the Fire Marshal two (2) months prior to the date the inspection is due to ensure that the facility is on the schedule for inspection. Rule Reference: 10A NCAC 09.0304(a) Item 528 The meal substitutions were not recorded on the menu prior to serving the meal to the children. Lunch served to the children was meatloaf, blueberries, peaches, carrots, corn bread, and milk. The menu posted documented turkey roast, broccoli, peaches, bread, and milk. We discussed that if the facility is making meal substitutions, the substitutions need to be recorded on the menu posted prior to serving the meal to the children. Rule Reference: 10A NCAC 09.0901(b) Item 614 Space #4, cots in the block center were not placed at least eighteen (18) inches apart or separated with a solid barrier extending the full length of the cot. The cots measured sixteen (16) inches apart and no solid barrier was used to separate the children on their cots. We discussed that the cots must be at minimum of eighteen (18) inches apart. The staff will need to move one (1) of the three (3) cots in the block center to allow for enough space between cots. Rule Reference: 15A NCAC 18A.2821(e) Item 705 outdoor storage container was broken with sharp edges accessible to children. Broken fence enclosing the air conditioning units was broken leaning in towards the two (2) units. The gate that enclosed the air conditioning units would not latch and rust was showing at the bottom of the gate and on the post. We discussed the storage container would need to be replaced or remove the top cover that is broken to allow continued use. The fence and gate would need to be repaired. The administrator stated that a workorder has been submitted for repairs. Rule Reference: 10A NCAC 09 .0601(c) Item 807 Outdoor space #3 the mulch has washed away exposing the dirt creating a tripping hazard around the concrete walkways, and the wooden privacy fence was deteriorating the in the base creating sharp edges. We discussed that mulch would need to installed to or the facility would need to come up with a temporary solution to prevent children from tripping and being injured. The facility would need to repair the wooden privacy fence to remove the deteriorating area. Space #4 during nap time, the mop bucket was accessible to children. We discussed when the mop bucket is out in the classroom, the staff must be with mop bucket at all times to ensure a child does not access the chemicals in the mop bucket. Rule Reference: 10A NCAC 09.0601(a) Item 812 In space #5, I observed one (1) electrical outlet uncovered in the block center. The staff member corrected this during the visit. We discussed conducting routine classroom checks to ensure the environment is safe for the children. Rule reference: 10A NCAC 09.0604(c) Item 849- Space #4 one (1) Aquaphor expired 7/2025. Space #5 three (3) diaper creams permission to administer medication forms expired (Petroleum Jelly expired 8/6/205, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #5 one (1) emergency medication permission to administer medication form expired 1/30/2025. We discussed conducting a monthly medication check to ensure all medications and permission to administer medication forms are current and in compliance. Rule Reference: 10A NCAC 09.0803(12) Item 851- Space #3 one (1) emergency medication was administered, and staff did not document all the required information. The staff did not document the dosage and route the medication was administered. We discussed when completing the medication log it must be completed in its entirety including the dosage and route the medication was administered. Rule reference: 10A NCAC 09 .0803(13)(a-e);.2318(3) Item 852 Incident report for incident that occurred on 7/8/2025 was missing the name of the medical facility the child received treatment, and the witness of the incident. We discussed when an incident occurs to document the incident immediately. Rule Reference: 10A NCAC 09 .0802 (e) Item 853- Incident that occurred on 7/8/2025 was not logged on the incident log. The administrator logged it on the incident log during the visit. We discussed when an incident occurs to log it immediately. Rule Reference: 10A NCAC 09.0802 (g) Item 1035- Staff member hired 4/2/2025 emergency information was not completed on or before the first day of work. The emergency information on file was dated 4/8/2025. We discussed when a new staff member is hired, the staff member would need to complete the emergency information. Rule reference: 10A NCAC 09 .0701(a) Item 1052 Staff member hired 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired 7/25/2016 did not completed the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. We discussed creating a chart to document the required training hours for each staff member and continuously reminding the staff that they have until their employment date the following year to complete the required hours of on-going training. Rule Reference: 10A NCAC 09 .1103(a) Item 1422 Space #3 The classroom storage closet was unlocked with the key in the lock a staff purse was accessible and adult tools. The staff member locked the door and removed the key during the visit. We discussed conducting a routine check to ensure the closet is locked. Rule reference: 10A NCAC 09.2506(c) Item 1824 EPR plan was not updated annually. The EPR plan on file for review was dated 6/27/2024 and was due to be updated by 6/27/2025. We discussed to document on your calendar when to update the EPR plan as a reminder. Rule reference: 10A NCAC 09 .0607(e) Item 1834- Space #3 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. Space #5 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. We discussed the medical action plan must be completed and on-site with the medication and attached to the child’s application for the child’s medical health care needs. Rule Reference: 10A NCAC 09 .0801(b) Item 1835 Space #3 one (1) medical action plan was not updated annually. The medical action plan onsite was dated 5/1/2024 and expired 5/1/2025. We discussed conducted monthly medication checks to ensure all medications, medication forms, and action plans are current and valid. Rule reference: 10A NCAC 09 .0801(b)(1-4) Item 1898 Staff member hired 3/26/2024 did not complete the health and safety training within one year of employment. We discussed when new staff is hired, they have one (1) year from their employment date to complete the required health and safety training. Rule reference: 10A NCAC 09 .1102(a) Item 1911 Incident report dated 7/8/2025 was not mailed to the Division representative within seven (7) calendar days after the incident when medical treatment was received. The incident report was received during the visit today. We discussed when an incident occurs and a child receives medical treatment, the incident report must be mailed to me within seven (7) days. Rule Reference: 10A NCAC 09.0802(f) Achieving Compliance: A follow-up visit could be conducted to verify compliance. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/21/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -New administrator will need to register for EPR training and complete the training by December. -We discussed medical actions plans must be attached to the child’s application, and I recommend to put a copy of the medical action plan with the emergency medication in the classroom. -On-going training hours are due annually from the staff members employment date to the staff members employment anniversary date each year (ex. Staff member hired 7/25/2016 on-going training hours are due by July 25th of each year). -Review with staff storage of hazardous products including the mop bucket. -I recommend reaching out to Buncombe County Partnership for Children to provide medication administration training to refresh staff. - DCDEE has added a new training module about Child Development on the DCDEE Moodle Learning Platform. This is the first of several planned modules to support orientation and the health and safety training requirements. This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID is needed to access the Child Development Module. If you do not have an NCID, visit MYNCID.nc.gov to register for a free NCID account. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/7/2025 Number Present: 31 Completed Date: 8/7/2025 Age: From 0 To 11 Total Minutes: 360 Time In: 10:00 AM Time Out: 04:00 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 2/10/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License, issued 9/1/2024. Special Services/Restrictions – First shift (Daytime care), children under 2 ½ years old in rooms with direct exits only, meets enhanced ratios, meets enhanced space. The last fire drill was practiced on 7/28/2025. The last emergency drill, lockdown drill, was practiced on 6/11/2025. The last fire inspection was approved on 6/16/2025. The previous fire inspection was completed on 3/12/2024. The fire inspection was not conducted within twelve (12) months of the previous inspection. The program’s most recent sanitation inspection was completed on 4/3/2025, with fifteen (15) demerits. The last lead water testing was completed on 12/11/2023. The next testing is due by 12/11/2026. The last lead paint and asbestos testing was completed on 5/16/2024. The next testing is due by 5/16/2027. The Emergency Preparedness and Response (EPR) plan is current as of 6/27/2024. EPR plan was due to be updated by 6/27/2025. The Emergency Medical Care Plan is posted and was updated in 7/25/2025. The program does provide transportation. Upon arrival, I was greeted by Mary Virella, Administrator. A walkthrough of the indoor and outdoor environment was conducted. Space #1A the group of infant and one-year olds were engaged in floor play exploring the classroom. The staff member was conducting routine diaper changes as needed. While monitoring the room, I observed one (1) one year old visiting from space #5. During nap time, the staff member assisted the one (1) child on the cot with calming down to rest. Two (2) children were eating lunch in the highchairs, and one (1) child was laying on the activity mat engaged in play. Space #1B is currently closed. Space #2 is currently closed. A therapist was using the space with one (1) child. Space #3 the group of four- to eleven-year-olds were engaged in free play, free art, and making playdough. After free play, the group transitioned outdoors for gross motor play. While monitoring the indoor space, I observed one emergency medical action plan expired 5/1/2025. The classroom storage closed was unlocked with the key in the lock a staff purse was accessible and adult tools. The staff member locked the door and removed the key during the visit. Space #4 the group of two- to four-year-old children were engaged in outdoor gross motor play with tunnel, metal jeep, trikes, balls, and steppers. While monitoring the indoor space, I observed one (1) Aquaphor that expired 7/2025. During nap time, I observed the room used natural lighting from the front windows and soft music. The cots in the block center measured sixteen (16) inches rather than the required eighteen (18) inches. Space #5 the group of one- to two-year-olds were engaged in free play with the kitchen set, blocks, books, and climber. The staff member was conducting routine diaper change. While monitoring the indoor space, I observed one (1) electrical outlet uncovered. The staff corrected this during the visit. One (1) emergency medication end date was dated 1/30/2025. Three (3) diaper creams permission to administer medication forms were expired (Petroleum Jelly expired 8/6/2025, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #6 is currently closed. Lunch today consisted of meatloaf, carrots, blueberries, peaches, cornbread, and milk. Menu posted documented lunch was turkey roast, broccoli, peaches, bread, and milk. The menu was updated during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. Staff file concerns: Staff member hired on 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired on 7/25/2016 did not complete the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. We discussed creating a chart to document the required training hours for each staff member and continuously reminding the staff that they have until their employment date the following year to complete the required hours of on-going training. Staff member hired on 3/26/2024 did not complete the health and safety training within one year of employment. We discussed when new staff are hired, they have one (1) year from their employment date to complete the required health and safety training. While reviewing the incident report I observed, the form was missing the name of the medical facility the child received treatment at, and the witness of the incident. The incident was not mailed within seven (7) calendar days, and was not documented on the incident log. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The annual fire inspection was not completed within twelve (12) months of the previous fire inspection. The current fire inspection on file was dated 6/16/2025, and the previous inspection was dated 3/12/2024. 10A NCAC 09 .0304(a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The meal substitutions were not recorded on the menu prior to serving the meal to the children. Lunch served to the children was meatloaf, blueberries, peaches, carrots, corn bread, and milk. The menu posted documented turkey roast, broccoli, peaches, bread, and milk. 10A NCAC 09 .0901(b) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #4, cots in the block center were not placed at least eighteen (18) inches apart or separated with a solid barrier extending the full length of the cot. The cots measured sixteen (16) inches apart and no solid barrier was used to separate the children on their cots. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. outdoor storage container was broken with sharp edges accessible to children. Broken fence enclosing the air conditioning units was broken leaning in towards the two (2) units. The gate that enclosed the air conditioning units would not latch and rust was showing at the bottom of the gate and on the post. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. Outdoor space #3 the mulch has washed away exposing the dirt creating a tripping hazard around the concrete walkways, and the wooden privacy fence was deteriorating at the base creating sharp edges. Space #4 during nap time, the mop bucket was accessible to children. Space #3 The classroom storage closet was unlocked with the key in the lock. A staff member's purse was accessible. The purse storage was corrected during the visit. 10A NCAC 09 .0601(a) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Space #3 The classroom storage closet was unlocked with the key in the lock. Adult tools were accessible. .0604(a) 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. In space #5, I observed one (1) electrical outlet uncovered in the block center. The staff member corrected this during the visit. 10A NCAC 09 .0604(c) 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. Space #4 one (1) Aquaphor expired 7/2025. Space #5 three (3) diaper creams permission to administer medication forms expired (Petroleum Jelly expired 8/6/25, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #5 one (1) emergency medication permission to administer medication form expired 1/30/2025. .0803(12) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. Space #3 one (1) emergency medication was administered, and staff did not document all the required information. The staff did not document the dosage and route the medication was administered. .0803(13)(a-e); .2318(3) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident report for incident that occurred on 7/8/2025 was missing the name of the medical facility the child received treatment, and the witness of the incident. .0802 (e) 853 Incident logs were not completed and maintained as required. Incident that occurred on 7/8/2025 was not logged on the incident log. .0802(g)(1-6) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 4/2/2025 emergency information was not completed on or before the first day of work. The emergency information on file was dated 4/8/2025. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member hired 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired 7/25/2016 did not complete the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. .1103(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. EPR plan was not updated annually. The EPR plan on file for review was dated 6/27/2024 and was due to be updated by 6/27/2025. .0607(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. Space #3 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. Space #5 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. .0801(b) 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. Space #3 one (1) medical action plan was not updated annually. The medical action plan onsite was dated 5/1/2024 and expired 5/1/2025. .0801(b) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 3/26/2024 did not complete the health and safety training within one year of employment. .1102(a) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. Incident report dated 7/8/2025 was not mailed to the Division representative within seven (7) calendar days after the incident when medical treatment was received. The incident report was received during the visit today. .0802(f) Technical assistance was provided as follows: Item 106 The annual fire inspection was not completed within twelve (12) months of the previous fire inspection. The current fire inspection on file was dated 6/16/2025, and the previous inspection was dated 3/12/2024. We discussed to reach out to the Fire Marshal two (2) months prior to the date the inspection is due to ensure that the facility is on the schedule for inspection. Rule Reference: 10A NCAC 09.0304(a) Item 528 The meal substitutions were not recorded on the menu prior to serving the meal to the children. Lunch served to the children was meatloaf, blueberries, peaches, carrots, corn bread, and milk. The menu posted documented turkey roast, broccoli, peaches, bread, and milk. We discussed that if the facility is making meal substitutions, the substitutions need to be recorded on the menu posted prior to serving the meal to the children. Rule Reference: 10A NCAC 09.0901(b) Item 614 Space #4, cots in the block center were not placed at least eighteen (18) inches apart or separated with a solid barrier extending the full length of the cot. The cots measured sixteen (16) inches apart and no solid barrier was used to separate the children on their cots. We discussed that the cots must be at minimum of eighteen (18) inches apart. The staff will need to move one (1) of the three (3) cots in the block center to allow for enough space between cots. Rule Reference: 15A NCAC 18A.2821(e) Item 705 outdoor storage container was broken with sharp edges accessible to children. Broken fence enclosing the air conditioning units was broken leaning in towards the two (2) units. The gate that enclosed the air conditioning units would not latch and rust was showing at the bottom of the gate and on the post. We discussed the storage container would need to be replaced or remove the top cover that is broken to allow continued use. The fence and gate would need to be repaired. The administrator stated that a workorder has been submitted for repairs. Rule Reference: 10A NCAC 09 .0601(c) Item 807 Outdoor space #3 the mulch has washed away exposing the dirt creating a tripping hazard around the concrete walkways, and the wooden privacy fence was deteriorating the in the base creating sharp edges. We discussed that mulch would need to installed to or the facility would need to come up with a temporary solution to prevent children from tripping and being injured. The facility would need to repair the wooden privacy fence to remove the deteriorating area. Space #4 during nap time, the mop bucket was accessible to children. We discussed when the mop bucket is out in the classroom, the staff must be with mop bucket at all times to ensure a child does not access the chemicals in the mop bucket. Rule Reference: 10A NCAC 09.0601(a) Item 812 In space #5, I observed one (1) electrical outlet uncovered in the block center. The staff member corrected this during the visit. We discussed conducting routine classroom checks to ensure the environment is safe for the children. Rule reference: 10A NCAC 09.0604(c) Item 849- Space #4 one (1) Aquaphor expired 7/2025. Space #5 three (3) diaper creams permission to administer medication forms expired (Petroleum Jelly expired 8/6/205, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #5 one (1) emergency medication permission to administer medication form expired 1/30/2025. We discussed conducting a monthly medication check to ensure all medications and permission to administer medication forms are current and in compliance. Rule Reference: 10A NCAC 09.0803(12) Item 851- Space #3 one (1) emergency medication was administered, and staff did not document all the required information. The staff did not document the dosage and route the medication was administered. We discussed when completing the medication log it must be completed in its entirety including the dosage and route the medication was administered. Rule reference: 10A NCAC 09 .0803(13)(a-e);.2318(3) Item 852 Incident report for incident that occurred on 7/8/2025 was missing the name of the medical facility the child received treatment, and the witness of the incident. We discussed when an incident occurs to document the incident immediately. Rule Reference: 10A NCAC 09 .0802 (e) Item 853- Incident that occurred on 7/8/2025 was not logged on the incident log. The administrator logged it on the incident log during the visit. We discussed when an incident occurs to log it immediately. Rule Reference: 10A NCAC 09.0802 (g) Item 1035- Staff member hired 4/2/2025 emergency information was not completed on or before the first day of work. The emergency information on file was dated 4/8/2025. We discussed when a new staff member is hired, the staff member would need to complete the emergency information. Rule reference: 10A NCAC 09 .0701(a) Item 1052 Staff member hired 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired 7/25/2016 did not completed the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. We discussed creating a chart to document the required training hours for each staff member and continuously reminding the staff that they have until their employment date the following year to complete the required hours of on-going training. Rule Reference: 10A NCAC 09 .1103(a) Item 1422 Space #3 The classroom storage closet was unlocked with the key in the lock a staff purse was accessible and adult tools. The staff member locked the door and removed the key during the visit. We discussed conducting a routine check to ensure the closet is locked. Rule reference: 10A NCAC 09.2506(c) Item 1824 EPR plan was not updated annually. The EPR plan on file for review was dated 6/27/2024 and was due to be updated by 6/27/2025. We discussed to document on your calendar when to update the EPR plan as a reminder. Rule reference: 10A NCAC 09 .0607(e) Item 1834- Space #3 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. Space #5 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. We discussed the medical action plan must be completed and on-site with the medication and attached to the child’s application for the child’s medical health care needs. Rule Reference: 10A NCAC 09 .0801(b) Item 1835 Space #3 one (1) medical action plan was not updated annually. The medical action plan onsite was dated 5/1/2024 and expired 5/1/2025. We discussed conducted monthly medication checks to ensure all medications, medication forms, and action plans are current and valid. Rule reference: 10A NCAC 09 .0801(b)(1-4) Item 1898 Staff member hired 3/26/2024 did not complete the health and safety training within one year of employment. We discussed when new staff is hired, they have one (1) year from their employment date to complete the required health and safety training. Rule reference: 10A NCAC 09 .1102(a) Item 1911 Incident report dated 7/8/2025 was not mailed to the Division representative within seven (7) calendar days after the incident when medical treatment was received. The incident report was received during the visit today. We discussed when an incident occurs and a child receives medical treatment, the incident report must be mailed to me within seven (7) days. Rule Reference: 10A NCAC 09.0802(f) Achieving Compliance: A follow-up visit could be conducted to verify compliance. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/21/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -New administrator will need to register for EPR training and complete the training by December. -We discussed medical actions plans must be attached to the child’s application, and I recommend to put a copy of the medical action plan with the emergency medication in the classroom. -On-going training hours are due annually from the staff members employment date to the staff members employment anniversary date each year (ex. Staff member hired 7/25/2016 on-going training hours are due by July 25th of each year). -Review with staff storage of hazardous products including the mop bucket. -I recommend reaching out to Buncombe County Partnership for Children to provide medication administration training to refresh staff. - DCDEE has added a new training module about Child Development on the DCDEE Moodle Learning Platform. This is the first of several planned modules to support orientation and the health and safety training requirements. This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID is needed to access the Child Development Module. If you do not have an NCID, visit MYNCID.nc.gov to register for a free NCID account. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 09.0901 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/7/2025 Number Present: 31 Completed Date: 8/7/2025 Age: From 0 To 11 Total Minutes: 360 Time In: 10:00 AM Time Out: 04:00 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 2/10/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License, issued 9/1/2024. Special Services/Restrictions – First shift (Daytime care), children under 2 ½ years old in rooms with direct exits only, meets enhanced ratios, meets enhanced space. The last fire drill was practiced on 7/28/2025. The last emergency drill, lockdown drill, was practiced on 6/11/2025. The last fire inspection was approved on 6/16/2025. The previous fire inspection was completed on 3/12/2024. The fire inspection was not conducted within twelve (12) months of the previous inspection. The program’s most recent sanitation inspection was completed on 4/3/2025, with fifteen (15) demerits. The last lead water testing was completed on 12/11/2023. The next testing is due by 12/11/2026. The last lead paint and asbestos testing was completed on 5/16/2024. The next testing is due by 5/16/2027. The Emergency Preparedness and Response (EPR) plan is current as of 6/27/2024. EPR plan was due to be updated by 6/27/2025. The Emergency Medical Care Plan is posted and was updated in 7/25/2025. The program does provide transportation. Upon arrival, I was greeted by Mary Virella, Administrator. A walkthrough of the indoor and outdoor environment was conducted. Space #1A the group of infant and one-year olds were engaged in floor play exploring the classroom. The staff member was conducting routine diaper changes as needed. While monitoring the room, I observed one (1) one year old visiting from space #5. During nap time, the staff member assisted the one (1) child on the cot with calming down to rest. Two (2) children were eating lunch in the highchairs, and one (1) child was laying on the activity mat engaged in play. Space #1B is currently closed. Space #2 is currently closed. A therapist was using the space with one (1) child. Space #3 the group of four- to eleven-year-olds were engaged in free play, free art, and making playdough. After free play, the group transitioned outdoors for gross motor play. While monitoring the indoor space, I observed one emergency medical action plan expired 5/1/2025. The classroom storage closed was unlocked with the key in the lock a staff purse was accessible and adult tools. The staff member locked the door and removed the key during the visit. Space #4 the group of two- to four-year-old children were engaged in outdoor gross motor play with tunnel, metal jeep, trikes, balls, and steppers. While monitoring the indoor space, I observed one (1) Aquaphor that expired 7/2025. During nap time, I observed the room used natural lighting from the front windows and soft music. The cots in the block center measured sixteen (16) inches rather than the required eighteen (18) inches. Space #5 the group of one- to two-year-olds were engaged in free play with the kitchen set, blocks, books, and climber. The staff member was conducting routine diaper change. While monitoring the indoor space, I observed one (1) electrical outlet uncovered. The staff corrected this during the visit. One (1) emergency medication end date was dated 1/30/2025. Three (3) diaper creams permission to administer medication forms were expired (Petroleum Jelly expired 8/6/2025, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #6 is currently closed. Lunch today consisted of meatloaf, carrots, blueberries, peaches, cornbread, and milk. Menu posted documented lunch was turkey roast, broccoli, peaches, bread, and milk. The menu was updated during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. Staff file concerns: Staff member hired on 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired on 7/25/2016 did not complete the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. We discussed creating a chart to document the required training hours for each staff member and continuously reminding the staff that they have until their employment date the following year to complete the required hours of on-going training. Staff member hired on 3/26/2024 did not complete the health and safety training within one year of employment. We discussed when new staff are hired, they have one (1) year from their employment date to complete the required health and safety training. While reviewing the incident report I observed, the form was missing the name of the medical facility the child received treatment at, and the witness of the incident. The incident was not mailed within seven (7) calendar days, and was not documented on the incident log. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The annual fire inspection was not completed within twelve (12) months of the previous fire inspection. The current fire inspection on file was dated 6/16/2025, and the previous inspection was dated 3/12/2024. 10A NCAC 09 .0304(a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The meal substitutions were not recorded on the menu prior to serving the meal to the children. Lunch served to the children was meatloaf, blueberries, peaches, carrots, corn bread, and milk. The menu posted documented turkey roast, broccoli, peaches, bread, and milk. 10A NCAC 09 .0901(b) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #4, cots in the block center were not placed at least eighteen (18) inches apart or separated with a solid barrier extending the full length of the cot. The cots measured sixteen (16) inches apart and no solid barrier was used to separate the children on their cots. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. outdoor storage container was broken with sharp edges accessible to children. Broken fence enclosing the air conditioning units was broken leaning in towards the two (2) units. The gate that enclosed the air conditioning units would not latch and rust was showing at the bottom of the gate and on the post. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. Outdoor space #3 the mulch has washed away exposing the dirt creating a tripping hazard around the concrete walkways, and the wooden privacy fence was deteriorating at the base creating sharp edges. Space #4 during nap time, the mop bucket was accessible to children. Space #3 The classroom storage closet was unlocked with the key in the lock. A staff member's purse was accessible. The purse storage was corrected during the visit. 10A NCAC 09 .0601(a) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Space #3 The classroom storage closet was unlocked with the key in the lock. Adult tools were accessible. .0604(a) 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. In space #5, I observed one (1) electrical outlet uncovered in the block center. The staff member corrected this during the visit. 10A NCAC 09 .0604(c) 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. Space #4 one (1) Aquaphor expired 7/2025. Space #5 three (3) diaper creams permission to administer medication forms expired (Petroleum Jelly expired 8/6/25, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #5 one (1) emergency medication permission to administer medication form expired 1/30/2025. .0803(12) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. Space #3 one (1) emergency medication was administered, and staff did not document all the required information. The staff did not document the dosage and route the medication was administered. .0803(13)(a-e); .2318(3) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident report for incident that occurred on 7/8/2025 was missing the name of the medical facility the child received treatment, and the witness of the incident. .0802 (e) 853 Incident logs were not completed and maintained as required. Incident that occurred on 7/8/2025 was not logged on the incident log. .0802(g)(1-6) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 4/2/2025 emergency information was not completed on or before the first day of work. The emergency information on file was dated 4/8/2025. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member hired 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired 7/25/2016 did not complete the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. .1103(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. EPR plan was not updated annually. The EPR plan on file for review was dated 6/27/2024 and was due to be updated by 6/27/2025. .0607(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. Space #3 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. Space #5 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. .0801(b) 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. Space #3 one (1) medical action plan was not updated annually. The medical action plan onsite was dated 5/1/2024 and expired 5/1/2025. .0801(b) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 3/26/2024 did not complete the health and safety training within one year of employment. .1102(a) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. Incident report dated 7/8/2025 was not mailed to the Division representative within seven (7) calendar days after the incident when medical treatment was received. The incident report was received during the visit today. .0802(f) Technical assistance was provided as follows: Item 106 The annual fire inspection was not completed within twelve (12) months of the previous fire inspection. The current fire inspection on file was dated 6/16/2025, and the previous inspection was dated 3/12/2024. We discussed to reach out to the Fire Marshal two (2) months prior to the date the inspection is due to ensure that the facility is on the schedule for inspection. Rule Reference: 10A NCAC 09.0304(a) Item 528 The meal substitutions were not recorded on the menu prior to serving the meal to the children. Lunch served to the children was meatloaf, blueberries, peaches, carrots, corn bread, and milk. The menu posted documented turkey roast, broccoli, peaches, bread, and milk. We discussed that if the facility is making meal substitutions, the substitutions need to be recorded on the menu posted prior to serving the meal to the children. Rule Reference: 10A NCAC 09.0901(b) Item 614 Space #4, cots in the block center were not placed at least eighteen (18) inches apart or separated with a solid barrier extending the full length of the cot. The cots measured sixteen (16) inches apart and no solid barrier was used to separate the children on their cots. We discussed that the cots must be at minimum of eighteen (18) inches apart. The staff will need to move one (1) of the three (3) cots in the block center to allow for enough space between cots. Rule Reference: 15A NCAC 18A.2821(e) Item 705 outdoor storage container was broken with sharp edges accessible to children. Broken fence enclosing the air conditioning units was broken leaning in towards the two (2) units. The gate that enclosed the air conditioning units would not latch and rust was showing at the bottom of the gate and on the post. We discussed the storage container would need to be replaced or remove the top cover that is broken to allow continued use. The fence and gate would need to be repaired. The administrator stated that a workorder has been submitted for repairs. Rule Reference: 10A NCAC 09 .0601(c) Item 807 Outdoor space #3 the mulch has washed away exposing the dirt creating a tripping hazard around the concrete walkways, and the wooden privacy fence was deteriorating the in the base creating sharp edges. We discussed that mulch would need to installed to or the facility would need to come up with a temporary solution to prevent children from tripping and being injured. The facility would need to repair the wooden privacy fence to remove the deteriorating area. Space #4 during nap time, the mop bucket was accessible to children. We discussed when the mop bucket is out in the classroom, the staff must be with mop bucket at all times to ensure a child does not access the chemicals in the mop bucket. Rule Reference: 10A NCAC 09.0601(a) Item 812 In space #5, I observed one (1) electrical outlet uncovered in the block center. The staff member corrected this during the visit. We discussed conducting routine classroom checks to ensure the environment is safe for the children. Rule reference: 10A NCAC 09.0604(c) Item 849- Space #4 one (1) Aquaphor expired 7/2025. Space #5 three (3) diaper creams permission to administer medication forms expired (Petroleum Jelly expired 8/6/205, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #5 one (1) emergency medication permission to administer medication form expired 1/30/2025. We discussed conducting a monthly medication check to ensure all medications and permission to administer medication forms are current and in compliance. Rule Reference: 10A NCAC 09.0803(12) Item 851- Space #3 one (1) emergency medication was administered, and staff did not document all the required information. The staff did not document the dosage and route the medication was administered. We discussed when completing the medication log it must be completed in its entirety including the dosage and route the medication was administered. Rule reference: 10A NCAC 09 .0803(13)(a-e);.2318(3) Item 852 Incident report for incident that occurred on 7/8/2025 was missing the name of the medical facility the child received treatment, and the witness of the incident. We discussed when an incident occurs to document the incident immediately. Rule Reference: 10A NCAC 09 .0802 (e) Item 853- Incident that occurred on 7/8/2025 was not logged on the incident log. The administrator logged it on the incident log during the visit. We discussed when an incident occurs to log it immediately. Rule Reference: 10A NCAC 09.0802 (g) Item 1035- Staff member hired 4/2/2025 emergency information was not completed on or before the first day of work. The emergency information on file was dated 4/8/2025. We discussed when a new staff member is hired, the staff member would need to complete the emergency information. Rule reference: 10A NCAC 09 .0701(a) Item 1052 Staff member hired 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired 7/25/2016 did not completed the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. We discussed creating a chart to document the required training hours for each staff member and continuously reminding the staff that they have until their employment date the following year to complete the required hours of on-going training. Rule Reference: 10A NCAC 09 .1103(a) Item 1422 Space #3 The classroom storage closet was unlocked with the key in the lock a staff purse was accessible and adult tools. The staff member locked the door and removed the key during the visit. We discussed conducting a routine check to ensure the closet is locked. Rule reference: 10A NCAC 09.2506(c) Item 1824 EPR plan was not updated annually. The EPR plan on file for review was dated 6/27/2024 and was due to be updated by 6/27/2025. We discussed to document on your calendar when to update the EPR plan as a reminder. Rule reference: 10A NCAC 09 .0607(e) Item 1834- Space #3 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. Space #5 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. We discussed the medical action plan must be completed and on-site with the medication and attached to the child’s application for the child’s medical health care needs. Rule Reference: 10A NCAC 09 .0801(b) Item 1835 Space #3 one (1) medical action plan was not updated annually. The medical action plan onsite was dated 5/1/2024 and expired 5/1/2025. We discussed conducted monthly medication checks to ensure all medications, medication forms, and action plans are current and valid. Rule reference: 10A NCAC 09 .0801(b)(1-4) Item 1898 Staff member hired 3/26/2024 did not complete the health and safety training within one year of employment. We discussed when new staff is hired, they have one (1) year from their employment date to complete the required health and safety training. Rule reference: 10A NCAC 09 .1102(a) Item 1911 Incident report dated 7/8/2025 was not mailed to the Division representative within seven (7) calendar days after the incident when medical treatment was received. The incident report was received during the visit today. We discussed when an incident occurs and a child receives medical treatment, the incident report must be mailed to me within seven (7) days. Rule Reference: 10A NCAC 09.0802(f) Achieving Compliance: A follow-up visit could be conducted to verify compliance. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/21/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -New administrator will need to register for EPR training and complete the training by December. -We discussed medical actions plans must be attached to the child’s application, and I recommend to put a copy of the medical action plan with the emergency medication in the classroom. -On-going training hours are due annually from the staff members employment date to the staff members employment anniversary date each year (ex. Staff member hired 7/25/2016 on-going training hours are due by July 25th of each year). -Review with staff storage of hazardous products including the mop bucket. -I recommend reaching out to Buncombe County Partnership for Children to provide medication administration training to refresh staff. - DCDEE has added a new training module about Child Development on the DCDEE Moodle Learning Platform. This is the first of several planned modules to support orientation and the health and safety training requirements. This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID is needed to access the Child Development Module. If you do not have an NCID, visit MYNCID.nc.gov to register for a free NCID account. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 09.2506 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/7/2025 Number Present: 31 Completed Date: 8/7/2025 Age: From 0 To 11 Total Minutes: 360 Time In: 10:00 AM Time Out: 04:00 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 2/10/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License, issued 9/1/2024. Special Services/Restrictions – First shift (Daytime care), children under 2 ½ years old in rooms with direct exits only, meets enhanced ratios, meets enhanced space. The last fire drill was practiced on 7/28/2025. The last emergency drill, lockdown drill, was practiced on 6/11/2025. The last fire inspection was approved on 6/16/2025. The previous fire inspection was completed on 3/12/2024. The fire inspection was not conducted within twelve (12) months of the previous inspection. The program’s most recent sanitation inspection was completed on 4/3/2025, with fifteen (15) demerits. The last lead water testing was completed on 12/11/2023. The next testing is due by 12/11/2026. The last lead paint and asbestos testing was completed on 5/16/2024. The next testing is due by 5/16/2027. The Emergency Preparedness and Response (EPR) plan is current as of 6/27/2024. EPR plan was due to be updated by 6/27/2025. The Emergency Medical Care Plan is posted and was updated in 7/25/2025. The program does provide transportation. Upon arrival, I was greeted by Mary Virella, Administrator. A walkthrough of the indoor and outdoor environment was conducted. Space #1A the group of infant and one-year olds were engaged in floor play exploring the classroom. The staff member was conducting routine diaper changes as needed. While monitoring the room, I observed one (1) one year old visiting from space #5. During nap time, the staff member assisted the one (1) child on the cot with calming down to rest. Two (2) children were eating lunch in the highchairs, and one (1) child was laying on the activity mat engaged in play. Space #1B is currently closed. Space #2 is currently closed. A therapist was using the space with one (1) child. Space #3 the group of four- to eleven-year-olds were engaged in free play, free art, and making playdough. After free play, the group transitioned outdoors for gross motor play. While monitoring the indoor space, I observed one emergency medical action plan expired 5/1/2025. The classroom storage closed was unlocked with the key in the lock a staff purse was accessible and adult tools. The staff member locked the door and removed the key during the visit. Space #4 the group of two- to four-year-old children were engaged in outdoor gross motor play with tunnel, metal jeep, trikes, balls, and steppers. While monitoring the indoor space, I observed one (1) Aquaphor that expired 7/2025. During nap time, I observed the room used natural lighting from the front windows and soft music. The cots in the block center measured sixteen (16) inches rather than the required eighteen (18) inches. Space #5 the group of one- to two-year-olds were engaged in free play with the kitchen set, blocks, books, and climber. The staff member was conducting routine diaper change. While monitoring the indoor space, I observed one (1) electrical outlet uncovered. The staff corrected this during the visit. One (1) emergency medication end date was dated 1/30/2025. Three (3) diaper creams permission to administer medication forms were expired (Petroleum Jelly expired 8/6/2025, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #6 is currently closed. Lunch today consisted of meatloaf, carrots, blueberries, peaches, cornbread, and milk. Menu posted documented lunch was turkey roast, broccoli, peaches, bread, and milk. The menu was updated during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. Staff file concerns: Staff member hired on 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired on 7/25/2016 did not complete the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. We discussed creating a chart to document the required training hours for each staff member and continuously reminding the staff that they have until their employment date the following year to complete the required hours of on-going training. Staff member hired on 3/26/2024 did not complete the health and safety training within one year of employment. We discussed when new staff are hired, they have one (1) year from their employment date to complete the required health and safety training. While reviewing the incident report I observed, the form was missing the name of the medical facility the child received treatment at, and the witness of the incident. The incident was not mailed within seven (7) calendar days, and was not documented on the incident log. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The annual fire inspection was not completed within twelve (12) months of the previous fire inspection. The current fire inspection on file was dated 6/16/2025, and the previous inspection was dated 3/12/2024. 10A NCAC 09 .0304(a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The meal substitutions were not recorded on the menu prior to serving the meal to the children. Lunch served to the children was meatloaf, blueberries, peaches, carrots, corn bread, and milk. The menu posted documented turkey roast, broccoli, peaches, bread, and milk. 10A NCAC 09 .0901(b) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #4, cots in the block center were not placed at least eighteen (18) inches apart or separated with a solid barrier extending the full length of the cot. The cots measured sixteen (16) inches apart and no solid barrier was used to separate the children on their cots. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. outdoor storage container was broken with sharp edges accessible to children. Broken fence enclosing the air conditioning units was broken leaning in towards the two (2) units. The gate that enclosed the air conditioning units would not latch and rust was showing at the bottom of the gate and on the post. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. Outdoor space #3 the mulch has washed away exposing the dirt creating a tripping hazard around the concrete walkways, and the wooden privacy fence was deteriorating at the base creating sharp edges. Space #4 during nap time, the mop bucket was accessible to children. Space #3 The classroom storage closet was unlocked with the key in the lock. A staff member's purse was accessible. The purse storage was corrected during the visit. 10A NCAC 09 .0601(a) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Space #3 The classroom storage closet was unlocked with the key in the lock. Adult tools were accessible. .0604(a) 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. In space #5, I observed one (1) electrical outlet uncovered in the block center. The staff member corrected this during the visit. 10A NCAC 09 .0604(c) 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. Space #4 one (1) Aquaphor expired 7/2025. Space #5 three (3) diaper creams permission to administer medication forms expired (Petroleum Jelly expired 8/6/25, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #5 one (1) emergency medication permission to administer medication form expired 1/30/2025. .0803(12) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. Space #3 one (1) emergency medication was administered, and staff did not document all the required information. The staff did not document the dosage and route the medication was administered. .0803(13)(a-e); .2318(3) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident report for incident that occurred on 7/8/2025 was missing the name of the medical facility the child received treatment, and the witness of the incident. .0802 (e) 853 Incident logs were not completed and maintained as required. Incident that occurred on 7/8/2025 was not logged on the incident log. .0802(g)(1-6) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 4/2/2025 emergency information was not completed on or before the first day of work. The emergency information on file was dated 4/8/2025. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member hired 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired 7/25/2016 did not complete the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. .1103(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. EPR plan was not updated annually. The EPR plan on file for review was dated 6/27/2024 and was due to be updated by 6/27/2025. .0607(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. Space #3 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. Space #5 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. .0801(b) 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. Space #3 one (1) medical action plan was not updated annually. The medical action plan onsite was dated 5/1/2024 and expired 5/1/2025. .0801(b) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 3/26/2024 did not complete the health and safety training within one year of employment. .1102(a) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. Incident report dated 7/8/2025 was not mailed to the Division representative within seven (7) calendar days after the incident when medical treatment was received. The incident report was received during the visit today. .0802(f) Technical assistance was provided as follows: Item 106 The annual fire inspection was not completed within twelve (12) months of the previous fire inspection. The current fire inspection on file was dated 6/16/2025, and the previous inspection was dated 3/12/2024. We discussed to reach out to the Fire Marshal two (2) months prior to the date the inspection is due to ensure that the facility is on the schedule for inspection. Rule Reference: 10A NCAC 09.0304(a) Item 528 The meal substitutions were not recorded on the menu prior to serving the meal to the children. Lunch served to the children was meatloaf, blueberries, peaches, carrots, corn bread, and milk. The menu posted documented turkey roast, broccoli, peaches, bread, and milk. We discussed that if the facility is making meal substitutions, the substitutions need to be recorded on the menu posted prior to serving the meal to the children. Rule Reference: 10A NCAC 09.0901(b) Item 614 Space #4, cots in the block center were not placed at least eighteen (18) inches apart or separated with a solid barrier extending the full length of the cot. The cots measured sixteen (16) inches apart and no solid barrier was used to separate the children on their cots. We discussed that the cots must be at minimum of eighteen (18) inches apart. The staff will need to move one (1) of the three (3) cots in the block center to allow for enough space between cots. Rule Reference: 15A NCAC 18A.2821(e) Item 705 outdoor storage container was broken with sharp edges accessible to children. Broken fence enclosing the air conditioning units was broken leaning in towards the two (2) units. The gate that enclosed the air conditioning units would not latch and rust was showing at the bottom of the gate and on the post. We discussed the storage container would need to be replaced or remove the top cover that is broken to allow continued use. The fence and gate would need to be repaired. The administrator stated that a workorder has been submitted for repairs. Rule Reference: 10A NCAC 09 .0601(c) Item 807 Outdoor space #3 the mulch has washed away exposing the dirt creating a tripping hazard around the concrete walkways, and the wooden privacy fence was deteriorating the in the base creating sharp edges. We discussed that mulch would need to installed to or the facility would need to come up with a temporary solution to prevent children from tripping and being injured. The facility would need to repair the wooden privacy fence to remove the deteriorating area. Space #4 during nap time, the mop bucket was accessible to children. We discussed when the mop bucket is out in the classroom, the staff must be with mop bucket at all times to ensure a child does not access the chemicals in the mop bucket. Rule Reference: 10A NCAC 09.0601(a) Item 812 In space #5, I observed one (1) electrical outlet uncovered in the block center. The staff member corrected this during the visit. We discussed conducting routine classroom checks to ensure the environment is safe for the children. Rule reference: 10A NCAC 09.0604(c) Item 849- Space #4 one (1) Aquaphor expired 7/2025. Space #5 three (3) diaper creams permission to administer medication forms expired (Petroleum Jelly expired 8/6/205, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #5 one (1) emergency medication permission to administer medication form expired 1/30/2025. We discussed conducting a monthly medication check to ensure all medications and permission to administer medication forms are current and in compliance. Rule Reference: 10A NCAC 09.0803(12) Item 851- Space #3 one (1) emergency medication was administered, and staff did not document all the required information. The staff did not document the dosage and route the medication was administered. We discussed when completing the medication log it must be completed in its entirety including the dosage and route the medication was administered. Rule reference: 10A NCAC 09 .0803(13)(a-e);.2318(3) Item 852 Incident report for incident that occurred on 7/8/2025 was missing the name of the medical facility the child received treatment, and the witness of the incident. We discussed when an incident occurs to document the incident immediately. Rule Reference: 10A NCAC 09 .0802 (e) Item 853- Incident that occurred on 7/8/2025 was not logged on the incident log. The administrator logged it on the incident log during the visit. We discussed when an incident occurs to log it immediately. Rule Reference: 10A NCAC 09.0802 (g) Item 1035- Staff member hired 4/2/2025 emergency information was not completed on or before the first day of work. The emergency information on file was dated 4/8/2025. We discussed when a new staff member is hired, the staff member would need to complete the emergency information. Rule reference: 10A NCAC 09 .0701(a) Item 1052 Staff member hired 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired 7/25/2016 did not completed the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. We discussed creating a chart to document the required training hours for each staff member and continuously reminding the staff that they have until their employment date the following year to complete the required hours of on-going training. Rule Reference: 10A NCAC 09 .1103(a) Item 1422 Space #3 The classroom storage closet was unlocked with the key in the lock a staff purse was accessible and adult tools. The staff member locked the door and removed the key during the visit. We discussed conducting a routine check to ensure the closet is locked. Rule reference: 10A NCAC 09.2506(c) Item 1824 EPR plan was not updated annually. The EPR plan on file for review was dated 6/27/2024 and was due to be updated by 6/27/2025. We discussed to document on your calendar when to update the EPR plan as a reminder. Rule reference: 10A NCAC 09 .0607(e) Item 1834- Space #3 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. Space #5 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. We discussed the medical action plan must be completed and on-site with the medication and attached to the child’s application for the child’s medical health care needs. Rule Reference: 10A NCAC 09 .0801(b) Item 1835 Space #3 one (1) medical action plan was not updated annually. The medical action plan onsite was dated 5/1/2024 and expired 5/1/2025. We discussed conducted monthly medication checks to ensure all medications, medication forms, and action plans are current and valid. Rule reference: 10A NCAC 09 .0801(b)(1-4) Item 1898 Staff member hired 3/26/2024 did not complete the health and safety training within one year of employment. We discussed when new staff is hired, they have one (1) year from their employment date to complete the required health and safety training. Rule reference: 10A NCAC 09 .1102(a) Item 1911 Incident report dated 7/8/2025 was not mailed to the Division representative within seven (7) calendar days after the incident when medical treatment was received. The incident report was received during the visit today. We discussed when an incident occurs and a child receives medical treatment, the incident report must be mailed to me within seven (7) days. Rule Reference: 10A NCAC 09.0802(f) Achieving Compliance: A follow-up visit could be conducted to verify compliance. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/21/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -New administrator will need to register for EPR training and complete the training by December. -We discussed medical actions plans must be attached to the child’s application, and I recommend to put a copy of the medical action plan with the emergency medication in the classroom. -On-going training hours are due annually from the staff members employment date to the staff members employment anniversary date each year (ex. Staff member hired 7/25/2016 on-going training hours are due by July 25th of each year). -Review with staff storage of hazardous products including the mop bucket. -I recommend reaching out to Buncombe County Partnership for Children to provide medication administration training to refresh staff. - DCDEE has added a new training module about Child Development on the DCDEE Moodle Learning Platform. This is the first of several planned modules to support orientation and the health and safety training requirements. This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID is needed to access the Child Development Module. If you do not have an NCID, visit MYNCID.nc.gov to register for a free NCID account. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/7/2025 Number Present: 31 Completed Date: 8/7/2025 Age: From 0 To 11 Total Minutes: 360 Time In: 10:00 AM Time Out: 04:00 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Mary Virella, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Mary Virella, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 2/10/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License, issued 9/1/2024. Special Services/Restrictions – First shift (Daytime care), children under 2 ½ years old in rooms with direct exits only, meets enhanced ratios, meets enhanced space. The last fire drill was practiced on 7/28/2025. The last emergency drill, lockdown drill, was practiced on 6/11/2025. The last fire inspection was approved on 6/16/2025. The previous fire inspection was completed on 3/12/2024. The fire inspection was not conducted within twelve (12) months of the previous inspection. The program’s most recent sanitation inspection was completed on 4/3/2025, with fifteen (15) demerits. The last lead water testing was completed on 12/11/2023. The next testing is due by 12/11/2026. The last lead paint and asbestos testing was completed on 5/16/2024. The next testing is due by 5/16/2027. The Emergency Preparedness and Response (EPR) plan is current as of 6/27/2024. EPR plan was due to be updated by 6/27/2025. The Emergency Medical Care Plan is posted and was updated in 7/25/2025. The program does provide transportation. Upon arrival, I was greeted by Mary Virella, Administrator. A walkthrough of the indoor and outdoor environment was conducted. Space #1A the group of infant and one-year olds were engaged in floor play exploring the classroom. The staff member was conducting routine diaper changes as needed. While monitoring the room, I observed one (1) one year old visiting from space #5. During nap time, the staff member assisted the one (1) child on the cot with calming down to rest. Two (2) children were eating lunch in the highchairs, and one (1) child was laying on the activity mat engaged in play. Space #1B is currently closed. Space #2 is currently closed. A therapist was using the space with one (1) child. Space #3 the group of four- to eleven-year-olds were engaged in free play, free art, and making playdough. After free play, the group transitioned outdoors for gross motor play. While monitoring the indoor space, I observed one emergency medical action plan expired 5/1/2025. The classroom storage closed was unlocked with the key in the lock a staff purse was accessible and adult tools. The staff member locked the door and removed the key during the visit. Space #4 the group of two- to four-year-old children were engaged in outdoor gross motor play with tunnel, metal jeep, trikes, balls, and steppers. While monitoring the indoor space, I observed one (1) Aquaphor that expired 7/2025. During nap time, I observed the room used natural lighting from the front windows and soft music. The cots in the block center measured sixteen (16) inches rather than the required eighteen (18) inches. Space #5 the group of one- to two-year-olds were engaged in free play with the kitchen set, blocks, books, and climber. The staff member was conducting routine diaper change. While monitoring the indoor space, I observed one (1) electrical outlet uncovered. The staff corrected this during the visit. One (1) emergency medication end date was dated 1/30/2025. Three (3) diaper creams permission to administer medication forms were expired (Petroleum Jelly expired 8/6/2025, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #6 is currently closed. Lunch today consisted of meatloaf, carrots, blueberries, peaches, cornbread, and milk. Menu posted documented lunch was turkey roast, broccoli, peaches, bread, and milk. The menu was updated during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. Staff file concerns: Staff member hired on 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired on 7/25/2016 did not complete the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. We discussed creating a chart to document the required training hours for each staff member and continuously reminding the staff that they have until their employment date the following year to complete the required hours of on-going training. Staff member hired on 3/26/2024 did not complete the health and safety training within one year of employment. We discussed when new staff are hired, they have one (1) year from their employment date to complete the required health and safety training. While reviewing the incident report I observed, the form was missing the name of the medical facility the child received treatment at, and the witness of the incident. The incident was not mailed within seven (7) calendar days, and was not documented on the incident log. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The annual fire inspection was not completed within twelve (12) months of the previous fire inspection. The current fire inspection on file was dated 6/16/2025, and the previous inspection was dated 3/12/2024. 10A NCAC 09 .0304(a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The meal substitutions were not recorded on the menu prior to serving the meal to the children. Lunch served to the children was meatloaf, blueberries, peaches, carrots, corn bread, and milk. The menu posted documented turkey roast, broccoli, peaches, bread, and milk. 10A NCAC 09 .0901(b) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #4, cots in the block center were not placed at least eighteen (18) inches apart or separated with a solid barrier extending the full length of the cot. The cots measured sixteen (16) inches apart and no solid barrier was used to separate the children on their cots. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. outdoor storage container was broken with sharp edges accessible to children. Broken fence enclosing the air conditioning units was broken leaning in towards the two (2) units. The gate that enclosed the air conditioning units would not latch and rust was showing at the bottom of the gate and on the post. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. Outdoor space #3 the mulch has washed away exposing the dirt creating a tripping hazard around the concrete walkways, and the wooden privacy fence was deteriorating at the base creating sharp edges. Space #4 during nap time, the mop bucket was accessible to children. Space #3 The classroom storage closet was unlocked with the key in the lock. A staff member's purse was accessible. The purse storage was corrected during the visit. 10A NCAC 09 .0601(a) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Space #3 The classroom storage closet was unlocked with the key in the lock. Adult tools were accessible. .0604(a) 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. In space #5, I observed one (1) electrical outlet uncovered in the block center. The staff member corrected this during the visit. 10A NCAC 09 .0604(c) 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. Space #4 one (1) Aquaphor expired 7/2025. Space #5 three (3) diaper creams permission to administer medication forms expired (Petroleum Jelly expired 8/6/25, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #5 one (1) emergency medication permission to administer medication form expired 1/30/2025. .0803(12) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. Space #3 one (1) emergency medication was administered, and staff did not document all the required information. The staff did not document the dosage and route the medication was administered. .0803(13)(a-e); .2318(3) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident report for incident that occurred on 7/8/2025 was missing the name of the medical facility the child received treatment, and the witness of the incident. .0802 (e) 853 Incident logs were not completed and maintained as required. Incident that occurred on 7/8/2025 was not logged on the incident log. .0802(g)(1-6) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 4/2/2025 emergency information was not completed on or before the first day of work. The emergency information on file was dated 4/8/2025. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member hired 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired 7/25/2016 did not complete the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. .1103(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. EPR plan was not updated annually. The EPR plan on file for review was dated 6/27/2024 and was due to be updated by 6/27/2025. .0607(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. Space #3 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. Space #5 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. .0801(b) 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. Space #3 one (1) medical action plan was not updated annually. The medical action plan onsite was dated 5/1/2024 and expired 5/1/2025. .0801(b) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 3/26/2024 did not complete the health and safety training within one year of employment. .1102(a) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. Incident report dated 7/8/2025 was not mailed to the Division representative within seven (7) calendar days after the incident when medical treatment was received. The incident report was received during the visit today. .0802(f) Technical assistance was provided as follows: Item 106 The annual fire inspection was not completed within twelve (12) months of the previous fire inspection. The current fire inspection on file was dated 6/16/2025, and the previous inspection was dated 3/12/2024. We discussed to reach out to the Fire Marshal two (2) months prior to the date the inspection is due to ensure that the facility is on the schedule for inspection. Rule Reference: 10A NCAC 09.0304(a) Item 528 The meal substitutions were not recorded on the menu prior to serving the meal to the children. Lunch served to the children was meatloaf, blueberries, peaches, carrots, corn bread, and milk. The menu posted documented turkey roast, broccoli, peaches, bread, and milk. We discussed that if the facility is making meal substitutions, the substitutions need to be recorded on the menu posted prior to serving the meal to the children. Rule Reference: 10A NCAC 09.0901(b) Item 614 Space #4, cots in the block center were not placed at least eighteen (18) inches apart or separated with a solid barrier extending the full length of the cot. The cots measured sixteen (16) inches apart and no solid barrier was used to separate the children on their cots. We discussed that the cots must be at minimum of eighteen (18) inches apart. The staff will need to move one (1) of the three (3) cots in the block center to allow for enough space between cots. Rule Reference: 15A NCAC 18A.2821(e) Item 705 outdoor storage container was broken with sharp edges accessible to children. Broken fence enclosing the air conditioning units was broken leaning in towards the two (2) units. The gate that enclosed the air conditioning units would not latch and rust was showing at the bottom of the gate and on the post. We discussed the storage container would need to be replaced or remove the top cover that is broken to allow continued use. The fence and gate would need to be repaired. The administrator stated that a workorder has been submitted for repairs. Rule Reference: 10A NCAC 09 .0601(c) Item 807 Outdoor space #3 the mulch has washed away exposing the dirt creating a tripping hazard around the concrete walkways, and the wooden privacy fence was deteriorating the in the base creating sharp edges. We discussed that mulch would need to installed to or the facility would need to come up with a temporary solution to prevent children from tripping and being injured. The facility would need to repair the wooden privacy fence to remove the deteriorating area. Space #4 during nap time, the mop bucket was accessible to children. We discussed when the mop bucket is out in the classroom, the staff must be with mop bucket at all times to ensure a child does not access the chemicals in the mop bucket. Rule Reference: 10A NCAC 09.0601(a) Item 812 In space #5, I observed one (1) electrical outlet uncovered in the block center. The staff member corrected this during the visit. We discussed conducting routine classroom checks to ensure the environment is safe for the children. Rule reference: 10A NCAC 09.0604(c) Item 849- Space #4 one (1) Aquaphor expired 7/2025. Space #5 three (3) diaper creams permission to administer medication forms expired (Petroleum Jelly expired 8/6/205, Destin expired 8/1/2025, and Desitin expired 6/11/25). Space #5 one (1) emergency medication permission to administer medication form expired 1/30/2025. We discussed conducting a monthly medication check to ensure all medications and permission to administer medication forms are current and in compliance. Rule Reference: 10A NCAC 09.0803(12) Item 851- Space #3 one (1) emergency medication was administered, and staff did not document all the required information. The staff did not document the dosage and route the medication was administered. We discussed when completing the medication log it must be completed in its entirety including the dosage and route the medication was administered. Rule reference: 10A NCAC 09 .0803(13)(a-e);.2318(3) Item 852 Incident report for incident that occurred on 7/8/2025 was missing the name of the medical facility the child received treatment, and the witness of the incident. We discussed when an incident occurs to document the incident immediately. Rule Reference: 10A NCAC 09 .0802 (e) Item 853- Incident that occurred on 7/8/2025 was not logged on the incident log. The administrator logged it on the incident log during the visit. We discussed when an incident occurs to log it immediately. Rule Reference: 10A NCAC 09.0802 (g) Item 1035- Staff member hired 4/2/2025 emergency information was not completed on or before the first day of work. The emergency information on file was dated 4/8/2025. We discussed when a new staff member is hired, the staff member would need to complete the emergency information. Rule reference: 10A NCAC 09 .0701(a) Item 1052 Staff member hired 5/17/21 did not complete the required on-going training hours by 5/17/2025. The staff member was required to complete fifteen (15) clock hours before 5/17/2025. The staff member completed seven (7) hours. Staff member hired 7/25/2016 did not completed the required on-going training hours by 7/25/2025. The staff member was required to complete eight (8) hours before 7/25/2025. The staff member completed seven (7) hours. Staff member hired 4/9/2019 did not complete the required on-going training hours by 4/9/2025. We discussed creating a chart to document the required training hours for each staff member and continuously reminding the staff that they have until their employment date the following year to complete the required hours of on-going training. Rule Reference: 10A NCAC 09 .1103(a) Item 1422 Space #3 The classroom storage closet was unlocked with the key in the lock a staff purse was accessible and adult tools. The staff member locked the door and removed the key during the visit. We discussed conducting a routine check to ensure the closet is locked. Rule reference: 10A NCAC 09.2506(c) Item 1824 EPR plan was not updated annually. The EPR plan on file for review was dated 6/27/2024 and was due to be updated by 6/27/2025. We discussed to document on your calendar when to update the EPR plan as a reminder. Rule reference: 10A NCAC 09 .0607(e) Item 1834- Space #3 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. Space #5 one (1) child’s medical action plan was not attached to the child’s application for the child’s medical health care needs. We discussed the medical action plan must be completed and on-site with the medication and attached to the child’s application for the child’s medical health care needs. Rule Reference: 10A NCAC 09 .0801(b) Item 1835 Space #3 one (1) medical action plan was not updated annually. The medical action plan onsite was dated 5/1/2024 and expired 5/1/2025. We discussed conducted monthly medication checks to ensure all medications, medication forms, and action plans are current and valid. Rule reference: 10A NCAC 09 .0801(b)(1-4) Item 1898 Staff member hired 3/26/2024 did not complete the health and safety training within one year of employment. We discussed when new staff is hired, they have one (1) year from their employment date to complete the required health and safety training. Rule reference: 10A NCAC 09 .1102(a) Item 1911 Incident report dated 7/8/2025 was not mailed to the Division representative within seven (7) calendar days after the incident when medical treatment was received. The incident report was received during the visit today. We discussed when an incident occurs and a child receives medical treatment, the incident report must be mailed to me within seven (7) days. Rule Reference: 10A NCAC 09.0802(f) Achieving Compliance: A follow-up visit could be conducted to verify compliance. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/21/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -New administrator will need to register for EPR training and complete the training by December. -We discussed medical actions plans must be attached to the child’s application, and I recommend to put a copy of the medical action plan with the emergency medication in the classroom. -On-going training hours are due annually from the staff members employment date to the staff members employment anniversary date each year (ex. Staff member hired 7/25/2016 on-going training hours are due by July 25th of each year). -Review with staff storage of hazardous products including the mop bucket. -I recommend reaching out to Buncombe County Partnership for Children to provide medication administration training to refresh staff. - DCDEE has added a new training module about Child Development on the DCDEE Moodle Learning Platform. This is the first of several planned modules to support orientation and the health and safety training requirements. This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID is needed to access the Child Development Module. If you do not have an NCID, visit MYNCID.nc.gov to register for a free NCID account. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0801 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 2/10/2025 Number Present: 46 Completed Date: 2/10/2025 Age: From 0 To 5 Total Minutes: 290 Time In: 10:10 AM Time Out: 03:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Angela Hurd, Administrator during the visit. An electronic signed copy of the visit summary was left on-site with you. Angela Hurd, Administrator was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 1/31/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Child Development Schools North Carolina, LLC., is current/active as of 1/31/2025. Permit type – Five Star Rated License , issued 9/1/2024. Special Services/Restrictions – first shift, meets enhanced space, meets enhanced ratios, children under 2 1/2 years old in rooms with direct exits only. Approved NC Pre-K, and transportation. The last temporary time period visit was conducted on 7/10/2024. The last fire drill was practiced on 1/23/2025. The last shelter-in-place drill was practiced on 12/13/2024. The last playground inspection was documented on 1/23/2025. The last fire inspection was approved on 3/12/2024. The last sanitation inspection was conducted on 4/4/2024 with ten (10) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the indoor and outdoor environment used by the children. Space #1A the group of infants were engaged in individual feeding, two (2) were exploring the classroom, and two (2) were in their crib awake but resting. The staff member was supervising the children while bottle feeding one (1) child. Space #1B the group of infant and one year old children were engaged in play on the floor. Two (2) one year old children were visiting from the one-year-old classroom to help maintain staff/child ratio. One (1) of the children left while monitoring the classroom due to not feeling well. Space #2 the group of three to four year old children were transitioning outdoor for gross motor play. After gross motor play outdoors, the group transitioned back indoors to wash hands and engage in free play. Space #3 is currently closed. Space #4 the group of two to three year old children were engaged in play with linking rings, waffle blocks, and coloring. Space #5 the group of one year olds were engaged in free play and preparing for lunch. Space #6 the group of four to five year olds were engaged in free play with blocks, free art, and books. One (1) staff was engaged with the children at art and one (1) staff member was supervising the children while moving about the indoor space. While monitoring the medications for the preschool classroom, one (1) emergency medication action plan expired on 8/7/2024. While monitoring the school-age medications, two (2) permission to administer medication forms expired on 1/26/2025, and one (1) emergency medication action plan expired on 1/12/2025. The program does provide transportation. You stated that you transport school-age children five to twelve years old from school to the facility. Plan to transport on field trips during the summer. I monitored three (3) vehicles today. Two (2) of the vehicles are out of commission due to damage sustained due to Tropical Storm Helene. The facility only uses one (1) vehicle to transport children. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. Two (2) children files were monitored today. The classroom operates from 8:15a.m. to 3:00p.m. Due to Tropical Storm Helene One (1) NC Pre-K child medical record and immunizations was not on file within the first thirty days of enrollment. We discussed that an updated medical report and immunization record must be on file for the children enrolled in the NC Pre-K program. The parent will need to reach out to the child’s physician to request a medical report and immunization record be completed. Once completed, plan to notify the consultant with the date the medical report and immunization report was completed and on file. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 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. In space #6, two (2) emergency medication permission to administer medication forms that expired on 1/26/2025. .0803(12) 853 Incident logs were not completed and maintained as required. Two (2) incident reports were not logged on the incident log. .0802(g)(1-6) 1836 Center administrators and staff did not use the information provided in the application to ensure that each individual child's needs are met. In space #6, two (2) action plan expired, one expired 8/7/2024 and one expired 1/12/2025. .0801 (e) Technical assistance was provided as follows: Item #849 In space #6, two (2) emergency medication permission to administer medication forms that expired on 1/26/2025. We discussed that it is best practice to have one (1) person check in the medications to ensure that all the requirements for medications is met prior to sending the medication to the classroom for use. Rule Reference: 10A NCAC 09 .0803 (b) Item #853 Two (2) incident reports were not logged on the incident log. The administrator corrected this during the visit by adding the incident report information to the log. Rule Reference: 10A NCAC 09 .0802(g)(1-6) Item #1836 In space #6, two (2) action plan expired, one expired 8/7/2024 and one expired 1/12/2025. We discussed that the action plan will need to updated annually (ex. Action plan dated 8/7/2023 will need to be updated on or before 8/7/2024). Rule Reference: 10A NCAC 09 .0801 (b) (1-4) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/24/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed reviewing with all staff that a specific dosage for each medication is listed to ensure that the medication is administered correctly per the parents request. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 2/10/2025 Number Present: 46 Completed Date: 2/10/2025 Age: From 0 To 5 Total Minutes: 290 Time In: 10:10 AM Time Out: 03:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Angela Hurd, Administrator during the visit. An electronic signed copy of the visit summary was left on-site with you. Angela Hurd, Administrator was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 1/31/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Child Development Schools North Carolina, LLC., is current/active as of 1/31/2025. Permit type – Five Star Rated License , issued 9/1/2024. Special Services/Restrictions – first shift, meets enhanced space, meets enhanced ratios, children under 2 1/2 years old in rooms with direct exits only. Approved NC Pre-K, and transportation. The last temporary time period visit was conducted on 7/10/2024. The last fire drill was practiced on 1/23/2025. The last shelter-in-place drill was practiced on 12/13/2024. The last playground inspection was documented on 1/23/2025. The last fire inspection was approved on 3/12/2024. The last sanitation inspection was conducted on 4/4/2024 with ten (10) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the indoor and outdoor environment used by the children. Space #1A the group of infants were engaged in individual feeding, two (2) were exploring the classroom, and two (2) were in their crib awake but resting. The staff member was supervising the children while bottle feeding one (1) child. Space #1B the group of infant and one year old children were engaged in play on the floor. Two (2) one year old children were visiting from the one-year-old classroom to help maintain staff/child ratio. One (1) of the children left while monitoring the classroom due to not feeling well. Space #2 the group of three to four year old children were transitioning outdoor for gross motor play. After gross motor play outdoors, the group transitioned back indoors to wash hands and engage in free play. Space #3 is currently closed. Space #4 the group of two to three year old children were engaged in play with linking rings, waffle blocks, and coloring. Space #5 the group of one year olds were engaged in free play and preparing for lunch. Space #6 the group of four to five year olds were engaged in free play with blocks, free art, and books. One (1) staff was engaged with the children at art and one (1) staff member was supervising the children while moving about the indoor space. While monitoring the medications for the preschool classroom, one (1) emergency medication action plan expired on 8/7/2024. While monitoring the school-age medications, two (2) permission to administer medication forms expired on 1/26/2025, and one (1) emergency medication action plan expired on 1/12/2025. The program does provide transportation. You stated that you transport school-age children five to twelve years old from school to the facility. Plan to transport on field trips during the summer. I monitored three (3) vehicles today. Two (2) of the vehicles are out of commission due to damage sustained due to Tropical Storm Helene. The facility only uses one (1) vehicle to transport children. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. Two (2) children files were monitored today. The classroom operates from 8:15a.m. to 3:00p.m. Due to Tropical Storm Helene One (1) NC Pre-K child medical record and immunizations was not on file within the first thirty days of enrollment. We discussed that an updated medical report and immunization record must be on file for the children enrolled in the NC Pre-K program. The parent will need to reach out to the child’s physician to request a medical report and immunization record be completed. Once completed, plan to notify the consultant with the date the medical report and immunization report was completed and on file. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 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. In space #6, two (2) emergency medication permission to administer medication forms that expired on 1/26/2025. .0803(12) 853 Incident logs were not completed and maintained as required. Two (2) incident reports were not logged on the incident log. .0802(g)(1-6) 1836 Center administrators and staff did not use the information provided in the application to ensure that each individual child's needs are met. In space #6, two (2) action plan expired, one expired 8/7/2024 and one expired 1/12/2025. .0801 (e) Technical assistance was provided as follows: Item #849 In space #6, two (2) emergency medication permission to administer medication forms that expired on 1/26/2025. We discussed that it is best practice to have one (1) person check in the medications to ensure that all the requirements for medications is met prior to sending the medication to the classroom for use. Rule Reference: 10A NCAC 09 .0803 (b) Item #853 Two (2) incident reports were not logged on the incident log. The administrator corrected this during the visit by adding the incident report information to the log. Rule Reference: 10A NCAC 09 .0802(g)(1-6) Item #1836 In space #6, two (2) action plan expired, one expired 8/7/2024 and one expired 1/12/2025. We discussed that the action plan will need to updated annually (ex. Action plan dated 8/7/2023 will need to be updated on or before 8/7/2024). Rule Reference: 10A NCAC 09 .0801 (b) (1-4) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/24/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed reviewing with all staff that a specific dosage for each medication is listed to ensure that the medication is administered correctly per the parents request. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0304 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 2/10/2025 Number Present: 46 Completed Date: 2/10/2025 Age: From 0 To 5 Total Minutes: 290 Time In: 10:10 AM Time Out: 03:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Angela Hurd, Administrator during the visit. An electronic signed copy of the visit summary was left on-site with you. Angela Hurd, Administrator was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 1/31/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Child Development Schools North Carolina, LLC., is current/active as of 1/31/2025. Permit type – Five Star Rated License , issued 9/1/2024. Special Services/Restrictions – first shift, meets enhanced space, meets enhanced ratios, children under 2 1/2 years old in rooms with direct exits only. Approved NC Pre-K, and transportation. The last temporary time period visit was conducted on 7/10/2024. The last fire drill was practiced on 1/23/2025. The last shelter-in-place drill was practiced on 12/13/2024. The last playground inspection was documented on 1/23/2025. The last fire inspection was approved on 3/12/2024. The last sanitation inspection was conducted on 4/4/2024 with ten (10) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the indoor and outdoor environment used by the children. Space #1A the group of infants were engaged in individual feeding, two (2) were exploring the classroom, and two (2) were in their crib awake but resting. The staff member was supervising the children while bottle feeding one (1) child. Space #1B the group of infant and one year old children were engaged in play on the floor. Two (2) one year old children were visiting from the one-year-old classroom to help maintain staff/child ratio. One (1) of the children left while monitoring the classroom due to not feeling well. Space #2 the group of three to four year old children were transitioning outdoor for gross motor play. After gross motor play outdoors, the group transitioned back indoors to wash hands and engage in free play. Space #3 is currently closed. Space #4 the group of two to three year old children were engaged in play with linking rings, waffle blocks, and coloring. Space #5 the group of one year olds were engaged in free play and preparing for lunch. Space #6 the group of four to five year olds were engaged in free play with blocks, free art, and books. One (1) staff was engaged with the children at art and one (1) staff member was supervising the children while moving about the indoor space. While monitoring the medications for the preschool classroom, one (1) emergency medication action plan expired on 8/7/2024. While monitoring the school-age medications, two (2) permission to administer medication forms expired on 1/26/2025, and one (1) emergency medication action plan expired on 1/12/2025. The program does provide transportation. You stated that you transport school-age children five to twelve years old from school to the facility. Plan to transport on field trips during the summer. I monitored three (3) vehicles today. Two (2) of the vehicles are out of commission due to damage sustained due to Tropical Storm Helene. The facility only uses one (1) vehicle to transport children. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. Two (2) children files were monitored today. The classroom operates from 8:15a.m. to 3:00p.m. Due to Tropical Storm Helene One (1) NC Pre-K child medical record and immunizations was not on file within the first thirty days of enrollment. We discussed that an updated medical report and immunization record must be on file for the children enrolled in the NC Pre-K program. The parent will need to reach out to the child’s physician to request a medical report and immunization record be completed. Once completed, plan to notify the consultant with the date the medical report and immunization report was completed and on file. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 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. In space #6, two (2) emergency medication permission to administer medication forms that expired on 1/26/2025. .0803(12) 853 Incident logs were not completed and maintained as required. Two (2) incident reports were not logged on the incident log. .0802(g)(1-6) 1836 Center administrators and staff did not use the information provided in the application to ensure that each individual child's needs are met. In space #6, two (2) action plan expired, one expired 8/7/2024 and one expired 1/12/2025. .0801 (e) Technical assistance was provided as follows: Item #849 In space #6, two (2) emergency medication permission to administer medication forms that expired on 1/26/2025. We discussed that it is best practice to have one (1) person check in the medications to ensure that all the requirements for medications is met prior to sending the medication to the classroom for use. Rule Reference: 10A NCAC 09 .0803 (b) Item #853 Two (2) incident reports were not logged on the incident log. The administrator corrected this during the visit by adding the incident report information to the log. Rule Reference: 10A NCAC 09 .0802(g)(1-6) Item #1836 In space #6, two (2) action plan expired, one expired 8/7/2024 and one expired 1/12/2025. We discussed that the action plan will need to updated annually (ex. Action plan dated 8/7/2023 will need to be updated on or before 8/7/2024). Rule Reference: 10A NCAC 09 .0801 (b) (1-4) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/24/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed reviewing with all staff that a specific dosage for each medication is listed to ensure that the medication is administered correctly per the parents request. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 2/10/2025 Number Present: 46 Completed Date: 2/10/2025 Age: From 0 To 5 Total Minutes: 290 Time In: 10:10 AM Time Out: 03:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Angela Hurd, Administrator during the visit. An electronic signed copy of the visit summary was left on-site with you. Angela Hurd, Administrator was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 1/31/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Child Development Schools North Carolina, LLC., is current/active as of 1/31/2025. Permit type – Five Star Rated License , issued 9/1/2024. Special Services/Restrictions – first shift, meets enhanced space, meets enhanced ratios, children under 2 1/2 years old in rooms with direct exits only. Approved NC Pre-K, and transportation. The last temporary time period visit was conducted on 7/10/2024. The last fire drill was practiced on 1/23/2025. The last shelter-in-place drill was practiced on 12/13/2024. The last playground inspection was documented on 1/23/2025. The last fire inspection was approved on 3/12/2024. The last sanitation inspection was conducted on 4/4/2024 with ten (10) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the indoor and outdoor environment used by the children. Space #1A the group of infants were engaged in individual feeding, two (2) were exploring the classroom, and two (2) were in their crib awake but resting. The staff member was supervising the children while bottle feeding one (1) child. Space #1B the group of infant and one year old children were engaged in play on the floor. Two (2) one year old children were visiting from the one-year-old classroom to help maintain staff/child ratio. One (1) of the children left while monitoring the classroom due to not feeling well. Space #2 the group of three to four year old children were transitioning outdoor for gross motor play. After gross motor play outdoors, the group transitioned back indoors to wash hands and engage in free play. Space #3 is currently closed. Space #4 the group of two to three year old children were engaged in play with linking rings, waffle blocks, and coloring. Space #5 the group of one year olds were engaged in free play and preparing for lunch. Space #6 the group of four to five year olds were engaged in free play with blocks, free art, and books. One (1) staff was engaged with the children at art and one (1) staff member was supervising the children while moving about the indoor space. While monitoring the medications for the preschool classroom, one (1) emergency medication action plan expired on 8/7/2024. While monitoring the school-age medications, two (2) permission to administer medication forms expired on 1/26/2025, and one (1) emergency medication action plan expired on 1/12/2025. The program does provide transportation. You stated that you transport school-age children five to twelve years old from school to the facility. Plan to transport on field trips during the summer. I monitored three (3) vehicles today. Two (2) of the vehicles are out of commission due to damage sustained due to Tropical Storm Helene. The facility only uses one (1) vehicle to transport children. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. Two (2) children files were monitored today. The classroom operates from 8:15a.m. to 3:00p.m. Due to Tropical Storm Helene One (1) NC Pre-K child medical record and immunizations was not on file within the first thirty days of enrollment. We discussed that an updated medical report and immunization record must be on file for the children enrolled in the NC Pre-K program. The parent will need to reach out to the child’s physician to request a medical report and immunization record be completed. Once completed, plan to notify the consultant with the date the medical report and immunization report was completed and on file. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 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. In space #6, two (2) emergency medication permission to administer medication forms that expired on 1/26/2025. .0803(12) 853 Incident logs were not completed and maintained as required. Two (2) incident reports were not logged on the incident log. .0802(g)(1-6) 1836 Center administrators and staff did not use the information provided in the application to ensure that each individual child's needs are met. In space #6, two (2) action plan expired, one expired 8/7/2024 and one expired 1/12/2025. .0801 (e) Technical assistance was provided as follows: Item #849 In space #6, two (2) emergency medication permission to administer medication forms that expired on 1/26/2025. We discussed that it is best practice to have one (1) person check in the medications to ensure that all the requirements for medications is met prior to sending the medication to the classroom for use. Rule Reference: 10A NCAC 09 .0803 (b) Item #853 Two (2) incident reports were not logged on the incident log. The administrator corrected this during the visit by adding the incident report information to the log. Rule Reference: 10A NCAC 09 .0802(g)(1-6) Item #1836 In space #6, two (2) action plan expired, one expired 8/7/2024 and one expired 1/12/2025. We discussed that the action plan will need to updated annually (ex. Action plan dated 8/7/2023 will need to be updated on or before 8/7/2024). Rule Reference: 10A NCAC 09 .0801 (b) (1-4) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/24/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed reviewing with all staff that a specific dosage for each medication is listed to ensure that the medication is administered correctly per the parents request. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1102 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 2/10/2025 Number Present: 46 Completed Date: 2/10/2025 Age: From 0 To 5 Total Minutes: 290 Time In: 10:10 AM Time Out: 03:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Angela Hurd, Administrator during the visit. An electronic signed copy of the visit summary was left on-site with you. Angela Hurd, Administrator was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 1/31/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Child Development Schools North Carolina, LLC., is current/active as of 1/31/2025. Permit type – Five Star Rated License , issued 9/1/2024. Special Services/Restrictions – first shift, meets enhanced space, meets enhanced ratios, children under 2 1/2 years old in rooms with direct exits only. Approved NC Pre-K, and transportation. The last temporary time period visit was conducted on 7/10/2024. The last fire drill was practiced on 1/23/2025. The last shelter-in-place drill was practiced on 12/13/2024. The last playground inspection was documented on 1/23/2025. The last fire inspection was approved on 3/12/2024. The last sanitation inspection was conducted on 4/4/2024 with ten (10) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the indoor and outdoor environment used by the children. Space #1A the group of infants were engaged in individual feeding, two (2) were exploring the classroom, and two (2) were in their crib awake but resting. The staff member was supervising the children while bottle feeding one (1) child. Space #1B the group of infant and one year old children were engaged in play on the floor. Two (2) one year old children were visiting from the one-year-old classroom to help maintain staff/child ratio. One (1) of the children left while monitoring the classroom due to not feeling well. Space #2 the group of three to four year old children were transitioning outdoor for gross motor play. After gross motor play outdoors, the group transitioned back indoors to wash hands and engage in free play. Space #3 is currently closed. Space #4 the group of two to three year old children were engaged in play with linking rings, waffle blocks, and coloring. Space #5 the group of one year olds were engaged in free play and preparing for lunch. Space #6 the group of four to five year olds were engaged in free play with blocks, free art, and books. One (1) staff was engaged with the children at art and one (1) staff member was supervising the children while moving about the indoor space. While monitoring the medications for the preschool classroom, one (1) emergency medication action plan expired on 8/7/2024. While monitoring the school-age medications, two (2) permission to administer medication forms expired on 1/26/2025, and one (1) emergency medication action plan expired on 1/12/2025. The program does provide transportation. You stated that you transport school-age children five to twelve years old from school to the facility. Plan to transport on field trips during the summer. I monitored three (3) vehicles today. Two (2) of the vehicles are out of commission due to damage sustained due to Tropical Storm Helene. The facility only uses one (1) vehicle to transport children. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. Two (2) children files were monitored today. The classroom operates from 8:15a.m. to 3:00p.m. Due to Tropical Storm Helene One (1) NC Pre-K child medical record and immunizations was not on file within the first thirty days of enrollment. We discussed that an updated medical report and immunization record must be on file for the children enrolled in the NC Pre-K program. The parent will need to reach out to the child’s physician to request a medical report and immunization record be completed. Once completed, plan to notify the consultant with the date the medical report and immunization report was completed and on file. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 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. In space #6, two (2) emergency medication permission to administer medication forms that expired on 1/26/2025. .0803(12) 853 Incident logs were not completed and maintained as required. Two (2) incident reports were not logged on the incident log. .0802(g)(1-6) 1836 Center administrators and staff did not use the information provided in the application to ensure that each individual child's needs are met. In space #6, two (2) action plan expired, one expired 8/7/2024 and one expired 1/12/2025. .0801 (e) Technical assistance was provided as follows: Item #849 In space #6, two (2) emergency medication permission to administer medication forms that expired on 1/26/2025. We discussed that it is best practice to have one (1) person check in the medications to ensure that all the requirements for medications is met prior to sending the medication to the classroom for use. Rule Reference: 10A NCAC 09 .0803 (b) Item #853 Two (2) incident reports were not logged on the incident log. The administrator corrected this during the visit by adding the incident report information to the log. Rule Reference: 10A NCAC 09 .0802(g)(1-6) Item #1836 In space #6, two (2) action plan expired, one expired 8/7/2024 and one expired 1/12/2025. We discussed that the action plan will need to updated annually (ex. Action plan dated 8/7/2023 will need to be updated on or before 8/7/2024). Rule Reference: 10A NCAC 09 .0801 (b) (1-4) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/24/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed reviewing with all staff that a specific dosage for each medication is listed to ensure that the medication is administered correctly per the parents request. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1703 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 2/10/2025 Number Present: 46 Completed Date: 2/10/2025 Age: From 0 To 5 Total Minutes: 290 Time In: 10:10 AM Time Out: 03:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Angela Hurd, Administrator during the visit. An electronic signed copy of the visit summary was left on-site with you. Angela Hurd, Administrator was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 1/31/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Child Development Schools North Carolina, LLC., is current/active as of 1/31/2025. Permit type – Five Star Rated License , issued 9/1/2024. Special Services/Restrictions – first shift, meets enhanced space, meets enhanced ratios, children under 2 1/2 years old in rooms with direct exits only. Approved NC Pre-K, and transportation. The last temporary time period visit was conducted on 7/10/2024. The last fire drill was practiced on 1/23/2025. The last shelter-in-place drill was practiced on 12/13/2024. The last playground inspection was documented on 1/23/2025. The last fire inspection was approved on 3/12/2024. The last sanitation inspection was conducted on 4/4/2024 with ten (10) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the indoor and outdoor environment used by the children. Space #1A the group of infants were engaged in individual feeding, two (2) were exploring the classroom, and two (2) were in their crib awake but resting. The staff member was supervising the children while bottle feeding one (1) child. Space #1B the group of infant and one year old children were engaged in play on the floor. Two (2) one year old children were visiting from the one-year-old classroom to help maintain staff/child ratio. One (1) of the children left while monitoring the classroom due to not feeling well. Space #2 the group of three to four year old children were transitioning outdoor for gross motor play. After gross motor play outdoors, the group transitioned back indoors to wash hands and engage in free play. Space #3 is currently closed. Space #4 the group of two to three year old children were engaged in play with linking rings, waffle blocks, and coloring. Space #5 the group of one year olds were engaged in free play and preparing for lunch. Space #6 the group of four to five year olds were engaged in free play with blocks, free art, and books. One (1) staff was engaged with the children at art and one (1) staff member was supervising the children while moving about the indoor space. While monitoring the medications for the preschool classroom, one (1) emergency medication action plan expired on 8/7/2024. While monitoring the school-age medications, two (2) permission to administer medication forms expired on 1/26/2025, and one (1) emergency medication action plan expired on 1/12/2025. The program does provide transportation. You stated that you transport school-age children five to twelve years old from school to the facility. Plan to transport on field trips during the summer. I monitored three (3) vehicles today. Two (2) of the vehicles are out of commission due to damage sustained due to Tropical Storm Helene. The facility only uses one (1) vehicle to transport children. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. Two (2) children files were monitored today. The classroom operates from 8:15a.m. to 3:00p.m. Due to Tropical Storm Helene One (1) NC Pre-K child medical record and immunizations was not on file within the first thirty days of enrollment. We discussed that an updated medical report and immunization record must be on file for the children enrolled in the NC Pre-K program. The parent will need to reach out to the child’s physician to request a medical report and immunization record be completed. Once completed, plan to notify the consultant with the date the medical report and immunization report was completed and on file. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 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. In space #6, two (2) emergency medication permission to administer medication forms that expired on 1/26/2025. .0803(12) 853 Incident logs were not completed and maintained as required. Two (2) incident reports were not logged on the incident log. .0802(g)(1-6) 1836 Center administrators and staff did not use the information provided in the application to ensure that each individual child's needs are met. In space #6, two (2) action plan expired, one expired 8/7/2024 and one expired 1/12/2025. .0801 (e) Technical assistance was provided as follows: Item #849 In space #6, two (2) emergency medication permission to administer medication forms that expired on 1/26/2025. We discussed that it is best practice to have one (1) person check in the medications to ensure that all the requirements for medications is met prior to sending the medication to the classroom for use. Rule Reference: 10A NCAC 09 .0803 (b) Item #853 Two (2) incident reports were not logged on the incident log. The administrator corrected this during the visit by adding the incident report information to the log. Rule Reference: 10A NCAC 09 .0802(g)(1-6) Item #1836 In space #6, two (2) action plan expired, one expired 8/7/2024 and one expired 1/12/2025. We discussed that the action plan will need to updated annually (ex. Action plan dated 8/7/2023 will need to be updated on or before 8/7/2024). Rule Reference: 10A NCAC 09 .0801 (b) (1-4) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/24/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed reviewing with all staff that a specific dosage for each medication is listed to ensure that the medication is administered correctly per the parents request. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .2830 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 2/10/2025 Number Present: 46 Completed Date: 2/10/2025 Age: From 0 To 5 Total Minutes: 290 Time In: 10:10 AM Time Out: 03:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Angela Hurd, Administrator during the visit. An electronic signed copy of the visit summary was left on-site with you. Angela Hurd, Administrator was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 1/31/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Child Development Schools North Carolina, LLC., is current/active as of 1/31/2025. Permit type – Five Star Rated License , issued 9/1/2024. Special Services/Restrictions – first shift, meets enhanced space, meets enhanced ratios, children under 2 1/2 years old in rooms with direct exits only. Approved NC Pre-K, and transportation. The last temporary time period visit was conducted on 7/10/2024. The last fire drill was practiced on 1/23/2025. The last shelter-in-place drill was practiced on 12/13/2024. The last playground inspection was documented on 1/23/2025. The last fire inspection was approved on 3/12/2024. The last sanitation inspection was conducted on 4/4/2024 with ten (10) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the indoor and outdoor environment used by the children. Space #1A the group of infants were engaged in individual feeding, two (2) were exploring the classroom, and two (2) were in their crib awake but resting. The staff member was supervising the children while bottle feeding one (1) child. Space #1B the group of infant and one year old children were engaged in play on the floor. Two (2) one year old children were visiting from the one-year-old classroom to help maintain staff/child ratio. One (1) of the children left while monitoring the classroom due to not feeling well. Space #2 the group of three to four year old children were transitioning outdoor for gross motor play. After gross motor play outdoors, the group transitioned back indoors to wash hands and engage in free play. Space #3 is currently closed. Space #4 the group of two to three year old children were engaged in play with linking rings, waffle blocks, and coloring. Space #5 the group of one year olds were engaged in free play and preparing for lunch. Space #6 the group of four to five year olds were engaged in free play with blocks, free art, and books. One (1) staff was engaged with the children at art and one (1) staff member was supervising the children while moving about the indoor space. While monitoring the medications for the preschool classroom, one (1) emergency medication action plan expired on 8/7/2024. While monitoring the school-age medications, two (2) permission to administer medication forms expired on 1/26/2025, and one (1) emergency medication action plan expired on 1/12/2025. The program does provide transportation. You stated that you transport school-age children five to twelve years old from school to the facility. Plan to transport on field trips during the summer. I monitored three (3) vehicles today. Two (2) of the vehicles are out of commission due to damage sustained due to Tropical Storm Helene. The facility only uses one (1) vehicle to transport children. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. Two (2) children files were monitored today. The classroom operates from 8:15a.m. to 3:00p.m. Due to Tropical Storm Helene One (1) NC Pre-K child medical record and immunizations was not on file within the first thirty days of enrollment. We discussed that an updated medical report and immunization record must be on file for the children enrolled in the NC Pre-K program. The parent will need to reach out to the child’s physician to request a medical report and immunization record be completed. Once completed, plan to notify the consultant with the date the medical report and immunization report was completed and on file. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 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. In space #6, two (2) emergency medication permission to administer medication forms that expired on 1/26/2025. .0803(12) 853 Incident logs were not completed and maintained as required. Two (2) incident reports were not logged on the incident log. .0802(g)(1-6) 1836 Center administrators and staff did not use the information provided in the application to ensure that each individual child's needs are met. In space #6, two (2) action plan expired, one expired 8/7/2024 and one expired 1/12/2025. .0801 (e) Technical assistance was provided as follows: Item #849 In space #6, two (2) emergency medication permission to administer medication forms that expired on 1/26/2025. We discussed that it is best practice to have one (1) person check in the medications to ensure that all the requirements for medications is met prior to sending the medication to the classroom for use. Rule Reference: 10A NCAC 09 .0803 (b) Item #853 Two (2) incident reports were not logged on the incident log. The administrator corrected this during the visit by adding the incident report information to the log. Rule Reference: 10A NCAC 09 .0802(g)(1-6) Item #1836 In space #6, two (2) action plan expired, one expired 8/7/2024 and one expired 1/12/2025. We discussed that the action plan will need to updated annually (ex. Action plan dated 8/7/2023 will need to be updated on or before 8/7/2024). Rule Reference: 10A NCAC 09 .0801 (b) (1-4) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/24/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed reviewing with all staff that a specific dosage for each medication is listed to ensure that the medication is administered correctly per the parents request. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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. 110-90 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 2/10/2025 Number Present: 46 Completed Date: 2/10/2025 Age: From 0 To 5 Total Minutes: 290 Time In: 10:10 AM Time Out: 03:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Angela Hurd, Administrator during the visit. An electronic signed copy of the visit summary was left on-site with you. Angela Hurd, Administrator was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 1/31/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Child Development Schools North Carolina, LLC., is current/active as of 1/31/2025. Permit type – Five Star Rated License , issued 9/1/2024. Special Services/Restrictions – first shift, meets enhanced space, meets enhanced ratios, children under 2 1/2 years old in rooms with direct exits only. Approved NC Pre-K, and transportation. The last temporary time period visit was conducted on 7/10/2024. The last fire drill was practiced on 1/23/2025. The last shelter-in-place drill was practiced on 12/13/2024. The last playground inspection was documented on 1/23/2025. The last fire inspection was approved on 3/12/2024. The last sanitation inspection was conducted on 4/4/2024 with ten (10) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the indoor and outdoor environment used by the children. Space #1A the group of infants were engaged in individual feeding, two (2) were exploring the classroom, and two (2) were in their crib awake but resting. The staff member was supervising the children while bottle feeding one (1) child. Space #1B the group of infant and one year old children were engaged in play on the floor. Two (2) one year old children were visiting from the one-year-old classroom to help maintain staff/child ratio. One (1) of the children left while monitoring the classroom due to not feeling well. Space #2 the group of three to four year old children were transitioning outdoor for gross motor play. After gross motor play outdoors, the group transitioned back indoors to wash hands and engage in free play. Space #3 is currently closed. Space #4 the group of two to three year old children were engaged in play with linking rings, waffle blocks, and coloring. Space #5 the group of one year olds were engaged in free play and preparing for lunch. Space #6 the group of four to five year olds were engaged in free play with blocks, free art, and books. One (1) staff was engaged with the children at art and one (1) staff member was supervising the children while moving about the indoor space. While monitoring the medications for the preschool classroom, one (1) emergency medication action plan expired on 8/7/2024. While monitoring the school-age medications, two (2) permission to administer medication forms expired on 1/26/2025, and one (1) emergency medication action plan expired on 1/12/2025. The program does provide transportation. You stated that you transport school-age children five to twelve years old from school to the facility. Plan to transport on field trips during the summer. I monitored three (3) vehicles today. Two (2) of the vehicles are out of commission due to damage sustained due to Tropical Storm Helene. The facility only uses one (1) vehicle to transport children. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. Two (2) children files were monitored today. The classroom operates from 8:15a.m. to 3:00p.m. Due to Tropical Storm Helene One (1) NC Pre-K child medical record and immunizations was not on file within the first thirty days of enrollment. We discussed that an updated medical report and immunization record must be on file for the children enrolled in the NC Pre-K program. The parent will need to reach out to the child’s physician to request a medical report and immunization record be completed. Once completed, plan to notify the consultant with the date the medical report and immunization report was completed and on file. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 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. In space #6, two (2) emergency medication permission to administer medication forms that expired on 1/26/2025. .0803(12) 853 Incident logs were not completed and maintained as required. Two (2) incident reports were not logged on the incident log. .0802(g)(1-6) 1836 Center administrators and staff did not use the information provided in the application to ensure that each individual child's needs are met. In space #6, two (2) action plan expired, one expired 8/7/2024 and one expired 1/12/2025. .0801 (e) Technical assistance was provided as follows: Item #849 In space #6, two (2) emergency medication permission to administer medication forms that expired on 1/26/2025. We discussed that it is best practice to have one (1) person check in the medications to ensure that all the requirements for medications is met prior to sending the medication to the classroom for use. Rule Reference: 10A NCAC 09 .0803 (b) Item #853 Two (2) incident reports were not logged on the incident log. The administrator corrected this during the visit by adding the incident report information to the log. Rule Reference: 10A NCAC 09 .0802(g)(1-6) Item #1836 In space #6, two (2) action plan expired, one expired 8/7/2024 and one expired 1/12/2025. We discussed that the action plan will need to updated annually (ex. Action plan dated 8/7/2023 will need to be updated on or before 8/7/2024). Rule Reference: 10A NCAC 09 .0801 (b) (1-4) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/24/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed reviewing with all staff that a specific dosage for each medication is listed to ensure that the medication is administered correctly per the parents request. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 2/10/2025 Number Present: 46 Completed Date: 2/10/2025 Age: From 0 To 5 Total Minutes: 290 Time In: 10:10 AM Time Out: 03:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Angela Hurd, Administrator during the visit. An electronic signed copy of the visit summary was left on-site with you. Angela Hurd, Administrator was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 1/31/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Child Development Schools North Carolina, LLC., is current/active as of 1/31/2025. Permit type – Five Star Rated License , issued 9/1/2024. Special Services/Restrictions – first shift, meets enhanced space, meets enhanced ratios, children under 2 1/2 years old in rooms with direct exits only. Approved NC Pre-K, and transportation. The last temporary time period visit was conducted on 7/10/2024. The last fire drill was practiced on 1/23/2025. The last shelter-in-place drill was practiced on 12/13/2024. The last playground inspection was documented on 1/23/2025. The last fire inspection was approved on 3/12/2024. The last sanitation inspection was conducted on 4/4/2024 with ten (10) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the indoor and outdoor environment used by the children. Space #1A the group of infants were engaged in individual feeding, two (2) were exploring the classroom, and two (2) were in their crib awake but resting. The staff member was supervising the children while bottle feeding one (1) child. Space #1B the group of infant and one year old children were engaged in play on the floor. Two (2) one year old children were visiting from the one-year-old classroom to help maintain staff/child ratio. One (1) of the children left while monitoring the classroom due to not feeling well. Space #2 the group of three to four year old children were transitioning outdoor for gross motor play. After gross motor play outdoors, the group transitioned back indoors to wash hands and engage in free play. Space #3 is currently closed. Space #4 the group of two to three year old children were engaged in play with linking rings, waffle blocks, and coloring. Space #5 the group of one year olds were engaged in free play and preparing for lunch. Space #6 the group of four to five year olds were engaged in free play with blocks, free art, and books. One (1) staff was engaged with the children at art and one (1) staff member was supervising the children while moving about the indoor space. While monitoring the medications for the preschool classroom, one (1) emergency medication action plan expired on 8/7/2024. While monitoring the school-age medications, two (2) permission to administer medication forms expired on 1/26/2025, and one (1) emergency medication action plan expired on 1/12/2025. The program does provide transportation. You stated that you transport school-age children five to twelve years old from school to the facility. Plan to transport on field trips during the summer. I monitored three (3) vehicles today. Two (2) of the vehicles are out of commission due to damage sustained due to Tropical Storm Helene. The facility only uses one (1) vehicle to transport children. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. Two (2) children files were monitored today. The classroom operates from 8:15a.m. to 3:00p.m. Due to Tropical Storm Helene One (1) NC Pre-K child medical record and immunizations was not on file within the first thirty days of enrollment. We discussed that an updated medical report and immunization record must be on file for the children enrolled in the NC Pre-K program. The parent will need to reach out to the child’s physician to request a medical report and immunization record be completed. Once completed, plan to notify the consultant with the date the medical report and immunization report was completed and on file. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 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. In space #6, two (2) emergency medication permission to administer medication forms that expired on 1/26/2025. .0803(12) 853 Incident logs were not completed and maintained as required. Two (2) incident reports were not logged on the incident log. .0802(g)(1-6) 1836 Center administrators and staff did not use the information provided in the application to ensure that each individual child's needs are met. In space #6, two (2) action plan expired, one expired 8/7/2024 and one expired 1/12/2025. .0801 (e) Technical assistance was provided as follows: Item #849 In space #6, two (2) emergency medication permission to administer medication forms that expired on 1/26/2025. We discussed that it is best practice to have one (1) person check in the medications to ensure that all the requirements for medications is met prior to sending the medication to the classroom for use. Rule Reference: 10A NCAC 09 .0803 (b) Item #853 Two (2) incident reports were not logged on the incident log. The administrator corrected this during the visit by adding the incident report information to the log. Rule Reference: 10A NCAC 09 .0802(g)(1-6) Item #1836 In space #6, two (2) action plan expired, one expired 8/7/2024 and one expired 1/12/2025. We discussed that the action plan will need to updated annually (ex. Action plan dated 8/7/2023 will need to be updated on or before 8/7/2024). Rule Reference: 10A NCAC 09 .0801 (b) (1-4) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/24/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed reviewing with all staff that a specific dosage for each medication is listed to ensure that the medication is administered correctly per the parents request. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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. 110-90 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 9/25/2024 Number Present: 46 Completed Date: 9/25/2024 Age: From 0 To 4 Total Minutes: 170 Time In: 09:40 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced An Initial Administrative Action visit was conducted for Childcare Network #178B, ID# 11000952, which is located on the same property as #178A. The visit for #178B was conducted off-site at #178A due to mold remediation in process at #178B. Due to the circumstances of meeting off-site at #178A, there was information provided by Gracie Guthrie-Rathbone and observations in the reception/office area that resulted in non-compliance of child care requirements. Natalie "Gracie" Guthrie-Rathbone, person in charge and in process for being hired as the Assistant Director for #178A, was available to walk me down to visibly check the status of #178B. During the walk, Ms. Guthrie-Rathbone stated that she did not have a staff file for herself on-site due to traveling from Childcare Network #176. Angela Hurd, Interim Director, arrived at approximately 11:00am. Ms. Hurd was on a field trip with the NC Pre-K children to have required screenings completed. Amber Hensley, NC Pre-K Program Administrator for Childcare Network, also arrived at approximately 11:00am. The only monitoring for the child care facility occurred in the reception/office area. A walk through of the facility was not conducted since it was the circumstances mentioned above that warranted a visit. The following violations were observed and must be corrected immediately. Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. The temporary license dated 3/1/24 through 9/1/24 was posted in the reception/office area. G.S. 110-99(a1) 1739 All records required were not available for review by a representative of the Division. The person in charge stated she did not have a file on-site. .2318(1-8) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file and available for review at the facility for one (1) staff. G.S. 110-90.2(b) & (d) & .2703(e) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The two (2) persons identified on the emergency medical care plan were not on-site from approximately 9:00am to approximately 11:00am. An additional person identified on the emergency medical care plan no longer works at the facility. .0802(b)(1-2) Technical Assistance for Violations - Child care rules can be referenced from the violation. Item #102 - The current license must be posted in a visible location to allow parents and visitors to see the license. Ms. Hurd was able to locate the five star license dated 9/1/24, posted the five star license, and took down the temporary license. This was corrected during the visit. The child care consultant took the temporary license. Item #1739 - Ms. Guthrie-Rathbone's file was transferred during the visit and is now on-site. We discussed that any staff traveling to work at a different site under the same ownership must have a traveling file, either paper or electronic. This was corrected during the visit. Item # 1757 - The qualifying letter for Ms. Guthrie-Rathbone was printed out, reviewed during the visit, and is now on file at the facility. We discussed that any staff traveling to work at a different site under the same ownership must have a traveling file, either paper or electronic. This was corrected during the visit. Item #1914 - The emergency medical care (EMC) plan was updated during the visit to take off the person no longer working at the facility, to take off the person that would is no longer responsible, and to add Ms. Guthrie-Rathbone. This was corrected during the visit. Consultation: Karla Terry, Child Care Consultant, has been assigned as the child care consultant for the Childcare Network #178A. You can reach Ms. Terry at 828-200-9952 or karla.terry@dhhs.nc.gov. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@dhhs.nc.gov, if you have any questions. 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. 110-99 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 9/25/2024 Number Present: 46 Completed Date: 9/25/2024 Age: From 0 To 4 Total Minutes: 170 Time In: 09:40 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced An Initial Administrative Action visit was conducted for Childcare Network #178B, ID# 11000952, which is located on the same property as #178A. The visit for #178B was conducted off-site at #178A due to mold remediation in process at #178B. Due to the circumstances of meeting off-site at #178A, there was information provided by Gracie Guthrie-Rathbone and observations in the reception/office area that resulted in non-compliance of child care requirements. Natalie "Gracie" Guthrie-Rathbone, person in charge and in process for being hired as the Assistant Director for #178A, was available to walk me down to visibly check the status of #178B. During the walk, Ms. Guthrie-Rathbone stated that she did not have a staff file for herself on-site due to traveling from Childcare Network #176. Angela Hurd, Interim Director, arrived at approximately 11:00am. Ms. Hurd was on a field trip with the NC Pre-K children to have required screenings completed. Amber Hensley, NC Pre-K Program Administrator for Childcare Network, also arrived at approximately 11:00am. The only monitoring for the child care facility occurred in the reception/office area. A walk through of the facility was not conducted since it was the circumstances mentioned above that warranted a visit. The following violations were observed and must be corrected immediately. Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. The temporary license dated 3/1/24 through 9/1/24 was posted in the reception/office area. G.S. 110-99(a1) 1739 All records required were not available for review by a representative of the Division. The person in charge stated she did not have a file on-site. .2318(1-8) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file and available for review at the facility for one (1) staff. G.S. 110-90.2(b) & (d) & .2703(e) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The two (2) persons identified on the emergency medical care plan were not on-site from approximately 9:00am to approximately 11:00am. An additional person identified on the emergency medical care plan no longer works at the facility. .0802(b)(1-2) Technical Assistance for Violations - Child care rules can be referenced from the violation. Item #102 - The current license must be posted in a visible location to allow parents and visitors to see the license. Ms. Hurd was able to locate the five star license dated 9/1/24, posted the five star license, and took down the temporary license. This was corrected during the visit. The child care consultant took the temporary license. Item #1739 - Ms. Guthrie-Rathbone's file was transferred during the visit and is now on-site. We discussed that any staff traveling to work at a different site under the same ownership must have a traveling file, either paper or electronic. This was corrected during the visit. Item # 1757 - The qualifying letter for Ms. Guthrie-Rathbone was printed out, reviewed during the visit, and is now on file at the facility. We discussed that any staff traveling to work at a different site under the same ownership must have a traveling file, either paper or electronic. This was corrected during the visit. Item #1914 - The emergency medical care (EMC) plan was updated during the visit to take off the person no longer working at the facility, to take off the person that would is no longer responsible, and to add Ms. Guthrie-Rathbone. This was corrected during the visit. Consultation: Karla Terry, Child Care Consultant, has been assigned as the child care consultant for the Childcare Network #178A. You can reach Ms. Terry at 828-200-9952 or karla.terry@dhhs.nc.gov. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@dhhs.nc.gov, if you have any questions. 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 .0302 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 8/22/2024 Number Present: 46 Completed Date: 8/22/2024 Age: From 0 To 8 Total Minutes: 135 Time In: 11:30 AM Time Out: 01:45 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 provide limited monitoring and follow-up due to the facility not obtaining approved building inspections during the temporary time period. The limited monitoring included, but was not limited to, supervision, staff/child ratios, adequate approved space, and permit restrictions. Emily Anderson, Administrator, was on-site upon arrival and was available to answer and ask questions. A computerized generated report of today’s visit was completed and reviewed with you. The printed visit summary was signed and a copy left with you. Currently this center operates with a Temporary License, issued 3/1/24 and is effective through 9/1/24. The restrictions include daytime care only, meets enhanced ratios, meets enhanced space, meets requirements for NC Pre-K, meets requirements for transportation; 97 children and ages 0-12 years. NC Pre-K begins on 8/26/24. The children were observed during free play, lunch, and rest time. Lunch today was turkey and cheese wraps, carrots, oranges, and milk as noted on the menu. There were two (2) new staff. Limited monitoring of staff files occurred. Staff/child ratios were as follows: Space #1A, classroom with infant and one year old children; one (1) staff, three (3) children Space #1B, classroom with infant and one year old children; one (1) staff, five (5) children Space #2, the children in attendance were in space #4 Space #3, classroom with four year old children; one (1) staff, thirteen (13) children Space #4, classroom with two and three year old children; one (1) staff, nine (9) children Space #5, classroom with one and two year old children; one (1) staff, six (6) children Space #6, classroom with five year old preschoolers and school-age children; one (1) staff and ten (10) children The City of Asheville approval slips for suites #3, #4, #5, #6, #7, and #8 were collected today during the visit. Ms. Anderson stated the final building inspection reports were being completed by the building inspector and would be provided once completed. The original building inspections will be collected at a future visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In space #6, the classroom with five year old preschoolers and school-age children, there was one (1) child that did not have documentation of being signed in upon arrival. In space #3, the classroom with four year old children, there were thirteen (13) children that did not have documentation of being signed in upon arrival. 10A NCAC 09 .0302(d)(4) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) staff hired on 8/5/24 did not have documentation to state at least six (6) hours of orientation were provided within the first two weeks of employment. .1101(a)(b) Technical assistance for correction plan: Item #125 - In space #6, the classroom with five year old preschoolers and school-age children, there was one (1) child that did not have documentation of being signed in upon arrival. In space #3, the classroom with four year old children, there were thirteen (13) children that did not have documentation of being signed in upon arrival. The teacher in space #6 documented the time of the arrival for the one (1) child during the visit. The teacher in space #3 documented the times of arrival for the thirteen (13) children during the visit. This was corrected during the visit. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (g) Each center shall maintain records as described in 10A NCAC 09 .0302(d) and shall make them available to the Division for review. Item #1067 – One (1) staff hired on 8/5/24 did not have documentation to state at least six (6) hours of orientation were provided within the first two weeks of employment. During the visit, Ms. Anderson completed the orientation form to document when the staff received the six (6) hours of orientation. This was corrected during the visit. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Consultation: We discussed that any re-hires must complete and sign all new hire paperwork in the required timeframes, including the prevention of shaken baby and abusive head trauma policy. The facility has been recommended for an administrative action due to not obtaining approved building inspections during the temporary time period as required. Monitoring visits will continue through this process. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@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 .0304 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 8/22/2024 Number Present: 46 Completed Date: 8/22/2024 Age: From 0 To 8 Total Minutes: 135 Time In: 11:30 AM Time Out: 01:45 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 provide limited monitoring and follow-up due to the facility not obtaining approved building inspections during the temporary time period. The limited monitoring included, but was not limited to, supervision, staff/child ratios, adequate approved space, and permit restrictions. Emily Anderson, Administrator, was on-site upon arrival and was available to answer and ask questions. A computerized generated report of today’s visit was completed and reviewed with you. The printed visit summary was signed and a copy left with you. Currently this center operates with a Temporary License, issued 3/1/24 and is effective through 9/1/24. The restrictions include daytime care only, meets enhanced ratios, meets enhanced space, meets requirements for NC Pre-K, meets requirements for transportation; 97 children and ages 0-12 years. NC Pre-K begins on 8/26/24. The children were observed during free play, lunch, and rest time. Lunch today was turkey and cheese wraps, carrots, oranges, and milk as noted on the menu. There were two (2) new staff. Limited monitoring of staff files occurred. Staff/child ratios were as follows: Space #1A, classroom with infant and one year old children; one (1) staff, three (3) children Space #1B, classroom with infant and one year old children; one (1) staff, five (5) children Space #2, the children in attendance were in space #4 Space #3, classroom with four year old children; one (1) staff, thirteen (13) children Space #4, classroom with two and three year old children; one (1) staff, nine (9) children Space #5, classroom with one and two year old children; one (1) staff, six (6) children Space #6, classroom with five year old preschoolers and school-age children; one (1) staff and ten (10) children The City of Asheville approval slips for suites #3, #4, #5, #6, #7, and #8 were collected today during the visit. Ms. Anderson stated the final building inspection reports were being completed by the building inspector and would be provided once completed. The original building inspections will be collected at a future visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In space #6, the classroom with five year old preschoolers and school-age children, there was one (1) child that did not have documentation of being signed in upon arrival. In space #3, the classroom with four year old children, there were thirteen (13) children that did not have documentation of being signed in upon arrival. 10A NCAC 09 .0302(d)(4) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) staff hired on 8/5/24 did not have documentation to state at least six (6) hours of orientation were provided within the first two weeks of employment. .1101(a)(b) Technical assistance for correction plan: Item #125 - In space #6, the classroom with five year old preschoolers and school-age children, there was one (1) child that did not have documentation of being signed in upon arrival. In space #3, the classroom with four year old children, there were thirteen (13) children that did not have documentation of being signed in upon arrival. The teacher in space #6 documented the time of the arrival for the one (1) child during the visit. The teacher in space #3 documented the times of arrival for the thirteen (13) children during the visit. This was corrected during the visit. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (g) Each center shall maintain records as described in 10A NCAC 09 .0302(d) and shall make them available to the Division for review. Item #1067 – One (1) staff hired on 8/5/24 did not have documentation to state at least six (6) hours of orientation were provided within the first two weeks of employment. During the visit, Ms. Anderson completed the orientation form to document when the staff received the six (6) hours of orientation. This was corrected during the visit. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Consultation: We discussed that any re-hires must complete and sign all new hire paperwork in the required timeframes, including the prevention of shaken baby and abusive head trauma policy. The facility has been recommended for an administrative action due to not obtaining approved building inspections during the temporary time period as required. Monitoring visits will continue through this process. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@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 .1101 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 8/22/2024 Number Present: 46 Completed Date: 8/22/2024 Age: From 0 To 8 Total Minutes: 135 Time In: 11:30 AM Time Out: 01:45 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 provide limited monitoring and follow-up due to the facility not obtaining approved building inspections during the temporary time period. The limited monitoring included, but was not limited to, supervision, staff/child ratios, adequate approved space, and permit restrictions. Emily Anderson, Administrator, was on-site upon arrival and was available to answer and ask questions. A computerized generated report of today’s visit was completed and reviewed with you. The printed visit summary was signed and a copy left with you. Currently this center operates with a Temporary License, issued 3/1/24 and is effective through 9/1/24. The restrictions include daytime care only, meets enhanced ratios, meets enhanced space, meets requirements for NC Pre-K, meets requirements for transportation; 97 children and ages 0-12 years. NC Pre-K begins on 8/26/24. The children were observed during free play, lunch, and rest time. Lunch today was turkey and cheese wraps, carrots, oranges, and milk as noted on the menu. There were two (2) new staff. Limited monitoring of staff files occurred. Staff/child ratios were as follows: Space #1A, classroom with infant and one year old children; one (1) staff, three (3) children Space #1B, classroom with infant and one year old children; one (1) staff, five (5) children Space #2, the children in attendance were in space #4 Space #3, classroom with four year old children; one (1) staff, thirteen (13) children Space #4, classroom with two and three year old children; one (1) staff, nine (9) children Space #5, classroom with one and two year old children; one (1) staff, six (6) children Space #6, classroom with five year old preschoolers and school-age children; one (1) staff and ten (10) children The City of Asheville approval slips for suites #3, #4, #5, #6, #7, and #8 were collected today during the visit. Ms. Anderson stated the final building inspection reports were being completed by the building inspector and would be provided once completed. The original building inspections will be collected at a future visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In space #6, the classroom with five year old preschoolers and school-age children, there was one (1) child that did not have documentation of being signed in upon arrival. In space #3, the classroom with four year old children, there were thirteen (13) children that did not have documentation of being signed in upon arrival. 10A NCAC 09 .0302(d)(4) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) staff hired on 8/5/24 did not have documentation to state at least six (6) hours of orientation were provided within the first two weeks of employment. .1101(a)(b) Technical assistance for correction plan: Item #125 - In space #6, the classroom with five year old preschoolers and school-age children, there was one (1) child that did not have documentation of being signed in upon arrival. In space #3, the classroom with four year old children, there were thirteen (13) children that did not have documentation of being signed in upon arrival. The teacher in space #6 documented the time of the arrival for the one (1) child during the visit. The teacher in space #3 documented the times of arrival for the thirteen (13) children during the visit. This was corrected during the visit. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (g) Each center shall maintain records as described in 10A NCAC 09 .0302(d) and shall make them available to the Division for review. Item #1067 – One (1) staff hired on 8/5/24 did not have documentation to state at least six (6) hours of orientation were provided within the first two weeks of employment. During the visit, Ms. Anderson completed the orientation form to document when the staff received the six (6) hours of orientation. This was corrected during the visit. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Consultation: We discussed that any re-hires must complete and sign all new hire paperwork in the required timeframes, including the prevention of shaken baby and abusive head trauma policy. The facility has been recommended for an administrative action due to not obtaining approved building inspections during the temporary time period as required. Monitoring visits will continue through this process. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@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 .0102 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 7/10/2024 Number Present: 56 Completed Date: 7/10/2024 Age: From 0 To 9 Total Minutes: 190 Time In: 09:35 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit at this program was to conduct limited monitoring of child care requirements. Hillary Robertson, Assistant Director, was on-site and available to answer and ask questions. Emily Anderson, Administrator, arrived on-site at approximately 9:50am and was available to answer and ask questions. A computerized generated report of today’s visit was completed and reviewed with you. The printed visit summary was signed and a copy left with you. Currently this center operates with a Temporary License, issued 3/1/24 and is effective through 9/1/24. The restrictions include daytime care only, meets enhanced ratios, meets enhanced space, meets requirements for NC Pre-K, meets requirements for transportation; 97 children and ages 0-12 years. The Secretary of State website was reviewed today, and the company, Child Development Schools North Carolina, LLC, is listed as active-current. If any changes to the organization need to be made to the business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced 6/28/24. The last lockdown drill was practiced 6/14/24. The last monthly playground inspection was documented on 6/28/24. The last sanitation inspection was conducted on 4/4/24 with ten (10) demerits for a Superior classification. The facility was closed from 5/20/24 through 6/3/24 due to water damage in the building. A sanitation visit was conducted on 6/3/24 to verify the repairs made after the damage caused by flooding. It was determined that all affected areas were repaired at the time of the visit and Environmental Health did not observe any structural issues that would prevent the facility from reopening. The sanitation report has been received. The last approved fire inspection was completed on 3/12/24. An approved building inspection must be completed during the temporary time period. The Emergency Preparedness Response (EPR) plan was completed on 6/27/24. The emergency medical care (EMC) plan was posted. The incident log was in use. The children were observed in free play, routine care, and outdoor play. The administrator would like to take the option to transition to a star-rated license based on the previous ownership’s star-rated license points. Based on the change of ownership, the facility would be included in Cohort 1. We discussed the resources available during the 2024-25 assessment year. Plan to visit the North Carolina Rated License Assessment Project (NCRLAP) website, ncrlap.org, for additional information, webinars, and resources. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Two (2) prescription medications, Methylphenidate, were stored in an unlocked container in the office. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. One (1) medication authorization form did not include the name of the prescription medication, Methylphenidate, to administer to the child. 10A NCAC 09 .0803(4)(6-9) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. There was not documentation of visual checks on sleeping infants for 7/8/24 and 7/9/24. .0606(g) Technical assistance for correction plan: Item #887 – There was not documentation of visual checks on sleeping infants for 7/8/24 and 7/9/24. A plan must be put in place to ensure that teachers are documenting visual checks on sleeping infants. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (g) Documents that verify staff member's compliance with visual checks on infants shall be maintained for a minimum of one month. Item #841 - Two (2) prescription medications, Methylphenidate, were stored in an unlocked container in the office. The two prescription medications, Methylphenidate, were moved to a filing cabinet in the office that was locked. This was corrected during the visit. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Item #847 – One (1) medication authorization form did not include the name of the prescription medication, Methylphenidate, to administer to the child. The name of the prescription medication, Methylphenidate, for the child was documented on the form during the visit by H.R. The parent will need to initial and date this change since the parent is required to give the authorization to administer a specific medication. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/24/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 94%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This is recommended to be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Pre-service requirements must be met for all positions. The facility will use the six (6) points for staff education based on the previous ownership. Program Standards: The facility will use the six (6) points for program standards based on the previous ownership. The facility will be included in Cohort 1 to resume the next rated license cycle. We discussed resources available during the visit today. The facility is required to meet enhanced space and enhanced staff/child ratios. 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) 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. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 Quality Point: The facility will use the one (1) quality point based on the previous ownership. Curriculum: The approved curriculum being implemented by the facility is High Reach Learning. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: Reminder that the approved building inspection is required to be completed during the temporary time period. If the building inspection is not completed on or before 8/1/24, it may result in a denial of a license. Time is needed to review and process the rated license paperwork by the licensing consultant and Division management. It is recommended to provide a weekly update on the progress of the inspection. 10A NCAC 09 .2215 DENIAL OF A LICENSE (a) The Secretary may deny an application for a child care facility license or the issuance of any permit to operate a child care facility under the following circumstances: (8) based on the operator's non-compliance with the requirements of G.S. 110, Article 7, 10A NCAC 10, or this Chapter, during a temporary licensure period; We discussed the annual fire inspection is due on or before 3/12/25. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Reminder that a restriction will be placed on the rated license to state that children under the age of 2.5 years must be in rooms with direct exits. Spaces #2 and #3 do not have direct exits to the outdoors. We discussed that parents may give a caregiver standing authorization for up to six month on a prescription medication such as one prescribed for Attention Deficit with Hyperactivity Disorder (ADHD). 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. We discussed to remind teachers to keep their purses and bags of personal belongings stored at least five feet above the floor. It is recommended to have teachers lock their purses and bags of personal belongings. 15A NCAC 18A .2820 STORAGE (g) Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. Space #4, the classroom with two and three year old children, has a small gated space beside the classroom. The small gated space is not an approved space and children may not use the space. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0304 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 7/10/2024 Number Present: 56 Completed Date: 7/10/2024 Age: From 0 To 9 Total Minutes: 190 Time In: 09:35 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit at this program was to conduct limited monitoring of child care requirements. Hillary Robertson, Assistant Director, was on-site and available to answer and ask questions. Emily Anderson, Administrator, arrived on-site at approximately 9:50am and was available to answer and ask questions. A computerized generated report of today’s visit was completed and reviewed with you. The printed visit summary was signed and a copy left with you. Currently this center operates with a Temporary License, issued 3/1/24 and is effective through 9/1/24. The restrictions include daytime care only, meets enhanced ratios, meets enhanced space, meets requirements for NC Pre-K, meets requirements for transportation; 97 children and ages 0-12 years. The Secretary of State website was reviewed today, and the company, Child Development Schools North Carolina, LLC, is listed as active-current. If any changes to the organization need to be made to the business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced 6/28/24. The last lockdown drill was practiced 6/14/24. The last monthly playground inspection was documented on 6/28/24. The last sanitation inspection was conducted on 4/4/24 with ten (10) demerits for a Superior classification. The facility was closed from 5/20/24 through 6/3/24 due to water damage in the building. A sanitation visit was conducted on 6/3/24 to verify the repairs made after the damage caused by flooding. It was determined that all affected areas were repaired at the time of the visit and Environmental Health did not observe any structural issues that would prevent the facility from reopening. The sanitation report has been received. The last approved fire inspection was completed on 3/12/24. An approved building inspection must be completed during the temporary time period. The Emergency Preparedness Response (EPR) plan was completed on 6/27/24. The emergency medical care (EMC) plan was posted. The incident log was in use. The children were observed in free play, routine care, and outdoor play. The administrator would like to take the option to transition to a star-rated license based on the previous ownership’s star-rated license points. Based on the change of ownership, the facility would be included in Cohort 1. We discussed the resources available during the 2024-25 assessment year. Plan to visit the North Carolina Rated License Assessment Project (NCRLAP) website, ncrlap.org, for additional information, webinars, and resources. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Two (2) prescription medications, Methylphenidate, were stored in an unlocked container in the office. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. One (1) medication authorization form did not include the name of the prescription medication, Methylphenidate, to administer to the child. 10A NCAC 09 .0803(4)(6-9) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. There was not documentation of visual checks on sleeping infants for 7/8/24 and 7/9/24. .0606(g) Technical assistance for correction plan: Item #887 – There was not documentation of visual checks on sleeping infants for 7/8/24 and 7/9/24. A plan must be put in place to ensure that teachers are documenting visual checks on sleeping infants. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (g) Documents that verify staff member's compliance with visual checks on infants shall be maintained for a minimum of one month. Item #841 - Two (2) prescription medications, Methylphenidate, were stored in an unlocked container in the office. The two prescription medications, Methylphenidate, were moved to a filing cabinet in the office that was locked. This was corrected during the visit. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Item #847 – One (1) medication authorization form did not include the name of the prescription medication, Methylphenidate, to administer to the child. The name of the prescription medication, Methylphenidate, for the child was documented on the form during the visit by H.R. The parent will need to initial and date this change since the parent is required to give the authorization to administer a specific medication. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/24/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 94%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This is recommended to be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Pre-service requirements must be met for all positions. The facility will use the six (6) points for staff education based on the previous ownership. Program Standards: The facility will use the six (6) points for program standards based on the previous ownership. The facility will be included in Cohort 1 to resume the next rated license cycle. We discussed resources available during the visit today. The facility is required to meet enhanced space and enhanced staff/child ratios. 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) 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. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 Quality Point: The facility will use the one (1) quality point based on the previous ownership. Curriculum: The approved curriculum being implemented by the facility is High Reach Learning. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: Reminder that the approved building inspection is required to be completed during the temporary time period. If the building inspection is not completed on or before 8/1/24, it may result in a denial of a license. Time is needed to review and process the rated license paperwork by the licensing consultant and Division management. It is recommended to provide a weekly update on the progress of the inspection. 10A NCAC 09 .2215 DENIAL OF A LICENSE (a) The Secretary may deny an application for a child care facility license or the issuance of any permit to operate a child care facility under the following circumstances: (8) based on the operator's non-compliance with the requirements of G.S. 110, Article 7, 10A NCAC 10, or this Chapter, during a temporary licensure period; We discussed the annual fire inspection is due on or before 3/12/25. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Reminder that a restriction will be placed on the rated license to state that children under the age of 2.5 years must be in rooms with direct exits. Spaces #2 and #3 do not have direct exits to the outdoors. We discussed that parents may give a caregiver standing authorization for up to six month on a prescription medication such as one prescribed for Attention Deficit with Hyperactivity Disorder (ADHD). 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. We discussed to remind teachers to keep their purses and bags of personal belongings stored at least five feet above the floor. It is recommended to have teachers lock their purses and bags of personal belongings. 15A NCAC 18A .2820 STORAGE (g) Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. Space #4, the classroom with two and three year old children, has a small gated space beside the classroom. The small gated space is not an approved space and children may not use the space. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 7/10/2024 Number Present: 56 Completed Date: 7/10/2024 Age: From 0 To 9 Total Minutes: 190 Time In: 09:35 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit at this program was to conduct limited monitoring of child care requirements. Hillary Robertson, Assistant Director, was on-site and available to answer and ask questions. Emily Anderson, Administrator, arrived on-site at approximately 9:50am and was available to answer and ask questions. A computerized generated report of today’s visit was completed and reviewed with you. The printed visit summary was signed and a copy left with you. Currently this center operates with a Temporary License, issued 3/1/24 and is effective through 9/1/24. The restrictions include daytime care only, meets enhanced ratios, meets enhanced space, meets requirements for NC Pre-K, meets requirements for transportation; 97 children and ages 0-12 years. The Secretary of State website was reviewed today, and the company, Child Development Schools North Carolina, LLC, is listed as active-current. If any changes to the organization need to be made to the business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced 6/28/24. The last lockdown drill was practiced 6/14/24. The last monthly playground inspection was documented on 6/28/24. The last sanitation inspection was conducted on 4/4/24 with ten (10) demerits for a Superior classification. The facility was closed from 5/20/24 through 6/3/24 due to water damage in the building. A sanitation visit was conducted on 6/3/24 to verify the repairs made after the damage caused by flooding. It was determined that all affected areas were repaired at the time of the visit and Environmental Health did not observe any structural issues that would prevent the facility from reopening. The sanitation report has been received. The last approved fire inspection was completed on 3/12/24. An approved building inspection must be completed during the temporary time period. The Emergency Preparedness Response (EPR) plan was completed on 6/27/24. The emergency medical care (EMC) plan was posted. The incident log was in use. The children were observed in free play, routine care, and outdoor play. The administrator would like to take the option to transition to a star-rated license based on the previous ownership’s star-rated license points. Based on the change of ownership, the facility would be included in Cohort 1. We discussed the resources available during the 2024-25 assessment year. Plan to visit the North Carolina Rated License Assessment Project (NCRLAP) website, ncrlap.org, for additional information, webinars, and resources. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Two (2) prescription medications, Methylphenidate, were stored in an unlocked container in the office. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. One (1) medication authorization form did not include the name of the prescription medication, Methylphenidate, to administer to the child. 10A NCAC 09 .0803(4)(6-9) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. There was not documentation of visual checks on sleeping infants for 7/8/24 and 7/9/24. .0606(g) Technical assistance for correction plan: Item #887 – There was not documentation of visual checks on sleeping infants for 7/8/24 and 7/9/24. A plan must be put in place to ensure that teachers are documenting visual checks on sleeping infants. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (g) Documents that verify staff member's compliance with visual checks on infants shall be maintained for a minimum of one month. Item #841 - Two (2) prescription medications, Methylphenidate, were stored in an unlocked container in the office. The two prescription medications, Methylphenidate, were moved to a filing cabinet in the office that was locked. This was corrected during the visit. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Item #847 – One (1) medication authorization form did not include the name of the prescription medication, Methylphenidate, to administer to the child. The name of the prescription medication, Methylphenidate, for the child was documented on the form during the visit by H.R. The parent will need to initial and date this change since the parent is required to give the authorization to administer a specific medication. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/24/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 94%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This is recommended to be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Pre-service requirements must be met for all positions. The facility will use the six (6) points for staff education based on the previous ownership. Program Standards: The facility will use the six (6) points for program standards based on the previous ownership. The facility will be included in Cohort 1 to resume the next rated license cycle. We discussed resources available during the visit today. The facility is required to meet enhanced space and enhanced staff/child ratios. 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) 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. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 Quality Point: The facility will use the one (1) quality point based on the previous ownership. Curriculum: The approved curriculum being implemented by the facility is High Reach Learning. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: Reminder that the approved building inspection is required to be completed during the temporary time period. If the building inspection is not completed on or before 8/1/24, it may result in a denial of a license. Time is needed to review and process the rated license paperwork by the licensing consultant and Division management. It is recommended to provide a weekly update on the progress of the inspection. 10A NCAC 09 .2215 DENIAL OF A LICENSE (a) The Secretary may deny an application for a child care facility license or the issuance of any permit to operate a child care facility under the following circumstances: (8) based on the operator's non-compliance with the requirements of G.S. 110, Article 7, 10A NCAC 10, or this Chapter, during a temporary licensure period; We discussed the annual fire inspection is due on or before 3/12/25. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Reminder that a restriction will be placed on the rated license to state that children under the age of 2.5 years must be in rooms with direct exits. Spaces #2 and #3 do not have direct exits to the outdoors. We discussed that parents may give a caregiver standing authorization for up to six month on a prescription medication such as one prescribed for Attention Deficit with Hyperactivity Disorder (ADHD). 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. We discussed to remind teachers to keep their purses and bags of personal belongings stored at least five feet above the floor. It is recommended to have teachers lock their purses and bags of personal belongings. 15A NCAC 18A .2820 STORAGE (g) Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. Space #4, the classroom with two and three year old children, has a small gated space beside the classroom. The small gated space is not an approved space and children may not use the space. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 7/10/2024 Number Present: 56 Completed Date: 7/10/2024 Age: From 0 To 9 Total Minutes: 190 Time In: 09:35 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit at this program was to conduct limited monitoring of child care requirements. Hillary Robertson, Assistant Director, was on-site and available to answer and ask questions. Emily Anderson, Administrator, arrived on-site at approximately 9:50am and was available to answer and ask questions. A computerized generated report of today’s visit was completed and reviewed with you. The printed visit summary was signed and a copy left with you. Currently this center operates with a Temporary License, issued 3/1/24 and is effective through 9/1/24. The restrictions include daytime care only, meets enhanced ratios, meets enhanced space, meets requirements for NC Pre-K, meets requirements for transportation; 97 children and ages 0-12 years. The Secretary of State website was reviewed today, and the company, Child Development Schools North Carolina, LLC, is listed as active-current. If any changes to the organization need to be made to the business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced 6/28/24. The last lockdown drill was practiced 6/14/24. The last monthly playground inspection was documented on 6/28/24. The last sanitation inspection was conducted on 4/4/24 with ten (10) demerits for a Superior classification. The facility was closed from 5/20/24 through 6/3/24 due to water damage in the building. A sanitation visit was conducted on 6/3/24 to verify the repairs made after the damage caused by flooding. It was determined that all affected areas were repaired at the time of the visit and Environmental Health did not observe any structural issues that would prevent the facility from reopening. The sanitation report has been received. The last approved fire inspection was completed on 3/12/24. An approved building inspection must be completed during the temporary time period. The Emergency Preparedness Response (EPR) plan was completed on 6/27/24. The emergency medical care (EMC) plan was posted. The incident log was in use. The children were observed in free play, routine care, and outdoor play. The administrator would like to take the option to transition to a star-rated license based on the previous ownership’s star-rated license points. Based on the change of ownership, the facility would be included in Cohort 1. We discussed the resources available during the 2024-25 assessment year. Plan to visit the North Carolina Rated License Assessment Project (NCRLAP) website, ncrlap.org, for additional information, webinars, and resources. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Two (2) prescription medications, Methylphenidate, were stored in an unlocked container in the office. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. One (1) medication authorization form did not include the name of the prescription medication, Methylphenidate, to administer to the child. 10A NCAC 09 .0803(4)(6-9) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. There was not documentation of visual checks on sleeping infants for 7/8/24 and 7/9/24. .0606(g) Technical assistance for correction plan: Item #887 – There was not documentation of visual checks on sleeping infants for 7/8/24 and 7/9/24. A plan must be put in place to ensure that teachers are documenting visual checks on sleeping infants. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (g) Documents that verify staff member's compliance with visual checks on infants shall be maintained for a minimum of one month. Item #841 - Two (2) prescription medications, Methylphenidate, were stored in an unlocked container in the office. The two prescription medications, Methylphenidate, were moved to a filing cabinet in the office that was locked. This was corrected during the visit. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Item #847 – One (1) medication authorization form did not include the name of the prescription medication, Methylphenidate, to administer to the child. The name of the prescription medication, Methylphenidate, for the child was documented on the form during the visit by H.R. The parent will need to initial and date this change since the parent is required to give the authorization to administer a specific medication. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/24/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 94%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This is recommended to be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Pre-service requirements must be met for all positions. The facility will use the six (6) points for staff education based on the previous ownership. Program Standards: The facility will use the six (6) points for program standards based on the previous ownership. The facility will be included in Cohort 1 to resume the next rated license cycle. We discussed resources available during the visit today. The facility is required to meet enhanced space and enhanced staff/child ratios. 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) 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. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 Quality Point: The facility will use the one (1) quality point based on the previous ownership. Curriculum: The approved curriculum being implemented by the facility is High Reach Learning. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: Reminder that the approved building inspection is required to be completed during the temporary time period. If the building inspection is not completed on or before 8/1/24, it may result in a denial of a license. Time is needed to review and process the rated license paperwork by the licensing consultant and Division management. It is recommended to provide a weekly update on the progress of the inspection. 10A NCAC 09 .2215 DENIAL OF A LICENSE (a) The Secretary may deny an application for a child care facility license or the issuance of any permit to operate a child care facility under the following circumstances: (8) based on the operator's non-compliance with the requirements of G.S. 110, Article 7, 10A NCAC 10, or this Chapter, during a temporary licensure period; We discussed the annual fire inspection is due on or before 3/12/25. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Reminder that a restriction will be placed on the rated license to state that children under the age of 2.5 years must be in rooms with direct exits. Spaces #2 and #3 do not have direct exits to the outdoors. We discussed that parents may give a caregiver standing authorization for up to six month on a prescription medication such as one prescribed for Attention Deficit with Hyperactivity Disorder (ADHD). 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. We discussed to remind teachers to keep their purses and bags of personal belongings stored at least five feet above the floor. It is recommended to have teachers lock their purses and bags of personal belongings. 15A NCAC 18A .2820 STORAGE (g) Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. Space #4, the classroom with two and three year old children, has a small gated space beside the classroom. The small gated space is not an approved space and children may not use the space. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .2215 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 7/10/2024 Number Present: 56 Completed Date: 7/10/2024 Age: From 0 To 9 Total Minutes: 190 Time In: 09:35 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit at this program was to conduct limited monitoring of child care requirements. Hillary Robertson, Assistant Director, was on-site and available to answer and ask questions. Emily Anderson, Administrator, arrived on-site at approximately 9:50am and was available to answer and ask questions. A computerized generated report of today’s visit was completed and reviewed with you. The printed visit summary was signed and a copy left with you. Currently this center operates with a Temporary License, issued 3/1/24 and is effective through 9/1/24. The restrictions include daytime care only, meets enhanced ratios, meets enhanced space, meets requirements for NC Pre-K, meets requirements for transportation; 97 children and ages 0-12 years. The Secretary of State website was reviewed today, and the company, Child Development Schools North Carolina, LLC, is listed as active-current. If any changes to the organization need to be made to the business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced 6/28/24. The last lockdown drill was practiced 6/14/24. The last monthly playground inspection was documented on 6/28/24. The last sanitation inspection was conducted on 4/4/24 with ten (10) demerits for a Superior classification. The facility was closed from 5/20/24 through 6/3/24 due to water damage in the building. A sanitation visit was conducted on 6/3/24 to verify the repairs made after the damage caused by flooding. It was determined that all affected areas were repaired at the time of the visit and Environmental Health did not observe any structural issues that would prevent the facility from reopening. The sanitation report has been received. The last approved fire inspection was completed on 3/12/24. An approved building inspection must be completed during the temporary time period. The Emergency Preparedness Response (EPR) plan was completed on 6/27/24. The emergency medical care (EMC) plan was posted. The incident log was in use. The children were observed in free play, routine care, and outdoor play. The administrator would like to take the option to transition to a star-rated license based on the previous ownership’s star-rated license points. Based on the change of ownership, the facility would be included in Cohort 1. We discussed the resources available during the 2024-25 assessment year. Plan to visit the North Carolina Rated License Assessment Project (NCRLAP) website, ncrlap.org, for additional information, webinars, and resources. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Two (2) prescription medications, Methylphenidate, were stored in an unlocked container in the office. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. One (1) medication authorization form did not include the name of the prescription medication, Methylphenidate, to administer to the child. 10A NCAC 09 .0803(4)(6-9) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. There was not documentation of visual checks on sleeping infants for 7/8/24 and 7/9/24. .0606(g) Technical assistance for correction plan: Item #887 – There was not documentation of visual checks on sleeping infants for 7/8/24 and 7/9/24. A plan must be put in place to ensure that teachers are documenting visual checks on sleeping infants. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (g) Documents that verify staff member's compliance with visual checks on infants shall be maintained for a minimum of one month. Item #841 - Two (2) prescription medications, Methylphenidate, were stored in an unlocked container in the office. The two prescription medications, Methylphenidate, were moved to a filing cabinet in the office that was locked. This was corrected during the visit. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Item #847 – One (1) medication authorization form did not include the name of the prescription medication, Methylphenidate, to administer to the child. The name of the prescription medication, Methylphenidate, for the child was documented on the form during the visit by H.R. The parent will need to initial and date this change since the parent is required to give the authorization to administer a specific medication. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/24/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 94%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This is recommended to be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Pre-service requirements must be met for all positions. The facility will use the six (6) points for staff education based on the previous ownership. Program Standards: The facility will use the six (6) points for program standards based on the previous ownership. The facility will be included in Cohort 1 to resume the next rated license cycle. We discussed resources available during the visit today. The facility is required to meet enhanced space and enhanced staff/child ratios. 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) 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. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 Quality Point: The facility will use the one (1) quality point based on the previous ownership. Curriculum: The approved curriculum being implemented by the facility is High Reach Learning. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: Reminder that the approved building inspection is required to be completed during the temporary time period. If the building inspection is not completed on or before 8/1/24, it may result in a denial of a license. Time is needed to review and process the rated license paperwork by the licensing consultant and Division management. It is recommended to provide a weekly update on the progress of the inspection. 10A NCAC 09 .2215 DENIAL OF A LICENSE (a) The Secretary may deny an application for a child care facility license or the issuance of any permit to operate a child care facility under the following circumstances: (8) based on the operator's non-compliance with the requirements of G.S. 110, Article 7, 10A NCAC 10, or this Chapter, during a temporary licensure period; We discussed the annual fire inspection is due on or before 3/12/25. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Reminder that a restriction will be placed on the rated license to state that children under the age of 2.5 years must be in rooms with direct exits. Spaces #2 and #3 do not have direct exits to the outdoors. We discussed that parents may give a caregiver standing authorization for up to six month on a prescription medication such as one prescribed for Attention Deficit with Hyperactivity Disorder (ADHD). 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. We discussed to remind teachers to keep their purses and bags of personal belongings stored at least five feet above the floor. It is recommended to have teachers lock their purses and bags of personal belongings. 15A NCAC 18A .2820 STORAGE (g) Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. Space #4, the classroom with two and three year old children, has a small gated space beside the classroom. The small gated space is not an approved space and children may not use the space. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .2802 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 7/10/2024 Number Present: 56 Completed Date: 7/10/2024 Age: From 0 To 9 Total Minutes: 190 Time In: 09:35 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit at this program was to conduct limited monitoring of child care requirements. Hillary Robertson, Assistant Director, was on-site and available to answer and ask questions. Emily Anderson, Administrator, arrived on-site at approximately 9:50am and was available to answer and ask questions. A computerized generated report of today’s visit was completed and reviewed with you. The printed visit summary was signed and a copy left with you. Currently this center operates with a Temporary License, issued 3/1/24 and is effective through 9/1/24. The restrictions include daytime care only, meets enhanced ratios, meets enhanced space, meets requirements for NC Pre-K, meets requirements for transportation; 97 children and ages 0-12 years. The Secretary of State website was reviewed today, and the company, Child Development Schools North Carolina, LLC, is listed as active-current. If any changes to the organization need to be made to the business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced 6/28/24. The last lockdown drill was practiced 6/14/24. The last monthly playground inspection was documented on 6/28/24. The last sanitation inspection was conducted on 4/4/24 with ten (10) demerits for a Superior classification. The facility was closed from 5/20/24 through 6/3/24 due to water damage in the building. A sanitation visit was conducted on 6/3/24 to verify the repairs made after the damage caused by flooding. It was determined that all affected areas were repaired at the time of the visit and Environmental Health did not observe any structural issues that would prevent the facility from reopening. The sanitation report has been received. The last approved fire inspection was completed on 3/12/24. An approved building inspection must be completed during the temporary time period. The Emergency Preparedness Response (EPR) plan was completed on 6/27/24. The emergency medical care (EMC) plan was posted. The incident log was in use. The children were observed in free play, routine care, and outdoor play. The administrator would like to take the option to transition to a star-rated license based on the previous ownership’s star-rated license points. Based on the change of ownership, the facility would be included in Cohort 1. We discussed the resources available during the 2024-25 assessment year. Plan to visit the North Carolina Rated License Assessment Project (NCRLAP) website, ncrlap.org, for additional information, webinars, and resources. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Two (2) prescription medications, Methylphenidate, were stored in an unlocked container in the office. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. One (1) medication authorization form did not include the name of the prescription medication, Methylphenidate, to administer to the child. 10A NCAC 09 .0803(4)(6-9) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. There was not documentation of visual checks on sleeping infants for 7/8/24 and 7/9/24. .0606(g) Technical assistance for correction plan: Item #887 – There was not documentation of visual checks on sleeping infants for 7/8/24 and 7/9/24. A plan must be put in place to ensure that teachers are documenting visual checks on sleeping infants. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (g) Documents that verify staff member's compliance with visual checks on infants shall be maintained for a minimum of one month. Item #841 - Two (2) prescription medications, Methylphenidate, were stored in an unlocked container in the office. The two prescription medications, Methylphenidate, were moved to a filing cabinet in the office that was locked. This was corrected during the visit. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Item #847 – One (1) medication authorization form did not include the name of the prescription medication, Methylphenidate, to administer to the child. The name of the prescription medication, Methylphenidate, for the child was documented on the form during the visit by H.R. The parent will need to initial and date this change since the parent is required to give the authorization to administer a specific medication. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/24/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 94%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This is recommended to be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Pre-service requirements must be met for all positions. The facility will use the six (6) points for staff education based on the previous ownership. Program Standards: The facility will use the six (6) points for program standards based on the previous ownership. The facility will be included in Cohort 1 to resume the next rated license cycle. We discussed resources available during the visit today. The facility is required to meet enhanced space and enhanced staff/child ratios. 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) 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. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 Quality Point: The facility will use the one (1) quality point based on the previous ownership. Curriculum: The approved curriculum being implemented by the facility is High Reach Learning. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: Reminder that the approved building inspection is required to be completed during the temporary time period. If the building inspection is not completed on or before 8/1/24, it may result in a denial of a license. Time is needed to review and process the rated license paperwork by the licensing consultant and Division management. It is recommended to provide a weekly update on the progress of the inspection. 10A NCAC 09 .2215 DENIAL OF A LICENSE (a) The Secretary may deny an application for a child care facility license or the issuance of any permit to operate a child care facility under the following circumstances: (8) based on the operator's non-compliance with the requirements of G.S. 110, Article 7, 10A NCAC 10, or this Chapter, during a temporary licensure period; We discussed the annual fire inspection is due on or before 3/12/25. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Reminder that a restriction will be placed on the rated license to state that children under the age of 2.5 years must be in rooms with direct exits. Spaces #2 and #3 do not have direct exits to the outdoors. We discussed that parents may give a caregiver standing authorization for up to six month on a prescription medication such as one prescribed for Attention Deficit with Hyperactivity Disorder (ADHD). 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. We discussed to remind teachers to keep their purses and bags of personal belongings stored at least five feet above the floor. It is recommended to have teachers lock their purses and bags of personal belongings. 15A NCAC 18A .2820 STORAGE (g) Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. Space #4, the classroom with two and three year old children, has a small gated space beside the classroom. The small gated space is not an approved space and children may not use the space. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .2809 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 7/10/2024 Number Present: 56 Completed Date: 7/10/2024 Age: From 0 To 9 Total Minutes: 190 Time In: 09:35 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit at this program was to conduct limited monitoring of child care requirements. Hillary Robertson, Assistant Director, was on-site and available to answer and ask questions. Emily Anderson, Administrator, arrived on-site at approximately 9:50am and was available to answer and ask questions. A computerized generated report of today’s visit was completed and reviewed with you. The printed visit summary was signed and a copy left with you. Currently this center operates with a Temporary License, issued 3/1/24 and is effective through 9/1/24. The restrictions include daytime care only, meets enhanced ratios, meets enhanced space, meets requirements for NC Pre-K, meets requirements for transportation; 97 children and ages 0-12 years. The Secretary of State website was reviewed today, and the company, Child Development Schools North Carolina, LLC, is listed as active-current. If any changes to the organization need to be made to the business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced 6/28/24. The last lockdown drill was practiced 6/14/24. The last monthly playground inspection was documented on 6/28/24. The last sanitation inspection was conducted on 4/4/24 with ten (10) demerits for a Superior classification. The facility was closed from 5/20/24 through 6/3/24 due to water damage in the building. A sanitation visit was conducted on 6/3/24 to verify the repairs made after the damage caused by flooding. It was determined that all affected areas were repaired at the time of the visit and Environmental Health did not observe any structural issues that would prevent the facility from reopening. The sanitation report has been received. The last approved fire inspection was completed on 3/12/24. An approved building inspection must be completed during the temporary time period. The Emergency Preparedness Response (EPR) plan was completed on 6/27/24. The emergency medical care (EMC) plan was posted. The incident log was in use. The children were observed in free play, routine care, and outdoor play. The administrator would like to take the option to transition to a star-rated license based on the previous ownership’s star-rated license points. Based on the change of ownership, the facility would be included in Cohort 1. We discussed the resources available during the 2024-25 assessment year. Plan to visit the North Carolina Rated License Assessment Project (NCRLAP) website, ncrlap.org, for additional information, webinars, and resources. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Two (2) prescription medications, Methylphenidate, were stored in an unlocked container in the office. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. One (1) medication authorization form did not include the name of the prescription medication, Methylphenidate, to administer to the child. 10A NCAC 09 .0803(4)(6-9) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. There was not documentation of visual checks on sleeping infants for 7/8/24 and 7/9/24. .0606(g) Technical assistance for correction plan: Item #887 – There was not documentation of visual checks on sleeping infants for 7/8/24 and 7/9/24. A plan must be put in place to ensure that teachers are documenting visual checks on sleeping infants. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (g) Documents that verify staff member's compliance with visual checks on infants shall be maintained for a minimum of one month. Item #841 - Two (2) prescription medications, Methylphenidate, were stored in an unlocked container in the office. The two prescription medications, Methylphenidate, were moved to a filing cabinet in the office that was locked. This was corrected during the visit. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Item #847 – One (1) medication authorization form did not include the name of the prescription medication, Methylphenidate, to administer to the child. The name of the prescription medication, Methylphenidate, for the child was documented on the form during the visit by H.R. The parent will need to initial and date this change since the parent is required to give the authorization to administer a specific medication. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/24/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 94%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This is recommended to be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Pre-service requirements must be met for all positions. The facility will use the six (6) points for staff education based on the previous ownership. Program Standards: The facility will use the six (6) points for program standards based on the previous ownership. The facility will be included in Cohort 1 to resume the next rated license cycle. We discussed resources available during the visit today. The facility is required to meet enhanced space and enhanced staff/child ratios. 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) 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. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 Quality Point: The facility will use the one (1) quality point based on the previous ownership. Curriculum: The approved curriculum being implemented by the facility is High Reach Learning. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: Reminder that the approved building inspection is required to be completed during the temporary time period. If the building inspection is not completed on or before 8/1/24, it may result in a denial of a license. Time is needed to review and process the rated license paperwork by the licensing consultant and Division management. It is recommended to provide a weekly update on the progress of the inspection. 10A NCAC 09 .2215 DENIAL OF A LICENSE (a) The Secretary may deny an application for a child care facility license or the issuance of any permit to operate a child care facility under the following circumstances: (8) based on the operator's non-compliance with the requirements of G.S. 110, Article 7, 10A NCAC 10, or this Chapter, during a temporary licensure period; We discussed the annual fire inspection is due on or before 3/12/25. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Reminder that a restriction will be placed on the rated license to state that children under the age of 2.5 years must be in rooms with direct exits. Spaces #2 and #3 do not have direct exits to the outdoors. We discussed that parents may give a caregiver standing authorization for up to six month on a prescription medication such as one prescribed for Attention Deficit with Hyperactivity Disorder (ADHD). 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. We discussed to remind teachers to keep their purses and bags of personal belongings stored at least five feet above the floor. It is recommended to have teachers lock their purses and bags of personal belongings. 15A NCAC 18A .2820 STORAGE (g) Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. Space #4, the classroom with two and three year old children, has a small gated space beside the classroom. The small gated space is not an approved space and children may not use the space. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .2818 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 7/10/2024 Number Present: 56 Completed Date: 7/10/2024 Age: From 0 To 9 Total Minutes: 190 Time In: 09:35 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit at this program was to conduct limited monitoring of child care requirements. Hillary Robertson, Assistant Director, was on-site and available to answer and ask questions. Emily Anderson, Administrator, arrived on-site at approximately 9:50am and was available to answer and ask questions. A computerized generated report of today’s visit was completed and reviewed with you. The printed visit summary was signed and a copy left with you. Currently this center operates with a Temporary License, issued 3/1/24 and is effective through 9/1/24. The restrictions include daytime care only, meets enhanced ratios, meets enhanced space, meets requirements for NC Pre-K, meets requirements for transportation; 97 children and ages 0-12 years. The Secretary of State website was reviewed today, and the company, Child Development Schools North Carolina, LLC, is listed as active-current. If any changes to the organization need to be made to the business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced 6/28/24. The last lockdown drill was practiced 6/14/24. The last monthly playground inspection was documented on 6/28/24. The last sanitation inspection was conducted on 4/4/24 with ten (10) demerits for a Superior classification. The facility was closed from 5/20/24 through 6/3/24 due to water damage in the building. A sanitation visit was conducted on 6/3/24 to verify the repairs made after the damage caused by flooding. It was determined that all affected areas were repaired at the time of the visit and Environmental Health did not observe any structural issues that would prevent the facility from reopening. The sanitation report has been received. The last approved fire inspection was completed on 3/12/24. An approved building inspection must be completed during the temporary time period. The Emergency Preparedness Response (EPR) plan was completed on 6/27/24. The emergency medical care (EMC) plan was posted. The incident log was in use. The children were observed in free play, routine care, and outdoor play. The administrator would like to take the option to transition to a star-rated license based on the previous ownership’s star-rated license points. Based on the change of ownership, the facility would be included in Cohort 1. We discussed the resources available during the 2024-25 assessment year. Plan to visit the North Carolina Rated License Assessment Project (NCRLAP) website, ncrlap.org, for additional information, webinars, and resources. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Two (2) prescription medications, Methylphenidate, were stored in an unlocked container in the office. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. One (1) medication authorization form did not include the name of the prescription medication, Methylphenidate, to administer to the child. 10A NCAC 09 .0803(4)(6-9) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. There was not documentation of visual checks on sleeping infants for 7/8/24 and 7/9/24. .0606(g) Technical assistance for correction plan: Item #887 – There was not documentation of visual checks on sleeping infants for 7/8/24 and 7/9/24. A plan must be put in place to ensure that teachers are documenting visual checks on sleeping infants. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (g) Documents that verify staff member's compliance with visual checks on infants shall be maintained for a minimum of one month. Item #841 - Two (2) prescription medications, Methylphenidate, were stored in an unlocked container in the office. The two prescription medications, Methylphenidate, were moved to a filing cabinet in the office that was locked. This was corrected during the visit. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Item #847 – One (1) medication authorization form did not include the name of the prescription medication, Methylphenidate, to administer to the child. The name of the prescription medication, Methylphenidate, for the child was documented on the form during the visit by H.R. The parent will need to initial and date this change since the parent is required to give the authorization to administer a specific medication. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/24/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 94%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This is recommended to be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Pre-service requirements must be met for all positions. The facility will use the six (6) points for staff education based on the previous ownership. Program Standards: The facility will use the six (6) points for program standards based on the previous ownership. The facility will be included in Cohort 1 to resume the next rated license cycle. We discussed resources available during the visit today. The facility is required to meet enhanced space and enhanced staff/child ratios. 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) 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. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 Quality Point: The facility will use the one (1) quality point based on the previous ownership. Curriculum: The approved curriculum being implemented by the facility is High Reach Learning. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: Reminder that the approved building inspection is required to be completed during the temporary time period. If the building inspection is not completed on or before 8/1/24, it may result in a denial of a license. Time is needed to review and process the rated license paperwork by the licensing consultant and Division management. It is recommended to provide a weekly update on the progress of the inspection. 10A NCAC 09 .2215 DENIAL OF A LICENSE (a) The Secretary may deny an application for a child care facility license or the issuance of any permit to operate a child care facility under the following circumstances: (8) based on the operator's non-compliance with the requirements of G.S. 110, Article 7, 10A NCAC 10, or this Chapter, during a temporary licensure period; We discussed the annual fire inspection is due on or before 3/12/25. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Reminder that a restriction will be placed on the rated license to state that children under the age of 2.5 years must be in rooms with direct exits. Spaces #2 and #3 do not have direct exits to the outdoors. We discussed that parents may give a caregiver standing authorization for up to six month on a prescription medication such as one prescribed for Attention Deficit with Hyperactivity Disorder (ADHD). 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. We discussed to remind teachers to keep their purses and bags of personal belongings stored at least five feet above the floor. It is recommended to have teachers lock their purses and bags of personal belongings. 15A NCAC 18A .2820 STORAGE (g) Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. Space #4, the classroom with two and three year old children, has a small gated space beside the classroom. The small gated space is not an approved space and children may not use the space. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .2830 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 7/10/2024 Number Present: 56 Completed Date: 7/10/2024 Age: From 0 To 9 Total Minutes: 190 Time In: 09:35 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit at this program was to conduct limited monitoring of child care requirements. Hillary Robertson, Assistant Director, was on-site and available to answer and ask questions. Emily Anderson, Administrator, arrived on-site at approximately 9:50am and was available to answer and ask questions. A computerized generated report of today’s visit was completed and reviewed with you. The printed visit summary was signed and a copy left with you. Currently this center operates with a Temporary License, issued 3/1/24 and is effective through 9/1/24. The restrictions include daytime care only, meets enhanced ratios, meets enhanced space, meets requirements for NC Pre-K, meets requirements for transportation; 97 children and ages 0-12 years. The Secretary of State website was reviewed today, and the company, Child Development Schools North Carolina, LLC, is listed as active-current. If any changes to the organization need to be made to the business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced 6/28/24. The last lockdown drill was practiced 6/14/24. The last monthly playground inspection was documented on 6/28/24. The last sanitation inspection was conducted on 4/4/24 with ten (10) demerits for a Superior classification. The facility was closed from 5/20/24 through 6/3/24 due to water damage in the building. A sanitation visit was conducted on 6/3/24 to verify the repairs made after the damage caused by flooding. It was determined that all affected areas were repaired at the time of the visit and Environmental Health did not observe any structural issues that would prevent the facility from reopening. The sanitation report has been received. The last approved fire inspection was completed on 3/12/24. An approved building inspection must be completed during the temporary time period. The Emergency Preparedness Response (EPR) plan was completed on 6/27/24. The emergency medical care (EMC) plan was posted. The incident log was in use. The children were observed in free play, routine care, and outdoor play. The administrator would like to take the option to transition to a star-rated license based on the previous ownership’s star-rated license points. Based on the change of ownership, the facility would be included in Cohort 1. We discussed the resources available during the 2024-25 assessment year. Plan to visit the North Carolina Rated License Assessment Project (NCRLAP) website, ncrlap.org, for additional information, webinars, and resources. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Two (2) prescription medications, Methylphenidate, were stored in an unlocked container in the office. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. One (1) medication authorization form did not include the name of the prescription medication, Methylphenidate, to administer to the child. 10A NCAC 09 .0803(4)(6-9) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. There was not documentation of visual checks on sleeping infants for 7/8/24 and 7/9/24. .0606(g) Technical assistance for correction plan: Item #887 – There was not documentation of visual checks on sleeping infants for 7/8/24 and 7/9/24. A plan must be put in place to ensure that teachers are documenting visual checks on sleeping infants. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (g) Documents that verify staff member's compliance with visual checks on infants shall be maintained for a minimum of one month. Item #841 - Two (2) prescription medications, Methylphenidate, were stored in an unlocked container in the office. The two prescription medications, Methylphenidate, were moved to a filing cabinet in the office that was locked. This was corrected during the visit. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Item #847 – One (1) medication authorization form did not include the name of the prescription medication, Methylphenidate, to administer to the child. The name of the prescription medication, Methylphenidate, for the child was documented on the form during the visit by H.R. The parent will need to initial and date this change since the parent is required to give the authorization to administer a specific medication. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/24/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 94%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This is recommended to be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Pre-service requirements must be met for all positions. The facility will use the six (6) points for staff education based on the previous ownership. Program Standards: The facility will use the six (6) points for program standards based on the previous ownership. The facility will be included in Cohort 1 to resume the next rated license cycle. We discussed resources available during the visit today. The facility is required to meet enhanced space and enhanced staff/child ratios. 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) 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. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 Quality Point: The facility will use the one (1) quality point based on the previous ownership. Curriculum: The approved curriculum being implemented by the facility is High Reach Learning. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: Reminder that the approved building inspection is required to be completed during the temporary time period. If the building inspection is not completed on or before 8/1/24, it may result in a denial of a license. Time is needed to review and process the rated license paperwork by the licensing consultant and Division management. It is recommended to provide a weekly update on the progress of the inspection. 10A NCAC 09 .2215 DENIAL OF A LICENSE (a) The Secretary may deny an application for a child care facility license or the issuance of any permit to operate a child care facility under the following circumstances: (8) based on the operator's non-compliance with the requirements of G.S. 110, Article 7, 10A NCAC 10, or this Chapter, during a temporary licensure period; We discussed the annual fire inspection is due on or before 3/12/25. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Reminder that a restriction will be placed on the rated license to state that children under the age of 2.5 years must be in rooms with direct exits. Spaces #2 and #3 do not have direct exits to the outdoors. We discussed that parents may give a caregiver standing authorization for up to six month on a prescription medication such as one prescribed for Attention Deficit with Hyperactivity Disorder (ADHD). 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. We discussed to remind teachers to keep their purses and bags of personal belongings stored at least five feet above the floor. It is recommended to have teachers lock their purses and bags of personal belongings. 15A NCAC 18A .2820 STORAGE (g) Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. Space #4, the classroom with two and three year old children, has a small gated space beside the classroom. The small gated space is not an approved space and children may not use the space. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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. 110-90 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 7/10/2024 Number Present: 56 Completed Date: 7/10/2024 Age: From 0 To 9 Total Minutes: 190 Time In: 09:35 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit at this program was to conduct limited monitoring of child care requirements. Hillary Robertson, Assistant Director, was on-site and available to answer and ask questions. Emily Anderson, Administrator, arrived on-site at approximately 9:50am and was available to answer and ask questions. A computerized generated report of today’s visit was completed and reviewed with you. The printed visit summary was signed and a copy left with you. Currently this center operates with a Temporary License, issued 3/1/24 and is effective through 9/1/24. The restrictions include daytime care only, meets enhanced ratios, meets enhanced space, meets requirements for NC Pre-K, meets requirements for transportation; 97 children and ages 0-12 years. The Secretary of State website was reviewed today, and the company, Child Development Schools North Carolina, LLC, is listed as active-current. If any changes to the organization need to be made to the business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced 6/28/24. The last lockdown drill was practiced 6/14/24. The last monthly playground inspection was documented on 6/28/24. The last sanitation inspection was conducted on 4/4/24 with ten (10) demerits for a Superior classification. The facility was closed from 5/20/24 through 6/3/24 due to water damage in the building. A sanitation visit was conducted on 6/3/24 to verify the repairs made after the damage caused by flooding. It was determined that all affected areas were repaired at the time of the visit and Environmental Health did not observe any structural issues that would prevent the facility from reopening. The sanitation report has been received. The last approved fire inspection was completed on 3/12/24. An approved building inspection must be completed during the temporary time period. The Emergency Preparedness Response (EPR) plan was completed on 6/27/24. The emergency medical care (EMC) plan was posted. The incident log was in use. The children were observed in free play, routine care, and outdoor play. The administrator would like to take the option to transition to a star-rated license based on the previous ownership’s star-rated license points. Based on the change of ownership, the facility would be included in Cohort 1. We discussed the resources available during the 2024-25 assessment year. Plan to visit the North Carolina Rated License Assessment Project (NCRLAP) website, ncrlap.org, for additional information, webinars, and resources. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Two (2) prescription medications, Methylphenidate, were stored in an unlocked container in the office. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. One (1) medication authorization form did not include the name of the prescription medication, Methylphenidate, to administer to the child. 10A NCAC 09 .0803(4)(6-9) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. There was not documentation of visual checks on sleeping infants for 7/8/24 and 7/9/24. .0606(g) Technical assistance for correction plan: Item #887 – There was not documentation of visual checks on sleeping infants for 7/8/24 and 7/9/24. A plan must be put in place to ensure that teachers are documenting visual checks on sleeping infants. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (g) Documents that verify staff member's compliance with visual checks on infants shall be maintained for a minimum of one month. Item #841 - Two (2) prescription medications, Methylphenidate, were stored in an unlocked container in the office. The two prescription medications, Methylphenidate, were moved to a filing cabinet in the office that was locked. This was corrected during the visit. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Item #847 – One (1) medication authorization form did not include the name of the prescription medication, Methylphenidate, to administer to the child. The name of the prescription medication, Methylphenidate, for the child was documented on the form during the visit by H.R. The parent will need to initial and date this change since the parent is required to give the authorization to administer a specific medication. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/24/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 94%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This is recommended to be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Pre-service requirements must be met for all positions. The facility will use the six (6) points for staff education based on the previous ownership. Program Standards: The facility will use the six (6) points for program standards based on the previous ownership. The facility will be included in Cohort 1 to resume the next rated license cycle. We discussed resources available during the visit today. The facility is required to meet enhanced space and enhanced staff/child ratios. 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) 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. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 Quality Point: The facility will use the one (1) quality point based on the previous ownership. Curriculum: The approved curriculum being implemented by the facility is High Reach Learning. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: Reminder that the approved building inspection is required to be completed during the temporary time period. If the building inspection is not completed on or before 8/1/24, it may result in a denial of a license. Time is needed to review and process the rated license paperwork by the licensing consultant and Division management. It is recommended to provide a weekly update on the progress of the inspection. 10A NCAC 09 .2215 DENIAL OF A LICENSE (a) The Secretary may deny an application for a child care facility license or the issuance of any permit to operate a child care facility under the following circumstances: (8) based on the operator's non-compliance with the requirements of G.S. 110, Article 7, 10A NCAC 10, or this Chapter, during a temporary licensure period; We discussed the annual fire inspection is due on or before 3/12/25. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Reminder that a restriction will be placed on the rated license to state that children under the age of 2.5 years must be in rooms with direct exits. Spaces #2 and #3 do not have direct exits to the outdoors. We discussed that parents may give a caregiver standing authorization for up to six month on a prescription medication such as one prescribed for Attention Deficit with Hyperactivity Disorder (ADHD). 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. We discussed to remind teachers to keep their purses and bags of personal belongings stored at least five feet above the floor. It is recommended to have teachers lock their purses and bags of personal belongings. 15A NCAC 18A .2820 STORAGE (g) Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. Space #4, the classroom with two and three year old children, has a small gated space beside the classroom. The small gated space is not an approved space and children may not use the space. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .2318 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 5/15/2024 Number Present: 57 Completed Date: 5/15/2024 Age: From 0 To 5 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with applicable child care requirements during the second temporary time period visit. This facility is on a temporary license due to a change of ownership. Angela Hurd, Assistant Director, was on-site and available to answer and ask questions. Emily Anderson, Administrator, was not on-site during the visit today. A computerized generated report of today’s visit was completed and reviewed with you. The printed visit summary was signed and a copy left with you. Currently this center operates with a Temporary License, issued 3/1/24 and is effective through 9/1/24. The restrictions include daytime care only, meets enhanced ratios, meets enhanced space, meets requirements for NC Pre-K, meets requirements for transportation; 97 children and ages 0-12 years. The Secretary of State website was reviewed today, and the company, Child Development Schools North Carolina, LLC, is listed as active-current. If any changes to the organization need to be made to the business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced 4/30/24. The last shelter-in-place drill was practiced 3/15/24. The last monthly playground inspection was documented on 4/30/24. The last sanitation inspection was conducted on 4/4/24 with ten (10) demerits for a Superior classification. The last approved fire inspection was completed on 3/12/24. The original was collected during the visit today. An approved building inspection must be completed during the temporary time period. The Emergency Preparedness Response (EPR) plan must be completed on or before 7/1/24. Emily Anderson, Administrator, completed EPR training on 3/13/23. The emergency medical care (EMC) plan was posted. The incident log has not been updated since 4/29/23. The children were observed during breakfast, free play, small group activities, routine care, and outdoor play. The breakfast today was a cheddar cheese omelette, blueberries, and milk as listed on the menu. The NC Pre-K program was monitored to meet the requirements below. SECTION .3000 NC PRE-KINDERGARTEN SERVICES This facility provides transportation. A total of three (3) children files were monitored; one (1) NC Pre-K file was monitored. There were two (2) new staff files that were monitored. Limited monitoring of existing files occurred. To continue to serve children on subsidy vouchers, the facility must transition to a three-star license or higher. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. Due to the ownership change, the facility has the option to use the previous ownership’s star rating points and be included in the rated license cycle for the previous facility, Cohort 1. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. A screen time log was not available for review in space #6, the classroom with NC Pre-K children. The teacher stated she did not have a screen time log available to document the screen time occurring during the visit when the children watched the three little pigs and the big bad wolf. .0510(d)(2)(A-C) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. Playground space #1 has stationary equipment that is broken and not in good repair. Children have access to this equipment as they pass through to go to playground space #3. .0601(d) 721 All equipment and furnishings were not in good repair. Playground space #1 has an anchored climbing structure that is broken and partially disassembled with some parts of the structure sitting next to the broken equipment. G.S. 110-91(6); .0601(b) 853 Incident logs were not completed and maintained as required. The last documented incident report in the incident log was from 4/29/23. .0802(g)(1-6) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Two (2) staff hired on 4/23/24 had five (5) hours of new orientation training instead of the required six (6) hours. .1101(a)(b) Technical assistance for correction plan: Items #707 and 721 The anchored climbing structure must be removed from playground space #1. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, that include instructions from the manufacturer, those manufacturer's instructions shall be kept on file at the center, unless they are available electronically for review. (d) Staff of the center shall immediately remove all equipment and furnishings that do not meet the requirements of Paragraphs (b) and (c) of this Rule from the premises or make the equipment or furnishings inaccessible to the children. Item #524 Screen time must be documented on a cumulative log. We discussed a screen time log can be located on the Division's website. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. Item #853 Incident reports must be documented on the incident log any time an incident report is completed. We discussed to document all incident reports from 4/29/23 through 5/15/24. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website. Item #1067 The new staff orientation must include at least six (6) hours of orientation for the topics listed in the child care rule within the first two weeks of employment. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before 5/29/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history prior to the visit today was 100%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. *Note - The facility may choose to use staff education points from the previous ownership. Program Standards: The Initial Application for a Two Component Star Rated License can be found on the Division’s website and the Rated License Request for Review form can be requested if you choose to apply for a two through five-star rated license and have the (ERS) assessment. *Note - The facility may choose to use program standard points from the previous ownership. Quality Point: A quality point has not been determined. *Note - The facility may choose to use the quality point from the previous ownership. Curriculum: All four and five star rated license facilities must implement an approved curriculum with four year-old children. The curriculum implemented is High Reach Learning. Consultation: Reminder that the approved building inspection is required to be completed during the temporary time period. If the building inspection is not completed during the temporary time period, it may result in a denial of a license. 10A NCAC 09 .2215 DENIAL OF A LICENSE (a) The Secretary may deny an application for a child care facility license or the issuance of any permit to operate a child care facility under the following circumstances: (8) based on the operator's non-compliance with the requirements of G.S. 110, Article 7, 10A NCAC 10, or this Chapter, during a temporary licensure period; We discussed that playground space #2A and #2B no longer has a gate separating the two spaces. The two outdoor spaces have a capacity of five (5) children each. These two outdoor spaces can only be used one space at a time with one (1) teacher. Space #2B is ninety-nine (99) feet long and does not allow for adequate supervision with one (1) teacher when in use with space #2A. 10A NCAC 09 .1402 OUTDOOR SPACE (d) The outdoor area shall be designed so that staff is able to adequately supervise the entire area in accordance with 10A NCAC 09 .1801(a). We discussed the incident log must be retained for a minimum of one year after record is created, revised or replaced. 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Health and Safety Training It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@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. 110-90 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 5/15/2024 Number Present: 57 Completed Date: 5/15/2024 Age: From 0 To 5 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with applicable child care requirements during the second temporary time period visit. This facility is on a temporary license due to a change of ownership. Angela Hurd, Assistant Director, was on-site and available to answer and ask questions. Emily Anderson, Administrator, was not on-site during the visit today. A computerized generated report of today’s visit was completed and reviewed with you. The printed visit summary was signed and a copy left with you. Currently this center operates with a Temporary License, issued 3/1/24 and is effective through 9/1/24. The restrictions include daytime care only, meets enhanced ratios, meets enhanced space, meets requirements for NC Pre-K, meets requirements for transportation; 97 children and ages 0-12 years. The Secretary of State website was reviewed today, and the company, Child Development Schools North Carolina, LLC, is listed as active-current. If any changes to the organization need to be made to the business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced 4/30/24. The last shelter-in-place drill was practiced 3/15/24. The last monthly playground inspection was documented on 4/30/24. The last sanitation inspection was conducted on 4/4/24 with ten (10) demerits for a Superior classification. The last approved fire inspection was completed on 3/12/24. The original was collected during the visit today. An approved building inspection must be completed during the temporary time period. The Emergency Preparedness Response (EPR) plan must be completed on or before 7/1/24. Emily Anderson, Administrator, completed EPR training on 3/13/23. The emergency medical care (EMC) plan was posted. The incident log has not been updated since 4/29/23. The children were observed during breakfast, free play, small group activities, routine care, and outdoor play. The breakfast today was a cheddar cheese omelette, blueberries, and milk as listed on the menu. The NC Pre-K program was monitored to meet the requirements below. SECTION .3000 NC PRE-KINDERGARTEN SERVICES This facility provides transportation. A total of three (3) children files were monitored; one (1) NC Pre-K file was monitored. There were two (2) new staff files that were monitored. Limited monitoring of existing files occurred. To continue to serve children on subsidy vouchers, the facility must transition to a three-star license or higher. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. Due to the ownership change, the facility has the option to use the previous ownership’s star rating points and be included in the rated license cycle for the previous facility, Cohort 1. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. A screen time log was not available for review in space #6, the classroom with NC Pre-K children. The teacher stated she did not have a screen time log available to document the screen time occurring during the visit when the children watched the three little pigs and the big bad wolf. .0510(d)(2)(A-C) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. Playground space #1 has stationary equipment that is broken and not in good repair. Children have access to this equipment as they pass through to go to playground space #3. .0601(d) 721 All equipment and furnishings were not in good repair. Playground space #1 has an anchored climbing structure that is broken and partially disassembled with some parts of the structure sitting next to the broken equipment. G.S. 110-91(6); .0601(b) 853 Incident logs were not completed and maintained as required. The last documented incident report in the incident log was from 4/29/23. .0802(g)(1-6) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Two (2) staff hired on 4/23/24 had five (5) hours of new orientation training instead of the required six (6) hours. .1101(a)(b) Technical assistance for correction plan: Items #707 and 721 The anchored climbing structure must be removed from playground space #1. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, that include instructions from the manufacturer, those manufacturer's instructions shall be kept on file at the center, unless they are available electronically for review. (d) Staff of the center shall immediately remove all equipment and furnishings that do not meet the requirements of Paragraphs (b) and (c) of this Rule from the premises or make the equipment or furnishings inaccessible to the children. Item #524 Screen time must be documented on a cumulative log. We discussed a screen time log can be located on the Division's website. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. Item #853 Incident reports must be documented on the incident log any time an incident report is completed. We discussed to document all incident reports from 4/29/23 through 5/15/24. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website. Item #1067 The new staff orientation must include at least six (6) hours of orientation for the topics listed in the child care rule within the first two weeks of employment. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before 5/29/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history prior to the visit today was 100%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. *Note - The facility may choose to use staff education points from the previous ownership. Program Standards: The Initial Application for a Two Component Star Rated License can be found on the Division’s website and the Rated License Request for Review form can be requested if you choose to apply for a two through five-star rated license and have the (ERS) assessment. *Note - The facility may choose to use program standard points from the previous ownership. Quality Point: A quality point has not been determined. *Note - The facility may choose to use the quality point from the previous ownership. Curriculum: All four and five star rated license facilities must implement an approved curriculum with four year-old children. The curriculum implemented is High Reach Learning. Consultation: Reminder that the approved building inspection is required to be completed during the temporary time period. If the building inspection is not completed during the temporary time period, it may result in a denial of a license. 10A NCAC 09 .2215 DENIAL OF A LICENSE (a) The Secretary may deny an application for a child care facility license or the issuance of any permit to operate a child care facility under the following circumstances: (8) based on the operator's non-compliance with the requirements of G.S. 110, Article 7, 10A NCAC 10, or this Chapter, during a temporary licensure period; We discussed that playground space #2A and #2B no longer has a gate separating the two spaces. The two outdoor spaces have a capacity of five (5) children each. These two outdoor spaces can only be used one space at a time with one (1) teacher. Space #2B is ninety-nine (99) feet long and does not allow for adequate supervision with one (1) teacher when in use with space #2A. 10A NCAC 09 .1402 OUTDOOR SPACE (d) The outdoor area shall be designed so that staff is able to adequately supervise the entire area in accordance with 10A NCAC 09 .1801(a). We discussed the incident log must be retained for a minimum of one year after record is created, revised or replaced. 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Health and Safety Training It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@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 .0510 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 5/15/2024 Number Present: 57 Completed Date: 5/15/2024 Age: From 0 To 5 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with applicable child care requirements during the second temporary time period visit. This facility is on a temporary license due to a change of ownership. Angela Hurd, Assistant Director, was on-site and available to answer and ask questions. Emily Anderson, Administrator, was not on-site during the visit today. A computerized generated report of today’s visit was completed and reviewed with you. The printed visit summary was signed and a copy left with you. Currently this center operates with a Temporary License, issued 3/1/24 and is effective through 9/1/24. The restrictions include daytime care only, meets enhanced ratios, meets enhanced space, meets requirements for NC Pre-K, meets requirements for transportation; 97 children and ages 0-12 years. The Secretary of State website was reviewed today, and the company, Child Development Schools North Carolina, LLC, is listed as active-current. If any changes to the organization need to be made to the business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced 4/30/24. The last shelter-in-place drill was practiced 3/15/24. The last monthly playground inspection was documented on 4/30/24. The last sanitation inspection was conducted on 4/4/24 with ten (10) demerits for a Superior classification. The last approved fire inspection was completed on 3/12/24. The original was collected during the visit today. An approved building inspection must be completed during the temporary time period. The Emergency Preparedness Response (EPR) plan must be completed on or before 7/1/24. Emily Anderson, Administrator, completed EPR training on 3/13/23. The emergency medical care (EMC) plan was posted. The incident log has not been updated since 4/29/23. The children were observed during breakfast, free play, small group activities, routine care, and outdoor play. The breakfast today was a cheddar cheese omelette, blueberries, and milk as listed on the menu. The NC Pre-K program was monitored to meet the requirements below. SECTION .3000 NC PRE-KINDERGARTEN SERVICES This facility provides transportation. A total of three (3) children files were monitored; one (1) NC Pre-K file was monitored. There were two (2) new staff files that were monitored. Limited monitoring of existing files occurred. To continue to serve children on subsidy vouchers, the facility must transition to a three-star license or higher. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. Due to the ownership change, the facility has the option to use the previous ownership’s star rating points and be included in the rated license cycle for the previous facility, Cohort 1. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. A screen time log was not available for review in space #6, the classroom with NC Pre-K children. The teacher stated she did not have a screen time log available to document the screen time occurring during the visit when the children watched the three little pigs and the big bad wolf. .0510(d)(2)(A-C) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. Playground space #1 has stationary equipment that is broken and not in good repair. Children have access to this equipment as they pass through to go to playground space #3. .0601(d) 721 All equipment and furnishings were not in good repair. Playground space #1 has an anchored climbing structure that is broken and partially disassembled with some parts of the structure sitting next to the broken equipment. G.S. 110-91(6); .0601(b) 853 Incident logs were not completed and maintained as required. The last documented incident report in the incident log was from 4/29/23. .0802(g)(1-6) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Two (2) staff hired on 4/23/24 had five (5) hours of new orientation training instead of the required six (6) hours. .1101(a)(b) Technical assistance for correction plan: Items #707 and 721 The anchored climbing structure must be removed from playground space #1. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, that include instructions from the manufacturer, those manufacturer's instructions shall be kept on file at the center, unless they are available electronically for review. (d) Staff of the center shall immediately remove all equipment and furnishings that do not meet the requirements of Paragraphs (b) and (c) of this Rule from the premises or make the equipment or furnishings inaccessible to the children. Item #524 Screen time must be documented on a cumulative log. We discussed a screen time log can be located on the Division's website. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. Item #853 Incident reports must be documented on the incident log any time an incident report is completed. We discussed to document all incident reports from 4/29/23 through 5/15/24. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website. Item #1067 The new staff orientation must include at least six (6) hours of orientation for the topics listed in the child care rule within the first two weeks of employment. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before 5/29/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history prior to the visit today was 100%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. *Note - The facility may choose to use staff education points from the previous ownership. Program Standards: The Initial Application for a Two Component Star Rated License can be found on the Division’s website and the Rated License Request for Review form can be requested if you choose to apply for a two through five-star rated license and have the (ERS) assessment. *Note - The facility may choose to use program standard points from the previous ownership. Quality Point: A quality point has not been determined. *Note - The facility may choose to use the quality point from the previous ownership. Curriculum: All four and five star rated license facilities must implement an approved curriculum with four year-old children. The curriculum implemented is High Reach Learning. Consultation: Reminder that the approved building inspection is required to be completed during the temporary time period. If the building inspection is not completed during the temporary time period, it may result in a denial of a license. 10A NCAC 09 .2215 DENIAL OF A LICENSE (a) The Secretary may deny an application for a child care facility license or the issuance of any permit to operate a child care facility under the following circumstances: (8) based on the operator's non-compliance with the requirements of G.S. 110, Article 7, 10A NCAC 10, or this Chapter, during a temporary licensure period; We discussed that playground space #2A and #2B no longer has a gate separating the two spaces. The two outdoor spaces have a capacity of five (5) children each. These two outdoor spaces can only be used one space at a time with one (1) teacher. Space #2B is ninety-nine (99) feet long and does not allow for adequate supervision with one (1) teacher when in use with space #2A. 10A NCAC 09 .1402 OUTDOOR SPACE (d) The outdoor area shall be designed so that staff is able to adequately supervise the entire area in accordance with 10A NCAC 09 .1801(a). We discussed the incident log must be retained for a minimum of one year after record is created, revised or replaced. 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Health and Safety Training It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@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 .0601 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 5/15/2024 Number Present: 57 Completed Date: 5/15/2024 Age: From 0 To 5 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with applicable child care requirements during the second temporary time period visit. This facility is on a temporary license due to a change of ownership. Angela Hurd, Assistant Director, was on-site and available to answer and ask questions. Emily Anderson, Administrator, was not on-site during the visit today. A computerized generated report of today’s visit was completed and reviewed with you. The printed visit summary was signed and a copy left with you. Currently this center operates with a Temporary License, issued 3/1/24 and is effective through 9/1/24. The restrictions include daytime care only, meets enhanced ratios, meets enhanced space, meets requirements for NC Pre-K, meets requirements for transportation; 97 children and ages 0-12 years. The Secretary of State website was reviewed today, and the company, Child Development Schools North Carolina, LLC, is listed as active-current. If any changes to the organization need to be made to the business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced 4/30/24. The last shelter-in-place drill was practiced 3/15/24. The last monthly playground inspection was documented on 4/30/24. The last sanitation inspection was conducted on 4/4/24 with ten (10) demerits for a Superior classification. The last approved fire inspection was completed on 3/12/24. The original was collected during the visit today. An approved building inspection must be completed during the temporary time period. The Emergency Preparedness Response (EPR) plan must be completed on or before 7/1/24. Emily Anderson, Administrator, completed EPR training on 3/13/23. The emergency medical care (EMC) plan was posted. The incident log has not been updated since 4/29/23. The children were observed during breakfast, free play, small group activities, routine care, and outdoor play. The breakfast today was a cheddar cheese omelette, blueberries, and milk as listed on the menu. The NC Pre-K program was monitored to meet the requirements below. SECTION .3000 NC PRE-KINDERGARTEN SERVICES This facility provides transportation. A total of three (3) children files were monitored; one (1) NC Pre-K file was monitored. There were two (2) new staff files that were monitored. Limited monitoring of existing files occurred. To continue to serve children on subsidy vouchers, the facility must transition to a three-star license or higher. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. Due to the ownership change, the facility has the option to use the previous ownership’s star rating points and be included in the rated license cycle for the previous facility, Cohort 1. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. A screen time log was not available for review in space #6, the classroom with NC Pre-K children. The teacher stated she did not have a screen time log available to document the screen time occurring during the visit when the children watched the three little pigs and the big bad wolf. .0510(d)(2)(A-C) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. Playground space #1 has stationary equipment that is broken and not in good repair. Children have access to this equipment as they pass through to go to playground space #3. .0601(d) 721 All equipment and furnishings were not in good repair. Playground space #1 has an anchored climbing structure that is broken and partially disassembled with some parts of the structure sitting next to the broken equipment. G.S. 110-91(6); .0601(b) 853 Incident logs were not completed and maintained as required. The last documented incident report in the incident log was from 4/29/23. .0802(g)(1-6) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Two (2) staff hired on 4/23/24 had five (5) hours of new orientation training instead of the required six (6) hours. .1101(a)(b) Technical assistance for correction plan: Items #707 and 721 The anchored climbing structure must be removed from playground space #1. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, that include instructions from the manufacturer, those manufacturer's instructions shall be kept on file at the center, unless they are available electronically for review. (d) Staff of the center shall immediately remove all equipment and furnishings that do not meet the requirements of Paragraphs (b) and (c) of this Rule from the premises or make the equipment or furnishings inaccessible to the children. Item #524 Screen time must be documented on a cumulative log. We discussed a screen time log can be located on the Division's website. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. Item #853 Incident reports must be documented on the incident log any time an incident report is completed. We discussed to document all incident reports from 4/29/23 through 5/15/24. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website. Item #1067 The new staff orientation must include at least six (6) hours of orientation for the topics listed in the child care rule within the first two weeks of employment. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before 5/29/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history prior to the visit today was 100%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. *Note - The facility may choose to use staff education points from the previous ownership. Program Standards: The Initial Application for a Two Component Star Rated License can be found on the Division’s website and the Rated License Request for Review form can be requested if you choose to apply for a two through five-star rated license and have the (ERS) assessment. *Note - The facility may choose to use program standard points from the previous ownership. Quality Point: A quality point has not been determined. *Note - The facility may choose to use the quality point from the previous ownership. Curriculum: All four and five star rated license facilities must implement an approved curriculum with four year-old children. The curriculum implemented is High Reach Learning. Consultation: Reminder that the approved building inspection is required to be completed during the temporary time period. If the building inspection is not completed during the temporary time period, it may result in a denial of a license. 10A NCAC 09 .2215 DENIAL OF A LICENSE (a) The Secretary may deny an application for a child care facility license or the issuance of any permit to operate a child care facility under the following circumstances: (8) based on the operator's non-compliance with the requirements of G.S. 110, Article 7, 10A NCAC 10, or this Chapter, during a temporary licensure period; We discussed that playground space #2A and #2B no longer has a gate separating the two spaces. The two outdoor spaces have a capacity of five (5) children each. These two outdoor spaces can only be used one space at a time with one (1) teacher. Space #2B is ninety-nine (99) feet long and does not allow for adequate supervision with one (1) teacher when in use with space #2A. 10A NCAC 09 .1402 OUTDOOR SPACE (d) The outdoor area shall be designed so that staff is able to adequately supervise the entire area in accordance with 10A NCAC 09 .1801(a). We discussed the incident log must be retained for a minimum of one year after record is created, revised or replaced. 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Health and Safety Training It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@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: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 5/15/2024 Number Present: 57 Completed Date: 5/15/2024 Age: From 0 To 5 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with applicable child care requirements during the second temporary time period visit. This facility is on a temporary license due to a change of ownership. Angela Hurd, Assistant Director, was on-site and available to answer and ask questions. Emily Anderson, Administrator, was not on-site during the visit today. A computerized generated report of today’s visit was completed and reviewed with you. The printed visit summary was signed and a copy left with you. Currently this center operates with a Temporary License, issued 3/1/24 and is effective through 9/1/24. The restrictions include daytime care only, meets enhanced ratios, meets enhanced space, meets requirements for NC Pre-K, meets requirements for transportation; 97 children and ages 0-12 years. The Secretary of State website was reviewed today, and the company, Child Development Schools North Carolina, LLC, is listed as active-current. If any changes to the organization need to be made to the business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced 4/30/24. The last shelter-in-place drill was practiced 3/15/24. The last monthly playground inspection was documented on 4/30/24. The last sanitation inspection was conducted on 4/4/24 with ten (10) demerits for a Superior classification. The last approved fire inspection was completed on 3/12/24. The original was collected during the visit today. An approved building inspection must be completed during the temporary time period. The Emergency Preparedness Response (EPR) plan must be completed on or before 7/1/24. Emily Anderson, Administrator, completed EPR training on 3/13/23. The emergency medical care (EMC) plan was posted. The incident log has not been updated since 4/29/23. The children were observed during breakfast, free play, small group activities, routine care, and outdoor play. The breakfast today was a cheddar cheese omelette, blueberries, and milk as listed on the menu. The NC Pre-K program was monitored to meet the requirements below. SECTION .3000 NC PRE-KINDERGARTEN SERVICES This facility provides transportation. A total of three (3) children files were monitored; one (1) NC Pre-K file was monitored. There were two (2) new staff files that were monitored. Limited monitoring of existing files occurred. To continue to serve children on subsidy vouchers, the facility must transition to a three-star license or higher. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. Due to the ownership change, the facility has the option to use the previous ownership’s star rating points and be included in the rated license cycle for the previous facility, Cohort 1. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. A screen time log was not available for review in space #6, the classroom with NC Pre-K children. The teacher stated she did not have a screen time log available to document the screen time occurring during the visit when the children watched the three little pigs and the big bad wolf. .0510(d)(2)(A-C) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. Playground space #1 has stationary equipment that is broken and not in good repair. Children have access to this equipment as they pass through to go to playground space #3. .0601(d) 721 All equipment and furnishings were not in good repair. Playground space #1 has an anchored climbing structure that is broken and partially disassembled with some parts of the structure sitting next to the broken equipment. G.S. 110-91(6); .0601(b) 853 Incident logs were not completed and maintained as required. The last documented incident report in the incident log was from 4/29/23. .0802(g)(1-6) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Two (2) staff hired on 4/23/24 had five (5) hours of new orientation training instead of the required six (6) hours. .1101(a)(b) Technical assistance for correction plan: Items #707 and 721 The anchored climbing structure must be removed from playground space #1. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, that include instructions from the manufacturer, those manufacturer's instructions shall be kept on file at the center, unless they are available electronically for review. (d) Staff of the center shall immediately remove all equipment and furnishings that do not meet the requirements of Paragraphs (b) and (c) of this Rule from the premises or make the equipment or furnishings inaccessible to the children. Item #524 Screen time must be documented on a cumulative log. We discussed a screen time log can be located on the Division's website. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. Item #853 Incident reports must be documented on the incident log any time an incident report is completed. We discussed to document all incident reports from 4/29/23 through 5/15/24. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website. Item #1067 The new staff orientation must include at least six (6) hours of orientation for the topics listed in the child care rule within the first two weeks of employment. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before 5/29/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history prior to the visit today was 100%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. *Note - The facility may choose to use staff education points from the previous ownership. Program Standards: The Initial Application for a Two Component Star Rated License can be found on the Division’s website and the Rated License Request for Review form can be requested if you choose to apply for a two through five-star rated license and have the (ERS) assessment. *Note - The facility may choose to use program standard points from the previous ownership. Quality Point: A quality point has not been determined. *Note - The facility may choose to use the quality point from the previous ownership. Curriculum: All four and five star rated license facilities must implement an approved curriculum with four year-old children. The curriculum implemented is High Reach Learning. Consultation: Reminder that the approved building inspection is required to be completed during the temporary time period. If the building inspection is not completed during the temporary time period, it may result in a denial of a license. 10A NCAC 09 .2215 DENIAL OF A LICENSE (a) The Secretary may deny an application for a child care facility license or the issuance of any permit to operate a child care facility under the following circumstances: (8) based on the operator's non-compliance with the requirements of G.S. 110, Article 7, 10A NCAC 10, or this Chapter, during a temporary licensure period; We discussed that playground space #2A and #2B no longer has a gate separating the two spaces. The two outdoor spaces have a capacity of five (5) children each. These two outdoor spaces can only be used one space at a time with one (1) teacher. Space #2B is ninety-nine (99) feet long and does not allow for adequate supervision with one (1) teacher when in use with space #2A. 10A NCAC 09 .1402 OUTDOOR SPACE (d) The outdoor area shall be designed so that staff is able to adequately supervise the entire area in accordance with 10A NCAC 09 .1801(a). We discussed the incident log must be retained for a minimum of one year after record is created, revised or replaced. 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Health and Safety Training It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@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 .1101 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 5/15/2024 Number Present: 57 Completed Date: 5/15/2024 Age: From 0 To 5 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with applicable child care requirements during the second temporary time period visit. This facility is on a temporary license due to a change of ownership. Angela Hurd, Assistant Director, was on-site and available to answer and ask questions. Emily Anderson, Administrator, was not on-site during the visit today. A computerized generated report of today’s visit was completed and reviewed with you. The printed visit summary was signed and a copy left with you. Currently this center operates with a Temporary License, issued 3/1/24 and is effective through 9/1/24. The restrictions include daytime care only, meets enhanced ratios, meets enhanced space, meets requirements for NC Pre-K, meets requirements for transportation; 97 children and ages 0-12 years. The Secretary of State website was reviewed today, and the company, Child Development Schools North Carolina, LLC, is listed as active-current. If any changes to the organization need to be made to the business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced 4/30/24. The last shelter-in-place drill was practiced 3/15/24. The last monthly playground inspection was documented on 4/30/24. The last sanitation inspection was conducted on 4/4/24 with ten (10) demerits for a Superior classification. The last approved fire inspection was completed on 3/12/24. The original was collected during the visit today. An approved building inspection must be completed during the temporary time period. The Emergency Preparedness Response (EPR) plan must be completed on or before 7/1/24. Emily Anderson, Administrator, completed EPR training on 3/13/23. The emergency medical care (EMC) plan was posted. The incident log has not been updated since 4/29/23. The children were observed during breakfast, free play, small group activities, routine care, and outdoor play. The breakfast today was a cheddar cheese omelette, blueberries, and milk as listed on the menu. The NC Pre-K program was monitored to meet the requirements below. SECTION .3000 NC PRE-KINDERGARTEN SERVICES This facility provides transportation. A total of three (3) children files were monitored; one (1) NC Pre-K file was monitored. There were two (2) new staff files that were monitored. Limited monitoring of existing files occurred. To continue to serve children on subsidy vouchers, the facility must transition to a three-star license or higher. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. Due to the ownership change, the facility has the option to use the previous ownership’s star rating points and be included in the rated license cycle for the previous facility, Cohort 1. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. A screen time log was not available for review in space #6, the classroom with NC Pre-K children. The teacher stated she did not have a screen time log available to document the screen time occurring during the visit when the children watched the three little pigs and the big bad wolf. .0510(d)(2)(A-C) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. Playground space #1 has stationary equipment that is broken and not in good repair. Children have access to this equipment as they pass through to go to playground space #3. .0601(d) 721 All equipment and furnishings were not in good repair. Playground space #1 has an anchored climbing structure that is broken and partially disassembled with some parts of the structure sitting next to the broken equipment. G.S. 110-91(6); .0601(b) 853 Incident logs were not completed and maintained as required. The last documented incident report in the incident log was from 4/29/23. .0802(g)(1-6) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Two (2) staff hired on 4/23/24 had five (5) hours of new orientation training instead of the required six (6) hours. .1101(a)(b) Technical assistance for correction plan: Items #707 and 721 The anchored climbing structure must be removed from playground space #1. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, that include instructions from the manufacturer, those manufacturer's instructions shall be kept on file at the center, unless they are available electronically for review. (d) Staff of the center shall immediately remove all equipment and furnishings that do not meet the requirements of Paragraphs (b) and (c) of this Rule from the premises or make the equipment or furnishings inaccessible to the children. Item #524 Screen time must be documented on a cumulative log. We discussed a screen time log can be located on the Division's website. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. Item #853 Incident reports must be documented on the incident log any time an incident report is completed. We discussed to document all incident reports from 4/29/23 through 5/15/24. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website. Item #1067 The new staff orientation must include at least six (6) hours of orientation for the topics listed in the child care rule within the first two weeks of employment. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before 5/29/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history prior to the visit today was 100%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. *Note - The facility may choose to use staff education points from the previous ownership. Program Standards: The Initial Application for a Two Component Star Rated License can be found on the Division’s website and the Rated License Request for Review form can be requested if you choose to apply for a two through five-star rated license and have the (ERS) assessment. *Note - The facility may choose to use program standard points from the previous ownership. Quality Point: A quality point has not been determined. *Note - The facility may choose to use the quality point from the previous ownership. Curriculum: All four and five star rated license facilities must implement an approved curriculum with four year-old children. The curriculum implemented is High Reach Learning. Consultation: Reminder that the approved building inspection is required to be completed during the temporary time period. If the building inspection is not completed during the temporary time period, it may result in a denial of a license. 10A NCAC 09 .2215 DENIAL OF A LICENSE (a) The Secretary may deny an application for a child care facility license or the issuance of any permit to operate a child care facility under the following circumstances: (8) based on the operator's non-compliance with the requirements of G.S. 110, Article 7, 10A NCAC 10, or this Chapter, during a temporary licensure period; We discussed that playground space #2A and #2B no longer has a gate separating the two spaces. The two outdoor spaces have a capacity of five (5) children each. These two outdoor spaces can only be used one space at a time with one (1) teacher. Space #2B is ninety-nine (99) feet long and does not allow for adequate supervision with one (1) teacher when in use with space #2A. 10A NCAC 09 .1402 OUTDOOR SPACE (d) The outdoor area shall be designed so that staff is able to adequately supervise the entire area in accordance with 10A NCAC 09 .1801(a). We discussed the incident log must be retained for a minimum of one year after record is created, revised or replaced. 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Health and Safety Training It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@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 .1402 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 5/15/2024 Number Present: 57 Completed Date: 5/15/2024 Age: From 0 To 5 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with applicable child care requirements during the second temporary time period visit. This facility is on a temporary license due to a change of ownership. Angela Hurd, Assistant Director, was on-site and available to answer and ask questions. Emily Anderson, Administrator, was not on-site during the visit today. A computerized generated report of today’s visit was completed and reviewed with you. The printed visit summary was signed and a copy left with you. Currently this center operates with a Temporary License, issued 3/1/24 and is effective through 9/1/24. The restrictions include daytime care only, meets enhanced ratios, meets enhanced space, meets requirements for NC Pre-K, meets requirements for transportation; 97 children and ages 0-12 years. The Secretary of State website was reviewed today, and the company, Child Development Schools North Carolina, LLC, is listed as active-current. If any changes to the organization need to be made to the business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced 4/30/24. The last shelter-in-place drill was practiced 3/15/24. The last monthly playground inspection was documented on 4/30/24. The last sanitation inspection was conducted on 4/4/24 with ten (10) demerits for a Superior classification. The last approved fire inspection was completed on 3/12/24. The original was collected during the visit today. An approved building inspection must be completed during the temporary time period. The Emergency Preparedness Response (EPR) plan must be completed on or before 7/1/24. Emily Anderson, Administrator, completed EPR training on 3/13/23. The emergency medical care (EMC) plan was posted. The incident log has not been updated since 4/29/23. The children were observed during breakfast, free play, small group activities, routine care, and outdoor play. The breakfast today was a cheddar cheese omelette, blueberries, and milk as listed on the menu. The NC Pre-K program was monitored to meet the requirements below. SECTION .3000 NC PRE-KINDERGARTEN SERVICES This facility provides transportation. A total of three (3) children files were monitored; one (1) NC Pre-K file was monitored. There were two (2) new staff files that were monitored. Limited monitoring of existing files occurred. To continue to serve children on subsidy vouchers, the facility must transition to a three-star license or higher. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. Due to the ownership change, the facility has the option to use the previous ownership’s star rating points and be included in the rated license cycle for the previous facility, Cohort 1. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. A screen time log was not available for review in space #6, the classroom with NC Pre-K children. The teacher stated she did not have a screen time log available to document the screen time occurring during the visit when the children watched the three little pigs and the big bad wolf. .0510(d)(2)(A-C) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. Playground space #1 has stationary equipment that is broken and not in good repair. Children have access to this equipment as they pass through to go to playground space #3. .0601(d) 721 All equipment and furnishings were not in good repair. Playground space #1 has an anchored climbing structure that is broken and partially disassembled with some parts of the structure sitting next to the broken equipment. G.S. 110-91(6); .0601(b) 853 Incident logs were not completed and maintained as required. The last documented incident report in the incident log was from 4/29/23. .0802(g)(1-6) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Two (2) staff hired on 4/23/24 had five (5) hours of new orientation training instead of the required six (6) hours. .1101(a)(b) Technical assistance for correction plan: Items #707 and 721 The anchored climbing structure must be removed from playground space #1. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, that include instructions from the manufacturer, those manufacturer's instructions shall be kept on file at the center, unless they are available electronically for review. (d) Staff of the center shall immediately remove all equipment and furnishings that do not meet the requirements of Paragraphs (b) and (c) of this Rule from the premises or make the equipment or furnishings inaccessible to the children. Item #524 Screen time must be documented on a cumulative log. We discussed a screen time log can be located on the Division's website. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. Item #853 Incident reports must be documented on the incident log any time an incident report is completed. We discussed to document all incident reports from 4/29/23 through 5/15/24. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website. Item #1067 The new staff orientation must include at least six (6) hours of orientation for the topics listed in the child care rule within the first two weeks of employment. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before 5/29/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history prior to the visit today was 100%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. *Note - The facility may choose to use staff education points from the previous ownership. Program Standards: The Initial Application for a Two Component Star Rated License can be found on the Division’s website and the Rated License Request for Review form can be requested if you choose to apply for a two through five-star rated license and have the (ERS) assessment. *Note - The facility may choose to use program standard points from the previous ownership. Quality Point: A quality point has not been determined. *Note - The facility may choose to use the quality point from the previous ownership. Curriculum: All four and five star rated license facilities must implement an approved curriculum with four year-old children. The curriculum implemented is High Reach Learning. Consultation: Reminder that the approved building inspection is required to be completed during the temporary time period. If the building inspection is not completed during the temporary time period, it may result in a denial of a license. 10A NCAC 09 .2215 DENIAL OF A LICENSE (a) The Secretary may deny an application for a child care facility license or the issuance of any permit to operate a child care facility under the following circumstances: (8) based on the operator's non-compliance with the requirements of G.S. 110, Article 7, 10A NCAC 10, or this Chapter, during a temporary licensure period; We discussed that playground space #2A and #2B no longer has a gate separating the two spaces. The two outdoor spaces have a capacity of five (5) children each. These two outdoor spaces can only be used one space at a time with one (1) teacher. Space #2B is ninety-nine (99) feet long and does not allow for adequate supervision with one (1) teacher when in use with space #2A. 10A NCAC 09 .1402 OUTDOOR SPACE (d) The outdoor area shall be designed so that staff is able to adequately supervise the entire area in accordance with 10A NCAC 09 .1801(a). We discussed the incident log must be retained for a minimum of one year after record is created, revised or replaced. 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Health and Safety Training It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@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 .1801 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 5/15/2024 Number Present: 57 Completed Date: 5/15/2024 Age: From 0 To 5 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with applicable child care requirements during the second temporary time period visit. This facility is on a temporary license due to a change of ownership. Angela Hurd, Assistant Director, was on-site and available to answer and ask questions. Emily Anderson, Administrator, was not on-site during the visit today. A computerized generated report of today’s visit was completed and reviewed with you. The printed visit summary was signed and a copy left with you. Currently this center operates with a Temporary License, issued 3/1/24 and is effective through 9/1/24. The restrictions include daytime care only, meets enhanced ratios, meets enhanced space, meets requirements for NC Pre-K, meets requirements for transportation; 97 children and ages 0-12 years. The Secretary of State website was reviewed today, and the company, Child Development Schools North Carolina, LLC, is listed as active-current. If any changes to the organization need to be made to the business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced 4/30/24. The last shelter-in-place drill was practiced 3/15/24. The last monthly playground inspection was documented on 4/30/24. The last sanitation inspection was conducted on 4/4/24 with ten (10) demerits for a Superior classification. The last approved fire inspection was completed on 3/12/24. The original was collected during the visit today. An approved building inspection must be completed during the temporary time period. The Emergency Preparedness Response (EPR) plan must be completed on or before 7/1/24. Emily Anderson, Administrator, completed EPR training on 3/13/23. The emergency medical care (EMC) plan was posted. The incident log has not been updated since 4/29/23. The children were observed during breakfast, free play, small group activities, routine care, and outdoor play. The breakfast today was a cheddar cheese omelette, blueberries, and milk as listed on the menu. The NC Pre-K program was monitored to meet the requirements below. SECTION .3000 NC PRE-KINDERGARTEN SERVICES This facility provides transportation. A total of three (3) children files were monitored; one (1) NC Pre-K file was monitored. There were two (2) new staff files that were monitored. Limited monitoring of existing files occurred. To continue to serve children on subsidy vouchers, the facility must transition to a three-star license or higher. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. Due to the ownership change, the facility has the option to use the previous ownership’s star rating points and be included in the rated license cycle for the previous facility, Cohort 1. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. A screen time log was not available for review in space #6, the classroom with NC Pre-K children. The teacher stated she did not have a screen time log available to document the screen time occurring during the visit when the children watched the three little pigs and the big bad wolf. .0510(d)(2)(A-C) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. Playground space #1 has stationary equipment that is broken and not in good repair. Children have access to this equipment as they pass through to go to playground space #3. .0601(d) 721 All equipment and furnishings were not in good repair. Playground space #1 has an anchored climbing structure that is broken and partially disassembled with some parts of the structure sitting next to the broken equipment. G.S. 110-91(6); .0601(b) 853 Incident logs were not completed and maintained as required. The last documented incident report in the incident log was from 4/29/23. .0802(g)(1-6) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Two (2) staff hired on 4/23/24 had five (5) hours of new orientation training instead of the required six (6) hours. .1101(a)(b) Technical assistance for correction plan: Items #707 and 721 The anchored climbing structure must be removed from playground space #1. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, that include instructions from the manufacturer, those manufacturer's instructions shall be kept on file at the center, unless they are available electronically for review. (d) Staff of the center shall immediately remove all equipment and furnishings that do not meet the requirements of Paragraphs (b) and (c) of this Rule from the premises or make the equipment or furnishings inaccessible to the children. Item #524 Screen time must be documented on a cumulative log. We discussed a screen time log can be located on the Division's website. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. Item #853 Incident reports must be documented on the incident log any time an incident report is completed. We discussed to document all incident reports from 4/29/23 through 5/15/24. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website. Item #1067 The new staff orientation must include at least six (6) hours of orientation for the topics listed in the child care rule within the first two weeks of employment. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before 5/29/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history prior to the visit today was 100%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. *Note - The facility may choose to use staff education points from the previous ownership. Program Standards: The Initial Application for a Two Component Star Rated License can be found on the Division’s website and the Rated License Request for Review form can be requested if you choose to apply for a two through five-star rated license and have the (ERS) assessment. *Note - The facility may choose to use program standard points from the previous ownership. Quality Point: A quality point has not been determined. *Note - The facility may choose to use the quality point from the previous ownership. Curriculum: All four and five star rated license facilities must implement an approved curriculum with four year-old children. The curriculum implemented is High Reach Learning. Consultation: Reminder that the approved building inspection is required to be completed during the temporary time period. If the building inspection is not completed during the temporary time period, it may result in a denial of a license. 10A NCAC 09 .2215 DENIAL OF A LICENSE (a) The Secretary may deny an application for a child care facility license or the issuance of any permit to operate a child care facility under the following circumstances: (8) based on the operator's non-compliance with the requirements of G.S. 110, Article 7, 10A NCAC 10, or this Chapter, during a temporary licensure period; We discussed that playground space #2A and #2B no longer has a gate separating the two spaces. The two outdoor spaces have a capacity of five (5) children each. These two outdoor spaces can only be used one space at a time with one (1) teacher. Space #2B is ninety-nine (99) feet long and does not allow for adequate supervision with one (1) teacher when in use with space #2A. 10A NCAC 09 .1402 OUTDOOR SPACE (d) The outdoor area shall be designed so that staff is able to adequately supervise the entire area in accordance with 10A NCAC 09 .1801(a). We discussed the incident log must be retained for a minimum of one year after record is created, revised or replaced. 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Health and Safety Training It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@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 .2215 · Violation

Name of Operation: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 5/15/2024 Number Present: 57 Completed Date: 5/15/2024 Age: From 0 To 5 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with applicable child care requirements during the second temporary time period visit. This facility is on a temporary license due to a change of ownership. Angela Hurd, Assistant Director, was on-site and available to answer and ask questions. Emily Anderson, Administrator, was not on-site during the visit today. A computerized generated report of today’s visit was completed and reviewed with you. The printed visit summary was signed and a copy left with you. Currently this center operates with a Temporary License, issued 3/1/24 and is effective through 9/1/24. The restrictions include daytime care only, meets enhanced ratios, meets enhanced space, meets requirements for NC Pre-K, meets requirements for transportation; 97 children and ages 0-12 years. The Secretary of State website was reviewed today, and the company, Child Development Schools North Carolina, LLC, is listed as active-current. If any changes to the organization need to be made to the business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced 4/30/24. The last shelter-in-place drill was practiced 3/15/24. The last monthly playground inspection was documented on 4/30/24. The last sanitation inspection was conducted on 4/4/24 with ten (10) demerits for a Superior classification. The last approved fire inspection was completed on 3/12/24. The original was collected during the visit today. An approved building inspection must be completed during the temporary time period. The Emergency Preparedness Response (EPR) plan must be completed on or before 7/1/24. Emily Anderson, Administrator, completed EPR training on 3/13/23. The emergency medical care (EMC) plan was posted. The incident log has not been updated since 4/29/23. The children were observed during breakfast, free play, small group activities, routine care, and outdoor play. The breakfast today was a cheddar cheese omelette, blueberries, and milk as listed on the menu. The NC Pre-K program was monitored to meet the requirements below. SECTION .3000 NC PRE-KINDERGARTEN SERVICES This facility provides transportation. A total of three (3) children files were monitored; one (1) NC Pre-K file was monitored. There were two (2) new staff files that were monitored. Limited monitoring of existing files occurred. To continue to serve children on subsidy vouchers, the facility must transition to a three-star license or higher. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. Due to the ownership change, the facility has the option to use the previous ownership’s star rating points and be included in the rated license cycle for the previous facility, Cohort 1. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. A screen time log was not available for review in space #6, the classroom with NC Pre-K children. The teacher stated she did not have a screen time log available to document the screen time occurring during the visit when the children watched the three little pigs and the big bad wolf. .0510(d)(2)(A-C) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. Playground space #1 has stationary equipment that is broken and not in good repair. Children have access to this equipment as they pass through to go to playground space #3. .0601(d) 721 All equipment and furnishings were not in good repair. Playground space #1 has an anchored climbing structure that is broken and partially disassembled with some parts of the structure sitting next to the broken equipment. G.S. 110-91(6); .0601(b) 853 Incident logs were not completed and maintained as required. The last documented incident report in the incident log was from 4/29/23. .0802(g)(1-6) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Two (2) staff hired on 4/23/24 had five (5) hours of new orientation training instead of the required six (6) hours. .1101(a)(b) Technical assistance for correction plan: Items #707 and 721 The anchored climbing structure must be removed from playground space #1. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, that include instructions from the manufacturer, those manufacturer's instructions shall be kept on file at the center, unless they are available electronically for review. (d) Staff of the center shall immediately remove all equipment and furnishings that do not meet the requirements of Paragraphs (b) and (c) of this Rule from the premises or make the equipment or furnishings inaccessible to the children. Item #524 Screen time must be documented on a cumulative log. We discussed a screen time log can be located on the Division's website. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. Item #853 Incident reports must be documented on the incident log any time an incident report is completed. We discussed to document all incident reports from 4/29/23 through 5/15/24. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website. Item #1067 The new staff orientation must include at least six (6) hours of orientation for the topics listed in the child care rule within the first two weeks of employment. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before 5/29/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history prior to the visit today was 100%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. *Note - The facility may choose to use staff education points from the previous ownership. Program Standards: The Initial Application for a Two Component Star Rated License can be found on the Division’s website and the Rated License Request for Review form can be requested if you choose to apply for a two through five-star rated license and have the (ERS) assessment. *Note - The facility may choose to use program standard points from the previous ownership. Quality Point: A quality point has not been determined. *Note - The facility may choose to use the quality point from the previous ownership. Curriculum: All four and five star rated license facilities must implement an approved curriculum with four year-old children. The curriculum implemented is High Reach Learning. Consultation: Reminder that the approved building inspection is required to be completed during the temporary time period. If the building inspection is not completed during the temporary time period, it may result in a denial of a license. 10A NCAC 09 .2215 DENIAL OF A LICENSE (a) The Secretary may deny an application for a child care facility license or the issuance of any permit to operate a child care facility under the following circumstances: (8) based on the operator's non-compliance with the requirements of G.S. 110, Article 7, 10A NCAC 10, or this Chapter, during a temporary licensure period; We discussed that playground space #2A and #2B no longer has a gate separating the two spaces. The two outdoor spaces have a capacity of five (5) children each. These two outdoor spaces can only be used one space at a time with one (1) teacher. Space #2B is ninety-nine (99) feet long and does not allow for adequate supervision with one (1) teacher when in use with space #2A. 10A NCAC 09 .1402 OUTDOOR SPACE (d) The outdoor area shall be designed so that staff is able to adequately supervise the entire area in accordance with 10A NCAC 09 .1801(a). We discussed the incident log must be retained for a minimum of one year after record is created, revised or replaced. 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Health and Safety Training It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@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: CHILDCARE NETWORK #178A Facility ID: 11000951 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 5/15/2024 Number Present: 57 Completed Date: 5/15/2024 Age: From 0 To 5 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with applicable child care requirements during the second temporary time period visit. This facility is on a temporary license due to a change of ownership. Angela Hurd, Assistant Director, was on-site and available to answer and ask questions. Emily Anderson, Administrator, was not on-site during the visit today. A computerized generated report of today’s visit was completed and reviewed with you. The printed visit summary was signed and a copy left with you. Currently this center operates with a Temporary License, issued 3/1/24 and is effective through 9/1/24. The restrictions include daytime care only, meets enhanced ratios, meets enhanced space, meets requirements for NC Pre-K, meets requirements for transportation; 97 children and ages 0-12 years. The Secretary of State website was reviewed today, and the company, Child Development Schools North Carolina, LLC, is listed as active-current. If any changes to the organization need to be made to the business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced 4/30/24. The last shelter-in-place drill was practiced 3/15/24. The last monthly playground inspection was documented on 4/30/24. The last sanitation inspection was conducted on 4/4/24 with ten (10) demerits for a Superior classification. The last approved fire inspection was completed on 3/12/24. The original was collected during the visit today. An approved building inspection must be completed during the temporary time period. The Emergency Preparedness Response (EPR) plan must be completed on or before 7/1/24. Emily Anderson, Administrator, completed EPR training on 3/13/23. The emergency medical care (EMC) plan was posted. The incident log has not been updated since 4/29/23. The children were observed during breakfast, free play, small group activities, routine care, and outdoor play. The breakfast today was a cheddar cheese omelette, blueberries, and milk as listed on the menu. The NC Pre-K program was monitored to meet the requirements below. SECTION .3000 NC PRE-KINDERGARTEN SERVICES This facility provides transportation. A total of three (3) children files were monitored; one (1) NC Pre-K file was monitored. There were two (2) new staff files that were monitored. Limited monitoring of existing files occurred. To continue to serve children on subsidy vouchers, the facility must transition to a three-star license or higher. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. Due to the ownership change, the facility has the option to use the previous ownership’s star rating points and be included in the rated license cycle for the previous facility, Cohort 1. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. A screen time log was not available for review in space #6, the classroom with NC Pre-K children. The teacher stated she did not have a screen time log available to document the screen time occurring during the visit when the children watched the three little pigs and the big bad wolf. .0510(d)(2)(A-C) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. Playground space #1 has stationary equipment that is broken and not in good repair. Children have access to this equipment as they pass through to go to playground space #3. .0601(d) 721 All equipment and furnishings were not in good repair. Playground space #1 has an anchored climbing structure that is broken and partially disassembled with some parts of the structure sitting next to the broken equipment. G.S. 110-91(6); .0601(b) 853 Incident logs were not completed and maintained as required. The last documented incident report in the incident log was from 4/29/23. .0802(g)(1-6) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Two (2) staff hired on 4/23/24 had five (5) hours of new orientation training instead of the required six (6) hours. .1101(a)(b) Technical assistance for correction plan: Items #707 and 721 The anchored climbing structure must be removed from playground space #1. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, that include instructions from the manufacturer, those manufacturer's instructions shall be kept on file at the center, unless they are available electronically for review. (d) Staff of the center shall immediately remove all equipment and furnishings that do not meet the requirements of Paragraphs (b) and (c) of this Rule from the premises or make the equipment or furnishings inaccessible to the children. Item #524 Screen time must be documented on a cumulative log. We discussed a screen time log can be located on the Division's website. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. Item #853 Incident reports must be documented on the incident log any time an incident report is completed. We discussed to document all incident reports from 4/29/23 through 5/15/24. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website. Item #1067 The new staff orientation must include at least six (6) hours of orientation for the topics listed in the child care rule within the first two weeks of employment. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before 5/29/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history prior to the visit today was 100%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. *Note - The facility may choose to use staff education points from the previous ownership. Program Standards: The Initial Application for a Two Component Star Rated License can be found on the Division’s website and the Rated License Request for Review form can be requested if you choose to apply for a two through five-star rated license and have the (ERS) assessment. *Note - The facility may choose to use program standard points from the previous ownership. Quality Point: A quality point has not been determined. *Note - The facility may choose to use the quality point from the previous ownership. Curriculum: All four and five star rated license facilities must implement an approved curriculum with four year-old children. The curriculum implemented is High Reach Learning. Consultation: Reminder that the approved building inspection is required to be completed during the temporary time period. If the building inspection is not completed during the temporary time period, it may result in a denial of a license. 10A NCAC 09 .2215 DENIAL OF A LICENSE (a) The Secretary may deny an application for a child care facility license or the issuance of any permit to operate a child care facility under the following circumstances: (8) based on the operator's non-compliance with the requirements of G.S. 110, Article 7, 10A NCAC 10, or this Chapter, during a temporary licensure period; We discussed that playground space #2A and #2B no longer has a gate separating the two spaces. The two outdoor spaces have a capacity of five (5) children each. These two outdoor spaces can only be used one space at a time with one (1) teacher. Space #2B is ninety-nine (99) feet long and does not allow for adequate supervision with one (1) teacher when in use with space #2A. 10A NCAC 09 .1402 OUTDOOR SPACE (d) The outdoor area shall be designed so that staff is able to adequately supervise the entire area in accordance with 10A NCAC 09 .1801(a). We discussed the incident log must be retained for a minimum of one year after record is created, revised or replaced. 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Health and Safety Training It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@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