Creative Kids Preschool AND Childcare Center

10A NCAC 09 .0302 · Violation

Name of Operation: CREATIVE KIDS PRESCHOOL AND CHILDCARE CENTER Facility ID: 76000481 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 3/10/2025 Number Present: 22 Completed Date: 3/10/2025 Age: From 0 To 4 Total Minutes: 125 Time In: 09:45 AM Time Out: 11:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for child care requirements applicable to a child care center during an unannounced annual compliance visit. Upon my arrival I was greeted by the Administrator, Heather Skeen, she assisted me during today’s visit. I completed a walk-through of the classroom spaces, enrollment and attendance was documented, and observations were made. The children were observed participating in free play in their classrooms. The last annual compliance visit was conducted April 19, 2024. The center is operating three star license that was issued June 25, 2019. The license was earned with 3 points in program standards, 3 points in education and 1 quality point. Permit restrictions were in compliance. The last sanitation inspection was conducted September 17, 2024 the center received a Superior rating. Fire drills and playground inspections were monitored. The last fire inspection was conducted August 20, 2024. One new staff file and three children’s files were monitored. Your compliance history is 89%, this may change following today’s visit. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. The following violations were observed during today’s visit. Violation Number Comment Rule 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. The Director did not have current ITS SIDS training. .1102(f) 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. One child did not have a current immunization record on file. See children's records form. 10A NCAC 09 .0302(d)(2) The above violations must be corrected immediately, and a letter must be sent to me no later than March 23, 2025 stating how each item was corrected and a plan to maintain compliance with the requirement. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation and your plan to keep each item in compliance. My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter by March 23, 2025 and/or if you do not address all violations, a return visit to your program will be made to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the violations have not been corrected or addressed. You were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Technical Assistance The Director and teachers working in the classroom for infants must have current ITS SISD training. The infants were moved to space 1 and the toddlers are now in space 3. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at mona.ndiaye@dhhs.nc.gov or by phone at 336-580-5417. You can also reach my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov or 336-580-2527 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: CREATIVE KIDS PRESCHOOL AND CHILDCARE CENTER Facility ID: 76000481 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 10/4/2024 Number Present: 16 Completed Date: 10/4/2024 Age: From 0 To 4 Total Minutes: 145 Time In: 09:35 AM Time Out: 12:00 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 for applicable child care requirements. The facility currently operates with a Three Star License that was issued on June 25, 2019. The last annual compliance visit was conducted on April 19, 2024. The Director, Heather Skeens, was present and assisted me during the visit. Children were observed participating in free play outside on their designated playground, the teachers were observed moving about the playground interacting and supervising the children. The toddlers and infants were observed participating in free play in their classroom, the teachers were observed interacting in a positive manner with the children. The last sanitation inspection was completed September 24, 2024 with a “Superior” classification. Four new staff records were monitored during today’s visit. During today’s visit, a partial assessment of applicable child care requirements was conducted. I observed the following violations. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. A parental authorization form for Tylenol and Ibuprofen did not have specific information on when to give the medication. 10A NCAC 09 .0803(4)(6-9) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. On the playground for toddlers, there is a broken swing and trash. On the playground for preschool age children there is a broken toy shopping cart and trash. 10A NCAC 09 .0604(p) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two new staff did not have medical reports on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One new staff did not have negative TB results on file. .0701(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Three new staff did not has acknowledgment of receiving the center's shaken baby policy. .0608(d)(1-4) The above violations must be corrected immediately, and a letter must be sent to me no later than October 18, 2024 stating how each item was corrected and a plan to maintain compliance with the requirement. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation and your plan to keep each item in compliance. My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter by October 18, 2024 and/or if you do not address all violations, a return visit to your program will be made to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the violations have not been corrected or addressed. You were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Technical assistance I monitored medications during today’s visit, in the classroom for toddlers, there was five different diaper creams for one child. I discussed with the Director, that one diaper cream is enough, the diaper creams had all the same directions, leaving it up to the teachers to decide which one to use. This could potentially become a liability if medications are not used correctly. Talk with the parents and have them pick one diaper cream, explain that they can change it out whenever they need to. The same is true for over the cover medications as well, instructions need to be specific when using over the counter medications. Return medications to parents within 72 hours when the medications are no longer needed. We also discussed the “when to apply” portion of the topical medication form. Talk with parents about the specifics of “after every diaper change” verses “ other, when rash is present” verses “after every bowel movement. Remember medication directions from parents must be followed unless it goes against the intended use or dose of the medication. The tree on the outdoor play area for children 3 years of age and up has a pecan tree, the pecans can be a choking hazard. I observed a child with a pecan she brought in to the classroom and had in her mouth, one of the teachers took the pecan and through it in the trash. Reminders The Director and Lead Teacher or the children in the classroom for infants, ITS SIDS training expires in December 2024. Staff, K. East, must complete Recognizing and Responding to Suspicions to Child Maltreatment training. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . If you have questions or concerns, I can be reached at 336-580-5417 or at mona.ndiaye@dhhs.nc.gov . You can also reach my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov or 336-580-2527 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: CREATIVE KIDS PRESCHOOL AND CHILDCARE CENTER Facility ID: 76000481 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 10/4/2024 Number Present: 16 Completed Date: 10/4/2024 Age: From 0 To 4 Total Minutes: 145 Time In: 09:35 AM Time Out: 12:00 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 for applicable child care requirements. The facility currently operates with a Three Star License that was issued on June 25, 2019. The last annual compliance visit was conducted on April 19, 2024. The Director, Heather Skeens, was present and assisted me during the visit. Children were observed participating in free play outside on their designated playground, the teachers were observed moving about the playground interacting and supervising the children. The toddlers and infants were observed participating in free play in their classroom, the teachers were observed interacting in a positive manner with the children. The last sanitation inspection was completed September 24, 2024 with a “Superior” classification. Four new staff records were monitored during today’s visit. During today’s visit, a partial assessment of applicable child care requirements was conducted. I observed the following violations. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. A parental authorization form for Tylenol and Ibuprofen did not have specific information on when to give the medication. 10A NCAC 09 .0803(4)(6-9) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. On the playground for toddlers, there is a broken swing and trash. On the playground for preschool age children there is a broken toy shopping cart and trash. 10A NCAC 09 .0604(p) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two new staff did not have medical reports on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One new staff did not have negative TB results on file. .0701(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Three new staff did not has acknowledgment of receiving the center's shaken baby policy. .0608(d)(1-4) The above violations must be corrected immediately, and a letter must be sent to me no later than October 18, 2024 stating how each item was corrected and a plan to maintain compliance with the requirement. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation and your plan to keep each item in compliance. My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter by October 18, 2024 and/or if you do not address all violations, a return visit to your program will be made to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the violations have not been corrected or addressed. You were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Technical assistance I monitored medications during today’s visit, in the classroom for toddlers, there was five different diaper creams for one child. I discussed with the Director, that one diaper cream is enough, the diaper creams had all the same directions, leaving it up to the teachers to decide which one to use. This could potentially become a liability if medications are not used correctly. Talk with the parents and have them pick one diaper cream, explain that they can change it out whenever they need to. The same is true for over the cover medications as well, instructions need to be specific when using over the counter medications. Return medications to parents within 72 hours when the medications are no longer needed. We also discussed the “when to apply” portion of the topical medication form. Talk with parents about the specifics of “after every diaper change” verses “ other, when rash is present” verses “after every bowel movement. Remember medication directions from parents must be followed unless it goes against the intended use or dose of the medication. The tree on the outdoor play area for children 3 years of age and up has a pecan tree, the pecans can be a choking hazard. I observed a child with a pecan she brought in to the classroom and had in her mouth, one of the teachers took the pecan and through it in the trash. Reminders The Director and Lead Teacher or the children in the classroom for infants, ITS SIDS training expires in December 2024. Staff, K. East, must complete Recognizing and Responding to Suspicions to Child Maltreatment training. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . If you have questions or concerns, I can be reached at 336-580-5417 or at mona.ndiaye@dhhs.nc.gov . You can also reach my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov or 336-580-2527 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: CREATIVE KIDS PRESCHOOL AND CHILDCARE CENTER Facility ID: 76000481 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 10/4/2024 Number Present: 16 Completed Date: 10/4/2024 Age: From 0 To 4 Total Minutes: 145 Time In: 09:35 AM Time Out: 12:00 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 for applicable child care requirements. The facility currently operates with a Three Star License that was issued on June 25, 2019. The last annual compliance visit was conducted on April 19, 2024. The Director, Heather Skeens, was present and assisted me during the visit. Children were observed participating in free play outside on their designated playground, the teachers were observed moving about the playground interacting and supervising the children. The toddlers and infants were observed participating in free play in their classroom, the teachers were observed interacting in a positive manner with the children. The last sanitation inspection was completed September 24, 2024 with a “Superior” classification. Four new staff records were monitored during today’s visit. During today’s visit, a partial assessment of applicable child care requirements was conducted. I observed the following violations. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. A parental authorization form for Tylenol and Ibuprofen did not have specific information on when to give the medication. 10A NCAC 09 .0803(4)(6-9) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. On the playground for toddlers, there is a broken swing and trash. On the playground for preschool age children there is a broken toy shopping cart and trash. 10A NCAC 09 .0604(p) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two new staff did not have medical reports on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One new staff did not have negative TB results on file. .0701(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Three new staff did not has acknowledgment of receiving the center's shaken baby policy. .0608(d)(1-4) The above violations must be corrected immediately, and a letter must be sent to me no later than October 18, 2024 stating how each item was corrected and a plan to maintain compliance with the requirement. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation and your plan to keep each item in compliance. My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter by October 18, 2024 and/or if you do not address all violations, a return visit to your program will be made to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the violations have not been corrected or addressed. You were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Technical assistance I monitored medications during today’s visit, in the classroom for toddlers, there was five different diaper creams for one child. I discussed with the Director, that one diaper cream is enough, the diaper creams had all the same directions, leaving it up to the teachers to decide which one to use. This could potentially become a liability if medications are not used correctly. Talk with the parents and have them pick one diaper cream, explain that they can change it out whenever they need to. The same is true for over the cover medications as well, instructions need to be specific when using over the counter medications. Return medications to parents within 72 hours when the medications are no longer needed. We also discussed the “when to apply” portion of the topical medication form. Talk with parents about the specifics of “after every diaper change” verses “ other, when rash is present” verses “after every bowel movement. Remember medication directions from parents must be followed unless it goes against the intended use or dose of the medication. The tree on the outdoor play area for children 3 years of age and up has a pecan tree, the pecans can be a choking hazard. I observed a child with a pecan she brought in to the classroom and had in her mouth, one of the teachers took the pecan and through it in the trash. Reminders The Director and Lead Teacher or the children in the classroom for infants, ITS SIDS training expires in December 2024. Staff, K. East, must complete Recognizing and Responding to Suspicions to Child Maltreatment training. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . If you have questions or concerns, I can be reached at 336-580-5417 or at mona.ndiaye@dhhs.nc.gov . You can also reach my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov or 336-580-2527 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: CREATIVE KIDS PRESCHOOL AND CHILDCARE CENTER Facility ID: 76000481 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 4/19/2024 Number Present: 20 Completed Date: 4/19/2024 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: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor for child care requirements applicable to a child care center. Upon my arrival I was greeted by the Director, Heather Skeen, she assisted me during today’s visit. I completed a walk-through of the classrooms, attendance was documented, and observations were made. The children were observed participating in free play indoors and outdoors on their designated playgrounds. The last annual compliance visit was conducted May 26, 2023. The center is operating under a Three Star License that was issued June 25, 2019. The last sanitation inspection was conducted October 21, 2023 the center received a Superior rating. The last fire inspection was documented May 10, 2023. Fire drills and playground inspections were monitored. New staff and ten children’s files were monitored. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. The following violations were observed during today’s visit. Violation Number Comment Rule 401 Diapers were not changed whenever they were soiled or wet and/or were changed on a shift basis. A toddler was observed walking around the classroom with wet clothing due to needing a diaper change. 10A NCAC 09 .0806(a) 491 Caregiver did not respond at the earliest opportunity to an infant or toddler’s physical and emotional needs. Several children in the center had visibly active and dried runny noses. .0511(b)(1) 604 Lavatories were not kept clean, in good repair and kept free of storage. The bathroom in the front of the building that is used by the children had a strong smell of urine. 15A NCAC 18A .2818(a) 847 Parent's medication authorization did not include required information. Diaper creams in the classroom for toddlers did not have complete parental authorizations on file. 10A NCAC 09 .0803(4)(6-9) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One new staff person did not have an orientation on file within the required time frame. .1101(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One child's file did not have a medical report on file. GS 110-91(1);.0302(d)(2); .0304(g) 9999 A violation was found for which there is no item number. Correct diaper changing procedures were not followed. 15A NCAC 18A .2819 DIAPERING AND DIAPER CHANGING FACILITIES (d) Child care center employees shall change a child's diaper as follows: (1) gathering supplies before placing child on diapering surface; (2) donning disposable gloves (if needed); (3) using disposable towelette or moistened paper towel to clean child, wiping front to back; (4) disposing of gloves if used, soiled towelettes and diaper in a plastic-lined, covered receptacle; (5) wiping the child care center employee's hands and the child's hands each with a separate disposable towelette or moistened paper towel; (6) sliding a clean diaper under the child, applying diapering products if needed, using facial or toilet tissue, and discarding the tissue in a plastic-lined, covered receptacle; (7) fastening the diaper and placing clothing on child; (8) washing child's hands in accordance with Rule .2803 of this Section, or, if child is unable to support the child's head, cleaning the child's hands with a disposable towelette or moistened paper towel, then drying the child's hands and returning the child to a supervised area; (9) spraying entire diapering surface with detergent solution and wipe clean, using disposable paper towels; (10) spraying entire diapering surface with an approved disinfectant and allowing to remain on the surface for two minutes or as specified by the manufacturer, or air dry; and (11) washing hands in accordance with Rule .2803 of this Section even if disposable gloves are used by the child care center employee. The above violation must be corrected immediately, and a letter must be sent to me no later than May 1, 2024 stating how each item was corrected and a plan to maintain compliance with the requirement. My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter by May 1, 2024 and/or if you do not address all violations, a return visit to your program will be made to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the situation has not been corrected or addressed. You were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Consultation Review diaper changing procedures with staff on a regular basis. Feeding schedules must be posted for all children under 15 months of age. Diapers must be checked regularly. Children with runny noses should have their nose and faces cleaned, to prevent the spread of germs. Technical Assistance Diaper creams and other topical items such as sunscreen, should be labeled with the child’s name. It is best practice that music be used with a purpose not as background noise. We discussed records retention, activity plan must be a file for 30 days and previous staff records must be on file for at least one year after they are no longer employed. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at mona.ndiaye@dhhs.nc.gov or by phone at 336-580-5417. You can also reach my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov or336-580-2527 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 .0806 · Violation

Name of Operation: CREATIVE KIDS PRESCHOOL AND CHILDCARE CENTER Facility ID: 76000481 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 4/19/2024 Number Present: 20 Completed Date: 4/19/2024 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: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor for child care requirements applicable to a child care center. Upon my arrival I was greeted by the Director, Heather Skeen, she assisted me during today’s visit. I completed a walk-through of the classrooms, attendance was documented, and observations were made. The children were observed participating in free play indoors and outdoors on their designated playgrounds. The last annual compliance visit was conducted May 26, 2023. The center is operating under a Three Star License that was issued June 25, 2019. The last sanitation inspection was conducted October 21, 2023 the center received a Superior rating. The last fire inspection was documented May 10, 2023. Fire drills and playground inspections were monitored. New staff and ten children’s files were monitored. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. The following violations were observed during today’s visit. Violation Number Comment Rule 401 Diapers were not changed whenever they were soiled or wet and/or were changed on a shift basis. A toddler was observed walking around the classroom with wet clothing due to needing a diaper change. 10A NCAC 09 .0806(a) 491 Caregiver did not respond at the earliest opportunity to an infant or toddler’s physical and emotional needs. Several children in the center had visibly active and dried runny noses. .0511(b)(1) 604 Lavatories were not kept clean, in good repair and kept free of storage. The bathroom in the front of the building that is used by the children had a strong smell of urine. 15A NCAC 18A .2818(a) 847 Parent's medication authorization did not include required information. Diaper creams in the classroom for toddlers did not have complete parental authorizations on file. 10A NCAC 09 .0803(4)(6-9) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One new staff person did not have an orientation on file within the required time frame. .1101(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One child's file did not have a medical report on file. GS 110-91(1);.0302(d)(2); .0304(g) 9999 A violation was found for which there is no item number. Correct diaper changing procedures were not followed. 15A NCAC 18A .2819 DIAPERING AND DIAPER CHANGING FACILITIES (d) Child care center employees shall change a child's diaper as follows: (1) gathering supplies before placing child on diapering surface; (2) donning disposable gloves (if needed); (3) using disposable towelette or moistened paper towel to clean child, wiping front to back; (4) disposing of gloves if used, soiled towelettes and diaper in a plastic-lined, covered receptacle; (5) wiping the child care center employee's hands and the child's hands each with a separate disposable towelette or moistened paper towel; (6) sliding a clean diaper under the child, applying diapering products if needed, using facial or toilet tissue, and discarding the tissue in a plastic-lined, covered receptacle; (7) fastening the diaper and placing clothing on child; (8) washing child's hands in accordance with Rule .2803 of this Section, or, if child is unable to support the child's head, cleaning the child's hands with a disposable towelette or moistened paper towel, then drying the child's hands and returning the child to a supervised area; (9) spraying entire diapering surface with detergent solution and wipe clean, using disposable paper towels; (10) spraying entire diapering surface with an approved disinfectant and allowing to remain on the surface for two minutes or as specified by the manufacturer, or air dry; and (11) washing hands in accordance with Rule .2803 of this Section even if disposable gloves are used by the child care center employee. The above violation must be corrected immediately, and a letter must be sent to me no later than May 1, 2024 stating how each item was corrected and a plan to maintain compliance with the requirement. My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter by May 1, 2024 and/or if you do not address all violations, a return visit to your program will be made to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the situation has not been corrected or addressed. You were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Consultation Review diaper changing procedures with staff on a regular basis. Feeding schedules must be posted for all children under 15 months of age. Diapers must be checked regularly. Children with runny noses should have their nose and faces cleaned, to prevent the spread of germs. Technical Assistance Diaper creams and other topical items such as sunscreen, should be labeled with the child’s name. It is best practice that music be used with a purpose not as background noise. We discussed records retention, activity plan must be a file for 30 days and previous staff records must be on file for at least one year after they are no longer employed. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at mona.ndiaye@dhhs.nc.gov or by phone at 336-580-5417. You can also reach my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov or336-580-2527 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: CREATIVE KIDS PRESCHOOL AND CHILDCARE CENTER Facility ID: 76000481 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 4/19/2024 Number Present: 20 Completed Date: 4/19/2024 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: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor for child care requirements applicable to a child care center. Upon my arrival I was greeted by the Director, Heather Skeen, she assisted me during today’s visit. I completed a walk-through of the classrooms, attendance was documented, and observations were made. The children were observed participating in free play indoors and outdoors on their designated playgrounds. The last annual compliance visit was conducted May 26, 2023. The center is operating under a Three Star License that was issued June 25, 2019. The last sanitation inspection was conducted October 21, 2023 the center received a Superior rating. The last fire inspection was documented May 10, 2023. Fire drills and playground inspections were monitored. New staff and ten children’s files were monitored. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. The following violations were observed during today’s visit. Violation Number Comment Rule 401 Diapers were not changed whenever they were soiled or wet and/or were changed on a shift basis. A toddler was observed walking around the classroom with wet clothing due to needing a diaper change. 10A NCAC 09 .0806(a) 491 Caregiver did not respond at the earliest opportunity to an infant or toddler’s physical and emotional needs. Several children in the center had visibly active and dried runny noses. .0511(b)(1) 604 Lavatories were not kept clean, in good repair and kept free of storage. The bathroom in the front of the building that is used by the children had a strong smell of urine. 15A NCAC 18A .2818(a) 847 Parent's medication authorization did not include required information. Diaper creams in the classroom for toddlers did not have complete parental authorizations on file. 10A NCAC 09 .0803(4)(6-9) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One new staff person did not have an orientation on file within the required time frame. .1101(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One child's file did not have a medical report on file. GS 110-91(1);.0302(d)(2); .0304(g) 9999 A violation was found for which there is no item number. Correct diaper changing procedures were not followed. 15A NCAC 18A .2819 DIAPERING AND DIAPER CHANGING FACILITIES (d) Child care center employees shall change a child's diaper as follows: (1) gathering supplies before placing child on diapering surface; (2) donning disposable gloves (if needed); (3) using disposable towelette or moistened paper towel to clean child, wiping front to back; (4) disposing of gloves if used, soiled towelettes and diaper in a plastic-lined, covered receptacle; (5) wiping the child care center employee's hands and the child's hands each with a separate disposable towelette or moistened paper towel; (6) sliding a clean diaper under the child, applying diapering products if needed, using facial or toilet tissue, and discarding the tissue in a plastic-lined, covered receptacle; (7) fastening the diaper and placing clothing on child; (8) washing child's hands in accordance with Rule .2803 of this Section, or, if child is unable to support the child's head, cleaning the child's hands with a disposable towelette or moistened paper towel, then drying the child's hands and returning the child to a supervised area; (9) spraying entire diapering surface with detergent solution and wipe clean, using disposable paper towels; (10) spraying entire diapering surface with an approved disinfectant and allowing to remain on the surface for two minutes or as specified by the manufacturer, or air dry; and (11) washing hands in accordance with Rule .2803 of this Section even if disposable gloves are used by the child care center employee. The above violation must be corrected immediately, and a letter must be sent to me no later than May 1, 2024 stating how each item was corrected and a plan to maintain compliance with the requirement. My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter by May 1, 2024 and/or if you do not address all violations, a return visit to your program will be made to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the situation has not been corrected or addressed. You were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Consultation Review diaper changing procedures with staff on a regular basis. Feeding schedules must be posted for all children under 15 months of age. Diapers must be checked regularly. Children with runny noses should have their nose and faces cleaned, to prevent the spread of germs. Technical Assistance Diaper creams and other topical items such as sunscreen, should be labeled with the child’s name. It is best practice that music be used with a purpose not as background noise. We discussed records retention, activity plan must be a file for 30 days and previous staff records must be on file for at least one year after they are no longer employed. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at mona.ndiaye@dhhs.nc.gov or by phone at 336-580-5417. You can also reach my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov or336-580-2527 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: CREATIVE KIDS PRESCHOOL AND CHILDCARE CENTER Facility ID: 76000481 Consultant: MONA NDIAYE Operation Type: Center Case Number: 0224-014L Visit Date: 2/13/2024 Number Present: 21 Completed Date: 2/13/2024 Age: From 0 To 4 Total Minutes: 100 Time In: 11:00 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate a report alleging violations of child care requirements regarding discipline, nurture, and care, sanitation and health. The facility currently operates with a Three Star Child Care License that was issued on June 25, 2019. The last Annual Compliance Visit was conducted on May 26, 2023. The Director, Heather Skeen, were present and assisted me during the visit. Upon my arrival I was greeted by the Director, I informed her the reason for my visit. I visited each classroom to get enrollment. The children were observed eating lunch. Lunch consisted of ham, pineapples, crackers, corn and milk and preparing for rest time. The teacher of the infants was observed interacting with the infants. Allegation 1 : There is concern regarding sanitation and health. During today’s visit I monitored the menu that wads posted and compared it to what the children were observed eating. The current menu was followed. I looked in the refrigerators and cabinets in the kitchen and I observed a variety of food items. The director had an exterminator come out on February 9, 2024 and I observed a signed monthly contract with the company. I did not observe an non-compliance regarding health and sanitation. Findings: The allegations concerning health and sanitation is unsubstantiated based on the information obtained during today’s visit. Allegation 2 : There is concern regarding a safe and developmentally appropriate environment. Hazardous items and chemicals were in locked storage. All the classrooms were in ratio and a had developmentally appropriate materials and activities. I observed a mouse trap in a cabinet in the bathroom used by the children however the trap was not set. Findings: The allegations regarding a safe and developmentally appropriate environment is unsubstantiated based on the information obtained during today’s visit. 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. A current schedule was snot posted in the classroom for toddlers. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. A current and complete activity plan was not posted in the classroom for infants or the classroom for toddlers. GS 110-91(12); .0508(a) The above violations must be corrected immediately, and a letter must be sent to me no later than February 25, 2024 stating how each item was corrected and a plan to maintain compliance with the requirement. My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter by February 25, 2024 and/or if you do not address all violations, a return visit to your program will be made to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the situation has not been corrected or addressed. You were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Consultation During today’s visit I observed that the daily schedules and the activity plans were not posted in each classrroom. In the classroom for toddlers there was not a current activity plan or schedule posted. In the classroom for infants, there was a current activity plan posted however there were no specific activities written on the plan. REMINDER Please continue to visit DCDEE’s website to get the latest updates regarding child care rules and regulations. Thank you for your cooperation today. If you have questions, please contact me at 336-580-5417 or by e-mail at mona.ndiaye@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