10A NCAC 09 .2809 · Violation

Name of Operation: Childcare Network #320 Facility ID: 51000960 Consultant: PAULA DAVIS Operation Type: Center Case Number: 0225-100L Visit Date: 2/18/2025 Number Present: 34 Completed Date: 2/18/2025 Age: From 0 To 10 Total Minutes: 115 Time In: 07:05 AM Time Out: 09:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a complaint report received by the Division of Child Development and Early Education (DCDEE) on February 11, 2025. Limited monitoring of the child care requirements occurred during today's visit. I conducted a walk through the classrooms where children were present. Classrooms were monitored for staff/child ratios, adequate supervision, use of approved space, and license restrictions. Allegation: There is a concern that posted staff/child ratios are not being followed in the early morning hours. The administrator was not present today; therefore, the allegation was reviewed with the assistant director who was present and provided support during the visit. Based on observations made and information provided, the following was determined: I visited the classrooms where children were present this morning. Upon arrival at 7:05 a.m., I observed twenty-one children present in the classroom for school age children, which has a capacity for twenty children, with one staff member. The children ranged from two to ten years of age. You agreed to meet enhanced staff/child ratios as a part of your rated license. The ratio for a group of children including two-year-old children is 1:9 and group size is 18. Today you stated that the facility is out of compliance with ratios sometimes in the mornings, but not every morning. Based on my conversation with the assistant director and my observations violations for exceeding staff/child ratio and group size and capacity were documented and the allegation regarding staff/child ratios not being met in the early morning hours was substantiated. Throughout the remainder of the visit, additional children arrived. Group size and staff/child ratio, and capacity were observed to be in compliance once the children were taken to their individual classrooms. The following violation was cited during today's visit: Violation Number Comment Rule 1245 For each child, there was not at least 30 sq. ft. inside space per the total licensed capacity and 100 sq. ft. outside space for each child using the outdoor learning environment at any one time. There were 21 children in the classroom for the school age children, which has a capacity for 20 children. 10A NCAC 09 .2809(a) 1756 Enhanced staff/child ratios and group sizes were not met. There were 21 children ages 2 to 10 with one caregiver in the classroom for the school age children. 10A NCAC 09 .2818 Violations of staff/child ratio and group size are particularly serious as they directly impact the safety of the children while in your care. These violations must be corrected immediately. In addition, these types of violations have a greater negative impact on your compliance history. I reminded you today that staff/child ratios must be maintained at all times. There are no exceptions or allowances given for not maintaining compliance with staff/child ratios. We discussed the rule which allows you to have mixed age groups for the first and last hour of the day, but you still must maintain staff/child ratios for the youngest child in the group. I reviewed the times the staff arrive in the morning and also the sign-in records for the children. I suggested today that you have at least one additional staff member arrive earlier. I also observed that several of the staff members did not sign in on time. In the morning when children are arriving it is imperative that the staff arrive on time and ready to work. You stated today that some of the staff members like to gather their supplies for the day when they arrive. I suggest that you look at having the staff gather their supplies the day before so they will not have to do that when they arrive for work in the morning. We also discussed the fact that sometimes parents bring their children at different times, and it creates scheduling issues. I reminded you today that you might have to educate the parents on the importance of maintaining staff/child ratios and their role in helping you in that regard. I understand that there is a staffing challenge, but you need to have a plan I place in the event that a staff member(s) calls out. Planning in advance is critical to always maintaining compliance with staff/child ratios. Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all 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 meet all requirements is to periodically review the childcare law and rules. I explained that you have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommend that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. Due to the nature of today’s violations, a follow up visit will be conducted in the near future to monitor for compliance with staff/child ratios. The violation cited today was corrected during the visit, therefore no compliance letter is required in response. Thank you for your time today. My contact information is as follows: Paula Davis PO Box 696 Pine Level, 27568. If I can be of any assistance, my office number is 919-819-9302. 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .2818 · Violation

Name of Operation: Childcare Network #320 Facility ID: 51000960 Consultant: PAULA DAVIS Operation Type: Center Case Number: 0225-100L Visit Date: 2/18/2025 Number Present: 34 Completed Date: 2/18/2025 Age: From 0 To 10 Total Minutes: 115 Time In: 07:05 AM Time Out: 09:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a complaint report received by the Division of Child Development and Early Education (DCDEE) on February 11, 2025. Limited monitoring of the child care requirements occurred during today's visit. I conducted a walk through the classrooms where children were present. Classrooms were monitored for staff/child ratios, adequate supervision, use of approved space, and license restrictions. Allegation: There is a concern that posted staff/child ratios are not being followed in the early morning hours. The administrator was not present today; therefore, the allegation was reviewed with the assistant director who was present and provided support during the visit. Based on observations made and information provided, the following was determined: I visited the classrooms where children were present this morning. Upon arrival at 7:05 a.m., I observed twenty-one children present in the classroom for school age children, which has a capacity for twenty children, with one staff member. The children ranged from two to ten years of age. You agreed to meet enhanced staff/child ratios as a part of your rated license. The ratio for a group of children including two-year-old children is 1:9 and group size is 18. Today you stated that the facility is out of compliance with ratios sometimes in the mornings, but not every morning. Based on my conversation with the assistant director and my observations violations for exceeding staff/child ratio and group size and capacity were documented and the allegation regarding staff/child ratios not being met in the early morning hours was substantiated. Throughout the remainder of the visit, additional children arrived. Group size and staff/child ratio, and capacity were observed to be in compliance once the children were taken to their individual classrooms. The following violation was cited during today's visit: Violation Number Comment Rule 1245 For each child, there was not at least 30 sq. ft. inside space per the total licensed capacity and 100 sq. ft. outside space for each child using the outdoor learning environment at any one time. There were 21 children in the classroom for the school age children, which has a capacity for 20 children. 10A NCAC 09 .2809(a) 1756 Enhanced staff/child ratios and group sizes were not met. There were 21 children ages 2 to 10 with one caregiver in the classroom for the school age children. 10A NCAC 09 .2818 Violations of staff/child ratio and group size are particularly serious as they directly impact the safety of the children while in your care. These violations must be corrected immediately. In addition, these types of violations have a greater negative impact on your compliance history. I reminded you today that staff/child ratios must be maintained at all times. There are no exceptions or allowances given for not maintaining compliance with staff/child ratios. We discussed the rule which allows you to have mixed age groups for the first and last hour of the day, but you still must maintain staff/child ratios for the youngest child in the group. I reviewed the times the staff arrive in the morning and also the sign-in records for the children. I suggested today that you have at least one additional staff member arrive earlier. I also observed that several of the staff members did not sign in on time. In the morning when children are arriving it is imperative that the staff arrive on time and ready to work. You stated today that some of the staff members like to gather their supplies for the day when they arrive. I suggest that you look at having the staff gather their supplies the day before so they will not have to do that when they arrive for work in the morning. We also discussed the fact that sometimes parents bring their children at different times, and it creates scheduling issues. I reminded you today that you might have to educate the parents on the importance of maintaining staff/child ratios and their role in helping you in that regard. I understand that there is a staffing challenge, but you need to have a plan I place in the event that a staff member(s) calls out. Planning in advance is critical to always maintaining compliance with staff/child ratios. Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all 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 meet all requirements is to periodically review the childcare law and rules. I explained that you have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommend that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. Due to the nature of today’s violations, a follow up visit will be conducted in the near future to monitor for compliance with staff/child ratios. The violation cited today was corrected during the visit, therefore no compliance letter is required in response. Thank you for your time today. My contact information is as follows: Paula Davis PO Box 696 Pine Level, 27568. If I can be of any assistance, my office number is 919-819-9302. 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 #320 Facility ID: 51000960 Consultant: PAULA DAVIS Operation Type: Center Case Number: 0125-263L Visit Date: 1/28/2025 Number Present: 79 Completed Date: 1/28/2025 Age: From 0 To 5 Total Minutes: 325 Time In: 09:35 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate allegations of non-compliance with child care requirements received by DCDEE on 1-23-25. Tanya Herring, Child Care Consultant, accompanied me on today's visit. The allegations were as follows: There is a concern that children were not attended to in a nurturing and appropriate manner or in keeping with the children's developmental needs in the classroom for one-year-old children. There is a concern related to sanitation and health. There is a concern that incident reports are not written for a child who was injured while in care. There is a concern of inadequate supervision in the classroom for three-year-old children. The allegations were reviewed you and you were given an opportunity to provide information and ask questions. The following was determined based on observations made and the information provided: You stated today that a situation was brought to your attention on Friday, January 24 when you called an employee to ask if she was coming to work. You stated that the employee told you she was not coming back for two weeks because she was pulling her three-year-old child out of the center and his voucher would not be released for two weeks for him to be placed in another center. You stated during that conversation the employee began to share concerns that are addressed below. Today we visited each classroom, and we did not hear any staff member speaking to the children inappropriately. We observed each teacher attending to the children in a nurturing and caring manner in keeping with the child’s developmental needs. We interviewed the administrator, assistant administrator and six random staff members who teach various age groups. Each individual interviewed stated that they had not heard a teacher speaking to a child inappropriately or treating any child inappropriately at any time. The violation regarding the children not being attended to in a nurturing and appropriate manner in keeping with the child’s developmental needs was not substantiated. Today we reviewed your cell phone policy. The policy stated that the staff members are not allowed to use their cell phones in the classroom. The cell phones are required to be locked unless the staff member is on break or lunch. If a staff member is observed using her/his phone while in the classroom, they will receive a documented verbal warning. The second time they would receive a written warning and if it happened a third time they would receive a final warning. Today we reviewed your sick/illness policy. The policy was in compliance with child care rules. You also stated that if there is an outbreak in the facility that a “sick flyer” is posted on the door of the classroom to make the parents aware. You stated that it is also posted by the front door along with the signs and symptoms and when and how long to be excluded from care. The allegation pertaining to health and sanitation was not substantiated. Today we reviewed the incident reports and incident logs. You stated that an incident report is completed any time a child gets hurt. The allegation pertaining to incident reports not being completed when a child receives an injury was not substantiated. All of the children were being adequately supervised today, therefore the allegation pertaining to inadequate supervision was not substantiated. Violation Number Comment Rule 853 Incident logs were not completed and maintained as required. Incident logs were not completed as required. .0802(g)(1-6) Technical Assistance Today you stated that you did not have a biting policy that is given to the parents and signed. You do have a plan and protocol when a child bites and /or gets bitten. You explained today that the parent of the child who bit and the parent of the child who got bitten are both notified, and the incident is documented. You stated that if it becomes excessive you call the parents and ask them to come and you have a meeting with them to try to determine what might be causing the child to bite. You stated that an Individual Action Plan (IAP) is developed for the child who is biting which implements various tactics such as possibly charting the times and adding a shadow. You already have a plan in place, but today I suggested that you put it in writing and add it to your parent handbook for the parents to sign. Today a violation was documented regarding incident logs. Please find the child care rule regarding incident reports and incident logs listed below. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf. (f) When medical treatment is required by a health care professional, community clinic, or local health department as a result of an incident occurring while the child is in care, a copy of the incident report shall be mailed to a representative of the Division within seven calendar days after the incident. (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 at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/I/incident_log_i.pdf?ver=2017-05-16-105723- 723. Please contact me at 919-819-9302 or at paula.davis@dhhs.nc.gov if I can be of further assistance. 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

GS110-91 · Violation

Name of Operation: Childcare Network #320 Facility ID: 51000960 Consultant: PAULA DAVIS Operation Type: Center Case Number: Visit Date: 12/12/2024 Number Present: 77 Completed Date: 12/12/2024 Age: From 0 To 5 Total Minutes: 220 Time In: 11:50 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance of applicable child care requirements during your annual compliance visit. I monitored the indoor and outdoor environments for compliance with child care requirements. Staff/child ratios, supervision, use of space and capacity were monitored for compliance. The permit, sanitation, evacuation, safe arrival and departure procedures, no smoking signage, first aid chart, menus, activity plan, daily schedule, staff/child ratios, emergency medical care plan, emergency telephone numbers and a summary of NC Child Care Law were all posted at the time of the visit. The storage of medication and hazardous products was also monitored for compliance. A sample of children's records and new staff files were reviewed during the visit. The last fire drill was documented as conducted on 11-25-24 at 9:15 am. The last outdoor inspection was documented as conducted on 11-15-24. A lock down drill was documented as conducted on 12-15-24 at 3:00 pm. An approved fire inspection was completed on 2-6-24. A sanitation inspection was last completed on 8-5-24 with zero demerits and a superior classification. The corporation status of Child Development Schools North Carolina, LLC was verified as current and active during the visit using the Secretary of State's website. The children were observed napping. A meal or snack was not observed today. A three star child care center with four points in education, four points in program standards and one quality point was issued to you on 6-25-24. Based on information provided and observations made during the visit you continue to meet the requirements previously met to obtain such a license. Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. There was not a thermometer in the refrigerator in the classroom for the infant children. 15A NCAC 18A .2806(j)(2) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Medical or health assessment was not on file for one child's file reviewed today. GS110-91(1) Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all 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 childcare law and rules. I explained that you have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommended that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. Please send me a written statement describing how and when the above violation was corrected. The written statement must be received no later than 12-26-24. Please note that if your letter is mailed, a hand written signature is required. As an alternative, compliance letters can now be submitted via email. I recommend emailing your letter to reduce the time needed to ensure my receipt of your information; however, if you do not have access to email, please ensure that your letter is mailed in a timely fashion and that you allow for any possible delays in the mail service. Please contact me if you have questions pertaining to your compliance letter or if you will not be able to meet the two week timeframe for submission of your compliance letter. Please contact me at 919-819-9302 or at paula.davis@dhhs.nc.gov if I can be of assistance. My mailing address is: P.O. Box 696, Pine Level, NC 27568. 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0601 · Violation

Name of Operation: Childcare Network #320 Facility ID: 51000960 Consultant: BECKY WILLIAMS Operation Type: Center Case Number: Visit Date: 2/20/2024 Number Present: 78 Completed Date: 2/20/2024 Age: From 0 To 5 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 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 for the facility’s the first temporary time period visit. The facility’s Temporary License was issued January 8, 2024 and is valid through July 8, 2024. Restrictions on the permit include a first shift capacity of 135 children ages 0 to 12 years old and meeting enhanced space and ratios. Restrictions were in compliance today. D. Sneed, Administrator was not present when I arrived. She was, however, reached by phone and arrived during the visit. Both she and the assistant administrator assisted with today’s visit. Seven classrooms are operating with 104 children enrolled and 78 children present. During today’s visit, infants were observed sleeping in appropriate cribs, playing with materials on the floor, crawling around exploring their environment or engaged in routine care. The remaining groups were observed eating lunch, napping, engaged in free play, having group story time, and transitioning to nap. The school age children were not present today. Space #8 is currently being used as a staff lounge and assistant administrator’s office. Lunch for today consisted of fish nuggets, apples, mashed potatoes, mixed vegetables and milk. According to the North Carolina Secretary of State website, your corporation Child Development Schools North Carolina, LLC is current and active. Your last fire drill was completed January 25, 2024. The most recent lockdown drill was conducted on December 15, 2023, and the last outdoor inspection was completed January 18, 2024. As this is a change of ownership a new building, fire and sanitation inspections must be completed by July 8, 2024. You provided me with the approved fire inspection today. This inspection was conducted on February 6, 2024. The sanitation inspection was completed on January 31, 2024. A superior classification with 4 demerits was issued. You provided me with the first page of the continued use building inspection form attached to a floor plan and certificate of completion from the building inspector. I notified you that the remaining pages of the building inspection are required. I notified you that I would contact the inspector to determine if the remaining pages are available. Failure to obtain an approved full building inspection prior to July 8, 2024 may result in administrative action against your license. I monitored your classroom environments, outdoor playgrounds, staff and children's records and required center records. I used the North Carolina Child Care Requirements and Compliance Listing as basic monitoring tools during the visit. Your classrooms have a variety of developmentally appropriate learning materials and equipment and the activity centers are well arranged. The license was posted along with the NC Summary of the Law and safe arrival and departure procedures. The emergency medical care plan and emergency telephone numbers were also posted. Staff/child ratios were posted in each classroom. Activity plans and daily schedules were posted. No concerns with supervision were observed during the visit. Twelve children’s records were reviewed today and were found to be in compliance. Eighteen staff files were also reviewed today. Using a checklist helps verify information on file and easily identifies missing information. The following violations of child care requirements were observed today: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The food substitution at lunch was not recorded on the posted menus before being served. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. Diaper rash cream was observed in Space #4 in a child's bubby which was not out of reach of children. In Space #7 diaper rash cream was observed on the counter next to the sink and on a shelf which were not out of the reach of children. In Space #2 Alka Seltzer cold tablets and baking soda were stored in an unlocked cabinet. Both contained drug facts labels. 10A NCAC 09 .0601(a) 832 There was no written emergency medical care (EMC) plan. The emergency medical care plan posted listed staff that no longer work at the facility. 10A NCAC 09 .0802(a) 1030 Application for employment and date of birth was not on file for all staff. An application was not on file for two staff members. One was corrected during the visit. .0302(d)(1)(A) 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. Medical statements were not on file for two staff members. 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. A negative TB test was not on file for one staff member. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Orientation documentation was not on file for one staff member. Not all components were covered for a second staff member. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid training was obtained more than 90 days after hire for three staff members. Two additional staff members did not obtain updated First Aid certification before it expired. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. CPR training was obtained more than 90 days after hire for three staff members. Two additional staff members did not obtain updated CPR certification before it expired. .1102(d) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. This signed statement was not on file for one staff member. 10A NCAC 09 .0514(g) 1757 A valid qualification letter was not on file and available to review at the facility. Qualification letters were not on file for three staff members. G.S. 110-90.2(b) & (d) & .2703(e) 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. This signed acknowledgement was not on file for one staff member before providing care for children. The acknowledgment was not on file for an additional two staff members. One was corrected during the visit. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training was obtained more than 90 days after hire for one staff member. This training has not been completed for a second staff member who has been employed more than 90 days. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. one staff member did not complete the health and safety training within the required time frame. .1102(a) All violations must be corrected immediately. Please send me a compliance letter (written statement) describing how and when the above violations were corrected. The compliance letter must be received no later than March 5, 2024. The compliance letter may be sent to me via email, if you do not have access to email, please ensure that your compliance letter is mailed in a timely manner and that you allow for delays with the mail service. If your compliance letter is mailed, a handwritten signature must be included. Contact me if you have questions regarding correction of the violations documented during today’s visit. If you are unable to correct all violations within the specified timeframe, send a compliance letter regarding violations that were corrected and a specific plan to correct the remaining violations. Technical Assistance and Consultation: We discussed that many of the violations documented today were in the staff files. I encouraged you to implement policies and procedures regarding the use of the staff file checklist and proper monitoring of files before staff begin employment. The requirements for orientation were discussed today. I reminded you that the Health and Safety trainings may not be used to meet orientation requirements. Orientation is specific to your child care facility, and health and safety training is general knowledge. The requirements for Health and Safety training were discussed. I reminded you that all staff with caregiving responsibilities are required to take this training series within the first year of employment. Some topics, such as CPR, First Aid, and Recognizing and Responding to Suspicions of Child Maltreatment are due within the first 90 days. I encouraged you to use the Health and Safety Training Log to ensure all topic areas are covered. I also encouraged you to ensure documentation related to education and experience in the file is complete. Staff should submit their WORKS status letters when they are available. RATED LICENSE: Today we discussed the two-component rated license process. I clarified that as a change of ownership you may choose to continue with the points awarded during the last rated license assessment. Under the previous ownership the facility earned 1 quality point for using an approved curriculum. This facility continues to use the High Reach Learning curriculum. The facility earned four points in program for meeting enhanced standard requirements, as well as enhanced space and ratios. The facility earned an average score of 4.71 across three environment rating scale assessments. The facility earned four points in education. The facility earned a total of 9 points which is a 3 star license. Your facility is in cohort 2. Your prep year will begin July 1, 2024 and continues through June 30, 2025. Your reassessment year is July 1, 2025 through June 30, 2026. In your planning year, you may review resources available at www.ncrlap.org and contact your local Smart Start Partnership or CCR&R for assistance with preparing for the ERS assessment. This is an opportunity to focus on your Star Rated License and consider strategies to help maintain or increase your star rating. Review topics related to the Environment Rating Scales or other quality initiatives. I also reminded you that preparation year assessments are being offered by NCRLAP. If you are pleased with these scores, you may use them to apply for reassessment, or save them for your reassessment year. In order to ensure the education points are calculated correctly, please ensure that all staff have updated their information in the WORKS system. The Importance of Providing Quality Child Care Providing quality child care is essential for children. There is ample research demonstrating that high-quality child-care experiences have many benefits to children and society and that quality child care is linked to children’s improved school performance. 1. The Cost, Quality and Child Outcomes in Child Care Centers Study and a follow-up study done several years later found that quality child care is primarily related to higher staff/child ratios, administrators’ prior experience, wages, higher staff education levels and staff members’ continued participation in formal and specialized training. This study found that children attending higher quality centers scored better in math and language skills, had more positive interactions with peers, and had fewer behavior problems. 2. The High/Scope Perry Preschool Study followed children from their preschool years through age 40 and found that high-quality preschool programs significantly increased children’s future contributions through increased intellectual and social development, school success, economic performance, and reduced commission of crimes in adulthood. One of the most quoted results of this study is that for every dollar invested in children’s early care and education there is a $17 return to society in terms of crime and education savings, increased taxes collected, and welfare savings. There are many other studies including the Abecedarian Project, the Arnett Caregiver Interaction Study, and the NC Rated License Assessment Project. What the research tells us, in a nutshell, is that high quality child care has a positive impact on children’s later school success. The key to quality experiences for children is interaction with and stimulation from educated, trained teachers. The neuroscience associated with brain research is complicated, but its lesson is simple: babies' brains develop at astonishing rates in the first few years after birth. Young children have a tremendous capacity to learn from the moment they are born, but optimal development hinges on the experiences provided for them by the adults who take care of them. A follow up visit may be conducted in the near future to verify compliance with violations documented during the visit. Please contact me at (910) 824-0123 or at becky.j.williams@dhhs.nc.gov if I can be of assistance. My mailing address is PO Box 2186, Clinton, NC 28329. 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0802 · Violation

Name of Operation: Childcare Network #320 Facility ID: 51000960 Consultant: BECKY WILLIAMS Operation Type: Center Case Number: Visit Date: 2/20/2024 Number Present: 78 Completed Date: 2/20/2024 Age: From 0 To 5 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 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 for the facility’s the first temporary time period visit. The facility’s Temporary License was issued January 8, 2024 and is valid through July 8, 2024. Restrictions on the permit include a first shift capacity of 135 children ages 0 to 12 years old and meeting enhanced space and ratios. Restrictions were in compliance today. D. Sneed, Administrator was not present when I arrived. She was, however, reached by phone and arrived during the visit. Both she and the assistant administrator assisted with today’s visit. Seven classrooms are operating with 104 children enrolled and 78 children present. During today’s visit, infants were observed sleeping in appropriate cribs, playing with materials on the floor, crawling around exploring their environment or engaged in routine care. The remaining groups were observed eating lunch, napping, engaged in free play, having group story time, and transitioning to nap. The school age children were not present today. Space #8 is currently being used as a staff lounge and assistant administrator’s office. Lunch for today consisted of fish nuggets, apples, mashed potatoes, mixed vegetables and milk. According to the North Carolina Secretary of State website, your corporation Child Development Schools North Carolina, LLC is current and active. Your last fire drill was completed January 25, 2024. The most recent lockdown drill was conducted on December 15, 2023, and the last outdoor inspection was completed January 18, 2024. As this is a change of ownership a new building, fire and sanitation inspections must be completed by July 8, 2024. You provided me with the approved fire inspection today. This inspection was conducted on February 6, 2024. The sanitation inspection was completed on January 31, 2024. A superior classification with 4 demerits was issued. You provided me with the first page of the continued use building inspection form attached to a floor plan and certificate of completion from the building inspector. I notified you that the remaining pages of the building inspection are required. I notified you that I would contact the inspector to determine if the remaining pages are available. Failure to obtain an approved full building inspection prior to July 8, 2024 may result in administrative action against your license. I monitored your classroom environments, outdoor playgrounds, staff and children's records and required center records. I used the North Carolina Child Care Requirements and Compliance Listing as basic monitoring tools during the visit. Your classrooms have a variety of developmentally appropriate learning materials and equipment and the activity centers are well arranged. The license was posted along with the NC Summary of the Law and safe arrival and departure procedures. The emergency medical care plan and emergency telephone numbers were also posted. Staff/child ratios were posted in each classroom. Activity plans and daily schedules were posted. No concerns with supervision were observed during the visit. Twelve children’s records were reviewed today and were found to be in compliance. Eighteen staff files were also reviewed today. Using a checklist helps verify information on file and easily identifies missing information. The following violations of child care requirements were observed today: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The food substitution at lunch was not recorded on the posted menus before being served. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. Diaper rash cream was observed in Space #4 in a child's bubby which was not out of reach of children. In Space #7 diaper rash cream was observed on the counter next to the sink and on a shelf which were not out of the reach of children. In Space #2 Alka Seltzer cold tablets and baking soda were stored in an unlocked cabinet. Both contained drug facts labels. 10A NCAC 09 .0601(a) 832 There was no written emergency medical care (EMC) plan. The emergency medical care plan posted listed staff that no longer work at the facility. 10A NCAC 09 .0802(a) 1030 Application for employment and date of birth was not on file for all staff. An application was not on file for two staff members. One was corrected during the visit. .0302(d)(1)(A) 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. Medical statements were not on file for two staff members. 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. A negative TB test was not on file for one staff member. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Orientation documentation was not on file for one staff member. Not all components were covered for a second staff member. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid training was obtained more than 90 days after hire for three staff members. Two additional staff members did not obtain updated First Aid certification before it expired. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. CPR training was obtained more than 90 days after hire for three staff members. Two additional staff members did not obtain updated CPR certification before it expired. .1102(d) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. This signed statement was not on file for one staff member. 10A NCAC 09 .0514(g) 1757 A valid qualification letter was not on file and available to review at the facility. Qualification letters were not on file for three staff members. G.S. 110-90.2(b) & (d) & .2703(e) 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. This signed acknowledgement was not on file for one staff member before providing care for children. The acknowledgment was not on file for an additional two staff members. One was corrected during the visit. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training was obtained more than 90 days after hire for one staff member. This training has not been completed for a second staff member who has been employed more than 90 days. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. one staff member did not complete the health and safety training within the required time frame. .1102(a) All violations must be corrected immediately. Please send me a compliance letter (written statement) describing how and when the above violations were corrected. The compliance letter must be received no later than March 5, 2024. The compliance letter may be sent to me via email, if you do not have access to email, please ensure that your compliance letter is mailed in a timely manner and that you allow for delays with the mail service. If your compliance letter is mailed, a handwritten signature must be included. Contact me if you have questions regarding correction of the violations documented during today’s visit. If you are unable to correct all violations within the specified timeframe, send a compliance letter regarding violations that were corrected and a specific plan to correct the remaining violations. Technical Assistance and Consultation: We discussed that many of the violations documented today were in the staff files. I encouraged you to implement policies and procedures regarding the use of the staff file checklist and proper monitoring of files before staff begin employment. The requirements for orientation were discussed today. I reminded you that the Health and Safety trainings may not be used to meet orientation requirements. Orientation is specific to your child care facility, and health and safety training is general knowledge. The requirements for Health and Safety training were discussed. I reminded you that all staff with caregiving responsibilities are required to take this training series within the first year of employment. Some topics, such as CPR, First Aid, and Recognizing and Responding to Suspicions of Child Maltreatment are due within the first 90 days. I encouraged you to use the Health and Safety Training Log to ensure all topic areas are covered. I also encouraged you to ensure documentation related to education and experience in the file is complete. Staff should submit their WORKS status letters when they are available. RATED LICENSE: Today we discussed the two-component rated license process. I clarified that as a change of ownership you may choose to continue with the points awarded during the last rated license assessment. Under the previous ownership the facility earned 1 quality point for using an approved curriculum. This facility continues to use the High Reach Learning curriculum. The facility earned four points in program for meeting enhanced standard requirements, as well as enhanced space and ratios. The facility earned an average score of 4.71 across three environment rating scale assessments. The facility earned four points in education. The facility earned a total of 9 points which is a 3 star license. Your facility is in cohort 2. Your prep year will begin July 1, 2024 and continues through June 30, 2025. Your reassessment year is July 1, 2025 through June 30, 2026. In your planning year, you may review resources available at www.ncrlap.org and contact your local Smart Start Partnership or CCR&R for assistance with preparing for the ERS assessment. This is an opportunity to focus on your Star Rated License and consider strategies to help maintain or increase your star rating. Review topics related to the Environment Rating Scales or other quality initiatives. I also reminded you that preparation year assessments are being offered by NCRLAP. If you are pleased with these scores, you may use them to apply for reassessment, or save them for your reassessment year. In order to ensure the education points are calculated correctly, please ensure that all staff have updated their information in the WORKS system. The Importance of Providing Quality Child Care Providing quality child care is essential for children. There is ample research demonstrating that high-quality child-care experiences have many benefits to children and society and that quality child care is linked to children’s improved school performance. 1. The Cost, Quality and Child Outcomes in Child Care Centers Study and a follow-up study done several years later found that quality child care is primarily related to higher staff/child ratios, administrators’ prior experience, wages, higher staff education levels and staff members’ continued participation in formal and specialized training. This study found that children attending higher quality centers scored better in math and language skills, had more positive interactions with peers, and had fewer behavior problems. 2. The High/Scope Perry Preschool Study followed children from their preschool years through age 40 and found that high-quality preschool programs significantly increased children’s future contributions through increased intellectual and social development, school success, economic performance, and reduced commission of crimes in adulthood. One of the most quoted results of this study is that for every dollar invested in children’s early care and education there is a $17 return to society in terms of crime and education savings, increased taxes collected, and welfare savings. There are many other studies including the Abecedarian Project, the Arnett Caregiver Interaction Study, and the NC Rated License Assessment Project. What the research tells us, in a nutshell, is that high quality child care has a positive impact on children’s later school success. The key to quality experiences for children is interaction with and stimulation from educated, trained teachers. The neuroscience associated with brain research is complicated, but its lesson is simple: babies' brains develop at astonishing rates in the first few years after birth. Young children have a tremendous capacity to learn from the moment they are born, but optimal development hinges on the experiences provided for them by the adults who take care of them. A follow up visit may be conducted in the near future to verify compliance with violations documented during the visit. Please contact me at (910) 824-0123 or at becky.j.williams@dhhs.nc.gov if I can be of assistance. My mailing address is PO Box 2186, Clinton, NC 28329. 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 #320 Facility ID: 51000960 Consultant: BECKY WILLIAMS Operation Type: Center Case Number: Visit Date: 2/20/2024 Number Present: 78 Completed Date: 2/20/2024 Age: From 0 To 5 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 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 for the facility’s the first temporary time period visit. The facility’s Temporary License was issued January 8, 2024 and is valid through July 8, 2024. Restrictions on the permit include a first shift capacity of 135 children ages 0 to 12 years old and meeting enhanced space and ratios. Restrictions were in compliance today. D. Sneed, Administrator was not present when I arrived. She was, however, reached by phone and arrived during the visit. Both she and the assistant administrator assisted with today’s visit. Seven classrooms are operating with 104 children enrolled and 78 children present. During today’s visit, infants were observed sleeping in appropriate cribs, playing with materials on the floor, crawling around exploring their environment or engaged in routine care. The remaining groups were observed eating lunch, napping, engaged in free play, having group story time, and transitioning to nap. The school age children were not present today. Space #8 is currently being used as a staff lounge and assistant administrator’s office. Lunch for today consisted of fish nuggets, apples, mashed potatoes, mixed vegetables and milk. According to the North Carolina Secretary of State website, your corporation Child Development Schools North Carolina, LLC is current and active. Your last fire drill was completed January 25, 2024. The most recent lockdown drill was conducted on December 15, 2023, and the last outdoor inspection was completed January 18, 2024. As this is a change of ownership a new building, fire and sanitation inspections must be completed by July 8, 2024. You provided me with the approved fire inspection today. This inspection was conducted on February 6, 2024. The sanitation inspection was completed on January 31, 2024. A superior classification with 4 demerits was issued. You provided me with the first page of the continued use building inspection form attached to a floor plan and certificate of completion from the building inspector. I notified you that the remaining pages of the building inspection are required. I notified you that I would contact the inspector to determine if the remaining pages are available. Failure to obtain an approved full building inspection prior to July 8, 2024 may result in administrative action against your license. I monitored your classroom environments, outdoor playgrounds, staff and children's records and required center records. I used the North Carolina Child Care Requirements and Compliance Listing as basic monitoring tools during the visit. Your classrooms have a variety of developmentally appropriate learning materials and equipment and the activity centers are well arranged. The license was posted along with the NC Summary of the Law and safe arrival and departure procedures. The emergency medical care plan and emergency telephone numbers were also posted. Staff/child ratios were posted in each classroom. Activity plans and daily schedules were posted. No concerns with supervision were observed during the visit. Twelve children’s records were reviewed today and were found to be in compliance. Eighteen staff files were also reviewed today. Using a checklist helps verify information on file and easily identifies missing information. The following violations of child care requirements were observed today: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The food substitution at lunch was not recorded on the posted menus before being served. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. Diaper rash cream was observed in Space #4 in a child's bubby which was not out of reach of children. In Space #7 diaper rash cream was observed on the counter next to the sink and on a shelf which were not out of the reach of children. In Space #2 Alka Seltzer cold tablets and baking soda were stored in an unlocked cabinet. Both contained drug facts labels. 10A NCAC 09 .0601(a) 832 There was no written emergency medical care (EMC) plan. The emergency medical care plan posted listed staff that no longer work at the facility. 10A NCAC 09 .0802(a) 1030 Application for employment and date of birth was not on file for all staff. An application was not on file for two staff members. One was corrected during the visit. .0302(d)(1)(A) 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. Medical statements were not on file for two staff members. 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. A negative TB test was not on file for one staff member. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Orientation documentation was not on file for one staff member. Not all components were covered for a second staff member. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid training was obtained more than 90 days after hire for three staff members. Two additional staff members did not obtain updated First Aid certification before it expired. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. CPR training was obtained more than 90 days after hire for three staff members. Two additional staff members did not obtain updated CPR certification before it expired. .1102(d) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. This signed statement was not on file for one staff member. 10A NCAC 09 .0514(g) 1757 A valid qualification letter was not on file and available to review at the facility. Qualification letters were not on file for three staff members. G.S. 110-90.2(b) & (d) & .2703(e) 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. This signed acknowledgement was not on file for one staff member before providing care for children. The acknowledgment was not on file for an additional two staff members. One was corrected during the visit. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training was obtained more than 90 days after hire for one staff member. This training has not been completed for a second staff member who has been employed more than 90 days. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. one staff member did not complete the health and safety training within the required time frame. .1102(a) All violations must be corrected immediately. Please send me a compliance letter (written statement) describing how and when the above violations were corrected. The compliance letter must be received no later than March 5, 2024. The compliance letter may be sent to me via email, if you do not have access to email, please ensure that your compliance letter is mailed in a timely manner and that you allow for delays with the mail service. If your compliance letter is mailed, a handwritten signature must be included. Contact me if you have questions regarding correction of the violations documented during today’s visit. If you are unable to correct all violations within the specified timeframe, send a compliance letter regarding violations that were corrected and a specific plan to correct the remaining violations. Technical Assistance and Consultation: We discussed that many of the violations documented today were in the staff files. I encouraged you to implement policies and procedures regarding the use of the staff file checklist and proper monitoring of files before staff begin employment. The requirements for orientation were discussed today. I reminded you that the Health and Safety trainings may not be used to meet orientation requirements. Orientation is specific to your child care facility, and health and safety training is general knowledge. The requirements for Health and Safety training were discussed. I reminded you that all staff with caregiving responsibilities are required to take this training series within the first year of employment. Some topics, such as CPR, First Aid, and Recognizing and Responding to Suspicions of Child Maltreatment are due within the first 90 days. I encouraged you to use the Health and Safety Training Log to ensure all topic areas are covered. I also encouraged you to ensure documentation related to education and experience in the file is complete. Staff should submit their WORKS status letters when they are available. RATED LICENSE: Today we discussed the two-component rated license process. I clarified that as a change of ownership you may choose to continue with the points awarded during the last rated license assessment. Under the previous ownership the facility earned 1 quality point for using an approved curriculum. This facility continues to use the High Reach Learning curriculum. The facility earned four points in program for meeting enhanced standard requirements, as well as enhanced space and ratios. The facility earned an average score of 4.71 across three environment rating scale assessments. The facility earned four points in education. The facility earned a total of 9 points which is a 3 star license. Your facility is in cohort 2. Your prep year will begin July 1, 2024 and continues through June 30, 2025. Your reassessment year is July 1, 2025 through June 30, 2026. In your planning year, you may review resources available at www.ncrlap.org and contact your local Smart Start Partnership or CCR&R for assistance with preparing for the ERS assessment. This is an opportunity to focus on your Star Rated License and consider strategies to help maintain or increase your star rating. Review topics related to the Environment Rating Scales or other quality initiatives. I also reminded you that preparation year assessments are being offered by NCRLAP. If you are pleased with these scores, you may use them to apply for reassessment, or save them for your reassessment year. In order to ensure the education points are calculated correctly, please ensure that all staff have updated their information in the WORKS system. The Importance of Providing Quality Child Care Providing quality child care is essential for children. There is ample research demonstrating that high-quality child-care experiences have many benefits to children and society and that quality child care is linked to children’s improved school performance. 1. The Cost, Quality and Child Outcomes in Child Care Centers Study and a follow-up study done several years later found that quality child care is primarily related to higher staff/child ratios, administrators’ prior experience, wages, higher staff education levels and staff members’ continued participation in formal and specialized training. This study found that children attending higher quality centers scored better in math and language skills, had more positive interactions with peers, and had fewer behavior problems. 2. The High/Scope Perry Preschool Study followed children from their preschool years through age 40 and found that high-quality preschool programs significantly increased children’s future contributions through increased intellectual and social development, school success, economic performance, and reduced commission of crimes in adulthood. One of the most quoted results of this study is that for every dollar invested in children’s early care and education there is a $17 return to society in terms of crime and education savings, increased taxes collected, and welfare savings. There are many other studies including the Abecedarian Project, the Arnett Caregiver Interaction Study, and the NC Rated License Assessment Project. What the research tells us, in a nutshell, is that high quality child care has a positive impact on children’s later school success. The key to quality experiences for children is interaction with and stimulation from educated, trained teachers. The neuroscience associated with brain research is complicated, but its lesson is simple: babies' brains develop at astonishing rates in the first few years after birth. Young children have a tremendous capacity to learn from the moment they are born, but optimal development hinges on the experiences provided for them by the adults who take care of them. A follow up visit may be conducted in the near future to verify compliance with violations documented during the visit. Please contact me at (910) 824-0123 or at becky.j.williams@dhhs.nc.gov if I can be of assistance. My mailing address is PO Box 2186, Clinton, NC 28329. 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 .0514 · Violation

Name of Operation: Childcare Network #320 Facility ID: 51000960 Consultant: BECKY WILLIAMS Operation Type: Center Case Number: Visit Date: 2/20/2024 Number Present: 78 Completed Date: 2/20/2024 Age: From 0 To 5 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 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 for the facility’s the first temporary time period visit. The facility’s Temporary License was issued January 8, 2024 and is valid through July 8, 2024. Restrictions on the permit include a first shift capacity of 135 children ages 0 to 12 years old and meeting enhanced space and ratios. Restrictions were in compliance today. D. Sneed, Administrator was not present when I arrived. She was, however, reached by phone and arrived during the visit. Both she and the assistant administrator assisted with today’s visit. Seven classrooms are operating with 104 children enrolled and 78 children present. During today’s visit, infants were observed sleeping in appropriate cribs, playing with materials on the floor, crawling around exploring their environment or engaged in routine care. The remaining groups were observed eating lunch, napping, engaged in free play, having group story time, and transitioning to nap. The school age children were not present today. Space #8 is currently being used as a staff lounge and assistant administrator’s office. Lunch for today consisted of fish nuggets, apples, mashed potatoes, mixed vegetables and milk. According to the North Carolina Secretary of State website, your corporation Child Development Schools North Carolina, LLC is current and active. Your last fire drill was completed January 25, 2024. The most recent lockdown drill was conducted on December 15, 2023, and the last outdoor inspection was completed January 18, 2024. As this is a change of ownership a new building, fire and sanitation inspections must be completed by July 8, 2024. You provided me with the approved fire inspection today. This inspection was conducted on February 6, 2024. The sanitation inspection was completed on January 31, 2024. A superior classification with 4 demerits was issued. You provided me with the first page of the continued use building inspection form attached to a floor plan and certificate of completion from the building inspector. I notified you that the remaining pages of the building inspection are required. I notified you that I would contact the inspector to determine if the remaining pages are available. Failure to obtain an approved full building inspection prior to July 8, 2024 may result in administrative action against your license. I monitored your classroom environments, outdoor playgrounds, staff and children's records and required center records. I used the North Carolina Child Care Requirements and Compliance Listing as basic monitoring tools during the visit. Your classrooms have a variety of developmentally appropriate learning materials and equipment and the activity centers are well arranged. The license was posted along with the NC Summary of the Law and safe arrival and departure procedures. The emergency medical care plan and emergency telephone numbers were also posted. Staff/child ratios were posted in each classroom. Activity plans and daily schedules were posted. No concerns with supervision were observed during the visit. Twelve children’s records were reviewed today and were found to be in compliance. Eighteen staff files were also reviewed today. Using a checklist helps verify information on file and easily identifies missing information. The following violations of child care requirements were observed today: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The food substitution at lunch was not recorded on the posted menus before being served. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. Diaper rash cream was observed in Space #4 in a child's bubby which was not out of reach of children. In Space #7 diaper rash cream was observed on the counter next to the sink and on a shelf which were not out of the reach of children. In Space #2 Alka Seltzer cold tablets and baking soda were stored in an unlocked cabinet. Both contained drug facts labels. 10A NCAC 09 .0601(a) 832 There was no written emergency medical care (EMC) plan. The emergency medical care plan posted listed staff that no longer work at the facility. 10A NCAC 09 .0802(a) 1030 Application for employment and date of birth was not on file for all staff. An application was not on file for two staff members. One was corrected during the visit. .0302(d)(1)(A) 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. Medical statements were not on file for two staff members. 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. A negative TB test was not on file for one staff member. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Orientation documentation was not on file for one staff member. Not all components were covered for a second staff member. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid training was obtained more than 90 days after hire for three staff members. Two additional staff members did not obtain updated First Aid certification before it expired. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. CPR training was obtained more than 90 days after hire for three staff members. Two additional staff members did not obtain updated CPR certification before it expired. .1102(d) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. This signed statement was not on file for one staff member. 10A NCAC 09 .0514(g) 1757 A valid qualification letter was not on file and available to review at the facility. Qualification letters were not on file for three staff members. G.S. 110-90.2(b) & (d) & .2703(e) 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. This signed acknowledgement was not on file for one staff member before providing care for children. The acknowledgment was not on file for an additional two staff members. One was corrected during the visit. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training was obtained more than 90 days after hire for one staff member. This training has not been completed for a second staff member who has been employed more than 90 days. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. one staff member did not complete the health and safety training within the required time frame. .1102(a) All violations must be corrected immediately. Please send me a compliance letter (written statement) describing how and when the above violations were corrected. The compliance letter must be received no later than March 5, 2024. The compliance letter may be sent to me via email, if you do not have access to email, please ensure that your compliance letter is mailed in a timely manner and that you allow for delays with the mail service. If your compliance letter is mailed, a handwritten signature must be included. Contact me if you have questions regarding correction of the violations documented during today’s visit. If you are unable to correct all violations within the specified timeframe, send a compliance letter regarding violations that were corrected and a specific plan to correct the remaining violations. Technical Assistance and Consultation: We discussed that many of the violations documented today were in the staff files. I encouraged you to implement policies and procedures regarding the use of the staff file checklist and proper monitoring of files before staff begin employment. The requirements for orientation were discussed today. I reminded you that the Health and Safety trainings may not be used to meet orientation requirements. Orientation is specific to your child care facility, and health and safety training is general knowledge. The requirements for Health and Safety training were discussed. I reminded you that all staff with caregiving responsibilities are required to take this training series within the first year of employment. Some topics, such as CPR, First Aid, and Recognizing and Responding to Suspicions of Child Maltreatment are due within the first 90 days. I encouraged you to use the Health and Safety Training Log to ensure all topic areas are covered. I also encouraged you to ensure documentation related to education and experience in the file is complete. Staff should submit their WORKS status letters when they are available. RATED LICENSE: Today we discussed the two-component rated license process. I clarified that as a change of ownership you may choose to continue with the points awarded during the last rated license assessment. Under the previous ownership the facility earned 1 quality point for using an approved curriculum. This facility continues to use the High Reach Learning curriculum. The facility earned four points in program for meeting enhanced standard requirements, as well as enhanced space and ratios. The facility earned an average score of 4.71 across three environment rating scale assessments. The facility earned four points in education. The facility earned a total of 9 points which is a 3 star license. Your facility is in cohort 2. Your prep year will begin July 1, 2024 and continues through June 30, 2025. Your reassessment year is July 1, 2025 through June 30, 2026. In your planning year, you may review resources available at www.ncrlap.org and contact your local Smart Start Partnership or CCR&R for assistance with preparing for the ERS assessment. This is an opportunity to focus on your Star Rated License and consider strategies to help maintain or increase your star rating. Review topics related to the Environment Rating Scales or other quality initiatives. I also reminded you that preparation year assessments are being offered by NCRLAP. If you are pleased with these scores, you may use them to apply for reassessment, or save them for your reassessment year. In order to ensure the education points are calculated correctly, please ensure that all staff have updated their information in the WORKS system. The Importance of Providing Quality Child Care Providing quality child care is essential for children. There is ample research demonstrating that high-quality child-care experiences have many benefits to children and society and that quality child care is linked to children’s improved school performance. 1. The Cost, Quality and Child Outcomes in Child Care Centers Study and a follow-up study done several years later found that quality child care is primarily related to higher staff/child ratios, administrators’ prior experience, wages, higher staff education levels and staff members’ continued participation in formal and specialized training. This study found that children attending higher quality centers scored better in math and language skills, had more positive interactions with peers, and had fewer behavior problems. 2. The High/Scope Perry Preschool Study followed children from their preschool years through age 40 and found that high-quality preschool programs significantly increased children’s future contributions through increased intellectual and social development, school success, economic performance, and reduced commission of crimes in adulthood. One of the most quoted results of this study is that for every dollar invested in children’s early care and education there is a $17 return to society in terms of crime and education savings, increased taxes collected, and welfare savings. There are many other studies including the Abecedarian Project, the Arnett Caregiver Interaction Study, and the NC Rated License Assessment Project. What the research tells us, in a nutshell, is that high quality child care has a positive impact on children’s later school success. The key to quality experiences for children is interaction with and stimulation from educated, trained teachers. The neuroscience associated with brain research is complicated, but its lesson is simple: babies' brains develop at astonishing rates in the first few years after birth. Young children have a tremendous capacity to learn from the moment they are born, but optimal development hinges on the experiences provided for them by the adults who take care of them. A follow up visit may be conducted in the near future to verify compliance with violations documented during the visit. Please contact me at (910) 824-0123 or at becky.j.williams@dhhs.nc.gov if I can be of assistance. My mailing address is PO Box 2186, Clinton, NC 28329. 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 #320 Facility ID: 51000960 Consultant: BECKY WILLIAMS Operation Type: Center Case Number: Visit Date: 2/20/2024 Number Present: 78 Completed Date: 2/20/2024 Age: From 0 To 5 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 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 for the facility’s the first temporary time period visit. The facility’s Temporary License was issued January 8, 2024 and is valid through July 8, 2024. Restrictions on the permit include a first shift capacity of 135 children ages 0 to 12 years old and meeting enhanced space and ratios. Restrictions were in compliance today. D. Sneed, Administrator was not present when I arrived. She was, however, reached by phone and arrived during the visit. Both she and the assistant administrator assisted with today’s visit. Seven classrooms are operating with 104 children enrolled and 78 children present. During today’s visit, infants were observed sleeping in appropriate cribs, playing with materials on the floor, crawling around exploring their environment or engaged in routine care. The remaining groups were observed eating lunch, napping, engaged in free play, having group story time, and transitioning to nap. The school age children were not present today. Space #8 is currently being used as a staff lounge and assistant administrator’s office. Lunch for today consisted of fish nuggets, apples, mashed potatoes, mixed vegetables and milk. According to the North Carolina Secretary of State website, your corporation Child Development Schools North Carolina, LLC is current and active. Your last fire drill was completed January 25, 2024. The most recent lockdown drill was conducted on December 15, 2023, and the last outdoor inspection was completed January 18, 2024. As this is a change of ownership a new building, fire and sanitation inspections must be completed by July 8, 2024. You provided me with the approved fire inspection today. This inspection was conducted on February 6, 2024. The sanitation inspection was completed on January 31, 2024. A superior classification with 4 demerits was issued. You provided me with the first page of the continued use building inspection form attached to a floor plan and certificate of completion from the building inspector. I notified you that the remaining pages of the building inspection are required. I notified you that I would contact the inspector to determine if the remaining pages are available. Failure to obtain an approved full building inspection prior to July 8, 2024 may result in administrative action against your license. I monitored your classroom environments, outdoor playgrounds, staff and children's records and required center records. I used the North Carolina Child Care Requirements and Compliance Listing as basic monitoring tools during the visit. Your classrooms have a variety of developmentally appropriate learning materials and equipment and the activity centers are well arranged. The license was posted along with the NC Summary of the Law and safe arrival and departure procedures. The emergency medical care plan and emergency telephone numbers were also posted. Staff/child ratios were posted in each classroom. Activity plans and daily schedules were posted. No concerns with supervision were observed during the visit. Twelve children’s records were reviewed today and were found to be in compliance. Eighteen staff files were also reviewed today. Using a checklist helps verify information on file and easily identifies missing information. The following violations of child care requirements were observed today: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The food substitution at lunch was not recorded on the posted menus before being served. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. Diaper rash cream was observed in Space #4 in a child's bubby which was not out of reach of children. In Space #7 diaper rash cream was observed on the counter next to the sink and on a shelf which were not out of the reach of children. In Space #2 Alka Seltzer cold tablets and baking soda were stored in an unlocked cabinet. Both contained drug facts labels. 10A NCAC 09 .0601(a) 832 There was no written emergency medical care (EMC) plan. The emergency medical care plan posted listed staff that no longer work at the facility. 10A NCAC 09 .0802(a) 1030 Application for employment and date of birth was not on file for all staff. An application was not on file for two staff members. One was corrected during the visit. .0302(d)(1)(A) 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. Medical statements were not on file for two staff members. 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. A negative TB test was not on file for one staff member. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Orientation documentation was not on file for one staff member. Not all components were covered for a second staff member. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid training was obtained more than 90 days after hire for three staff members. Two additional staff members did not obtain updated First Aid certification before it expired. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. CPR training was obtained more than 90 days after hire for three staff members. Two additional staff members did not obtain updated CPR certification before it expired. .1102(d) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. This signed statement was not on file for one staff member. 10A NCAC 09 .0514(g) 1757 A valid qualification letter was not on file and available to review at the facility. Qualification letters were not on file for three staff members. G.S. 110-90.2(b) & (d) & .2703(e) 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. This signed acknowledgement was not on file for one staff member before providing care for children. The acknowledgment was not on file for an additional two staff members. One was corrected during the visit. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training was obtained more than 90 days after hire for one staff member. This training has not been completed for a second staff member who has been employed more than 90 days. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. one staff member did not complete the health and safety training within the required time frame. .1102(a) All violations must be corrected immediately. Please send me a compliance letter (written statement) describing how and when the above violations were corrected. The compliance letter must be received no later than March 5, 2024. The compliance letter may be sent to me via email, if you do not have access to email, please ensure that your compliance letter is mailed in a timely manner and that you allow for delays with the mail service. If your compliance letter is mailed, a handwritten signature must be included. Contact me if you have questions regarding correction of the violations documented during today’s visit. If you are unable to correct all violations within the specified timeframe, send a compliance letter regarding violations that were corrected and a specific plan to correct the remaining violations. Technical Assistance and Consultation: We discussed that many of the violations documented today were in the staff files. I encouraged you to implement policies and procedures regarding the use of the staff file checklist and proper monitoring of files before staff begin employment. The requirements for orientation were discussed today. I reminded you that the Health and Safety trainings may not be used to meet orientation requirements. Orientation is specific to your child care facility, and health and safety training is general knowledge. The requirements for Health and Safety training were discussed. I reminded you that all staff with caregiving responsibilities are required to take this training series within the first year of employment. Some topics, such as CPR, First Aid, and Recognizing and Responding to Suspicions of Child Maltreatment are due within the first 90 days. I encouraged you to use the Health and Safety Training Log to ensure all topic areas are covered. I also encouraged you to ensure documentation related to education and experience in the file is complete. Staff should submit their WORKS status letters when they are available. RATED LICENSE: Today we discussed the two-component rated license process. I clarified that as a change of ownership you may choose to continue with the points awarded during the last rated license assessment. Under the previous ownership the facility earned 1 quality point for using an approved curriculum. This facility continues to use the High Reach Learning curriculum. The facility earned four points in program for meeting enhanced standard requirements, as well as enhanced space and ratios. The facility earned an average score of 4.71 across three environment rating scale assessments. The facility earned four points in education. The facility earned a total of 9 points which is a 3 star license. Your facility is in cohort 2. Your prep year will begin July 1, 2024 and continues through June 30, 2025. Your reassessment year is July 1, 2025 through June 30, 2026. In your planning year, you may review resources available at www.ncrlap.org and contact your local Smart Start Partnership or CCR&R for assistance with preparing for the ERS assessment. This is an opportunity to focus on your Star Rated License and consider strategies to help maintain or increase your star rating. Review topics related to the Environment Rating Scales or other quality initiatives. I also reminded you that preparation year assessments are being offered by NCRLAP. If you are pleased with these scores, you may use them to apply for reassessment, or save them for your reassessment year. In order to ensure the education points are calculated correctly, please ensure that all staff have updated their information in the WORKS system. The Importance of Providing Quality Child Care Providing quality child care is essential for children. There is ample research demonstrating that high-quality child-care experiences have many benefits to children and society and that quality child care is linked to children’s improved school performance. 1. The Cost, Quality and Child Outcomes in Child Care Centers Study and a follow-up study done several years later found that quality child care is primarily related to higher staff/child ratios, administrators’ prior experience, wages, higher staff education levels and staff members’ continued participation in formal and specialized training. This study found that children attending higher quality centers scored better in math and language skills, had more positive interactions with peers, and had fewer behavior problems. 2. The High/Scope Perry Preschool Study followed children from their preschool years through age 40 and found that high-quality preschool programs significantly increased children’s future contributions through increased intellectual and social development, school success, economic performance, and reduced commission of crimes in adulthood. One of the most quoted results of this study is that for every dollar invested in children’s early care and education there is a $17 return to society in terms of crime and education savings, increased taxes collected, and welfare savings. There are many other studies including the Abecedarian Project, the Arnett Caregiver Interaction Study, and the NC Rated License Assessment Project. What the research tells us, in a nutshell, is that high quality child care has a positive impact on children’s later school success. The key to quality experiences for children is interaction with and stimulation from educated, trained teachers. The neuroscience associated with brain research is complicated, but its lesson is simple: babies' brains develop at astonishing rates in the first few years after birth. Young children have a tremendous capacity to learn from the moment they are born, but optimal development hinges on the experiences provided for them by the adults who take care of them. A follow up visit may be conducted in the near future to verify compliance with violations documented during the visit. Please contact me at (910) 824-0123 or at becky.j.williams@dhhs.nc.gov if I can be of assistance. My mailing address is PO Box 2186, Clinton, NC 28329. 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 #320 Facility ID: 51000960 Consultant: BECKY WILLIAMS Operation Type: Center Case Number: Visit Date: 2/20/2024 Number Present: 78 Completed Date: 2/20/2024 Age: From 0 To 5 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 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 for the facility’s the first temporary time period visit. The facility’s Temporary License was issued January 8, 2024 and is valid through July 8, 2024. Restrictions on the permit include a first shift capacity of 135 children ages 0 to 12 years old and meeting enhanced space and ratios. Restrictions were in compliance today. D. Sneed, Administrator was not present when I arrived. She was, however, reached by phone and arrived during the visit. Both she and the assistant administrator assisted with today’s visit. Seven classrooms are operating with 104 children enrolled and 78 children present. During today’s visit, infants were observed sleeping in appropriate cribs, playing with materials on the floor, crawling around exploring their environment or engaged in routine care. The remaining groups were observed eating lunch, napping, engaged in free play, having group story time, and transitioning to nap. The school age children were not present today. Space #8 is currently being used as a staff lounge and assistant administrator’s office. Lunch for today consisted of fish nuggets, apples, mashed potatoes, mixed vegetables and milk. According to the North Carolina Secretary of State website, your corporation Child Development Schools North Carolina, LLC is current and active. Your last fire drill was completed January 25, 2024. The most recent lockdown drill was conducted on December 15, 2023, and the last outdoor inspection was completed January 18, 2024. As this is a change of ownership a new building, fire and sanitation inspections must be completed by July 8, 2024. You provided me with the approved fire inspection today. This inspection was conducted on February 6, 2024. The sanitation inspection was completed on January 31, 2024. A superior classification with 4 demerits was issued. You provided me with the first page of the continued use building inspection form attached to a floor plan and certificate of completion from the building inspector. I notified you that the remaining pages of the building inspection are required. I notified you that I would contact the inspector to determine if the remaining pages are available. Failure to obtain an approved full building inspection prior to July 8, 2024 may result in administrative action against your license. I monitored your classroom environments, outdoor playgrounds, staff and children's records and required center records. I used the North Carolina Child Care Requirements and Compliance Listing as basic monitoring tools during the visit. Your classrooms have a variety of developmentally appropriate learning materials and equipment and the activity centers are well arranged. The license was posted along with the NC Summary of the Law and safe arrival and departure procedures. The emergency medical care plan and emergency telephone numbers were also posted. Staff/child ratios were posted in each classroom. Activity plans and daily schedules were posted. No concerns with supervision were observed during the visit. Twelve children’s records were reviewed today and were found to be in compliance. Eighteen staff files were also reviewed today. Using a checklist helps verify information on file and easily identifies missing information. The following violations of child care requirements were observed today: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The food substitution at lunch was not recorded on the posted menus before being served. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. Diaper rash cream was observed in Space #4 in a child's bubby which was not out of reach of children. In Space #7 diaper rash cream was observed on the counter next to the sink and on a shelf which were not out of the reach of children. In Space #2 Alka Seltzer cold tablets and baking soda were stored in an unlocked cabinet. Both contained drug facts labels. 10A NCAC 09 .0601(a) 832 There was no written emergency medical care (EMC) plan. The emergency medical care plan posted listed staff that no longer work at the facility. 10A NCAC 09 .0802(a) 1030 Application for employment and date of birth was not on file for all staff. An application was not on file for two staff members. One was corrected during the visit. .0302(d)(1)(A) 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. Medical statements were not on file for two staff members. 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. A negative TB test was not on file for one staff member. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Orientation documentation was not on file for one staff member. Not all components were covered for a second staff member. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid training was obtained more than 90 days after hire for three staff members. Two additional staff members did not obtain updated First Aid certification before it expired. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. CPR training was obtained more than 90 days after hire for three staff members. Two additional staff members did not obtain updated CPR certification before it expired. .1102(d) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. This signed statement was not on file for one staff member. 10A NCAC 09 .0514(g) 1757 A valid qualification letter was not on file and available to review at the facility. Qualification letters were not on file for three staff members. G.S. 110-90.2(b) & (d) & .2703(e) 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. This signed acknowledgement was not on file for one staff member before providing care for children. The acknowledgment was not on file for an additional two staff members. One was corrected during the visit. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training was obtained more than 90 days after hire for one staff member. This training has not been completed for a second staff member who has been employed more than 90 days. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. one staff member did not complete the health and safety training within the required time frame. .1102(a) All violations must be corrected immediately. Please send me a compliance letter (written statement) describing how and when the above violations were corrected. The compliance letter must be received no later than March 5, 2024. The compliance letter may be sent to me via email, if you do not have access to email, please ensure that your compliance letter is mailed in a timely manner and that you allow for delays with the mail service. If your compliance letter is mailed, a handwritten signature must be included. Contact me if you have questions regarding correction of the violations documented during today’s visit. If you are unable to correct all violations within the specified timeframe, send a compliance letter regarding violations that were corrected and a specific plan to correct the remaining violations. Technical Assistance and Consultation: We discussed that many of the violations documented today were in the staff files. I encouraged you to implement policies and procedures regarding the use of the staff file checklist and proper monitoring of files before staff begin employment. The requirements for orientation were discussed today. I reminded you that the Health and Safety trainings may not be used to meet orientation requirements. Orientation is specific to your child care facility, and health and safety training is general knowledge. The requirements for Health and Safety training were discussed. I reminded you that all staff with caregiving responsibilities are required to take this training series within the first year of employment. Some topics, such as CPR, First Aid, and Recognizing and Responding to Suspicions of Child Maltreatment are due within the first 90 days. I encouraged you to use the Health and Safety Training Log to ensure all topic areas are covered. I also encouraged you to ensure documentation related to education and experience in the file is complete. Staff should submit their WORKS status letters when they are available. RATED LICENSE: Today we discussed the two-component rated license process. I clarified that as a change of ownership you may choose to continue with the points awarded during the last rated license assessment. Under the previous ownership the facility earned 1 quality point for using an approved curriculum. This facility continues to use the High Reach Learning curriculum. The facility earned four points in program for meeting enhanced standard requirements, as well as enhanced space and ratios. The facility earned an average score of 4.71 across three environment rating scale assessments. The facility earned four points in education. The facility earned a total of 9 points which is a 3 star license. Your facility is in cohort 2. Your prep year will begin July 1, 2024 and continues through June 30, 2025. Your reassessment year is July 1, 2025 through June 30, 2026. In your planning year, you may review resources available at www.ncrlap.org and contact your local Smart Start Partnership or CCR&R for assistance with preparing for the ERS assessment. This is an opportunity to focus on your Star Rated License and consider strategies to help maintain or increase your star rating. Review topics related to the Environment Rating Scales or other quality initiatives. I also reminded you that preparation year assessments are being offered by NCRLAP. If you are pleased with these scores, you may use them to apply for reassessment, or save them for your reassessment year. In order to ensure the education points are calculated correctly, please ensure that all staff have updated their information in the WORKS system. The Importance of Providing Quality Child Care Providing quality child care is essential for children. There is ample research demonstrating that high-quality child-care experiences have many benefits to children and society and that quality child care is linked to children’s improved school performance. 1. The Cost, Quality and Child Outcomes in Child Care Centers Study and a follow-up study done several years later found that quality child care is primarily related to higher staff/child ratios, administrators’ prior experience, wages, higher staff education levels and staff members’ continued participation in formal and specialized training. This study found that children attending higher quality centers scored better in math and language skills, had more positive interactions with peers, and had fewer behavior problems. 2. The High/Scope Perry Preschool Study followed children from their preschool years through age 40 and found that high-quality preschool programs significantly increased children’s future contributions through increased intellectual and social development, school success, economic performance, and reduced commission of crimes in adulthood. One of the most quoted results of this study is that for every dollar invested in children’s early care and education there is a $17 return to society in terms of crime and education savings, increased taxes collected, and welfare savings. There are many other studies including the Abecedarian Project, the Arnett Caregiver Interaction Study, and the NC Rated License Assessment Project. What the research tells us, in a nutshell, is that high quality child care has a positive impact on children’s later school success. The key to quality experiences for children is interaction with and stimulation from educated, trained teachers. The neuroscience associated with brain research is complicated, but its lesson is simple: babies' brains develop at astonishing rates in the first few years after birth. Young children have a tremendous capacity to learn from the moment they are born, but optimal development hinges on the experiences provided for them by the adults who take care of them. A follow up visit may be conducted in the near future to verify compliance with violations documented during the visit. Please contact me at (910) 824-0123 or at becky.j.williams@dhhs.nc.gov if I can be of assistance. My mailing address is PO Box 2186, Clinton, NC 28329. 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