10A NCAC 09 .0803 · Violation

Name of Operation: A CHILD'S WORLD LEARNING CENTER BERMUDA RUN Facility ID: 30000059 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 3/13/2025 Number Present: 88 Completed Date: 3/13/2025 Age: From 0 To 5 Total Minutes: 230 Time In: 10:15 AM Time Out: 02:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable childcare requirements during a Routine Unannounced (RU) visit. I conducted your last ACV on October 30, 2024. Your facility’s compliance history score prior to today’s visit was 90%. You, Murlette Simmons, Administrator, assisted me with today’s visit. Your facility, owned by ACWLC, Inc., was current/active as viewed on the North Carolina Secretary of State website. I observed your Five (5) Star License, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, tobacco free facility signage, evacuation plans, posted as required. Today, children were adequately supervised, enhanced staff-child ratios were maintained, adequate approved space was used and permit restrictions including “daytime care only”, “enhanced space”, and “enhanced ratios” were maintained during today’s visit. Children were observed engaged in free play in activity areas and outdoors, small group and whole group activities, and transitions. Activity areas including books, blocks, manipulatives, dramatic play, art, and science were observed. I observed toys and equipment to be of sufficient quantity. Toys and equipment were observed to be developmentally appropriate in all spaces. All topical ointments/creams, sunscreens and medications were monitored. Bathrooms were stocked with necessary supplies with handwashing procedure signs posted as required. General safety throughout the center was monitored. Inspections/Drills/Logs Sanitation Inspection-October 10, 2024, with a Superior rating and zero demerits. Fire Inspection- May 15, 2024 Playground Inspection-March 7, 2025 Fire Drill-February 14, 2025 Emergency Drill-January 26, 2025 Incident Log- Completed as required. Transportation and Outdoor Learning Environments were monitored during the ACV on October 30, 2024. I monitored the files of three staff hired since the last ACV. I verified Criminal Background Checks, CPR & First Aid training, ITS-SIDS training, BSAC training, and Recognizing & Responding to Suspicious of Child Maltreatment training and certifications are current for all required staff. Your signature on all forms served and will serve as verification the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In Space 6b a small hole was in the wall. The hole was the size of a child's finger and at the children's level. The hole was made inaccessible during the visit by placing a piece of furniture in front of it. 15A NCAC 18A .2825(a) 843 A drug or medicine was administered after its expiration date. In Space 1 a tube of Aquaphor had expired. This was removed from the classroom. 10A NCAC 09 .0803(1)(d) I provided technical assistance regarding the following topics: 1. During facility walkthroughs make sure to check for potential hazards on the child’s level, peeling paint, holes, etc. Have teachers check each other’s rooms so they are monitored with a fresh set of eyes. 2. Continue to do the monitoring of diaper creams and ointments and again, it may be beneficial to have a rotation of 2-3 staff to complete the checklist, what one person may miss another might see. Consultation was provided on the following: We discussed screening and assessment tools for children as well as classroom observation tools to monitor for staff/child interactions and increase quality in the classroom. ABCMS As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. QRIS The new QRIS Modernization Plan known as “Pathways to Success” is being added to law which included moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission will continue the rulemaking process to add the rule language to child care requirements. This process with take several months. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded any ERS assessment completed on February 1, 2025 and after will be assessed using the ERS-3 versions. RESOURCES Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Compliance Plan: Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to prevent the violation from reoccurring. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Provide any documentation that will show compliance with the violation. 7. Your signature Your letter may be mailed to me at: Deborah K. Howell PO Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than March 27, 2025. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established period. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. If you have any questions, feel free to contact me by phone at (704) 798-5220 or by email at Deborah.k.howell@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. Thank you for sending me all the requested documentation prior to the visit. It made the visit much smoother. Thank you for your time today. 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.

G.S. 110-90 · Violation

Name of Operation: A CHILD'S WORLD LEARNING CENTER BERMUDA RUN Facility ID: 30000059 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 3/13/2025 Number Present: 88 Completed Date: 3/13/2025 Age: From 0 To 5 Total Minutes: 230 Time In: 10:15 AM Time Out: 02:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable childcare requirements during a Routine Unannounced (RU) visit. I conducted your last ACV on October 30, 2024. Your facility’s compliance history score prior to today’s visit was 90%. You, Murlette Simmons, Administrator, assisted me with today’s visit. Your facility, owned by ACWLC, Inc., was current/active as viewed on the North Carolina Secretary of State website. I observed your Five (5) Star License, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, tobacco free facility signage, evacuation plans, posted as required. Today, children were adequately supervised, enhanced staff-child ratios were maintained, adequate approved space was used and permit restrictions including “daytime care only”, “enhanced space”, and “enhanced ratios” were maintained during today’s visit. Children were observed engaged in free play in activity areas and outdoors, small group and whole group activities, and transitions. Activity areas including books, blocks, manipulatives, dramatic play, art, and science were observed. I observed toys and equipment to be of sufficient quantity. Toys and equipment were observed to be developmentally appropriate in all spaces. All topical ointments/creams, sunscreens and medications were monitored. Bathrooms were stocked with necessary supplies with handwashing procedure signs posted as required. General safety throughout the center was monitored. Inspections/Drills/Logs Sanitation Inspection-October 10, 2024, with a Superior rating and zero demerits. Fire Inspection- May 15, 2024 Playground Inspection-March 7, 2025 Fire Drill-February 14, 2025 Emergency Drill-January 26, 2025 Incident Log- Completed as required. Transportation and Outdoor Learning Environments were monitored during the ACV on October 30, 2024. I monitored the files of three staff hired since the last ACV. I verified Criminal Background Checks, CPR & First Aid training, ITS-SIDS training, BSAC training, and Recognizing & Responding to Suspicious of Child Maltreatment training and certifications are current for all required staff. Your signature on all forms served and will serve as verification the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In Space 6b a small hole was in the wall. The hole was the size of a child's finger and at the children's level. The hole was made inaccessible during the visit by placing a piece of furniture in front of it. 15A NCAC 18A .2825(a) 843 A drug or medicine was administered after its expiration date. In Space 1 a tube of Aquaphor had expired. This was removed from the classroom. 10A NCAC 09 .0803(1)(d) I provided technical assistance regarding the following topics: 1. During facility walkthroughs make sure to check for potential hazards on the child’s level, peeling paint, holes, etc. Have teachers check each other’s rooms so they are monitored with a fresh set of eyes. 2. Continue to do the monitoring of diaper creams and ointments and again, it may be beneficial to have a rotation of 2-3 staff to complete the checklist, what one person may miss another might see. Consultation was provided on the following: We discussed screening and assessment tools for children as well as classroom observation tools to monitor for staff/child interactions and increase quality in the classroom. ABCMS As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. QRIS The new QRIS Modernization Plan known as “Pathways to Success” is being added to law which included moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission will continue the rulemaking process to add the rule language to child care requirements. This process with take several months. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded any ERS assessment completed on February 1, 2025 and after will be assessed using the ERS-3 versions. RESOURCES Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Compliance Plan: Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to prevent the violation from reoccurring. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Provide any documentation that will show compliance with the violation. 7. Your signature Your letter may be mailed to me at: Deborah K. Howell PO Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than March 27, 2025. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established period. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. If you have any questions, feel free to contact me by phone at (704) 798-5220 or by email at Deborah.k.howell@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. Thank you for sending me all the requested documentation prior to the visit. It made the visit much smoother. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: A CHILD'S WORLD LEARNING CENTER BERMUDA RUN Facility ID: 30000059 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 6/13/2024 Number Present: 123 Completed Date: 6/13/2024 Age: From 0 To 8 Total Minutes: 255 Time In: 09:45 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable childcare requirements during a Routine Unannounced (RU) visit. I conducted your last ACV on December 1, 2023. Your facility’s compliance history score prior to today’s visit was 95%. You, Murlette Simmons, Administrator, assisted me with today’s visit. Your facility, owned by ACWLC, Inc., was current/active as viewed on the North Carolina Secretary of State website. I observed your Five (5) Star License, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, tobacco free facility signage, evacuation plans, posted as required. Today, children were adequately supervised, enhanced staff-child ratios were maintained, adequate approved space was used and permit restrictions including “daytime care only”, “enhanced space”, and “enhanced ratios” were maintained during today’s visit. Children were observed engaged in free play in activity areas and outdoors, small group and whole group activities, transitions, diapering, routine toileting practices, and washing hands. Activity areas including books, blocks, manipulatives, dramatic play, art, and science were observed. I observed toys and equipment to be of sufficient quantity. Toys and equipment were observed to be developmentally appropriate in all spaces. All topical ointments/creams, sunscreens and medications were monitored. Bathrooms were stocked with necessary supplies with handwashing procedure signs posted as required. Inspections/Drills/Logs Sanitation Inspection- December 18, 2024, with a Superior rating and four demerits. Fire Inspection- May 15, 2024 Playground Inspection- May 6, 2024 Fire Drill- May 15, 2024 Emergency Drill- April 16, 2024 Incident Log- Completed as required. Transportation and Outdoor Learning Environments were monitored during the ACV on 12/1/23. I verified Criminal Background Checks, CPR & First Aid training, ITS-SIDS training, BSAC training, and Recognizing & Responding to Suspicious of Child Maltreatment trainings and certifications are current for all required staff. Your signature on all forms served and will serve as verification the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In Space 3 there were toy storage buckets which were cracked and broken, accessible to children. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. In Space 2 and 9 permission to administer forms did not included all the required information. 10A NCAC 09 .0803(4)(6-9) I provided technical assistance regarding the following topics: 1. I reviewed Permission to administer forms in their entirety with the teacher in Space 9. I offered instructions on how to review for accuracy once they are completed by families before accepting them into the classroom. 2. I reminded staff that once a container/equipment is cracked or broken beyond repair it should be removed from the classroom to avoid a potential injury. Consultation was provided on the following: 1. I discussed with the director Medical Action Plans. How and when to complete them. We reviewed pharmaceutical labels to determine if medications were need while at school. I reviewed all sections of the Permission to Administer form for prescription medications and reminded her to instruct staff receiving medications to complete the form in its entirety. 2. Public Schools and licensed child care facilities in North Carolina are eligible to participate in the funding mechanisms to cover the costs of testing for lead in water and inspecting for asbestos and lead-base paint hazards beyond the May 1, 2024 deadline listed in 10A NCAC 41C .1002(a). Facilities that have not yet enrolled should complete the online process by November 1, 2024. Clean Classrooms for Carolina Kids Program provides free facility-wide testing and inspections without any out-of-pocket costs. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement and will allow facilities to participate in the funding mechanisms. Required water testing for child care centers under Rule 15A NCAC 18A .2816 is NOT affected by the November 1st deadline. Enroll today at www.cleanwaterforuskids.org/carolina! If you have enrolled for only one or two of the program sections, log back in to complete surveys for the remaining sections(s) to comply with the rule requirements. Compliance Plan: None needed at this time. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. If you have any questions, feel free to contact me by phone at (704) 798-5220 or by email at Deborah.k.howell@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. Thank you for sending me all the requested documentation prior to the visit. It made the visit much smoother. Thank you for your time today. 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 .0803 · Violation

Name of Operation: A CHILD'S WORLD LEARNING CENTER BERMUDA RUN Facility ID: 30000059 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 6/13/2024 Number Present: 123 Completed Date: 6/13/2024 Age: From 0 To 8 Total Minutes: 255 Time In: 09:45 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable childcare requirements during a Routine Unannounced (RU) visit. I conducted your last ACV on December 1, 2023. Your facility’s compliance history score prior to today’s visit was 95%. You, Murlette Simmons, Administrator, assisted me with today’s visit. Your facility, owned by ACWLC, Inc., was current/active as viewed on the North Carolina Secretary of State website. I observed your Five (5) Star License, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, tobacco free facility signage, evacuation plans, posted as required. Today, children were adequately supervised, enhanced staff-child ratios were maintained, adequate approved space was used and permit restrictions including “daytime care only”, “enhanced space”, and “enhanced ratios” were maintained during today’s visit. Children were observed engaged in free play in activity areas and outdoors, small group and whole group activities, transitions, diapering, routine toileting practices, and washing hands. Activity areas including books, blocks, manipulatives, dramatic play, art, and science were observed. I observed toys and equipment to be of sufficient quantity. Toys and equipment were observed to be developmentally appropriate in all spaces. All topical ointments/creams, sunscreens and medications were monitored. Bathrooms were stocked with necessary supplies with handwashing procedure signs posted as required. Inspections/Drills/Logs Sanitation Inspection- December 18, 2024, with a Superior rating and four demerits. Fire Inspection- May 15, 2024 Playground Inspection- May 6, 2024 Fire Drill- May 15, 2024 Emergency Drill- April 16, 2024 Incident Log- Completed as required. Transportation and Outdoor Learning Environments were monitored during the ACV on 12/1/23. I verified Criminal Background Checks, CPR & First Aid training, ITS-SIDS training, BSAC training, and Recognizing & Responding to Suspicious of Child Maltreatment trainings and certifications are current for all required staff. Your signature on all forms served and will serve as verification the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In Space 3 there were toy storage buckets which were cracked and broken, accessible to children. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. In Space 2 and 9 permission to administer forms did not included all the required information. 10A NCAC 09 .0803(4)(6-9) I provided technical assistance regarding the following topics: 1. I reviewed Permission to administer forms in their entirety with the teacher in Space 9. I offered instructions on how to review for accuracy once they are completed by families before accepting them into the classroom. 2. I reminded staff that once a container/equipment is cracked or broken beyond repair it should be removed from the classroom to avoid a potential injury. Consultation was provided on the following: 1. I discussed with the director Medical Action Plans. How and when to complete them. We reviewed pharmaceutical labels to determine if medications were need while at school. I reviewed all sections of the Permission to Administer form for prescription medications and reminded her to instruct staff receiving medications to complete the form in its entirety. 2. Public Schools and licensed child care facilities in North Carolina are eligible to participate in the funding mechanisms to cover the costs of testing for lead in water and inspecting for asbestos and lead-base paint hazards beyond the May 1, 2024 deadline listed in 10A NCAC 41C .1002(a). Facilities that have not yet enrolled should complete the online process by November 1, 2024. Clean Classrooms for Carolina Kids Program provides free facility-wide testing and inspections without any out-of-pocket costs. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement and will allow facilities to participate in the funding mechanisms. Required water testing for child care centers under Rule 15A NCAC 18A .2816 is NOT affected by the November 1st deadline. Enroll today at www.cleanwaterforuskids.org/carolina! If you have enrolled for only one or two of the program sections, log back in to complete surveys for the remaining sections(s) to comply with the rule requirements. Compliance Plan: None needed at this time. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. If you have any questions, feel free to contact me by phone at (704) 798-5220 or by email at Deborah.k.howell@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. Thank you for sending me all the requested documentation prior to the visit. It made the visit much smoother. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: A CHILD'S WORLD LEARNING CENTER BERMUDA RUN Facility ID: 30000059 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 12/1/2023 Number Present: 81 Completed Date: 12/1/2023 Age: From 0 To 5 Total Minutes: 375 Time In: 11:00 AM Time Out: 05:15 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 for compliance during an annual compliance visit, I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. Your last annual compliance visit was conducted January 10, 2023. Prior to today’s visit your compliance history was 94%. You, Murlette Simmons, Director, assisted me with today’s visit. Your facility, owned by A Children’s World Learning Center Inc., was current/active as viewed on the North Carolina Secretary of State website. I observed your Five (5) Star License, NC Child Care Summary of the Law, Safe Procedures for Arrival & Departure, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, First Aid poster, tobacco free facility signage and evacuation plans posted as required. I observed children adequately supervised during today’s visit. I observed enhanced staff-child ratios maintained during today’s visit. I observed adequate approved space use and permit restrictions including enhanced space requirements maintained during today’s visit. I observed children engaged in free play in activity areas, toileting, washing hands, outdoor play, lunch and transitions. I observed activity areas including books, blocks, manipulatives, dramatic play, art, science, music, writing, and cozy/quiet areas. I observed toys and equipment to be of sufficient quantity. I observed toys and equipment to be developmentally appropriate in all spaces. I observed bathrooms stocked with necessary supplies with handwashing procedure signs posted as required. I monitored a sampling of diaper creams and ointments. There were no prescription medications on site. I monitored general safety throughout the center. I observed electrical cords secured. In Space 8 there was one outlet uncovered, this was corrected immediately. Several classrooms have chipped paint with plaster and drywall exposed. You stated the facility was scheduled to be painted on December 9, 2023. I observed the equipment and materials in the outdoor play spaces. I observed three spaces supplied with a variety of age-appropriate materials and equipment. Shade is provided on all playgrounds. Fire and Sanitation inspections are occurring as required. I observed menus posted in each of the classrooms and the kitchen. I observed the lunch being prepared in the kitchen. Today’s lunch consisted of hamburgers on a wholegrain bun, potato wedges, pears, and milk. I observed the last playground inspection conducted on November 23, 2023. Fire and Emergency Drills are occurring as required. I monitored a random sampling of eleven children’s files. I will return next week to monitor staff files and transportation. Your signature on all forms served and will serve as verification that the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In Space 3 there was not an activity plan posted for the current week. GS 110-91(12); .0508(a) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. Walls throughout the facility had peeling paint with plaster and drywall exposed. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Space 8 had an outlet near the sink without a cover. 10A NCAC 09 .0604(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space 3 and 4 had diaper creams and ointments with no permission to administer forms. 10A NCAC 09 .0803(1)(a & b) 847 Parent's medication authorization did not include required information. Spaces 3 and 4 had permission to administer forms for diaper creams that did not have parent signatures. 10A NCAC 09 .0803(4)(6-9) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff with a hire date of 9/5/23 did not have a medical report on file for review. 10A NCAC 09 .0701(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Five children did not have photographs included on their emergency information sheet. 10A NCAC 09 .1003(d) 1757 A valid qualification letter was not on file and available to review at the facility. A seasonal staff, M. Regalado who was employed from June-August 2023 did not have a qualifying letter on file. She will not be allowed to return to work until she completes the CBC application and fingerprinting process again. G.S. 110-90.2(b) & (d) & .2703(e) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff with a hire date of 5/18/23 did not complete the required training until 10/12/23. .1102(g) Today, I provided technical assistance to you and your staff regarding the following topics: 1. Remind staff to keep outlet covers handy to use when they unplug something. 2. I discussed with the staff making copies of the old, but still valid permission to administer forms when children are transitioned from one room to another until families can complete the form for their new room. This way they will still be in compliance. 3. Walls have multiple areas where paint is chipped, and plaster is exposed. Keep extra paint on hand to repair these areas before they become unmanageable. 4. Ensure activity plans are labeled correctly for the week and posted on Monday. Consultation: 1. Please send me fire inspections within one week once they are conducted. 2. It may be beneficial to you as the new director to utilize a whiteboard to keep up with time sensitive dates for staff training and certifications. I can assist you with this if you would like. 3. There was a discrepancy on the Staff and Child Ratio Classroom Worksheet for Space 8 and the information in your file. I explained that while the worksheet shows the capacity is 13 children the measurement for the room is only 12. You stated you will make sure attendance in that room does not exceed 12 and I observed you correct the worksheet. Compliance Plan: All violations cited were corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to prevent the violation from reoccurring. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Provide any documentation that will show compliance with the violation. 7. Your signature Your letter may be mailed to me at: Deborah K. Howell PO Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than December 14, 2023. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Feel free to contact me by phone at (704)798-5220 or by email at Deborah.k.howell@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0701 · Violation

Name of Operation: A CHILD'S WORLD LEARNING CENTER BERMUDA RUN Facility ID: 30000059 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 12/1/2023 Number Present: 81 Completed Date: 12/1/2023 Age: From 0 To 5 Total Minutes: 375 Time In: 11:00 AM Time Out: 05:15 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 for compliance during an annual compliance visit, I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. Your last annual compliance visit was conducted January 10, 2023. Prior to today’s visit your compliance history was 94%. You, Murlette Simmons, Director, assisted me with today’s visit. Your facility, owned by A Children’s World Learning Center Inc., was current/active as viewed on the North Carolina Secretary of State website. I observed your Five (5) Star License, NC Child Care Summary of the Law, Safe Procedures for Arrival & Departure, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, First Aid poster, tobacco free facility signage and evacuation plans posted as required. I observed children adequately supervised during today’s visit. I observed enhanced staff-child ratios maintained during today’s visit. I observed adequate approved space use and permit restrictions including enhanced space requirements maintained during today’s visit. I observed children engaged in free play in activity areas, toileting, washing hands, outdoor play, lunch and transitions. I observed activity areas including books, blocks, manipulatives, dramatic play, art, science, music, writing, and cozy/quiet areas. I observed toys and equipment to be of sufficient quantity. I observed toys and equipment to be developmentally appropriate in all spaces. I observed bathrooms stocked with necessary supplies with handwashing procedure signs posted as required. I monitored a sampling of diaper creams and ointments. There were no prescription medications on site. I monitored general safety throughout the center. I observed electrical cords secured. In Space 8 there was one outlet uncovered, this was corrected immediately. Several classrooms have chipped paint with plaster and drywall exposed. You stated the facility was scheduled to be painted on December 9, 2023. I observed the equipment and materials in the outdoor play spaces. I observed three spaces supplied with a variety of age-appropriate materials and equipment. Shade is provided on all playgrounds. Fire and Sanitation inspections are occurring as required. I observed menus posted in each of the classrooms and the kitchen. I observed the lunch being prepared in the kitchen. Today’s lunch consisted of hamburgers on a wholegrain bun, potato wedges, pears, and milk. I observed the last playground inspection conducted on November 23, 2023. Fire and Emergency Drills are occurring as required. I monitored a random sampling of eleven children’s files. I will return next week to monitor staff files and transportation. Your signature on all forms served and will serve as verification that the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In Space 3 there was not an activity plan posted for the current week. GS 110-91(12); .0508(a) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. Walls throughout the facility had peeling paint with plaster and drywall exposed. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Space 8 had an outlet near the sink without a cover. 10A NCAC 09 .0604(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space 3 and 4 had diaper creams and ointments with no permission to administer forms. 10A NCAC 09 .0803(1)(a & b) 847 Parent's medication authorization did not include required information. Spaces 3 and 4 had permission to administer forms for diaper creams that did not have parent signatures. 10A NCAC 09 .0803(4)(6-9) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff with a hire date of 9/5/23 did not have a medical report on file for review. 10A NCAC 09 .0701(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Five children did not have photographs included on their emergency information sheet. 10A NCAC 09 .1003(d) 1757 A valid qualification letter was not on file and available to review at the facility. A seasonal staff, M. Regalado who was employed from June-August 2023 did not have a qualifying letter on file. She will not be allowed to return to work until she completes the CBC application and fingerprinting process again. G.S. 110-90.2(b) & (d) & .2703(e) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff with a hire date of 5/18/23 did not complete the required training until 10/12/23. .1102(g) Today, I provided technical assistance to you and your staff regarding the following topics: 1. Remind staff to keep outlet covers handy to use when they unplug something. 2. I discussed with the staff making copies of the old, but still valid permission to administer forms when children are transitioned from one room to another until families can complete the form for their new room. This way they will still be in compliance. 3. Walls have multiple areas where paint is chipped, and plaster is exposed. Keep extra paint on hand to repair these areas before they become unmanageable. 4. Ensure activity plans are labeled correctly for the week and posted on Monday. Consultation: 1. Please send me fire inspections within one week once they are conducted. 2. It may be beneficial to you as the new director to utilize a whiteboard to keep up with time sensitive dates for staff training and certifications. I can assist you with this if you would like. 3. There was a discrepancy on the Staff and Child Ratio Classroom Worksheet for Space 8 and the information in your file. I explained that while the worksheet shows the capacity is 13 children the measurement for the room is only 12. You stated you will make sure attendance in that room does not exceed 12 and I observed you correct the worksheet. Compliance Plan: All violations cited were corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to prevent the violation from reoccurring. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Provide any documentation that will show compliance with the violation. 7. Your signature Your letter may be mailed to me at: Deborah K. Howell PO Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than December 14, 2023. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Feel free to contact me by phone at (704)798-5220 or by email at Deborah.k.howell@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: A CHILD'S WORLD LEARNING CENTER BERMUDA RUN Facility ID: 30000059 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 12/1/2023 Number Present: 81 Completed Date: 12/1/2023 Age: From 0 To 5 Total Minutes: 375 Time In: 11:00 AM Time Out: 05:15 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 for compliance during an annual compliance visit, I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. Your last annual compliance visit was conducted January 10, 2023. Prior to today’s visit your compliance history was 94%. You, Murlette Simmons, Director, assisted me with today’s visit. Your facility, owned by A Children’s World Learning Center Inc., was current/active as viewed on the North Carolina Secretary of State website. I observed your Five (5) Star License, NC Child Care Summary of the Law, Safe Procedures for Arrival & Departure, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, First Aid poster, tobacco free facility signage and evacuation plans posted as required. I observed children adequately supervised during today’s visit. I observed enhanced staff-child ratios maintained during today’s visit. I observed adequate approved space use and permit restrictions including enhanced space requirements maintained during today’s visit. I observed children engaged in free play in activity areas, toileting, washing hands, outdoor play, lunch and transitions. I observed activity areas including books, blocks, manipulatives, dramatic play, art, science, music, writing, and cozy/quiet areas. I observed toys and equipment to be of sufficient quantity. I observed toys and equipment to be developmentally appropriate in all spaces. I observed bathrooms stocked with necessary supplies with handwashing procedure signs posted as required. I monitored a sampling of diaper creams and ointments. There were no prescription medications on site. I monitored general safety throughout the center. I observed electrical cords secured. In Space 8 there was one outlet uncovered, this was corrected immediately. Several classrooms have chipped paint with plaster and drywall exposed. You stated the facility was scheduled to be painted on December 9, 2023. I observed the equipment and materials in the outdoor play spaces. I observed three spaces supplied with a variety of age-appropriate materials and equipment. Shade is provided on all playgrounds. Fire and Sanitation inspections are occurring as required. I observed menus posted in each of the classrooms and the kitchen. I observed the lunch being prepared in the kitchen. Today’s lunch consisted of hamburgers on a wholegrain bun, potato wedges, pears, and milk. I observed the last playground inspection conducted on November 23, 2023. Fire and Emergency Drills are occurring as required. I monitored a random sampling of eleven children’s files. I will return next week to monitor staff files and transportation. Your signature on all forms served and will serve as verification that the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In Space 3 there was not an activity plan posted for the current week. GS 110-91(12); .0508(a) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. Walls throughout the facility had peeling paint with plaster and drywall exposed. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Space 8 had an outlet near the sink without a cover. 10A NCAC 09 .0604(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space 3 and 4 had diaper creams and ointments with no permission to administer forms. 10A NCAC 09 .0803(1)(a & b) 847 Parent's medication authorization did not include required information. Spaces 3 and 4 had permission to administer forms for diaper creams that did not have parent signatures. 10A NCAC 09 .0803(4)(6-9) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff with a hire date of 9/5/23 did not have a medical report on file for review. 10A NCAC 09 .0701(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Five children did not have photographs included on their emergency information sheet. 10A NCAC 09 .1003(d) 1757 A valid qualification letter was not on file and available to review at the facility. A seasonal staff, M. Regalado who was employed from June-August 2023 did not have a qualifying letter on file. She will not be allowed to return to work until she completes the CBC application and fingerprinting process again. G.S. 110-90.2(b) & (d) & .2703(e) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff with a hire date of 5/18/23 did not complete the required training until 10/12/23. .1102(g) Today, I provided technical assistance to you and your staff regarding the following topics: 1. Remind staff to keep outlet covers handy to use when they unplug something. 2. I discussed with the staff making copies of the old, but still valid permission to administer forms when children are transitioned from one room to another until families can complete the form for their new room. This way they will still be in compliance. 3. Walls have multiple areas where paint is chipped, and plaster is exposed. Keep extra paint on hand to repair these areas before they become unmanageable. 4. Ensure activity plans are labeled correctly for the week and posted on Monday. Consultation: 1. Please send me fire inspections within one week once they are conducted. 2. It may be beneficial to you as the new director to utilize a whiteboard to keep up with time sensitive dates for staff training and certifications. I can assist you with this if you would like. 3. There was a discrepancy on the Staff and Child Ratio Classroom Worksheet for Space 8 and the information in your file. I explained that while the worksheet shows the capacity is 13 children the measurement for the room is only 12. You stated you will make sure attendance in that room does not exceed 12 and I observed you correct the worksheet. Compliance Plan: All violations cited were corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to prevent the violation from reoccurring. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Provide any documentation that will show compliance with the violation. 7. Your signature Your letter may be mailed to me at: Deborah K. Howell PO Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than December 14, 2023. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Feel free to contact me by phone at (704)798-5220 or by email at Deborah.k.howell@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1003 · Violation

Name of Operation: A CHILD'S WORLD LEARNING CENTER BERMUDA RUN Facility ID: 30000059 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 12/1/2023 Number Present: 81 Completed Date: 12/1/2023 Age: From 0 To 5 Total Minutes: 375 Time In: 11:00 AM Time Out: 05:15 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 for compliance during an annual compliance visit, I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. Your last annual compliance visit was conducted January 10, 2023. Prior to today’s visit your compliance history was 94%. You, Murlette Simmons, Director, assisted me with today’s visit. Your facility, owned by A Children’s World Learning Center Inc., was current/active as viewed on the North Carolina Secretary of State website. I observed your Five (5) Star License, NC Child Care Summary of the Law, Safe Procedures for Arrival & Departure, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, First Aid poster, tobacco free facility signage and evacuation plans posted as required. I observed children adequately supervised during today’s visit. I observed enhanced staff-child ratios maintained during today’s visit. I observed adequate approved space use and permit restrictions including enhanced space requirements maintained during today’s visit. I observed children engaged in free play in activity areas, toileting, washing hands, outdoor play, lunch and transitions. I observed activity areas including books, blocks, manipulatives, dramatic play, art, science, music, writing, and cozy/quiet areas. I observed toys and equipment to be of sufficient quantity. I observed toys and equipment to be developmentally appropriate in all spaces. I observed bathrooms stocked with necessary supplies with handwashing procedure signs posted as required. I monitored a sampling of diaper creams and ointments. There were no prescription medications on site. I monitored general safety throughout the center. I observed electrical cords secured. In Space 8 there was one outlet uncovered, this was corrected immediately. Several classrooms have chipped paint with plaster and drywall exposed. You stated the facility was scheduled to be painted on December 9, 2023. I observed the equipment and materials in the outdoor play spaces. I observed three spaces supplied with a variety of age-appropriate materials and equipment. Shade is provided on all playgrounds. Fire and Sanitation inspections are occurring as required. I observed menus posted in each of the classrooms and the kitchen. I observed the lunch being prepared in the kitchen. Today’s lunch consisted of hamburgers on a wholegrain bun, potato wedges, pears, and milk. I observed the last playground inspection conducted on November 23, 2023. Fire and Emergency Drills are occurring as required. I monitored a random sampling of eleven children’s files. I will return next week to monitor staff files and transportation. Your signature on all forms served and will serve as verification that the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In Space 3 there was not an activity plan posted for the current week. GS 110-91(12); .0508(a) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. Walls throughout the facility had peeling paint with plaster and drywall exposed. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Space 8 had an outlet near the sink without a cover. 10A NCAC 09 .0604(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space 3 and 4 had diaper creams and ointments with no permission to administer forms. 10A NCAC 09 .0803(1)(a & b) 847 Parent's medication authorization did not include required information. Spaces 3 and 4 had permission to administer forms for diaper creams that did not have parent signatures. 10A NCAC 09 .0803(4)(6-9) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff with a hire date of 9/5/23 did not have a medical report on file for review. 10A NCAC 09 .0701(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Five children did not have photographs included on their emergency information sheet. 10A NCAC 09 .1003(d) 1757 A valid qualification letter was not on file and available to review at the facility. A seasonal staff, M. Regalado who was employed from June-August 2023 did not have a qualifying letter on file. She will not be allowed to return to work until she completes the CBC application and fingerprinting process again. G.S. 110-90.2(b) & (d) & .2703(e) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff with a hire date of 5/18/23 did not complete the required training until 10/12/23. .1102(g) Today, I provided technical assistance to you and your staff regarding the following topics: 1. Remind staff to keep outlet covers handy to use when they unplug something. 2. I discussed with the staff making copies of the old, but still valid permission to administer forms when children are transitioned from one room to another until families can complete the form for their new room. This way they will still be in compliance. 3. Walls have multiple areas where paint is chipped, and plaster is exposed. Keep extra paint on hand to repair these areas before they become unmanageable. 4. Ensure activity plans are labeled correctly for the week and posted on Monday. Consultation: 1. Please send me fire inspections within one week once they are conducted. 2. It may be beneficial to you as the new director to utilize a whiteboard to keep up with time sensitive dates for staff training and certifications. I can assist you with this if you would like. 3. There was a discrepancy on the Staff and Child Ratio Classroom Worksheet for Space 8 and the information in your file. I explained that while the worksheet shows the capacity is 13 children the measurement for the room is only 12. You stated you will make sure attendance in that room does not exceed 12 and I observed you correct the worksheet. Compliance Plan: All violations cited were corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to prevent the violation from reoccurring. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Provide any documentation that will show compliance with the violation. 7. Your signature Your letter may be mailed to me at: Deborah K. Howell PO Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than December 14, 2023. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Feel free to contact me by phone at (704)798-5220 or by email at Deborah.k.howell@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: A CHILD'S WORLD LEARNING CENTER BERMUDA RUN Facility ID: 30000059 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 12/1/2023 Number Present: 81 Completed Date: 12/1/2023 Age: From 0 To 5 Total Minutes: 375 Time In: 11:00 AM Time Out: 05:15 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 for compliance during an annual compliance visit, I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. Your last annual compliance visit was conducted January 10, 2023. Prior to today’s visit your compliance history was 94%. You, Murlette Simmons, Director, assisted me with today’s visit. Your facility, owned by A Children’s World Learning Center Inc., was current/active as viewed on the North Carolina Secretary of State website. I observed your Five (5) Star License, NC Child Care Summary of the Law, Safe Procedures for Arrival & Departure, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, First Aid poster, tobacco free facility signage and evacuation plans posted as required. I observed children adequately supervised during today’s visit. I observed enhanced staff-child ratios maintained during today’s visit. I observed adequate approved space use and permit restrictions including enhanced space requirements maintained during today’s visit. I observed children engaged in free play in activity areas, toileting, washing hands, outdoor play, lunch and transitions. I observed activity areas including books, blocks, manipulatives, dramatic play, art, science, music, writing, and cozy/quiet areas. I observed toys and equipment to be of sufficient quantity. I observed toys and equipment to be developmentally appropriate in all spaces. I observed bathrooms stocked with necessary supplies with handwashing procedure signs posted as required. I monitored a sampling of diaper creams and ointments. There were no prescription medications on site. I monitored general safety throughout the center. I observed electrical cords secured. In Space 8 there was one outlet uncovered, this was corrected immediately. Several classrooms have chipped paint with plaster and drywall exposed. You stated the facility was scheduled to be painted on December 9, 2023. I observed the equipment and materials in the outdoor play spaces. I observed three spaces supplied with a variety of age-appropriate materials and equipment. Shade is provided on all playgrounds. Fire and Sanitation inspections are occurring as required. I observed menus posted in each of the classrooms and the kitchen. I observed the lunch being prepared in the kitchen. Today’s lunch consisted of hamburgers on a wholegrain bun, potato wedges, pears, and milk. I observed the last playground inspection conducted on November 23, 2023. Fire and Emergency Drills are occurring as required. I monitored a random sampling of eleven children’s files. I will return next week to monitor staff files and transportation. Your signature on all forms served and will serve as verification that the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In Space 3 there was not an activity plan posted for the current week. GS 110-91(12); .0508(a) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. Walls throughout the facility had peeling paint with plaster and drywall exposed. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Space 8 had an outlet near the sink without a cover. 10A NCAC 09 .0604(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space 3 and 4 had diaper creams and ointments with no permission to administer forms. 10A NCAC 09 .0803(1)(a & b) 847 Parent's medication authorization did not include required information. Spaces 3 and 4 had permission to administer forms for diaper creams that did not have parent signatures. 10A NCAC 09 .0803(4)(6-9) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff with a hire date of 9/5/23 did not have a medical report on file for review. 10A NCAC 09 .0701(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Five children did not have photographs included on their emergency information sheet. 10A NCAC 09 .1003(d) 1757 A valid qualification letter was not on file and available to review at the facility. A seasonal staff, M. Regalado who was employed from June-August 2023 did not have a qualifying letter on file. She will not be allowed to return to work until she completes the CBC application and fingerprinting process again. G.S. 110-90.2(b) & (d) & .2703(e) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff with a hire date of 5/18/23 did not complete the required training until 10/12/23. .1102(g) Today, I provided technical assistance to you and your staff regarding the following topics: 1. Remind staff to keep outlet covers handy to use when they unplug something. 2. I discussed with the staff making copies of the old, but still valid permission to administer forms when children are transitioned from one room to another until families can complete the form for their new room. This way they will still be in compliance. 3. Walls have multiple areas where paint is chipped, and plaster is exposed. Keep extra paint on hand to repair these areas before they become unmanageable. 4. Ensure activity plans are labeled correctly for the week and posted on Monday. Consultation: 1. Please send me fire inspections within one week once they are conducted. 2. It may be beneficial to you as the new director to utilize a whiteboard to keep up with time sensitive dates for staff training and certifications. I can assist you with this if you would like. 3. There was a discrepancy on the Staff and Child Ratio Classroom Worksheet for Space 8 and the information in your file. I explained that while the worksheet shows the capacity is 13 children the measurement for the room is only 12. You stated you will make sure attendance in that room does not exceed 12 and I observed you correct the worksheet. Compliance Plan: All violations cited were corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to prevent the violation from reoccurring. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Provide any documentation that will show compliance with the violation. 7. Your signature Your letter may be mailed to me at: Deborah K. Howell PO Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than December 14, 2023. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Feel free to contact me by phone at (704)798-5220 or by email at Deborah.k.howell@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: A CHILD'S WORLD LEARNING CENTER BERMUDA RUN Facility ID: 30000059 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 12/1/2023 Number Present: 81 Completed Date: 12/1/2023 Age: From 0 To 5 Total Minutes: 375 Time In: 11:00 AM Time Out: 05:15 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 for compliance during an annual compliance visit, I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. Your last annual compliance visit was conducted January 10, 2023. Prior to today’s visit your compliance history was 94%. You, Murlette Simmons, Director, assisted me with today’s visit. Your facility, owned by A Children’s World Learning Center Inc., was current/active as viewed on the North Carolina Secretary of State website. I observed your Five (5) Star License, NC Child Care Summary of the Law, Safe Procedures for Arrival & Departure, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, First Aid poster, tobacco free facility signage and evacuation plans posted as required. I observed children adequately supervised during today’s visit. I observed enhanced staff-child ratios maintained during today’s visit. I observed adequate approved space use and permit restrictions including enhanced space requirements maintained during today’s visit. I observed children engaged in free play in activity areas, toileting, washing hands, outdoor play, lunch and transitions. I observed activity areas including books, blocks, manipulatives, dramatic play, art, science, music, writing, and cozy/quiet areas. I observed toys and equipment to be of sufficient quantity. I observed toys and equipment to be developmentally appropriate in all spaces. I observed bathrooms stocked with necessary supplies with handwashing procedure signs posted as required. I monitored a sampling of diaper creams and ointments. There were no prescription medications on site. I monitored general safety throughout the center. I observed electrical cords secured. In Space 8 there was one outlet uncovered, this was corrected immediately. Several classrooms have chipped paint with plaster and drywall exposed. You stated the facility was scheduled to be painted on December 9, 2023. I observed the equipment and materials in the outdoor play spaces. I observed three spaces supplied with a variety of age-appropriate materials and equipment. Shade is provided on all playgrounds. Fire and Sanitation inspections are occurring as required. I observed menus posted in each of the classrooms and the kitchen. I observed the lunch being prepared in the kitchen. Today’s lunch consisted of hamburgers on a wholegrain bun, potato wedges, pears, and milk. I observed the last playground inspection conducted on November 23, 2023. Fire and Emergency Drills are occurring as required. I monitored a random sampling of eleven children’s files. I will return next week to monitor staff files and transportation. Your signature on all forms served and will serve as verification that the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In Space 3 there was not an activity plan posted for the current week. GS 110-91(12); .0508(a) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. Walls throughout the facility had peeling paint with plaster and drywall exposed. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Space 8 had an outlet near the sink without a cover. 10A NCAC 09 .0604(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space 3 and 4 had diaper creams and ointments with no permission to administer forms. 10A NCAC 09 .0803(1)(a & b) 847 Parent's medication authorization did not include required information. Spaces 3 and 4 had permission to administer forms for diaper creams that did not have parent signatures. 10A NCAC 09 .0803(4)(6-9) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff with a hire date of 9/5/23 did not have a medical report on file for review. 10A NCAC 09 .0701(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Five children did not have photographs included on their emergency information sheet. 10A NCAC 09 .1003(d) 1757 A valid qualification letter was not on file and available to review at the facility. A seasonal staff, M. Regalado who was employed from June-August 2023 did not have a qualifying letter on file. She will not be allowed to return to work until she completes the CBC application and fingerprinting process again. G.S. 110-90.2(b) & (d) & .2703(e) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff with a hire date of 5/18/23 did not complete the required training until 10/12/23. .1102(g) Today, I provided technical assistance to you and your staff regarding the following topics: 1. Remind staff to keep outlet covers handy to use when they unplug something. 2. I discussed with the staff making copies of the old, but still valid permission to administer forms when children are transitioned from one room to another until families can complete the form for their new room. This way they will still be in compliance. 3. Walls have multiple areas where paint is chipped, and plaster is exposed. Keep extra paint on hand to repair these areas before they become unmanageable. 4. Ensure activity plans are labeled correctly for the week and posted on Monday. Consultation: 1. Please send me fire inspections within one week once they are conducted. 2. It may be beneficial to you as the new director to utilize a whiteboard to keep up with time sensitive dates for staff training and certifications. I can assist you with this if you would like. 3. There was a discrepancy on the Staff and Child Ratio Classroom Worksheet for Space 8 and the information in your file. I explained that while the worksheet shows the capacity is 13 children the measurement for the room is only 12. You stated you will make sure attendance in that room does not exceed 12 and I observed you correct the worksheet. Compliance Plan: All violations cited were corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to prevent the violation from reoccurring. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Provide any documentation that will show compliance with the violation. 7. Your signature Your letter may be mailed to me at: Deborah K. Howell PO Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than December 14, 2023. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Feel free to contact me by phone at (704)798-5220 or by email at Deborah.k.howell@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times