Childcare Network #78

10A NCAC 09 .0601 · Violation

Name of Operation: Childcare Network #78 Facility ID: 01000675 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 10/16/2025 Number Present: 49 Completed Date: 10/16/2025 Age: From 0 To 5 Total Minutes: 60 Time In: 11:25 AM Time Out: 12:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements. Upon my arrival I was greeted by the Director, Mia. The facility currently operates under a Five Star License that was issued on November 1, 2024. The last annual compliance visit was conducted on April9, 2025. The sanitation and fire inspections are current. I completed a walk-through of the facility where attendance was documented, and observations were made. The children were observed eating lunch, which contained the required meal components. During today’s visit, a partial assessment of applicable Child Care Requirements was conducted which included, General Licensing Requirements, Program Requirements, Staff Records, Staff Child Ratio, Supervision, Medications and General Safety. Five new staff files were reviewed. Today I observed the following violation(s) regarding the Child Care Requirements Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The large bolts were sticking out of some of the black borders. 10A NCAC 09 .0601(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. There was Benadryl medication that was not in locked storage in the classroom for infants. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. One child with asthma medication did not have a medication administration authorization form on file. 10A NCAC 09 .0803(4)(6-9) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. One child with seizure medication did not have a medical action plan on file. .0801(b) The above violations must be corrected immediately, and a letter must be sent to me no later than October 30, 2025 stating how each item was corrected and a plan to maintain compliance with the requirement. My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter October 30, 2025 and/or if you do not address all violations, a return visit to your program will be made to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the situation has not been corrected or addressed. You were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Preparing for North Carolina's New QRIS System The Quality Rating Improvement System (QRIS) is being modernized to provide more flexible and equitable ways for programs to demonstrate quality. Starting later this year, providers will be able to choose from three star-rating pathways—Program Assessment, Classroom & Instructional Quality, or Accreditation—allowing you to align your strengths with the rating method that best fits your program. Now is the time to evaluate your current practices, staff credentials, curriculum use, and classroom interactions to determine which pathway is the best fit. Programs are encouraged to begin preparing for updates to staff qualification standards and assessment tools. While existing star ratings will remain valid for now, all new star ratings will be subject to the new system. Your program’s quality should reflect not just compliance—but a commitment to best practices, child development, and continuous improvement. Stay informed, stay proactive, and take advantage of technical assistance and training opportunities as they become available. For more information and guidance, visit https://ncchildcare.ncdhhs.gov. Resources The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at mona.ndiaye@dhhs.nc.gov or by phone at 336-580-5417. You can also reach my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov or 336-580-2527 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: Childcare Network #78 Facility ID: 01000675 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 10/16/2025 Number Present: 49 Completed Date: 10/16/2025 Age: From 0 To 5 Total Minutes: 60 Time In: 11:25 AM Time Out: 12:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements. Upon my arrival I was greeted by the Director, Mia. The facility currently operates under a Five Star License that was issued on November 1, 2024. The last annual compliance visit was conducted on April9, 2025. The sanitation and fire inspections are current. I completed a walk-through of the facility where attendance was documented, and observations were made. The children were observed eating lunch, which contained the required meal components. During today’s visit, a partial assessment of applicable Child Care Requirements was conducted which included, General Licensing Requirements, Program Requirements, Staff Records, Staff Child Ratio, Supervision, Medications and General Safety. Five new staff files were reviewed. Today I observed the following violation(s) regarding the Child Care Requirements Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The large bolts were sticking out of some of the black borders. 10A NCAC 09 .0601(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. There was Benadryl medication that was not in locked storage in the classroom for infants. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. One child with asthma medication did not have a medication administration authorization form on file. 10A NCAC 09 .0803(4)(6-9) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. One child with seizure medication did not have a medical action plan on file. .0801(b) The above violations must be corrected immediately, and a letter must be sent to me no later than October 30, 2025 stating how each item was corrected and a plan to maintain compliance with the requirement. My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter October 30, 2025 and/or if you do not address all violations, a return visit to your program will be made to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the situation has not been corrected or addressed. You were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Preparing for North Carolina's New QRIS System The Quality Rating Improvement System (QRIS) is being modernized to provide more flexible and equitable ways for programs to demonstrate quality. Starting later this year, providers will be able to choose from three star-rating pathways—Program Assessment, Classroom & Instructional Quality, or Accreditation—allowing you to align your strengths with the rating method that best fits your program. Now is the time to evaluate your current practices, staff credentials, curriculum use, and classroom interactions to determine which pathway is the best fit. Programs are encouraged to begin preparing for updates to staff qualification standards and assessment tools. While existing star ratings will remain valid for now, all new star ratings will be subject to the new system. Your program’s quality should reflect not just compliance—but a commitment to best practices, child development, and continuous improvement. Stay informed, stay proactive, and take advantage of technical assistance and training opportunities as they become available. For more information and guidance, visit https://ncchildcare.ncdhhs.gov. Resources The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at mona.ndiaye@dhhs.nc.gov or by phone at 336-580-5417. You can also reach my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov or 336-580-2527 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0514 · Violation

Name of Operation: Childcare Network #78 Facility ID: 01000675 Consultant: LORI RIERSON Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 56 Completed Date: 4/9/2025 Age: From 0 To 5 Total Minutes: 265 Time In: 01:45 PM Time Out: 06:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced Today an unannounced annual compliance visit was conducted. A checklist was used to note the requirements I monitored today, and a copy was left with you today. This is the facilities first annual visit for the new license. Currently this program operates with a five (5) Star License, issued 11/1/24. The facility earned six (6) points in staff education, six (6) points in program standards, and one (1) quality point form programmatic options met. Catherine Johnson, center director, was not present. Brittany Fitzgerald, assistant director, assisted me today. I conducted an assisted walk-through of the center. The last sanitation inspection was completed 7/24/24 with a ‘Superior’ classification and 9 demerits. The last fire inspection was conducted on 6/6/24. Children were observed playing in activity areas, resting, eating snack, and routine care activities. Transportation is not provided from this location. A full assessment of childcare requirements was conducted today. The following violation(s) were documented and technical assistance regarding maintaining compliance was offered. Violation Number Comment Rule 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. A section of a newly installed bike track was observed with a large amount of standing water, and did not have a way to adequately drain. 15A NCAC 18A .2832(a) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The policy was not posted in the infant room. .0606(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The training for T. Richmond was due by 2/5/25 and was completed 2/10/25. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The training for T. Richmond was due 2/5/25 and was completed 2/10/25. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member L. Cabral was short seven training hours. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The evaluation for C. Johnson by 3/29/24. 10A NCAC 09 .0514(f) 9995 A violation was found for which there is no item number. The files for infants monitored contained a signed safe sleep policy. However, the policy in the files was from 2018. The policy was revised in 2021. This current policy was not provided to the parents. You were provided an opportunity to ask questions regarding interpretation and implementation of all childcare requirements. Each violation cited was discussed with Ms. Fitzgerald. The violation(s) documented above must be corrected immediately. A signed and dated letter of compliance must be received on or before 4/21/25. The letter must include the following: *Facility Name and ID number *List of each violation number *How each violation was corrected All items must be included, or the corrective action letter will be returned for corrections. All requested documentation must accompany the Corrective Action Letter. The letter can be emailed to lori.rierson@dhhs.nc.gov. CONSULTATION: All licensed childcare facilities are currently under the ‘Hold-Harmless’ state for their license from DCDEE. Once QRIS is implemented, you will receive information from DCDEE regarding the new pathways for licensure and your timeframe for completing your license renewal. The NCRLAP website, https://ncrlap.org, has trainings geared towards the new ECERS3 and ITERS3 assessment scales. These will introduce you to the updated assessment scale and provide tips for completing the new scales. A fire inspection must be completed by 6/5/25. A copy of the inspection must be sent to me within seven days. The annual staff evaluation for seven staff members is due in June. CPR/FA is due for the following staff: H. Coletrane – 6/25/25 A. Tinnin- 5/25/25 S. Cook – 7/8/25 Recognizing and Responding to Suspicions Child Maltreatment is due for S. Cork by 7/8/25. The staff evaluation is due for S. Sweat be 4/11/25. Upcoming training opportunities can be found on the CCSA website https://www.childcareservices.org/programs/ccrr/professional-development/ Documents and forms for DCDEE licensure can be found at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms. AGENCY NEWS AND UPDATES: Please refer to the Division of Child Development and Early Education website, http://ncchildcare.ncdhhs.gov for additional information regarding: *What’s New Tab *QRIS If you have and questions or concerns, please call me at 336-816-4826, or email lori.rierson@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: Childcare Network #78 Facility ID: 01000675 Consultant: LORI RIERSON Operation Type: Center Case Number: Visit Date: 10/8/2024 Number Present: 59 Completed Date: 10/8/2024 Age: From 0 To 4 Total Minutes: 230 Time In: 10:00 AM Time Out: 01:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit has been to complete the second temporary time period visit for this childcare center. The facility had a change of ownership. When I arrived, I was greeted Catherine Johnson, the Administrator. Upon arrival, I noted a smell of propane gas. Other staff members noted the smell. Fire was called and children were sent to the playgrounds. Fire and the natural gas company found no leaks. After ventilating the building, the smell dissipated after approximately two hours. The last sanitation inspection was conducted 7/24/24 with a ‘Superior’ classification and 9 demerits. The last fire inspection was conducted 6/6/24 and was approved for day-time care only. During today’s visit, the children were observed playing outdoors, playing in activity areas, eating lunch, resting, and routine caregiving activities. The facility does not provide transportation. The following items were observed in compliance during today’s visit: license posted, summary of law posted, staff:child ratio posted and observed in compliance, supervision, sign in/out sheets current, attendance taken daily, daily schedule posted, menus posted, lesson plans posted, and daily schedule posted. The temporary license was issued 5/1/24 and expires 11/1/24. The following violation(s) were documented and technical assistance regarding maintaining compliance was offered. Violation Number Comment Rule 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The letter for B. Fitzgerald expired 8/27/24 and the new letter was dated 8/29/24. G.S. 110-90.2(b) & .2703(n)&(o) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. P. Enoch was short five training hours. Documentation of completion of the trainings must accompany the corrective action letter. .1103(a) You were provided an opportunity to ask questions regarding interpretation and implementation of all childcare requirements. Each violation cited was discussed with Ms. Johnson. The violation(s) documented above must be corrected immediately. A signed and dated letter of compliance must be received on or 10/22/24. The letter must include the following: *Facility Name and ID number *List of each violation number *How each violation was corrected All items must be included, or the corrective action letter will be returned for corrections. All requested documentation must accompany the Corrective Action Letter. The letter can be emailed to lori.rierson@dhhs.nc.gov. CONSULTATION AND RESOURCES: All licensed childcare facilities are currently under the ‘Hold-Harmless’ state for their license from DCDEE. Once QRIS is implemented, you will receive information from DCDEE regarding the new pathways for licensure and your timeframe for completing your license renewal. The NCRLAP website, https://ncrlap.org, has trainings geared towards the new ECERS3 and ITERS3 assessment scales. These will introduce you to the updated assessment scale and provide tips for completing the new scale. Ms. Johnson is the new administrator. We discussed that Emergency Preparedness and Response training must be completed by 11/22/24. The training must be completed within four months of assuming administrator responsibilities. The link below for the CCSA training calendar will have upcoming EPR trainings. T. Mclaughlin must complete Recognizing and Responding to Suspicions of Child Maltreatment by 12/3/24. The training on file was older than twelve months on date of hire. Files for eight staff members were not included on the staff/training worksheets. Please complete the worksheets and submit to me by October 15th. Additional violations may be added to your visit summary after review of these worksheets. Upcoming training opportunities can be found on the CCSA website https://www.childcareservices.org/programs/ccrr/professional-development/ Documents and forms for DCDEE licensure can be found at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms. Following today’s visit, your center will receive a new permit once your corrective action letter is received. The rated license points will be based upon the previous license issued prior to the change of ownership. The facility will receive a five-star license earned with the following points: Education Standards – 6 points Program Standards – 6 points Quality Point – 1 point for programmatic options met AGENCY NEWS AND UPDATES: Please refer to the Division of Child Development and Early Education website, http://ncchildcare.ncdhhs.gov for additional information regarding: *What’s New Tab *QRIS If you have and questions or concerns, please call me at 336-816-4826, or email lori.rierson@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0514 · Violation

Name of Operation: Childcare Network #78 Facility ID: 01000675 Consultant: MARCIA HUMPHREY Operation Type: Center Case Number: Visit Date: 6/12/2024 Number Present: 63 Completed Date: 6/12/2024 Age: From 0 To 5 Total Minutes: 345 Time In: 09:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Other Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to review the staff and training worksheets that were received by email from the center director Mrs. Amber Carter on June 3, 2024. Caroline Sykes, Childcare Licensing Consultant accompanied me during today's visit. We did a walk-through of the facility to make sure staff/child ratio were being maintained. This was a partial monitoring visit. The following violations were cited: Violation Number Comment Rule 108 The operator made an effort to falsify information. It was verified during today's visit by admission that the center director falsified Recognizing and Responding to Suspicions of Child Maltreatment. G.S. 110-91(14) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. This was not maintained on file for review for three employee's. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. This was expired while reviewing three employee's file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. This was expired while reviewing three employee's file. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. This was not completed within the required timeframe for one employee. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. This was not completed within the required timeframe for one employee. .1102(d) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One employee's staff development plan was not completed within the required timeframe. 10A NCAC 09 .0514(f) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. This was not maintained on file for review for three employee's. .0607(f) In order to comply with the NC Laws and Rules any violations cited today must be corrected immediately. A compliance letter must be sent to me by June 26, 2024. The letter must address each violation and explain how it has been corrected. Please send this to Marcia.Humphrey@dhhs.nc.gov and include the following: -Facility name -Facility ID number -Each item number TECHNICAL ASSISTANCE I discussed in detail with Mrs. Carter regarding a Recognizing and Responding to Suspicions of Child Maltreatment training that was dated as completed on 11/30/24 with a score of 90% for a current employee. I informed Mrs. Carter immediately that this is falsification due to the fact that today is June 12, 2024. This employee was not present for us to interview. Mrs. Carter came back and informed us that she falsified this employee's training form along with three other employee's. Based on this, I informed Mrs. Carter that this maybe grounds for an Administrative Action and will discuss this in more detail with my Licensing Supervisor Kaye Adkins. In addition, we discussed with Mrs. Carter the importance of making sure all employee's complete CPR and First-Aid training within the required timeframe. This was not completed within the required timeframe for one employee. We also talked in detail regarding ITS-SIDS training which a member of the administrative team has not completed (specifically the assistant director). A prior visit was made and the center director was not present and the assistant was in charge and I informed Mrs. Carter that she would need to sign up for a training ASAP. Lastly, the remaining violations had to do with record keeping. We informed Mrs. Carter that it is very important to make sure to review all employee's files for updated paperwork (health questionnaire, emergency information, staff development plan, annual review of EPR and EMCP). Again, based on the falsification violation cited during today's a return visit maybe made to your facility in the very near future. If you have any questions or if I can be of any assistance, please feel free to contact me at (919) 259-5860 or by email at Marcia.Humphrey@dhhs.nc.gov. My Licensing Supervisor can also be reached at Kaye.Adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: Childcare Network #78 Facility ID: 01000675 Consultant: MARCIA HUMPHREY Operation Type: Center Case Number: Visit Date: 6/12/2024 Number Present: 63 Completed Date: 6/12/2024 Age: From 0 To 5 Total Minutes: 345 Time In: 09:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Other Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to review the staff and training worksheets that were received by email from the center director Mrs. Amber Carter on June 3, 2024. Caroline Sykes, Childcare Licensing Consultant accompanied me during today's visit. We did a walk-through of the facility to make sure staff/child ratio were being maintained. This was a partial monitoring visit. The following violations were cited: Violation Number Comment Rule 108 The operator made an effort to falsify information. It was verified during today's visit by admission that the center director falsified Recognizing and Responding to Suspicions of Child Maltreatment. G.S. 110-91(14) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. This was not maintained on file for review for three employee's. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. This was expired while reviewing three employee's file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. This was expired while reviewing three employee's file. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. This was not completed within the required timeframe for one employee. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. This was not completed within the required timeframe for one employee. .1102(d) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One employee's staff development plan was not completed within the required timeframe. 10A NCAC 09 .0514(f) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. This was not maintained on file for review for three employee's. .0607(f) In order to comply with the NC Laws and Rules any violations cited today must be corrected immediately. A compliance letter must be sent to me by June 26, 2024. The letter must address each violation and explain how it has been corrected. Please send this to Marcia.Humphrey@dhhs.nc.gov and include the following: -Facility name -Facility ID number -Each item number TECHNICAL ASSISTANCE I discussed in detail with Mrs. Carter regarding a Recognizing and Responding to Suspicions of Child Maltreatment training that was dated as completed on 11/30/24 with a score of 90% for a current employee. I informed Mrs. Carter immediately that this is falsification due to the fact that today is June 12, 2024. This employee was not present for us to interview. Mrs. Carter came back and informed us that she falsified this employee's training form along with three other employee's. Based on this, I informed Mrs. Carter that this maybe grounds for an Administrative Action and will discuss this in more detail with my Licensing Supervisor Kaye Adkins. In addition, we discussed with Mrs. Carter the importance of making sure all employee's complete CPR and First-Aid training within the required timeframe. This was not completed within the required timeframe for one employee. We also talked in detail regarding ITS-SIDS training which a member of the administrative team has not completed (specifically the assistant director). A prior visit was made and the center director was not present and the assistant was in charge and I informed Mrs. Carter that she would need to sign up for a training ASAP. Lastly, the remaining violations had to do with record keeping. We informed Mrs. Carter that it is very important to make sure to review all employee's files for updated paperwork (health questionnaire, emergency information, staff development plan, annual review of EPR and EMCP). Again, based on the falsification violation cited during today's a return visit maybe made to your facility in the very near future. If you have any questions or if I can be of any assistance, please feel free to contact me at (919) 259-5860 or by email at Marcia.Humphrey@dhhs.nc.gov. My Licensing Supervisor can also be reached at Kaye.Adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: Childcare Network #78 Facility ID: 01000675 Consultant: MARCIA HUMPHREY Operation Type: Center Case Number: Visit Date: 6/12/2024 Number Present: 63 Completed Date: 6/12/2024 Age: From 0 To 5 Total Minutes: 345 Time In: 09:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Other Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to review the staff and training worksheets that were received by email from the center director Mrs. Amber Carter on June 3, 2024. Caroline Sykes, Childcare Licensing Consultant accompanied me during today's visit. We did a walk-through of the facility to make sure staff/child ratio were being maintained. This was a partial monitoring visit. The following violations were cited: Violation Number Comment Rule 108 The operator made an effort to falsify information. It was verified during today's visit by admission that the center director falsified Recognizing and Responding to Suspicions of Child Maltreatment. G.S. 110-91(14) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. This was not maintained on file for review for three employee's. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. This was expired while reviewing three employee's file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. This was expired while reviewing three employee's file. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. This was not completed within the required timeframe for one employee. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. This was not completed within the required timeframe for one employee. .1102(d) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One employee's staff development plan was not completed within the required timeframe. 10A NCAC 09 .0514(f) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. This was not maintained on file for review for three employee's. .0607(f) In order to comply with the NC Laws and Rules any violations cited today must be corrected immediately. A compliance letter must be sent to me by June 26, 2024. The letter must address each violation and explain how it has been corrected. Please send this to Marcia.Humphrey@dhhs.nc.gov and include the following: -Facility name -Facility ID number -Each item number TECHNICAL ASSISTANCE I discussed in detail with Mrs. Carter regarding a Recognizing and Responding to Suspicions of Child Maltreatment training that was dated as completed on 11/30/24 with a score of 90% for a current employee. I informed Mrs. Carter immediately that this is falsification due to the fact that today is June 12, 2024. This employee was not present for us to interview. Mrs. Carter came back and informed us that she falsified this employee's training form along with three other employee's. Based on this, I informed Mrs. Carter that this maybe grounds for an Administrative Action and will discuss this in more detail with my Licensing Supervisor Kaye Adkins. In addition, we discussed with Mrs. Carter the importance of making sure all employee's complete CPR and First-Aid training within the required timeframe. This was not completed within the required timeframe for one employee. We also talked in detail regarding ITS-SIDS training which a member of the administrative team has not completed (specifically the assistant director). A prior visit was made and the center director was not present and the assistant was in charge and I informed Mrs. Carter that she would need to sign up for a training ASAP. Lastly, the remaining violations had to do with record keeping. We informed Mrs. Carter that it is very important to make sure to review all employee's files for updated paperwork (health questionnaire, emergency information, staff development plan, annual review of EPR and EMCP). Again, based on the falsification violation cited during today's a return visit maybe made to your facility in the very near future. If you have any questions or if I can be of any assistance, please feel free to contact me at (919) 259-5860 or by email at Marcia.Humphrey@dhhs.nc.gov. My Licensing Supervisor can also be reached at Kaye.Adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0902 · Violation

Name of Operation: Childcare Network #78 Facility ID: 01000675 Consultant: MARCIA HUMPHREY Operation Type: Center Case Number: Visit Date: 5/21/2024 Number Present: 60 Completed Date: 5/21/2024 Age: From 0 To 4 Total Minutes: 75 Time In: 09:45 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to complete first Temporary Time Period Visits. I was greeted by Ms. Brittany Fitzgerald, the new assistant director. Ms. Fitzgerald informed me that the center director was out for the moment but would be back before the end of the day. Ms. Fitzgerald accompanied me on today's walk-through of the facility. Attendance was observed in all six classrooms during today’s visit. Upon my arrival, I observed the children actively involved in different free play activities, outside playing or preparing to go outside. The caregivers were actively engaged with the children as they explored different free play centers. During today’s visit I monitored for applicable child care requirements. This included, NC Summary of the Law, Safe Arrival and Departure procedures, Emergency Medical Care Plan, Emergency Numbers, Emergency Procedures, and a First Aid reference sheet. The Temporary License was issued to this facility on 5/1/24 and expires on 11/1/24. INSPECTIONS: * The monthly playground inspection was completed on 4/24. * The Fire drill was conducted on 4/26/24 and a lock down drill was completed on 3/15/2024. Upon my walk-through the facility had unexpected visitors and there appears to be several new staff members so a return visit will be made to review the staff files. I informed the assistant director that this would need to be completed and emailed to me by May 24, 2024 for review. Today I monitored 10% of the children’s files based on the total number of children present during today’s visit. The following violations were cited: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plans were either outdated or not posted for review during today's visit in space 1A, 1B,4 and 6. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. There was not date posted on the menu in the kitchen and no menu was posted for review throughout the facility to be seen by parents. 10A NCAC 09 .0901(b) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). This was not available for review in space 2A for two children under fifteen months of age. 10A NCAC 09 .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator thermometer in space 1A registered a reading over 50 degrees. 15A NCAC 18A .2806(j)(2) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. This was not available for review in space 1A and 1B. .0606(g) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. This was not updated at least annually for three children currently enrolled in care. .0802(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. This was not on file for one child currently enrolled in care. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. This was not on file for two children currently enrolled in care. 10A NCAC 09 .0302(d)(2) In order to comply with the NC Laws and Rules any violations cited today must be corrected immediately. A compliance letter must be sent to me by June 4, 2024. The letter must address each violation and explain how it has been corrected. Please send this to Marcia.Humphrey@dhhs.nc.gov and include the following: -Facility name -Facility ID number -Each item number TECHNICAL ASSISTANCE I informed Ms. Fitzgerald that it is very important that the sleep logs be available for review in the classroom and maintained for a minimum of thirty days. In addition, all activity plans and menus need to be posted and current. It is also very important to update all children records annually for any changes that may take place regarding emergency contact, medical or parent information. INSPECTIONS I did inform Ms. Fitzgerald that the facility will need to complete all new inspections (building, fire and sanitation). The facility is aware of this and are working on getting this completed ASAP. RATED LICENSE INFORMATION Rated License assessments have resumed, and your facility is in Cohort 2. Your preparation year will begin July 1, 2024 and will end on June 30, 2025. Your assessment year begins July 1, 2025. -Use this time to make sure all your staff have a WORKS account with updated education information. -Review updated resources on the North Carolina Rated License Project (NCRLAP) website (www.ncrlap.org). -Request technical assistance from CCSA in preparation for completion of the ITERS and ECERS assessments. RULE CHANGES EFFECTIVE 1/1/24 We discussed child care rule changes effective 1/1/24 for child care centers. For specific details and training regarding these changes, please ensure you have the January 2024 Child Care Rulebook and enroll to view information in the DCDEE Moodle. The training modules about these rule changes can be found in the January 2024 Child Care Rule Rollout. If you have any questions or if I can be of any assistance, please feel free to contact me at (919) 259-5860 or by email at Marcia.Humphrey@dhhs.nc.gov. My Licensing Supervisor can also be reached at Kaye.Adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: Childcare Network #78 Facility ID: 01000675 Consultant: MARCIA HUMPHREY Operation Type: Center Case Number: Visit Date: 5/21/2024 Number Present: 60 Completed Date: 5/21/2024 Age: From 0 To 4 Total Minutes: 75 Time In: 09:45 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to complete first Temporary Time Period Visits. I was greeted by Ms. Brittany Fitzgerald, the new assistant director. Ms. Fitzgerald informed me that the center director was out for the moment but would be back before the end of the day. Ms. Fitzgerald accompanied me on today's walk-through of the facility. Attendance was observed in all six classrooms during today’s visit. Upon my arrival, I observed the children actively involved in different free play activities, outside playing or preparing to go outside. The caregivers were actively engaged with the children as they explored different free play centers. During today’s visit I monitored for applicable child care requirements. This included, NC Summary of the Law, Safe Arrival and Departure procedures, Emergency Medical Care Plan, Emergency Numbers, Emergency Procedures, and a First Aid reference sheet. The Temporary License was issued to this facility on 5/1/24 and expires on 11/1/24. INSPECTIONS: * The monthly playground inspection was completed on 4/24. * The Fire drill was conducted on 4/26/24 and a lock down drill was completed on 3/15/2024. Upon my walk-through the facility had unexpected visitors and there appears to be several new staff members so a return visit will be made to review the staff files. I informed the assistant director that this would need to be completed and emailed to me by May 24, 2024 for review. Today I monitored 10% of the children’s files based on the total number of children present during today’s visit. The following violations were cited: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plans were either outdated or not posted for review during today's visit in space 1A, 1B,4 and 6. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. There was not date posted on the menu in the kitchen and no menu was posted for review throughout the facility to be seen by parents. 10A NCAC 09 .0901(b) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). This was not available for review in space 2A for two children under fifteen months of age. 10A NCAC 09 .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator thermometer in space 1A registered a reading over 50 degrees. 15A NCAC 18A .2806(j)(2) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. This was not available for review in space 1A and 1B. .0606(g) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. This was not updated at least annually for three children currently enrolled in care. .0802(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. This was not on file for one child currently enrolled in care. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. This was not on file for two children currently enrolled in care. 10A NCAC 09 .0302(d)(2) In order to comply with the NC Laws and Rules any violations cited today must be corrected immediately. A compliance letter must be sent to me by June 4, 2024. The letter must address each violation and explain how it has been corrected. Please send this to Marcia.Humphrey@dhhs.nc.gov and include the following: -Facility name -Facility ID number -Each item number TECHNICAL ASSISTANCE I informed Ms. Fitzgerald that it is very important that the sleep logs be available for review in the classroom and maintained for a minimum of thirty days. In addition, all activity plans and menus need to be posted and current. It is also very important to update all children records annually for any changes that may take place regarding emergency contact, medical or parent information. INSPECTIONS I did inform Ms. Fitzgerald that the facility will need to complete all new inspections (building, fire and sanitation). The facility is aware of this and are working on getting this completed ASAP. RATED LICENSE INFORMATION Rated License assessments have resumed, and your facility is in Cohort 2. Your preparation year will begin July 1, 2024 and will end on June 30, 2025. Your assessment year begins July 1, 2025. -Use this time to make sure all your staff have a WORKS account with updated education information. -Review updated resources on the North Carolina Rated License Project (NCRLAP) website (www.ncrlap.org). -Request technical assistance from CCSA in preparation for completion of the ITERS and ECERS assessments. RULE CHANGES EFFECTIVE 1/1/24 We discussed child care rule changes effective 1/1/24 for child care centers. For specific details and training regarding these changes, please ensure you have the January 2024 Child Care Rulebook and enroll to view information in the DCDEE Moodle. The training modules about these rule changes can be found in the January 2024 Child Care Rule Rollout. If you have any questions or if I can be of any assistance, please feel free to contact me at (919) 259-5860 or by email at Marcia.Humphrey@dhhs.nc.gov. My Licensing Supervisor can also be reached at Kaye.Adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: Childcare Network #78 Facility ID: 01000675 Consultant: MARCIA HUMPHREY Operation Type: Center Case Number: Visit Date: 5/21/2024 Number Present: 60 Completed Date: 5/21/2024 Age: From 0 To 4 Total Minutes: 75 Time In: 09:45 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to complete first Temporary Time Period Visits. I was greeted by Ms. Brittany Fitzgerald, the new assistant director. Ms. Fitzgerald informed me that the center director was out for the moment but would be back before the end of the day. Ms. Fitzgerald accompanied me on today's walk-through of the facility. Attendance was observed in all six classrooms during today’s visit. Upon my arrival, I observed the children actively involved in different free play activities, outside playing or preparing to go outside. The caregivers were actively engaged with the children as they explored different free play centers. During today’s visit I monitored for applicable child care requirements. This included, NC Summary of the Law, Safe Arrival and Departure procedures, Emergency Medical Care Plan, Emergency Numbers, Emergency Procedures, and a First Aid reference sheet. The Temporary License was issued to this facility on 5/1/24 and expires on 11/1/24. INSPECTIONS: * The monthly playground inspection was completed on 4/24. * The Fire drill was conducted on 4/26/24 and a lock down drill was completed on 3/15/2024. Upon my walk-through the facility had unexpected visitors and there appears to be several new staff members so a return visit will be made to review the staff files. I informed the assistant director that this would need to be completed and emailed to me by May 24, 2024 for review. Today I monitored 10% of the children’s files based on the total number of children present during today’s visit. The following violations were cited: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plans were either outdated or not posted for review during today's visit in space 1A, 1B,4 and 6. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. There was not date posted on the menu in the kitchen and no menu was posted for review throughout the facility to be seen by parents. 10A NCAC 09 .0901(b) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). This was not available for review in space 2A for two children under fifteen months of age. 10A NCAC 09 .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator thermometer in space 1A registered a reading over 50 degrees. 15A NCAC 18A .2806(j)(2) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. This was not available for review in space 1A and 1B. .0606(g) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. This was not updated at least annually for three children currently enrolled in care. .0802(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. This was not on file for one child currently enrolled in care. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. This was not on file for two children currently enrolled in care. 10A NCAC 09 .0302(d)(2) In order to comply with the NC Laws and Rules any violations cited today must be corrected immediately. A compliance letter must be sent to me by June 4, 2024. The letter must address each violation and explain how it has been corrected. Please send this to Marcia.Humphrey@dhhs.nc.gov and include the following: -Facility name -Facility ID number -Each item number TECHNICAL ASSISTANCE I informed Ms. Fitzgerald that it is very important that the sleep logs be available for review in the classroom and maintained for a minimum of thirty days. In addition, all activity plans and menus need to be posted and current. It is also very important to update all children records annually for any changes that may take place regarding emergency contact, medical or parent information. INSPECTIONS I did inform Ms. Fitzgerald that the facility will need to complete all new inspections (building, fire and sanitation). The facility is aware of this and are working on getting this completed ASAP. RATED LICENSE INFORMATION Rated License assessments have resumed, and your facility is in Cohort 2. Your preparation year will begin July 1, 2024 and will end on June 30, 2025. Your assessment year begins July 1, 2025. -Use this time to make sure all your staff have a WORKS account with updated education information. -Review updated resources on the North Carolina Rated License Project (NCRLAP) website (www.ncrlap.org). -Request technical assistance from CCSA in preparation for completion of the ITERS and ECERS assessments. RULE CHANGES EFFECTIVE 1/1/24 We discussed child care rule changes effective 1/1/24 for child care centers. For specific details and training regarding these changes, please ensure you have the January 2024 Child Care Rulebook and enroll to view information in the DCDEE Moodle. The training modules about these rule changes can be found in the January 2024 Child Care Rule Rollout. If you have any questions or if I can be of any assistance, please feel free to contact me at (919) 259-5860 or by email at Marcia.Humphrey@dhhs.nc.gov. My Licensing Supervisor can also be reached at Kaye.Adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: Childcare Network #78 Facility ID: 01000675 Consultant: MARCIA HUMPHREY Operation Type: Center Case Number: Visit Date: 5/21/2024 Number Present: 60 Completed Date: 5/21/2024 Age: From 0 To 4 Total Minutes: 75 Time In: 09:45 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to complete first Temporary Time Period Visits. I was greeted by Ms. Brittany Fitzgerald, the new assistant director. Ms. Fitzgerald informed me that the center director was out for the moment but would be back before the end of the day. Ms. Fitzgerald accompanied me on today's walk-through of the facility. Attendance was observed in all six classrooms during today’s visit. Upon my arrival, I observed the children actively involved in different free play activities, outside playing or preparing to go outside. The caregivers were actively engaged with the children as they explored different free play centers. During today’s visit I monitored for applicable child care requirements. This included, NC Summary of the Law, Safe Arrival and Departure procedures, Emergency Medical Care Plan, Emergency Numbers, Emergency Procedures, and a First Aid reference sheet. The Temporary License was issued to this facility on 5/1/24 and expires on 11/1/24. INSPECTIONS: * The monthly playground inspection was completed on 4/24. * The Fire drill was conducted on 4/26/24 and a lock down drill was completed on 3/15/2024. Upon my walk-through the facility had unexpected visitors and there appears to be several new staff members so a return visit will be made to review the staff files. I informed the assistant director that this would need to be completed and emailed to me by May 24, 2024 for review. Today I monitored 10% of the children’s files based on the total number of children present during today’s visit. The following violations were cited: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plans were either outdated or not posted for review during today's visit in space 1A, 1B,4 and 6. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. There was not date posted on the menu in the kitchen and no menu was posted for review throughout the facility to be seen by parents. 10A NCAC 09 .0901(b) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). This was not available for review in space 2A for two children under fifteen months of age. 10A NCAC 09 .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator thermometer in space 1A registered a reading over 50 degrees. 15A NCAC 18A .2806(j)(2) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. This was not available for review in space 1A and 1B. .0606(g) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. This was not updated at least annually for three children currently enrolled in care. .0802(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. This was not on file for one child currently enrolled in care. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. This was not on file for two children currently enrolled in care. 10A NCAC 09 .0302(d)(2) In order to comply with the NC Laws and Rules any violations cited today must be corrected immediately. A compliance letter must be sent to me by June 4, 2024. The letter must address each violation and explain how it has been corrected. Please send this to Marcia.Humphrey@dhhs.nc.gov and include the following: -Facility name -Facility ID number -Each item number TECHNICAL ASSISTANCE I informed Ms. Fitzgerald that it is very important that the sleep logs be available for review in the classroom and maintained for a minimum of thirty days. In addition, all activity plans and menus need to be posted and current. It is also very important to update all children records annually for any changes that may take place regarding emergency contact, medical or parent information. INSPECTIONS I did inform Ms. Fitzgerald that the facility will need to complete all new inspections (building, fire and sanitation). The facility is aware of this and are working on getting this completed ASAP. RATED LICENSE INFORMATION Rated License assessments have resumed, and your facility is in Cohort 2. Your preparation year will begin July 1, 2024 and will end on June 30, 2025. Your assessment year begins July 1, 2025. -Use this time to make sure all your staff have a WORKS account with updated education information. -Review updated resources on the North Carolina Rated License Project (NCRLAP) website (www.ncrlap.org). -Request technical assistance from CCSA in preparation for completion of the ITERS and ECERS assessments. RULE CHANGES EFFECTIVE 1/1/24 We discussed child care rule changes effective 1/1/24 for child care centers. For specific details and training regarding these changes, please ensure you have the January 2024 Child Care Rulebook and enroll to view information in the DCDEE Moodle. The training modules about these rule changes can be found in the January 2024 Child Care Rule Rollout. If you have any questions or if I can be of any assistance, please feel free to contact me at (919) 259-5860 or by email at Marcia.Humphrey@dhhs.nc.gov. My Licensing Supervisor can also be reached at Kaye.Adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-91 · Violation

Name of Operation: Childcare Network #78 Facility ID: 01000675 Consultant: MARCIA HUMPHREY Operation Type: Center Case Number: Visit Date: 5/21/2024 Number Present: 60 Completed Date: 5/21/2024 Age: From 0 To 4 Total Minutes: 75 Time In: 09:45 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to complete first Temporary Time Period Visits. I was greeted by Ms. Brittany Fitzgerald, the new assistant director. Ms. Fitzgerald informed me that the center director was out for the moment but would be back before the end of the day. Ms. Fitzgerald accompanied me on today's walk-through of the facility. Attendance was observed in all six classrooms during today’s visit. Upon my arrival, I observed the children actively involved in different free play activities, outside playing or preparing to go outside. The caregivers were actively engaged with the children as they explored different free play centers. During today’s visit I monitored for applicable child care requirements. This included, NC Summary of the Law, Safe Arrival and Departure procedures, Emergency Medical Care Plan, Emergency Numbers, Emergency Procedures, and a First Aid reference sheet. The Temporary License was issued to this facility on 5/1/24 and expires on 11/1/24. INSPECTIONS: * The monthly playground inspection was completed on 4/24. * The Fire drill was conducted on 4/26/24 and a lock down drill was completed on 3/15/2024. Upon my walk-through the facility had unexpected visitors and there appears to be several new staff members so a return visit will be made to review the staff files. I informed the assistant director that this would need to be completed and emailed to me by May 24, 2024 for review. Today I monitored 10% of the children’s files based on the total number of children present during today’s visit. The following violations were cited: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plans were either outdated or not posted for review during today's visit in space 1A, 1B,4 and 6. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. There was not date posted on the menu in the kitchen and no menu was posted for review throughout the facility to be seen by parents. 10A NCAC 09 .0901(b) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). This was not available for review in space 2A for two children under fifteen months of age. 10A NCAC 09 .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator thermometer in space 1A registered a reading over 50 degrees. 15A NCAC 18A .2806(j)(2) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. This was not available for review in space 1A and 1B. .0606(g) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. This was not updated at least annually for three children currently enrolled in care. .0802(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. This was not on file for one child currently enrolled in care. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. This was not on file for two children currently enrolled in care. 10A NCAC 09 .0302(d)(2) In order to comply with the NC Laws and Rules any violations cited today must be corrected immediately. A compliance letter must be sent to me by June 4, 2024. The letter must address each violation and explain how it has been corrected. Please send this to Marcia.Humphrey@dhhs.nc.gov and include the following: -Facility name -Facility ID number -Each item number TECHNICAL ASSISTANCE I informed Ms. Fitzgerald that it is very important that the sleep logs be available for review in the classroom and maintained for a minimum of thirty days. In addition, all activity plans and menus need to be posted and current. It is also very important to update all children records annually for any changes that may take place regarding emergency contact, medical or parent information. INSPECTIONS I did inform Ms. Fitzgerald that the facility will need to complete all new inspections (building, fire and sanitation). The facility is aware of this and are working on getting this completed ASAP. RATED LICENSE INFORMATION Rated License assessments have resumed, and your facility is in Cohort 2. Your preparation year will begin July 1, 2024 and will end on June 30, 2025. Your assessment year begins July 1, 2025. -Use this time to make sure all your staff have a WORKS account with updated education information. -Review updated resources on the North Carolina Rated License Project (NCRLAP) website (www.ncrlap.org). -Request technical assistance from CCSA in preparation for completion of the ITERS and ECERS assessments. RULE CHANGES EFFECTIVE 1/1/24 We discussed child care rule changes effective 1/1/24 for child care centers. For specific details and training regarding these changes, please ensure you have the January 2024 Child Care Rulebook and enroll to view information in the DCDEE Moodle. The training modules about these rule changes can be found in the January 2024 Child Care Rule Rollout. If you have any questions or if I can be of any assistance, please feel free to contact me at (919) 259-5860 or by email at Marcia.Humphrey@dhhs.nc.gov. My Licensing Supervisor can also be reached at Kaye.Adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times