Chapel Hill DAY Care Center

10A NCAC 09 .0803 · Violation

Name of Operation: CHAPEL HILL DAY CARE CENTER Facility ID: 68000135 Consultant: CAROLINE SYKES Operation Type: Center Case Number: Visit Date: 12/16/2025 Number Present: 73 Completed Date: 12/16/2025 Age: From 0 To 5 Total Minutes: 140 Time In: 10:25 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for applicable Child Care Requirements. The facility currently operates with a Five Star Child Care License that was issued on August 28, 2020. The last annual compliance visit was conducted on May 27, 2025. Upon arrival, I was greeted by the program administration team. The Director, Ms. Garner, assisted me on a walk-through of the facility where attendance was taken and observations made. Infants were observed engaging in routine care and floor play. Preschoolers were observed engaging in indoor group time and free play activities as well as outdoor play. During today’s visit, a partial assessment of applicable Child Care Requirements was conducted. The following violations was observed. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. Medication permission forms for two sunscreens for children in space 2 were expired or not onsite avaliable for review. 10A NCAC 09 .0803(4)(6-9) 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 January 9, 2025. The letter must address each violation and explain how it has been corrected. Please send this to caroline.sykes@dhhs.nc.gov and include the following: -Facility name -Facility ID number -Each item number If a compliance letter is not received to my office by 5:00 PM January 9, 2025, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violation may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. The staff were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/, on the home page under the ‘Services’ tab. TECHNICAL ASSISTANCE: A violation was cited regarding medications not having adequate information or missing medication administration permission forms. We discussed the importance of insuring that medications, including diaper creams and sunscreens, have forms that include all information and are not expired. It is a good idea to send sunscreens home once the season of using them has ended. If they are to remain onsite, they must have a medication permission form accompanying them. We discussed the QRIS. The program is leaning towards the Classroom and Instructional Quality Pathway. The director plans to continue researching the pathway to ensure that they do or can meet all required components. We looked at the QRIS Modernization webpage and I guided the director on how to use it to access the various components of the pathways. We also looked specifically at the Family and Community Engagement component. RESOURCES: -The Health and Safety Trainings are offered on the DCDEE Moodle format. These trainings are free, and participants will receive training certificates when completed. -For other upcoming training opportunities please visit the Early Years website at: earlyyearsnc.org -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. -For information on recalls regarding children’s products, food, medicine, and other products please visit www.recalls.gov . You can also sign up for e-mail alerts for recalled products at this site. If you have questions, please contact me at caroline.sykes@dhhs.nc.gov or by phone at 336-266-4938. 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: CHAPEL HILL DAY CARE CENTER Facility ID: 68000135 Consultant: CAROLINE SYKES Operation Type: Center Case Number: Visit Date: 5/27/2025 Number Present: 70 Completed Date: 5/27/2025 Age: From 0 To 5 Total Minutes: 330 Time In: 09:30 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for applicable Child Care Requirements. The facility currently operates with a Five Star Child Care License that was issued on August 28, 2020. The last annual compliance visit was conducted on June 3, 2024. The last Sanitation inspection was completed on May 8, 2025, with a “Superior” classification. The last fire inspection was completed on January 6, 2025, and the program was approved for daytime care only. Upon arrival, I was greeted by the administrative assistant, Ms. Foushee and the Director, Ms. Garner. Ms. Foushee assisted me on a walkthrough of the facility where attendance was documented, and observations made. Infants were observed eating breakfast and engaging in floor activities. Preschoolers were observed eating breakfast and engaging in indoor group time and free play activities. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. The following violations were observed. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. A medication permission form for a diaper cream in space 8 was outdated/expired. 10A NCAC 09 .0803(4)(6-9) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space 7, sleep charts had not been completed since mid April, 2025. .0606(g) 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). Qualification letters for two staff members had expired and had not been renewed. G.S. 110-90.2(b) & .2703(n)&(o) 1314 Emergency information did not name childs health care professional. One child's file from the sample files checked did not include the child's health care professional or choice of preferred hospital. .0802(c)(2) 1757 A valid qualification letter was not on file and available to review at the facility. Valid qualification letters for two staff members were not on file or current. G.S. 110-90.2(b) & (d) & .2703(e) 1898 Staff did not complete the health and safety training within one year of employment. Several staff members did not complete health and safety trainings within the first year of employment. .1102(a) 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 10, 2025. The letter must address each violation and explain how it has been corrected. Please send this to caroline.sykes@dhhs.nc.gov and include the following: -Facility name -Facility ID number -Each item number If a compliance letter is not received to my office by 5:00 PM June 10, 2025, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violation may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. The staff were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/, on the home page under the ‘Services’ tab. TECHNICAL ASSISTANCE: A violation was cited regarding a medication/diaper cream having an expired permission form. We discussed the importance of insuring that medications, including diaper creams and sunscreens, have forms that include all information and are not expired. All diaper creams and sunscreens must also have the child’s name on them. A violation was cited regarding safe sleep charts not being used properly. We discussed the importance of the safe sleep charts being used at each nap for infants to ensure best practices for safe sleep and have record of sleep schedules for infants. A violation was cited regarding a children’s file not including the preferred medical provider or hospital for the child in the event of a medical emergency. It is important to make sure that the child’s medical provider and hospital are on file in the event an emergency takes place and medical care is needed. A violation was cited regarding two staff members’ criminal background qualification letters being expired. It is important to make sure that the letters are current at all times for all staff members to ensure safety for the children in care. A violation was cited pertaining to health and safety trainings for several staff members. We discussed the importance of all staff taking the health and safety trainings within the first year of employment and every 5 years thereafter. This ensures that all staff are informed of best practices in regards to health and safety practices in childcare. REMINDERS: F. Simmons needs 1 training before June 3, 2025 J. Miller needs 10 training hours before June 3, 2025 E. Degraffenreid needs 16 hours before June 3, 2025. T. Nobles needs 2.5 hours before July 8, 2025 K. Harrison needs 13.5 hours before December 4, 2025 It is a good idea to use the Health and Safety Training Record and the On Going Training Record to track training hours for staff members each year. RESOURCES: -The Health and Safety Trainings are offered on the DCDEE Moodle format. These trainings are free, and participants will receive training certificates when completed. -For other upcoming training opportunities please visit the Early Years website at: earlyyearsnc.org -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. -For information on recalls regarding children’s products, food, medicine, and other products please visit www.recalls.gov . You can also sign up for e-mail alerts for recalled products at this site. If you have questions, please contact me at caroline.sykes@dhhs.nc.gov or by phone at 336-266-4938. 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: CHAPEL HILL DAY CARE CENTER Facility ID: 68000135 Consultant: CAROLINE SYKES Operation Type: Center Case Number: Visit Date: 5/27/2025 Number Present: 70 Completed Date: 5/27/2025 Age: From 0 To 5 Total Minutes: 330 Time In: 09:30 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for applicable Child Care Requirements. The facility currently operates with a Five Star Child Care License that was issued on August 28, 2020. The last annual compliance visit was conducted on June 3, 2024. The last Sanitation inspection was completed on May 8, 2025, with a “Superior” classification. The last fire inspection was completed on January 6, 2025, and the program was approved for daytime care only. Upon arrival, I was greeted by the administrative assistant, Ms. Foushee and the Director, Ms. Garner. Ms. Foushee assisted me on a walkthrough of the facility where attendance was documented, and observations made. Infants were observed eating breakfast and engaging in floor activities. Preschoolers were observed eating breakfast and engaging in indoor group time and free play activities. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. The following violations were observed. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. A medication permission form for a diaper cream in space 8 was outdated/expired. 10A NCAC 09 .0803(4)(6-9) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space 7, sleep charts had not been completed since mid April, 2025. .0606(g) 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). Qualification letters for two staff members had expired and had not been renewed. G.S. 110-90.2(b) & .2703(n)&(o) 1314 Emergency information did not name childs health care professional. One child's file from the sample files checked did not include the child's health care professional or choice of preferred hospital. .0802(c)(2) 1757 A valid qualification letter was not on file and available to review at the facility. Valid qualification letters for two staff members were not on file or current. G.S. 110-90.2(b) & (d) & .2703(e) 1898 Staff did not complete the health and safety training within one year of employment. Several staff members did not complete health and safety trainings within the first year of employment. .1102(a) 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 10, 2025. The letter must address each violation and explain how it has been corrected. Please send this to caroline.sykes@dhhs.nc.gov and include the following: -Facility name -Facility ID number -Each item number If a compliance letter is not received to my office by 5:00 PM June 10, 2025, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violation may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. The staff were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/, on the home page under the ‘Services’ tab. TECHNICAL ASSISTANCE: A violation was cited regarding a medication/diaper cream having an expired permission form. We discussed the importance of insuring that medications, including diaper creams and sunscreens, have forms that include all information and are not expired. All diaper creams and sunscreens must also have the child’s name on them. A violation was cited regarding safe sleep charts not being used properly. We discussed the importance of the safe sleep charts being used at each nap for infants to ensure best practices for safe sleep and have record of sleep schedules for infants. A violation was cited regarding a children’s file not including the preferred medical provider or hospital for the child in the event of a medical emergency. It is important to make sure that the child’s medical provider and hospital are on file in the event an emergency takes place and medical care is needed. A violation was cited regarding two staff members’ criminal background qualification letters being expired. It is important to make sure that the letters are current at all times for all staff members to ensure safety for the children in care. A violation was cited pertaining to health and safety trainings for several staff members. We discussed the importance of all staff taking the health and safety trainings within the first year of employment and every 5 years thereafter. This ensures that all staff are informed of best practices in regards to health and safety practices in childcare. REMINDERS: F. Simmons needs 1 training before June 3, 2025 J. Miller needs 10 training hours before June 3, 2025 E. Degraffenreid needs 16 hours before June 3, 2025. T. Nobles needs 2.5 hours before July 8, 2025 K. Harrison needs 13.5 hours before December 4, 2025 It is a good idea to use the Health and Safety Training Record and the On Going Training Record to track training hours for staff members each year. RESOURCES: -The Health and Safety Trainings are offered on the DCDEE Moodle format. These trainings are free, and participants will receive training certificates when completed. -For other upcoming training opportunities please visit the Early Years website at: earlyyearsnc.org -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. -For information on recalls regarding children’s products, food, medicine, and other products please visit www.recalls.gov . You can also sign up for e-mail alerts for recalled products at this site. If you have questions, please contact me at caroline.sykes@dhhs.nc.gov or by phone at 336-266-4938. 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: CHAPEL HILL DAY CARE CENTER Facility ID: 68000135 Consultant: CAROLINE SYKES Operation Type: Center Case Number: Visit Date: 2/25/2025 Number Present: 78 Completed Date: 2/25/2025 Age: From 0 To 5 Total Minutes: 135 Time In: 09:30 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for applicable Child Care Requirements. The facility currently operates with a Five Star Child Care License that was issued on August 28, 2020. The last annual compliance visit was conducted on June 3, 2024. Upon arrival, I was greeted by the Assistant Director, Ms. Elliott. The Director, Ms. Garner, arrived later, and they both assisted me on a walkthrough of the facility where attendance was taken and observations made. Infants were observed eating breakfast, sleeping and engaging in floor activities. Preschoolers were observed engaging in indoor group time and free play activities as well as outdoor play. During today’s visit, a partial assessment of applicable Child Care Requirements was conducted. The following violations were observed. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Diaper cream and sunscreen permission forms were missing, expired or did not contain required information in Spaces 1, 2 and 3. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An epi pen in space 6 was not in the original labeled container. .0803(2)(a) 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. Safe Sleep Charts were not up to date or in use for all infants. .0606(g) 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 March 11, 2025. The letter must address each violation and explain how it has been corrected. Please send this to caroline.sykes@dhhs.nc.gov and include the following: -Facility name -Facility ID number -Each item number The staff were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/, on the home page under the ‘Services’ tab. TECHNICAL ASSISTANCE: A violation was cited regarding medications not having adequate information or missing medication administration permission forms. We discussed the importance of insuring that medications, including diaper creams and sunscreens, have forms that include all information and are not expired. I encouraged Ms. Garner to have all classrooms complete a check of their diaper creams and sunscreens to ensure each has a form that is completely filled out and is not expired. All diaper creams and sunscreens must also have the child’s name on them. A violation was cited regarding an emergency medication that did not include the box with the prescription label. We discussed the requirement for the medication to include the prescription label to ensure accuracy of information. A violation was cited regarding safe sleep charts not being used properly. We discussed the importance of the safe sleep charts being used at each nap for infants to ensure best practices for safe sleep and have record of sleep schedules for infants. RESOURCES: -The Health and Safety Trainings are offered on the DCDEE Moodle format. These trainings are free, and participants will receive training certificates when completed. -For other upcoming training opportunities please visit the Early Years website at: earlyyearsnc.org -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. -For information on recalls regarding children’s products, food, medicine, and other products please visit www.recalls.gov . You can also sign up for e-mail alerts for recalled products at this site. If you have questions, please contact me at caroline.sykes@dhhs.nc.gov or by phone at 336-266-4938. 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: CHAPEL HILL DAY CARE CENTER Facility ID: 68000135 Consultant: CAROLINE SYKES Operation Type: Center Case Number: 1124-056L Visit Date: 11/19/2024 Number Present: 0 Completed Date: 11/19/2024 Age: From 0 To 0 Total Minutes: 120 Time In: 09:30 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with applicable child care requirements pertinent to a complaint visit. Limited monitoring was conducted today. I informed the administrator, Ms. Garner, of the purpose of my visit. The allegation is as follows: There are concerns regarding discipline and nurture and care. Findings: I spoke with 3 staff members, 2 administrators, and 1 support staff. All staff members reported that during outside play, the door to the classroom was propped open. A teacher was inside of the classroom when a young toddler began to enter the classroom. Another toddler who was on the playground began to close the door. One teacher ran to the young toddler and removed them from the space before the door closed on them, and then removed the child who had caused the door to be closed from the area and sat the child down. The administrators stated that the teacher who removed the children was suspended for the remainder of the day and the following day so that they could conduct an investigation. The teacher returned to work at the conclusion of the investigation. Based on my observations and the information gathered: I find the allegation regarding the violation of discipline unsubstantiated. I find the allegation regarding the violation of nurture and care substantiated. I observed children engaging in outdoor play. The following violation was cited. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A teacher removed a child from the classroom outside door in a manner that was not nurturing or developmentally appropriate. G.S. 110-91(10) The above violations must be corrected immediately. I must receive a compliance statement/ letter by email or mail by 12/2/2024. In the letter, include the following information: 1. Your facility ID# and Name 2. Visit date 3. Violation item number(s) 4. How and when the violation was corrected (Be specific) 5. Your signature/name and position My email address is caroline.sykes@dhhs.nc.gov, and the mailing address is 3860 Dodson Lane, Haw River, NC 27258. Technical Assistance: Part of GS 110-91 (10) states that Each operator or staff member shall attend to any child in a nurturing and appropriate manner, and in keeping with the child's developmental needs. We discussed the importance of attending to children in a manner that is nurturing as well as developmentally appropriate. At the completion of the visit, I reviewed the visit with the assistant director and provided an opportunity to ask questions regarding the interpretation and implementation of child care requirements. If you have any questions or concerns, you may reach me at 336-266-4938 or email me at caroline.sykes@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: CHAPEL HILL DAY CARE CENTER Facility ID: 68000135 Consultant: CAROLINE SYKES Operation Type: Center Case Number: 1124-056L Visit Date: 11/19/2024 Number Present: 0 Completed Date: 11/19/2024 Age: From 0 To 0 Total Minutes: 120 Time In: 09:30 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with applicable child care requirements pertinent to a complaint visit. Limited monitoring was conducted today. I informed the administrator, Ms. Garner, of the purpose of my visit. The allegation is as follows: There are concerns regarding discipline and nurture and care. Findings: I spoke with 3 staff members, 2 administrators, and 1 support staff. All staff members reported that during outside play, the door to the classroom was propped open. A teacher was inside of the classroom when a young toddler began to enter the classroom. Another toddler who was on the playground began to close the door. One teacher ran to the young toddler and removed them from the space before the door closed on them, and then removed the child who had caused the door to be closed from the area and sat the child down. The administrators stated that the teacher who removed the children was suspended for the remainder of the day and the following day so that they could conduct an investigation. The teacher returned to work at the conclusion of the investigation. Based on my observations and the information gathered: I find the allegation regarding the violation of discipline unsubstantiated. I find the allegation regarding the violation of nurture and care substantiated. I observed children engaging in outdoor play. The following violation was cited. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A teacher removed a child from the classroom outside door in a manner that was not nurturing or developmentally appropriate. G.S. 110-91(10) The above violations must be corrected immediately. I must receive a compliance statement/ letter by email or mail by 12/2/2024. In the letter, include the following information: 1. Your facility ID# and Name 2. Visit date 3. Violation item number(s) 4. How and when the violation was corrected (Be specific) 5. Your signature/name and position My email address is caroline.sykes@dhhs.nc.gov, and the mailing address is 3860 Dodson Lane, Haw River, NC 27258. Technical Assistance: Part of GS 110-91 (10) states that Each operator or staff member shall attend to any child in a nurturing and appropriate manner, and in keeping with the child's developmental needs. We discussed the importance of attending to children in a manner that is nurturing as well as developmentally appropriate. At the completion of the visit, I reviewed the visit with the assistant director and provided an opportunity to ask questions regarding the interpretation and implementation of child care requirements. If you have any questions or concerns, you may reach me at 336-266-4938 or email me at caroline.sykes@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.1102 · Violation

Name of Operation: CHAPEL HILL DAY CARE CENTER Facility ID: 68000135 Consultant: MARCIA HUMPHREY Operation Type: Center Case Number: Visit Date: 6/25/2024 Number Present: 54 Completed Date: 6/25/2024 Age: From 0 To 5 Total Minutes: 270 Time In: 11:00 AM Time Out: 03:30 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. The assistant director, Ms. Nakisha Elliott greeted me upon arrival and the center director, Mrs. LaTasha Garner arrived a short time after my arrival. Staff/child ratio were being maintained during today's visit (due to the nature of today's visit no enrollment sheet was completed). This was a partial monitoring visit. The following violations were cited: Violation Number Comment Rule 1053 On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. This was not completed within the required timeframe for four employee's. In addition, five employee's need to complete recognizing and responding to suspicious of child maltreatment. GS 110-91(11); 10A NCAC 09.1102(b)(1-11) 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 July 9, 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 the center director that ever five years the health and safety trainings along with the Recognizing and Responding to Suspicions of Child Maltreatment need to be completed. Mrs. Garner stated that she wasn't aware of that but will make sure this is completed by all employee's accordingly. 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: CHAPEL HILL DAY CARE CENTER Facility ID: 68000135 Consultant: MARCIA HUMPHREY Operation Type: Center Case Number: Visit Date: 6/25/2024 Number Present: 54 Completed Date: 6/25/2024 Age: From 0 To 5 Total Minutes: 270 Time In: 11:00 AM Time Out: 03:30 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. The assistant director, Ms. Nakisha Elliott greeted me upon arrival and the center director, Mrs. LaTasha Garner arrived a short time after my arrival. Staff/child ratio were being maintained during today's visit (due to the nature of today's visit no enrollment sheet was completed). This was a partial monitoring visit. The following violations were cited: Violation Number Comment Rule 1053 On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. This was not completed within the required timeframe for four employee's. In addition, five employee's need to complete recognizing and responding to suspicious of child maltreatment. GS 110-91(11); 10A NCAC 09.1102(b)(1-11) 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 July 9, 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 the center director that ever five years the health and safety trainings along with the Recognizing and Responding to Suspicions of Child Maltreatment need to be completed. Mrs. Garner stated that she wasn't aware of that but will make sure this is completed by all employee's accordingly. 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 .0601 · Violation

Name of Operation: CHAPEL HILL DAY CARE CENTER Facility ID: 68000135 Consultant: MARCIA HUMPHREY Operation Type: Center Case Number: Visit Date: 6/3/2024 Number Present: 68 Completed Date: 6/30/2024 Age: From 0 To 5 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for all applicable Child Care Requirements. We were greeted by the center director Mrs. LaTasha Garner. Caroline Sykes, Childcare Licensing Consultant accompanied me during today's visit. The last Annual Compliance Visit was conducted on June 6, 2023. The center currently operates with a Five Star Child Care License that was issued on August 28, 2020. Mrs. Garner assisted us during today's walk-through. The children were observed eating breakfast or participating in group time with their caregivers upon arrival. The annual compliance checklist was completed during today's visit. The last sanitation inspection was completed May 6, 2024 with a “Superior” classification with 7 demerits. The last fire drill was completed on May 2, 2024. The last Shelter-in-place was completed on May 3, 2024. The last outdoor play inspection was completed on May 23, 2024. In regards to staff records the staff and training worksheet was discussed but due to the size of the facility and the staff and training worksheet not being available during today's visit a return visit will be made with-in two weeks to review these records in detail. The percentage of children's records were reviewed based on the number of children present during today's visit. The children's records were in order and no violations were cited. The following violations were cited: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The storage shed outside has a lock latch that is broken and several nails are loose and accessible to children in care. 10A NCAC 09 .0601(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. It was observed in several of the classrooms during today's walk-through outlets uncovered in the children's activity space. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. In space #5 the Epi-Pen authorization form for one child enrolled in care expired on May 25, 2024. 10A NCAC 09 .0803(4)(6-9) 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 17, 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 COMPLIANCE HISTORY Prior to today's visit, the Compliance History Score for the center was 100%. According to NC General Statute 110-90 (4)(d) all facilities must maintain a compliance history of at least seventy-five percent (75%) for the past 18 months. TECHNICAL ASSISTANCE We talked in detail with Mrs. Garner regarding the fire inspection. She informed us that the Fire Inspector came out on May 24, 2024 and due to a bad power supply with the mother-board going out this needed to be fixed and the fire inspector informed the administration staff that he would be back to complete the visit. Discussed in detail the importance of making sure the Epi-Pen form has been updated annually by the child's physician and signed by the parent/guardian. In addition, when checking the playground monthly make sure to look for hazards that may appear and place them on the form and update when hazard has been corrected. RATED LICENSE INFORMATION Rated License assessments have resumed, and your facility is in Cohort 1. Your preparation year will begin July 1, 2023 and will end on June 30, 2024. Your assessment year begins July 1, 2024. -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 .0604 · Violation

Name of Operation: CHAPEL HILL DAY CARE CENTER Facility ID: 68000135 Consultant: MARCIA HUMPHREY Operation Type: Center Case Number: Visit Date: 6/3/2024 Number Present: 68 Completed Date: 6/30/2024 Age: From 0 To 5 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for all applicable Child Care Requirements. We were greeted by the center director Mrs. LaTasha Garner. Caroline Sykes, Childcare Licensing Consultant accompanied me during today's visit. The last Annual Compliance Visit was conducted on June 6, 2023. The center currently operates with a Five Star Child Care License that was issued on August 28, 2020. Mrs. Garner assisted us during today's walk-through. The children were observed eating breakfast or participating in group time with their caregivers upon arrival. The annual compliance checklist was completed during today's visit. The last sanitation inspection was completed May 6, 2024 with a “Superior” classification with 7 demerits. The last fire drill was completed on May 2, 2024. The last Shelter-in-place was completed on May 3, 2024. The last outdoor play inspection was completed on May 23, 2024. In regards to staff records the staff and training worksheet was discussed but due to the size of the facility and the staff and training worksheet not being available during today's visit a return visit will be made with-in two weeks to review these records in detail. The percentage of children's records were reviewed based on the number of children present during today's visit. The children's records were in order and no violations were cited. The following violations were cited: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The storage shed outside has a lock latch that is broken and several nails are loose and accessible to children in care. 10A NCAC 09 .0601(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. It was observed in several of the classrooms during today's walk-through outlets uncovered in the children's activity space. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. In space #5 the Epi-Pen authorization form for one child enrolled in care expired on May 25, 2024. 10A NCAC 09 .0803(4)(6-9) 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 17, 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 COMPLIANCE HISTORY Prior to today's visit, the Compliance History Score for the center was 100%. According to NC General Statute 110-90 (4)(d) all facilities must maintain a compliance history of at least seventy-five percent (75%) for the past 18 months. TECHNICAL ASSISTANCE We talked in detail with Mrs. Garner regarding the fire inspection. She informed us that the Fire Inspector came out on May 24, 2024 and due to a bad power supply with the mother-board going out this needed to be fixed and the fire inspector informed the administration staff that he would be back to complete the visit. Discussed in detail the importance of making sure the Epi-Pen form has been updated annually by the child's physician and signed by the parent/guardian. In addition, when checking the playground monthly make sure to look for hazards that may appear and place them on the form and update when hazard has been corrected. RATED LICENSE INFORMATION Rated License assessments have resumed, and your facility is in Cohort 1. Your preparation year will begin July 1, 2023 and will end on June 30, 2024. Your assessment year begins July 1, 2024. -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 .0803 · Violation

Name of Operation: CHAPEL HILL DAY CARE CENTER Facility ID: 68000135 Consultant: MARCIA HUMPHREY Operation Type: Center Case Number: Visit Date: 6/3/2024 Number Present: 68 Completed Date: 6/30/2024 Age: From 0 To 5 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for all applicable Child Care Requirements. We were greeted by the center director Mrs. LaTasha Garner. Caroline Sykes, Childcare Licensing Consultant accompanied me during today's visit. The last Annual Compliance Visit was conducted on June 6, 2023. The center currently operates with a Five Star Child Care License that was issued on August 28, 2020. Mrs. Garner assisted us during today's walk-through. The children were observed eating breakfast or participating in group time with their caregivers upon arrival. The annual compliance checklist was completed during today's visit. The last sanitation inspection was completed May 6, 2024 with a “Superior” classification with 7 demerits. The last fire drill was completed on May 2, 2024. The last Shelter-in-place was completed on May 3, 2024. The last outdoor play inspection was completed on May 23, 2024. In regards to staff records the staff and training worksheet was discussed but due to the size of the facility and the staff and training worksheet not being available during today's visit a return visit will be made with-in two weeks to review these records in detail. The percentage of children's records were reviewed based on the number of children present during today's visit. The children's records were in order and no violations were cited. The following violations were cited: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The storage shed outside has a lock latch that is broken and several nails are loose and accessible to children in care. 10A NCAC 09 .0601(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. It was observed in several of the classrooms during today's walk-through outlets uncovered in the children's activity space. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. In space #5 the Epi-Pen authorization form for one child enrolled in care expired on May 25, 2024. 10A NCAC 09 .0803(4)(6-9) 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 17, 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 COMPLIANCE HISTORY Prior to today's visit, the Compliance History Score for the center was 100%. According to NC General Statute 110-90 (4)(d) all facilities must maintain a compliance history of at least seventy-five percent (75%) for the past 18 months. TECHNICAL ASSISTANCE We talked in detail with Mrs. Garner regarding the fire inspection. She informed us that the Fire Inspector came out on May 24, 2024 and due to a bad power supply with the mother-board going out this needed to be fixed and the fire inspector informed the administration staff that he would be back to complete the visit. Discussed in detail the importance of making sure the Epi-Pen form has been updated annually by the child's physician and signed by the parent/guardian. In addition, when checking the playground monthly make sure to look for hazards that may appear and place them on the form and update when hazard has been corrected. RATED LICENSE INFORMATION Rated License assessments have resumed, and your facility is in Cohort 1. Your preparation year will begin July 1, 2023 and will end on June 30, 2024. Your assessment year begins July 1, 2024. -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