Charlotte Child Development Center

10A NCAC 09 .0601 · Violation

Name of Operation: CHARLOTTE CHILD DEVELOPMENT CENTER Facility ID: 60003217 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 7/23/2025 Number Present: 36 Completed Date: 7/23/2025 Age: From 0 To 4 Total Minutes: 340 Time In: 09:30 AM Time Out: 03:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full annual compliance visit. The facility was currently operating with Five Star Rated License issued on July 27, 2017. The facility had an eighteen (18) month compliance history score of 84% prior to today’s visit. The April 2025 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Upon arrival I was greeted by Ms. Lois Oldman, Nutrition Specialist, and I explained the purpose of the visit. Ms. Oldman stated Ms. Cynthia Barnes, Operator, was not onsite. Ms. Oldman called Ms. Barnes and I spoke with her and explained the purpose of the visit. Ms. Barnes guided me through where items were located in the office and Ms. Cynthia Brown, Lead Teacher, accompanied me on the walk through. The last annual compliance visit was conducted August 7, 2024. The sanitation inspection was completed 1/28/25 and received a “Superior” classification. The fire inspection was completed 8/7/24. Each indoor and the outdoor space was monitored. Preschool aged children were observed participating in large group activities at the tables. Toddlers were observed on the playground when I arrived. The lunch served reflected what was listed on the menu and lunch met nutrition requirements. Staff was observed engaged and providing a nurturing environment. Children under twelve months old received care according to individual needs including diapering and bottle feeding. Each child under fifteen months of age had a feeding schedule available for review. Bottles were labeled and dated as required. Safe sleep checks were documented as required. Emergency medications were monitored. Arrival and departure times were documented as required. Playground inspections were completed as required. Fire and emergency drills were completed and documented as required. A sampling of children’s files were monitored. Two (2) new staff files were reviewed. I completed the staff/training worksheet for the two new staff. A completed staff/training worksheet was provided and reviewed. I verified dates in files for any staff that had outdated information listed on the worksheet. The ABCMS roster was reviewed. Five (5) employees, R.K, C.B,L.O., K.W., S.A, and E.V, should be added to the roster. One (1) employee’s CBC qualification letter expired 6/26/25. The renewed letter should be on file by August 6, 2025. The Secretary of State website was reviewed today and Charlotte Early Education Services Inc was listed current-active. The following violation(s) were documented. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. One (1) child's medical action plan (MAP) indicated Zyrtec in addition to the emergency medication and one (1) child's MAP indicated Benadryl in addition to the emergency medication. Neither over the counter medications were onsite. 10A NCAC 09 .0601(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A child's emergency medication was not in the original container and did not have the prescription label attached. .0803(2)(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) employee did not update the health questionnaire annually. .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. One (1) employee did not update emergency information annually. .0701(a) 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). One (1) employee's CBC qualification expired 6/26/25. G.S. 110-90.2(b) & .2703(n)&(o) 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. Two (2) staff's First Aid training expired 5/2025. .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. Two (2) staff's CPR training expired 5/2025. .1102(d) 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. Two (2) children, R.A., E.O., did not update emergency medical care information annually. .0802(c) 1314 Emergency information did not name childs health care professional. One (1) child, E.O., did not have a health care professional indicated in the emergency medical care information. .0802(c)(2) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. Two (2) children, R.A. and E.O., did not have current off-premise permissions on file. .1005(b)(4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Two (2) staff did not renew health and safety training every five years. Trainings were due June 2025. .1103(b) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before August 6, 2025. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to jennifer.stansfield@dhhs.nc.gov The email must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: - Information regarding the QRIS modernization plan can be found on the DCDEE website under the “What’s New” tab. Current “Frequently Asked Questions” can be found at the bottom of the information page. - Stay tuned for information regarding QRIS modernization training. The trainings are expected to occur in the Fall 2025. - Please email a copy of the new fire inspection within 7 days of the inspection. - All prescription medications should be accompanied by the prescription label and in the original container for the medication onsite. -Review medical action plans to ensure all medication including over-the-counter medications are provided by the parent. -All child emergency medical care information and off-premise permissions should be renewed annually. I recommend scheduling a center wide date for all annual paperwork to be renewed to help keep child information current. - I recommend scheduling center wide staff CPR/First Aid training to maintain compliance with all staff having CPR/First Aid training and to help tracking training due dates. - Bulk milk may not be stored in dorm sized refrigerators. - Health and safety trainings are due every five years. Child maltreatment training is included in the health and safety trainings. - The EPR plan should be updated in the Risk Management Portal annually. The reviewed plan should be printed and available for review. The completed visit summary was reviewed over the telephone with Ms. Barnes and signed by Ms. Brown. Contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 or Michele Sullivan, Licensing Supervisor, michele.sullivan.dhhs.nc.gov or 704-594-0147 if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: CHARLOTTE CHILD DEVELOPMENT CENTER Facility ID: 60003217 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 7/23/2025 Number Present: 36 Completed Date: 7/23/2025 Age: From 0 To 4 Total Minutes: 340 Time In: 09:30 AM Time Out: 03:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full annual compliance visit. The facility was currently operating with Five Star Rated License issued on July 27, 2017. The facility had an eighteen (18) month compliance history score of 84% prior to today’s visit. The April 2025 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Upon arrival I was greeted by Ms. Lois Oldman, Nutrition Specialist, and I explained the purpose of the visit. Ms. Oldman stated Ms. Cynthia Barnes, Operator, was not onsite. Ms. Oldman called Ms. Barnes and I spoke with her and explained the purpose of the visit. Ms. Barnes guided me through where items were located in the office and Ms. Cynthia Brown, Lead Teacher, accompanied me on the walk through. The last annual compliance visit was conducted August 7, 2024. The sanitation inspection was completed 1/28/25 and received a “Superior” classification. The fire inspection was completed 8/7/24. Each indoor and the outdoor space was monitored. Preschool aged children were observed participating in large group activities at the tables. Toddlers were observed on the playground when I arrived. The lunch served reflected what was listed on the menu and lunch met nutrition requirements. Staff was observed engaged and providing a nurturing environment. Children under twelve months old received care according to individual needs including diapering and bottle feeding. Each child under fifteen months of age had a feeding schedule available for review. Bottles were labeled and dated as required. Safe sleep checks were documented as required. Emergency medications were monitored. Arrival and departure times were documented as required. Playground inspections were completed as required. Fire and emergency drills were completed and documented as required. A sampling of children’s files were monitored. Two (2) new staff files were reviewed. I completed the staff/training worksheet for the two new staff. A completed staff/training worksheet was provided and reviewed. I verified dates in files for any staff that had outdated information listed on the worksheet. The ABCMS roster was reviewed. Five (5) employees, R.K, C.B,L.O., K.W., S.A, and E.V, should be added to the roster. One (1) employee’s CBC qualification letter expired 6/26/25. The renewed letter should be on file by August 6, 2025. The Secretary of State website was reviewed today and Charlotte Early Education Services Inc was listed current-active. The following violation(s) were documented. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. One (1) child's medical action plan (MAP) indicated Zyrtec in addition to the emergency medication and one (1) child's MAP indicated Benadryl in addition to the emergency medication. Neither over the counter medications were onsite. 10A NCAC 09 .0601(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A child's emergency medication was not in the original container and did not have the prescription label attached. .0803(2)(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) employee did not update the health questionnaire annually. .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. One (1) employee did not update emergency information annually. .0701(a) 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). One (1) employee's CBC qualification expired 6/26/25. G.S. 110-90.2(b) & .2703(n)&(o) 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. Two (2) staff's First Aid training expired 5/2025. .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. Two (2) staff's CPR training expired 5/2025. .1102(d) 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. Two (2) children, R.A., E.O., did not update emergency medical care information annually. .0802(c) 1314 Emergency information did not name childs health care professional. One (1) child, E.O., did not have a health care professional indicated in the emergency medical care information. .0802(c)(2) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. Two (2) children, R.A. and E.O., did not have current off-premise permissions on file. .1005(b)(4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Two (2) staff did not renew health and safety training every five years. Trainings were due June 2025. .1103(b) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before August 6, 2025. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to jennifer.stansfield@dhhs.nc.gov The email must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: - Information regarding the QRIS modernization plan can be found on the DCDEE website under the “What’s New” tab. Current “Frequently Asked Questions” can be found at the bottom of the information page. - Stay tuned for information regarding QRIS modernization training. The trainings are expected to occur in the Fall 2025. - Please email a copy of the new fire inspection within 7 days of the inspection. - All prescription medications should be accompanied by the prescription label and in the original container for the medication onsite. -Review medical action plans to ensure all medication including over-the-counter medications are provided by the parent. -All child emergency medical care information and off-premise permissions should be renewed annually. I recommend scheduling a center wide date for all annual paperwork to be renewed to help keep child information current. - I recommend scheduling center wide staff CPR/First Aid training to maintain compliance with all staff having CPR/First Aid training and to help tracking training due dates. - Bulk milk may not be stored in dorm sized refrigerators. - Health and safety trainings are due every five years. Child maltreatment training is included in the health and safety trainings. - The EPR plan should be updated in the Risk Management Portal annually. The reviewed plan should be printed and available for review. The completed visit summary was reviewed over the telephone with Ms. Barnes and signed by Ms. Brown. Contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 or Michele Sullivan, Licensing Supervisor, michele.sullivan.dhhs.nc.gov or 704-594-0147 if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: CHARLOTTE CHILD DEVELOPMENT CENTER Facility ID: 60003217 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 7/23/2025 Number Present: 36 Completed Date: 7/23/2025 Age: From 0 To 4 Total Minutes: 340 Time In: 09:30 AM Time Out: 03:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full annual compliance visit. The facility was currently operating with Five Star Rated License issued on July 27, 2017. The facility had an eighteen (18) month compliance history score of 84% prior to today’s visit. The April 2025 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Upon arrival I was greeted by Ms. Lois Oldman, Nutrition Specialist, and I explained the purpose of the visit. Ms. Oldman stated Ms. Cynthia Barnes, Operator, was not onsite. Ms. Oldman called Ms. Barnes and I spoke with her and explained the purpose of the visit. Ms. Barnes guided me through where items were located in the office and Ms. Cynthia Brown, Lead Teacher, accompanied me on the walk through. The last annual compliance visit was conducted August 7, 2024. The sanitation inspection was completed 1/28/25 and received a “Superior” classification. The fire inspection was completed 8/7/24. Each indoor and the outdoor space was monitored. Preschool aged children were observed participating in large group activities at the tables. Toddlers were observed on the playground when I arrived. The lunch served reflected what was listed on the menu and lunch met nutrition requirements. Staff was observed engaged and providing a nurturing environment. Children under twelve months old received care according to individual needs including diapering and bottle feeding. Each child under fifteen months of age had a feeding schedule available for review. Bottles were labeled and dated as required. Safe sleep checks were documented as required. Emergency medications were monitored. Arrival and departure times were documented as required. Playground inspections were completed as required. Fire and emergency drills were completed and documented as required. A sampling of children’s files were monitored. Two (2) new staff files were reviewed. I completed the staff/training worksheet for the two new staff. A completed staff/training worksheet was provided and reviewed. I verified dates in files for any staff that had outdated information listed on the worksheet. The ABCMS roster was reviewed. Five (5) employees, R.K, C.B,L.O., K.W., S.A, and E.V, should be added to the roster. One (1) employee’s CBC qualification letter expired 6/26/25. The renewed letter should be on file by August 6, 2025. The Secretary of State website was reviewed today and Charlotte Early Education Services Inc was listed current-active. The following violation(s) were documented. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. One (1) child's medical action plan (MAP) indicated Zyrtec in addition to the emergency medication and one (1) child's MAP indicated Benadryl in addition to the emergency medication. Neither over the counter medications were onsite. 10A NCAC 09 .0601(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A child's emergency medication was not in the original container and did not have the prescription label attached. .0803(2)(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) employee did not update the health questionnaire annually. .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. One (1) employee did not update emergency information annually. .0701(a) 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). One (1) employee's CBC qualification expired 6/26/25. G.S. 110-90.2(b) & .2703(n)&(o) 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. Two (2) staff's First Aid training expired 5/2025. .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. Two (2) staff's CPR training expired 5/2025. .1102(d) 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. Two (2) children, R.A., E.O., did not update emergency medical care information annually. .0802(c) 1314 Emergency information did not name childs health care professional. One (1) child, E.O., did not have a health care professional indicated in the emergency medical care information. .0802(c)(2) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. Two (2) children, R.A. and E.O., did not have current off-premise permissions on file. .1005(b)(4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Two (2) staff did not renew health and safety training every five years. Trainings were due June 2025. .1103(b) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before August 6, 2025. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to jennifer.stansfield@dhhs.nc.gov The email must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: - Information regarding the QRIS modernization plan can be found on the DCDEE website under the “What’s New” tab. Current “Frequently Asked Questions” can be found at the bottom of the information page. - Stay tuned for information regarding QRIS modernization training. The trainings are expected to occur in the Fall 2025. - Please email a copy of the new fire inspection within 7 days of the inspection. - All prescription medications should be accompanied by the prescription label and in the original container for the medication onsite. -Review medical action plans to ensure all medication including over-the-counter medications are provided by the parent. -All child emergency medical care information and off-premise permissions should be renewed annually. I recommend scheduling a center wide date for all annual paperwork to be renewed to help keep child information current. - I recommend scheduling center wide staff CPR/First Aid training to maintain compliance with all staff having CPR/First Aid training and to help tracking training due dates. - Bulk milk may not be stored in dorm sized refrigerators. - Health and safety trainings are due every five years. Child maltreatment training is included in the health and safety trainings. - The EPR plan should be updated in the Risk Management Portal annually. The reviewed plan should be printed and available for review. The completed visit summary was reviewed over the telephone with Ms. Barnes and signed by Ms. Brown. Contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 or Michele Sullivan, Licensing Supervisor, michele.sullivan.dhhs.nc.gov or 704-594-0147 if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: CHARLOTTE CHILD DEVELOPMENT CENTER Facility ID: 60003217 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 2/13/2025 Number Present: 36 Completed Date: 2/13/2025 Age: From 0 To 3 Total Minutes: 155 Time In: 09:40 AM Time Out: 12:15 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 applicable child care rules and laws during a routine unannounced visit. The facility currently operated with a Five Star Rated License issued August 8, 2024 and earned 7 points in the staff education component, 6 points in the program component meeting enhanced ratio requirements, and 1 point in the quality component for having approved enhanced policies, a staff benefits package, and an infrastructure of parent involvement. The facility had an eighteen month compliance history of 78% prior to today’s visit. The following was monitored using the November 2024 Master Center Item Number Listing: supervision, staff/child ratios, CBC qualification, CPR, First Aid, special training, ITS-SIDS, emergency medical care plan, administration of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, posted license, and permit restrictions. Michele Sullivan, Licensing Supervisor, accompanied me today. The license was posted and the restrictions were in compliance. Upon arrival I was greeted by Ms. Chymera Gibson, Director and I explained the purpose of the visit. She stated Ms. Cynthia Kara – Barnes, owner, was not onsite today. Ms. Gibson accompanied me on the walk through. Five (5) classrooms were monitored. Children were not observed outdoors today as the playground was too wet from rain the previous day. Classrooms were observed organized and bright. Materials were plentiful. I recommended auditing books in young preschool classrooms weekly and remove books that were bent and/or damaged. I also recommended auditing soft/cardboard blocks and remove once damaged. Supervision and staff/child ratios met requirements. Children throughout the facility were participating in group time, free play in activity areas, and transitions. In the room for infant care I observed safe sleep checks documented as required. We discussed documenting how an infant was placed in the crib even if the child immediately changed positions. We discussed always placing the child on their back. I observed infant toys and materials stored in two (2) cribs. Teachers stated one (1) of the cribs was the evacuation crib. I explained cribs could not be used as storage even if they were not assigned to a child, especially the evacuation crib. Teachers were engaged and providing a nurturing environment while attending to individual needs. Ms. Gibson stated the facility was transitioning to the Playground Application for parent/teacher communication, sign-in and out, and safe sleep check documentation. I reviewed a safe sleep check in Space 2 on the App and it indicated the child’s position at every 15 minute check however the initial position was not captured on the App. Ms. Gibson stated she would contact Playground for assistance on how to capture the initial sleep position. I recommended using a paper safe sleep check until she was able to configure the App. Teachers in all classrooms were observed engaged and developmentally appropriate care was provided. Emergency medications were monitored. One (1) child in Space 5 had AuviQ and Zyrtec prescribed. The permission for each medication expired 2/9/25. I explained the medication permissions were valid for 6 months and medical action plans were valid 12 months. I recommended writing the expiration dates of permissions and medical action plans on the outside of the Ziploc bag where medication was stored. The last sanitation inspection was conducted on 1/28/25 and received a superior rating. The last fire inspection was conducted on 8/7/24. No new staff were hired since the last visit. Ms. Gibson and I discussed the staff/training worksheet. We discussed keeping the document as a fillable PDF and making changes as they occurred. Violation Number Comment Rule 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A child's medication permission forms expired 2/9/25. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Corrective Action: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Thursday, February 27, 2025. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 Jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Comments: - Children under the age of 2 ½ years of age were observed using an auxiliary space located in the church. To access the room children had to go up a small flight of stairs. The room did not have a direct exit. Ms. Sullivan took pictures of the space to find out if the space met building code requirements for children under 2 ½ years of age. I will follow-up with Ms. Gibson and Ms. Kara-Barnes regarding the decision. - The pre-service administrator form can be found on the DCDEE website. Ms. Gibson should complete the form and email to me after it is signed by Ms. Kara-Barnes to add Ms. Gibson as an administrator. - We discussed conducting a compliance check of the auxiliary space before children use it as the space is shared with the church. - Ms. Sullivan discussed appropriate lifting of children by their torso under their arms with a teacher in Space 1 to prevent possibility of injury. - We discussed the requirement of implementing an approved curriculum when 4 and 5 year old children are enrolled as a five star facility. Ms. Sullivan showed Ms. Gibson where to find the list of approved curriculum on the DCDEE website. Star Rated License Reassessment Update: SB 425 extended hold harmless until the new Quality Rating Improvement System (QRIS) is revised and implemented. Facilities are not required to proceed with the rated license assessment at this time unless they voluntarily choose to proceed. Information regarding the QRIS modernization plan can be found on the DCDEE website under the “What’s New” tab. Current “Frequently Asked Questions” can be found at the bottom of the information page. – QRIS update: Get ready for the 3s Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third edition. Information regarding the transition can be found by visiting https://ncrlap.org/Resources/pages/get-ready-for-3s. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://ncrlap.org/. for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Criminal Background Portal/ABCMS: North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. 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: CHARLOTTE CHILD DEVELOPMENT CENTER Facility ID: 60003217 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 8/7/2024 Number Present: 48 Completed Date: 8/7/2024 Age: From 0 To 4 Total Minutes: 320 Time In: 10:40 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full annual compliance visit. The facility was currently operating with Five Star Rated License issued on July 27, 2017, and earned 7 points in the staff education component, 7 points in the program component and met the enhanced requirements + reduced ratios , and 1 quality point for approved enhanced policies and an infrastructure of parent involvement. The facility had an eighteen (18) month compliance history score of 81% prior to today’s visit. The March 2024 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Upon arrival I was greeted by Ms. Cynthia Kara-Barnes, Operator, and I explained the purpose of the visit. Ms. Chymera Gibson began her role as director on August 6, 2024. Ms. Gibson accompanied me on the walkthrough. I reviewed the highest voluntary enhanced ratio requirement with both Ms. Gibson and Ms. Kara-Barnes. Ms. Kara-Barnes stated she wanted to remove the restriction on the permit and reduce the program points to six (6). The facility would remain a five star center. Until the new permit is received the facility should continue to follow highest voluntary enhanced ratios. The last annual compliance visit was conducted August 15, 2023. The sanitation inspection was completed April 29, 2024 and received an “Approved” classification. The fire inspection was completed today and the facility was approved for daytime care only. The last inspection was completed 9/12/23. Each indoor and the outdoor space was monitored. Preschool aged children were observed participating in outdoor activities as well as eating lunch. Lunch met nutrition requirements and reflected what was listed on the menu. Staff was observed engaged and providing a nurturing environment. Children under twelve months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. Each child under fifteen months of age had a feeding schedule available for review. Feeding schedules were not updated as changes occurred. I reminded staff to post the feeding schedules in the food preparation area. Bottles and water bottles should be dated and labeled each day. The safe sleep policy was not posted in classrooms for children under 12 months of age. This was corrected today. Safe sleep checks were documented as required. Emergency medications were monitored. Arrival and departure times were documented as required. Playground inspections were completed as required. Fire and emergency drills were completed and documented as required. The playground was monitored. I observed a wood platform stage at the rear of the playground. The fence beside the platform was below four (4) feet. Administrative Action requirements were monitored today as well. The action was observed posted at the front door. Ms. Kara-Barnes submitted revisions to the Corrective Action Plan (CAP) stipulations on 7/29/24. One (1) additional change was required before approval. Ms. Kara-Barnes stated she would email the revision this week. The following violation(s) were documented. Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before August 21, 2024. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant P.O. box 1967 Huntersville, NC 28078 jennifer.stansfieldl@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Bottles in Space 1 were not dated and labeled. 15A NCAC 18A .2804(d) 542 The written feeding plan was not modified as the child's needs changed. Feeding plans in Spaces 3 and 1 were not updated as new food was introduced. 10 NCAC 09 .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. A child with a medical action plan did not have the prescribed medication onsite. 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. Electrical outlets were observed uncovered in Space 4. 10A NCAC 09 .0604(c) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. An area of fencing beside the wood platform on the playground was below 4 feet. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A spray bottle of Odor Bond was not stored behind lock and key in Space 3. .2820(b) 847 Parent's medication authorization did not include required information. Permission for Auvi-Q was not available for review. 10A NCAC 09 .0803(4)(6-9) 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. Three (3) children did not update the emergency medical care information annually. .0802(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Two (2) children's discipline policy did not include the date of enrollment. .1804(b) 1830 Potential biocontaminants were not stored properly (locked storage, removed from premises, inaccessible to children, or covered plastic lined receptacle). A trashcan with soiled diapers was observed uncovered in the bathroom between Spaces 4 & 2. .0604(v) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before August 21, 2024. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant P.O. box 1967 Huntersville, NC 28078 jennifer.stansfieldl@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: - I recommend adding “date assigned to a classroom” on the employee Shaken Baby policy as the facility conducted training the first week of employment and did not care for children. - Teachers can add changes to the infant feeding plan per conversations with parents. They should document who they spoke with and the date they had the conversation. - All child incident reports should be logged. Incident reports should be placed in the child’s file and if medical treatment is required the incident report should be sent to the consultant within 7 calendar days. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 or Michele Sullivan, Licensing Supervisor, michele.sullivan.dhhs.nc.gov or 704-594-0147 if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: CHARLOTTE CHILD DEVELOPMENT CENTER Facility ID: 60003217 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 8/7/2024 Number Present: 48 Completed Date: 8/7/2024 Age: From 0 To 4 Total Minutes: 320 Time In: 10:40 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full annual compliance visit. The facility was currently operating with Five Star Rated License issued on July 27, 2017, and earned 7 points in the staff education component, 7 points in the program component and met the enhanced requirements + reduced ratios , and 1 quality point for approved enhanced policies and an infrastructure of parent involvement. The facility had an eighteen (18) month compliance history score of 81% prior to today’s visit. The March 2024 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Upon arrival I was greeted by Ms. Cynthia Kara-Barnes, Operator, and I explained the purpose of the visit. Ms. Chymera Gibson began her role as director on August 6, 2024. Ms. Gibson accompanied me on the walkthrough. I reviewed the highest voluntary enhanced ratio requirement with both Ms. Gibson and Ms. Kara-Barnes. Ms. Kara-Barnes stated she wanted to remove the restriction on the permit and reduce the program points to six (6). The facility would remain a five star center. Until the new permit is received the facility should continue to follow highest voluntary enhanced ratios. The last annual compliance visit was conducted August 15, 2023. The sanitation inspection was completed April 29, 2024 and received an “Approved” classification. The fire inspection was completed today and the facility was approved for daytime care only. The last inspection was completed 9/12/23. Each indoor and the outdoor space was monitored. Preschool aged children were observed participating in outdoor activities as well as eating lunch. Lunch met nutrition requirements and reflected what was listed on the menu. Staff was observed engaged and providing a nurturing environment. Children under twelve months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. Each child under fifteen months of age had a feeding schedule available for review. Feeding schedules were not updated as changes occurred. I reminded staff to post the feeding schedules in the food preparation area. Bottles and water bottles should be dated and labeled each day. The safe sleep policy was not posted in classrooms for children under 12 months of age. This was corrected today. Safe sleep checks were documented as required. Emergency medications were monitored. Arrival and departure times were documented as required. Playground inspections were completed as required. Fire and emergency drills were completed and documented as required. The playground was monitored. I observed a wood platform stage at the rear of the playground. The fence beside the platform was below four (4) feet. Administrative Action requirements were monitored today as well. The action was observed posted at the front door. Ms. Kara-Barnes submitted revisions to the Corrective Action Plan (CAP) stipulations on 7/29/24. One (1) additional change was required before approval. Ms. Kara-Barnes stated she would email the revision this week. The following violation(s) were documented. Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before August 21, 2024. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant P.O. box 1967 Huntersville, NC 28078 jennifer.stansfieldl@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Bottles in Space 1 were not dated and labeled. 15A NCAC 18A .2804(d) 542 The written feeding plan was not modified as the child's needs changed. Feeding plans in Spaces 3 and 1 were not updated as new food was introduced. 10 NCAC 09 .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. A child with a medical action plan did not have the prescribed medication onsite. 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. Electrical outlets were observed uncovered in Space 4. 10A NCAC 09 .0604(c) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. An area of fencing beside the wood platform on the playground was below 4 feet. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A spray bottle of Odor Bond was not stored behind lock and key in Space 3. .2820(b) 847 Parent's medication authorization did not include required information. Permission for Auvi-Q was not available for review. 10A NCAC 09 .0803(4)(6-9) 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. Three (3) children did not update the emergency medical care information annually. .0802(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Two (2) children's discipline policy did not include the date of enrollment. .1804(b) 1830 Potential biocontaminants were not stored properly (locked storage, removed from premises, inaccessible to children, or covered plastic lined receptacle). A trashcan with soiled diapers was observed uncovered in the bathroom between Spaces 4 & 2. .0604(v) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before August 21, 2024. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant P.O. box 1967 Huntersville, NC 28078 jennifer.stansfieldl@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: - I recommend adding “date assigned to a classroom” on the employee Shaken Baby policy as the facility conducted training the first week of employment and did not care for children. - Teachers can add changes to the infant feeding plan per conversations with parents. They should document who they spoke with and the date they had the conversation. - All child incident reports should be logged. Incident reports should be placed in the child’s file and if medical treatment is required the incident report should be sent to the consultant within 7 calendar days. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 or Michele Sullivan, Licensing Supervisor, michele.sullivan.dhhs.nc.gov or 704-594-0147 if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: CHARLOTTE CHILD DEVELOPMENT CENTER Facility ID: 60003217 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 8/7/2024 Number Present: 48 Completed Date: 8/7/2024 Age: From 0 To 4 Total Minutes: 320 Time In: 10:40 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full annual compliance visit. The facility was currently operating with Five Star Rated License issued on July 27, 2017, and earned 7 points in the staff education component, 7 points in the program component and met the enhanced requirements + reduced ratios , and 1 quality point for approved enhanced policies and an infrastructure of parent involvement. The facility had an eighteen (18) month compliance history score of 81% prior to today’s visit. The March 2024 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Upon arrival I was greeted by Ms. Cynthia Kara-Barnes, Operator, and I explained the purpose of the visit. Ms. Chymera Gibson began her role as director on August 6, 2024. Ms. Gibson accompanied me on the walkthrough. I reviewed the highest voluntary enhanced ratio requirement with both Ms. Gibson and Ms. Kara-Barnes. Ms. Kara-Barnes stated she wanted to remove the restriction on the permit and reduce the program points to six (6). The facility would remain a five star center. Until the new permit is received the facility should continue to follow highest voluntary enhanced ratios. The last annual compliance visit was conducted August 15, 2023. The sanitation inspection was completed April 29, 2024 and received an “Approved” classification. The fire inspection was completed today and the facility was approved for daytime care only. The last inspection was completed 9/12/23. Each indoor and the outdoor space was monitored. Preschool aged children were observed participating in outdoor activities as well as eating lunch. Lunch met nutrition requirements and reflected what was listed on the menu. Staff was observed engaged and providing a nurturing environment. Children under twelve months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. Each child under fifteen months of age had a feeding schedule available for review. Feeding schedules were not updated as changes occurred. I reminded staff to post the feeding schedules in the food preparation area. Bottles and water bottles should be dated and labeled each day. The safe sleep policy was not posted in classrooms for children under 12 months of age. This was corrected today. Safe sleep checks were documented as required. Emergency medications were monitored. Arrival and departure times were documented as required. Playground inspections were completed as required. Fire and emergency drills were completed and documented as required. The playground was monitored. I observed a wood platform stage at the rear of the playground. The fence beside the platform was below four (4) feet. Administrative Action requirements were monitored today as well. The action was observed posted at the front door. Ms. Kara-Barnes submitted revisions to the Corrective Action Plan (CAP) stipulations on 7/29/24. One (1) additional change was required before approval. Ms. Kara-Barnes stated she would email the revision this week. The following violation(s) were documented. Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before August 21, 2024. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant P.O. box 1967 Huntersville, NC 28078 jennifer.stansfieldl@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Bottles in Space 1 were not dated and labeled. 15A NCAC 18A .2804(d) 542 The written feeding plan was not modified as the child's needs changed. Feeding plans in Spaces 3 and 1 were not updated as new food was introduced. 10 NCAC 09 .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. A child with a medical action plan did not have the prescribed medication onsite. 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. Electrical outlets were observed uncovered in Space 4. 10A NCAC 09 .0604(c) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. An area of fencing beside the wood platform on the playground was below 4 feet. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A spray bottle of Odor Bond was not stored behind lock and key in Space 3. .2820(b) 847 Parent's medication authorization did not include required information. Permission for Auvi-Q was not available for review. 10A NCAC 09 .0803(4)(6-9) 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. Three (3) children did not update the emergency medical care information annually. .0802(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Two (2) children's discipline policy did not include the date of enrollment. .1804(b) 1830 Potential biocontaminants were not stored properly (locked storage, removed from premises, inaccessible to children, or covered plastic lined receptacle). A trashcan with soiled diapers was observed uncovered in the bathroom between Spaces 4 & 2. .0604(v) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before August 21, 2024. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant P.O. box 1967 Huntersville, NC 28078 jennifer.stansfieldl@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: - I recommend adding “date assigned to a classroom” on the employee Shaken Baby policy as the facility conducted training the first week of employment and did not care for children. - Teachers can add changes to the infant feeding plan per conversations with parents. They should document who they spoke with and the date they had the conversation. - All child incident reports should be logged. Incident reports should be placed in the child’s file and if medical treatment is required the incident report should be sent to the consultant within 7 calendar days. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 or Michele Sullivan, Licensing Supervisor, michele.sullivan.dhhs.nc.gov or 704-594-0147 if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: CHARLOTTE CHILD DEVELOPMENT CENTER Facility ID: 60003217 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 8/7/2024 Number Present: 48 Completed Date: 8/7/2024 Age: From 0 To 4 Total Minutes: 320 Time In: 10:40 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full annual compliance visit. The facility was currently operating with Five Star Rated License issued on July 27, 2017, and earned 7 points in the staff education component, 7 points in the program component and met the enhanced requirements + reduced ratios , and 1 quality point for approved enhanced policies and an infrastructure of parent involvement. The facility had an eighteen (18) month compliance history score of 81% prior to today’s visit. The March 2024 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Upon arrival I was greeted by Ms. Cynthia Kara-Barnes, Operator, and I explained the purpose of the visit. Ms. Chymera Gibson began her role as director on August 6, 2024. Ms. Gibson accompanied me on the walkthrough. I reviewed the highest voluntary enhanced ratio requirement with both Ms. Gibson and Ms. Kara-Barnes. Ms. Kara-Barnes stated she wanted to remove the restriction on the permit and reduce the program points to six (6). The facility would remain a five star center. Until the new permit is received the facility should continue to follow highest voluntary enhanced ratios. The last annual compliance visit was conducted August 15, 2023. The sanitation inspection was completed April 29, 2024 and received an “Approved” classification. The fire inspection was completed today and the facility was approved for daytime care only. The last inspection was completed 9/12/23. Each indoor and the outdoor space was monitored. Preschool aged children were observed participating in outdoor activities as well as eating lunch. Lunch met nutrition requirements and reflected what was listed on the menu. Staff was observed engaged and providing a nurturing environment. Children under twelve months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. Each child under fifteen months of age had a feeding schedule available for review. Feeding schedules were not updated as changes occurred. I reminded staff to post the feeding schedules in the food preparation area. Bottles and water bottles should be dated and labeled each day. The safe sleep policy was not posted in classrooms for children under 12 months of age. This was corrected today. Safe sleep checks were documented as required. Emergency medications were monitored. Arrival and departure times were documented as required. Playground inspections were completed as required. Fire and emergency drills were completed and documented as required. The playground was monitored. I observed a wood platform stage at the rear of the playground. The fence beside the platform was below four (4) feet. Administrative Action requirements were monitored today as well. The action was observed posted at the front door. Ms. Kara-Barnes submitted revisions to the Corrective Action Plan (CAP) stipulations on 7/29/24. One (1) additional change was required before approval. Ms. Kara-Barnes stated she would email the revision this week. The following violation(s) were documented. Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before August 21, 2024. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant P.O. box 1967 Huntersville, NC 28078 jennifer.stansfieldl@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Bottles in Space 1 were not dated and labeled. 15A NCAC 18A .2804(d) 542 The written feeding plan was not modified as the child's needs changed. Feeding plans in Spaces 3 and 1 were not updated as new food was introduced. 10 NCAC 09 .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. A child with a medical action plan did not have the prescribed medication onsite. 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. Electrical outlets were observed uncovered in Space 4. 10A NCAC 09 .0604(c) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. An area of fencing beside the wood platform on the playground was below 4 feet. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A spray bottle of Odor Bond was not stored behind lock and key in Space 3. .2820(b) 847 Parent's medication authorization did not include required information. Permission for Auvi-Q was not available for review. 10A NCAC 09 .0803(4)(6-9) 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. Three (3) children did not update the emergency medical care information annually. .0802(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Two (2) children's discipline policy did not include the date of enrollment. .1804(b) 1830 Potential biocontaminants were not stored properly (locked storage, removed from premises, inaccessible to children, or covered plastic lined receptacle). A trashcan with soiled diapers was observed uncovered in the bathroom between Spaces 4 & 2. .0604(v) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before August 21, 2024. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant P.O. box 1967 Huntersville, NC 28078 jennifer.stansfieldl@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: - I recommend adding “date assigned to a classroom” on the employee Shaken Baby policy as the facility conducted training the first week of employment and did not care for children. - Teachers can add changes to the infant feeding plan per conversations with parents. They should document who they spoke with and the date they had the conversation. - All child incident reports should be logged. Incident reports should be placed in the child’s file and if medical treatment is required the incident report should be sent to the consultant within 7 calendar days. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 or Michele Sullivan, Licensing Supervisor, michele.sullivan.dhhs.nc.gov or 704-594-0147 if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: CHARLOTTE CHILD DEVELOPMENT CENTER Facility ID: 60003217 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 8/7/2024 Number Present: 48 Completed Date: 8/7/2024 Age: From 0 To 4 Total Minutes: 320 Time In: 10:40 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full annual compliance visit. The facility was currently operating with Five Star Rated License issued on July 27, 2017, and earned 7 points in the staff education component, 7 points in the program component and met the enhanced requirements + reduced ratios , and 1 quality point for approved enhanced policies and an infrastructure of parent involvement. The facility had an eighteen (18) month compliance history score of 81% prior to today’s visit. The March 2024 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Upon arrival I was greeted by Ms. Cynthia Kara-Barnes, Operator, and I explained the purpose of the visit. Ms. Chymera Gibson began her role as director on August 6, 2024. Ms. Gibson accompanied me on the walkthrough. I reviewed the highest voluntary enhanced ratio requirement with both Ms. Gibson and Ms. Kara-Barnes. Ms. Kara-Barnes stated she wanted to remove the restriction on the permit and reduce the program points to six (6). The facility would remain a five star center. Until the new permit is received the facility should continue to follow highest voluntary enhanced ratios. The last annual compliance visit was conducted August 15, 2023. The sanitation inspection was completed April 29, 2024 and received an “Approved” classification. The fire inspection was completed today and the facility was approved for daytime care only. The last inspection was completed 9/12/23. Each indoor and the outdoor space was monitored. Preschool aged children were observed participating in outdoor activities as well as eating lunch. Lunch met nutrition requirements and reflected what was listed on the menu. Staff was observed engaged and providing a nurturing environment. Children under twelve months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. Each child under fifteen months of age had a feeding schedule available for review. Feeding schedules were not updated as changes occurred. I reminded staff to post the feeding schedules in the food preparation area. Bottles and water bottles should be dated and labeled each day. The safe sleep policy was not posted in classrooms for children under 12 months of age. This was corrected today. Safe sleep checks were documented as required. Emergency medications were monitored. Arrival and departure times were documented as required. Playground inspections were completed as required. Fire and emergency drills were completed and documented as required. The playground was monitored. I observed a wood platform stage at the rear of the playground. The fence beside the platform was below four (4) feet. Administrative Action requirements were monitored today as well. The action was observed posted at the front door. Ms. Kara-Barnes submitted revisions to the Corrective Action Plan (CAP) stipulations on 7/29/24. One (1) additional change was required before approval. Ms. Kara-Barnes stated she would email the revision this week. The following violation(s) were documented. Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before August 21, 2024. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant P.O. box 1967 Huntersville, NC 28078 jennifer.stansfieldl@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Bottles in Space 1 were not dated and labeled. 15A NCAC 18A .2804(d) 542 The written feeding plan was not modified as the child's needs changed. Feeding plans in Spaces 3 and 1 were not updated as new food was introduced. 10 NCAC 09 .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. A child with a medical action plan did not have the prescribed medication onsite. 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. Electrical outlets were observed uncovered in Space 4. 10A NCAC 09 .0604(c) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. An area of fencing beside the wood platform on the playground was below 4 feet. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A spray bottle of Odor Bond was not stored behind lock and key in Space 3. .2820(b) 847 Parent's medication authorization did not include required information. Permission for Auvi-Q was not available for review. 10A NCAC 09 .0803(4)(6-9) 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. Three (3) children did not update the emergency medical care information annually. .0802(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Two (2) children's discipline policy did not include the date of enrollment. .1804(b) 1830 Potential biocontaminants were not stored properly (locked storage, removed from premises, inaccessible to children, or covered plastic lined receptacle). A trashcan with soiled diapers was observed uncovered in the bathroom between Spaces 4 & 2. .0604(v) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before August 21, 2024. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant P.O. box 1967 Huntersville, NC 28078 jennifer.stansfieldl@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: - I recommend adding “date assigned to a classroom” on the employee Shaken Baby policy as the facility conducted training the first week of employment and did not care for children. - Teachers can add changes to the infant feeding plan per conversations with parents. They should document who they spoke with and the date they had the conversation. - All child incident reports should be logged. Incident reports should be placed in the child’s file and if medical treatment is required the incident report should be sent to the consultant within 7 calendar days. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 or Michele Sullivan, Licensing Supervisor, michele.sullivan.dhhs.nc.gov or 704-594-0147 if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: CHARLOTTE CHILD DEVELOPMENT CENTER Facility ID: 60003217 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 5/17/2024 Number Present: 48 Completed Date: 5/17/2024 Age: From 0 To 4 Total Minutes: 150 Time In: 10:10 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to verify compliance with child care requirement violations cited during the administrative action follow-up visit conducted on 5/2/24 when supervision was cited. Upon arrival I entered the playground where two (2) teachers were observed supervising children. One (1) of the teachers allowed me entry to the infant classroom where I met Ms. TJ Wherry, Director, and explained the purpose of the visit. She stated Ms. Cynthia Kara-Barnes, owner/operator, was not onsite. Ms. Wherry asked the cook to come to the classroom while she gathered files for me to review and complete a walkthrough of the facility. Two (2) classrooms, Space 4 and Space 2, were on a walking field trip to the E.B Moore Park. I observed a list of children on the field trip posted outside each classroom. I requested to review staff files for employees who had missing/inaccurate information in their files during the visit conducted on 5/2/24. During the review I observed two (2) employees with signed medical and TB forms, however there was missing information at the bottom of the forms. I called the medical practice, Piedmont Family Practice at Rock Hill, listed on the forms to verify the doctor and patient information. I spoke with the office manager, and she requested the forms for verification as the name listed on the forms was not a physician at the practice. I sent an encrypted email with the forms attached. The following violations were observed corrected: Item #108 G.S. 110-91(14) The operator made an effort to falsify information. The orientation form for three (3) new employees indicated eighteen (18) hours of orientation was conducted on 3/29/24. Two (2) employees confirmed they did not receive eighteen (18) hours of orientation on 3/29/24.The form was signed by the owner. Three (3) staff medical forms were signed by an individual who did not conduct a medical exam on the employees and two (2) TB screenings were signed by an individual who did not screen the employees per employee interviews. I observed new orientation forms completed for three (3) employees. The forms listed the number of hours, date of orientation, and who completed the orientation. Three (3) employees were asked to get new medical and TB forms signed. Two TB screenings were not valid and one (1) medical report was not valid however the operator did not falsify the signatures. The forms were turned in by the employees. Item #303 10A NCAC 09 .1801(a)(1-5) Children were not adequately supervised at all times. A child from Space 2 was observed walking out of the classroom and across the hall to cubbies. Teachers were unaware the child left the room. I observed cubbies placed inside the classroom of Space 4 and Space 2 to prevent children from exiting the room to use their cubbies. Adequate supervision was observed during the visit. Item #844 10A NCAC 09 .0803(2)(a) Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A child's Auvi-Q did not have the prescription attached to the medication and was not in the original container. Repeat violation. I observed the Auvi-Q onsite with the Rx attached. Item #880 10A NCAC 09 .0604(r) Non-mobile children were enrolled and the center did not have a crib or other approved device to safely evacuate the children in an emergency. There was currently one (1) evacuation crib in the infant classroom. It was reported that ten (10) infants were enrolled. There were five (5) infants present today. The requirement is an evacuation crib for every 5 infants enrolled. I observed two (2) evacuation cribs in Space 3 for infant care. Item #1321 GS110-91(1) Medical exam or health assessment record was not on file before or within 30 days after admission. Siblings enrolled 7/17/23 did not have a medical assessment on file completed by a health care professional. I observed medical assessments completed for both children. Item #1834 10A NCAC 09 .0801(b) 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. A child with Auvi-Q epinephrine onsite did not have a medical action plan completed for review. Repeat violation. I observed a completed Medical Action Plan completed. Item #1882 10A NCAC 09 .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Two (2) medication authorizations were not signed by the parent and one (1) form did not indicate the child’s name or date of birth, medication name, or when to administer the medication. I observed a completed medication authorization. The following violations were cited again today: Item #1045 10A NCAC 09 .1101(a) New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. It was reported that 2 hours of orientation was completed within the first 6 weeks of employment. The number of hours listed on the form was inaccurate. I observed 4.5 hours documented for the first two weeks of employment and 10 hours total documented for the first six weeks of employment. Repeat violation Item #1067 10A NCAC 09 .1101(a)(b) Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Six clock hours of orientation could not be verified for three (3) employees as the information listed on the form was inaccurate. I observed updated orientation forms for the three (3) employees, however six (6) hours of orientation was not documented. Each employee was short 1.5 hours of orientation as listed on the form. Repeat violation. Item #1032 10A NCAC 09 .0701(a) Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Three (3) employee medical forms on file were not completed prior to employment by a health care professional that could be verified. Repeat violation. I observed two (2) employees with an updated medical form. One (1) employee’s form was invalid as the medical practice office manager confirmed it was not signed by a doctor and that she was not a patient at the practice. Repeat violation Item #1033 10A NCAC 09 .0701(a) On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) employee TB screenings were not completed prior to employment by a health care professional that could be verified. Repeat violation. I observed that two (2) TB screenings were invalid as they were not signed by a doctor and it was confirmed by the medical practice office manager that they were not patients at the practice. Repeat violation Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) employee’s medical report was invalid as it was confirmed by the office manager of the medical practice that it was not signed by a doctor at the practice. Repeat violation 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) TB screenings were invalid as they were not signed by a doctor. The information was confirmed by the medical practice office manager that the person who signed the document was not a doctor at the practice. Repeat violation .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff had 4.5 hours documented for the first two weeks of employment and 10 hours total documented for the first six weeks of employment. Repeat violation .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Orientation forms were updated for three (3) employees, however six (6) hours of orientation was not documented. Each employee was short 1.5 hours of orientation as listed on the form. Repeat violation. .1101(a)(b) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Friday, May 31, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Comments: - Ms. Kara-Barnes requested a full rules review. The review is scheduled for 5/29/24 at 5:15 pm for all staff. Thank you for your time today. Please contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 with questions or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: CHARLOTTE CHILD DEVELOPMENT CENTER Facility ID: 60003217 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 5/17/2024 Number Present: 48 Completed Date: 5/17/2024 Age: From 0 To 4 Total Minutes: 150 Time In: 10:10 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to verify compliance with child care requirement violations cited during the administrative action follow-up visit conducted on 5/2/24 when supervision was cited. Upon arrival I entered the playground where two (2) teachers were observed supervising children. One (1) of the teachers allowed me entry to the infant classroom where I met Ms. TJ Wherry, Director, and explained the purpose of the visit. She stated Ms. Cynthia Kara-Barnes, owner/operator, was not onsite. Ms. Wherry asked the cook to come to the classroom while she gathered files for me to review and complete a walkthrough of the facility. Two (2) classrooms, Space 4 and Space 2, were on a walking field trip to the E.B Moore Park. I observed a list of children on the field trip posted outside each classroom. I requested to review staff files for employees who had missing/inaccurate information in their files during the visit conducted on 5/2/24. During the review I observed two (2) employees with signed medical and TB forms, however there was missing information at the bottom of the forms. I called the medical practice, Piedmont Family Practice at Rock Hill, listed on the forms to verify the doctor and patient information. I spoke with the office manager, and she requested the forms for verification as the name listed on the forms was not a physician at the practice. I sent an encrypted email with the forms attached. The following violations were observed corrected: Item #108 G.S. 110-91(14) The operator made an effort to falsify information. The orientation form for three (3) new employees indicated eighteen (18) hours of orientation was conducted on 3/29/24. Two (2) employees confirmed they did not receive eighteen (18) hours of orientation on 3/29/24.The form was signed by the owner. Three (3) staff medical forms were signed by an individual who did not conduct a medical exam on the employees and two (2) TB screenings were signed by an individual who did not screen the employees per employee interviews. I observed new orientation forms completed for three (3) employees. The forms listed the number of hours, date of orientation, and who completed the orientation. Three (3) employees were asked to get new medical and TB forms signed. Two TB screenings were not valid and one (1) medical report was not valid however the operator did not falsify the signatures. The forms were turned in by the employees. Item #303 10A NCAC 09 .1801(a)(1-5) Children were not adequately supervised at all times. A child from Space 2 was observed walking out of the classroom and across the hall to cubbies. Teachers were unaware the child left the room. I observed cubbies placed inside the classroom of Space 4 and Space 2 to prevent children from exiting the room to use their cubbies. Adequate supervision was observed during the visit. Item #844 10A NCAC 09 .0803(2)(a) Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A child's Auvi-Q did not have the prescription attached to the medication and was not in the original container. Repeat violation. I observed the Auvi-Q onsite with the Rx attached. Item #880 10A NCAC 09 .0604(r) Non-mobile children were enrolled and the center did not have a crib or other approved device to safely evacuate the children in an emergency. There was currently one (1) evacuation crib in the infant classroom. It was reported that ten (10) infants were enrolled. There were five (5) infants present today. The requirement is an evacuation crib for every 5 infants enrolled. I observed two (2) evacuation cribs in Space 3 for infant care. Item #1321 GS110-91(1) Medical exam or health assessment record was not on file before or within 30 days after admission. Siblings enrolled 7/17/23 did not have a medical assessment on file completed by a health care professional. I observed medical assessments completed for both children. Item #1834 10A NCAC 09 .0801(b) 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. A child with Auvi-Q epinephrine onsite did not have a medical action plan completed for review. Repeat violation. I observed a completed Medical Action Plan completed. Item #1882 10A NCAC 09 .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Two (2) medication authorizations were not signed by the parent and one (1) form did not indicate the child’s name or date of birth, medication name, or when to administer the medication. I observed a completed medication authorization. The following violations were cited again today: Item #1045 10A NCAC 09 .1101(a) New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. It was reported that 2 hours of orientation was completed within the first 6 weeks of employment. The number of hours listed on the form was inaccurate. I observed 4.5 hours documented for the first two weeks of employment and 10 hours total documented for the first six weeks of employment. Repeat violation Item #1067 10A NCAC 09 .1101(a)(b) Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Six clock hours of orientation could not be verified for three (3) employees as the information listed on the form was inaccurate. I observed updated orientation forms for the three (3) employees, however six (6) hours of orientation was not documented. Each employee was short 1.5 hours of orientation as listed on the form. Repeat violation. Item #1032 10A NCAC 09 .0701(a) Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Three (3) employee medical forms on file were not completed prior to employment by a health care professional that could be verified. Repeat violation. I observed two (2) employees with an updated medical form. One (1) employee’s form was invalid as the medical practice office manager confirmed it was not signed by a doctor and that she was not a patient at the practice. Repeat violation Item #1033 10A NCAC 09 .0701(a) On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) employee TB screenings were not completed prior to employment by a health care professional that could be verified. Repeat violation. I observed that two (2) TB screenings were invalid as they were not signed by a doctor and it was confirmed by the medical practice office manager that they were not patients at the practice. Repeat violation Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) employee’s medical report was invalid as it was confirmed by the office manager of the medical practice that it was not signed by a doctor at the practice. Repeat violation 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) TB screenings were invalid as they were not signed by a doctor. The information was confirmed by the medical practice office manager that the person who signed the document was not a doctor at the practice. Repeat violation .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff had 4.5 hours documented for the first two weeks of employment and 10 hours total documented for the first six weeks of employment. Repeat violation .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Orientation forms were updated for three (3) employees, however six (6) hours of orientation was not documented. Each employee was short 1.5 hours of orientation as listed on the form. Repeat violation. .1101(a)(b) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Friday, May 31, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Comments: - Ms. Kara-Barnes requested a full rules review. The review is scheduled for 5/29/24 at 5:15 pm for all staff. Thank you for your time today. Please contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 with questions or concerns. 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 .0801 · Violation

Name of Operation: CHARLOTTE CHILD DEVELOPMENT CENTER Facility ID: 60003217 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 5/17/2024 Number Present: 48 Completed Date: 5/17/2024 Age: From 0 To 4 Total Minutes: 150 Time In: 10:10 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to verify compliance with child care requirement violations cited during the administrative action follow-up visit conducted on 5/2/24 when supervision was cited. Upon arrival I entered the playground where two (2) teachers were observed supervising children. One (1) of the teachers allowed me entry to the infant classroom where I met Ms. TJ Wherry, Director, and explained the purpose of the visit. She stated Ms. Cynthia Kara-Barnes, owner/operator, was not onsite. Ms. Wherry asked the cook to come to the classroom while she gathered files for me to review and complete a walkthrough of the facility. Two (2) classrooms, Space 4 and Space 2, were on a walking field trip to the E.B Moore Park. I observed a list of children on the field trip posted outside each classroom. I requested to review staff files for employees who had missing/inaccurate information in their files during the visit conducted on 5/2/24. During the review I observed two (2) employees with signed medical and TB forms, however there was missing information at the bottom of the forms. I called the medical practice, Piedmont Family Practice at Rock Hill, listed on the forms to verify the doctor and patient information. I spoke with the office manager, and she requested the forms for verification as the name listed on the forms was not a physician at the practice. I sent an encrypted email with the forms attached. The following violations were observed corrected: Item #108 G.S. 110-91(14) The operator made an effort to falsify information. The orientation form for three (3) new employees indicated eighteen (18) hours of orientation was conducted on 3/29/24. Two (2) employees confirmed they did not receive eighteen (18) hours of orientation on 3/29/24.The form was signed by the owner. Three (3) staff medical forms were signed by an individual who did not conduct a medical exam on the employees and two (2) TB screenings were signed by an individual who did not screen the employees per employee interviews. I observed new orientation forms completed for three (3) employees. The forms listed the number of hours, date of orientation, and who completed the orientation. Three (3) employees were asked to get new medical and TB forms signed. Two TB screenings were not valid and one (1) medical report was not valid however the operator did not falsify the signatures. The forms were turned in by the employees. Item #303 10A NCAC 09 .1801(a)(1-5) Children were not adequately supervised at all times. A child from Space 2 was observed walking out of the classroom and across the hall to cubbies. Teachers were unaware the child left the room. I observed cubbies placed inside the classroom of Space 4 and Space 2 to prevent children from exiting the room to use their cubbies. Adequate supervision was observed during the visit. Item #844 10A NCAC 09 .0803(2)(a) Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A child's Auvi-Q did not have the prescription attached to the medication and was not in the original container. Repeat violation. I observed the Auvi-Q onsite with the Rx attached. Item #880 10A NCAC 09 .0604(r) Non-mobile children were enrolled and the center did not have a crib or other approved device to safely evacuate the children in an emergency. There was currently one (1) evacuation crib in the infant classroom. It was reported that ten (10) infants were enrolled. There were five (5) infants present today. The requirement is an evacuation crib for every 5 infants enrolled. I observed two (2) evacuation cribs in Space 3 for infant care. Item #1321 GS110-91(1) Medical exam or health assessment record was not on file before or within 30 days after admission. Siblings enrolled 7/17/23 did not have a medical assessment on file completed by a health care professional. I observed medical assessments completed for both children. Item #1834 10A NCAC 09 .0801(b) 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. A child with Auvi-Q epinephrine onsite did not have a medical action plan completed for review. Repeat violation. I observed a completed Medical Action Plan completed. Item #1882 10A NCAC 09 .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Two (2) medication authorizations were not signed by the parent and one (1) form did not indicate the child’s name or date of birth, medication name, or when to administer the medication. I observed a completed medication authorization. The following violations were cited again today: Item #1045 10A NCAC 09 .1101(a) New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. It was reported that 2 hours of orientation was completed within the first 6 weeks of employment. The number of hours listed on the form was inaccurate. I observed 4.5 hours documented for the first two weeks of employment and 10 hours total documented for the first six weeks of employment. Repeat violation Item #1067 10A NCAC 09 .1101(a)(b) Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Six clock hours of orientation could not be verified for three (3) employees as the information listed on the form was inaccurate. I observed updated orientation forms for the three (3) employees, however six (6) hours of orientation was not documented. Each employee was short 1.5 hours of orientation as listed on the form. Repeat violation. Item #1032 10A NCAC 09 .0701(a) Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Three (3) employee medical forms on file were not completed prior to employment by a health care professional that could be verified. Repeat violation. I observed two (2) employees with an updated medical form. One (1) employee’s form was invalid as the medical practice office manager confirmed it was not signed by a doctor and that she was not a patient at the practice. Repeat violation Item #1033 10A NCAC 09 .0701(a) On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) employee TB screenings were not completed prior to employment by a health care professional that could be verified. Repeat violation. I observed that two (2) TB screenings were invalid as they were not signed by a doctor and it was confirmed by the medical practice office manager that they were not patients at the practice. Repeat violation Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) employee’s medical report was invalid as it was confirmed by the office manager of the medical practice that it was not signed by a doctor at the practice. Repeat violation 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) TB screenings were invalid as they were not signed by a doctor. The information was confirmed by the medical practice office manager that the person who signed the document was not a doctor at the practice. Repeat violation .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff had 4.5 hours documented for the first two weeks of employment and 10 hours total documented for the first six weeks of employment. Repeat violation .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Orientation forms were updated for three (3) employees, however six (6) hours of orientation was not documented. Each employee was short 1.5 hours of orientation as listed on the form. Repeat violation. .1101(a)(b) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Friday, May 31, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Comments: - Ms. Kara-Barnes requested a full rules review. The review is scheduled for 5/29/24 at 5:15 pm for all staff. Thank you for your time today. Please contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 with questions or concerns. 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: CHARLOTTE CHILD DEVELOPMENT CENTER Facility ID: 60003217 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 5/17/2024 Number Present: 48 Completed Date: 5/17/2024 Age: From 0 To 4 Total Minutes: 150 Time In: 10:10 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to verify compliance with child care requirement violations cited during the administrative action follow-up visit conducted on 5/2/24 when supervision was cited. Upon arrival I entered the playground where two (2) teachers were observed supervising children. One (1) of the teachers allowed me entry to the infant classroom where I met Ms. TJ Wherry, Director, and explained the purpose of the visit. She stated Ms. Cynthia Kara-Barnes, owner/operator, was not onsite. Ms. Wherry asked the cook to come to the classroom while she gathered files for me to review and complete a walkthrough of the facility. Two (2) classrooms, Space 4 and Space 2, were on a walking field trip to the E.B Moore Park. I observed a list of children on the field trip posted outside each classroom. I requested to review staff files for employees who had missing/inaccurate information in their files during the visit conducted on 5/2/24. During the review I observed two (2) employees with signed medical and TB forms, however there was missing information at the bottom of the forms. I called the medical practice, Piedmont Family Practice at Rock Hill, listed on the forms to verify the doctor and patient information. I spoke with the office manager, and she requested the forms for verification as the name listed on the forms was not a physician at the practice. I sent an encrypted email with the forms attached. The following violations were observed corrected: Item #108 G.S. 110-91(14) The operator made an effort to falsify information. The orientation form for three (3) new employees indicated eighteen (18) hours of orientation was conducted on 3/29/24. Two (2) employees confirmed they did not receive eighteen (18) hours of orientation on 3/29/24.The form was signed by the owner. Three (3) staff medical forms were signed by an individual who did not conduct a medical exam on the employees and two (2) TB screenings were signed by an individual who did not screen the employees per employee interviews. I observed new orientation forms completed for three (3) employees. The forms listed the number of hours, date of orientation, and who completed the orientation. Three (3) employees were asked to get new medical and TB forms signed. Two TB screenings were not valid and one (1) medical report was not valid however the operator did not falsify the signatures. The forms were turned in by the employees. Item #303 10A NCAC 09 .1801(a)(1-5) Children were not adequately supervised at all times. A child from Space 2 was observed walking out of the classroom and across the hall to cubbies. Teachers were unaware the child left the room. I observed cubbies placed inside the classroom of Space 4 and Space 2 to prevent children from exiting the room to use their cubbies. Adequate supervision was observed during the visit. Item #844 10A NCAC 09 .0803(2)(a) Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A child's Auvi-Q did not have the prescription attached to the medication and was not in the original container. Repeat violation. I observed the Auvi-Q onsite with the Rx attached. Item #880 10A NCAC 09 .0604(r) Non-mobile children were enrolled and the center did not have a crib or other approved device to safely evacuate the children in an emergency. There was currently one (1) evacuation crib in the infant classroom. It was reported that ten (10) infants were enrolled. There were five (5) infants present today. The requirement is an evacuation crib for every 5 infants enrolled. I observed two (2) evacuation cribs in Space 3 for infant care. Item #1321 GS110-91(1) Medical exam or health assessment record was not on file before or within 30 days after admission. Siblings enrolled 7/17/23 did not have a medical assessment on file completed by a health care professional. I observed medical assessments completed for both children. Item #1834 10A NCAC 09 .0801(b) 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. A child with Auvi-Q epinephrine onsite did not have a medical action plan completed for review. Repeat violation. I observed a completed Medical Action Plan completed. Item #1882 10A NCAC 09 .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Two (2) medication authorizations were not signed by the parent and one (1) form did not indicate the child’s name or date of birth, medication name, or when to administer the medication. I observed a completed medication authorization. The following violations were cited again today: Item #1045 10A NCAC 09 .1101(a) New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. It was reported that 2 hours of orientation was completed within the first 6 weeks of employment. The number of hours listed on the form was inaccurate. I observed 4.5 hours documented for the first two weeks of employment and 10 hours total documented for the first six weeks of employment. Repeat violation Item #1067 10A NCAC 09 .1101(a)(b) Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Six clock hours of orientation could not be verified for three (3) employees as the information listed on the form was inaccurate. I observed updated orientation forms for the three (3) employees, however six (6) hours of orientation was not documented. Each employee was short 1.5 hours of orientation as listed on the form. Repeat violation. Item #1032 10A NCAC 09 .0701(a) Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Three (3) employee medical forms on file were not completed prior to employment by a health care professional that could be verified. Repeat violation. I observed two (2) employees with an updated medical form. One (1) employee’s form was invalid as the medical practice office manager confirmed it was not signed by a doctor and that she was not a patient at the practice. Repeat violation Item #1033 10A NCAC 09 .0701(a) On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) employee TB screenings were not completed prior to employment by a health care professional that could be verified. Repeat violation. I observed that two (2) TB screenings were invalid as they were not signed by a doctor and it was confirmed by the medical practice office manager that they were not patients at the practice. Repeat violation Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) employee’s medical report was invalid as it was confirmed by the office manager of the medical practice that it was not signed by a doctor at the practice. Repeat violation 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) TB screenings were invalid as they were not signed by a doctor. The information was confirmed by the medical practice office manager that the person who signed the document was not a doctor at the practice. Repeat violation .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff had 4.5 hours documented for the first two weeks of employment and 10 hours total documented for the first six weeks of employment. Repeat violation .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Orientation forms were updated for three (3) employees, however six (6) hours of orientation was not documented. Each employee was short 1.5 hours of orientation as listed on the form. Repeat violation. .1101(a)(b) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Friday, May 31, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Comments: - Ms. Kara-Barnes requested a full rules review. The review is scheduled for 5/29/24 at 5:15 pm for all staff. Thank you for your time today. Please contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 with questions or concerns. 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 .1101 · Violation

Name of Operation: CHARLOTTE CHILD DEVELOPMENT CENTER Facility ID: 60003217 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 5/17/2024 Number Present: 48 Completed Date: 5/17/2024 Age: From 0 To 4 Total Minutes: 150 Time In: 10:10 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to verify compliance with child care requirement violations cited during the administrative action follow-up visit conducted on 5/2/24 when supervision was cited. Upon arrival I entered the playground where two (2) teachers were observed supervising children. One (1) of the teachers allowed me entry to the infant classroom where I met Ms. TJ Wherry, Director, and explained the purpose of the visit. She stated Ms. Cynthia Kara-Barnes, owner/operator, was not onsite. Ms. Wherry asked the cook to come to the classroom while she gathered files for me to review and complete a walkthrough of the facility. Two (2) classrooms, Space 4 and Space 2, were on a walking field trip to the E.B Moore Park. I observed a list of children on the field trip posted outside each classroom. I requested to review staff files for employees who had missing/inaccurate information in their files during the visit conducted on 5/2/24. During the review I observed two (2) employees with signed medical and TB forms, however there was missing information at the bottom of the forms. I called the medical practice, Piedmont Family Practice at Rock Hill, listed on the forms to verify the doctor and patient information. I spoke with the office manager, and she requested the forms for verification as the name listed on the forms was not a physician at the practice. I sent an encrypted email with the forms attached. The following violations were observed corrected: Item #108 G.S. 110-91(14) The operator made an effort to falsify information. The orientation form for three (3) new employees indicated eighteen (18) hours of orientation was conducted on 3/29/24. Two (2) employees confirmed they did not receive eighteen (18) hours of orientation on 3/29/24.The form was signed by the owner. Three (3) staff medical forms were signed by an individual who did not conduct a medical exam on the employees and two (2) TB screenings were signed by an individual who did not screen the employees per employee interviews. I observed new orientation forms completed for three (3) employees. The forms listed the number of hours, date of orientation, and who completed the orientation. Three (3) employees were asked to get new medical and TB forms signed. Two TB screenings were not valid and one (1) medical report was not valid however the operator did not falsify the signatures. The forms were turned in by the employees. Item #303 10A NCAC 09 .1801(a)(1-5) Children were not adequately supervised at all times. A child from Space 2 was observed walking out of the classroom and across the hall to cubbies. Teachers were unaware the child left the room. I observed cubbies placed inside the classroom of Space 4 and Space 2 to prevent children from exiting the room to use their cubbies. Adequate supervision was observed during the visit. Item #844 10A NCAC 09 .0803(2)(a) Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A child's Auvi-Q did not have the prescription attached to the medication and was not in the original container. Repeat violation. I observed the Auvi-Q onsite with the Rx attached. Item #880 10A NCAC 09 .0604(r) Non-mobile children were enrolled and the center did not have a crib or other approved device to safely evacuate the children in an emergency. There was currently one (1) evacuation crib in the infant classroom. It was reported that ten (10) infants were enrolled. There were five (5) infants present today. The requirement is an evacuation crib for every 5 infants enrolled. I observed two (2) evacuation cribs in Space 3 for infant care. Item #1321 GS110-91(1) Medical exam or health assessment record was not on file before or within 30 days after admission. Siblings enrolled 7/17/23 did not have a medical assessment on file completed by a health care professional. I observed medical assessments completed for both children. Item #1834 10A NCAC 09 .0801(b) 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. A child with Auvi-Q epinephrine onsite did not have a medical action plan completed for review. Repeat violation. I observed a completed Medical Action Plan completed. Item #1882 10A NCAC 09 .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Two (2) medication authorizations were not signed by the parent and one (1) form did not indicate the child’s name or date of birth, medication name, or when to administer the medication. I observed a completed medication authorization. The following violations were cited again today: Item #1045 10A NCAC 09 .1101(a) New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. It was reported that 2 hours of orientation was completed within the first 6 weeks of employment. The number of hours listed on the form was inaccurate. I observed 4.5 hours documented for the first two weeks of employment and 10 hours total documented for the first six weeks of employment. Repeat violation Item #1067 10A NCAC 09 .1101(a)(b) Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Six clock hours of orientation could not be verified for three (3) employees as the information listed on the form was inaccurate. I observed updated orientation forms for the three (3) employees, however six (6) hours of orientation was not documented. Each employee was short 1.5 hours of orientation as listed on the form. Repeat violation. Item #1032 10A NCAC 09 .0701(a) Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Three (3) employee medical forms on file were not completed prior to employment by a health care professional that could be verified. Repeat violation. I observed two (2) employees with an updated medical form. One (1) employee’s form was invalid as the medical practice office manager confirmed it was not signed by a doctor and that she was not a patient at the practice. Repeat violation Item #1033 10A NCAC 09 .0701(a) On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) employee TB screenings were not completed prior to employment by a health care professional that could be verified. Repeat violation. I observed that two (2) TB screenings were invalid as they were not signed by a doctor and it was confirmed by the medical practice office manager that they were not patients at the practice. Repeat violation Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) employee’s medical report was invalid as it was confirmed by the office manager of the medical practice that it was not signed by a doctor at the practice. Repeat violation 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) TB screenings were invalid as they were not signed by a doctor. The information was confirmed by the medical practice office manager that the person who signed the document was not a doctor at the practice. Repeat violation .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff had 4.5 hours documented for the first two weeks of employment and 10 hours total documented for the first six weeks of employment. Repeat violation .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Orientation forms were updated for three (3) employees, however six (6) hours of orientation was not documented. Each employee was short 1.5 hours of orientation as listed on the form. Repeat violation. .1101(a)(b) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Friday, May 31, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Comments: - Ms. Kara-Barnes requested a full rules review. The review is scheduled for 5/29/24 at 5:15 pm for all staff. Thank you for your time today. Please contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 with questions or concerns. 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 .1801 · Violation

Name of Operation: CHARLOTTE CHILD DEVELOPMENT CENTER Facility ID: 60003217 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 5/17/2024 Number Present: 48 Completed Date: 5/17/2024 Age: From 0 To 4 Total Minutes: 150 Time In: 10:10 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to verify compliance with child care requirement violations cited during the administrative action follow-up visit conducted on 5/2/24 when supervision was cited. Upon arrival I entered the playground where two (2) teachers were observed supervising children. One (1) of the teachers allowed me entry to the infant classroom where I met Ms. TJ Wherry, Director, and explained the purpose of the visit. She stated Ms. Cynthia Kara-Barnes, owner/operator, was not onsite. Ms. Wherry asked the cook to come to the classroom while she gathered files for me to review and complete a walkthrough of the facility. Two (2) classrooms, Space 4 and Space 2, were on a walking field trip to the E.B Moore Park. I observed a list of children on the field trip posted outside each classroom. I requested to review staff files for employees who had missing/inaccurate information in their files during the visit conducted on 5/2/24. During the review I observed two (2) employees with signed medical and TB forms, however there was missing information at the bottom of the forms. I called the medical practice, Piedmont Family Practice at Rock Hill, listed on the forms to verify the doctor and patient information. I spoke with the office manager, and she requested the forms for verification as the name listed on the forms was not a physician at the practice. I sent an encrypted email with the forms attached. The following violations were observed corrected: Item #108 G.S. 110-91(14) The operator made an effort to falsify information. The orientation form for three (3) new employees indicated eighteen (18) hours of orientation was conducted on 3/29/24. Two (2) employees confirmed they did not receive eighteen (18) hours of orientation on 3/29/24.The form was signed by the owner. Three (3) staff medical forms were signed by an individual who did not conduct a medical exam on the employees and two (2) TB screenings were signed by an individual who did not screen the employees per employee interviews. I observed new orientation forms completed for three (3) employees. The forms listed the number of hours, date of orientation, and who completed the orientation. Three (3) employees were asked to get new medical and TB forms signed. Two TB screenings were not valid and one (1) medical report was not valid however the operator did not falsify the signatures. The forms were turned in by the employees. Item #303 10A NCAC 09 .1801(a)(1-5) Children were not adequately supervised at all times. A child from Space 2 was observed walking out of the classroom and across the hall to cubbies. Teachers were unaware the child left the room. I observed cubbies placed inside the classroom of Space 4 and Space 2 to prevent children from exiting the room to use their cubbies. Adequate supervision was observed during the visit. Item #844 10A NCAC 09 .0803(2)(a) Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A child's Auvi-Q did not have the prescription attached to the medication and was not in the original container. Repeat violation. I observed the Auvi-Q onsite with the Rx attached. Item #880 10A NCAC 09 .0604(r) Non-mobile children were enrolled and the center did not have a crib or other approved device to safely evacuate the children in an emergency. There was currently one (1) evacuation crib in the infant classroom. It was reported that ten (10) infants were enrolled. There were five (5) infants present today. The requirement is an evacuation crib for every 5 infants enrolled. I observed two (2) evacuation cribs in Space 3 for infant care. Item #1321 GS110-91(1) Medical exam or health assessment record was not on file before or within 30 days after admission. Siblings enrolled 7/17/23 did not have a medical assessment on file completed by a health care professional. I observed medical assessments completed for both children. Item #1834 10A NCAC 09 .0801(b) 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. A child with Auvi-Q epinephrine onsite did not have a medical action plan completed for review. Repeat violation. I observed a completed Medical Action Plan completed. Item #1882 10A NCAC 09 .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Two (2) medication authorizations were not signed by the parent and one (1) form did not indicate the child’s name or date of birth, medication name, or when to administer the medication. I observed a completed medication authorization. The following violations were cited again today: Item #1045 10A NCAC 09 .1101(a) New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. It was reported that 2 hours of orientation was completed within the first 6 weeks of employment. The number of hours listed on the form was inaccurate. I observed 4.5 hours documented for the first two weeks of employment and 10 hours total documented for the first six weeks of employment. Repeat violation Item #1067 10A NCAC 09 .1101(a)(b) Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Six clock hours of orientation could not be verified for three (3) employees as the information listed on the form was inaccurate. I observed updated orientation forms for the three (3) employees, however six (6) hours of orientation was not documented. Each employee was short 1.5 hours of orientation as listed on the form. Repeat violation. Item #1032 10A NCAC 09 .0701(a) Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Three (3) employee medical forms on file were not completed prior to employment by a health care professional that could be verified. Repeat violation. I observed two (2) employees with an updated medical form. One (1) employee’s form was invalid as the medical practice office manager confirmed it was not signed by a doctor and that she was not a patient at the practice. Repeat violation Item #1033 10A NCAC 09 .0701(a) On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) employee TB screenings were not completed prior to employment by a health care professional that could be verified. Repeat violation. I observed that two (2) TB screenings were invalid as they were not signed by a doctor and it was confirmed by the medical practice office manager that they were not patients at the practice. Repeat violation Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) employee’s medical report was invalid as it was confirmed by the office manager of the medical practice that it was not signed by a doctor at the practice. Repeat violation 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) TB screenings were invalid as they were not signed by a doctor. The information was confirmed by the medical practice office manager that the person who signed the document was not a doctor at the practice. Repeat violation .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff had 4.5 hours documented for the first two weeks of employment and 10 hours total documented for the first six weeks of employment. Repeat violation .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Orientation forms were updated for three (3) employees, however six (6) hours of orientation was not documented. Each employee was short 1.5 hours of orientation as listed on the form. Repeat violation. .1101(a)(b) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Friday, May 31, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Comments: - Ms. Kara-Barnes requested a full rules review. The review is scheduled for 5/29/24 at 5:15 pm for all staff. Thank you for your time today. Please contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 with questions or concerns. 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: CHARLOTTE CHILD DEVELOPMENT CENTER Facility ID: 60003217 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 5/17/2024 Number Present: 48 Completed Date: 5/17/2024 Age: From 0 To 4 Total Minutes: 150 Time In: 10:10 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to verify compliance with child care requirement violations cited during the administrative action follow-up visit conducted on 5/2/24 when supervision was cited. Upon arrival I entered the playground where two (2) teachers were observed supervising children. One (1) of the teachers allowed me entry to the infant classroom where I met Ms. TJ Wherry, Director, and explained the purpose of the visit. She stated Ms. Cynthia Kara-Barnes, owner/operator, was not onsite. Ms. Wherry asked the cook to come to the classroom while she gathered files for me to review and complete a walkthrough of the facility. Two (2) classrooms, Space 4 and Space 2, were on a walking field trip to the E.B Moore Park. I observed a list of children on the field trip posted outside each classroom. I requested to review staff files for employees who had missing/inaccurate information in their files during the visit conducted on 5/2/24. During the review I observed two (2) employees with signed medical and TB forms, however there was missing information at the bottom of the forms. I called the medical practice, Piedmont Family Practice at Rock Hill, listed on the forms to verify the doctor and patient information. I spoke with the office manager, and she requested the forms for verification as the name listed on the forms was not a physician at the practice. I sent an encrypted email with the forms attached. The following violations were observed corrected: Item #108 G.S. 110-91(14) The operator made an effort to falsify information. The orientation form for three (3) new employees indicated eighteen (18) hours of orientation was conducted on 3/29/24. Two (2) employees confirmed they did not receive eighteen (18) hours of orientation on 3/29/24.The form was signed by the owner. Three (3) staff medical forms were signed by an individual who did not conduct a medical exam on the employees and two (2) TB screenings were signed by an individual who did not screen the employees per employee interviews. I observed new orientation forms completed for three (3) employees. The forms listed the number of hours, date of orientation, and who completed the orientation. Three (3) employees were asked to get new medical and TB forms signed. Two TB screenings were not valid and one (1) medical report was not valid however the operator did not falsify the signatures. The forms were turned in by the employees. Item #303 10A NCAC 09 .1801(a)(1-5) Children were not adequately supervised at all times. A child from Space 2 was observed walking out of the classroom and across the hall to cubbies. Teachers were unaware the child left the room. I observed cubbies placed inside the classroom of Space 4 and Space 2 to prevent children from exiting the room to use their cubbies. Adequate supervision was observed during the visit. Item #844 10A NCAC 09 .0803(2)(a) Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A child's Auvi-Q did not have the prescription attached to the medication and was not in the original container. Repeat violation. I observed the Auvi-Q onsite with the Rx attached. Item #880 10A NCAC 09 .0604(r) Non-mobile children were enrolled and the center did not have a crib or other approved device to safely evacuate the children in an emergency. There was currently one (1) evacuation crib in the infant classroom. It was reported that ten (10) infants were enrolled. There were five (5) infants present today. The requirement is an evacuation crib for every 5 infants enrolled. I observed two (2) evacuation cribs in Space 3 for infant care. Item #1321 GS110-91(1) Medical exam or health assessment record was not on file before or within 30 days after admission. Siblings enrolled 7/17/23 did not have a medical assessment on file completed by a health care professional. I observed medical assessments completed for both children. Item #1834 10A NCAC 09 .0801(b) 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. A child with Auvi-Q epinephrine onsite did not have a medical action plan completed for review. Repeat violation. I observed a completed Medical Action Plan completed. Item #1882 10A NCAC 09 .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Two (2) medication authorizations were not signed by the parent and one (1) form did not indicate the child’s name or date of birth, medication name, or when to administer the medication. I observed a completed medication authorization. The following violations were cited again today: Item #1045 10A NCAC 09 .1101(a) New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. It was reported that 2 hours of orientation was completed within the first 6 weeks of employment. The number of hours listed on the form was inaccurate. I observed 4.5 hours documented for the first two weeks of employment and 10 hours total documented for the first six weeks of employment. Repeat violation Item #1067 10A NCAC 09 .1101(a)(b) Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Six clock hours of orientation could not be verified for three (3) employees as the information listed on the form was inaccurate. I observed updated orientation forms for the three (3) employees, however six (6) hours of orientation was not documented. Each employee was short 1.5 hours of orientation as listed on the form. Repeat violation. Item #1032 10A NCAC 09 .0701(a) Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Three (3) employee medical forms on file were not completed prior to employment by a health care professional that could be verified. Repeat violation. I observed two (2) employees with an updated medical form. One (1) employee’s form was invalid as the medical practice office manager confirmed it was not signed by a doctor and that she was not a patient at the practice. Repeat violation Item #1033 10A NCAC 09 .0701(a) On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) employee TB screenings were not completed prior to employment by a health care professional that could be verified. Repeat violation. I observed that two (2) TB screenings were invalid as they were not signed by a doctor and it was confirmed by the medical practice office manager that they were not patients at the practice. Repeat violation Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) employee’s medical report was invalid as it was confirmed by the office manager of the medical practice that it was not signed by a doctor at the practice. Repeat violation 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) TB screenings were invalid as they were not signed by a doctor. The information was confirmed by the medical practice office manager that the person who signed the document was not a doctor at the practice. Repeat violation .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff had 4.5 hours documented for the first two weeks of employment and 10 hours total documented for the first six weeks of employment. Repeat violation .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Orientation forms were updated for three (3) employees, however six (6) hours of orientation was not documented. Each employee was short 1.5 hours of orientation as listed on the form. Repeat violation. .1101(a)(b) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Friday, May 31, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Comments: - Ms. Kara-Barnes requested a full rules review. The review is scheduled for 5/29/24 at 5:15 pm for all staff. Thank you for your time today. Please contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 with questions or concerns. 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: CHARLOTTE CHILD DEVELOPMENT CENTER Facility ID: 60003217 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 5/17/2024 Number Present: 48 Completed Date: 5/17/2024 Age: From 0 To 4 Total Minutes: 150 Time In: 10:10 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to verify compliance with child care requirement violations cited during the administrative action follow-up visit conducted on 5/2/24 when supervision was cited. Upon arrival I entered the playground where two (2) teachers were observed supervising children. One (1) of the teachers allowed me entry to the infant classroom where I met Ms. TJ Wherry, Director, and explained the purpose of the visit. She stated Ms. Cynthia Kara-Barnes, owner/operator, was not onsite. Ms. Wherry asked the cook to come to the classroom while she gathered files for me to review and complete a walkthrough of the facility. Two (2) classrooms, Space 4 and Space 2, were on a walking field trip to the E.B Moore Park. I observed a list of children on the field trip posted outside each classroom. I requested to review staff files for employees who had missing/inaccurate information in their files during the visit conducted on 5/2/24. During the review I observed two (2) employees with signed medical and TB forms, however there was missing information at the bottom of the forms. I called the medical practice, Piedmont Family Practice at Rock Hill, listed on the forms to verify the doctor and patient information. I spoke with the office manager, and she requested the forms for verification as the name listed on the forms was not a physician at the practice. I sent an encrypted email with the forms attached. The following violations were observed corrected: Item #108 G.S. 110-91(14) The operator made an effort to falsify information. The orientation form for three (3) new employees indicated eighteen (18) hours of orientation was conducted on 3/29/24. Two (2) employees confirmed they did not receive eighteen (18) hours of orientation on 3/29/24.The form was signed by the owner. Three (3) staff medical forms were signed by an individual who did not conduct a medical exam on the employees and two (2) TB screenings were signed by an individual who did not screen the employees per employee interviews. I observed new orientation forms completed for three (3) employees. The forms listed the number of hours, date of orientation, and who completed the orientation. Three (3) employees were asked to get new medical and TB forms signed. Two TB screenings were not valid and one (1) medical report was not valid however the operator did not falsify the signatures. The forms were turned in by the employees. Item #303 10A NCAC 09 .1801(a)(1-5) Children were not adequately supervised at all times. A child from Space 2 was observed walking out of the classroom and across the hall to cubbies. Teachers were unaware the child left the room. I observed cubbies placed inside the classroom of Space 4 and Space 2 to prevent children from exiting the room to use their cubbies. Adequate supervision was observed during the visit. Item #844 10A NCAC 09 .0803(2)(a) Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A child's Auvi-Q did not have the prescription attached to the medication and was not in the original container. Repeat violation. I observed the Auvi-Q onsite with the Rx attached. Item #880 10A NCAC 09 .0604(r) Non-mobile children were enrolled and the center did not have a crib or other approved device to safely evacuate the children in an emergency. There was currently one (1) evacuation crib in the infant classroom. It was reported that ten (10) infants were enrolled. There were five (5) infants present today. The requirement is an evacuation crib for every 5 infants enrolled. I observed two (2) evacuation cribs in Space 3 for infant care. Item #1321 GS110-91(1) Medical exam or health assessment record was not on file before or within 30 days after admission. Siblings enrolled 7/17/23 did not have a medical assessment on file completed by a health care professional. I observed medical assessments completed for both children. Item #1834 10A NCAC 09 .0801(b) 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. A child with Auvi-Q epinephrine onsite did not have a medical action plan completed for review. Repeat violation. I observed a completed Medical Action Plan completed. Item #1882 10A NCAC 09 .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Two (2) medication authorizations were not signed by the parent and one (1) form did not indicate the child’s name or date of birth, medication name, or when to administer the medication. I observed a completed medication authorization. The following violations were cited again today: Item #1045 10A NCAC 09 .1101(a) New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. It was reported that 2 hours of orientation was completed within the first 6 weeks of employment. The number of hours listed on the form was inaccurate. I observed 4.5 hours documented for the first two weeks of employment and 10 hours total documented for the first six weeks of employment. Repeat violation Item #1067 10A NCAC 09 .1101(a)(b) Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Six clock hours of orientation could not be verified for three (3) employees as the information listed on the form was inaccurate. I observed updated orientation forms for the three (3) employees, however six (6) hours of orientation was not documented. Each employee was short 1.5 hours of orientation as listed on the form. Repeat violation. Item #1032 10A NCAC 09 .0701(a) Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Three (3) employee medical forms on file were not completed prior to employment by a health care professional that could be verified. Repeat violation. I observed two (2) employees with an updated medical form. One (1) employee’s form was invalid as the medical practice office manager confirmed it was not signed by a doctor and that she was not a patient at the practice. Repeat violation Item #1033 10A NCAC 09 .0701(a) On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) employee TB screenings were not completed prior to employment by a health care professional that could be verified. Repeat violation. I observed that two (2) TB screenings were invalid as they were not signed by a doctor and it was confirmed by the medical practice office manager that they were not patients at the practice. Repeat violation Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) employee’s medical report was invalid as it was confirmed by the office manager of the medical practice that it was not signed by a doctor at the practice. Repeat violation 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) TB screenings were invalid as they were not signed by a doctor. The information was confirmed by the medical practice office manager that the person who signed the document was not a doctor at the practice. Repeat violation .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff had 4.5 hours documented for the first two weeks of employment and 10 hours total documented for the first six weeks of employment. Repeat violation .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Orientation forms were updated for three (3) employees, however six (6) hours of orientation was not documented. Each employee was short 1.5 hours of orientation as listed on the form. Repeat violation. .1101(a)(b) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Friday, May 31, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Comments: - Ms. Kara-Barnes requested a full rules review. The review is scheduled for 5/29/24 at 5:15 pm for all staff. Thank you for your time today. Please contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 with questions or concerns. 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

NC GS 110-90 · Violation

Name of Operation: CHARLOTTE CHILD DEVELOPMENT CENTER Facility ID: 60003217 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 5/17/2024 Number Present: 48 Completed Date: 5/17/2024 Age: From 0 To 4 Total Minutes: 150 Time In: 10:10 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to verify compliance with child care requirement violations cited during the administrative action follow-up visit conducted on 5/2/24 when supervision was cited. Upon arrival I entered the playground where two (2) teachers were observed supervising children. One (1) of the teachers allowed me entry to the infant classroom where I met Ms. TJ Wherry, Director, and explained the purpose of the visit. She stated Ms. Cynthia Kara-Barnes, owner/operator, was not onsite. Ms. Wherry asked the cook to come to the classroom while she gathered files for me to review and complete a walkthrough of the facility. Two (2) classrooms, Space 4 and Space 2, were on a walking field trip to the E.B Moore Park. I observed a list of children on the field trip posted outside each classroom. I requested to review staff files for employees who had missing/inaccurate information in their files during the visit conducted on 5/2/24. During the review I observed two (2) employees with signed medical and TB forms, however there was missing information at the bottom of the forms. I called the medical practice, Piedmont Family Practice at Rock Hill, listed on the forms to verify the doctor and patient information. I spoke with the office manager, and she requested the forms for verification as the name listed on the forms was not a physician at the practice. I sent an encrypted email with the forms attached. The following violations were observed corrected: Item #108 G.S. 110-91(14) The operator made an effort to falsify information. The orientation form for three (3) new employees indicated eighteen (18) hours of orientation was conducted on 3/29/24. Two (2) employees confirmed they did not receive eighteen (18) hours of orientation on 3/29/24.The form was signed by the owner. Three (3) staff medical forms were signed by an individual who did not conduct a medical exam on the employees and two (2) TB screenings were signed by an individual who did not screen the employees per employee interviews. I observed new orientation forms completed for three (3) employees. The forms listed the number of hours, date of orientation, and who completed the orientation. Three (3) employees were asked to get new medical and TB forms signed. Two TB screenings were not valid and one (1) medical report was not valid however the operator did not falsify the signatures. The forms were turned in by the employees. Item #303 10A NCAC 09 .1801(a)(1-5) Children were not adequately supervised at all times. A child from Space 2 was observed walking out of the classroom and across the hall to cubbies. Teachers were unaware the child left the room. I observed cubbies placed inside the classroom of Space 4 and Space 2 to prevent children from exiting the room to use their cubbies. Adequate supervision was observed during the visit. Item #844 10A NCAC 09 .0803(2)(a) Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A child's Auvi-Q did not have the prescription attached to the medication and was not in the original container. Repeat violation. I observed the Auvi-Q onsite with the Rx attached. Item #880 10A NCAC 09 .0604(r) Non-mobile children were enrolled and the center did not have a crib or other approved device to safely evacuate the children in an emergency. There was currently one (1) evacuation crib in the infant classroom. It was reported that ten (10) infants were enrolled. There were five (5) infants present today. The requirement is an evacuation crib for every 5 infants enrolled. I observed two (2) evacuation cribs in Space 3 for infant care. Item #1321 GS110-91(1) Medical exam or health assessment record was not on file before or within 30 days after admission. Siblings enrolled 7/17/23 did not have a medical assessment on file completed by a health care professional. I observed medical assessments completed for both children. Item #1834 10A NCAC 09 .0801(b) 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. A child with Auvi-Q epinephrine onsite did not have a medical action plan completed for review. Repeat violation. I observed a completed Medical Action Plan completed. Item #1882 10A NCAC 09 .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Two (2) medication authorizations were not signed by the parent and one (1) form did not indicate the child’s name or date of birth, medication name, or when to administer the medication. I observed a completed medication authorization. The following violations were cited again today: Item #1045 10A NCAC 09 .1101(a) New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. It was reported that 2 hours of orientation was completed within the first 6 weeks of employment. The number of hours listed on the form was inaccurate. I observed 4.5 hours documented for the first two weeks of employment and 10 hours total documented for the first six weeks of employment. Repeat violation Item #1067 10A NCAC 09 .1101(a)(b) Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Six clock hours of orientation could not be verified for three (3) employees as the information listed on the form was inaccurate. I observed updated orientation forms for the three (3) employees, however six (6) hours of orientation was not documented. Each employee was short 1.5 hours of orientation as listed on the form. Repeat violation. Item #1032 10A NCAC 09 .0701(a) Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Three (3) employee medical forms on file were not completed prior to employment by a health care professional that could be verified. Repeat violation. I observed two (2) employees with an updated medical form. One (1) employee’s form was invalid as the medical practice office manager confirmed it was not signed by a doctor and that she was not a patient at the practice. Repeat violation Item #1033 10A NCAC 09 .0701(a) On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) employee TB screenings were not completed prior to employment by a health care professional that could be verified. Repeat violation. I observed that two (2) TB screenings were invalid as they were not signed by a doctor and it was confirmed by the medical practice office manager that they were not patients at the practice. Repeat violation Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) employee’s medical report was invalid as it was confirmed by the office manager of the medical practice that it was not signed by a doctor at the practice. Repeat violation 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) TB screenings were invalid as they were not signed by a doctor. The information was confirmed by the medical practice office manager that the person who signed the document was not a doctor at the practice. Repeat violation .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff had 4.5 hours documented for the first two weeks of employment and 10 hours total documented for the first six weeks of employment. Repeat violation .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Orientation forms were updated for three (3) employees, however six (6) hours of orientation was not documented. Each employee was short 1.5 hours of orientation as listed on the form. Repeat violation. .1101(a)(b) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Friday, May 31, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Comments: - Ms. Kara-Barnes requested a full rules review. The review is scheduled for 5/29/24 at 5:15 pm for all staff. Thank you for your time today. Please contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 with questions or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: CHARLOTTE CHILD DEVELOPMENT CENTER Facility ID: 60003217 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 5/2/2024 Number Present: 44 Completed Date: 5/2/2024 Age: From 0 To 4 Total Minutes: 336 Time In: 10:24 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during an unannounced monitoring visit. The facility had a Five Star Rated License issued July 27, 2017 and an eighteen month compliance history of 80% prior to today’s visit. The following was monitored using the March 2024 Center Item Number Listing : supervision, discipline/nurture and care of children, staff/child ratio, group size, licensed capacity, permit restrictions, CPR/First Aid training, and CBC qualifications. The license and NC child care law summary were posted. The administrative action was observed posted on the door. Upon arrival I was greeted by Ms. Tajuanta Wherry, Director, and I explained the purpose of the visit. She stated Ms. Cynthia Kara-Barnes, owner/operator, was not onsite today. In addition to monitoring compliance during an administrative action follow-up visit, today’s visit was also to verify corrections for violations cited on 4/12/24 during an administrative action follow up visit. Ms. Kara-Barnes emailed corrections and documents on 4/24/24, however child medication forms were incomplete, and I had questions regarding the submitted staff medical and TB forms. Additionally, during the 4/12/24 visit there was a question regarding documentation of new staff orientation. Today’s visit was also to verify the accuracy of the documentation. Ms. Wherry stated she needed to check on each teacher for bathroom breaks before conducting the visit with me. While I waited in the hallway outside the office I observed a child from Space 2 walk out of the classroom and across the hall to cubbies. I walked to Space 2 and asked if the teachers were aware the child left the room and each stated no. I met Ms. Wherry in the hallway and explained what happened. Children in Space 2 were two (2) and three (3) years of age. Supervision was cited today. I interviewed two (2) staff members regarding the submitted staff medical form and TB test screening form. One (1) staff member’s medical report and TB screening forms were signed by Dana Fortner, RN. The address listed on the documents was Midway, Georgia. I asked the employee where they had their medical report and TB test completed and she stated Rock Hill, SC. I asked if she turned in those documents and she stated she was having trouble accessing the documents as they were with a previous employer. I showed her the submitted form and asked if she was seen by Ms. Fortner and if she went to Georgia for the health assessment and TB screening. She stated she did not travel to Georgia for the assessment or TB test. I asked if she completed the submitted form and she stated she completed the top portion of the medical report and answered/checked each question on the report and turned it in when she was hired. She also stated she completed the top portion, answered the screening questions, and signed the TB screening and turned in the form to administration. She stated she spoke to someone on the phone who asked her health questions and screening questions. I asked if it was Ms. Fortner and she stated “she did not know who that person was.” The employee was hired 3/29/24 and the medical report and TB screening were signed and dated 4/16/24. I interviewed another employee whose medical form and TB test were completed in Chester, SC and asked if she went to a doctor in Chester, SC. She said yes. I asked what medical practice she went to, and she could not remember the name of the practice or doctor. The assessment and TB screening were dated 4/23/24. I called the number listed on the submitted form that indicated Loworys Family Medicine at 517 Doctors Ct., Chester, SC and spoke with an individual who stated there was no practitioner by the name of Linda Massey at that practice and there was no one with that name there as well. The form was signed by Linda Massey. The correct spelling for the medical practice was Lowrys Family Medicine per the information on their website. I reviewed medical information for all current and two (2) former employees. Two (2) employees had medical information completed by Ms. Dana Fortner, RN. One (1) was a current employee and I asked if she was seen by Ms. Fortner for her exam. She stated no that her information was completed by Atrium Health in South Carolina. She tried to access her information during the visit and stated she would send it to me once received. I called and spoke with Ms. Fortner during the visit and explained why I was calling. She stated she was Director of Quality Compliance with Accord Care and that she did sometimes work with facilities in North Carolina. I asked if she traveled to NC to conduct health assessments and TB screenings and she stated she did not travel that she completed the forms that were sent to her. I asked if she could recall facilities she worked with in NC and she stated she could not but there were several. I explained that I interviewed individuals whose paperwork was signed by her and they stated they did not know who she was and they were not examined by her. She requested the signed forms be scanned to her to verify her signature. I explained that once I returned to my office I would scan the documents. Staff medical and TB were cited again today as the validity of the forms on file was unclear. I interviewed an employee whose orientation stated eighteen (18) hours of training was provided on 3/29/24. I asked if she was onsite for eighteen (18) hours of training on that date and she stated no, she worked 8:00 am – 5:00 pm. I asked who completed orientation with her and she stated Cynthia Kara-Barnes. Ms. Barnes and the employee signed the document. I requested to review again the five (5) employee files whose files were reviewed on 4/12/24 to verify their orientation when I arrived to the facility. The files were pulled for review while I interviewed staff in the classroom. When I returned to the office the files were reviewed and the orientation forms were not located in the files. I asked Ms. Wherry if she knew where the forms were and she stated no. I asked Ms. Wherry to follow-up with Ms. Kara-Barnes regarding the orientation forms and she wrote it down on a list of questions for Ms. Kara-Barnes. The files were revisited during the visit after speaking with Michele Sullivan, Licensing Supervisor, to review medical records. When reviewing files I observed orientation forms back in the file. I asked Ms. Wherry how the forms got back in the file and she stated she did not know. Two (2) additional employees orientation stated eighteen (18) hours of orientation was completed on 3/29/24. I interviewed one (1) of those employees and she stated she did not spend eighteen hours on orientation. She confirmed Ms. Kara-Barnes conducted her orientation, but the hours listed were not accurate. The form was signed by Ms. Kara-Barnes and the teacher. Ms. Wherry and I walked to Space 5 to confirm a child’s emergency medication was returned with the Rx label and if medication permissions were completed in full to correct the violations from the 4/12/24 visit. The Auvi-Q still did not have the Rx label and the permissions were still incomplete. They were not signed by the parent and one (1) form did not indicate the child’s name or date of birth, medication name, or when to administer the medication. I requested to view the medical action plan (MAP) to ensure Benadryl was listed as the incomplete form was attached to Benadryl. There was no MAP in the child’s file. Additionally, there was no medical report completed by a physician in the file. The child’s enrollment date was listed as 7/17/23. The medical form completed by the parent indicated “no allergies.” I reiterated with Ms. Wherry the importance of the Rx label on medication and collecting medical forms completed by physicians on all children within 30 days of enrollment. I observed an evacuation crib in the office and asked why it was not in the infant classroom. Ms. Wherry showed me the crack on the plexiglass and stated it cracked during the last fire drill. There was currently one (1) evacuation crib in the classroom. It was reported that ten (10) infants were enrolled. There were five (5) infants present today. The requirement is an evacuation crib for every 5 infants enrolled. The violation was cited today. Violation Number Comment Rule 108 The operator made an effort to falsify information. The orientation form for three (3) new employees indicated eighteen (18) hours of orientation was conducted on 3/29/24. Two (2) employees confirmed they did not receive eighteen (18) hours of orientation on 3/29/24.The form was signed by the owner. Three (3) staff medical forms were signed by an individual who did not conduct a medical exam on the employees and two (2) TB screenings were signed by an individual who did not screen the employees per employee interviews. G.S. 110-91(14) 303 Children were not adequately supervised at all times. A child from Space 2 was observed walking out of the classroom and across the hall to cubbies. Teachers were unaware the child left the room. .1801(a)(1-5) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A child's Auvi-Q did not have the prescription attached to the medication and was not in the original container. Repeat violation .0803(2)(a) 880 Non-mobile children were enrolled and the center did not have a crib or other approved device to safely evacuate the children in an emergency. There was currently one (1) evacuation crib in the infant classroom. It was reported that ten (10) infants were enrolled. There were five (5) infants present today. The requirement is an evacuation crib for every 5 infants enrolled. .0604(r) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Three (3) employee medical forms on file were not completed prior to employment by a health care professional that could be verified. Repeat violation 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) employee TB screenings were not completed prior to employment by a health care professional that could be verified. Repeat violation .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. It was reported that 2 hours of orientation was completed within the first 6 weeks of employment. The number of hours listed on the form was inaccurate. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Six clock hours of orientation could not be verified for three (3) employees as the information listed on the form was inaccurate. .1101(a)(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Siblings enrolled 7/17/23 did not have a medical assessment on file completed by a health care professional. GS110-91(1) 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. A child with Auvi-Q epinephrine onsite did not have a medical action plan completed for review. Repeat violation .0801(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Two (2) medication authorizations were not signed by the parent and one (1) form did not indicate the child’s name or date of birth, medication name, or when to administer the medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Thursday, May 16, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Comments: - I showed Ms. Wherry how to access child and staff file checklists on the DCDEE website. - Another visit will be made I the near future to verify compliance with supervision. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 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: CHARLOTTE CHILD DEVELOPMENT CENTER Facility ID: 60003217 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 5/2/2024 Number Present: 44 Completed Date: 5/2/2024 Age: From 0 To 4 Total Minutes: 336 Time In: 10:24 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during an unannounced monitoring visit. The facility had a Five Star Rated License issued July 27, 2017 and an eighteen month compliance history of 80% prior to today’s visit. The following was monitored using the March 2024 Center Item Number Listing : supervision, discipline/nurture and care of children, staff/child ratio, group size, licensed capacity, permit restrictions, CPR/First Aid training, and CBC qualifications. The license and NC child care law summary were posted. The administrative action was observed posted on the door. Upon arrival I was greeted by Ms. Tajuanta Wherry, Director, and I explained the purpose of the visit. She stated Ms. Cynthia Kara-Barnes, owner/operator, was not onsite today. In addition to monitoring compliance during an administrative action follow-up visit, today’s visit was also to verify corrections for violations cited on 4/12/24 during an administrative action follow up visit. Ms. Kara-Barnes emailed corrections and documents on 4/24/24, however child medication forms were incomplete, and I had questions regarding the submitted staff medical and TB forms. Additionally, during the 4/12/24 visit there was a question regarding documentation of new staff orientation. Today’s visit was also to verify the accuracy of the documentation. Ms. Wherry stated she needed to check on each teacher for bathroom breaks before conducting the visit with me. While I waited in the hallway outside the office I observed a child from Space 2 walk out of the classroom and across the hall to cubbies. I walked to Space 2 and asked if the teachers were aware the child left the room and each stated no. I met Ms. Wherry in the hallway and explained what happened. Children in Space 2 were two (2) and three (3) years of age. Supervision was cited today. I interviewed two (2) staff members regarding the submitted staff medical form and TB test screening form. One (1) staff member’s medical report and TB screening forms were signed by Dana Fortner, RN. The address listed on the documents was Midway, Georgia. I asked the employee where they had their medical report and TB test completed and she stated Rock Hill, SC. I asked if she turned in those documents and she stated she was having trouble accessing the documents as they were with a previous employer. I showed her the submitted form and asked if she was seen by Ms. Fortner and if she went to Georgia for the health assessment and TB screening. She stated she did not travel to Georgia for the assessment or TB test. I asked if she completed the submitted form and she stated she completed the top portion of the medical report and answered/checked each question on the report and turned it in when she was hired. She also stated she completed the top portion, answered the screening questions, and signed the TB screening and turned in the form to administration. She stated she spoke to someone on the phone who asked her health questions and screening questions. I asked if it was Ms. Fortner and she stated “she did not know who that person was.” The employee was hired 3/29/24 and the medical report and TB screening were signed and dated 4/16/24. I interviewed another employee whose medical form and TB test were completed in Chester, SC and asked if she went to a doctor in Chester, SC. She said yes. I asked what medical practice she went to, and she could not remember the name of the practice or doctor. The assessment and TB screening were dated 4/23/24. I called the number listed on the submitted form that indicated Loworys Family Medicine at 517 Doctors Ct., Chester, SC and spoke with an individual who stated there was no practitioner by the name of Linda Massey at that practice and there was no one with that name there as well. The form was signed by Linda Massey. The correct spelling for the medical practice was Lowrys Family Medicine per the information on their website. I reviewed medical information for all current and two (2) former employees. Two (2) employees had medical information completed by Ms. Dana Fortner, RN. One (1) was a current employee and I asked if she was seen by Ms. Fortner for her exam. She stated no that her information was completed by Atrium Health in South Carolina. She tried to access her information during the visit and stated she would send it to me once received. I called and spoke with Ms. Fortner during the visit and explained why I was calling. She stated she was Director of Quality Compliance with Accord Care and that she did sometimes work with facilities in North Carolina. I asked if she traveled to NC to conduct health assessments and TB screenings and she stated she did not travel that she completed the forms that were sent to her. I asked if she could recall facilities she worked with in NC and she stated she could not but there were several. I explained that I interviewed individuals whose paperwork was signed by her and they stated they did not know who she was and they were not examined by her. She requested the signed forms be scanned to her to verify her signature. I explained that once I returned to my office I would scan the documents. Staff medical and TB were cited again today as the validity of the forms on file was unclear. I interviewed an employee whose orientation stated eighteen (18) hours of training was provided on 3/29/24. I asked if she was onsite for eighteen (18) hours of training on that date and she stated no, she worked 8:00 am – 5:00 pm. I asked who completed orientation with her and she stated Cynthia Kara-Barnes. Ms. Barnes and the employee signed the document. I requested to review again the five (5) employee files whose files were reviewed on 4/12/24 to verify their orientation when I arrived to the facility. The files were pulled for review while I interviewed staff in the classroom. When I returned to the office the files were reviewed and the orientation forms were not located in the files. I asked Ms. Wherry if she knew where the forms were and she stated no. I asked Ms. Wherry to follow-up with Ms. Kara-Barnes regarding the orientation forms and she wrote it down on a list of questions for Ms. Kara-Barnes. The files were revisited during the visit after speaking with Michele Sullivan, Licensing Supervisor, to review medical records. When reviewing files I observed orientation forms back in the file. I asked Ms. Wherry how the forms got back in the file and she stated she did not know. Two (2) additional employees orientation stated eighteen (18) hours of orientation was completed on 3/29/24. I interviewed one (1) of those employees and she stated she did not spend eighteen hours on orientation. She confirmed Ms. Kara-Barnes conducted her orientation, but the hours listed were not accurate. The form was signed by Ms. Kara-Barnes and the teacher. Ms. Wherry and I walked to Space 5 to confirm a child’s emergency medication was returned with the Rx label and if medication permissions were completed in full to correct the violations from the 4/12/24 visit. The Auvi-Q still did not have the Rx label and the permissions were still incomplete. They were not signed by the parent and one (1) form did not indicate the child’s name or date of birth, medication name, or when to administer the medication. I requested to view the medical action plan (MAP) to ensure Benadryl was listed as the incomplete form was attached to Benadryl. There was no MAP in the child’s file. Additionally, there was no medical report completed by a physician in the file. The child’s enrollment date was listed as 7/17/23. The medical form completed by the parent indicated “no allergies.” I reiterated with Ms. Wherry the importance of the Rx label on medication and collecting medical forms completed by physicians on all children within 30 days of enrollment. I observed an evacuation crib in the office and asked why it was not in the infant classroom. Ms. Wherry showed me the crack on the plexiglass and stated it cracked during the last fire drill. There was currently one (1) evacuation crib in the classroom. It was reported that ten (10) infants were enrolled. There were five (5) infants present today. The requirement is an evacuation crib for every 5 infants enrolled. The violation was cited today. Violation Number Comment Rule 108 The operator made an effort to falsify information. The orientation form for three (3) new employees indicated eighteen (18) hours of orientation was conducted on 3/29/24. Two (2) employees confirmed they did not receive eighteen (18) hours of orientation on 3/29/24.The form was signed by the owner. Three (3) staff medical forms were signed by an individual who did not conduct a medical exam on the employees and two (2) TB screenings were signed by an individual who did not screen the employees per employee interviews. G.S. 110-91(14) 303 Children were not adequately supervised at all times. A child from Space 2 was observed walking out of the classroom and across the hall to cubbies. Teachers were unaware the child left the room. .1801(a)(1-5) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A child's Auvi-Q did not have the prescription attached to the medication and was not in the original container. Repeat violation .0803(2)(a) 880 Non-mobile children were enrolled and the center did not have a crib or other approved device to safely evacuate the children in an emergency. There was currently one (1) evacuation crib in the infant classroom. It was reported that ten (10) infants were enrolled. There were five (5) infants present today. The requirement is an evacuation crib for every 5 infants enrolled. .0604(r) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Three (3) employee medical forms on file were not completed prior to employment by a health care professional that could be verified. Repeat violation 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) employee TB screenings were not completed prior to employment by a health care professional that could be verified. Repeat violation .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. It was reported that 2 hours of orientation was completed within the first 6 weeks of employment. The number of hours listed on the form was inaccurate. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Six clock hours of orientation could not be verified for three (3) employees as the information listed on the form was inaccurate. .1101(a)(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Siblings enrolled 7/17/23 did not have a medical assessment on file completed by a health care professional. GS110-91(1) 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. A child with Auvi-Q epinephrine onsite did not have a medical action plan completed for review. Repeat violation .0801(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Two (2) medication authorizations were not signed by the parent and one (1) form did not indicate the child’s name or date of birth, medication name, or when to administer the medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Thursday, May 16, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Comments: - I showed Ms. Wherry how to access child and staff file checklists on the DCDEE website. - Another visit will be made I the near future to verify compliance with supervision. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 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: CHARLOTTE CHILD DEVELOPMENT CENTER Facility ID: 60003217 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 5/2/2024 Number Present: 44 Completed Date: 5/2/2024 Age: From 0 To 4 Total Minutes: 336 Time In: 10:24 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during an unannounced monitoring visit. The facility had a Five Star Rated License issued July 27, 2017 and an eighteen month compliance history of 80% prior to today’s visit. The following was monitored using the March 2024 Center Item Number Listing : supervision, discipline/nurture and care of children, staff/child ratio, group size, licensed capacity, permit restrictions, CPR/First Aid training, and CBC qualifications. The license and NC child care law summary were posted. The administrative action was observed posted on the door. Upon arrival I was greeted by Ms. Tajuanta Wherry, Director, and I explained the purpose of the visit. She stated Ms. Cynthia Kara-Barnes, owner/operator, was not onsite today. In addition to monitoring compliance during an administrative action follow-up visit, today’s visit was also to verify corrections for violations cited on 4/12/24 during an administrative action follow up visit. Ms. Kara-Barnes emailed corrections and documents on 4/24/24, however child medication forms were incomplete, and I had questions regarding the submitted staff medical and TB forms. Additionally, during the 4/12/24 visit there was a question regarding documentation of new staff orientation. Today’s visit was also to verify the accuracy of the documentation. Ms. Wherry stated she needed to check on each teacher for bathroom breaks before conducting the visit with me. While I waited in the hallway outside the office I observed a child from Space 2 walk out of the classroom and across the hall to cubbies. I walked to Space 2 and asked if the teachers were aware the child left the room and each stated no. I met Ms. Wherry in the hallway and explained what happened. Children in Space 2 were two (2) and three (3) years of age. Supervision was cited today. I interviewed two (2) staff members regarding the submitted staff medical form and TB test screening form. One (1) staff member’s medical report and TB screening forms were signed by Dana Fortner, RN. The address listed on the documents was Midway, Georgia. I asked the employee where they had their medical report and TB test completed and she stated Rock Hill, SC. I asked if she turned in those documents and she stated she was having trouble accessing the documents as they were with a previous employer. I showed her the submitted form and asked if she was seen by Ms. Fortner and if she went to Georgia for the health assessment and TB screening. She stated she did not travel to Georgia for the assessment or TB test. I asked if she completed the submitted form and she stated she completed the top portion of the medical report and answered/checked each question on the report and turned it in when she was hired. She also stated she completed the top portion, answered the screening questions, and signed the TB screening and turned in the form to administration. She stated she spoke to someone on the phone who asked her health questions and screening questions. I asked if it was Ms. Fortner and she stated “she did not know who that person was.” The employee was hired 3/29/24 and the medical report and TB screening were signed and dated 4/16/24. I interviewed another employee whose medical form and TB test were completed in Chester, SC and asked if she went to a doctor in Chester, SC. She said yes. I asked what medical practice she went to, and she could not remember the name of the practice or doctor. The assessment and TB screening were dated 4/23/24. I called the number listed on the submitted form that indicated Loworys Family Medicine at 517 Doctors Ct., Chester, SC and spoke with an individual who stated there was no practitioner by the name of Linda Massey at that practice and there was no one with that name there as well. The form was signed by Linda Massey. The correct spelling for the medical practice was Lowrys Family Medicine per the information on their website. I reviewed medical information for all current and two (2) former employees. Two (2) employees had medical information completed by Ms. Dana Fortner, RN. One (1) was a current employee and I asked if she was seen by Ms. Fortner for her exam. She stated no that her information was completed by Atrium Health in South Carolina. She tried to access her information during the visit and stated she would send it to me once received. I called and spoke with Ms. Fortner during the visit and explained why I was calling. She stated she was Director of Quality Compliance with Accord Care and that she did sometimes work with facilities in North Carolina. I asked if she traveled to NC to conduct health assessments and TB screenings and she stated she did not travel that she completed the forms that were sent to her. I asked if she could recall facilities she worked with in NC and she stated she could not but there were several. I explained that I interviewed individuals whose paperwork was signed by her and they stated they did not know who she was and they were not examined by her. She requested the signed forms be scanned to her to verify her signature. I explained that once I returned to my office I would scan the documents. Staff medical and TB were cited again today as the validity of the forms on file was unclear. I interviewed an employee whose orientation stated eighteen (18) hours of training was provided on 3/29/24. I asked if she was onsite for eighteen (18) hours of training on that date and she stated no, she worked 8:00 am – 5:00 pm. I asked who completed orientation with her and she stated Cynthia Kara-Barnes. Ms. Barnes and the employee signed the document. I requested to review again the five (5) employee files whose files were reviewed on 4/12/24 to verify their orientation when I arrived to the facility. The files were pulled for review while I interviewed staff in the classroom. When I returned to the office the files were reviewed and the orientation forms were not located in the files. I asked Ms. Wherry if she knew where the forms were and she stated no. I asked Ms. Wherry to follow-up with Ms. Kara-Barnes regarding the orientation forms and she wrote it down on a list of questions for Ms. Kara-Barnes. The files were revisited during the visit after speaking with Michele Sullivan, Licensing Supervisor, to review medical records. When reviewing files I observed orientation forms back in the file. I asked Ms. Wherry how the forms got back in the file and she stated she did not know. Two (2) additional employees orientation stated eighteen (18) hours of orientation was completed on 3/29/24. I interviewed one (1) of those employees and she stated she did not spend eighteen hours on orientation. She confirmed Ms. Kara-Barnes conducted her orientation, but the hours listed were not accurate. The form was signed by Ms. Kara-Barnes and the teacher. Ms. Wherry and I walked to Space 5 to confirm a child’s emergency medication was returned with the Rx label and if medication permissions were completed in full to correct the violations from the 4/12/24 visit. The Auvi-Q still did not have the Rx label and the permissions were still incomplete. They were not signed by the parent and one (1) form did not indicate the child’s name or date of birth, medication name, or when to administer the medication. I requested to view the medical action plan (MAP) to ensure Benadryl was listed as the incomplete form was attached to Benadryl. There was no MAP in the child’s file. Additionally, there was no medical report completed by a physician in the file. The child’s enrollment date was listed as 7/17/23. The medical form completed by the parent indicated “no allergies.” I reiterated with Ms. Wherry the importance of the Rx label on medication and collecting medical forms completed by physicians on all children within 30 days of enrollment. I observed an evacuation crib in the office and asked why it was not in the infant classroom. Ms. Wherry showed me the crack on the plexiglass and stated it cracked during the last fire drill. There was currently one (1) evacuation crib in the classroom. It was reported that ten (10) infants were enrolled. There were five (5) infants present today. The requirement is an evacuation crib for every 5 infants enrolled. The violation was cited today. Violation Number Comment Rule 108 The operator made an effort to falsify information. The orientation form for three (3) new employees indicated eighteen (18) hours of orientation was conducted on 3/29/24. Two (2) employees confirmed they did not receive eighteen (18) hours of orientation on 3/29/24.The form was signed by the owner. Three (3) staff medical forms were signed by an individual who did not conduct a medical exam on the employees and two (2) TB screenings were signed by an individual who did not screen the employees per employee interviews. G.S. 110-91(14) 303 Children were not adequately supervised at all times. A child from Space 2 was observed walking out of the classroom and across the hall to cubbies. Teachers were unaware the child left the room. .1801(a)(1-5) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A child's Auvi-Q did not have the prescription attached to the medication and was not in the original container. Repeat violation .0803(2)(a) 880 Non-mobile children were enrolled and the center did not have a crib or other approved device to safely evacuate the children in an emergency. There was currently one (1) evacuation crib in the infant classroom. It was reported that ten (10) infants were enrolled. There were five (5) infants present today. The requirement is an evacuation crib for every 5 infants enrolled. .0604(r) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Three (3) employee medical forms on file were not completed prior to employment by a health care professional that could be verified. Repeat violation 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) employee TB screenings were not completed prior to employment by a health care professional that could be verified. Repeat violation .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. It was reported that 2 hours of orientation was completed within the first 6 weeks of employment. The number of hours listed on the form was inaccurate. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Six clock hours of orientation could not be verified for three (3) employees as the information listed on the form was inaccurate. .1101(a)(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Siblings enrolled 7/17/23 did not have a medical assessment on file completed by a health care professional. GS110-91(1) 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. A child with Auvi-Q epinephrine onsite did not have a medical action plan completed for review. Repeat violation .0801(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Two (2) medication authorizations were not signed by the parent and one (1) form did not indicate the child’s name or date of birth, medication name, or when to administer the medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Thursday, May 16, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Comments: - I showed Ms. Wherry how to access child and staff file checklists on the DCDEE website. - Another visit will be made I the near future to verify compliance with supervision. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 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

NC GS 110-90 · Violation

Name of Operation: CHARLOTTE CHILD DEVELOPMENT CENTER Facility ID: 60003217 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 5/2/2024 Number Present: 44 Completed Date: 5/2/2024 Age: From 0 To 4 Total Minutes: 336 Time In: 10:24 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during an unannounced monitoring visit. The facility had a Five Star Rated License issued July 27, 2017 and an eighteen month compliance history of 80% prior to today’s visit. The following was monitored using the March 2024 Center Item Number Listing : supervision, discipline/nurture and care of children, staff/child ratio, group size, licensed capacity, permit restrictions, CPR/First Aid training, and CBC qualifications. The license and NC child care law summary were posted. The administrative action was observed posted on the door. Upon arrival I was greeted by Ms. Tajuanta Wherry, Director, and I explained the purpose of the visit. She stated Ms. Cynthia Kara-Barnes, owner/operator, was not onsite today. In addition to monitoring compliance during an administrative action follow-up visit, today’s visit was also to verify corrections for violations cited on 4/12/24 during an administrative action follow up visit. Ms. Kara-Barnes emailed corrections and documents on 4/24/24, however child medication forms were incomplete, and I had questions regarding the submitted staff medical and TB forms. Additionally, during the 4/12/24 visit there was a question regarding documentation of new staff orientation. Today’s visit was also to verify the accuracy of the documentation. Ms. Wherry stated she needed to check on each teacher for bathroom breaks before conducting the visit with me. While I waited in the hallway outside the office I observed a child from Space 2 walk out of the classroom and across the hall to cubbies. I walked to Space 2 and asked if the teachers were aware the child left the room and each stated no. I met Ms. Wherry in the hallway and explained what happened. Children in Space 2 were two (2) and three (3) years of age. Supervision was cited today. I interviewed two (2) staff members regarding the submitted staff medical form and TB test screening form. One (1) staff member’s medical report and TB screening forms were signed by Dana Fortner, RN. The address listed on the documents was Midway, Georgia. I asked the employee where they had their medical report and TB test completed and she stated Rock Hill, SC. I asked if she turned in those documents and she stated she was having trouble accessing the documents as they were with a previous employer. I showed her the submitted form and asked if she was seen by Ms. Fortner and if she went to Georgia for the health assessment and TB screening. She stated she did not travel to Georgia for the assessment or TB test. I asked if she completed the submitted form and she stated she completed the top portion of the medical report and answered/checked each question on the report and turned it in when she was hired. She also stated she completed the top portion, answered the screening questions, and signed the TB screening and turned in the form to administration. She stated she spoke to someone on the phone who asked her health questions and screening questions. I asked if it was Ms. Fortner and she stated “she did not know who that person was.” The employee was hired 3/29/24 and the medical report and TB screening were signed and dated 4/16/24. I interviewed another employee whose medical form and TB test were completed in Chester, SC and asked if she went to a doctor in Chester, SC. She said yes. I asked what medical practice she went to, and she could not remember the name of the practice or doctor. The assessment and TB screening were dated 4/23/24. I called the number listed on the submitted form that indicated Loworys Family Medicine at 517 Doctors Ct., Chester, SC and spoke with an individual who stated there was no practitioner by the name of Linda Massey at that practice and there was no one with that name there as well. The form was signed by Linda Massey. The correct spelling for the medical practice was Lowrys Family Medicine per the information on their website. I reviewed medical information for all current and two (2) former employees. Two (2) employees had medical information completed by Ms. Dana Fortner, RN. One (1) was a current employee and I asked if she was seen by Ms. Fortner for her exam. She stated no that her information was completed by Atrium Health in South Carolina. She tried to access her information during the visit and stated she would send it to me once received. I called and spoke with Ms. Fortner during the visit and explained why I was calling. She stated she was Director of Quality Compliance with Accord Care and that she did sometimes work with facilities in North Carolina. I asked if she traveled to NC to conduct health assessments and TB screenings and she stated she did not travel that she completed the forms that were sent to her. I asked if she could recall facilities she worked with in NC and she stated she could not but there were several. I explained that I interviewed individuals whose paperwork was signed by her and they stated they did not know who she was and they were not examined by her. She requested the signed forms be scanned to her to verify her signature. I explained that once I returned to my office I would scan the documents. Staff medical and TB were cited again today as the validity of the forms on file was unclear. I interviewed an employee whose orientation stated eighteen (18) hours of training was provided on 3/29/24. I asked if she was onsite for eighteen (18) hours of training on that date and she stated no, she worked 8:00 am – 5:00 pm. I asked who completed orientation with her and she stated Cynthia Kara-Barnes. Ms. Barnes and the employee signed the document. I requested to review again the five (5) employee files whose files were reviewed on 4/12/24 to verify their orientation when I arrived to the facility. The files were pulled for review while I interviewed staff in the classroom. When I returned to the office the files were reviewed and the orientation forms were not located in the files. I asked Ms. Wherry if she knew where the forms were and she stated no. I asked Ms. Wherry to follow-up with Ms. Kara-Barnes regarding the orientation forms and she wrote it down on a list of questions for Ms. Kara-Barnes. The files were revisited during the visit after speaking with Michele Sullivan, Licensing Supervisor, to review medical records. When reviewing files I observed orientation forms back in the file. I asked Ms. Wherry how the forms got back in the file and she stated she did not know. Two (2) additional employees orientation stated eighteen (18) hours of orientation was completed on 3/29/24. I interviewed one (1) of those employees and she stated she did not spend eighteen hours on orientation. She confirmed Ms. Kara-Barnes conducted her orientation, but the hours listed were not accurate. The form was signed by Ms. Kara-Barnes and the teacher. Ms. Wherry and I walked to Space 5 to confirm a child’s emergency medication was returned with the Rx label and if medication permissions were completed in full to correct the violations from the 4/12/24 visit. The Auvi-Q still did not have the Rx label and the permissions were still incomplete. They were not signed by the parent and one (1) form did not indicate the child’s name or date of birth, medication name, or when to administer the medication. I requested to view the medical action plan (MAP) to ensure Benadryl was listed as the incomplete form was attached to Benadryl. There was no MAP in the child’s file. Additionally, there was no medical report completed by a physician in the file. The child’s enrollment date was listed as 7/17/23. The medical form completed by the parent indicated “no allergies.” I reiterated with Ms. Wherry the importance of the Rx label on medication and collecting medical forms completed by physicians on all children within 30 days of enrollment. I observed an evacuation crib in the office and asked why it was not in the infant classroom. Ms. Wherry showed me the crack on the plexiglass and stated it cracked during the last fire drill. There was currently one (1) evacuation crib in the classroom. It was reported that ten (10) infants were enrolled. There were five (5) infants present today. The requirement is an evacuation crib for every 5 infants enrolled. The violation was cited today. Violation Number Comment Rule 108 The operator made an effort to falsify information. The orientation form for three (3) new employees indicated eighteen (18) hours of orientation was conducted on 3/29/24. Two (2) employees confirmed they did not receive eighteen (18) hours of orientation on 3/29/24.The form was signed by the owner. Three (3) staff medical forms were signed by an individual who did not conduct a medical exam on the employees and two (2) TB screenings were signed by an individual who did not screen the employees per employee interviews. G.S. 110-91(14) 303 Children were not adequately supervised at all times. A child from Space 2 was observed walking out of the classroom and across the hall to cubbies. Teachers were unaware the child left the room. .1801(a)(1-5) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A child's Auvi-Q did not have the prescription attached to the medication and was not in the original container. Repeat violation .0803(2)(a) 880 Non-mobile children were enrolled and the center did not have a crib or other approved device to safely evacuate the children in an emergency. There was currently one (1) evacuation crib in the infant classroom. It was reported that ten (10) infants were enrolled. There were five (5) infants present today. The requirement is an evacuation crib for every 5 infants enrolled. .0604(r) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Three (3) employee medical forms on file were not completed prior to employment by a health care professional that could be verified. Repeat violation 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) employee TB screenings were not completed prior to employment by a health care professional that could be verified. Repeat violation .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. It was reported that 2 hours of orientation was completed within the first 6 weeks of employment. The number of hours listed on the form was inaccurate. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Six clock hours of orientation could not be verified for three (3) employees as the information listed on the form was inaccurate. .1101(a)(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Siblings enrolled 7/17/23 did not have a medical assessment on file completed by a health care professional. GS110-91(1) 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. A child with Auvi-Q epinephrine onsite did not have a medical action plan completed for review. Repeat violation .0801(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Two (2) medication authorizations were not signed by the parent and one (1) form did not indicate the child’s name or date of birth, medication name, or when to administer the medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Thursday, May 16, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Comments: - I showed Ms. Wherry how to access child and staff file checklists on the DCDEE website. - Another visit will be made I the near future to verify compliance with supervision. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: CHARLOTTE CHILD DEVELOPMENT CENTER Facility ID: 60003217 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 4/12/2024 Number Present: 39 Completed Date: 4/12/2024 Age: From 0 To 4 Total Minutes: 210 Time In: 11:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during an unannounced monitoring visit. The facility had a Five Star Rated License issued July 27, 2017 and an eighteen month compliance history of 80% prior to today’s visit. The following was monitored using the August 2023 Center Item Number Listing : supervision, discipline/nurture and care of children, staff/child ratio, group size, licensed capacity, permit restrictions, CPR/First Aid training, and CBC qualifications. Ms. Lisa Eddins-Smith accompanied me today. The license and NC child care law summary were posted. Upon arrival I was greeted by Ms. Tajuanta Wherry, Director. I introduced myself and explained the purpose of the visit. She stated Ms. Cynthia Kara-Barnes, owner/operator, was not onsite today. Ms. Beth Daly, Assistant Director, was at EB Moore Park with Space 4 and Space 2. I asked Ms. Wherry if the facility received the Administrative Action in the mail and she looked through mail sitting on her desk. The opened envelope with the Action was observed in the pile. Ms. Wherry stated she received the Action on 3/29/24. I explained the importance of the Action and asked if Ms. Kara-Barnes was aware of the Written Warning. She stated she had not informed Ms. Kara-Barnes it was received. I began to review the document with Ms. Wherry. While reviewing Ms. Kara-Barnes called the facility. Ms. Wherry placed Ms. Kara-Barnes on speaker, and I explained the purpose of the visit and reviewed the action with her, Ms. Wherry and Ms. Daly as she had arrived back to the facility. Ms. Kara-Barnes stated she wanted to appeal the action and the appeal process was read and explained to all three (3) individuals. I requested Ms. Wherry scan the action to Ms. Kara-Barnes during the visit. I explained the appeal window was thirty (30) days from the issuance of the action. The action was issued on 3/27/24. I also explained that the action must be posted even if the facility was appealing. I also discussed the opportunity for an informal meeting with DCDEE regarding the action. Ms. Kara-Barnes stated she was unaware of the action had been delivered and stated mail was delivered to the facility every two (2) weeks. After the phone call with Ms. Kara-Barnes I asked why mail was only delivered every two (2) weeks and it was explained that mail was delivered and checked daily to the address of the facility and that there is also a PO Box where mail for the facility was also delivered. The administrative action was mailed directly to the facility’s address at 3200 Park Road, Charlotte, NC 28209. Ms. Wherry and Ms. Daly accompanied me on the walkthrough. Toddlers were observed finishing lunch and preparing for rest time. It was reported in Space 5 that a child had an allergy that required emergency medication. The medication was monitored and I observed no prescription attached to the Auvi-Q. There was not permission on file for the medication and the medical action plan (MAP) was not completed. The child had Benadryl that was stored behind lock and key and an OTC topical ointment permission was completed for the Benadryl. I explained there was a different permission form for medication and that the permission was valid for six (6) months. The permission on file was completed within six (6) months. I showed Ms. Wherry how to access the medication permission and medical action plans on the DCDEE website. I reviewed safe sleep checks in Space 3. I explained that documentation of safe sleeps should begin the moment children are laid down in the crib regardless of whether they are asleep. If the child was still awake at the fifteen (15) minute check the child should be removed from the crib. Two (2) classrooms were at the EB Moore Park. I requested a sampling of files to review off-premise permissions. Each had current permissions. The time of departure and arrival was listed as TBD. I explained a time should be indicated and that it was understood that the time could be approximate if the class was running late to leave. I requested the list of children who were participating in the off-premise activity and Ms. Daly stated the attendance was with the teachers at the park. I explained a list should be kept onsite to ensure everyone was aware of where each child was throughout the day. I showed Ms. Wherry how to download the updated Child Care Rulebook and how to search for information in the rulebook. We looked at Child Care Rule .1005 regarding requirements for off-premise activities. Five (5) new employee files were reviewed. Three (3) employees did not have documentation of a negative TB test result on file. Two (2) employees did not have a medical statement on file or emergency information completed and one (1) employee did not have documentation of receiving and reviewing the Shaken Baby and Abusive Head Trauma Policy. Four (4) employees began employment at the end of March 2024 and one (1) employee began employment 4/2/24. It was noted on the Documentation of Staff Orientation sheet that the five (5) new employees completed all of the listed training on 3/29/24. The total number of hours was listed as 18 hours. I asked if the employees spent that much time at the facility training and Ms. Wherry stated she did not train them but did not think they were onsite that long. I explained to Ms. Wherry that all documentation should be true and accurate. While reviewing files a teacher from the toddler classroom asked if she could leave for her lunch break. Ms. Wherry asked if all children were asleep. I reminded Ms. Wherry that children under the age of two were required to maintain ratio during naptime. The rule is referenced below in technical assistance. Violation Number Comment Rule 481 A list of all children participating in the off premise activity was not available at the center. Children from Space 2 and Space 2 were off premise at a park. There was no list at the facility indicating who was participating in the off premise activity. .1005(b)(6) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A child's prescribed Auvi-Q did not have the prescription attached to the medication and was not stored in the original container. .0803(2)(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two (2) new employees did not have a medical report on file for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Three (3) new employees did not have a negative TB test on file for review. .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. Two (2) new staff did not have emergency information on file for review. .0701(a) 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. A child with a chronic condition that required emergency medication did not have a medical action plan on file for review. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One (1) new employee did not have a signed prevention of shaken baby syndrome and abusive head trauma policy on file for review. .0608(d)(1-4) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Friday April 26, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Comments: - I offered a new director technical assistance visit to Ms. Wherry and asked her to make a list of topics for us to discuss and send me dates and times that worked for her calendar. - I showed Ms. Wherry the DCDEE website and how to navigate important tabs. We added it to her favorites tool bar. I recommended she create a DCDEE folder on her desktop to download forms, rules, and law for easy reference. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTER (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 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 .1801 · Violation

Name of Operation: CHARLOTTE CHILD DEVELOPMENT CENTER Facility ID: 60003217 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 4/12/2024 Number Present: 39 Completed Date: 4/12/2024 Age: From 0 To 4 Total Minutes: 210 Time In: 11:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during an unannounced monitoring visit. The facility had a Five Star Rated License issued July 27, 2017 and an eighteen month compliance history of 80% prior to today’s visit. The following was monitored using the August 2023 Center Item Number Listing : supervision, discipline/nurture and care of children, staff/child ratio, group size, licensed capacity, permit restrictions, CPR/First Aid training, and CBC qualifications. Ms. Lisa Eddins-Smith accompanied me today. The license and NC child care law summary were posted. Upon arrival I was greeted by Ms. Tajuanta Wherry, Director. I introduced myself and explained the purpose of the visit. She stated Ms. Cynthia Kara-Barnes, owner/operator, was not onsite today. Ms. Beth Daly, Assistant Director, was at EB Moore Park with Space 4 and Space 2. I asked Ms. Wherry if the facility received the Administrative Action in the mail and she looked through mail sitting on her desk. The opened envelope with the Action was observed in the pile. Ms. Wherry stated she received the Action on 3/29/24. I explained the importance of the Action and asked if Ms. Kara-Barnes was aware of the Written Warning. She stated she had not informed Ms. Kara-Barnes it was received. I began to review the document with Ms. Wherry. While reviewing Ms. Kara-Barnes called the facility. Ms. Wherry placed Ms. Kara-Barnes on speaker, and I explained the purpose of the visit and reviewed the action with her, Ms. Wherry and Ms. Daly as she had arrived back to the facility. Ms. Kara-Barnes stated she wanted to appeal the action and the appeal process was read and explained to all three (3) individuals. I requested Ms. Wherry scan the action to Ms. Kara-Barnes during the visit. I explained the appeal window was thirty (30) days from the issuance of the action. The action was issued on 3/27/24. I also explained that the action must be posted even if the facility was appealing. I also discussed the opportunity for an informal meeting with DCDEE regarding the action. Ms. Kara-Barnes stated she was unaware of the action had been delivered and stated mail was delivered to the facility every two (2) weeks. After the phone call with Ms. Kara-Barnes I asked why mail was only delivered every two (2) weeks and it was explained that mail was delivered and checked daily to the address of the facility and that there is also a PO Box where mail for the facility was also delivered. The administrative action was mailed directly to the facility’s address at 3200 Park Road, Charlotte, NC 28209. Ms. Wherry and Ms. Daly accompanied me on the walkthrough. Toddlers were observed finishing lunch and preparing for rest time. It was reported in Space 5 that a child had an allergy that required emergency medication. The medication was monitored and I observed no prescription attached to the Auvi-Q. There was not permission on file for the medication and the medical action plan (MAP) was not completed. The child had Benadryl that was stored behind lock and key and an OTC topical ointment permission was completed for the Benadryl. I explained there was a different permission form for medication and that the permission was valid for six (6) months. The permission on file was completed within six (6) months. I showed Ms. Wherry how to access the medication permission and medical action plans on the DCDEE website. I reviewed safe sleep checks in Space 3. I explained that documentation of safe sleeps should begin the moment children are laid down in the crib regardless of whether they are asleep. If the child was still awake at the fifteen (15) minute check the child should be removed from the crib. Two (2) classrooms were at the EB Moore Park. I requested a sampling of files to review off-premise permissions. Each had current permissions. The time of departure and arrival was listed as TBD. I explained a time should be indicated and that it was understood that the time could be approximate if the class was running late to leave. I requested the list of children who were participating in the off-premise activity and Ms. Daly stated the attendance was with the teachers at the park. I explained a list should be kept onsite to ensure everyone was aware of where each child was throughout the day. I showed Ms. Wherry how to download the updated Child Care Rulebook and how to search for information in the rulebook. We looked at Child Care Rule .1005 regarding requirements for off-premise activities. Five (5) new employee files were reviewed. Three (3) employees did not have documentation of a negative TB test result on file. Two (2) employees did not have a medical statement on file or emergency information completed and one (1) employee did not have documentation of receiving and reviewing the Shaken Baby and Abusive Head Trauma Policy. Four (4) employees began employment at the end of March 2024 and one (1) employee began employment 4/2/24. It was noted on the Documentation of Staff Orientation sheet that the five (5) new employees completed all of the listed training on 3/29/24. The total number of hours was listed as 18 hours. I asked if the employees spent that much time at the facility training and Ms. Wherry stated she did not train them but did not think they were onsite that long. I explained to Ms. Wherry that all documentation should be true and accurate. While reviewing files a teacher from the toddler classroom asked if she could leave for her lunch break. Ms. Wherry asked if all children were asleep. I reminded Ms. Wherry that children under the age of two were required to maintain ratio during naptime. The rule is referenced below in technical assistance. Violation Number Comment Rule 481 A list of all children participating in the off premise activity was not available at the center. Children from Space 2 and Space 2 were off premise at a park. There was no list at the facility indicating who was participating in the off premise activity. .1005(b)(6) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A child's prescribed Auvi-Q did not have the prescription attached to the medication and was not stored in the original container. .0803(2)(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two (2) new employees did not have a medical report on file for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Three (3) new employees did not have a negative TB test on file for review. .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. Two (2) new staff did not have emergency information on file for review. .0701(a) 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. A child with a chronic condition that required emergency medication did not have a medical action plan on file for review. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One (1) new employee did not have a signed prevention of shaken baby syndrome and abusive head trauma policy on file for review. .0608(d)(1-4) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Friday April 26, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Comments: - I offered a new director technical assistance visit to Ms. Wherry and asked her to make a list of topics for us to discuss and send me dates and times that worked for her calendar. - I showed Ms. Wherry the DCDEE website and how to navigate important tabs. We added it to her favorites tool bar. I recommended she create a DCDEE folder on her desktop to download forms, rules, and law for easy reference. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTER (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 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

NC GS 110-90 · Violation

Name of Operation: CHARLOTTE CHILD DEVELOPMENT CENTER Facility ID: 60003217 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 4/12/2024 Number Present: 39 Completed Date: 4/12/2024 Age: From 0 To 4 Total Minutes: 210 Time In: 11:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during an unannounced monitoring visit. The facility had a Five Star Rated License issued July 27, 2017 and an eighteen month compliance history of 80% prior to today’s visit. The following was monitored using the August 2023 Center Item Number Listing : supervision, discipline/nurture and care of children, staff/child ratio, group size, licensed capacity, permit restrictions, CPR/First Aid training, and CBC qualifications. Ms. Lisa Eddins-Smith accompanied me today. The license and NC child care law summary were posted. Upon arrival I was greeted by Ms. Tajuanta Wherry, Director. I introduced myself and explained the purpose of the visit. She stated Ms. Cynthia Kara-Barnes, owner/operator, was not onsite today. Ms. Beth Daly, Assistant Director, was at EB Moore Park with Space 4 and Space 2. I asked Ms. Wherry if the facility received the Administrative Action in the mail and she looked through mail sitting on her desk. The opened envelope with the Action was observed in the pile. Ms. Wherry stated she received the Action on 3/29/24. I explained the importance of the Action and asked if Ms. Kara-Barnes was aware of the Written Warning. She stated she had not informed Ms. Kara-Barnes it was received. I began to review the document with Ms. Wherry. While reviewing Ms. Kara-Barnes called the facility. Ms. Wherry placed Ms. Kara-Barnes on speaker, and I explained the purpose of the visit and reviewed the action with her, Ms. Wherry and Ms. Daly as she had arrived back to the facility. Ms. Kara-Barnes stated she wanted to appeal the action and the appeal process was read and explained to all three (3) individuals. I requested Ms. Wherry scan the action to Ms. Kara-Barnes during the visit. I explained the appeal window was thirty (30) days from the issuance of the action. The action was issued on 3/27/24. I also explained that the action must be posted even if the facility was appealing. I also discussed the opportunity for an informal meeting with DCDEE regarding the action. Ms. Kara-Barnes stated she was unaware of the action had been delivered and stated mail was delivered to the facility every two (2) weeks. After the phone call with Ms. Kara-Barnes I asked why mail was only delivered every two (2) weeks and it was explained that mail was delivered and checked daily to the address of the facility and that there is also a PO Box where mail for the facility was also delivered. The administrative action was mailed directly to the facility’s address at 3200 Park Road, Charlotte, NC 28209. Ms. Wherry and Ms. Daly accompanied me on the walkthrough. Toddlers were observed finishing lunch and preparing for rest time. It was reported in Space 5 that a child had an allergy that required emergency medication. The medication was monitored and I observed no prescription attached to the Auvi-Q. There was not permission on file for the medication and the medical action plan (MAP) was not completed. The child had Benadryl that was stored behind lock and key and an OTC topical ointment permission was completed for the Benadryl. I explained there was a different permission form for medication and that the permission was valid for six (6) months. The permission on file was completed within six (6) months. I showed Ms. Wherry how to access the medication permission and medical action plans on the DCDEE website. I reviewed safe sleep checks in Space 3. I explained that documentation of safe sleeps should begin the moment children are laid down in the crib regardless of whether they are asleep. If the child was still awake at the fifteen (15) minute check the child should be removed from the crib. Two (2) classrooms were at the EB Moore Park. I requested a sampling of files to review off-premise permissions. Each had current permissions. The time of departure and arrival was listed as TBD. I explained a time should be indicated and that it was understood that the time could be approximate if the class was running late to leave. I requested the list of children who were participating in the off-premise activity and Ms. Daly stated the attendance was with the teachers at the park. I explained a list should be kept onsite to ensure everyone was aware of where each child was throughout the day. I showed Ms. Wherry how to download the updated Child Care Rulebook and how to search for information in the rulebook. We looked at Child Care Rule .1005 regarding requirements for off-premise activities. Five (5) new employee files were reviewed. Three (3) employees did not have documentation of a negative TB test result on file. Two (2) employees did not have a medical statement on file or emergency information completed and one (1) employee did not have documentation of receiving and reviewing the Shaken Baby and Abusive Head Trauma Policy. Four (4) employees began employment at the end of March 2024 and one (1) employee began employment 4/2/24. It was noted on the Documentation of Staff Orientation sheet that the five (5) new employees completed all of the listed training on 3/29/24. The total number of hours was listed as 18 hours. I asked if the employees spent that much time at the facility training and Ms. Wherry stated she did not train them but did not think they were onsite that long. I explained to Ms. Wherry that all documentation should be true and accurate. While reviewing files a teacher from the toddler classroom asked if she could leave for her lunch break. Ms. Wherry asked if all children were asleep. I reminded Ms. Wherry that children under the age of two were required to maintain ratio during naptime. The rule is referenced below in technical assistance. Violation Number Comment Rule 481 A list of all children participating in the off premise activity was not available at the center. Children from Space 2 and Space 2 were off premise at a park. There was no list at the facility indicating who was participating in the off premise activity. .1005(b)(6) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A child's prescribed Auvi-Q did not have the prescription attached to the medication and was not stored in the original container. .0803(2)(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two (2) new employees did not have a medical report on file for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Three (3) new employees did not have a negative TB test on file for review. .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. Two (2) new staff did not have emergency information on file for review. .0701(a) 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. A child with a chronic condition that required emergency medication did not have a medical action plan on file for review. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One (1) new employee did not have a signed prevention of shaken baby syndrome and abusive head trauma policy on file for review. .0608(d)(1-4) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Friday April 26, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Comments: - I offered a new director technical assistance visit to Ms. Wherry and asked her to make a list of topics for us to discuss and send me dates and times that worked for her calendar. - I showed Ms. Wherry the DCDEE website and how to navigate important tabs. We added it to her favorites tool bar. I recommended she create a DCDEE folder on her desktop to download forms, rules, and law for easy reference. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTER (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 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 .0713 · Violation

Name of Operation: CHARLOTTE CHILD DEVELOPMENT CENTER Facility ID: 60003217 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: 0124-245L Visit Date: 3/14/2024 Number Present: 43 Completed Date: 3/14/2024 Age: From 0 To 4 Total Minutes: 97 Time In: 10:33 AM Time Out: 12:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to verify compliance with child care requirement violations cited during a complaint follow-up visit conducted on 2/29/24. Upon arrival I entered the gated playground and observed the two year old classroom on the playground. Two (2) teachers were present with ten (10) children. I was greeted by Ms. Beth Daly, administrator, and I explained the purpose of my visit. She stated a teacher had to leave campus and she was filling in while Ms. Gibson was offsite. She stated Ms. Cynthia Kara-Barnes was not currently onsite. I entered the building through Space 4. One (1) teacher was present with nine (9) three and four year olds. I completed a walk through unaccompanied. All classrooms were observed meeting staff/child ratio requirements and adequate supervision was observed. Three (3) new employees were present in the infant classroom. I monitored their files. Each did not have current approved ITS-SIDS training on file. Ms. Kara-Barnes arrived while I was reviewing new staff files. She stated two (2) of the new teachers had ITS-SIDS training from out of state trainers. I explained ITS-SIDS training had to be taken from a DCDEE approved trainer and that out of state trainings did not qualify. Ms. Daly went into the infant classroom as she had current training. The following violations were observed corrected: Item #316 - 10A NCAC 09 .0713(a)(5) Children under one year of age were not kept separate from children two years and older. A child under 12 months of age was combined with children ages 1 - 4 years on the playground. Children were not combined on the playground. Item #318 10A NCAC 09 .0713(a)(6) Children between 12 and 24 months of age were grouped with children 3 years of age or older. Children between 12 and 24 months of age were grouped with children 3 to 4 years of age on the playground. Classrooms were separated by appropriate ages. Infants and toddlers were not combined with older children. Item #452 - 10A NCAC 09. 0605(c) Separate outdoor play areas or time schedules were not provided for children under two when 15 or more children were in care. Thirty-four (34) children were present on the playground and fifteen (15) of the children were 12 months and one (1) child was under 12 months of age. Teachers stated they were following the posted schedule. I observed classrooms adhering to the playground schedule. The following was a repeat violation and corrected during the visit. Item #840 - 10A NCAC 09. 2820(b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A hallway closet was observed unlocked. There were hazardous products stored inside to include disinfectant solutions, fertilizer, and mosquito spray. I observed an opened bag of Miracle Grow potting soil on the ground next to planters on the playground. Ms. Daly removed the soil and put it behind lock and key. Two (2) violations were cited today and each was corrected during the visit. No corrective action was required after the visit. Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. An opened bag of Miracle Grow potting soil was observed on the ground next to planters on the playground. The bag stated keep out of reach of children. .2820(b) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. Three (3) teachers present in the infant room did not have ITS-SIDS training completed by an approved trainer. There were no teachers present in the room with training. .01102 (f) Thank you for your time today. Please contact me with any questions at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. 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. 0605 · Violation

Name of Operation: CHARLOTTE CHILD DEVELOPMENT CENTER Facility ID: 60003217 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: 0124-245L Visit Date: 3/14/2024 Number Present: 43 Completed Date: 3/14/2024 Age: From 0 To 4 Total Minutes: 97 Time In: 10:33 AM Time Out: 12:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to verify compliance with child care requirement violations cited during a complaint follow-up visit conducted on 2/29/24. Upon arrival I entered the gated playground and observed the two year old classroom on the playground. Two (2) teachers were present with ten (10) children. I was greeted by Ms. Beth Daly, administrator, and I explained the purpose of my visit. She stated a teacher had to leave campus and she was filling in while Ms. Gibson was offsite. She stated Ms. Cynthia Kara-Barnes was not currently onsite. I entered the building through Space 4. One (1) teacher was present with nine (9) three and four year olds. I completed a walk through unaccompanied. All classrooms were observed meeting staff/child ratio requirements and adequate supervision was observed. Three (3) new employees were present in the infant classroom. I monitored their files. Each did not have current approved ITS-SIDS training on file. Ms. Kara-Barnes arrived while I was reviewing new staff files. She stated two (2) of the new teachers had ITS-SIDS training from out of state trainers. I explained ITS-SIDS training had to be taken from a DCDEE approved trainer and that out of state trainings did not qualify. Ms. Daly went into the infant classroom as she had current training. The following violations were observed corrected: Item #316 - 10A NCAC 09 .0713(a)(5) Children under one year of age were not kept separate from children two years and older. A child under 12 months of age was combined with children ages 1 - 4 years on the playground. Children were not combined on the playground. Item #318 10A NCAC 09 .0713(a)(6) Children between 12 and 24 months of age were grouped with children 3 years of age or older. Children between 12 and 24 months of age were grouped with children 3 to 4 years of age on the playground. Classrooms were separated by appropriate ages. Infants and toddlers were not combined with older children. Item #452 - 10A NCAC 09. 0605(c) Separate outdoor play areas or time schedules were not provided for children under two when 15 or more children were in care. Thirty-four (34) children were present on the playground and fifteen (15) of the children were 12 months and one (1) child was under 12 months of age. Teachers stated they were following the posted schedule. I observed classrooms adhering to the playground schedule. The following was a repeat violation and corrected during the visit. Item #840 - 10A NCAC 09. 2820(b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A hallway closet was observed unlocked. There were hazardous products stored inside to include disinfectant solutions, fertilizer, and mosquito spray. I observed an opened bag of Miracle Grow potting soil on the ground next to planters on the playground. Ms. Daly removed the soil and put it behind lock and key. Two (2) violations were cited today and each was corrected during the visit. No corrective action was required after the visit. Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. An opened bag of Miracle Grow potting soil was observed on the ground next to planters on the playground. The bag stated keep out of reach of children. .2820(b) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. Three (3) teachers present in the infant room did not have ITS-SIDS training completed by an approved trainer. There were no teachers present in the room with training. .01102 (f) Thank you for your time today. Please contact me with any questions at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. 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. 2820 · Violation

Name of Operation: CHARLOTTE CHILD DEVELOPMENT CENTER Facility ID: 60003217 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: 0124-245L Visit Date: 3/14/2024 Number Present: 43 Completed Date: 3/14/2024 Age: From 0 To 4 Total Minutes: 97 Time In: 10:33 AM Time Out: 12:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to verify compliance with child care requirement violations cited during a complaint follow-up visit conducted on 2/29/24. Upon arrival I entered the gated playground and observed the two year old classroom on the playground. Two (2) teachers were present with ten (10) children. I was greeted by Ms. Beth Daly, administrator, and I explained the purpose of my visit. She stated a teacher had to leave campus and she was filling in while Ms. Gibson was offsite. She stated Ms. Cynthia Kara-Barnes was not currently onsite. I entered the building through Space 4. One (1) teacher was present with nine (9) three and four year olds. I completed a walk through unaccompanied. All classrooms were observed meeting staff/child ratio requirements and adequate supervision was observed. Three (3) new employees were present in the infant classroom. I monitored their files. Each did not have current approved ITS-SIDS training on file. Ms. Kara-Barnes arrived while I was reviewing new staff files. She stated two (2) of the new teachers had ITS-SIDS training from out of state trainers. I explained ITS-SIDS training had to be taken from a DCDEE approved trainer and that out of state trainings did not qualify. Ms. Daly went into the infant classroom as she had current training. The following violations were observed corrected: Item #316 - 10A NCAC 09 .0713(a)(5) Children under one year of age were not kept separate from children two years and older. A child under 12 months of age was combined with children ages 1 - 4 years on the playground. Children were not combined on the playground. Item #318 10A NCAC 09 .0713(a)(6) Children between 12 and 24 months of age were grouped with children 3 years of age or older. Children between 12 and 24 months of age were grouped with children 3 to 4 years of age on the playground. Classrooms were separated by appropriate ages. Infants and toddlers were not combined with older children. Item #452 - 10A NCAC 09. 0605(c) Separate outdoor play areas or time schedules were not provided for children under two when 15 or more children were in care. Thirty-four (34) children were present on the playground and fifteen (15) of the children were 12 months and one (1) child was under 12 months of age. Teachers stated they were following the posted schedule. I observed classrooms adhering to the playground schedule. The following was a repeat violation and corrected during the visit. Item #840 - 10A NCAC 09. 2820(b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A hallway closet was observed unlocked. There were hazardous products stored inside to include disinfectant solutions, fertilizer, and mosquito spray. I observed an opened bag of Miracle Grow potting soil on the ground next to planters on the playground. Ms. Daly removed the soil and put it behind lock and key. Two (2) violations were cited today and each was corrected during the visit. No corrective action was required after the visit. Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. An opened bag of Miracle Grow potting soil was observed on the ground next to planters on the playground. The bag stated keep out of reach of children. .2820(b) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. Three (3) teachers present in the infant room did not have ITS-SIDS training completed by an approved trainer. There were no teachers present in the room with training. .01102 (f) Thank you for your time today. Please contact me with any questions at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. 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: CHARLOTTE CHILD DEVELOPMENT CENTER Facility ID: 60003217 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: 0124-245L Visit Date: 2/29/2024 Number Present: 44 Completed Date: 2/29/2024 Age: From 0 To 4 Total Minutes: 110 Time In: 10:30 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to verify compliance with child care requirement violations cited during a complaint visit conducted on 2/6/24 specifically staff interaction requirements. I was greeted by Ms. Beth Daly, Assistant Director, and I explained the purpose of my visit. Ms. Cynthia Kara-Barnes, Director, emailed corrections to me on 2/9/24. Ms. Kara-Barnes was not onsite today. Ms. Daly conducted the walk through with me. Upon arrival I observed children on the playground. I entered through the playground and was allowed access through Space 2. Four (4) classrooms were on the playground. The youngest child present was under 12 months of age and the oldest child was four (4) years of age. I monitored posted schedules in classrooms for outdoor playtime. I observed outside time for Spaces 2 and 4 for children ages 2 – 4 years was 11:00 am – 12:00 pm. I asked teachers if they were aware that all age groups could not be combined on the playground, each stated they were aware. I asked why they were outside together when I arrived and they stated they chose to come out early. I reminded them that ratio and grouping requirements must be adhered to for the safety of children. The climbing structure on the playground did not have age requirements posted. I spoke to Ms. Kara-Barnes over the phone and she stated the equipment was installed in 1998 by the church and she did not have the manufacturer instructions on file. She stated she would continue to search for information. The following violations were observed corrected: Item #325 - 10A NCAC 09.1802 Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children. A teacher used profanity and yelled in front of children in care. I observed staff engaged with children on the playground. I did not hear raised voices and appropriate language was heard throughout the visit. I interviewed one employee and she stated there had not been any yelling or cursing since the visit. Item #812 10A NCAC 09 .0604(c) 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. Electrical outlets were observed without safety plugs in the auxiliary space used by children today. I observed outlets covered. Item #1322 - 10A NCAC 09. 1005(b)(4) A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. Toddlers who used the unlicensed auxiliary space did not have off-premise permissions on file. I observed off-premise permissions completed and signed to include auxiliary space. The following violation was a repeat violation and corrected during the visit today. Item #840 - 10A NCAC 09. 2820(b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Cleaning products in a mop bucket were observed in an unlocked storage closet on a hallway accessible to children. I monitored hallway closets and observed a storage closet unlocked. There were hazardous products stored inside to include disinfectant solutions, fertilizer, and mosquito spray. Ms. Daly and I moved the hazardous products to a closet with lock and key. Violation Number Comment Rule 316 Children under one year of age were not kept separate from children two years and older. A child under 12 months of age was combined with children ages 1 - 4 years on the playground. 10A NCAC 09 .0713(a)(5) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Children between 12 and 24 months of age were grouped with children 3 to 4 years of age on the playground. 10A NCAC 09 .0713(a)(6) 452 Separate outdoor play areas or time schedules were not provided for children under two when 15 or more children were in care. Thirty-four (34) children were present on the playground and fifteen (15) of the children were 12 months and one (1) child was under 12 months of age. .0605(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A hallway closet was observed unlocked. There were hazardous products stored inside to include disinfectant solutions, fertilizer, and mosquito spray. .2820(b) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Thursday, March 14, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Another follow-up visit will be conducted to verify compliance with staff/child ratio on the playground. Thank you for your time today. Please contact me with any questions at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. 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 .0713 · Violation

Name of Operation: CHARLOTTE CHILD DEVELOPMENT CENTER Facility ID: 60003217 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: 0124-245L Visit Date: 2/29/2024 Number Present: 44 Completed Date: 2/29/2024 Age: From 0 To 4 Total Minutes: 110 Time In: 10:30 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to verify compliance with child care requirement violations cited during a complaint visit conducted on 2/6/24 specifically staff interaction requirements. I was greeted by Ms. Beth Daly, Assistant Director, and I explained the purpose of my visit. Ms. Cynthia Kara-Barnes, Director, emailed corrections to me on 2/9/24. Ms. Kara-Barnes was not onsite today. Ms. Daly conducted the walk through with me. Upon arrival I observed children on the playground. I entered through the playground and was allowed access through Space 2. Four (4) classrooms were on the playground. The youngest child present was under 12 months of age and the oldest child was four (4) years of age. I monitored posted schedules in classrooms for outdoor playtime. I observed outside time for Spaces 2 and 4 for children ages 2 – 4 years was 11:00 am – 12:00 pm. I asked teachers if they were aware that all age groups could not be combined on the playground, each stated they were aware. I asked why they were outside together when I arrived and they stated they chose to come out early. I reminded them that ratio and grouping requirements must be adhered to for the safety of children. The climbing structure on the playground did not have age requirements posted. I spoke to Ms. Kara-Barnes over the phone and she stated the equipment was installed in 1998 by the church and she did not have the manufacturer instructions on file. She stated she would continue to search for information. The following violations were observed corrected: Item #325 - 10A NCAC 09.1802 Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children. A teacher used profanity and yelled in front of children in care. I observed staff engaged with children on the playground. I did not hear raised voices and appropriate language was heard throughout the visit. I interviewed one employee and she stated there had not been any yelling or cursing since the visit. Item #812 10A NCAC 09 .0604(c) 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. Electrical outlets were observed without safety plugs in the auxiliary space used by children today. I observed outlets covered. Item #1322 - 10A NCAC 09. 1005(b)(4) A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. Toddlers who used the unlicensed auxiliary space did not have off-premise permissions on file. I observed off-premise permissions completed and signed to include auxiliary space. The following violation was a repeat violation and corrected during the visit today. Item #840 - 10A NCAC 09. 2820(b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Cleaning products in a mop bucket were observed in an unlocked storage closet on a hallway accessible to children. I monitored hallway closets and observed a storage closet unlocked. There were hazardous products stored inside to include disinfectant solutions, fertilizer, and mosquito spray. Ms. Daly and I moved the hazardous products to a closet with lock and key. Violation Number Comment Rule 316 Children under one year of age were not kept separate from children two years and older. A child under 12 months of age was combined with children ages 1 - 4 years on the playground. 10A NCAC 09 .0713(a)(5) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Children between 12 and 24 months of age were grouped with children 3 to 4 years of age on the playground. 10A NCAC 09 .0713(a)(6) 452 Separate outdoor play areas or time schedules were not provided for children under two when 15 or more children were in care. Thirty-four (34) children were present on the playground and fifteen (15) of the children were 12 months and one (1) child was under 12 months of age. .0605(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A hallway closet was observed unlocked. There were hazardous products stored inside to include disinfectant solutions, fertilizer, and mosquito spray. .2820(b) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Thursday, March 14, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Another follow-up visit will be conducted to verify compliance with staff/child ratio on the playground. Thank you for your time today. Please contact me with any questions at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. 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. 1005 · Violation

Name of Operation: CHARLOTTE CHILD DEVELOPMENT CENTER Facility ID: 60003217 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: 0124-245L Visit Date: 2/29/2024 Number Present: 44 Completed Date: 2/29/2024 Age: From 0 To 4 Total Minutes: 110 Time In: 10:30 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to verify compliance with child care requirement violations cited during a complaint visit conducted on 2/6/24 specifically staff interaction requirements. I was greeted by Ms. Beth Daly, Assistant Director, and I explained the purpose of my visit. Ms. Cynthia Kara-Barnes, Director, emailed corrections to me on 2/9/24. Ms. Kara-Barnes was not onsite today. Ms. Daly conducted the walk through with me. Upon arrival I observed children on the playground. I entered through the playground and was allowed access through Space 2. Four (4) classrooms were on the playground. The youngest child present was under 12 months of age and the oldest child was four (4) years of age. I monitored posted schedules in classrooms for outdoor playtime. I observed outside time for Spaces 2 and 4 for children ages 2 – 4 years was 11:00 am – 12:00 pm. I asked teachers if they were aware that all age groups could not be combined on the playground, each stated they were aware. I asked why they were outside together when I arrived and they stated they chose to come out early. I reminded them that ratio and grouping requirements must be adhered to for the safety of children. The climbing structure on the playground did not have age requirements posted. I spoke to Ms. Kara-Barnes over the phone and she stated the equipment was installed in 1998 by the church and she did not have the manufacturer instructions on file. She stated she would continue to search for information. The following violations were observed corrected: Item #325 - 10A NCAC 09.1802 Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children. A teacher used profanity and yelled in front of children in care. I observed staff engaged with children on the playground. I did not hear raised voices and appropriate language was heard throughout the visit. I interviewed one employee and she stated there had not been any yelling or cursing since the visit. Item #812 10A NCAC 09 .0604(c) 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. Electrical outlets were observed without safety plugs in the auxiliary space used by children today. I observed outlets covered. Item #1322 - 10A NCAC 09. 1005(b)(4) A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. Toddlers who used the unlicensed auxiliary space did not have off-premise permissions on file. I observed off-premise permissions completed and signed to include auxiliary space. The following violation was a repeat violation and corrected during the visit today. Item #840 - 10A NCAC 09. 2820(b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Cleaning products in a mop bucket were observed in an unlocked storage closet on a hallway accessible to children. I monitored hallway closets and observed a storage closet unlocked. There were hazardous products stored inside to include disinfectant solutions, fertilizer, and mosquito spray. Ms. Daly and I moved the hazardous products to a closet with lock and key. Violation Number Comment Rule 316 Children under one year of age were not kept separate from children two years and older. A child under 12 months of age was combined with children ages 1 - 4 years on the playground. 10A NCAC 09 .0713(a)(5) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Children between 12 and 24 months of age were grouped with children 3 to 4 years of age on the playground. 10A NCAC 09 .0713(a)(6) 452 Separate outdoor play areas or time schedules were not provided for children under two when 15 or more children were in care. Thirty-four (34) children were present on the playground and fifteen (15) of the children were 12 months and one (1) child was under 12 months of age. .0605(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A hallway closet was observed unlocked. There were hazardous products stored inside to include disinfectant solutions, fertilizer, and mosquito spray. .2820(b) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Thursday, March 14, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Another follow-up visit will be conducted to verify compliance with staff/child ratio on the playground. Thank you for your time today. Please contact me with any questions at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. 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. 2820 · Violation

Name of Operation: CHARLOTTE CHILD DEVELOPMENT CENTER Facility ID: 60003217 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: 0124-245L Visit Date: 2/29/2024 Number Present: 44 Completed Date: 2/29/2024 Age: From 0 To 4 Total Minutes: 110 Time In: 10:30 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to verify compliance with child care requirement violations cited during a complaint visit conducted on 2/6/24 specifically staff interaction requirements. I was greeted by Ms. Beth Daly, Assistant Director, and I explained the purpose of my visit. Ms. Cynthia Kara-Barnes, Director, emailed corrections to me on 2/9/24. Ms. Kara-Barnes was not onsite today. Ms. Daly conducted the walk through with me. Upon arrival I observed children on the playground. I entered through the playground and was allowed access through Space 2. Four (4) classrooms were on the playground. The youngest child present was under 12 months of age and the oldest child was four (4) years of age. I monitored posted schedules in classrooms for outdoor playtime. I observed outside time for Spaces 2 and 4 for children ages 2 – 4 years was 11:00 am – 12:00 pm. I asked teachers if they were aware that all age groups could not be combined on the playground, each stated they were aware. I asked why they were outside together when I arrived and they stated they chose to come out early. I reminded them that ratio and grouping requirements must be adhered to for the safety of children. The climbing structure on the playground did not have age requirements posted. I spoke to Ms. Kara-Barnes over the phone and she stated the equipment was installed in 1998 by the church and she did not have the manufacturer instructions on file. She stated she would continue to search for information. The following violations were observed corrected: Item #325 - 10A NCAC 09.1802 Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children. A teacher used profanity and yelled in front of children in care. I observed staff engaged with children on the playground. I did not hear raised voices and appropriate language was heard throughout the visit. I interviewed one employee and she stated there had not been any yelling or cursing since the visit. Item #812 10A NCAC 09 .0604(c) 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. Electrical outlets were observed without safety plugs in the auxiliary space used by children today. I observed outlets covered. Item #1322 - 10A NCAC 09. 1005(b)(4) A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. Toddlers who used the unlicensed auxiliary space did not have off-premise permissions on file. I observed off-premise permissions completed and signed to include auxiliary space. The following violation was a repeat violation and corrected during the visit today. Item #840 - 10A NCAC 09. 2820(b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Cleaning products in a mop bucket were observed in an unlocked storage closet on a hallway accessible to children. I monitored hallway closets and observed a storage closet unlocked. There were hazardous products stored inside to include disinfectant solutions, fertilizer, and mosquito spray. Ms. Daly and I moved the hazardous products to a closet with lock and key. Violation Number Comment Rule 316 Children under one year of age were not kept separate from children two years and older. A child under 12 months of age was combined with children ages 1 - 4 years on the playground. 10A NCAC 09 .0713(a)(5) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Children between 12 and 24 months of age were grouped with children 3 to 4 years of age on the playground. 10A NCAC 09 .0713(a)(6) 452 Separate outdoor play areas or time schedules were not provided for children under two when 15 or more children were in care. Thirty-four (34) children were present on the playground and fifteen (15) of the children were 12 months and one (1) child was under 12 months of age. .0605(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A hallway closet was observed unlocked. There were hazardous products stored inside to include disinfectant solutions, fertilizer, and mosquito spray. .2820(b) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Thursday, March 14, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Another follow-up visit will be conducted to verify compliance with staff/child ratio on the playground. Thank you for your time today. Please contact me with any questions at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. 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 09.1802 · Violation

Name of Operation: CHARLOTTE CHILD DEVELOPMENT CENTER Facility ID: 60003217 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: 0124-245L Visit Date: 2/29/2024 Number Present: 44 Completed Date: 2/29/2024 Age: From 0 To 4 Total Minutes: 110 Time In: 10:30 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to verify compliance with child care requirement violations cited during a complaint visit conducted on 2/6/24 specifically staff interaction requirements. I was greeted by Ms. Beth Daly, Assistant Director, and I explained the purpose of my visit. Ms. Cynthia Kara-Barnes, Director, emailed corrections to me on 2/9/24. Ms. Kara-Barnes was not onsite today. Ms. Daly conducted the walk through with me. Upon arrival I observed children on the playground. I entered through the playground and was allowed access through Space 2. Four (4) classrooms were on the playground. The youngest child present was under 12 months of age and the oldest child was four (4) years of age. I monitored posted schedules in classrooms for outdoor playtime. I observed outside time for Spaces 2 and 4 for children ages 2 – 4 years was 11:00 am – 12:00 pm. I asked teachers if they were aware that all age groups could not be combined on the playground, each stated they were aware. I asked why they were outside together when I arrived and they stated they chose to come out early. I reminded them that ratio and grouping requirements must be adhered to for the safety of children. The climbing structure on the playground did not have age requirements posted. I spoke to Ms. Kara-Barnes over the phone and she stated the equipment was installed in 1998 by the church and she did not have the manufacturer instructions on file. She stated she would continue to search for information. The following violations were observed corrected: Item #325 - 10A NCAC 09.1802 Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children. A teacher used profanity and yelled in front of children in care. I observed staff engaged with children on the playground. I did not hear raised voices and appropriate language was heard throughout the visit. I interviewed one employee and she stated there had not been any yelling or cursing since the visit. Item #812 10A NCAC 09 .0604(c) 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. Electrical outlets were observed without safety plugs in the auxiliary space used by children today. I observed outlets covered. Item #1322 - 10A NCAC 09. 1005(b)(4) A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. Toddlers who used the unlicensed auxiliary space did not have off-premise permissions on file. I observed off-premise permissions completed and signed to include auxiliary space. The following violation was a repeat violation and corrected during the visit today. Item #840 - 10A NCAC 09. 2820(b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Cleaning products in a mop bucket were observed in an unlocked storage closet on a hallway accessible to children. I monitored hallway closets and observed a storage closet unlocked. There were hazardous products stored inside to include disinfectant solutions, fertilizer, and mosquito spray. Ms. Daly and I moved the hazardous products to a closet with lock and key. Violation Number Comment Rule 316 Children under one year of age were not kept separate from children two years and older. A child under 12 months of age was combined with children ages 1 - 4 years on the playground. 10A NCAC 09 .0713(a)(5) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Children between 12 and 24 months of age were grouped with children 3 to 4 years of age on the playground. 10A NCAC 09 .0713(a)(6) 452 Separate outdoor play areas or time schedules were not provided for children under two when 15 or more children were in care. Thirty-four (34) children were present on the playground and fifteen (15) of the children were 12 months and one (1) child was under 12 months of age. .0605(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A hallway closet was observed unlocked. There were hazardous products stored inside to include disinfectant solutions, fertilizer, and mosquito spray. .2820(b) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Thursday, March 14, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Another follow-up visit will be conducted to verify compliance with staff/child ratio on the playground. Thank you for your time today. Please contact me with any questions at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. 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

NC GS 110-90 · Violation

Name of Operation: CHARLOTTE CHILD DEVELOPMENT CENTER Facility ID: 60003217 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: 0124-245L Visit Date: 2/29/2024 Number Present: 44 Completed Date: 2/29/2024 Age: From 0 To 4 Total Minutes: 110 Time In: 10:30 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to verify compliance with child care requirement violations cited during a complaint visit conducted on 2/6/24 specifically staff interaction requirements. I was greeted by Ms. Beth Daly, Assistant Director, and I explained the purpose of my visit. Ms. Cynthia Kara-Barnes, Director, emailed corrections to me on 2/9/24. Ms. Kara-Barnes was not onsite today. Ms. Daly conducted the walk through with me. Upon arrival I observed children on the playground. I entered through the playground and was allowed access through Space 2. Four (4) classrooms were on the playground. The youngest child present was under 12 months of age and the oldest child was four (4) years of age. I monitored posted schedules in classrooms for outdoor playtime. I observed outside time for Spaces 2 and 4 for children ages 2 – 4 years was 11:00 am – 12:00 pm. I asked teachers if they were aware that all age groups could not be combined on the playground, each stated they were aware. I asked why they were outside together when I arrived and they stated they chose to come out early. I reminded them that ratio and grouping requirements must be adhered to for the safety of children. The climbing structure on the playground did not have age requirements posted. I spoke to Ms. Kara-Barnes over the phone and she stated the equipment was installed in 1998 by the church and she did not have the manufacturer instructions on file. She stated she would continue to search for information. The following violations were observed corrected: Item #325 - 10A NCAC 09.1802 Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children. A teacher used profanity and yelled in front of children in care. I observed staff engaged with children on the playground. I did not hear raised voices and appropriate language was heard throughout the visit. I interviewed one employee and she stated there had not been any yelling or cursing since the visit. Item #812 10A NCAC 09 .0604(c) 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. Electrical outlets were observed without safety plugs in the auxiliary space used by children today. I observed outlets covered. Item #1322 - 10A NCAC 09. 1005(b)(4) A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. Toddlers who used the unlicensed auxiliary space did not have off-premise permissions on file. I observed off-premise permissions completed and signed to include auxiliary space. The following violation was a repeat violation and corrected during the visit today. Item #840 - 10A NCAC 09. 2820(b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Cleaning products in a mop bucket were observed in an unlocked storage closet on a hallway accessible to children. I monitored hallway closets and observed a storage closet unlocked. There were hazardous products stored inside to include disinfectant solutions, fertilizer, and mosquito spray. Ms. Daly and I moved the hazardous products to a closet with lock and key. Violation Number Comment Rule 316 Children under one year of age were not kept separate from children two years and older. A child under 12 months of age was combined with children ages 1 - 4 years on the playground. 10A NCAC 09 .0713(a)(5) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Children between 12 and 24 months of age were grouped with children 3 to 4 years of age on the playground. 10A NCAC 09 .0713(a)(6) 452 Separate outdoor play areas or time schedules were not provided for children under two when 15 or more children were in care. Thirty-four (34) children were present on the playground and fifteen (15) of the children were 12 months and one (1) child was under 12 months of age. .0605(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A hallway closet was observed unlocked. There were hazardous products stored inside to include disinfectant solutions, fertilizer, and mosquito spray. .2820(b) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Thursday, March 14, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Another follow-up visit will be conducted to verify compliance with staff/child ratio on the playground. Thank you for your time today. Please contact me with any questions at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. 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: CHARLOTTE CHILD DEVELOPMENT CENTER Facility ID: 60003217 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: 0124-245L Visit Date: 2/6/2024 Number Present: 45 Completed Date: 2/6/2024 Age: From 0 To 4 Total Minutes: 232 Time In: 10:23 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced On January 22, 2024, the Division of Child Development and Early Education (DCDEE) received a complaint allegation regarding the following: 1. There is a concern that staff are not interacting with the children in their care in a nurturing and caring manner. 2. There is a concern that children were not adequately supervised. The consultant received the complaint summary on January 24, 2024. The purpose of today’s visit was to discuss the concern. Upon arrival I entered through Space 3 as the doorbell at the front was not working. I met Ms. Beth Daly, Assistant Director, in the office, introduced myself and asked to see Ms. Cynthia Kara-Barnes, Director. Ms. Kara-Barnes arrived to the office, I explained the purpose of the visit and she accompanied me on a walkthrough. She stated three (3) classrooms were using an auxiliary space because of the cold outdoor temperatures. All licensed classrooms were visited today and I monitored the auxiliary space (Community Room) where I observed two (2) classrooms participating in gross motor play. Space 5 for children one year of age was no longer using the space and had returned to their classroom. I asked if all children had off-premise permissions to use the unlicensed space and Ms. Kara-Barnes stated preschool aged children had off-premise permissions but toddlers did not have anything on file. The violation was cited today and Ms. Kara-Barnes stated she would obtain permissions for every child to include spaces in the church used by children that were not licensed. I recommended conducting a walkthrough of unlicensed spaces prior to use to ensure spaces met compliance with licensing requirements. The auxiliary space used today was observed with missing safety plugs in outlets and a closet and a classroom were observed unlocked and accessible to children. Teachers stated children the restrooms located in the Community Room were not used by children. I spent time in Space 5 for toddler care and observed one (1) teacher diapering children and the other teacher putting plates on tables for lunch. Children were separated by boys and girls for diapering. The boys were observed sitting on a carpet looking at books and girls were sitting on the floor in the diaper changing area. I asked the teacher setting the table to provide the children in the diapering area with an activity while they waited to have diapers changed. I observed teachers engaged with children. During the walkthrough I observed three (3) rooms unlocked on the facility’s hallway. Spaces included an electrical closet for the elevator, the electrical closet, and storage space. Each should be locked during operating hours. If rooms are unable to lock all hazardous products should be removed. I discussed the allegations with Ms. Kara-Barnes and Ms. Daly in the office. It was explained that on 1/19/24 a staff member and former staff member had a disagreement. Ms. Kara-Barnes stated she had left for the day and did not hear any of the conversation of the current employee. Ms. Kara-Barnes stated another employee recorded the conversation and sent it to her. Ms. Kara-Barnes played the recording for me today. I could hear an individual yelling and I heard her use profanity. Ms. Kara-Barnes stated she spoke with the teacher and the teacher admitted she was yelling and used profanity in front of children but not directed at children. I interviewed four (4) staff members. One (1) employee stated she heard the teacher yelling to someone on her phone. I asked if they saw the teacher on her phone. She stated she did not see her but could hear the individual on the other line. Two (2) employees stated they did not hear the teacher yelling or cursing and one (1) employee admitted to raising her voice and cursing in front of children. She stated she was not on the phone, but talking to herself. It is unclear in the video recording presented today if the teacher was on the phone. Based on interviews and observations the concern that staff are not interacting with the children in their care in a nurturing and caring manner was substantiated as I heard the employee use profanity and yell on the recording and the employee admitted to doing both. The concern that children were not adequately supervised was not substantiated today because conflicting information was provided during interviews and during the walk through adequate supervision was observed. One (1) new employee file was reviewed today and met requirements. The following violations were cited: Violation Number Comment Rule 325 Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children. A teacher used profanity and yelled in front of children in care. .1802 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. Electrical outlets were observed without safety plugs in the auxiliary space used by children today. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet.Cleaning products in a mop bucket were observed in an unlocked storage closet on a hallway accessible to children. .2820(b) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. Toddlers who used the unlicensed auxiliary space did not have off-premise permissions on file. .1005(b)(4) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday, February 20, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. General Comments/Technical Assistance: - I discussed with interviewed staff that they should leave the classroom anytime they felt unable to maintain a professional demeanor in front of children and that a no time should profanity or yelling to communicate be used in the presence of children. It is imperative to leave outside distractions outside and remember their focus should always be on providing a safe and nurturing environment for children in their care. Ask for assistance to leave the space to calm down and to ensure ratio is maintained in their absence. - Ms. Kara-Barnes stated she currently resides in Georgia 2 weeks out of every month. We discussed the requirements for an Administrator today. 10A NCAC 09 .0714 OTHER STAFFING REQUIREMENTS (a) Each child care center shall have a child care administrator who shall be responsible for monitoring the program and overseeing administrative duties of the center. This requirement may be met by having one or more persons on site who meet the requirements for a child care administrator as set forth in G.S. 110-91(8) and according to the licensed capacity of the center. The child care administrator shall be on-site in accordance with the following chart: (Per the chart listed in Rule 10A NCAC 09 .0714(a) a facility with a licensed capacity of 30-79 children the required weekly on-site hours for the administrator is 25 hours.) The child care administrator's required weekly hours may include those hours that he or she is off-site due to administrative duties, illness or vacation. I explained that weekly hours off-site would include running errands or meetings conducted for the facility. Ms. Kara-Barnes stated Ms. Beth Daly assumed administrative responsibilities in her absence. We discussed the possibility of Co-directors. Ms. Daly submitted a pre-service form to the previous consultant but the information was incomplete. I collected the form again today. I reminded Ms. Kara-Barnes that when we re-evaluate the program again for the RLA we would look at both administrators when determining the facility’s points in education. It was recommended that Ms. Daly submit official transcripts to WORKS for any recently taken classes for evaluation. I emailed the electronic submission form to Ms. Kara-Barnes today. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956- 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 .0714 · Violation

Name of Operation: CHARLOTTE CHILD DEVELOPMENT CENTER Facility ID: 60003217 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: 0124-245L Visit Date: 2/6/2024 Number Present: 45 Completed Date: 2/6/2024 Age: From 0 To 4 Total Minutes: 232 Time In: 10:23 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced On January 22, 2024, the Division of Child Development and Early Education (DCDEE) received a complaint allegation regarding the following: 1. There is a concern that staff are not interacting with the children in their care in a nurturing and caring manner. 2. There is a concern that children were not adequately supervised. The consultant received the complaint summary on January 24, 2024. The purpose of today’s visit was to discuss the concern. Upon arrival I entered through Space 3 as the doorbell at the front was not working. I met Ms. Beth Daly, Assistant Director, in the office, introduced myself and asked to see Ms. Cynthia Kara-Barnes, Director. Ms. Kara-Barnes arrived to the office, I explained the purpose of the visit and she accompanied me on a walkthrough. She stated three (3) classrooms were using an auxiliary space because of the cold outdoor temperatures. All licensed classrooms were visited today and I monitored the auxiliary space (Community Room) where I observed two (2) classrooms participating in gross motor play. Space 5 for children one year of age was no longer using the space and had returned to their classroom. I asked if all children had off-premise permissions to use the unlicensed space and Ms. Kara-Barnes stated preschool aged children had off-premise permissions but toddlers did not have anything on file. The violation was cited today and Ms. Kara-Barnes stated she would obtain permissions for every child to include spaces in the church used by children that were not licensed. I recommended conducting a walkthrough of unlicensed spaces prior to use to ensure spaces met compliance with licensing requirements. The auxiliary space used today was observed with missing safety plugs in outlets and a closet and a classroom were observed unlocked and accessible to children. Teachers stated children the restrooms located in the Community Room were not used by children. I spent time in Space 5 for toddler care and observed one (1) teacher diapering children and the other teacher putting plates on tables for lunch. Children were separated by boys and girls for diapering. The boys were observed sitting on a carpet looking at books and girls were sitting on the floor in the diaper changing area. I asked the teacher setting the table to provide the children in the diapering area with an activity while they waited to have diapers changed. I observed teachers engaged with children. During the walkthrough I observed three (3) rooms unlocked on the facility’s hallway. Spaces included an electrical closet for the elevator, the electrical closet, and storage space. Each should be locked during operating hours. If rooms are unable to lock all hazardous products should be removed. I discussed the allegations with Ms. Kara-Barnes and Ms. Daly in the office. It was explained that on 1/19/24 a staff member and former staff member had a disagreement. Ms. Kara-Barnes stated she had left for the day and did not hear any of the conversation of the current employee. Ms. Kara-Barnes stated another employee recorded the conversation and sent it to her. Ms. Kara-Barnes played the recording for me today. I could hear an individual yelling and I heard her use profanity. Ms. Kara-Barnes stated she spoke with the teacher and the teacher admitted she was yelling and used profanity in front of children but not directed at children. I interviewed four (4) staff members. One (1) employee stated she heard the teacher yelling to someone on her phone. I asked if they saw the teacher on her phone. She stated she did not see her but could hear the individual on the other line. Two (2) employees stated they did not hear the teacher yelling or cursing and one (1) employee admitted to raising her voice and cursing in front of children. She stated she was not on the phone, but talking to herself. It is unclear in the video recording presented today if the teacher was on the phone. Based on interviews and observations the concern that staff are not interacting with the children in their care in a nurturing and caring manner was substantiated as I heard the employee use profanity and yell on the recording and the employee admitted to doing both. The concern that children were not adequately supervised was not substantiated today because conflicting information was provided during interviews and during the walk through adequate supervision was observed. One (1) new employee file was reviewed today and met requirements. The following violations were cited: Violation Number Comment Rule 325 Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children. A teacher used profanity and yelled in front of children in care. .1802 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. Electrical outlets were observed without safety plugs in the auxiliary space used by children today. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet.Cleaning products in a mop bucket were observed in an unlocked storage closet on a hallway accessible to children. .2820(b) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. Toddlers who used the unlicensed auxiliary space did not have off-premise permissions on file. .1005(b)(4) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday, February 20, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. General Comments/Technical Assistance: - I discussed with interviewed staff that they should leave the classroom anytime they felt unable to maintain a professional demeanor in front of children and that a no time should profanity or yelling to communicate be used in the presence of children. It is imperative to leave outside distractions outside and remember their focus should always be on providing a safe and nurturing environment for children in their care. Ask for assistance to leave the space to calm down and to ensure ratio is maintained in their absence. - Ms. Kara-Barnes stated she currently resides in Georgia 2 weeks out of every month. We discussed the requirements for an Administrator today. 10A NCAC 09 .0714 OTHER STAFFING REQUIREMENTS (a) Each child care center shall have a child care administrator who shall be responsible for monitoring the program and overseeing administrative duties of the center. This requirement may be met by having one or more persons on site who meet the requirements for a child care administrator as set forth in G.S. 110-91(8) and according to the licensed capacity of the center. The child care administrator shall be on-site in accordance with the following chart: (Per the chart listed in Rule 10A NCAC 09 .0714(a) a facility with a licensed capacity of 30-79 children the required weekly on-site hours for the administrator is 25 hours.) The child care administrator's required weekly hours may include those hours that he or she is off-site due to administrative duties, illness or vacation. I explained that weekly hours off-site would include running errands or meetings conducted for the facility. Ms. Kara-Barnes stated Ms. Beth Daly assumed administrative responsibilities in her absence. We discussed the possibility of Co-directors. Ms. Daly submitted a pre-service form to the previous consultant but the information was incomplete. I collected the form again today. I reminded Ms. Kara-Barnes that when we re-evaluate the program again for the RLA we would look at both administrators when determining the facility’s points in education. It was recommended that Ms. Daly submit official transcripts to WORKS for any recently taken classes for evaluation. I emailed the electronic submission form to Ms. Kara-Barnes today. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956- 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: CHARLOTTE CHILD DEVELOPMENT CENTER Facility ID: 60003217 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: 0124-245L Visit Date: 2/6/2024 Number Present: 45 Completed Date: 2/6/2024 Age: From 0 To 4 Total Minutes: 232 Time In: 10:23 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced On January 22, 2024, the Division of Child Development and Early Education (DCDEE) received a complaint allegation regarding the following: 1. There is a concern that staff are not interacting with the children in their care in a nurturing and caring manner. 2. There is a concern that children were not adequately supervised. The consultant received the complaint summary on January 24, 2024. The purpose of today’s visit was to discuss the concern. Upon arrival I entered through Space 3 as the doorbell at the front was not working. I met Ms. Beth Daly, Assistant Director, in the office, introduced myself and asked to see Ms. Cynthia Kara-Barnes, Director. Ms. Kara-Barnes arrived to the office, I explained the purpose of the visit and she accompanied me on a walkthrough. She stated three (3) classrooms were using an auxiliary space because of the cold outdoor temperatures. All licensed classrooms were visited today and I monitored the auxiliary space (Community Room) where I observed two (2) classrooms participating in gross motor play. Space 5 for children one year of age was no longer using the space and had returned to their classroom. I asked if all children had off-premise permissions to use the unlicensed space and Ms. Kara-Barnes stated preschool aged children had off-premise permissions but toddlers did not have anything on file. The violation was cited today and Ms. Kara-Barnes stated she would obtain permissions for every child to include spaces in the church used by children that were not licensed. I recommended conducting a walkthrough of unlicensed spaces prior to use to ensure spaces met compliance with licensing requirements. The auxiliary space used today was observed with missing safety plugs in outlets and a closet and a classroom were observed unlocked and accessible to children. Teachers stated children the restrooms located in the Community Room were not used by children. I spent time in Space 5 for toddler care and observed one (1) teacher diapering children and the other teacher putting plates on tables for lunch. Children were separated by boys and girls for diapering. The boys were observed sitting on a carpet looking at books and girls were sitting on the floor in the diaper changing area. I asked the teacher setting the table to provide the children in the diapering area with an activity while they waited to have diapers changed. I observed teachers engaged with children. During the walkthrough I observed three (3) rooms unlocked on the facility’s hallway. Spaces included an electrical closet for the elevator, the electrical closet, and storage space. Each should be locked during operating hours. If rooms are unable to lock all hazardous products should be removed. I discussed the allegations with Ms. Kara-Barnes and Ms. Daly in the office. It was explained that on 1/19/24 a staff member and former staff member had a disagreement. Ms. Kara-Barnes stated she had left for the day and did not hear any of the conversation of the current employee. Ms. Kara-Barnes stated another employee recorded the conversation and sent it to her. Ms. Kara-Barnes played the recording for me today. I could hear an individual yelling and I heard her use profanity. Ms. Kara-Barnes stated she spoke with the teacher and the teacher admitted she was yelling and used profanity in front of children but not directed at children. I interviewed four (4) staff members. One (1) employee stated she heard the teacher yelling to someone on her phone. I asked if they saw the teacher on her phone. She stated she did not see her but could hear the individual on the other line. Two (2) employees stated they did not hear the teacher yelling or cursing and one (1) employee admitted to raising her voice and cursing in front of children. She stated she was not on the phone, but talking to herself. It is unclear in the video recording presented today if the teacher was on the phone. Based on interviews and observations the concern that staff are not interacting with the children in their care in a nurturing and caring manner was substantiated as I heard the employee use profanity and yell on the recording and the employee admitted to doing both. The concern that children were not adequately supervised was not substantiated today because conflicting information was provided during interviews and during the walk through adequate supervision was observed. One (1) new employee file was reviewed today and met requirements. The following violations were cited: Violation Number Comment Rule 325 Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children. A teacher used profanity and yelled in front of children in care. .1802 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. Electrical outlets were observed without safety plugs in the auxiliary space used by children today. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet.Cleaning products in a mop bucket were observed in an unlocked storage closet on a hallway accessible to children. .2820(b) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. Toddlers who used the unlicensed auxiliary space did not have off-premise permissions on file. .1005(b)(4) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday, February 20, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. General Comments/Technical Assistance: - I discussed with interviewed staff that they should leave the classroom anytime they felt unable to maintain a professional demeanor in front of children and that a no time should profanity or yelling to communicate be used in the presence of children. It is imperative to leave outside distractions outside and remember their focus should always be on providing a safe and nurturing environment for children in their care. Ask for assistance to leave the space to calm down and to ensure ratio is maintained in their absence. - Ms. Kara-Barnes stated she currently resides in Georgia 2 weeks out of every month. We discussed the requirements for an Administrator today. 10A NCAC 09 .0714 OTHER STAFFING REQUIREMENTS (a) Each child care center shall have a child care administrator who shall be responsible for monitoring the program and overseeing administrative duties of the center. This requirement may be met by having one or more persons on site who meet the requirements for a child care administrator as set forth in G.S. 110-91(8) and according to the licensed capacity of the center. The child care administrator shall be on-site in accordance with the following chart: (Per the chart listed in Rule 10A NCAC 09 .0714(a) a facility with a licensed capacity of 30-79 children the required weekly on-site hours for the administrator is 25 hours.) The child care administrator's required weekly hours may include those hours that he or she is off-site due to administrative duties, illness or vacation. I explained that weekly hours off-site would include running errands or meetings conducted for the facility. Ms. Kara-Barnes stated Ms. Beth Daly assumed administrative responsibilities in her absence. We discussed the possibility of Co-directors. Ms. Daly submitted a pre-service form to the previous consultant but the information was incomplete. I collected the form again today. I reminded Ms. Kara-Barnes that when we re-evaluate the program again for the RLA we would look at both administrators when determining the facility’s points in education. It was recommended that Ms. Daly submit official transcripts to WORKS for any recently taken classes for evaluation. I emailed the electronic submission form to Ms. Kara-Barnes today. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956- 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

NC GS 110-90 · Violation

Name of Operation: CHARLOTTE CHILD DEVELOPMENT CENTER Facility ID: 60003217 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: 0124-245L Visit Date: 2/6/2024 Number Present: 45 Completed Date: 2/6/2024 Age: From 0 To 4 Total Minutes: 232 Time In: 10:23 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced On January 22, 2024, the Division of Child Development and Early Education (DCDEE) received a complaint allegation regarding the following: 1. There is a concern that staff are not interacting with the children in their care in a nurturing and caring manner. 2. There is a concern that children were not adequately supervised. The consultant received the complaint summary on January 24, 2024. The purpose of today’s visit was to discuss the concern. Upon arrival I entered through Space 3 as the doorbell at the front was not working. I met Ms. Beth Daly, Assistant Director, in the office, introduced myself and asked to see Ms. Cynthia Kara-Barnes, Director. Ms. Kara-Barnes arrived to the office, I explained the purpose of the visit and she accompanied me on a walkthrough. She stated three (3) classrooms were using an auxiliary space because of the cold outdoor temperatures. All licensed classrooms were visited today and I monitored the auxiliary space (Community Room) where I observed two (2) classrooms participating in gross motor play. Space 5 for children one year of age was no longer using the space and had returned to their classroom. I asked if all children had off-premise permissions to use the unlicensed space and Ms. Kara-Barnes stated preschool aged children had off-premise permissions but toddlers did not have anything on file. The violation was cited today and Ms. Kara-Barnes stated she would obtain permissions for every child to include spaces in the church used by children that were not licensed. I recommended conducting a walkthrough of unlicensed spaces prior to use to ensure spaces met compliance with licensing requirements. The auxiliary space used today was observed with missing safety plugs in outlets and a closet and a classroom were observed unlocked and accessible to children. Teachers stated children the restrooms located in the Community Room were not used by children. I spent time in Space 5 for toddler care and observed one (1) teacher diapering children and the other teacher putting plates on tables for lunch. Children were separated by boys and girls for diapering. The boys were observed sitting on a carpet looking at books and girls were sitting on the floor in the diaper changing area. I asked the teacher setting the table to provide the children in the diapering area with an activity while they waited to have diapers changed. I observed teachers engaged with children. During the walkthrough I observed three (3) rooms unlocked on the facility’s hallway. Spaces included an electrical closet for the elevator, the electrical closet, and storage space. Each should be locked during operating hours. If rooms are unable to lock all hazardous products should be removed. I discussed the allegations with Ms. Kara-Barnes and Ms. Daly in the office. It was explained that on 1/19/24 a staff member and former staff member had a disagreement. Ms. Kara-Barnes stated she had left for the day and did not hear any of the conversation of the current employee. Ms. Kara-Barnes stated another employee recorded the conversation and sent it to her. Ms. Kara-Barnes played the recording for me today. I could hear an individual yelling and I heard her use profanity. Ms. Kara-Barnes stated she spoke with the teacher and the teacher admitted she was yelling and used profanity in front of children but not directed at children. I interviewed four (4) staff members. One (1) employee stated she heard the teacher yelling to someone on her phone. I asked if they saw the teacher on her phone. She stated she did not see her but could hear the individual on the other line. Two (2) employees stated they did not hear the teacher yelling or cursing and one (1) employee admitted to raising her voice and cursing in front of children. She stated she was not on the phone, but talking to herself. It is unclear in the video recording presented today if the teacher was on the phone. Based on interviews and observations the concern that staff are not interacting with the children in their care in a nurturing and caring manner was substantiated as I heard the employee use profanity and yell on the recording and the employee admitted to doing both. The concern that children were not adequately supervised was not substantiated today because conflicting information was provided during interviews and during the walk through adequate supervision was observed. One (1) new employee file was reviewed today and met requirements. The following violations were cited: Violation Number Comment Rule 325 Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children. A teacher used profanity and yelled in front of children in care. .1802 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. Electrical outlets were observed without safety plugs in the auxiliary space used by children today. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet.Cleaning products in a mop bucket were observed in an unlocked storage closet on a hallway accessible to children. .2820(b) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. Toddlers who used the unlicensed auxiliary space did not have off-premise permissions on file. .1005(b)(4) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday, February 20, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. General Comments/Technical Assistance: - I discussed with interviewed staff that they should leave the classroom anytime they felt unable to maintain a professional demeanor in front of children and that a no time should profanity or yelling to communicate be used in the presence of children. It is imperative to leave outside distractions outside and remember their focus should always be on providing a safe and nurturing environment for children in their care. Ask for assistance to leave the space to calm down and to ensure ratio is maintained in their absence. - Ms. Kara-Barnes stated she currently resides in Georgia 2 weeks out of every month. We discussed the requirements for an Administrator today. 10A NCAC 09 .0714 OTHER STAFFING REQUIREMENTS (a) Each child care center shall have a child care administrator who shall be responsible for monitoring the program and overseeing administrative duties of the center. This requirement may be met by having one or more persons on site who meet the requirements for a child care administrator as set forth in G.S. 110-91(8) and according to the licensed capacity of the center. The child care administrator shall be on-site in accordance with the following chart: (Per the chart listed in Rule 10A NCAC 09 .0714(a) a facility with a licensed capacity of 30-79 children the required weekly on-site hours for the administrator is 25 hours.) The child care administrator's required weekly hours may include those hours that he or she is off-site due to administrative duties, illness or vacation. I explained that weekly hours off-site would include running errands or meetings conducted for the facility. Ms. Kara-Barnes stated Ms. Beth Daly assumed administrative responsibilities in her absence. We discussed the possibility of Co-directors. Ms. Daly submitted a pre-service form to the previous consultant but the information was incomplete. I collected the form again today. I reminded Ms. Kara-Barnes that when we re-evaluate the program again for the RLA we would look at both administrators when determining the facility’s points in education. It was recommended that Ms. Daly submit official transcripts to WORKS for any recently taken classes for evaluation. I emailed the electronic submission form to Ms. Kara-Barnes today. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956- 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: CHARLOTTE CHILD DEVELOPMENT CENTER Facility ID: 60003217 Consultant: DENISE WATSON Operation Type: Center Case Number: Visit Date: 9/6/2023 Number Present: 39 Completed Date: 9/6/2023 Age: From 0 To 4 Total Minutes: 60 Time In: 10:30 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today's Unannounced Follow Up visit was to monitor violations cited during an Annual Compliance visit on 08/15/2023. Supervision, Staff Child Ratio, Approved Space, License Posted, and Permit Restrictions were monitored today. Violation 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed on 8/1/22. A fire inspection has been scheduled for 9/12/2023. Please email the fire inspection to me once completed. Violation 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two (2) child care providers did not have a medical report on file prior to employment. Medical reports for two (2) childcare providers were still not on file. Violation 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) childcare providers did not provide results indicating that they were free of active TB. TB test/screening were still not on file for two (2) childcare providers. Violation 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Two (2) child care providers did not complete the required number of hours according to their education and experience. Two (2) childcare providers still have not completed the required number of hours. It was stated that the training will be competed on 9/8/23. Violation 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Four (4) child care providers files did not contain an annual staff evaluation. Three (3) staff evaluations were monitored for three (3) childcare providers. One (1) staff evaluation still needs to be completed for one (1) childcare provider. The following violations were cited during today's visit: Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two (2) child care providers did not have a medical report on file prior to employment. This is a repeat violation. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) childcare providers did not provide results indicating that they were free of active TB. This is a repeat violation. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Two (2) child care provider did not complete the required number of h ours according to their education and experience. This is a repeat violation. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Four (4) child care providers files did not contain an annual staff evaluation. Three (3) staff evaluations were monitored for three (3) childcare providers during today's visit. One (1) staff evaluation still needs to be completed for one (1) childcare provider. This is a repeat violation. 10A NCAC 09 .0514(f) Compliance -Violations cited today must be corrected immediately. Please send me a letter documenting how violations cited today were corrected by September 20, 2023. Failure to maintain compliance with all applicable requirements may result in an Administrative Action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. Failure to correct the violations and/or submit the compliance letter to me by the due date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Please continue to check the DCDEE website weekly as new information is added as well as emails from me. Please do not hesitate to contact me if you have any questions or concerns. Denise Watson P.O. Box 241561 Charlotte NC 28224 denise.watson@dhhs.nc.gov (704) 564-2910 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: CHARLOTTE CHILD DEVELOPMENT CENTER Facility ID: 60003217 Consultant: DENISE WATSON Operation Type: Center Case Number: Visit Date: 9/6/2023 Number Present: 39 Completed Date: 9/6/2023 Age: From 0 To 4 Total Minutes: 60 Time In: 10:30 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today's Unannounced Follow Up visit was to monitor violations cited during an Annual Compliance visit on 08/15/2023. Supervision, Staff Child Ratio, Approved Space, License Posted, and Permit Restrictions were monitored today. Violation 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed on 8/1/22. A fire inspection has been scheduled for 9/12/2023. Please email the fire inspection to me once completed. Violation 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two (2) child care providers did not have a medical report on file prior to employment. Medical reports for two (2) childcare providers were still not on file. Violation 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) childcare providers did not provide results indicating that they were free of active TB. TB test/screening were still not on file for two (2) childcare providers. Violation 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Two (2) child care providers did not complete the required number of hours according to their education and experience. Two (2) childcare providers still have not completed the required number of hours. It was stated that the training will be competed on 9/8/23. Violation 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Four (4) child care providers files did not contain an annual staff evaluation. Three (3) staff evaluations were monitored for three (3) childcare providers. One (1) staff evaluation still needs to be completed for one (1) childcare provider. The following violations were cited during today's visit: Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two (2) child care providers did not have a medical report on file prior to employment. This is a repeat violation. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) childcare providers did not provide results indicating that they were free of active TB. This is a repeat violation. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Two (2) child care provider did not complete the required number of h ours according to their education and experience. This is a repeat violation. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Four (4) child care providers files did not contain an annual staff evaluation. Three (3) staff evaluations were monitored for three (3) childcare providers during today's visit. One (1) staff evaluation still needs to be completed for one (1) childcare provider. This is a repeat violation. 10A NCAC 09 .0514(f) Compliance -Violations cited today must be corrected immediately. Please send me a letter documenting how violations cited today were corrected by September 20, 2023. Failure to maintain compliance with all applicable requirements may result in an Administrative Action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. Failure to correct the violations and/or submit the compliance letter to me by the due date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Please continue to check the DCDEE website weekly as new information is added as well as emails from me. Please do not hesitate to contact me if you have any questions or concerns. Denise Watson P.O. Box 241561 Charlotte NC 28224 denise.watson@dhhs.nc.gov (704) 564-2910 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: CHARLOTTE CHILD DEVELOPMENT CENTER Facility ID: 60003217 Consultant: DENISE WATSON Operation Type: Center Case Number: Visit Date: 8/15/2023 Number Present: 42 Completed Date: 8/15/2023 Age: From 0 To 3 Total Minutes: 170 Time In: 09:40 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit is to monitor all applicable child care requirements during an Annual Compliance visit. The last Annual Compliance visit was made on 08/3/22. The current 5 star license was issued on 07/27/17. The June 2022 version of Child Care Center Master Item Number Listing, DCD-0357 and a checklist was used to complete monitoring today. This facility has a compliance history of 90% as of today. A walk through of the facility was completed. Five (5) classrooms were monitored on today for: Sign in/out, allergy list, medical action plans (if applicable), menu, schedule, activity plan, and staff/child ratio chart. Children were observed having indoor free play and having routine needs met. There were ample toys and activities available. The following was observed posted: current license, Summary of Law, Safe Arrival and Departure procedures, Menu, Emergency Care Plan, and no smoking signage. A Sanitation inspection was conducted on 01/03/2023 . A Fire inspection was conducted on 08/01/2021. Monthly Fire Drills, Playground Inspections, and EPR Drills were monitored. A sample of staff files were monitored today for Criminal Qualifying Letters, Medical Statement, TB Test, Health Questionnaire/Emergency Information, Annual on-going Training Hours, and Special Trainings. A sample of children's files were monitored for Application, Emergency Care authorization, Summary of Law, Medical/Immunization, Discipline Statement, No smoking statement, Safe Sleep Policy, Infant Feeding Schedule and Shaken Baby Syndrome Policy (if applicable). This facility does not provide transportation. The following violations were cited during today's visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed on 8/1/22. 10A NCAC 09 .0304(a) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One (1) child was laying on a boppy pillow with a bottle. 10A NCAC 09 .0902(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Aerosol cans of sunscreen were located in an unlocked closet in space (1). .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Diaper cream in Space two (2) written permission to administer had expired. 10A NCAC 09 .0803(1)(a & b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two (2) child care providers did not have a medical report on file prior to employment. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) childcare providers did not provide results indicating that they were free of active TB. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Two (2) child care provider did not complete the required number of h ours according to their education and experience. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Four (4) child care providers files did not contain an annual staff evaluation. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child did not have a medical exam on file before or within 30 days after enrollment. GS110-91(1) Compliance -Violations cited today must be corrected immediately. Please send me a letter documenting how violations cited today were corrected by August 29, 2023. Failure to maintain compliance with all applicable requirements may result in an Administrative Action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. Failure to correct the violations and/or submit the compliance letter to me by the due date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Administrative Action Discussion: An administrative action was issued to this facility on May 25, 2023. All stipulations from the corrective action plan has been completed except for numbers four and five. You completed number three on 7/25/23 which was all staff taking the A+ Supervision training. Please submit as soon as possible number 4, your written plan for observation and evaluation of staff's performance related to adhering to the facility's supervision policy, and number 5 your staff meeting minutes and record of attendees explaining your supervision policy. Technical Assistance -I suggested to Ms. Daley that sign in and out should occur as children are arriving and departing. Head count sheets should be used as children are arriving and departing in their classrooms and as they move about the facility whether to go outdoors or combine with another class. Daily attendance should be completed at a reasonable time. (I suggested by at least 10:00 a.m. because normally all children will have arrived by that time and that is this facility's cut off time for arrival.) -Please continue to discuss zone supervision during outdoor play and emphasize minimizing the amount of time sitting down when interacting with children unless the children are choosing to sit down or an activity is going on that allows staff and children to sit down. Technology (phones and ipads) are used for documentation and communication with parents. Please discuss reasonable times to use these devices to not interfere with the supervision of children. -Remind staff that music should be used with a purpose. It should be used when children request it, during active participation (singing and dancing), for transitional ques, or quiet music for rest. This is also helpful information to know when preparing for the Environment Rating Scales when music can only played for limited time intervals. -Continue to discuss the NCECC equivalency exam that can be taken for free on MOODLE. Remember that it can only be taken and failed twice. After that, you have to wait six (6) months before you take it again. Because it is an equivalency certificate, if this is the only education that a staff member has and they are full time, they are still required twenty (20) on-going training hours. -Remind teachers that when children are placed down to sleep, even if they automatically flip over to their side or stomach to sleep, BACK (B) must be recorded as the initial position that they child is laying in. Then when they're checked in fifteen (15) minutes, they can record their new sleep position if it has changed. Please continue to check the DCDEE website weekly as new information is added as well as emails from me. Please do not hesitate to contact me if you have any questions or concerns. Denise Watson P.O. Box 241561 Charlotte NC 28224 denise.watson@dhhs.nc.gov (704) 564-2910 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 .0304 · Violation

Name of Operation: CHARLOTTE CHILD DEVELOPMENT CENTER Facility ID: 60003217 Consultant: DENISE WATSON Operation Type: Center Case Number: Visit Date: 8/15/2023 Number Present: 42 Completed Date: 8/15/2023 Age: From 0 To 3 Total Minutes: 170 Time In: 09:40 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit is to monitor all applicable child care requirements during an Annual Compliance visit. The last Annual Compliance visit was made on 08/3/22. The current 5 star license was issued on 07/27/17. The June 2022 version of Child Care Center Master Item Number Listing, DCD-0357 and a checklist was used to complete monitoring today. This facility has a compliance history of 90% as of today. A walk through of the facility was completed. Five (5) classrooms were monitored on today for: Sign in/out, allergy list, medical action plans (if applicable), menu, schedule, activity plan, and staff/child ratio chart. Children were observed having indoor free play and having routine needs met. There were ample toys and activities available. The following was observed posted: current license, Summary of Law, Safe Arrival and Departure procedures, Menu, Emergency Care Plan, and no smoking signage. A Sanitation inspection was conducted on 01/03/2023 . A Fire inspection was conducted on 08/01/2021. Monthly Fire Drills, Playground Inspections, and EPR Drills were monitored. A sample of staff files were monitored today for Criminal Qualifying Letters, Medical Statement, TB Test, Health Questionnaire/Emergency Information, Annual on-going Training Hours, and Special Trainings. A sample of children's files were monitored for Application, Emergency Care authorization, Summary of Law, Medical/Immunization, Discipline Statement, No smoking statement, Safe Sleep Policy, Infant Feeding Schedule and Shaken Baby Syndrome Policy (if applicable). This facility does not provide transportation. The following violations were cited during today's visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed on 8/1/22. 10A NCAC 09 .0304(a) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One (1) child was laying on a boppy pillow with a bottle. 10A NCAC 09 .0902(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Aerosol cans of sunscreen were located in an unlocked closet in space (1). .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Diaper cream in Space two (2) written permission to administer had expired. 10A NCAC 09 .0803(1)(a & b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two (2) child care providers did not have a medical report on file prior to employment. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) childcare providers did not provide results indicating that they were free of active TB. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Two (2) child care provider did not complete the required number of h ours according to their education and experience. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Four (4) child care providers files did not contain an annual staff evaluation. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child did not have a medical exam on file before or within 30 days after enrollment. GS110-91(1) Compliance -Violations cited today must be corrected immediately. Please send me a letter documenting how violations cited today were corrected by August 29, 2023. Failure to maintain compliance with all applicable requirements may result in an Administrative Action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. Failure to correct the violations and/or submit the compliance letter to me by the due date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Administrative Action Discussion: An administrative action was issued to this facility on May 25, 2023. All stipulations from the corrective action plan has been completed except for numbers four and five. You completed number three on 7/25/23 which was all staff taking the A+ Supervision training. Please submit as soon as possible number 4, your written plan for observation and evaluation of staff's performance related to adhering to the facility's supervision policy, and number 5 your staff meeting minutes and record of attendees explaining your supervision policy. Technical Assistance -I suggested to Ms. Daley that sign in and out should occur as children are arriving and departing. Head count sheets should be used as children are arriving and departing in their classrooms and as they move about the facility whether to go outdoors or combine with another class. Daily attendance should be completed at a reasonable time. (I suggested by at least 10:00 a.m. because normally all children will have arrived by that time and that is this facility's cut off time for arrival.) -Please continue to discuss zone supervision during outdoor play and emphasize minimizing the amount of time sitting down when interacting with children unless the children are choosing to sit down or an activity is going on that allows staff and children to sit down. Technology (phones and ipads) are used for documentation and communication with parents. Please discuss reasonable times to use these devices to not interfere with the supervision of children. -Remind staff that music should be used with a purpose. It should be used when children request it, during active participation (singing and dancing), for transitional ques, or quiet music for rest. This is also helpful information to know when preparing for the Environment Rating Scales when music can only played for limited time intervals. -Continue to discuss the NCECC equivalency exam that can be taken for free on MOODLE. Remember that it can only be taken and failed twice. After that, you have to wait six (6) months before you take it again. Because it is an equivalency certificate, if this is the only education that a staff member has and they are full time, they are still required twenty (20) on-going training hours. -Remind teachers that when children are placed down to sleep, even if they automatically flip over to their side or stomach to sleep, BACK (B) must be recorded as the initial position that they child is laying in. Then when they're checked in fifteen (15) minutes, they can record their new sleep position if it has changed. Please continue to check the DCDEE website weekly as new information is added as well as emails from me. Please do not hesitate to contact me if you have any questions or concerns. Denise Watson P.O. Box 241561 Charlotte NC 28224 denise.watson@dhhs.nc.gov (704) 564-2910 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: CHARLOTTE CHILD DEVELOPMENT CENTER Facility ID: 60003217 Consultant: DENISE WATSON Operation Type: Center Case Number: Visit Date: 8/15/2023 Number Present: 42 Completed Date: 8/15/2023 Age: From 0 To 3 Total Minutes: 170 Time In: 09:40 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit is to monitor all applicable child care requirements during an Annual Compliance visit. The last Annual Compliance visit was made on 08/3/22. The current 5 star license was issued on 07/27/17. The June 2022 version of Child Care Center Master Item Number Listing, DCD-0357 and a checklist was used to complete monitoring today. This facility has a compliance history of 90% as of today. A walk through of the facility was completed. Five (5) classrooms were monitored on today for: Sign in/out, allergy list, medical action plans (if applicable), menu, schedule, activity plan, and staff/child ratio chart. Children were observed having indoor free play and having routine needs met. There were ample toys and activities available. The following was observed posted: current license, Summary of Law, Safe Arrival and Departure procedures, Menu, Emergency Care Plan, and no smoking signage. A Sanitation inspection was conducted on 01/03/2023 . A Fire inspection was conducted on 08/01/2021. Monthly Fire Drills, Playground Inspections, and EPR Drills were monitored. A sample of staff files were monitored today for Criminal Qualifying Letters, Medical Statement, TB Test, Health Questionnaire/Emergency Information, Annual on-going Training Hours, and Special Trainings. A sample of children's files were monitored for Application, Emergency Care authorization, Summary of Law, Medical/Immunization, Discipline Statement, No smoking statement, Safe Sleep Policy, Infant Feeding Schedule and Shaken Baby Syndrome Policy (if applicable). This facility does not provide transportation. The following violations were cited during today's visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed on 8/1/22. 10A NCAC 09 .0304(a) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One (1) child was laying on a boppy pillow with a bottle. 10A NCAC 09 .0902(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Aerosol cans of sunscreen were located in an unlocked closet in space (1). .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Diaper cream in Space two (2) written permission to administer had expired. 10A NCAC 09 .0803(1)(a & b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two (2) child care providers did not have a medical report on file prior to employment. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) childcare providers did not provide results indicating that they were free of active TB. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Two (2) child care provider did not complete the required number of h ours according to their education and experience. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Four (4) child care providers files did not contain an annual staff evaluation. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child did not have a medical exam on file before or within 30 days after enrollment. GS110-91(1) Compliance -Violations cited today must be corrected immediately. Please send me a letter documenting how violations cited today were corrected by August 29, 2023. Failure to maintain compliance with all applicable requirements may result in an Administrative Action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. Failure to correct the violations and/or submit the compliance letter to me by the due date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Administrative Action Discussion: An administrative action was issued to this facility on May 25, 2023. All stipulations from the corrective action plan has been completed except for numbers four and five. You completed number three on 7/25/23 which was all staff taking the A+ Supervision training. Please submit as soon as possible number 4, your written plan for observation and evaluation of staff's performance related to adhering to the facility's supervision policy, and number 5 your staff meeting minutes and record of attendees explaining your supervision policy. Technical Assistance -I suggested to Ms. Daley that sign in and out should occur as children are arriving and departing. Head count sheets should be used as children are arriving and departing in their classrooms and as they move about the facility whether to go outdoors or combine with another class. Daily attendance should be completed at a reasonable time. (I suggested by at least 10:00 a.m. because normally all children will have arrived by that time and that is this facility's cut off time for arrival.) -Please continue to discuss zone supervision during outdoor play and emphasize minimizing the amount of time sitting down when interacting with children unless the children are choosing to sit down or an activity is going on that allows staff and children to sit down. Technology (phones and ipads) are used for documentation and communication with parents. Please discuss reasonable times to use these devices to not interfere with the supervision of children. -Remind staff that music should be used with a purpose. It should be used when children request it, during active participation (singing and dancing), for transitional ques, or quiet music for rest. This is also helpful information to know when preparing for the Environment Rating Scales when music can only played for limited time intervals. -Continue to discuss the NCECC equivalency exam that can be taken for free on MOODLE. Remember that it can only be taken and failed twice. After that, you have to wait six (6) months before you take it again. Because it is an equivalency certificate, if this is the only education that a staff member has and they are full time, they are still required twenty (20) on-going training hours. -Remind teachers that when children are placed down to sleep, even if they automatically flip over to their side or stomach to sleep, BACK (B) must be recorded as the initial position that they child is laying in. Then when they're checked in fifteen (15) minutes, they can record their new sleep position if it has changed. Please continue to check the DCDEE website weekly as new information is added as well as emails from me. Please do not hesitate to contact me if you have any questions or concerns. Denise Watson P.O. Box 241561 Charlotte NC 28224 denise.watson@dhhs.nc.gov (704) 564-2910 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: CHARLOTTE CHILD DEVELOPMENT CENTER Facility ID: 60003217 Consultant: DENISE WATSON Operation Type: Center Case Number: Visit Date: 8/15/2023 Number Present: 42 Completed Date: 8/15/2023 Age: From 0 To 3 Total Minutes: 170 Time In: 09:40 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit is to monitor all applicable child care requirements during an Annual Compliance visit. The last Annual Compliance visit was made on 08/3/22. The current 5 star license was issued on 07/27/17. The June 2022 version of Child Care Center Master Item Number Listing, DCD-0357 and a checklist was used to complete monitoring today. This facility has a compliance history of 90% as of today. A walk through of the facility was completed. Five (5) classrooms were monitored on today for: Sign in/out, allergy list, medical action plans (if applicable), menu, schedule, activity plan, and staff/child ratio chart. Children were observed having indoor free play and having routine needs met. There were ample toys and activities available. The following was observed posted: current license, Summary of Law, Safe Arrival and Departure procedures, Menu, Emergency Care Plan, and no smoking signage. A Sanitation inspection was conducted on 01/03/2023 . A Fire inspection was conducted on 08/01/2021. Monthly Fire Drills, Playground Inspections, and EPR Drills were monitored. A sample of staff files were monitored today for Criminal Qualifying Letters, Medical Statement, TB Test, Health Questionnaire/Emergency Information, Annual on-going Training Hours, and Special Trainings. A sample of children's files were monitored for Application, Emergency Care authorization, Summary of Law, Medical/Immunization, Discipline Statement, No smoking statement, Safe Sleep Policy, Infant Feeding Schedule and Shaken Baby Syndrome Policy (if applicable). This facility does not provide transportation. The following violations were cited during today's visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed on 8/1/22. 10A NCAC 09 .0304(a) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One (1) child was laying on a boppy pillow with a bottle. 10A NCAC 09 .0902(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Aerosol cans of sunscreen were located in an unlocked closet in space (1). .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Diaper cream in Space two (2) written permission to administer had expired. 10A NCAC 09 .0803(1)(a & b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two (2) child care providers did not have a medical report on file prior to employment. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) childcare providers did not provide results indicating that they were free of active TB. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Two (2) child care provider did not complete the required number of h ours according to their education and experience. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Four (4) child care providers files did not contain an annual staff evaluation. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child did not have a medical exam on file before or within 30 days after enrollment. GS110-91(1) Compliance -Violations cited today must be corrected immediately. Please send me a letter documenting how violations cited today were corrected by August 29, 2023. Failure to maintain compliance with all applicable requirements may result in an Administrative Action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. Failure to correct the violations and/or submit the compliance letter to me by the due date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Administrative Action Discussion: An administrative action was issued to this facility on May 25, 2023. All stipulations from the corrective action plan has been completed except for numbers four and five. You completed number three on 7/25/23 which was all staff taking the A+ Supervision training. Please submit as soon as possible number 4, your written plan for observation and evaluation of staff's performance related to adhering to the facility's supervision policy, and number 5 your staff meeting minutes and record of attendees explaining your supervision policy. Technical Assistance -I suggested to Ms. Daley that sign in and out should occur as children are arriving and departing. Head count sheets should be used as children are arriving and departing in their classrooms and as they move about the facility whether to go outdoors or combine with another class. Daily attendance should be completed at a reasonable time. (I suggested by at least 10:00 a.m. because normally all children will have arrived by that time and that is this facility's cut off time for arrival.) -Please continue to discuss zone supervision during outdoor play and emphasize minimizing the amount of time sitting down when interacting with children unless the children are choosing to sit down or an activity is going on that allows staff and children to sit down. Technology (phones and ipads) are used for documentation and communication with parents. Please discuss reasonable times to use these devices to not interfere with the supervision of children. -Remind staff that music should be used with a purpose. It should be used when children request it, during active participation (singing and dancing), for transitional ques, or quiet music for rest. This is also helpful information to know when preparing for the Environment Rating Scales when music can only played for limited time intervals. -Continue to discuss the NCECC equivalency exam that can be taken for free on MOODLE. Remember that it can only be taken and failed twice. After that, you have to wait six (6) months before you take it again. Because it is an equivalency certificate, if this is the only education that a staff member has and they are full time, they are still required twenty (20) on-going training hours. -Remind teachers that when children are placed down to sleep, even if they automatically flip over to their side or stomach to sleep, BACK (B) must be recorded as the initial position that they child is laying in. Then when they're checked in fifteen (15) minutes, they can record their new sleep position if it has changed. Please continue to check the DCDEE website weekly as new information is added as well as emails from me. Please do not hesitate to contact me if you have any questions or concerns. Denise Watson P.O. Box 241561 Charlotte NC 28224 denise.watson@dhhs.nc.gov (704) 564-2910 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: CHARLOTTE CHILD DEVELOPMENT CENTER Facility ID: 60003217 Consultant: DENISE WATSON Operation Type: Center Case Number: Visit Date: 8/15/2023 Number Present: 42 Completed Date: 8/15/2023 Age: From 0 To 3 Total Minutes: 170 Time In: 09:40 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit is to monitor all applicable child care requirements during an Annual Compliance visit. The last Annual Compliance visit was made on 08/3/22. The current 5 star license was issued on 07/27/17. The June 2022 version of Child Care Center Master Item Number Listing, DCD-0357 and a checklist was used to complete monitoring today. This facility has a compliance history of 90% as of today. A walk through of the facility was completed. Five (5) classrooms were monitored on today for: Sign in/out, allergy list, medical action plans (if applicable), menu, schedule, activity plan, and staff/child ratio chart. Children were observed having indoor free play and having routine needs met. There were ample toys and activities available. The following was observed posted: current license, Summary of Law, Safe Arrival and Departure procedures, Menu, Emergency Care Plan, and no smoking signage. A Sanitation inspection was conducted on 01/03/2023 . A Fire inspection was conducted on 08/01/2021. Monthly Fire Drills, Playground Inspections, and EPR Drills were monitored. A sample of staff files were monitored today for Criminal Qualifying Letters, Medical Statement, TB Test, Health Questionnaire/Emergency Information, Annual on-going Training Hours, and Special Trainings. A sample of children's files were monitored for Application, Emergency Care authorization, Summary of Law, Medical/Immunization, Discipline Statement, No smoking statement, Safe Sleep Policy, Infant Feeding Schedule and Shaken Baby Syndrome Policy (if applicable). This facility does not provide transportation. The following violations were cited during today's visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed on 8/1/22. 10A NCAC 09 .0304(a) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One (1) child was laying on a boppy pillow with a bottle. 10A NCAC 09 .0902(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Aerosol cans of sunscreen were located in an unlocked closet in space (1). .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Diaper cream in Space two (2) written permission to administer had expired. 10A NCAC 09 .0803(1)(a & b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two (2) child care providers did not have a medical report on file prior to employment. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) childcare providers did not provide results indicating that they were free of active TB. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Two (2) child care provider did not complete the required number of h ours according to their education and experience. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Four (4) child care providers files did not contain an annual staff evaluation. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child did not have a medical exam on file before or within 30 days after enrollment. GS110-91(1) Compliance -Violations cited today must be corrected immediately. Please send me a letter documenting how violations cited today were corrected by August 29, 2023. Failure to maintain compliance with all applicable requirements may result in an Administrative Action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. Failure to correct the violations and/or submit the compliance letter to me by the due date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Administrative Action Discussion: An administrative action was issued to this facility on May 25, 2023. All stipulations from the corrective action plan has been completed except for numbers four and five. You completed number three on 7/25/23 which was all staff taking the A+ Supervision training. Please submit as soon as possible number 4, your written plan for observation and evaluation of staff's performance related to adhering to the facility's supervision policy, and number 5 your staff meeting minutes and record of attendees explaining your supervision policy. Technical Assistance -I suggested to Ms. Daley that sign in and out should occur as children are arriving and departing. Head count sheets should be used as children are arriving and departing in their classrooms and as they move about the facility whether to go outdoors or combine with another class. Daily attendance should be completed at a reasonable time. (I suggested by at least 10:00 a.m. because normally all children will have arrived by that time and that is this facility's cut off time for arrival.) -Please continue to discuss zone supervision during outdoor play and emphasize minimizing the amount of time sitting down when interacting with children unless the children are choosing to sit down or an activity is going on that allows staff and children to sit down. Technology (phones and ipads) are used for documentation and communication with parents. Please discuss reasonable times to use these devices to not interfere with the supervision of children. -Remind staff that music should be used with a purpose. It should be used when children request it, during active participation (singing and dancing), for transitional ques, or quiet music for rest. This is also helpful information to know when preparing for the Environment Rating Scales when music can only played for limited time intervals. -Continue to discuss the NCECC equivalency exam that can be taken for free on MOODLE. Remember that it can only be taken and failed twice. After that, you have to wait six (6) months before you take it again. Because it is an equivalency certificate, if this is the only education that a staff member has and they are full time, they are still required twenty (20) on-going training hours. -Remind teachers that when children are placed down to sleep, even if they automatically flip over to their side or stomach to sleep, BACK (B) must be recorded as the initial position that they child is laying in. Then when they're checked in fifteen (15) minutes, they can record their new sleep position if it has changed. Please continue to check the DCDEE website weekly as new information is added as well as emails from me. Please do not hesitate to contact me if you have any questions or concerns. Denise Watson P.O. Box 241561 Charlotte NC 28224 denise.watson@dhhs.nc.gov (704) 564-2910 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: CHARLOTTE CHILD DEVELOPMENT CENTER Facility ID: 60003217 Consultant: DENISE WATSON Operation Type: Center Case Number: Visit Date: 8/15/2023 Number Present: 42 Completed Date: 8/15/2023 Age: From 0 To 3 Total Minutes: 170 Time In: 09:40 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit is to monitor all applicable child care requirements during an Annual Compliance visit. The last Annual Compliance visit was made on 08/3/22. The current 5 star license was issued on 07/27/17. The June 2022 version of Child Care Center Master Item Number Listing, DCD-0357 and a checklist was used to complete monitoring today. This facility has a compliance history of 90% as of today. A walk through of the facility was completed. Five (5) classrooms were monitored on today for: Sign in/out, allergy list, medical action plans (if applicable), menu, schedule, activity plan, and staff/child ratio chart. Children were observed having indoor free play and having routine needs met. There were ample toys and activities available. The following was observed posted: current license, Summary of Law, Safe Arrival and Departure procedures, Menu, Emergency Care Plan, and no smoking signage. A Sanitation inspection was conducted on 01/03/2023 . A Fire inspection was conducted on 08/01/2021. Monthly Fire Drills, Playground Inspections, and EPR Drills were monitored. A sample of staff files were monitored today for Criminal Qualifying Letters, Medical Statement, TB Test, Health Questionnaire/Emergency Information, Annual on-going Training Hours, and Special Trainings. A sample of children's files were monitored for Application, Emergency Care authorization, Summary of Law, Medical/Immunization, Discipline Statement, No smoking statement, Safe Sleep Policy, Infant Feeding Schedule and Shaken Baby Syndrome Policy (if applicable). This facility does not provide transportation. The following violations were cited during today's visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed on 8/1/22. 10A NCAC 09 .0304(a) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One (1) child was laying on a boppy pillow with a bottle. 10A NCAC 09 .0902(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Aerosol cans of sunscreen were located in an unlocked closet in space (1). .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Diaper cream in Space two (2) written permission to administer had expired. 10A NCAC 09 .0803(1)(a & b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two (2) child care providers did not have a medical report on file prior to employment. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) childcare providers did not provide results indicating that they were free of active TB. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Two (2) child care provider did not complete the required number of h ours according to their education and experience. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Four (4) child care providers files did not contain an annual staff evaluation. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child did not have a medical exam on file before or within 30 days after enrollment. GS110-91(1) Compliance -Violations cited today must be corrected immediately. Please send me a letter documenting how violations cited today were corrected by August 29, 2023. Failure to maintain compliance with all applicable requirements may result in an Administrative Action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. Failure to correct the violations and/or submit the compliance letter to me by the due date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Administrative Action Discussion: An administrative action was issued to this facility on May 25, 2023. All stipulations from the corrective action plan has been completed except for numbers four and five. You completed number three on 7/25/23 which was all staff taking the A+ Supervision training. Please submit as soon as possible number 4, your written plan for observation and evaluation of staff's performance related to adhering to the facility's supervision policy, and number 5 your staff meeting minutes and record of attendees explaining your supervision policy. Technical Assistance -I suggested to Ms. Daley that sign in and out should occur as children are arriving and departing. Head count sheets should be used as children are arriving and departing in their classrooms and as they move about the facility whether to go outdoors or combine with another class. Daily attendance should be completed at a reasonable time. (I suggested by at least 10:00 a.m. because normally all children will have arrived by that time and that is this facility's cut off time for arrival.) -Please continue to discuss zone supervision during outdoor play and emphasize minimizing the amount of time sitting down when interacting with children unless the children are choosing to sit down or an activity is going on that allows staff and children to sit down. Technology (phones and ipads) are used for documentation and communication with parents. Please discuss reasonable times to use these devices to not interfere with the supervision of children. -Remind staff that music should be used with a purpose. It should be used when children request it, during active participation (singing and dancing), for transitional ques, or quiet music for rest. This is also helpful information to know when preparing for the Environment Rating Scales when music can only played for limited time intervals. -Continue to discuss the NCECC equivalency exam that can be taken for free on MOODLE. Remember that it can only be taken and failed twice. After that, you have to wait six (6) months before you take it again. Because it is an equivalency certificate, if this is the only education that a staff member has and they are full time, they are still required twenty (20) on-going training hours. -Remind teachers that when children are placed down to sleep, even if they automatically flip over to their side or stomach to sleep, BACK (B) must be recorded as the initial position that they child is laying in. Then when they're checked in fifteen (15) minutes, they can record their new sleep position if it has changed. Please continue to check the DCDEE website weekly as new information is added as well as emails from me. Please do not hesitate to contact me if you have any questions or concerns. Denise Watson P.O. Box 241561 Charlotte NC 28224 denise.watson@dhhs.nc.gov (704) 564-2910 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