Chesterbrook Academy

10A NCAC 09 .0601 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60000988 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 6/16/2026 Number Present: 93 Completed Date: 6/16/2026 Age: From 0 To 5 Total Minutes: 369 Time In: 10:00 AM Time Out: 04:09 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 a Five Star Permit issued April 6, 2022. The facility had an eighteen (18) month compliance history score of 86% prior to today’s visit. The May 2026 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. Brandy Roberts, Director, and I explained the purpose of the visit. Ms. Roberts accompanied me on the walkthrough. In Spaces 1a and 2a for infant care I observed safe sleep checks completed and maintained as required. Bottles were dated and labeled, and each infant had an assigned crib. Materials were observed in good condition, and teachers were observed engaged with children as they played. Diaper creams were monitored and each had current permission forms. Feeding schedules were posted and signed by both the parent and teacher. Toddlers and preschool aged children were observed participating in free play activities and a large group activity. The posted lesson plan was current. Materials listed on the activity plan were not available in the classroom for implementation. Space 2b did not have kitchen materials available for play. The exit door leading to the playground did not open easily. The door had a deadbolt mechanism that was made to unlock when the door handle was opened. The deadbolt partially opened and had to be forcefully pushed down to get the deadbolt to retract, presenting a safety issue if children had to be evacuated from the building. Ms. Roberts asked the landscaper if he had WD-40 that could be sprayed into the lock to loosen the deadbolt. We looked at the lock together and he stated he would lubricate the lock today. Ms. Roberts understands that if the lock still did not open properly a new lock must be installed. The door should be checked every morning prior to children arriving. Preschool aged children were observed dancing, eating lunch, and preparing for rest time. Teachers were engaged with children and nurturing environments were provided to children. All outdoor learning environments were monitored. The poured in place surfacing underneath the climbing structure on the preschool playground was in poor condition. There were multiple places where the surfacing was deteriorating and able to be pulled apart. The facility did not provide transportation. The posted emergency medical care plan (EMC) was Emergency medications were monitored and stored properly. A sampling of children’s files was monitored. Two (2) children had allergies listed on their medical form and there was not medical action plan completed and the medications were not onsite. A sampling of staff files and six (6) new staff files were monitored. The staff and training worksheet was completed by Ms. Roberts. The EPR plan was reviewed and updated in the Risk Management portal by Ms. Roberts on 4/6/26. Fire and emergency drills were completed and documented as required. Playground inspections were completed. The last sanitation inspection was completed on 6/10/26 and received an superior rating. The last fire inspection was completed on 5/20/26. The ABCMS facility roster was reviewed today and was current. The Secretary of State website was reviewed today and SEG Inc, owner of the facility, was listed current-active. Violation Number Comment Rule 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. There were no kitchen/housekeeping materials available for play in Space 2b. .0510(e)(3) 721 All equipment and furnishings were not in good repair. The poured in place surfacing underneath the climbing structure on the preschool playground was in poor condition. There were multiple places where the surfacing was deteriorating and able to be pulled apart. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. The exit door leading to the playground did not open easily in Spaces 2a and 2b. The door had a deadbolt mechanism that was made to unlock when the door handle was opened. The deadbolt partially opened and had to be forcefully pushed down to get the deadbolt to retract, presenting a safety issue if children had to be evacuated from the building. 10A NCAC 09 .0601(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One (1) employee was required 20 ongoing trainings and 4 hours were completed. .1103(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child, E.D., did not have a medical exam on file. GS 110-91(1);.0302(d)(2); .0304(g) 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. One (1) child, E.D, had an expired off premise permission form on file. .1005(b)(4) 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 list the date of enrollment. .1804(b) 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. Two (2) children had allergies listed on their medical form and there was no medical action plan completed. .0801(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) employee hired 11/1/23 completed child maltreatment training 7/1/24. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One (1) employee hired 4/11/24 completed health and safety trainings on 6/2025. One (1) employee hired 9/19/24 did not complete health and safety trainings. One (1) employee hired 8/20/24 completed health and safety trainings in 2/2026. One (1) employee hired 12/2/24 completed health and safety trainings 1/2026. .1102(a) 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, June 30, 2026. 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. Email the information to: Jennifer Stansfield, Child Care Consultant Jennifer.stansfield@dhhs.nc.gov The emailed compliance letter 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: - All child paperwork should be reviewed in full to ensure the facility has the required medications and medication paperwork onsite. I recommend auditing files 2x’s per year between the director and assistant director. - Each safe sleep check time should have an infant’s sleep position marked. If the staff are documenting the time a child wakes up they should still indicate the position of the child. - Staff should gather materials for the lesson plan each morning or the Friday before the next week begins so that all materials are ready to implement the lesson plan as written. - I recommend going to the public library for books listed on lesson plans. - Ms. Roberts and I discussed the importance of all staff submitting transcripts to WORKS for evaluation. Once the ERS assessment is completed, the packet will be submitted based on staff education information in WORKS. Thank you for your time today. If you have any questions please contact me at jennifer.stansfield@dhhs.nc.gov 704-956-1648 or Amy Italiano, Licensing Supervisor, at amy.italiano@dhhs.nc.gov or 704-936-6065. 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: CHESTERBROOK ACADEMY Facility ID: 60000988 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 6/16/2026 Number Present: 93 Completed Date: 6/16/2026 Age: From 0 To 5 Total Minutes: 369 Time In: 10:00 AM Time Out: 04:09 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 a Five Star Permit issued April 6, 2022. The facility had an eighteen (18) month compliance history score of 86% prior to today’s visit. The May 2026 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. Brandy Roberts, Director, and I explained the purpose of the visit. Ms. Roberts accompanied me on the walkthrough. In Spaces 1a and 2a for infant care I observed safe sleep checks completed and maintained as required. Bottles were dated and labeled, and each infant had an assigned crib. Materials were observed in good condition, and teachers were observed engaged with children as they played. Diaper creams were monitored and each had current permission forms. Feeding schedules were posted and signed by both the parent and teacher. Toddlers and preschool aged children were observed participating in free play activities and a large group activity. The posted lesson plan was current. Materials listed on the activity plan were not available in the classroom for implementation. Space 2b did not have kitchen materials available for play. The exit door leading to the playground did not open easily. The door had a deadbolt mechanism that was made to unlock when the door handle was opened. The deadbolt partially opened and had to be forcefully pushed down to get the deadbolt to retract, presenting a safety issue if children had to be evacuated from the building. Ms. Roberts asked the landscaper if he had WD-40 that could be sprayed into the lock to loosen the deadbolt. We looked at the lock together and he stated he would lubricate the lock today. Ms. Roberts understands that if the lock still did not open properly a new lock must be installed. The door should be checked every morning prior to children arriving. Preschool aged children were observed dancing, eating lunch, and preparing for rest time. Teachers were engaged with children and nurturing environments were provided to children. All outdoor learning environments were monitored. The poured in place surfacing underneath the climbing structure on the preschool playground was in poor condition. There were multiple places where the surfacing was deteriorating and able to be pulled apart. The facility did not provide transportation. The posted emergency medical care plan (EMC) was Emergency medications were monitored and stored properly. A sampling of children’s files was monitored. Two (2) children had allergies listed on their medical form and there was not medical action plan completed and the medications were not onsite. A sampling of staff files and six (6) new staff files were monitored. The staff and training worksheet was completed by Ms. Roberts. The EPR plan was reviewed and updated in the Risk Management portal by Ms. Roberts on 4/6/26. Fire and emergency drills were completed and documented as required. Playground inspections were completed. The last sanitation inspection was completed on 6/10/26 and received an superior rating. The last fire inspection was completed on 5/20/26. The ABCMS facility roster was reviewed today and was current. The Secretary of State website was reviewed today and SEG Inc, owner of the facility, was listed current-active. Violation Number Comment Rule 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. There were no kitchen/housekeeping materials available for play in Space 2b. .0510(e)(3) 721 All equipment and furnishings were not in good repair. The poured in place surfacing underneath the climbing structure on the preschool playground was in poor condition. There were multiple places where the surfacing was deteriorating and able to be pulled apart. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. The exit door leading to the playground did not open easily in Spaces 2a and 2b. The door had a deadbolt mechanism that was made to unlock when the door handle was opened. The deadbolt partially opened and had to be forcefully pushed down to get the deadbolt to retract, presenting a safety issue if children had to be evacuated from the building. 10A NCAC 09 .0601(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One (1) employee was required 20 ongoing trainings and 4 hours were completed. .1103(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child, E.D., did not have a medical exam on file. GS 110-91(1);.0302(d)(2); .0304(g) 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. One (1) child, E.D, had an expired off premise permission form on file. .1005(b)(4) 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 list the date of enrollment. .1804(b) 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. Two (2) children had allergies listed on their medical form and there was no medical action plan completed. .0801(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) employee hired 11/1/23 completed child maltreatment training 7/1/24. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One (1) employee hired 4/11/24 completed health and safety trainings on 6/2025. One (1) employee hired 9/19/24 did not complete health and safety trainings. One (1) employee hired 8/20/24 completed health and safety trainings in 2/2026. One (1) employee hired 12/2/24 completed health and safety trainings 1/2026. .1102(a) 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, June 30, 2026. 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. Email the information to: Jennifer Stansfield, Child Care Consultant Jennifer.stansfield@dhhs.nc.gov The emailed compliance letter 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: - All child paperwork should be reviewed in full to ensure the facility has the required medications and medication paperwork onsite. I recommend auditing files 2x’s per year between the director and assistant director. - Each safe sleep check time should have an infant’s sleep position marked. If the staff are documenting the time a child wakes up they should still indicate the position of the child. - Staff should gather materials for the lesson plan each morning or the Friday before the next week begins so that all materials are ready to implement the lesson plan as written. - I recommend going to the public library for books listed on lesson plans. - Ms. Roberts and I discussed the importance of all staff submitting transcripts to WORKS for evaluation. Once the ERS assessment is completed, the packet will be submitted based on staff education information in WORKS. Thank you for your time today. If you have any questions please contact me at jennifer.stansfield@dhhs.nc.gov 704-956-1648 or Amy Italiano, Licensing Supervisor, at amy.italiano@dhhs.nc.gov or 704-936-6065. 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: CHESTERBROOK ACADEMY Facility ID: 60000988 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 6/16/2026 Number Present: 93 Completed Date: 6/16/2026 Age: From 0 To 5 Total Minutes: 369 Time In: 10:00 AM Time Out: 04:09 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 a Five Star Permit issued April 6, 2022. The facility had an eighteen (18) month compliance history score of 86% prior to today’s visit. The May 2026 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. Brandy Roberts, Director, and I explained the purpose of the visit. Ms. Roberts accompanied me on the walkthrough. In Spaces 1a and 2a for infant care I observed safe sleep checks completed and maintained as required. Bottles were dated and labeled, and each infant had an assigned crib. Materials were observed in good condition, and teachers were observed engaged with children as they played. Diaper creams were monitored and each had current permission forms. Feeding schedules were posted and signed by both the parent and teacher. Toddlers and preschool aged children were observed participating in free play activities and a large group activity. The posted lesson plan was current. Materials listed on the activity plan were not available in the classroom for implementation. Space 2b did not have kitchen materials available for play. The exit door leading to the playground did not open easily. The door had a deadbolt mechanism that was made to unlock when the door handle was opened. The deadbolt partially opened and had to be forcefully pushed down to get the deadbolt to retract, presenting a safety issue if children had to be evacuated from the building. Ms. Roberts asked the landscaper if he had WD-40 that could be sprayed into the lock to loosen the deadbolt. We looked at the lock together and he stated he would lubricate the lock today. Ms. Roberts understands that if the lock still did not open properly a new lock must be installed. The door should be checked every morning prior to children arriving. Preschool aged children were observed dancing, eating lunch, and preparing for rest time. Teachers were engaged with children and nurturing environments were provided to children. All outdoor learning environments were monitored. The poured in place surfacing underneath the climbing structure on the preschool playground was in poor condition. There were multiple places where the surfacing was deteriorating and able to be pulled apart. The facility did not provide transportation. The posted emergency medical care plan (EMC) was Emergency medications were monitored and stored properly. A sampling of children’s files was monitored. Two (2) children had allergies listed on their medical form and there was not medical action plan completed and the medications were not onsite. A sampling of staff files and six (6) new staff files were monitored. The staff and training worksheet was completed by Ms. Roberts. The EPR plan was reviewed and updated in the Risk Management portal by Ms. Roberts on 4/6/26. Fire and emergency drills were completed and documented as required. Playground inspections were completed. The last sanitation inspection was completed on 6/10/26 and received an superior rating. The last fire inspection was completed on 5/20/26. The ABCMS facility roster was reviewed today and was current. The Secretary of State website was reviewed today and SEG Inc, owner of the facility, was listed current-active. Violation Number Comment Rule 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. There were no kitchen/housekeeping materials available for play in Space 2b. .0510(e)(3) 721 All equipment and furnishings were not in good repair. The poured in place surfacing underneath the climbing structure on the preschool playground was in poor condition. There were multiple places where the surfacing was deteriorating and able to be pulled apart. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. The exit door leading to the playground did not open easily in Spaces 2a and 2b. The door had a deadbolt mechanism that was made to unlock when the door handle was opened. The deadbolt partially opened and had to be forcefully pushed down to get the deadbolt to retract, presenting a safety issue if children had to be evacuated from the building. 10A NCAC 09 .0601(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One (1) employee was required 20 ongoing trainings and 4 hours were completed. .1103(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child, E.D., did not have a medical exam on file. GS 110-91(1);.0302(d)(2); .0304(g) 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. One (1) child, E.D, had an expired off premise permission form on file. .1005(b)(4) 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 list the date of enrollment. .1804(b) 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. Two (2) children had allergies listed on their medical form and there was no medical action plan completed. .0801(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) employee hired 11/1/23 completed child maltreatment training 7/1/24. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One (1) employee hired 4/11/24 completed health and safety trainings on 6/2025. One (1) employee hired 9/19/24 did not complete health and safety trainings. One (1) employee hired 8/20/24 completed health and safety trainings in 2/2026. One (1) employee hired 12/2/24 completed health and safety trainings 1/2026. .1102(a) 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, June 30, 2026. 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. Email the information to: Jennifer Stansfield, Child Care Consultant Jennifer.stansfield@dhhs.nc.gov The emailed compliance letter 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: - All child paperwork should be reviewed in full to ensure the facility has the required medications and medication paperwork onsite. I recommend auditing files 2x’s per year between the director and assistant director. - Each safe sleep check time should have an infant’s sleep position marked. If the staff are documenting the time a child wakes up they should still indicate the position of the child. - Staff should gather materials for the lesson plan each morning or the Friday before the next week begins so that all materials are ready to implement the lesson plan as written. - I recommend going to the public library for books listed on lesson plans. - Ms. Roberts and I discussed the importance of all staff submitting transcripts to WORKS for evaluation. Once the ERS assessment is completed, the packet will be submitted based on staff education information in WORKS. Thank you for your time today. If you have any questions please contact me at jennifer.stansfield@dhhs.nc.gov 704-956-1648 or Amy Italiano, Licensing Supervisor, at amy.italiano@dhhs.nc.gov or 704-936-6065. 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: CHESTERBROOK ACADEMY Facility ID: 60000988 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 6/16/2026 Number Present: 93 Completed Date: 6/16/2026 Age: From 0 To 5 Total Minutes: 369 Time In: 10:00 AM Time Out: 04:09 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 a Five Star Permit issued April 6, 2022. The facility had an eighteen (18) month compliance history score of 86% prior to today’s visit. The May 2026 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. Brandy Roberts, Director, and I explained the purpose of the visit. Ms. Roberts accompanied me on the walkthrough. In Spaces 1a and 2a for infant care I observed safe sleep checks completed and maintained as required. Bottles were dated and labeled, and each infant had an assigned crib. Materials were observed in good condition, and teachers were observed engaged with children as they played. Diaper creams were monitored and each had current permission forms. Feeding schedules were posted and signed by both the parent and teacher. Toddlers and preschool aged children were observed participating in free play activities and a large group activity. The posted lesson plan was current. Materials listed on the activity plan were not available in the classroom for implementation. Space 2b did not have kitchen materials available for play. The exit door leading to the playground did not open easily. The door had a deadbolt mechanism that was made to unlock when the door handle was opened. The deadbolt partially opened and had to be forcefully pushed down to get the deadbolt to retract, presenting a safety issue if children had to be evacuated from the building. Ms. Roberts asked the landscaper if he had WD-40 that could be sprayed into the lock to loosen the deadbolt. We looked at the lock together and he stated he would lubricate the lock today. Ms. Roberts understands that if the lock still did not open properly a new lock must be installed. The door should be checked every morning prior to children arriving. Preschool aged children were observed dancing, eating lunch, and preparing for rest time. Teachers were engaged with children and nurturing environments were provided to children. All outdoor learning environments were monitored. The poured in place surfacing underneath the climbing structure on the preschool playground was in poor condition. There were multiple places where the surfacing was deteriorating and able to be pulled apart. The facility did not provide transportation. The posted emergency medical care plan (EMC) was Emergency medications were monitored and stored properly. A sampling of children’s files was monitored. Two (2) children had allergies listed on their medical form and there was not medical action plan completed and the medications were not onsite. A sampling of staff files and six (6) new staff files were monitored. The staff and training worksheet was completed by Ms. Roberts. The EPR plan was reviewed and updated in the Risk Management portal by Ms. Roberts on 4/6/26. Fire and emergency drills were completed and documented as required. Playground inspections were completed. The last sanitation inspection was completed on 6/10/26 and received an superior rating. The last fire inspection was completed on 5/20/26. The ABCMS facility roster was reviewed today and was current. The Secretary of State website was reviewed today and SEG Inc, owner of the facility, was listed current-active. Violation Number Comment Rule 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. There were no kitchen/housekeeping materials available for play in Space 2b. .0510(e)(3) 721 All equipment and furnishings were not in good repair. The poured in place surfacing underneath the climbing structure on the preschool playground was in poor condition. There were multiple places where the surfacing was deteriorating and able to be pulled apart. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. The exit door leading to the playground did not open easily in Spaces 2a and 2b. The door had a deadbolt mechanism that was made to unlock when the door handle was opened. The deadbolt partially opened and had to be forcefully pushed down to get the deadbolt to retract, presenting a safety issue if children had to be evacuated from the building. 10A NCAC 09 .0601(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One (1) employee was required 20 ongoing trainings and 4 hours were completed. .1103(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child, E.D., did not have a medical exam on file. GS 110-91(1);.0302(d)(2); .0304(g) 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. One (1) child, E.D, had an expired off premise permission form on file. .1005(b)(4) 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 list the date of enrollment. .1804(b) 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. Two (2) children had allergies listed on their medical form and there was no medical action plan completed. .0801(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) employee hired 11/1/23 completed child maltreatment training 7/1/24. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One (1) employee hired 4/11/24 completed health and safety trainings on 6/2025. One (1) employee hired 9/19/24 did not complete health and safety trainings. One (1) employee hired 8/20/24 completed health and safety trainings in 2/2026. One (1) employee hired 12/2/24 completed health and safety trainings 1/2026. .1102(a) 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, June 30, 2026. 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. Email the information to: Jennifer Stansfield, Child Care Consultant Jennifer.stansfield@dhhs.nc.gov The emailed compliance letter 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: - All child paperwork should be reviewed in full to ensure the facility has the required medications and medication paperwork onsite. I recommend auditing files 2x’s per year between the director and assistant director. - Each safe sleep check time should have an infant’s sleep position marked. If the staff are documenting the time a child wakes up they should still indicate the position of the child. - Staff should gather materials for the lesson plan each morning or the Friday before the next week begins so that all materials are ready to implement the lesson plan as written. - I recommend going to the public library for books listed on lesson plans. - Ms. Roberts and I discussed the importance of all staff submitting transcripts to WORKS for evaluation. Once the ERS assessment is completed, the packet will be submitted based on staff education information in WORKS. Thank you for your time today. If you have any questions please contact me at jennifer.stansfield@dhhs.nc.gov 704-956-1648 or Amy Italiano, Licensing Supervisor, at amy.italiano@dhhs.nc.gov or 704-936-6065. 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: CHESTERBROOK ACADEMY Facility ID: 60000988 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 1/28/2026 Number Present: 95 Completed Date: 1/28/2026 Age: From 0 To 5 Total Minutes: 325 Time In: 09:45 AM Time Out: 03:10 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 had a Five Star Rated License issued April 6, 2022 and an eighteen-month compliance history of 81% prior to today’s visit. The license and NC child care law summary were posted. The following was monitored using the April 2025 Master Center Item Number Listing: supervision, staff/child ratios, CPR/ First Aid, special training, CBC qualification, emergency medical care plan, administration of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate and approved space, program records, license posted, and permit restrictions. I was greeted by C. Smith, Director, and I explained the purpose of the visit. Ms. Smith accompanied me on the walk through. Mr. Zack Gould, Regional Director, arrived during the visit and walked with us as well. All classrooms were visited today. Children were observed participating in free play, large group activities and small group teacher directed activities. I observed evidence of the lesson plan being implemented. In Space 3 I referenced the posted lesson plan and asked where the “bear den” sensory table was located. The teacher stated the lead teacher was absent and she did not have access to the sensory table. I observed painted bears hung on the wall that corresponded to an activity listed on the lesson plan. Ms. Smith stated staff prepare for the upcoming lesson plan the week prior. I recommend providing staff with a file box to store materials for activities listed on the lesson so that if a teacher is absent the materials are available. Ms. Smith stated teachers had crates for that purpose. I looked for the crate in Space 3 and current materials were not stored in the crate. Infants were observed playing on the floor and being fed. Safe sleep checks were documented as required and feeding plans were posted. Bottles were dated and labeled and each child had an assigned crib or mat. I observed the air return vent in Spaces 1b and 5 loose and corners pulled away from the wall. I was able to pull screws out of the vent without using a tool. It appeared the screws were stripped or installed into drywall and did not grab or attach. The screws were removed from the vent and the classroom. Allergy and food preference information was posted. Emergency medications were monitored. Medical action plans were kept in the classrooms and were not attached to the child’s application. Ms. Carelock, assistant director, made copies of all medical action plans and attached them to applications and with the medication in the classroom per center policy. Current lesson plans were posted. Menus were posted and current. Adequate supervision was provided and each classroom maintained staff/child ratio. Five (5) new staff files were monitored. Two (2) new employees did not have documentation of receiving 6 hours of orientation within the first two weeks of employment. The orientation form in the file indicated the number of hours each topic was discussed however the date the training occurred was not listed. Hours and dates listed on the orientation form should be completed as the topics are discussed. They should not be pre-filled as the amount of time training takes will vary from individual to individual. The last fire inspection was completed on 6/11/25. The last sanitation inspection was completed on 12/22/25 and received a superior rating. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Screws were loose and able to be pulled out of air return vents in Spaces 1a and 5 without using a screw driver. The vents and screws were accessible to children. 10A NCAC 09 .0601(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Two new employees hired 1/8/26 did not have documentation of receiving six clock hours of orientation within the first 2 weeks of employment. .1101(a)(b) 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. Medical action plans were not attached to child applications. The action plans were stored with the medication in the classroom. .0801(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 Wednesday, February 11, 2026, 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 emailed compliance letter 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: We discussed Pathways to the Stars today. Ms. Smith and Mr. Gould stated the facility planned to participate in the Program Assessment Pathway. I reviewed requirements and forms for each Pathway 1. - Medical Action Plans - 10A NCAC 09 .0801 (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. All medical action plans should be attached to the child’s application. The facility is currently using best practice by keep a copy of the MAP with the medication in the classroom. You can continue to do that as long as it is also attached to the application. - All outlets including power strips that are accessible to children should have protective covers. - Staff should prepare materials to implement lesson plans at least a day in advance so that if they are absent substitutes can implement the current lesson plan. - Safety checks should occur in classrooms prior to children arriving to ensure a safe environment. - The center roster was started by the previous administrator and was not current. I showed Ms. Smith where to find the ABCMS training in Moodle. She should take the training and complete the roster. 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 .0801 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60000988 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 1/28/2026 Number Present: 95 Completed Date: 1/28/2026 Age: From 0 To 5 Total Minutes: 325 Time In: 09:45 AM Time Out: 03:10 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 had a Five Star Rated License issued April 6, 2022 and an eighteen-month compliance history of 81% prior to today’s visit. The license and NC child care law summary were posted. The following was monitored using the April 2025 Master Center Item Number Listing: supervision, staff/child ratios, CPR/ First Aid, special training, CBC qualification, emergency medical care plan, administration of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate and approved space, program records, license posted, and permit restrictions. I was greeted by C. Smith, Director, and I explained the purpose of the visit. Ms. Smith accompanied me on the walk through. Mr. Zack Gould, Regional Director, arrived during the visit and walked with us as well. All classrooms were visited today. Children were observed participating in free play, large group activities and small group teacher directed activities. I observed evidence of the lesson plan being implemented. In Space 3 I referenced the posted lesson plan and asked where the “bear den” sensory table was located. The teacher stated the lead teacher was absent and she did not have access to the sensory table. I observed painted bears hung on the wall that corresponded to an activity listed on the lesson plan. Ms. Smith stated staff prepare for the upcoming lesson plan the week prior. I recommend providing staff with a file box to store materials for activities listed on the lesson so that if a teacher is absent the materials are available. Ms. Smith stated teachers had crates for that purpose. I looked for the crate in Space 3 and current materials were not stored in the crate. Infants were observed playing on the floor and being fed. Safe sleep checks were documented as required and feeding plans were posted. Bottles were dated and labeled and each child had an assigned crib or mat. I observed the air return vent in Spaces 1b and 5 loose and corners pulled away from the wall. I was able to pull screws out of the vent without using a tool. It appeared the screws were stripped or installed into drywall and did not grab or attach. The screws were removed from the vent and the classroom. Allergy and food preference information was posted. Emergency medications were monitored. Medical action plans were kept in the classrooms and were not attached to the child’s application. Ms. Carelock, assistant director, made copies of all medical action plans and attached them to applications and with the medication in the classroom per center policy. Current lesson plans were posted. Menus were posted and current. Adequate supervision was provided and each classroom maintained staff/child ratio. Five (5) new staff files were monitored. Two (2) new employees did not have documentation of receiving 6 hours of orientation within the first two weeks of employment. The orientation form in the file indicated the number of hours each topic was discussed however the date the training occurred was not listed. Hours and dates listed on the orientation form should be completed as the topics are discussed. They should not be pre-filled as the amount of time training takes will vary from individual to individual. The last fire inspection was completed on 6/11/25. The last sanitation inspection was completed on 12/22/25 and received a superior rating. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Screws were loose and able to be pulled out of air return vents in Spaces 1a and 5 without using a screw driver. The vents and screws were accessible to children. 10A NCAC 09 .0601(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Two new employees hired 1/8/26 did not have documentation of receiving six clock hours of orientation within the first 2 weeks of employment. .1101(a)(b) 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. Medical action plans were not attached to child applications. The action plans were stored with the medication in the classroom. .0801(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 Wednesday, February 11, 2026, 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 emailed compliance letter 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: We discussed Pathways to the Stars today. Ms. Smith and Mr. Gould stated the facility planned to participate in the Program Assessment Pathway. I reviewed requirements and forms for each Pathway 1. - Medical Action Plans - 10A NCAC 09 .0801 (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. All medical action plans should be attached to the child’s application. The facility is currently using best practice by keep a copy of the MAP with the medication in the classroom. You can continue to do that as long as it is also attached to the application. - All outlets including power strips that are accessible to children should have protective covers. - Staff should prepare materials to implement lesson plans at least a day in advance so that if they are absent substitutes can implement the current lesson plan. - Safety checks should occur in classrooms prior to children arriving to ensure a safe environment. - The center roster was started by the previous administrator and was not current. I showed Ms. Smith where to find the ABCMS training in Moodle. She should take the training and complete the roster. 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: CHESTERBROOK ACADEMY Facility ID: 60000988 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 1/28/2026 Number Present: 95 Completed Date: 1/28/2026 Age: From 0 To 5 Total Minutes: 325 Time In: 09:45 AM Time Out: 03:10 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 had a Five Star Rated License issued April 6, 2022 and an eighteen-month compliance history of 81% prior to today’s visit. The license and NC child care law summary were posted. The following was monitored using the April 2025 Master Center Item Number Listing: supervision, staff/child ratios, CPR/ First Aid, special training, CBC qualification, emergency medical care plan, administration of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate and approved space, program records, license posted, and permit restrictions. I was greeted by C. Smith, Director, and I explained the purpose of the visit. Ms. Smith accompanied me on the walk through. Mr. Zack Gould, Regional Director, arrived during the visit and walked with us as well. All classrooms were visited today. Children were observed participating in free play, large group activities and small group teacher directed activities. I observed evidence of the lesson plan being implemented. In Space 3 I referenced the posted lesson plan and asked where the “bear den” sensory table was located. The teacher stated the lead teacher was absent and she did not have access to the sensory table. I observed painted bears hung on the wall that corresponded to an activity listed on the lesson plan. Ms. Smith stated staff prepare for the upcoming lesson plan the week prior. I recommend providing staff with a file box to store materials for activities listed on the lesson so that if a teacher is absent the materials are available. Ms. Smith stated teachers had crates for that purpose. I looked for the crate in Space 3 and current materials were not stored in the crate. Infants were observed playing on the floor and being fed. Safe sleep checks were documented as required and feeding plans were posted. Bottles were dated and labeled and each child had an assigned crib or mat. I observed the air return vent in Spaces 1b and 5 loose and corners pulled away from the wall. I was able to pull screws out of the vent without using a tool. It appeared the screws were stripped or installed into drywall and did not grab or attach. The screws were removed from the vent and the classroom. Allergy and food preference information was posted. Emergency medications were monitored. Medical action plans were kept in the classrooms and were not attached to the child’s application. Ms. Carelock, assistant director, made copies of all medical action plans and attached them to applications and with the medication in the classroom per center policy. Current lesson plans were posted. Menus were posted and current. Adequate supervision was provided and each classroom maintained staff/child ratio. Five (5) new staff files were monitored. Two (2) new employees did not have documentation of receiving 6 hours of orientation within the first two weeks of employment. The orientation form in the file indicated the number of hours each topic was discussed however the date the training occurred was not listed. Hours and dates listed on the orientation form should be completed as the topics are discussed. They should not be pre-filled as the amount of time training takes will vary from individual to individual. The last fire inspection was completed on 6/11/25. The last sanitation inspection was completed on 12/22/25 and received a superior rating. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Screws were loose and able to be pulled out of air return vents in Spaces 1a and 5 without using a screw driver. The vents and screws were accessible to children. 10A NCAC 09 .0601(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Two new employees hired 1/8/26 did not have documentation of receiving six clock hours of orientation within the first 2 weeks of employment. .1101(a)(b) 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. Medical action plans were not attached to child applications. The action plans were stored with the medication in the classroom. .0801(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 Wednesday, February 11, 2026, 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 emailed compliance letter 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: We discussed Pathways to the Stars today. Ms. Smith and Mr. Gould stated the facility planned to participate in the Program Assessment Pathway. I reviewed requirements and forms for each Pathway 1. - Medical Action Plans - 10A NCAC 09 .0801 (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. All medical action plans should be attached to the child’s application. The facility is currently using best practice by keep a copy of the MAP with the medication in the classroom. You can continue to do that as long as it is also attached to the application. - All outlets including power strips that are accessible to children should have protective covers. - Staff should prepare materials to implement lesson plans at least a day in advance so that if they are absent substitutes can implement the current lesson plan. - Safety checks should occur in classrooms prior to children arriving to ensure a safe environment. - The center roster was started by the previous administrator and was not current. I showed Ms. Smith where to find the ABCMS training in Moodle. She should take the training and complete the roster. 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: CHESTERBROOK ACADEMY Facility ID: 60000988 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: 1225-014L Visit Date: 12/10/2025 Number Present: 103 Completed Date: 12/10/2025 Age: From 0 To 6 Total Minutes: 134 Time In: 10:06 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding a self-report two (2) incidents that occurred on November 19, 2025 and November 25, 2025 specifically related to supervision. Mr. Z. Gould, Regional Director, reported that on November 19, 2025 a child was left unsupervised in the hallway during a transition to another classroom. It was reported that a three (3) year old child did not enter Space 4 and the door closed to the classroom leaving the child in the hallway. Another teacher found the child and returned her to Space 4. It was reported that there was nothing in the hall that would put the child in harms way and the child was unsupervised for approximately one (1) minute. He also reported that on November 25, 2025 a two year old child exited the Beginners Playground and was discovered by a family member of another child who was sitting in their car in the parking lot. It was reported the individual honked their horn the get the teacher’s attention and got out of their car and returned the child to the playground. It was reported that the two (2) teachers who were on the playground at the time were unaware the child left the play area. It was reported the child was unharmed. During today’s visit I interviewed Mr. Gould and two (2) additional staff members who confirmed the reports. Ms. Connie Smith, Director, was present today. She began her employment on 12/9/25. Mr. Gould, Ms. Smith and I walked to the playground where I monitored the gate leading from the beginners playground to the parking lot. It was explained that the latch at the top of the gate did not always latch allowing the C-clasp to be easily lifted and the gate opened. Mr. Gould stated that staff do not use the gate and no deliveries were made through the gate. He believed the cleaning crew exited the playground and left the top unlatched. He stated he was currently looking for battery operated alarm latches to install on the gate. Mr. Gould and Ms. Smith accompanied me on the walk through. All classrooms were visited and children were observed eating lunch and participating in free choice play and large group activities. I reviewed Ms. Smith’s file. All pre-employment paperwork was available for review. Based on interviews the information provided in the self-report was confirmed. One (1) violation regarding supervision was cited today. An unannounced follow-up visit will be conducted in the near future to verify compliance with supervision. Violation Number Comment Rule 303 Children were not adequately supervised at all times. On November 19, 2025 a child was left unsupervised in the hallway during a transition to another classroom. It was reported that a three (3) year old child did not enter Space 4 and the door closed to the classroom leaving the child in the hallway. On November 25, 2025 a two year old child exited the Beginners Playground to the parking lot area and was discovered by a family member of another child who was sitting in their car in the parking lot. Teachers were unaware the child exited the playground. .1801(a)(1-5) 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 Wednesday, December 31, 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. Email the information to: Jennifer Stansfield, Child Care Consultant Jennifer.stansfield@dhhs.nc.gov The emailed compliance letter 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. General Comments: - I recommended assigning a staff member to morning playground checks specifically checking the latch until the new “locking” system was installed. Staff should physically pull on the gate to ensure it is latched as it appeared to be latched at a glance. I also recommended adding positions on the playground. Staff should stand at these positions when supervising on the playground to ensure the area near the gate is always monitored. Staff should always conduct playground checks each time when entering the play area. - The email address was changed today to reflect the new administrators email address. I collected the pre-service administrator form and added Ms. Smith in Regulatory. 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

G.S. 110-90 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60000988 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: 1125-036L Visit Date: 11/19/2025 Number Present: 102 Completed Date: 11/19/2025 Age: From 0 To 5 Total Minutes: 155 Time In: 10:10 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The concern was related to supervision. Upon arrival I was allowed entrance by the cook. She stated Ms. Sonya Dodd, Director, was no longer employed at the facility and Ms. B. Carelock, Assistant Director, was not onsite and was on her way back to the facility. Ms. V. Freeman, Educational Coach, was conducting a tour and I explained I would begin visiting classrooms unaccompanied until Ms. Carelock returned. It was reported that on November 3, 2025 an infant was bitten on the arm. The concern was that inadequate supervision was provided in Space 1a. I visited Space 1a and 1b that were separated by a half wall and interviewed two (2) staff members. It was confirmed that a child was bitten on 11/3/25. It was reported that on the afternoon of 11/3/25 she signed a child out and observed a child bite another child while sitting on the carpet under the window. She stated she immediately walked over to the children and consoled the child who was bitten. She stated she washed the child’s arm and applied an ice pack. She stated the parent was informed via a message sent on the Tadpoles application. She stated she completed an incident report and that the parent signed the report upon pick up. The teacher stated she shadowed the child who bit the rest of the afternoon and over the next few days until the child was moved up to Space 1b. She also stated she kept the child’s pacifier in his mouth while he played to keep him from biting. The child was moved to Space 1b on 11/17/25. I verified the incident report and incident log were completed. I also verified the parent of the child who was bitten was notified on 11/3/25 at 4:21 pm through the Tadpoles application. I reviewed the headcount sheet for 11/3/25 and Space 1a met staff/child ratios. Ms. Carelock arrived to the center. I discussed the allegation and reason for the visit. She accompanied me on the walk through of Spaces 2a – Space 7. Mr. Zachary Gould, Regional Director, arrived to the center while I reviewed new staff files. Based on interviews and observations the concern that inadequate supervision was provided when a child was bitten on 11/3/25 was unconfirmed. I reviewed one (1) new staff file and two (2) files of staff who transferred from another Chesterbrook location. One (1) transfer staff, Sascha McCoy, had a CBC letter on file that expired 11/17/25. She has until 12/5/25 to renew her qualification or she may not return to work. One (1) violation was cited today unrelated to the complaint. Violation Number Comment Rule 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One (1) employee, S. McCoy, who transferred from another Chesterbrook location on 8/11/25 had an expired CBC letter on file. The qualification expired 11/17/25. G.S. 110-90.2(b) & .2703(n)&(o) Corrective Action: Violations must be corrected immediately. The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter that includes the violation item number and an explanation of how each of today’s violations were corrected. Corrections must be received by me on or before Friday, December 5, 2025 to the email address listed below or the provider may mail corrections to me at P.O. Box 1967, Huntersville, NC 28078 understanding the letter of compliance should be delivered not submitted by the due date. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance/General Comments: Ms. Dodd’s last day of employment was 9/15/25. The facility is currently searching for a new director. Ms. Dodd was removed from Regulatory today. Ensure at least one person listed on the emergency medical care (EMC) plan is present onsite at all times. If adding individuals as alternates make sure staff is trained on the new EMS and staff who are added are aware of their responsibilities during an emergency. The ABCMS portal was down during the visit. I will verify the center’s roster upon return to the office. If the roster is not completed, Ms. Carelock and/or Mr. Gould should work to take the training in Moodle and complete the roster. The roster will be monitored during the next monitoring visit. Additional information provided to the Division indicated the child who was bitten received medical treatment on 11/3/25. The child did not return to the facility and it was reported that calls were not returned. The updated incident report stating medical treatment was received was collected today and will be sent to the Raleigh office. 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: CHESTERBROOK ACADEMY Facility ID: 60000988 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 6/26/2025 Number Present: 97 Completed Date: 6/26/2025 Age: From 0 To 7 Total Minutes: 362 Time In: 09:33 AM Time Out: 03:35 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 a Five Star Permit issued April 6, 2022. The program earned 7 points in the education component, 5 points in the program standards component, and 1 quality point for a staff’s benefits package and infrastructure of parent involvement. The facility had an eighteen (18) month compliance history score of 79% 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. Sonya Dodd, Director, and I explained the purpose of the visit. Ms. K. Hart from the Child Care Resources Inc QED team was onsite distributing materials to classrooms. Ms. Dodd accompanied me on the walkthrough. In Spaces 1a and 2a for infant care I observed safe sleep checks completed and maintained as required. Bottles were dated and labeled and each infant had an assigned crib. Materials were observed in good condition and teachers were observed engaged with children as they played on the floor and being fed. Toddlers and preschool aged children were observed participating in free play activities indoors and on the playground. Teachers were engaged with children as they played. Evidence of the curriculum being implemented was observed. Gross motor materials and equipment were available for children outdoors. All outdoor learning environments were monitored. I observed the metal grate covering the air conditioning return on the toddler playground loose and able to be lifted. The edges were sharp and accessible to children. The grate should be screwed down to prevent injury. The facility did not provide transportation. The posted emergency medical care plan (EMC) was current and at least one (1) of the individuals listed on the plan was present. I recommended adding a third individual to ensure someone listed was present at all times. Emergency medications were monitored. One (1) medication permission for a chronic condition expired 6/23/25. The medication administration log indicated the medicine was administered on 6/25/25. Emergency medications were stored properly. A sampling of children’s files was monitored. A sampling of staff files and three (3) new staff files were monitored. The staff and training worksheet was completed by Ms. Dodd. The EPR plan was reviewed in the Risk Management portal by Ms. Dodd on 6/6/25. I reviewed the plan and observed agency phone numbers and representatives were not completed. I also observed the evacuation floorplan was not attached to the plan. The floor plan with emergency exits was put in the EPR plan during the visit. Fire and emergency drills were completed and documented as required. Playground inspections were completed. The last sanitation inspection was completed on 4/10/25 and received an approved rating. The last fire inspection was completed on 6/11/25. The inspection was not forwarded to me within 7 days. The ABCMS facility roster was reviewed today and was in the process of being completed. Ms. Dodd took the Moodle training and was working with current staff on updating their information and connecting them to the facility. The Secretary of State website was reviewed today and SEG Inc, owner of the facility, was listed current-active. 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 fire inspection was completed on 6/11/25 and was not forwarded to the consultant within 7 days of the inspection. The inspection was collected during the visit. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. The metal grate covering the air conditioning return on the toddler playground was loose and able to be opened. The metal edge was sharp and accessible to children. 10A NCAC 09 .0601(a) 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. Magic Erasers were observed in an unlocked cabinet in Space 5 and stored on the handles outside a cabinet in Space 3. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A tube of hydrocortisone was stored in an unlocked cabinet in Space 5. 15A NCAC 18A .2820(d) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. Medication was administered after the authorization expired. Medication for a chronic condition was administered on 6/25/25 and the authorization expired 6/23/25. .0803(13)(a-e); .2318(3) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags for diapers were observed opened in children's cubbies and in the restroom in Space 3. Children in Space 3 were two years of age. .0604(q) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Two (2) veteran staff did not complete the required number of on-going training hours. One (1) employee, L.M., was required to complete ten (10) hours and she completed four (4). One (1) employee, O.D., was required to complete twenty (20) hours and completed nine (9) hours. .1103(a) 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's emergency medical care information was not updated annually. .0802(c) 1317 Authorization for emergency medical care information was not signed by child's parent. One (1) child's authorization form emergency medical care (EMC) was not signed by the parent and one (1) child's EMC was not dated. .0802(d) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child, D.F., had a screen shot of a medical report from the child's patient portal. The information included on the screenshot did not include the required information. GS 110-91(1);.0302(d)(2); .0304(g) 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. Four (4) children had expired off-premise permissions on file. .1005(b)(4) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR plan was reviewed 6/6/25, however information including agency's phone numbers and contacts were not updated. The evacuation plan was not included in the review/update of the plan. .0607(e) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization for a chronic condition expired 6/23/25. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1893 Distance learning was used to complete First Aid, CPR and/or playground safety training. One (1) employee hired 2/10/25 completed First Aid/CPR training online. 10A NCAC 09 .1102(c-e); 10A NCAC 09 .1105(3) 1898 Staff did not complete the health and safety training within one year of employment. One (1) employee, O.D., hired 6/25/24 did not completed trainings within one year of employment. .1102(a) Corrective Action: Violations must be corrected immediately. The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter that includes the violation item number and an explanation of how each of today’s violations were corrected. be received by me on or before Thursday, July 10, 2025 to the email address listed below. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance/General Comments: 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. The following was discussed: - Send the DCDEE fire inspection form within seven (7) calendar days of inspection. - Infants may not be served juice in bottles unless a doctor’s note is provided. Juice must be served in sippy cups and only 6 oz of 100% can be served daily to all children. - Feeding schedules must be posted in food preparation areas for all children 15 months and younger. - Plastic bags including bags to store diapers sent from home, should not be accessible to children. Diapers should be removed from plastic bags. - Water and/or individual labeled water bottles should be available to children throughout the day. Water should be taken outdoors as well as being available in the classrooms. - The EPR plan listed the Huntersville sister school as the contact if the building needed to be evacuated. The Huntersville location would provide their bus for transporting children at this location. Ms. Dodd stated the Huntersville location was closing mid-July 2025. An alternative plan should be created for evacuation and entered in the EPR plan. Once the change is made staff should be retrained on the revisions. - Exterior classroom doors should remain unlocked during operating hours for easy exit in the event of an emergency. The facility had a turn lock on the inside of each door that when locked it was difficult to open the door. Staff should be able to quickly turn the door handle to exit the building without having to unlock the door. I recommend a different locking system if the facility wants to prevent access to the classrooms from the playgrounds. I also recommend the administration unlocking the doors every morning prior to children arriving. - Approved CPR/First Aid trainers were emailed to Ms. Dodd today. - Health and safety trainings should be completed by the one (1) year anniversary of employment and again every five years. Health and safety trainings include child maltreatment training. Renewal of trainings should be by the date listed on the certificate. - New staff should submit all official transcripts to WORKS for evaluation in preparation for the new QRIS assessments expected to roll out this summer. Thank you for your time today. Please contact me with questions and concerns at jennifer.stansfield@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60000988 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 6/26/2025 Number Present: 97 Completed Date: 6/26/2025 Age: From 0 To 7 Total Minutes: 362 Time In: 09:33 AM Time Out: 03:35 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 a Five Star Permit issued April 6, 2022. The program earned 7 points in the education component, 5 points in the program standards component, and 1 quality point for a staff’s benefits package and infrastructure of parent involvement. The facility had an eighteen (18) month compliance history score of 79% 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. Sonya Dodd, Director, and I explained the purpose of the visit. Ms. K. Hart from the Child Care Resources Inc QED team was onsite distributing materials to classrooms. Ms. Dodd accompanied me on the walkthrough. In Spaces 1a and 2a for infant care I observed safe sleep checks completed and maintained as required. Bottles were dated and labeled and each infant had an assigned crib. Materials were observed in good condition and teachers were observed engaged with children as they played on the floor and being fed. Toddlers and preschool aged children were observed participating in free play activities indoors and on the playground. Teachers were engaged with children as they played. Evidence of the curriculum being implemented was observed. Gross motor materials and equipment were available for children outdoors. All outdoor learning environments were monitored. I observed the metal grate covering the air conditioning return on the toddler playground loose and able to be lifted. The edges were sharp and accessible to children. The grate should be screwed down to prevent injury. The facility did not provide transportation. The posted emergency medical care plan (EMC) was current and at least one (1) of the individuals listed on the plan was present. I recommended adding a third individual to ensure someone listed was present at all times. Emergency medications were monitored. One (1) medication permission for a chronic condition expired 6/23/25. The medication administration log indicated the medicine was administered on 6/25/25. Emergency medications were stored properly. A sampling of children’s files was monitored. A sampling of staff files and three (3) new staff files were monitored. The staff and training worksheet was completed by Ms. Dodd. The EPR plan was reviewed in the Risk Management portal by Ms. Dodd on 6/6/25. I reviewed the plan and observed agency phone numbers and representatives were not completed. I also observed the evacuation floorplan was not attached to the plan. The floor plan with emergency exits was put in the EPR plan during the visit. Fire and emergency drills were completed and documented as required. Playground inspections were completed. The last sanitation inspection was completed on 4/10/25 and received an approved rating. The last fire inspection was completed on 6/11/25. The inspection was not forwarded to me within 7 days. The ABCMS facility roster was reviewed today and was in the process of being completed. Ms. Dodd took the Moodle training and was working with current staff on updating their information and connecting them to the facility. The Secretary of State website was reviewed today and SEG Inc, owner of the facility, was listed current-active. 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 fire inspection was completed on 6/11/25 and was not forwarded to the consultant within 7 days of the inspection. The inspection was collected during the visit. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. The metal grate covering the air conditioning return on the toddler playground was loose and able to be opened. The metal edge was sharp and accessible to children. 10A NCAC 09 .0601(a) 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. Magic Erasers were observed in an unlocked cabinet in Space 5 and stored on the handles outside a cabinet in Space 3. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A tube of hydrocortisone was stored in an unlocked cabinet in Space 5. 15A NCAC 18A .2820(d) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. Medication was administered after the authorization expired. Medication for a chronic condition was administered on 6/25/25 and the authorization expired 6/23/25. .0803(13)(a-e); .2318(3) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags for diapers were observed opened in children's cubbies and in the restroom in Space 3. Children in Space 3 were two years of age. .0604(q) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Two (2) veteran staff did not complete the required number of on-going training hours. One (1) employee, L.M., was required to complete ten (10) hours and she completed four (4). One (1) employee, O.D., was required to complete twenty (20) hours and completed nine (9) hours. .1103(a) 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's emergency medical care information was not updated annually. .0802(c) 1317 Authorization for emergency medical care information was not signed by child's parent. One (1) child's authorization form emergency medical care (EMC) was not signed by the parent and one (1) child's EMC was not dated. .0802(d) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child, D.F., had a screen shot of a medical report from the child's patient portal. The information included on the screenshot did not include the required information. GS 110-91(1);.0302(d)(2); .0304(g) 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. Four (4) children had expired off-premise permissions on file. .1005(b)(4) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR plan was reviewed 6/6/25, however information including agency's phone numbers and contacts were not updated. The evacuation plan was not included in the review/update of the plan. .0607(e) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization for a chronic condition expired 6/23/25. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1893 Distance learning was used to complete First Aid, CPR and/or playground safety training. One (1) employee hired 2/10/25 completed First Aid/CPR training online. 10A NCAC 09 .1102(c-e); 10A NCAC 09 .1105(3) 1898 Staff did not complete the health and safety training within one year of employment. One (1) employee, O.D., hired 6/25/24 did not completed trainings within one year of employment. .1102(a) Corrective Action: Violations must be corrected immediately. The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter that includes the violation item number and an explanation of how each of today’s violations were corrected. be received by me on or before Thursday, July 10, 2025 to the email address listed below. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance/General Comments: 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. The following was discussed: - Send the DCDEE fire inspection form within seven (7) calendar days of inspection. - Infants may not be served juice in bottles unless a doctor’s note is provided. Juice must be served in sippy cups and only 6 oz of 100% can be served daily to all children. - Feeding schedules must be posted in food preparation areas for all children 15 months and younger. - Plastic bags including bags to store diapers sent from home, should not be accessible to children. Diapers should be removed from plastic bags. - Water and/or individual labeled water bottles should be available to children throughout the day. Water should be taken outdoors as well as being available in the classrooms. - The EPR plan listed the Huntersville sister school as the contact if the building needed to be evacuated. The Huntersville location would provide their bus for transporting children at this location. Ms. Dodd stated the Huntersville location was closing mid-July 2025. An alternative plan should be created for evacuation and entered in the EPR plan. Once the change is made staff should be retrained on the revisions. - Exterior classroom doors should remain unlocked during operating hours for easy exit in the event of an emergency. The facility had a turn lock on the inside of each door that when locked it was difficult to open the door. Staff should be able to quickly turn the door handle to exit the building without having to unlock the door. I recommend a different locking system if the facility wants to prevent access to the classrooms from the playgrounds. I also recommend the administration unlocking the doors every morning prior to children arriving. - Approved CPR/First Aid trainers were emailed to Ms. Dodd today. - Health and safety trainings should be completed by the one (1) year anniversary of employment and again every five years. Health and safety trainings include child maltreatment training. Renewal of trainings should be by the date listed on the certificate. - New staff should submit all official transcripts to WORKS for evaluation in preparation for the new QRIS assessments expected to roll out this summer. Thank you for your time today. Please contact me with questions and concerns at jennifer.stansfield@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60000988 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 6/26/2025 Number Present: 97 Completed Date: 6/26/2025 Age: From 0 To 7 Total Minutes: 362 Time In: 09:33 AM Time Out: 03:35 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 a Five Star Permit issued April 6, 2022. The program earned 7 points in the education component, 5 points in the program standards component, and 1 quality point for a staff’s benefits package and infrastructure of parent involvement. The facility had an eighteen (18) month compliance history score of 79% 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. Sonya Dodd, Director, and I explained the purpose of the visit. Ms. K. Hart from the Child Care Resources Inc QED team was onsite distributing materials to classrooms. Ms. Dodd accompanied me on the walkthrough. In Spaces 1a and 2a for infant care I observed safe sleep checks completed and maintained as required. Bottles were dated and labeled and each infant had an assigned crib. Materials were observed in good condition and teachers were observed engaged with children as they played on the floor and being fed. Toddlers and preschool aged children were observed participating in free play activities indoors and on the playground. Teachers were engaged with children as they played. Evidence of the curriculum being implemented was observed. Gross motor materials and equipment were available for children outdoors. All outdoor learning environments were monitored. I observed the metal grate covering the air conditioning return on the toddler playground loose and able to be lifted. The edges were sharp and accessible to children. The grate should be screwed down to prevent injury. The facility did not provide transportation. The posted emergency medical care plan (EMC) was current and at least one (1) of the individuals listed on the plan was present. I recommended adding a third individual to ensure someone listed was present at all times. Emergency medications were monitored. One (1) medication permission for a chronic condition expired 6/23/25. The medication administration log indicated the medicine was administered on 6/25/25. Emergency medications were stored properly. A sampling of children’s files was monitored. A sampling of staff files and three (3) new staff files were monitored. The staff and training worksheet was completed by Ms. Dodd. The EPR plan was reviewed in the Risk Management portal by Ms. Dodd on 6/6/25. I reviewed the plan and observed agency phone numbers and representatives were not completed. I also observed the evacuation floorplan was not attached to the plan. The floor plan with emergency exits was put in the EPR plan during the visit. Fire and emergency drills were completed and documented as required. Playground inspections were completed. The last sanitation inspection was completed on 4/10/25 and received an approved rating. The last fire inspection was completed on 6/11/25. The inspection was not forwarded to me within 7 days. The ABCMS facility roster was reviewed today and was in the process of being completed. Ms. Dodd took the Moodle training and was working with current staff on updating their information and connecting them to the facility. The Secretary of State website was reviewed today and SEG Inc, owner of the facility, was listed current-active. 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 fire inspection was completed on 6/11/25 and was not forwarded to the consultant within 7 days of the inspection. The inspection was collected during the visit. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. The metal grate covering the air conditioning return on the toddler playground was loose and able to be opened. The metal edge was sharp and accessible to children. 10A NCAC 09 .0601(a) 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. Magic Erasers were observed in an unlocked cabinet in Space 5 and stored on the handles outside a cabinet in Space 3. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A tube of hydrocortisone was stored in an unlocked cabinet in Space 5. 15A NCAC 18A .2820(d) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. Medication was administered after the authorization expired. Medication for a chronic condition was administered on 6/25/25 and the authorization expired 6/23/25. .0803(13)(a-e); .2318(3) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags for diapers were observed opened in children's cubbies and in the restroom in Space 3. Children in Space 3 were two years of age. .0604(q) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Two (2) veteran staff did not complete the required number of on-going training hours. One (1) employee, L.M., was required to complete ten (10) hours and she completed four (4). One (1) employee, O.D., was required to complete twenty (20) hours and completed nine (9) hours. .1103(a) 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's emergency medical care information was not updated annually. .0802(c) 1317 Authorization for emergency medical care information was not signed by child's parent. One (1) child's authorization form emergency medical care (EMC) was not signed by the parent and one (1) child's EMC was not dated. .0802(d) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child, D.F., had a screen shot of a medical report from the child's patient portal. The information included on the screenshot did not include the required information. GS 110-91(1);.0302(d)(2); .0304(g) 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. Four (4) children had expired off-premise permissions on file. .1005(b)(4) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR plan was reviewed 6/6/25, however information including agency's phone numbers and contacts were not updated. The evacuation plan was not included in the review/update of the plan. .0607(e) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization for a chronic condition expired 6/23/25. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1893 Distance learning was used to complete First Aid, CPR and/or playground safety training. One (1) employee hired 2/10/25 completed First Aid/CPR training online. 10A NCAC 09 .1102(c-e); 10A NCAC 09 .1105(3) 1898 Staff did not complete the health and safety training within one year of employment. One (1) employee, O.D., hired 6/25/24 did not completed trainings within one year of employment. .1102(a) Corrective Action: Violations must be corrected immediately. The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter that includes the violation item number and an explanation of how each of today’s violations were corrected. be received by me on or before Thursday, July 10, 2025 to the email address listed below. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance/General Comments: 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. The following was discussed: - Send the DCDEE fire inspection form within seven (7) calendar days of inspection. - Infants may not be served juice in bottles unless a doctor’s note is provided. Juice must be served in sippy cups and only 6 oz of 100% can be served daily to all children. - Feeding schedules must be posted in food preparation areas for all children 15 months and younger. - Plastic bags including bags to store diapers sent from home, should not be accessible to children. Diapers should be removed from plastic bags. - Water and/or individual labeled water bottles should be available to children throughout the day. Water should be taken outdoors as well as being available in the classrooms. - The EPR plan listed the Huntersville sister school as the contact if the building needed to be evacuated. The Huntersville location would provide their bus for transporting children at this location. Ms. Dodd stated the Huntersville location was closing mid-July 2025. An alternative plan should be created for evacuation and entered in the EPR plan. Once the change is made staff should be retrained on the revisions. - Exterior classroom doors should remain unlocked during operating hours for easy exit in the event of an emergency. The facility had a turn lock on the inside of each door that when locked it was difficult to open the door. Staff should be able to quickly turn the door handle to exit the building without having to unlock the door. I recommend a different locking system if the facility wants to prevent access to the classrooms from the playgrounds. I also recommend the administration unlocking the doors every morning prior to children arriving. - Approved CPR/First Aid trainers were emailed to Ms. Dodd today. - Health and safety trainings should be completed by the one (1) year anniversary of employment and again every five years. Health and safety trainings include child maltreatment training. Renewal of trainings should be by the date listed on the certificate. - New staff should submit all official transcripts to WORKS for evaluation in preparation for the new QRIS assessments expected to roll out this summer. Thank you for your time today. Please contact me with questions and concerns at jennifer.stansfield@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1105 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60000988 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 6/26/2025 Number Present: 97 Completed Date: 6/26/2025 Age: From 0 To 7 Total Minutes: 362 Time In: 09:33 AM Time Out: 03:35 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 a Five Star Permit issued April 6, 2022. The program earned 7 points in the education component, 5 points in the program standards component, and 1 quality point for a staff’s benefits package and infrastructure of parent involvement. The facility had an eighteen (18) month compliance history score of 79% 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. Sonya Dodd, Director, and I explained the purpose of the visit. Ms. K. Hart from the Child Care Resources Inc QED team was onsite distributing materials to classrooms. Ms. Dodd accompanied me on the walkthrough. In Spaces 1a and 2a for infant care I observed safe sleep checks completed and maintained as required. Bottles were dated and labeled and each infant had an assigned crib. Materials were observed in good condition and teachers were observed engaged with children as they played on the floor and being fed. Toddlers and preschool aged children were observed participating in free play activities indoors and on the playground. Teachers were engaged with children as they played. Evidence of the curriculum being implemented was observed. Gross motor materials and equipment were available for children outdoors. All outdoor learning environments were monitored. I observed the metal grate covering the air conditioning return on the toddler playground loose and able to be lifted. The edges were sharp and accessible to children. The grate should be screwed down to prevent injury. The facility did not provide transportation. The posted emergency medical care plan (EMC) was current and at least one (1) of the individuals listed on the plan was present. I recommended adding a third individual to ensure someone listed was present at all times. Emergency medications were monitored. One (1) medication permission for a chronic condition expired 6/23/25. The medication administration log indicated the medicine was administered on 6/25/25. Emergency medications were stored properly. A sampling of children’s files was monitored. A sampling of staff files and three (3) new staff files were monitored. The staff and training worksheet was completed by Ms. Dodd. The EPR plan was reviewed in the Risk Management portal by Ms. Dodd on 6/6/25. I reviewed the plan and observed agency phone numbers and representatives were not completed. I also observed the evacuation floorplan was not attached to the plan. The floor plan with emergency exits was put in the EPR plan during the visit. Fire and emergency drills were completed and documented as required. Playground inspections were completed. The last sanitation inspection was completed on 4/10/25 and received an approved rating. The last fire inspection was completed on 6/11/25. The inspection was not forwarded to me within 7 days. The ABCMS facility roster was reviewed today and was in the process of being completed. Ms. Dodd took the Moodle training and was working with current staff on updating their information and connecting them to the facility. The Secretary of State website was reviewed today and SEG Inc, owner of the facility, was listed current-active. 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 fire inspection was completed on 6/11/25 and was not forwarded to the consultant within 7 days of the inspection. The inspection was collected during the visit. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. The metal grate covering the air conditioning return on the toddler playground was loose and able to be opened. The metal edge was sharp and accessible to children. 10A NCAC 09 .0601(a) 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. Magic Erasers were observed in an unlocked cabinet in Space 5 and stored on the handles outside a cabinet in Space 3. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A tube of hydrocortisone was stored in an unlocked cabinet in Space 5. 15A NCAC 18A .2820(d) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. Medication was administered after the authorization expired. Medication for a chronic condition was administered on 6/25/25 and the authorization expired 6/23/25. .0803(13)(a-e); .2318(3) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags for diapers were observed opened in children's cubbies and in the restroom in Space 3. Children in Space 3 were two years of age. .0604(q) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Two (2) veteran staff did not complete the required number of on-going training hours. One (1) employee, L.M., was required to complete ten (10) hours and she completed four (4). One (1) employee, O.D., was required to complete twenty (20) hours and completed nine (9) hours. .1103(a) 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's emergency medical care information was not updated annually. .0802(c) 1317 Authorization for emergency medical care information was not signed by child's parent. One (1) child's authorization form emergency medical care (EMC) was not signed by the parent and one (1) child's EMC was not dated. .0802(d) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child, D.F., had a screen shot of a medical report from the child's patient portal. The information included on the screenshot did not include the required information. GS 110-91(1);.0302(d)(2); .0304(g) 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. Four (4) children had expired off-premise permissions on file. .1005(b)(4) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR plan was reviewed 6/6/25, however information including agency's phone numbers and contacts were not updated. The evacuation plan was not included in the review/update of the plan. .0607(e) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization for a chronic condition expired 6/23/25. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1893 Distance learning was used to complete First Aid, CPR and/or playground safety training. One (1) employee hired 2/10/25 completed First Aid/CPR training online. 10A NCAC 09 .1102(c-e); 10A NCAC 09 .1105(3) 1898 Staff did not complete the health and safety training within one year of employment. One (1) employee, O.D., hired 6/25/24 did not completed trainings within one year of employment. .1102(a) Corrective Action: Violations must be corrected immediately. The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter that includes the violation item number and an explanation of how each of today’s violations were corrected. be received by me on or before Thursday, July 10, 2025 to the email address listed below. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance/General Comments: 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. The following was discussed: - Send the DCDEE fire inspection form within seven (7) calendar days of inspection. - Infants may not be served juice in bottles unless a doctor’s note is provided. Juice must be served in sippy cups and only 6 oz of 100% can be served daily to all children. - Feeding schedules must be posted in food preparation areas for all children 15 months and younger. - Plastic bags including bags to store diapers sent from home, should not be accessible to children. Diapers should be removed from plastic bags. - Water and/or individual labeled water bottles should be available to children throughout the day. Water should be taken outdoors as well as being available in the classrooms. - The EPR plan listed the Huntersville sister school as the contact if the building needed to be evacuated. The Huntersville location would provide their bus for transporting children at this location. Ms. Dodd stated the Huntersville location was closing mid-July 2025. An alternative plan should be created for evacuation and entered in the EPR plan. Once the change is made staff should be retrained on the revisions. - Exterior classroom doors should remain unlocked during operating hours for easy exit in the event of an emergency. The facility had a turn lock on the inside of each door that when locked it was difficult to open the door. Staff should be able to quickly turn the door handle to exit the building without having to unlock the door. I recommend a different locking system if the facility wants to prevent access to the classrooms from the playgrounds. I also recommend the administration unlocking the doors every morning prior to children arriving. - Approved CPR/First Aid trainers were emailed to Ms. Dodd today. - Health and safety trainings should be completed by the one (1) year anniversary of employment and again every five years. Health and safety trainings include child maltreatment training. Renewal of trainings should be by the date listed on the certificate. - New staff should submit all official transcripts to WORKS for evaluation in preparation for the new QRIS assessments expected to roll out this summer. Thank you for your time today. Please contact me with questions and concerns at jennifer.stansfield@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60000988 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 6/26/2025 Number Present: 97 Completed Date: 6/26/2025 Age: From 0 To 7 Total Minutes: 362 Time In: 09:33 AM Time Out: 03:35 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 a Five Star Permit issued April 6, 2022. The program earned 7 points in the education component, 5 points in the program standards component, and 1 quality point for a staff’s benefits package and infrastructure of parent involvement. The facility had an eighteen (18) month compliance history score of 79% 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. Sonya Dodd, Director, and I explained the purpose of the visit. Ms. K. Hart from the Child Care Resources Inc QED team was onsite distributing materials to classrooms. Ms. Dodd accompanied me on the walkthrough. In Spaces 1a and 2a for infant care I observed safe sleep checks completed and maintained as required. Bottles were dated and labeled and each infant had an assigned crib. Materials were observed in good condition and teachers were observed engaged with children as they played on the floor and being fed. Toddlers and preschool aged children were observed participating in free play activities indoors and on the playground. Teachers were engaged with children as they played. Evidence of the curriculum being implemented was observed. Gross motor materials and equipment were available for children outdoors. All outdoor learning environments were monitored. I observed the metal grate covering the air conditioning return on the toddler playground loose and able to be lifted. The edges were sharp and accessible to children. The grate should be screwed down to prevent injury. The facility did not provide transportation. The posted emergency medical care plan (EMC) was current and at least one (1) of the individuals listed on the plan was present. I recommended adding a third individual to ensure someone listed was present at all times. Emergency medications were monitored. One (1) medication permission for a chronic condition expired 6/23/25. The medication administration log indicated the medicine was administered on 6/25/25. Emergency medications were stored properly. A sampling of children’s files was monitored. A sampling of staff files and three (3) new staff files were monitored. The staff and training worksheet was completed by Ms. Dodd. The EPR plan was reviewed in the Risk Management portal by Ms. Dodd on 6/6/25. I reviewed the plan and observed agency phone numbers and representatives were not completed. I also observed the evacuation floorplan was not attached to the plan. The floor plan with emergency exits was put in the EPR plan during the visit. Fire and emergency drills were completed and documented as required. Playground inspections were completed. The last sanitation inspection was completed on 4/10/25 and received an approved rating. The last fire inspection was completed on 6/11/25. The inspection was not forwarded to me within 7 days. The ABCMS facility roster was reviewed today and was in the process of being completed. Ms. Dodd took the Moodle training and was working with current staff on updating their information and connecting them to the facility. The Secretary of State website was reviewed today and SEG Inc, owner of the facility, was listed current-active. 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 fire inspection was completed on 6/11/25 and was not forwarded to the consultant within 7 days of the inspection. The inspection was collected during the visit. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. The metal grate covering the air conditioning return on the toddler playground was loose and able to be opened. The metal edge was sharp and accessible to children. 10A NCAC 09 .0601(a) 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. Magic Erasers were observed in an unlocked cabinet in Space 5 and stored on the handles outside a cabinet in Space 3. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A tube of hydrocortisone was stored in an unlocked cabinet in Space 5. 15A NCAC 18A .2820(d) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. Medication was administered after the authorization expired. Medication for a chronic condition was administered on 6/25/25 and the authorization expired 6/23/25. .0803(13)(a-e); .2318(3) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags for diapers were observed opened in children's cubbies and in the restroom in Space 3. Children in Space 3 were two years of age. .0604(q) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Two (2) veteran staff did not complete the required number of on-going training hours. One (1) employee, L.M., was required to complete ten (10) hours and she completed four (4). One (1) employee, O.D., was required to complete twenty (20) hours and completed nine (9) hours. .1103(a) 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's emergency medical care information was not updated annually. .0802(c) 1317 Authorization for emergency medical care information was not signed by child's parent. One (1) child's authorization form emergency medical care (EMC) was not signed by the parent and one (1) child's EMC was not dated. .0802(d) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child, D.F., had a screen shot of a medical report from the child's patient portal. The information included on the screenshot did not include the required information. GS 110-91(1);.0302(d)(2); .0304(g) 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. Four (4) children had expired off-premise permissions on file. .1005(b)(4) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR plan was reviewed 6/6/25, however information including agency's phone numbers and contacts were not updated. The evacuation plan was not included in the review/update of the plan. .0607(e) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization for a chronic condition expired 6/23/25. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1893 Distance learning was used to complete First Aid, CPR and/or playground safety training. One (1) employee hired 2/10/25 completed First Aid/CPR training online. 10A NCAC 09 .1102(c-e); 10A NCAC 09 .1105(3) 1898 Staff did not complete the health and safety training within one year of employment. One (1) employee, O.D., hired 6/25/24 did not completed trainings within one year of employment. .1102(a) Corrective Action: Violations must be corrected immediately. The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter that includes the violation item number and an explanation of how each of today’s violations were corrected. be received by me on or before Thursday, July 10, 2025 to the email address listed below. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance/General Comments: 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. The following was discussed: - Send the DCDEE fire inspection form within seven (7) calendar days of inspection. - Infants may not be served juice in bottles unless a doctor’s note is provided. Juice must be served in sippy cups and only 6 oz of 100% can be served daily to all children. - Feeding schedules must be posted in food preparation areas for all children 15 months and younger. - Plastic bags including bags to store diapers sent from home, should not be accessible to children. Diapers should be removed from plastic bags. - Water and/or individual labeled water bottles should be available to children throughout the day. Water should be taken outdoors as well as being available in the classrooms. - The EPR plan listed the Huntersville sister school as the contact if the building needed to be evacuated. The Huntersville location would provide their bus for transporting children at this location. Ms. Dodd stated the Huntersville location was closing mid-July 2025. An alternative plan should be created for evacuation and entered in the EPR plan. Once the change is made staff should be retrained on the revisions. - Exterior classroom doors should remain unlocked during operating hours for easy exit in the event of an emergency. The facility had a turn lock on the inside of each door that when locked it was difficult to open the door. Staff should be able to quickly turn the door handle to exit the building without having to unlock the door. I recommend a different locking system if the facility wants to prevent access to the classrooms from the playgrounds. I also recommend the administration unlocking the doors every morning prior to children arriving. - Approved CPR/First Aid trainers were emailed to Ms. Dodd today. - Health and safety trainings should be completed by the one (1) year anniversary of employment and again every five years. Health and safety trainings include child maltreatment training. Renewal of trainings should be by the date listed on the certificate. - New staff should submit all official transcripts to WORKS for evaluation in preparation for the new QRIS assessments expected to roll out this summer. Thank you for your time today. Please contact me with questions and concerns at jennifer.stansfield@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60000988 Consultant: LEIGH BROOME Operation Type: Center Case Number: 0225-272A Visit Date: 3/3/2025 Number Present: 96 Completed Date: 3/3/2025 Age: From 0 To 5 Total Minutes: 156 Time In: 09:24 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Sonya Dodd, administrator, accompanied me during a walk-through of the facility. During the visit, I spoke with Ms. Dodd and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On February 24, 2025, a staff member used a raised voice to speak to a two-year-old child. Additionally, the staff member took a blanket away from the child in harsh manner. G.S. 110-91(10) 904 Child was handled roughly. On February 24, 2025, a staff member grasped a two-year-old child's face resulting in bruising on the child's cheeks. .1803(a)(1) 1810 There was a substantiation of child maltreatment. Pursuant to its investigation, the Division has confirmed sufficient information to determine child maltreatment. This is a violation of a requirement in GS 110-105.6(a) GS 110-105.6(a) You may contact me at Leigh Broome, Investigations Consultant, 704-594-0146, leigh.broome@dhhs.nc.gov or Veronica Grant, South Central Investigations Team Supervisor, veronica.grant@dhhs.nc.gov. Thank you for your time. 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 110-105 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60000988 Consultant: LEIGH BROOME Operation Type: Center Case Number: 0225-272A Visit Date: 3/3/2025 Number Present: 96 Completed Date: 3/3/2025 Age: From 0 To 5 Total Minutes: 156 Time In: 09:24 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Sonya Dodd, administrator, accompanied me during a walk-through of the facility. During the visit, I spoke with Ms. Dodd and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On February 24, 2025, a staff member used a raised voice to speak to a two-year-old child. Additionally, the staff member took a blanket away from the child in harsh manner. G.S. 110-91(10) 904 Child was handled roughly. On February 24, 2025, a staff member grasped a two-year-old child's face resulting in bruising on the child's cheeks. .1803(a)(1) 1810 There was a substantiation of child maltreatment. Pursuant to its investigation, the Division has confirmed sufficient information to determine child maltreatment. This is a violation of a requirement in GS 110-105.6(a) GS 110-105.6(a) You may contact me at Leigh Broome, Investigations Consultant, 704-594-0146, leigh.broome@dhhs.nc.gov or Veronica Grant, South Central Investigations Team Supervisor, veronica.grant@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60000988 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 2/6/2025 Number Present: 85 Completed Date: 2/6/2025 Age: From 0 To 5 Total Minutes: 230 Time In: 10:00 AM Time Out: 01:50 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 April 6, 2022 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 83% 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. Upon arrival I was greeted by Ms. Babette Carelock, Assistant Director, and I explained the purpose of my visit. She stated Ms. Sonya Dodd, Director, was not onsite today. Ms. Carelock accompanied me on the walk through. In Space 1A for infant care I observed one (1) teacher present with five (5) infants. Infants were observed laying on a boppy, underneath a play mobile on the floor and crawling around the room. The teacher was attentive to infants needs. I observed one (1) infant sleeping on her tummy. The crib was labeled and stated the infant could rollover on her own. I monitored the safe sleep chart and it indicated the child was put down on her tummy. The teacher stated she placed the infant in the crib on her back but she immediately rolled to her tummy. I explained that even if the child rolled over immediately she should still document that she placed the child on her back. At the first sleep check she should document the child was on her tummy. I also observed that every child’s sleep check time was exactly on the quarter hour. The teacher stated she documented the time closest to the quarter hour to make it easier to document times every fifteen minutes. I explained that documentation should be accurate. I stated, for example, if a child was put down to sleep at 10:52 am she could check the child again 8 minutes later at 11:00 am and then again at the quarter hour, 11:15 am if it was easier to document every quarter hour. I observed an infant sleeping in Space 1B and requested the safe sleep chart. The chart was still in Space 1A and had not followed the child when she was transitioned to 1B to maintain ratio. The teacher stated the child was asleep when she arrived to the classroom at 10:00 am. The chart was not completed for the child. Arrival times were not accurate in Space 1A and 1B. One (1) child was documented on both head count sheets and the arrival time was different on each form. It was explained that the teacher for 1B opened for both classrooms in Space 1A. The arrival times were documented on the headcount sheet for 1B. I explained that arrival times should be documented on the headcount sheet for the classroom they arrive in and when they transition to another space the time they enter that space should be documented on the assigned headcount sheet and the departure time documented on the “opening” classroom’s sheet. In Space 2A for toddlers I observed a teacher finishing a diaper change when I arrived to the classroom. After finishing changing the diaper she placed the child on the floor, removed her gloves, and did not wash her hands. She walked through the room and picked up a toy off the floor, placed it in a bin, and picked up another child for a diaper change. Ms. Carelock asked her why she hadn’t washed her hands and she stated she was going to before changing the next child. I observed her wash her hands with the child in her arms and before she placed the child on the changing table I asked if she cleaned and disinfected the table. She said she would do it before putting the child on the table. I observed her spray the table with soapy water. She stated she would spray it with disinfectant before putting the child on the table. I reminded her that the disinfectant was required to remain on the table for 2 minutes before it was wiped off to properly clean the table between uses. Milk was delivered to Space 2b while monitoring. The milk was placed on the counter labeled food prep. I observed art materials and paint on the food prep counter. I reminded teachers that the counter should be cleaned with soapy water and sanitized prior to food being placed on it and should only be used for food prep/service. Preschool aged children in Space 7 were observed participating in free choice activities to include legos, housekeeping, and the writing center. Children in Space 5 were observed participating in a large group dance activity. Teachers were observed engaged and providing a nurturing environment. They participated in the activities with children and encouraged participation. All classrooms were visited and playgrounds were monitored. Each met compliance. Emergency medications were monitored. Five (5) new staff files were monitored and I reviewed the staff and training worksheet for all staff. I verified infant teachers had current ITS-SIDS training. One (1) employee had a certificate on file for CPR/First Aid that did not have a QR code connecting to the card. I explained the certificate could be used as a placeholder until the “card” was received. The employee was still within 90 days of the requirement. I observed one (1) teacher hired in July 2024 who had a CPR/First Aid certificate that stated distance learning was used for training and the trainer was not an approved trainer. The list of approved trainers was emailed to both administrators today. Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival times were not accurately documented in Spaces 1A and 1B. One (1) child's arrival time was documented on both head count sheets and was different on each form. Five (5) in Space 3 did not have arrival times documented. 10A NCAC 09 .0302(d)(4) 404 All staff did not wash their hands thoroughly after diapering each child. A teacher in Space 2a did not wash her hands after changing a child's diaper. I observed her pick up a toy on the floor, place it in a bin, and pick up another child to change before washing her hands. 15A NCAC 18A .2803(a) 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. One (1) set of bottles were not labeled and dated today. 15A NCAC 18A .2804(d) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. A safe sleep check was not completed for an infant in Space 1B. The safe sleep chart was located in Space 1A. Safe sleep checks were not accurately documented. The teacher in Space 1A stated she documented the time closest to the quarter hour to make it easier to document every fifteen minutes. I observed a safe sleep check documented while monitoring in the classroom. The time documented on the chart was 10:20 am and the actual time of the check was 10:10 am. .0606(g) 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) teacher who began employment 12/2/24 had a medical report dated 1/29/25. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) teacher's health questionnaire was dated 9/2023. .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) teacher's emergency information was dated 9/2023. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) teacher hired 7/24/24 did not complete First Aid training from an approved trainer within 90 days of employment. .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. One (1) teacher hired 7/24/24 did not complete CPR training from an approved trainer within 90 days of employment. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) teacher hired 1/15/25 did not have documentation of receiving 6 clock hours of orientation. .1101(a)(b) 1893 Distance learning was used to complete First Aid, CPR and/or playground safety training. One (1) teacher hired 7/24/24 completed CPR and First Aid training online. She did not receive in person skills evaluation. 10A NCAC 09 .1102(c-e); 10A NCAC 09 .1105(3) 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 20, 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: - I recommend staff read the posted diaper changing chart as they change diapers to ensure all required steps are followed. 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. – 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. Rule Clarification: 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (1) specifies that caregivers shall place infants aged 12 months or younger on their backs for sleeping, unless: (A) for an infant aged six months or less, the center receives a written waiver of this requirement from a health care professional; or (B) for an infant older than six months, the center receives a written waiver of this requirement from a health care professional, or a parent or a legal guardian; (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; (3) specifies that children shall not be swaddled; (4) specifies that nothing shall be placed over the head or face of an infant aged 12 months or younger when the infant is laid down to sleep; (5) specifies that the temperature in the room where infants aged 12 months or younger are sleeping does not exceed 75° F; (6) specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes; (7) specifies how caregivers shall document compliance with visually checking on sleeping infants aged 12 months or younger; (8) specifies that pacifiers that attach to infant clothing shall not be used with sleeping infants; (9) specifies that infants aged 12 months or younger sleep alone in a crib, bassinet, play pen, mat, or cot; (10) specifies that infants aged 12 months or younger are prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices shall be moved to a crib, bassinet, play pen, mat, or cot; and (11) specifies any other steps the center shall take to provide a safe sleep environment for infants aged 12 months or younger. 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. 15A NCAC 18A .2819 DIAPERING AND DIAPER CHANGING FACILITIES (a) In child care centers, children in diapers shall be changed at stations designated for diapering or toileting. Each diaper changing station shall include a handwash lavatory. For child care centers licensed for fewer than 13 children and located in a residence, and for diaper changing areas designated for school age children, a handwash lavatory shall be in or next to the diaper changing area. (b) Diapering surfaces shall be made of smooth, intact, nonabsorbent material and shall be kept clean and in good repair. Nothing shall be placed on the diapering surface except for those items required for diapering and the child whose diaper will be changed. If diapering is performed on the floor in a toilet room, then a smooth, intact, nonabsorbent barrier that is clean and in good repair shall be placed on the floor to minimize cross-contamination. (c) Diapering surfaces shall be disinfected using an approved disinfectant. Approved disinfectants and detergent solution shall be kept in separate and labeled bottles at each diaper changing station. Approved disinfectants that are chlorine disinfecting solutions shall be stored in hand pump spray bottles. No cloths or sponges shall be used on diapering surfaces. (d) Child care center employees shall change a child's diaper as follows: (1) gathering supplies before placing child on diapering surface; (2) donning disposable gloves (if needed); (3) using disposable towelette or moistened paper towel to clean child, wiping front to back; (4) disposing of gloves if used, soiled towelettes and diaper in a plastic-lined, covered receptacle; (5) wiping the child care center employee's hands and the child's hands each with a separate disposable towelette or moistened paper towel; (6) sliding a clean diaper under the child, applying diapering products if needed, using facial or toilet tissue, and discarding the tissue in a plastic-lined, covered receptacle; (7) fastening the diaper and placing clothing on child; (8) washing child's hands in accordance with Rule .2803 of this Section, or, if child is unable to support the child's head, cleaning the child's hands with a disposable towelette or moistened paper towel, then drying the child's hands and returning the child to a supervised area; (9) spraying entire diapering surface with detergent solution and wipe clean, using disposable paper towels; (10) spraying entire diapering surface with an approved disinfectant and allowing to remain on the surface for two minutes or as specified by the manufacturer, or air dry; and (11) washing hands in accordance with Rule .2803 of this Section even if disposable gloves are used by the child care center employee. (e) Vinyl or latex disposable gloves shall be used by child care center employees during the diaper changing process if the employee's hands have cuts, sores, or chapped skin. (f) Child care center employees may dispose of feces from diapers in the toilet, but shall not rinse soiled cloth diapers, training pants, or clothes. Soiled cloth diapers, training pants, or clothes shall be sent to a diaper service or placed in a sealed plastic bag or other sealed container, stored out of reach of children, and sent home with the child on the same day to be laundered. (g) Receptacles containing soiled disposable diapers shall be emptied in a garbage area located outside the child care center building daily. (h) Signs that instruct child care center employees on proper methods of diaper changing and handwashing as set forth in the rules of this Section shall be posted in each diaper changing area. 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 .0606 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60000988 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 2/6/2025 Number Present: 85 Completed Date: 2/6/2025 Age: From 0 To 5 Total Minutes: 230 Time In: 10:00 AM Time Out: 01:50 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 April 6, 2022 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 83% 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. Upon arrival I was greeted by Ms. Babette Carelock, Assistant Director, and I explained the purpose of my visit. She stated Ms. Sonya Dodd, Director, was not onsite today. Ms. Carelock accompanied me on the walk through. In Space 1A for infant care I observed one (1) teacher present with five (5) infants. Infants were observed laying on a boppy, underneath a play mobile on the floor and crawling around the room. The teacher was attentive to infants needs. I observed one (1) infant sleeping on her tummy. The crib was labeled and stated the infant could rollover on her own. I monitored the safe sleep chart and it indicated the child was put down on her tummy. The teacher stated she placed the infant in the crib on her back but she immediately rolled to her tummy. I explained that even if the child rolled over immediately she should still document that she placed the child on her back. At the first sleep check she should document the child was on her tummy. I also observed that every child’s sleep check time was exactly on the quarter hour. The teacher stated she documented the time closest to the quarter hour to make it easier to document times every fifteen minutes. I explained that documentation should be accurate. I stated, for example, if a child was put down to sleep at 10:52 am she could check the child again 8 minutes later at 11:00 am and then again at the quarter hour, 11:15 am if it was easier to document every quarter hour. I observed an infant sleeping in Space 1B and requested the safe sleep chart. The chart was still in Space 1A and had not followed the child when she was transitioned to 1B to maintain ratio. The teacher stated the child was asleep when she arrived to the classroom at 10:00 am. The chart was not completed for the child. Arrival times were not accurate in Space 1A and 1B. One (1) child was documented on both head count sheets and the arrival time was different on each form. It was explained that the teacher for 1B opened for both classrooms in Space 1A. The arrival times were documented on the headcount sheet for 1B. I explained that arrival times should be documented on the headcount sheet for the classroom they arrive in and when they transition to another space the time they enter that space should be documented on the assigned headcount sheet and the departure time documented on the “opening” classroom’s sheet. In Space 2A for toddlers I observed a teacher finishing a diaper change when I arrived to the classroom. After finishing changing the diaper she placed the child on the floor, removed her gloves, and did not wash her hands. She walked through the room and picked up a toy off the floor, placed it in a bin, and picked up another child for a diaper change. Ms. Carelock asked her why she hadn’t washed her hands and she stated she was going to before changing the next child. I observed her wash her hands with the child in her arms and before she placed the child on the changing table I asked if she cleaned and disinfected the table. She said she would do it before putting the child on the table. I observed her spray the table with soapy water. She stated she would spray it with disinfectant before putting the child on the table. I reminded her that the disinfectant was required to remain on the table for 2 minutes before it was wiped off to properly clean the table between uses. Milk was delivered to Space 2b while monitoring. The milk was placed on the counter labeled food prep. I observed art materials and paint on the food prep counter. I reminded teachers that the counter should be cleaned with soapy water and sanitized prior to food being placed on it and should only be used for food prep/service. Preschool aged children in Space 7 were observed participating in free choice activities to include legos, housekeeping, and the writing center. Children in Space 5 were observed participating in a large group dance activity. Teachers were observed engaged and providing a nurturing environment. They participated in the activities with children and encouraged participation. All classrooms were visited and playgrounds were monitored. Each met compliance. Emergency medications were monitored. Five (5) new staff files were monitored and I reviewed the staff and training worksheet for all staff. I verified infant teachers had current ITS-SIDS training. One (1) employee had a certificate on file for CPR/First Aid that did not have a QR code connecting to the card. I explained the certificate could be used as a placeholder until the “card” was received. The employee was still within 90 days of the requirement. I observed one (1) teacher hired in July 2024 who had a CPR/First Aid certificate that stated distance learning was used for training and the trainer was not an approved trainer. The list of approved trainers was emailed to both administrators today. Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival times were not accurately documented in Spaces 1A and 1B. One (1) child's arrival time was documented on both head count sheets and was different on each form. Five (5) in Space 3 did not have arrival times documented. 10A NCAC 09 .0302(d)(4) 404 All staff did not wash their hands thoroughly after diapering each child. A teacher in Space 2a did not wash her hands after changing a child's diaper. I observed her pick up a toy on the floor, place it in a bin, and pick up another child to change before washing her hands. 15A NCAC 18A .2803(a) 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. One (1) set of bottles were not labeled and dated today. 15A NCAC 18A .2804(d) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. A safe sleep check was not completed for an infant in Space 1B. The safe sleep chart was located in Space 1A. Safe sleep checks were not accurately documented. The teacher in Space 1A stated she documented the time closest to the quarter hour to make it easier to document every fifteen minutes. I observed a safe sleep check documented while monitoring in the classroom. The time documented on the chart was 10:20 am and the actual time of the check was 10:10 am. .0606(g) 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) teacher who began employment 12/2/24 had a medical report dated 1/29/25. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) teacher's health questionnaire was dated 9/2023. .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) teacher's emergency information was dated 9/2023. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) teacher hired 7/24/24 did not complete First Aid training from an approved trainer within 90 days of employment. .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. One (1) teacher hired 7/24/24 did not complete CPR training from an approved trainer within 90 days of employment. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) teacher hired 1/15/25 did not have documentation of receiving 6 clock hours of orientation. .1101(a)(b) 1893 Distance learning was used to complete First Aid, CPR and/or playground safety training. One (1) teacher hired 7/24/24 completed CPR and First Aid training online. She did not receive in person skills evaluation. 10A NCAC 09 .1102(c-e); 10A NCAC 09 .1105(3) 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 20, 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: - I recommend staff read the posted diaper changing chart as they change diapers to ensure all required steps are followed. 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. – 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. Rule Clarification: 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (1) specifies that caregivers shall place infants aged 12 months or younger on their backs for sleeping, unless: (A) for an infant aged six months or less, the center receives a written waiver of this requirement from a health care professional; or (B) for an infant older than six months, the center receives a written waiver of this requirement from a health care professional, or a parent or a legal guardian; (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; (3) specifies that children shall not be swaddled; (4) specifies that nothing shall be placed over the head or face of an infant aged 12 months or younger when the infant is laid down to sleep; (5) specifies that the temperature in the room where infants aged 12 months or younger are sleeping does not exceed 75° F; (6) specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes; (7) specifies how caregivers shall document compliance with visually checking on sleeping infants aged 12 months or younger; (8) specifies that pacifiers that attach to infant clothing shall not be used with sleeping infants; (9) specifies that infants aged 12 months or younger sleep alone in a crib, bassinet, play pen, mat, or cot; (10) specifies that infants aged 12 months or younger are prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices shall be moved to a crib, bassinet, play pen, mat, or cot; and (11) specifies any other steps the center shall take to provide a safe sleep environment for infants aged 12 months or younger. 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. 15A NCAC 18A .2819 DIAPERING AND DIAPER CHANGING FACILITIES (a) In child care centers, children in diapers shall be changed at stations designated for diapering or toileting. Each diaper changing station shall include a handwash lavatory. For child care centers licensed for fewer than 13 children and located in a residence, and for diaper changing areas designated for school age children, a handwash lavatory shall be in or next to the diaper changing area. (b) Diapering surfaces shall be made of smooth, intact, nonabsorbent material and shall be kept clean and in good repair. Nothing shall be placed on the diapering surface except for those items required for diapering and the child whose diaper will be changed. If diapering is performed on the floor in a toilet room, then a smooth, intact, nonabsorbent barrier that is clean and in good repair shall be placed on the floor to minimize cross-contamination. (c) Diapering surfaces shall be disinfected using an approved disinfectant. Approved disinfectants and detergent solution shall be kept in separate and labeled bottles at each diaper changing station. Approved disinfectants that are chlorine disinfecting solutions shall be stored in hand pump spray bottles. No cloths or sponges shall be used on diapering surfaces. (d) Child care center employees shall change a child's diaper as follows: (1) gathering supplies before placing child on diapering surface; (2) donning disposable gloves (if needed); (3) using disposable towelette or moistened paper towel to clean child, wiping front to back; (4) disposing of gloves if used, soiled towelettes and diaper in a plastic-lined, covered receptacle; (5) wiping the child care center employee's hands and the child's hands each with a separate disposable towelette or moistened paper towel; (6) sliding a clean diaper under the child, applying diapering products if needed, using facial or toilet tissue, and discarding the tissue in a plastic-lined, covered receptacle; (7) fastening the diaper and placing clothing on child; (8) washing child's hands in accordance with Rule .2803 of this Section, or, if child is unable to support the child's head, cleaning the child's hands with a disposable towelette or moistened paper towel, then drying the child's hands and returning the child to a supervised area; (9) spraying entire diapering surface with detergent solution and wipe clean, using disposable paper towels; (10) spraying entire diapering surface with an approved disinfectant and allowing to remain on the surface for two minutes or as specified by the manufacturer, or air dry; and (11) washing hands in accordance with Rule .2803 of this Section even if disposable gloves are used by the child care center employee. (e) Vinyl or latex disposable gloves shall be used by child care center employees during the diaper changing process if the employee's hands have cuts, sores, or chapped skin. (f) Child care center employees may dispose of feces from diapers in the toilet, but shall not rinse soiled cloth diapers, training pants, or clothes. Soiled cloth diapers, training pants, or clothes shall be sent to a diaper service or placed in a sealed plastic bag or other sealed container, stored out of reach of children, and sent home with the child on the same day to be laundered. (g) Receptacles containing soiled disposable diapers shall be emptied in a garbage area located outside the child care center building daily. (h) Signs that instruct child care center employees on proper methods of diaper changing and handwashing as set forth in the rules of this Section shall be posted in each diaper changing area. 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: CHESTERBROOK ACADEMY Facility ID: 60000988 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 2/6/2025 Number Present: 85 Completed Date: 2/6/2025 Age: From 0 To 5 Total Minutes: 230 Time In: 10:00 AM Time Out: 01:50 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 April 6, 2022 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 83% 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. Upon arrival I was greeted by Ms. Babette Carelock, Assistant Director, and I explained the purpose of my visit. She stated Ms. Sonya Dodd, Director, was not onsite today. Ms. Carelock accompanied me on the walk through. In Space 1A for infant care I observed one (1) teacher present with five (5) infants. Infants were observed laying on a boppy, underneath a play mobile on the floor and crawling around the room. The teacher was attentive to infants needs. I observed one (1) infant sleeping on her tummy. The crib was labeled and stated the infant could rollover on her own. I monitored the safe sleep chart and it indicated the child was put down on her tummy. The teacher stated she placed the infant in the crib on her back but she immediately rolled to her tummy. I explained that even if the child rolled over immediately she should still document that she placed the child on her back. At the first sleep check she should document the child was on her tummy. I also observed that every child’s sleep check time was exactly on the quarter hour. The teacher stated she documented the time closest to the quarter hour to make it easier to document times every fifteen minutes. I explained that documentation should be accurate. I stated, for example, if a child was put down to sleep at 10:52 am she could check the child again 8 minutes later at 11:00 am and then again at the quarter hour, 11:15 am if it was easier to document every quarter hour. I observed an infant sleeping in Space 1B and requested the safe sleep chart. The chart was still in Space 1A and had not followed the child when she was transitioned to 1B to maintain ratio. The teacher stated the child was asleep when she arrived to the classroom at 10:00 am. The chart was not completed for the child. Arrival times were not accurate in Space 1A and 1B. One (1) child was documented on both head count sheets and the arrival time was different on each form. It was explained that the teacher for 1B opened for both classrooms in Space 1A. The arrival times were documented on the headcount sheet for 1B. I explained that arrival times should be documented on the headcount sheet for the classroom they arrive in and when they transition to another space the time they enter that space should be documented on the assigned headcount sheet and the departure time documented on the “opening” classroom’s sheet. In Space 2A for toddlers I observed a teacher finishing a diaper change when I arrived to the classroom. After finishing changing the diaper she placed the child on the floor, removed her gloves, and did not wash her hands. She walked through the room and picked up a toy off the floor, placed it in a bin, and picked up another child for a diaper change. Ms. Carelock asked her why she hadn’t washed her hands and she stated she was going to before changing the next child. I observed her wash her hands with the child in her arms and before she placed the child on the changing table I asked if she cleaned and disinfected the table. She said she would do it before putting the child on the table. I observed her spray the table with soapy water. She stated she would spray it with disinfectant before putting the child on the table. I reminded her that the disinfectant was required to remain on the table for 2 minutes before it was wiped off to properly clean the table between uses. Milk was delivered to Space 2b while monitoring. The milk was placed on the counter labeled food prep. I observed art materials and paint on the food prep counter. I reminded teachers that the counter should be cleaned with soapy water and sanitized prior to food being placed on it and should only be used for food prep/service. Preschool aged children in Space 7 were observed participating in free choice activities to include legos, housekeeping, and the writing center. Children in Space 5 were observed participating in a large group dance activity. Teachers were observed engaged and providing a nurturing environment. They participated in the activities with children and encouraged participation. All classrooms were visited and playgrounds were monitored. Each met compliance. Emergency medications were monitored. Five (5) new staff files were monitored and I reviewed the staff and training worksheet for all staff. I verified infant teachers had current ITS-SIDS training. One (1) employee had a certificate on file for CPR/First Aid that did not have a QR code connecting to the card. I explained the certificate could be used as a placeholder until the “card” was received. The employee was still within 90 days of the requirement. I observed one (1) teacher hired in July 2024 who had a CPR/First Aid certificate that stated distance learning was used for training and the trainer was not an approved trainer. The list of approved trainers was emailed to both administrators today. Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival times were not accurately documented in Spaces 1A and 1B. One (1) child's arrival time was documented on both head count sheets and was different on each form. Five (5) in Space 3 did not have arrival times documented. 10A NCAC 09 .0302(d)(4) 404 All staff did not wash their hands thoroughly after diapering each child. A teacher in Space 2a did not wash her hands after changing a child's diaper. I observed her pick up a toy on the floor, place it in a bin, and pick up another child to change before washing her hands. 15A NCAC 18A .2803(a) 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. One (1) set of bottles were not labeled and dated today. 15A NCAC 18A .2804(d) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. A safe sleep check was not completed for an infant in Space 1B. The safe sleep chart was located in Space 1A. Safe sleep checks were not accurately documented. The teacher in Space 1A stated she documented the time closest to the quarter hour to make it easier to document every fifteen minutes. I observed a safe sleep check documented while monitoring in the classroom. The time documented on the chart was 10:20 am and the actual time of the check was 10:10 am. .0606(g) 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) teacher who began employment 12/2/24 had a medical report dated 1/29/25. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) teacher's health questionnaire was dated 9/2023. .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) teacher's emergency information was dated 9/2023. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) teacher hired 7/24/24 did not complete First Aid training from an approved trainer within 90 days of employment. .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. One (1) teacher hired 7/24/24 did not complete CPR training from an approved trainer within 90 days of employment. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) teacher hired 1/15/25 did not have documentation of receiving 6 clock hours of orientation. .1101(a)(b) 1893 Distance learning was used to complete First Aid, CPR and/or playground safety training. One (1) teacher hired 7/24/24 completed CPR and First Aid training online. She did not receive in person skills evaluation. 10A NCAC 09 .1102(c-e); 10A NCAC 09 .1105(3) 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 20, 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: - I recommend staff read the posted diaper changing chart as they change diapers to ensure all required steps are followed. 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. – 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. Rule Clarification: 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (1) specifies that caregivers shall place infants aged 12 months or younger on their backs for sleeping, unless: (A) for an infant aged six months or less, the center receives a written waiver of this requirement from a health care professional; or (B) for an infant older than six months, the center receives a written waiver of this requirement from a health care professional, or a parent or a legal guardian; (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; (3) specifies that children shall not be swaddled; (4) specifies that nothing shall be placed over the head or face of an infant aged 12 months or younger when the infant is laid down to sleep; (5) specifies that the temperature in the room where infants aged 12 months or younger are sleeping does not exceed 75° F; (6) specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes; (7) specifies how caregivers shall document compliance with visually checking on sleeping infants aged 12 months or younger; (8) specifies that pacifiers that attach to infant clothing shall not be used with sleeping infants; (9) specifies that infants aged 12 months or younger sleep alone in a crib, bassinet, play pen, mat, or cot; (10) specifies that infants aged 12 months or younger are prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices shall be moved to a crib, bassinet, play pen, mat, or cot; and (11) specifies any other steps the center shall take to provide a safe sleep environment for infants aged 12 months or younger. 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. 15A NCAC 18A .2819 DIAPERING AND DIAPER CHANGING FACILITIES (a) In child care centers, children in diapers shall be changed at stations designated for diapering or toileting. Each diaper changing station shall include a handwash lavatory. For child care centers licensed for fewer than 13 children and located in a residence, and for diaper changing areas designated for school age children, a handwash lavatory shall be in or next to the diaper changing area. (b) Diapering surfaces shall be made of smooth, intact, nonabsorbent material and shall be kept clean and in good repair. Nothing shall be placed on the diapering surface except for those items required for diapering and the child whose diaper will be changed. If diapering is performed on the floor in a toilet room, then a smooth, intact, nonabsorbent barrier that is clean and in good repair shall be placed on the floor to minimize cross-contamination. (c) Diapering surfaces shall be disinfected using an approved disinfectant. Approved disinfectants and detergent solution shall be kept in separate and labeled bottles at each diaper changing station. Approved disinfectants that are chlorine disinfecting solutions shall be stored in hand pump spray bottles. No cloths or sponges shall be used on diapering surfaces. (d) Child care center employees shall change a child's diaper as follows: (1) gathering supplies before placing child on diapering surface; (2) donning disposable gloves (if needed); (3) using disposable towelette or moistened paper towel to clean child, wiping front to back; (4) disposing of gloves if used, soiled towelettes and diaper in a plastic-lined, covered receptacle; (5) wiping the child care center employee's hands and the child's hands each with a separate disposable towelette or moistened paper towel; (6) sliding a clean diaper under the child, applying diapering products if needed, using facial or toilet tissue, and discarding the tissue in a plastic-lined, covered receptacle; (7) fastening the diaper and placing clothing on child; (8) washing child's hands in accordance with Rule .2803 of this Section, or, if child is unable to support the child's head, cleaning the child's hands with a disposable towelette or moistened paper towel, then drying the child's hands and returning the child to a supervised area; (9) spraying entire diapering surface with detergent solution and wipe clean, using disposable paper towels; (10) spraying entire diapering surface with an approved disinfectant and allowing to remain on the surface for two minutes or as specified by the manufacturer, or air dry; and (11) washing hands in accordance with Rule .2803 of this Section even if disposable gloves are used by the child care center employee. (e) Vinyl or latex disposable gloves shall be used by child care center employees during the diaper changing process if the employee's hands have cuts, sores, or chapped skin. (f) Child care center employees may dispose of feces from diapers in the toilet, but shall not rinse soiled cloth diapers, training pants, or clothes. Soiled cloth diapers, training pants, or clothes shall be sent to a diaper service or placed in a sealed plastic bag or other sealed container, stored out of reach of children, and sent home with the child on the same day to be laundered. (g) Receptacles containing soiled disposable diapers shall be emptied in a garbage area located outside the child care center building daily. (h) Signs that instruct child care center employees on proper methods of diaper changing and handwashing as set forth in the rules of this Section shall be posted in each diaper changing area. 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 .1102 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60000988 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 2/6/2025 Number Present: 85 Completed Date: 2/6/2025 Age: From 0 To 5 Total Minutes: 230 Time In: 10:00 AM Time Out: 01:50 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 April 6, 2022 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 83% 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. Upon arrival I was greeted by Ms. Babette Carelock, Assistant Director, and I explained the purpose of my visit. She stated Ms. Sonya Dodd, Director, was not onsite today. Ms. Carelock accompanied me on the walk through. In Space 1A for infant care I observed one (1) teacher present with five (5) infants. Infants were observed laying on a boppy, underneath a play mobile on the floor and crawling around the room. The teacher was attentive to infants needs. I observed one (1) infant sleeping on her tummy. The crib was labeled and stated the infant could rollover on her own. I monitored the safe sleep chart and it indicated the child was put down on her tummy. The teacher stated she placed the infant in the crib on her back but she immediately rolled to her tummy. I explained that even if the child rolled over immediately she should still document that she placed the child on her back. At the first sleep check she should document the child was on her tummy. I also observed that every child’s sleep check time was exactly on the quarter hour. The teacher stated she documented the time closest to the quarter hour to make it easier to document times every fifteen minutes. I explained that documentation should be accurate. I stated, for example, if a child was put down to sleep at 10:52 am she could check the child again 8 minutes later at 11:00 am and then again at the quarter hour, 11:15 am if it was easier to document every quarter hour. I observed an infant sleeping in Space 1B and requested the safe sleep chart. The chart was still in Space 1A and had not followed the child when she was transitioned to 1B to maintain ratio. The teacher stated the child was asleep when she arrived to the classroom at 10:00 am. The chart was not completed for the child. Arrival times were not accurate in Space 1A and 1B. One (1) child was documented on both head count sheets and the arrival time was different on each form. It was explained that the teacher for 1B opened for both classrooms in Space 1A. The arrival times were documented on the headcount sheet for 1B. I explained that arrival times should be documented on the headcount sheet for the classroom they arrive in and when they transition to another space the time they enter that space should be documented on the assigned headcount sheet and the departure time documented on the “opening” classroom’s sheet. In Space 2A for toddlers I observed a teacher finishing a diaper change when I arrived to the classroom. After finishing changing the diaper she placed the child on the floor, removed her gloves, and did not wash her hands. She walked through the room and picked up a toy off the floor, placed it in a bin, and picked up another child for a diaper change. Ms. Carelock asked her why she hadn’t washed her hands and she stated she was going to before changing the next child. I observed her wash her hands with the child in her arms and before she placed the child on the changing table I asked if she cleaned and disinfected the table. She said she would do it before putting the child on the table. I observed her spray the table with soapy water. She stated she would spray it with disinfectant before putting the child on the table. I reminded her that the disinfectant was required to remain on the table for 2 minutes before it was wiped off to properly clean the table between uses. Milk was delivered to Space 2b while monitoring. The milk was placed on the counter labeled food prep. I observed art materials and paint on the food prep counter. I reminded teachers that the counter should be cleaned with soapy water and sanitized prior to food being placed on it and should only be used for food prep/service. Preschool aged children in Space 7 were observed participating in free choice activities to include legos, housekeeping, and the writing center. Children in Space 5 were observed participating in a large group dance activity. Teachers were observed engaged and providing a nurturing environment. They participated in the activities with children and encouraged participation. All classrooms were visited and playgrounds were monitored. Each met compliance. Emergency medications were monitored. Five (5) new staff files were monitored and I reviewed the staff and training worksheet for all staff. I verified infant teachers had current ITS-SIDS training. One (1) employee had a certificate on file for CPR/First Aid that did not have a QR code connecting to the card. I explained the certificate could be used as a placeholder until the “card” was received. The employee was still within 90 days of the requirement. I observed one (1) teacher hired in July 2024 who had a CPR/First Aid certificate that stated distance learning was used for training and the trainer was not an approved trainer. The list of approved trainers was emailed to both administrators today. Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival times were not accurately documented in Spaces 1A and 1B. One (1) child's arrival time was documented on both head count sheets and was different on each form. Five (5) in Space 3 did not have arrival times documented. 10A NCAC 09 .0302(d)(4) 404 All staff did not wash their hands thoroughly after diapering each child. A teacher in Space 2a did not wash her hands after changing a child's diaper. I observed her pick up a toy on the floor, place it in a bin, and pick up another child to change before washing her hands. 15A NCAC 18A .2803(a) 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. One (1) set of bottles were not labeled and dated today. 15A NCAC 18A .2804(d) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. A safe sleep check was not completed for an infant in Space 1B. The safe sleep chart was located in Space 1A. Safe sleep checks were not accurately documented. The teacher in Space 1A stated she documented the time closest to the quarter hour to make it easier to document every fifteen minutes. I observed a safe sleep check documented while monitoring in the classroom. The time documented on the chart was 10:20 am and the actual time of the check was 10:10 am. .0606(g) 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) teacher who began employment 12/2/24 had a medical report dated 1/29/25. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) teacher's health questionnaire was dated 9/2023. .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) teacher's emergency information was dated 9/2023. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) teacher hired 7/24/24 did not complete First Aid training from an approved trainer within 90 days of employment. .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. One (1) teacher hired 7/24/24 did not complete CPR training from an approved trainer within 90 days of employment. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) teacher hired 1/15/25 did not have documentation of receiving 6 clock hours of orientation. .1101(a)(b) 1893 Distance learning was used to complete First Aid, CPR and/or playground safety training. One (1) teacher hired 7/24/24 completed CPR and First Aid training online. She did not receive in person skills evaluation. 10A NCAC 09 .1102(c-e); 10A NCAC 09 .1105(3) 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 20, 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: - I recommend staff read the posted diaper changing chart as they change diapers to ensure all required steps are followed. 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. – 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. Rule Clarification: 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (1) specifies that caregivers shall place infants aged 12 months or younger on their backs for sleeping, unless: (A) for an infant aged six months or less, the center receives a written waiver of this requirement from a health care professional; or (B) for an infant older than six months, the center receives a written waiver of this requirement from a health care professional, or a parent or a legal guardian; (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; (3) specifies that children shall not be swaddled; (4) specifies that nothing shall be placed over the head or face of an infant aged 12 months or younger when the infant is laid down to sleep; (5) specifies that the temperature in the room where infants aged 12 months or younger are sleeping does not exceed 75° F; (6) specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes; (7) specifies how caregivers shall document compliance with visually checking on sleeping infants aged 12 months or younger; (8) specifies that pacifiers that attach to infant clothing shall not be used with sleeping infants; (9) specifies that infants aged 12 months or younger sleep alone in a crib, bassinet, play pen, mat, or cot; (10) specifies that infants aged 12 months or younger are prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices shall be moved to a crib, bassinet, play pen, mat, or cot; and (11) specifies any other steps the center shall take to provide a safe sleep environment for infants aged 12 months or younger. 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. 15A NCAC 18A .2819 DIAPERING AND DIAPER CHANGING FACILITIES (a) In child care centers, children in diapers shall be changed at stations designated for diapering or toileting. Each diaper changing station shall include a handwash lavatory. For child care centers licensed for fewer than 13 children and located in a residence, and for diaper changing areas designated for school age children, a handwash lavatory shall be in or next to the diaper changing area. (b) Diapering surfaces shall be made of smooth, intact, nonabsorbent material and shall be kept clean and in good repair. Nothing shall be placed on the diapering surface except for those items required for diapering and the child whose diaper will be changed. If diapering is performed on the floor in a toilet room, then a smooth, intact, nonabsorbent barrier that is clean and in good repair shall be placed on the floor to minimize cross-contamination. (c) Diapering surfaces shall be disinfected using an approved disinfectant. Approved disinfectants and detergent solution shall be kept in separate and labeled bottles at each diaper changing station. Approved disinfectants that are chlorine disinfecting solutions shall be stored in hand pump spray bottles. No cloths or sponges shall be used on diapering surfaces. (d) Child care center employees shall change a child's diaper as follows: (1) gathering supplies before placing child on diapering surface; (2) donning disposable gloves (if needed); (3) using disposable towelette or moistened paper towel to clean child, wiping front to back; (4) disposing of gloves if used, soiled towelettes and diaper in a plastic-lined, covered receptacle; (5) wiping the child care center employee's hands and the child's hands each with a separate disposable towelette or moistened paper towel; (6) sliding a clean diaper under the child, applying diapering products if needed, using facial or toilet tissue, and discarding the tissue in a plastic-lined, covered receptacle; (7) fastening the diaper and placing clothing on child; (8) washing child's hands in accordance with Rule .2803 of this Section, or, if child is unable to support the child's head, cleaning the child's hands with a disposable towelette or moistened paper towel, then drying the child's hands and returning the child to a supervised area; (9) spraying entire diapering surface with detergent solution and wipe clean, using disposable paper towels; (10) spraying entire diapering surface with an approved disinfectant and allowing to remain on the surface for two minutes or as specified by the manufacturer, or air dry; and (11) washing hands in accordance with Rule .2803 of this Section even if disposable gloves are used by the child care center employee. (e) Vinyl or latex disposable gloves shall be used by child care center employees during the diaper changing process if the employee's hands have cuts, sores, or chapped skin. (f) Child care center employees may dispose of feces from diapers in the toilet, but shall not rinse soiled cloth diapers, training pants, or clothes. Soiled cloth diapers, training pants, or clothes shall be sent to a diaper service or placed in a sealed plastic bag or other sealed container, stored out of reach of children, and sent home with the child on the same day to be laundered. (g) Receptacles containing soiled disposable diapers shall be emptied in a garbage area located outside the child care center building daily. (h) Signs that instruct child care center employees on proper methods of diaper changing and handwashing as set forth in the rules of this Section shall be posted in each diaper changing area. 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 .1105 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60000988 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 2/6/2025 Number Present: 85 Completed Date: 2/6/2025 Age: From 0 To 5 Total Minutes: 230 Time In: 10:00 AM Time Out: 01:50 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 April 6, 2022 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 83% 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. Upon arrival I was greeted by Ms. Babette Carelock, Assistant Director, and I explained the purpose of my visit. She stated Ms. Sonya Dodd, Director, was not onsite today. Ms. Carelock accompanied me on the walk through. In Space 1A for infant care I observed one (1) teacher present with five (5) infants. Infants were observed laying on a boppy, underneath a play mobile on the floor and crawling around the room. The teacher was attentive to infants needs. I observed one (1) infant sleeping on her tummy. The crib was labeled and stated the infant could rollover on her own. I monitored the safe sleep chart and it indicated the child was put down on her tummy. The teacher stated she placed the infant in the crib on her back but she immediately rolled to her tummy. I explained that even if the child rolled over immediately she should still document that she placed the child on her back. At the first sleep check she should document the child was on her tummy. I also observed that every child’s sleep check time was exactly on the quarter hour. The teacher stated she documented the time closest to the quarter hour to make it easier to document times every fifteen minutes. I explained that documentation should be accurate. I stated, for example, if a child was put down to sleep at 10:52 am she could check the child again 8 minutes later at 11:00 am and then again at the quarter hour, 11:15 am if it was easier to document every quarter hour. I observed an infant sleeping in Space 1B and requested the safe sleep chart. The chart was still in Space 1A and had not followed the child when she was transitioned to 1B to maintain ratio. The teacher stated the child was asleep when she arrived to the classroom at 10:00 am. The chart was not completed for the child. Arrival times were not accurate in Space 1A and 1B. One (1) child was documented on both head count sheets and the arrival time was different on each form. It was explained that the teacher for 1B opened for both classrooms in Space 1A. The arrival times were documented on the headcount sheet for 1B. I explained that arrival times should be documented on the headcount sheet for the classroom they arrive in and when they transition to another space the time they enter that space should be documented on the assigned headcount sheet and the departure time documented on the “opening” classroom’s sheet. In Space 2A for toddlers I observed a teacher finishing a diaper change when I arrived to the classroom. After finishing changing the diaper she placed the child on the floor, removed her gloves, and did not wash her hands. She walked through the room and picked up a toy off the floor, placed it in a bin, and picked up another child for a diaper change. Ms. Carelock asked her why she hadn’t washed her hands and she stated she was going to before changing the next child. I observed her wash her hands with the child in her arms and before she placed the child on the changing table I asked if she cleaned and disinfected the table. She said she would do it before putting the child on the table. I observed her spray the table with soapy water. She stated she would spray it with disinfectant before putting the child on the table. I reminded her that the disinfectant was required to remain on the table for 2 minutes before it was wiped off to properly clean the table between uses. Milk was delivered to Space 2b while monitoring. The milk was placed on the counter labeled food prep. I observed art materials and paint on the food prep counter. I reminded teachers that the counter should be cleaned with soapy water and sanitized prior to food being placed on it and should only be used for food prep/service. Preschool aged children in Space 7 were observed participating in free choice activities to include legos, housekeeping, and the writing center. Children in Space 5 were observed participating in a large group dance activity. Teachers were observed engaged and providing a nurturing environment. They participated in the activities with children and encouraged participation. All classrooms were visited and playgrounds were monitored. Each met compliance. Emergency medications were monitored. Five (5) new staff files were monitored and I reviewed the staff and training worksheet for all staff. I verified infant teachers had current ITS-SIDS training. One (1) employee had a certificate on file for CPR/First Aid that did not have a QR code connecting to the card. I explained the certificate could be used as a placeholder until the “card” was received. The employee was still within 90 days of the requirement. I observed one (1) teacher hired in July 2024 who had a CPR/First Aid certificate that stated distance learning was used for training and the trainer was not an approved trainer. The list of approved trainers was emailed to both administrators today. Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival times were not accurately documented in Spaces 1A and 1B. One (1) child's arrival time was documented on both head count sheets and was different on each form. Five (5) in Space 3 did not have arrival times documented. 10A NCAC 09 .0302(d)(4) 404 All staff did not wash their hands thoroughly after diapering each child. A teacher in Space 2a did not wash her hands after changing a child's diaper. I observed her pick up a toy on the floor, place it in a bin, and pick up another child to change before washing her hands. 15A NCAC 18A .2803(a) 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. One (1) set of bottles were not labeled and dated today. 15A NCAC 18A .2804(d) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. A safe sleep check was not completed for an infant in Space 1B. The safe sleep chart was located in Space 1A. Safe sleep checks were not accurately documented. The teacher in Space 1A stated she documented the time closest to the quarter hour to make it easier to document every fifteen minutes. I observed a safe sleep check documented while monitoring in the classroom. The time documented on the chart was 10:20 am and the actual time of the check was 10:10 am. .0606(g) 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) teacher who began employment 12/2/24 had a medical report dated 1/29/25. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) teacher's health questionnaire was dated 9/2023. .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) teacher's emergency information was dated 9/2023. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) teacher hired 7/24/24 did not complete First Aid training from an approved trainer within 90 days of employment. .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. One (1) teacher hired 7/24/24 did not complete CPR training from an approved trainer within 90 days of employment. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) teacher hired 1/15/25 did not have documentation of receiving 6 clock hours of orientation. .1101(a)(b) 1893 Distance learning was used to complete First Aid, CPR and/or playground safety training. One (1) teacher hired 7/24/24 completed CPR and First Aid training online. She did not receive in person skills evaluation. 10A NCAC 09 .1102(c-e); 10A NCAC 09 .1105(3) 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 20, 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: - I recommend staff read the posted diaper changing chart as they change diapers to ensure all required steps are followed. 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. – 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. Rule Clarification: 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (1) specifies that caregivers shall place infants aged 12 months or younger on their backs for sleeping, unless: (A) for an infant aged six months or less, the center receives a written waiver of this requirement from a health care professional; or (B) for an infant older than six months, the center receives a written waiver of this requirement from a health care professional, or a parent or a legal guardian; (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; (3) specifies that children shall not be swaddled; (4) specifies that nothing shall be placed over the head or face of an infant aged 12 months or younger when the infant is laid down to sleep; (5) specifies that the temperature in the room where infants aged 12 months or younger are sleeping does not exceed 75° F; (6) specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes; (7) specifies how caregivers shall document compliance with visually checking on sleeping infants aged 12 months or younger; (8) specifies that pacifiers that attach to infant clothing shall not be used with sleeping infants; (9) specifies that infants aged 12 months or younger sleep alone in a crib, bassinet, play pen, mat, or cot; (10) specifies that infants aged 12 months or younger are prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices shall be moved to a crib, bassinet, play pen, mat, or cot; and (11) specifies any other steps the center shall take to provide a safe sleep environment for infants aged 12 months or younger. 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. 15A NCAC 18A .2819 DIAPERING AND DIAPER CHANGING FACILITIES (a) In child care centers, children in diapers shall be changed at stations designated for diapering or toileting. Each diaper changing station shall include a handwash lavatory. For child care centers licensed for fewer than 13 children and located in a residence, and for diaper changing areas designated for school age children, a handwash lavatory shall be in or next to the diaper changing area. (b) Diapering surfaces shall be made of smooth, intact, nonabsorbent material and shall be kept clean and in good repair. Nothing shall be placed on the diapering surface except for those items required for diapering and the child whose diaper will be changed. If diapering is performed on the floor in a toilet room, then a smooth, intact, nonabsorbent barrier that is clean and in good repair shall be placed on the floor to minimize cross-contamination. (c) Diapering surfaces shall be disinfected using an approved disinfectant. Approved disinfectants and detergent solution shall be kept in separate and labeled bottles at each diaper changing station. Approved disinfectants that are chlorine disinfecting solutions shall be stored in hand pump spray bottles. No cloths or sponges shall be used on diapering surfaces. (d) Child care center employees shall change a child's diaper as follows: (1) gathering supplies before placing child on diapering surface; (2) donning disposable gloves (if needed); (3) using disposable towelette or moistened paper towel to clean child, wiping front to back; (4) disposing of gloves if used, soiled towelettes and diaper in a plastic-lined, covered receptacle; (5) wiping the child care center employee's hands and the child's hands each with a separate disposable towelette or moistened paper towel; (6) sliding a clean diaper under the child, applying diapering products if needed, using facial or toilet tissue, and discarding the tissue in a plastic-lined, covered receptacle; (7) fastening the diaper and placing clothing on child; (8) washing child's hands in accordance with Rule .2803 of this Section, or, if child is unable to support the child's head, cleaning the child's hands with a disposable towelette or moistened paper towel, then drying the child's hands and returning the child to a supervised area; (9) spraying entire diapering surface with detergent solution and wipe clean, using disposable paper towels; (10) spraying entire diapering surface with an approved disinfectant and allowing to remain on the surface for two minutes or as specified by the manufacturer, or air dry; and (11) washing hands in accordance with Rule .2803 of this Section even if disposable gloves are used by the child care center employee. (e) Vinyl or latex disposable gloves shall be used by child care center employees during the diaper changing process if the employee's hands have cuts, sores, or chapped skin. (f) Child care center employees may dispose of feces from diapers in the toilet, but shall not rinse soiled cloth diapers, training pants, or clothes. Soiled cloth diapers, training pants, or clothes shall be sent to a diaper service or placed in a sealed plastic bag or other sealed container, stored out of reach of children, and sent home with the child on the same day to be laundered. (g) Receptacles containing soiled disposable diapers shall be emptied in a garbage area located outside the child care center building daily. (h) Signs that instruct child care center employees on proper methods of diaper changing and handwashing as set forth in the rules of this Section shall be posted in each diaper changing area. 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: CHESTERBROOK ACADEMY Facility ID: 60000988 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 2/6/2025 Number Present: 85 Completed Date: 2/6/2025 Age: From 0 To 5 Total Minutes: 230 Time In: 10:00 AM Time Out: 01:50 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 April 6, 2022 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 83% 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. Upon arrival I was greeted by Ms. Babette Carelock, Assistant Director, and I explained the purpose of my visit. She stated Ms. Sonya Dodd, Director, was not onsite today. Ms. Carelock accompanied me on the walk through. In Space 1A for infant care I observed one (1) teacher present with five (5) infants. Infants were observed laying on a boppy, underneath a play mobile on the floor and crawling around the room. The teacher was attentive to infants needs. I observed one (1) infant sleeping on her tummy. The crib was labeled and stated the infant could rollover on her own. I monitored the safe sleep chart and it indicated the child was put down on her tummy. The teacher stated she placed the infant in the crib on her back but she immediately rolled to her tummy. I explained that even if the child rolled over immediately she should still document that she placed the child on her back. At the first sleep check she should document the child was on her tummy. I also observed that every child’s sleep check time was exactly on the quarter hour. The teacher stated she documented the time closest to the quarter hour to make it easier to document times every fifteen minutes. I explained that documentation should be accurate. I stated, for example, if a child was put down to sleep at 10:52 am she could check the child again 8 minutes later at 11:00 am and then again at the quarter hour, 11:15 am if it was easier to document every quarter hour. I observed an infant sleeping in Space 1B and requested the safe sleep chart. The chart was still in Space 1A and had not followed the child when she was transitioned to 1B to maintain ratio. The teacher stated the child was asleep when she arrived to the classroom at 10:00 am. The chart was not completed for the child. Arrival times were not accurate in Space 1A and 1B. One (1) child was documented on both head count sheets and the arrival time was different on each form. It was explained that the teacher for 1B opened for both classrooms in Space 1A. The arrival times were documented on the headcount sheet for 1B. I explained that arrival times should be documented on the headcount sheet for the classroom they arrive in and when they transition to another space the time they enter that space should be documented on the assigned headcount sheet and the departure time documented on the “opening” classroom’s sheet. In Space 2A for toddlers I observed a teacher finishing a diaper change when I arrived to the classroom. After finishing changing the diaper she placed the child on the floor, removed her gloves, and did not wash her hands. She walked through the room and picked up a toy off the floor, placed it in a bin, and picked up another child for a diaper change. Ms. Carelock asked her why she hadn’t washed her hands and she stated she was going to before changing the next child. I observed her wash her hands with the child in her arms and before she placed the child on the changing table I asked if she cleaned and disinfected the table. She said she would do it before putting the child on the table. I observed her spray the table with soapy water. She stated she would spray it with disinfectant before putting the child on the table. I reminded her that the disinfectant was required to remain on the table for 2 minutes before it was wiped off to properly clean the table between uses. Milk was delivered to Space 2b while monitoring. The milk was placed on the counter labeled food prep. I observed art materials and paint on the food prep counter. I reminded teachers that the counter should be cleaned with soapy water and sanitized prior to food being placed on it and should only be used for food prep/service. Preschool aged children in Space 7 were observed participating in free choice activities to include legos, housekeeping, and the writing center. Children in Space 5 were observed participating in a large group dance activity. Teachers were observed engaged and providing a nurturing environment. They participated in the activities with children and encouraged participation. All classrooms were visited and playgrounds were monitored. Each met compliance. Emergency medications were monitored. Five (5) new staff files were monitored and I reviewed the staff and training worksheet for all staff. I verified infant teachers had current ITS-SIDS training. One (1) employee had a certificate on file for CPR/First Aid that did not have a QR code connecting to the card. I explained the certificate could be used as a placeholder until the “card” was received. The employee was still within 90 days of the requirement. I observed one (1) teacher hired in July 2024 who had a CPR/First Aid certificate that stated distance learning was used for training and the trainer was not an approved trainer. The list of approved trainers was emailed to both administrators today. Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival times were not accurately documented in Spaces 1A and 1B. One (1) child's arrival time was documented on both head count sheets and was different on each form. Five (5) in Space 3 did not have arrival times documented. 10A NCAC 09 .0302(d)(4) 404 All staff did not wash their hands thoroughly after diapering each child. A teacher in Space 2a did not wash her hands after changing a child's diaper. I observed her pick up a toy on the floor, place it in a bin, and pick up another child to change before washing her hands. 15A NCAC 18A .2803(a) 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. One (1) set of bottles were not labeled and dated today. 15A NCAC 18A .2804(d) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. A safe sleep check was not completed for an infant in Space 1B. The safe sleep chart was located in Space 1A. Safe sleep checks were not accurately documented. The teacher in Space 1A stated she documented the time closest to the quarter hour to make it easier to document every fifteen minutes. I observed a safe sleep check documented while monitoring in the classroom. The time documented on the chart was 10:20 am and the actual time of the check was 10:10 am. .0606(g) 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) teacher who began employment 12/2/24 had a medical report dated 1/29/25. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) teacher's health questionnaire was dated 9/2023. .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) teacher's emergency information was dated 9/2023. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) teacher hired 7/24/24 did not complete First Aid training from an approved trainer within 90 days of employment. .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. One (1) teacher hired 7/24/24 did not complete CPR training from an approved trainer within 90 days of employment. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) teacher hired 1/15/25 did not have documentation of receiving 6 clock hours of orientation. .1101(a)(b) 1893 Distance learning was used to complete First Aid, CPR and/or playground safety training. One (1) teacher hired 7/24/24 completed CPR and First Aid training online. She did not receive in person skills evaluation. 10A NCAC 09 .1102(c-e); 10A NCAC 09 .1105(3) 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 20, 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: - I recommend staff read the posted diaper changing chart as they change diapers to ensure all required steps are followed. 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. – 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. Rule Clarification: 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (1) specifies that caregivers shall place infants aged 12 months or younger on their backs for sleeping, unless: (A) for an infant aged six months or less, the center receives a written waiver of this requirement from a health care professional; or (B) for an infant older than six months, the center receives a written waiver of this requirement from a health care professional, or a parent or a legal guardian; (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; (3) specifies that children shall not be swaddled; (4) specifies that nothing shall be placed over the head or face of an infant aged 12 months or younger when the infant is laid down to sleep; (5) specifies that the temperature in the room where infants aged 12 months or younger are sleeping does not exceed 75° F; (6) specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes; (7) specifies how caregivers shall document compliance with visually checking on sleeping infants aged 12 months or younger; (8) specifies that pacifiers that attach to infant clothing shall not be used with sleeping infants; (9) specifies that infants aged 12 months or younger sleep alone in a crib, bassinet, play pen, mat, or cot; (10) specifies that infants aged 12 months or younger are prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices shall be moved to a crib, bassinet, play pen, mat, or cot; and (11) specifies any other steps the center shall take to provide a safe sleep environment for infants aged 12 months or younger. 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. 15A NCAC 18A .2819 DIAPERING AND DIAPER CHANGING FACILITIES (a) In child care centers, children in diapers shall be changed at stations designated for diapering or toileting. Each diaper changing station shall include a handwash lavatory. For child care centers licensed for fewer than 13 children and located in a residence, and for diaper changing areas designated for school age children, a handwash lavatory shall be in or next to the diaper changing area. (b) Diapering surfaces shall be made of smooth, intact, nonabsorbent material and shall be kept clean and in good repair. Nothing shall be placed on the diapering surface except for those items required for diapering and the child whose diaper will be changed. If diapering is performed on the floor in a toilet room, then a smooth, intact, nonabsorbent barrier that is clean and in good repair shall be placed on the floor to minimize cross-contamination. (c) Diapering surfaces shall be disinfected using an approved disinfectant. Approved disinfectants and detergent solution shall be kept in separate and labeled bottles at each diaper changing station. Approved disinfectants that are chlorine disinfecting solutions shall be stored in hand pump spray bottles. No cloths or sponges shall be used on diapering surfaces. (d) Child care center employees shall change a child's diaper as follows: (1) gathering supplies before placing child on diapering surface; (2) donning disposable gloves (if needed); (3) using disposable towelette or moistened paper towel to clean child, wiping front to back; (4) disposing of gloves if used, soiled towelettes and diaper in a plastic-lined, covered receptacle; (5) wiping the child care center employee's hands and the child's hands each with a separate disposable towelette or moistened paper towel; (6) sliding a clean diaper under the child, applying diapering products if needed, using facial or toilet tissue, and discarding the tissue in a plastic-lined, covered receptacle; (7) fastening the diaper and placing clothing on child; (8) washing child's hands in accordance with Rule .2803 of this Section, or, if child is unable to support the child's head, cleaning the child's hands with a disposable towelette or moistened paper towel, then drying the child's hands and returning the child to a supervised area; (9) spraying entire diapering surface with detergent solution and wipe clean, using disposable paper towels; (10) spraying entire diapering surface with an approved disinfectant and allowing to remain on the surface for two minutes or as specified by the manufacturer, or air dry; and (11) washing hands in accordance with Rule .2803 of this Section even if disposable gloves are used by the child care center employee. (e) Vinyl or latex disposable gloves shall be used by child care center employees during the diaper changing process if the employee's hands have cuts, sores, or chapped skin. (f) Child care center employees may dispose of feces from diapers in the toilet, but shall not rinse soiled cloth diapers, training pants, or clothes. Soiled cloth diapers, training pants, or clothes shall be sent to a diaper service or placed in a sealed plastic bag or other sealed container, stored out of reach of children, and sent home with the child on the same day to be laundered. (g) Receptacles containing soiled disposable diapers shall be emptied in a garbage area located outside the child care center building daily. (h) Signs that instruct child care center employees on proper methods of diaper changing and handwashing as set forth in the rules of this Section shall be posted in each diaper changing area. 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

GS 110-105 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60000988 Consultant: LEIGH BROOME Operation Type: Center Case Number: 1024-341A Visit Date: 10/29/2024 Number Present: 82 Completed Date: 10/29/2024 Age: From 0 To 5 Total Minutes: 96 Time In: 09:04 AM Time Out: 10:40 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Sonya Dodd, administrator, accompanied me during a walk-through of the facility. During the visit, I spoke with Ms. Dodd and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. On October 24, 2024, a classroom for three-year-olds was out of ratio when a child entered a classroom unaccompanied from the playground. The classroom had ten children in care with one staff member prior to the child entering the classroom. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. On October 24, 2024, a three-year-old child was able to leave the playground area unsupervised and enter a classroom. .1801(a)(1-5) 904 Child was handled roughly. A staff member grabbed a child's forearm, which resulted in bruising to the child's arm. .1803(a)(1) 1810 There was a substantiation of child maltreatment. Pursuant to its investigation, the Division has confirmed sufficient information to determine child maltreatment. GS 110-105.6(a) Violations must be corrected immediately. Within one week, November 5, 2024, you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at Leigh Broome, Investigations Consultant, Leigh.Broome@dhhs.nc.gov. You may contact me at Leigh Broome, Investigations Consultant, 704-594-0146, leigh.broome@dhhs.nc.gov or Veronica Grant, South Central Investigations Team Supervisor, veronica.grant@dhhs.nc.gov. Thank you for your time. 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: CHESTERBROOK ACADEMY Facility ID: 60000988 Consultant: LEIGH BROOME Operation Type: Center Case Number: 1024-341A Visit Date: 10/29/2024 Number Present: 82 Completed Date: 10/29/2024 Age: From 0 To 5 Total Minutes: 96 Time In: 09:04 AM Time Out: 10:40 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Sonya Dodd, administrator, accompanied me during a walk-through of the facility. During the visit, I spoke with Ms. Dodd and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. On October 24, 2024, a classroom for three-year-olds was out of ratio when a child entered a classroom unaccompanied from the playground. The classroom had ten children in care with one staff member prior to the child entering the classroom. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. On October 24, 2024, a three-year-old child was able to leave the playground area unsupervised and enter a classroom. .1801(a)(1-5) 904 Child was handled roughly. A staff member grabbed a child's forearm, which resulted in bruising to the child's arm. .1803(a)(1) 1810 There was a substantiation of child maltreatment. Pursuant to its investigation, the Division has confirmed sufficient information to determine child maltreatment. GS 110-105.6(a) Violations must be corrected immediately. Within one week, November 5, 2024, you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at Leigh Broome, Investigations Consultant, Leigh.Broome@dhhs.nc.gov. You may contact me at Leigh Broome, Investigations Consultant, 704-594-0146, leigh.broome@dhhs.nc.gov or Veronica Grant, South Central Investigations Team Supervisor, veronica.grant@dhhs.nc.gov. Thank you for your time. 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: CHESTERBROOK ACADEMY Facility ID: 60000988 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 7/2/2024 Number Present: 87 Completed Date: 7/2/2024 Age: From 0 To 10 Total Minutes: 262 Time In: 10:08 AM Time Out: 01:00 PM Time In: 01:30 PM Time Out: 03:00 PM 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 is currently operating with a Five Star License issued on April 6, 2022 and had an eighteen (18) month compliance history score of 78% prior to today’s visit. The March 2024 Center Item Number Listing and 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. Babette Carelock, Assistant Director, and I explained the purpose of the visit. Ms. Carelock stated Ms. Sonja Dodd, Director, was on vacation this week. Ms. Carelock accompanied me on the walk through. The facility operated two (2) infant classrooms. Classrooms were combined today in Space 1B. I observed one (1) infant being rocked and fall asleep in a teacher’s arms. She placed the infant in his crib on his back and documented the time she placed him in the crib. Safe sleep checks were documented as required. Each infant had an individual crib. Teachers stated sheets were washed and changed daily. I recommended when rooms were combined staff label the crib with infant’s name and if the child could roll over to ensure safe sleep checks were documented for the correct child if different teachers were in the classroom. I monitored diaper creams and observed each with current permission forms and the creams were labeled with the child’s name. A tub of Vaseline and tube of Aquafor were observed stored five (5) feet up in an unlocked cabinet. I explained petroleum based products were required to be stored behind lock and key. I monitored bottles and observed one (1) bottle was not dated. The child’s initials were on the bottle. The child’s full name should be listed on the bottle to ensure the correct bottle is given to the correct child. Toddlers were observed coming inside from outdoor play. Children were observed washing their hands before playing with materials. One (1) toddler class was observed on the playground. The teacher was engaged with children pushing two (2) children in a riding toy and talking to other children as they played. The toddler playground met requirements. All preschool classrooms were monitored. Staff was observed engaged with children and providing a welcoming and nurturing environment. Spaces 4 and 5 had radios and other items stored on the area labeled for food prep. We discussed moving all materials from the area unless the materials were for food service. I reminded staff that the food prep area should be cleaned with soapy water and sanitized prior to food being placed on the counter from the kitchen. I observed lunch being served and the lunch provided reflected what was listed on the menu. Books should be audited in all classrooms to ensure good repair. If a book is torn or missing pages it should be removed from the area. The electrical closet located in the hallway was observed unlocked and accessible. The door was locked during the visit. All outdoor learning environments were monitored. The poured in place soft surface on the preschool/school aged playground was observed torn and broken in multiple places. It appeared that the areas were attempted to be repaired, however the pieces were not secure and the area was still broken. The paint on the exterior doors facing the 2’s playground were chipped and peeling. I also observed torn and broken screens on the windows of Space 3. The kitchen was unlocked and no one was present inside. The door was locked during the visit. Allergies were observed posted. The last sanitation inspection was completed on 2/1/24 and received a superior rating. The last fire inspection was completed on 6/26/24 however the inspector did not complete the required form and the inspection was not sent to the consultant within 7 days of the inspection. Ms. Carelock emailed and called the inspector to request the correct form. Fire drills and shelter-in-place/lockdown drills were completed and documented as required. Playground inspections were completed. The facility did not provide transportation. Ms. Carelock stated during the summer field trips were brought to the center. She stated Kona Ice came and children went to the sidewalk outside the entrance for snow cones. She also infants were placed in the multi-seat stroller and were walked through the parking. Off-premise permissions were monitored. Ten (10) child files were monitored. Arrival and departure times were documented as required. One (1) child required emergency medication. The medication was properly stored and all required permissions and the medical action plan was completed and current. The facility was current and active with the Secretary of State. Seventeen (17) new employees were hired since the last annual compliance. Ms. Carelock tried to access the completed staff and training worksheets but the forms did not save with the entered information for each employee. Staff and training worksheets should be completed within five working days. An unannounced visit will be made to review staff information in the near future. 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. One (1) set of bottles was not dated and labeled with the child's full name. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The paint on the exterior doors facing the 2’s playground were chipped and peeling. 15A NCAC 18A .2825(a) 807 A safe indoor and outdoor environment was not provided for the children. The soft surface poured in place on the preschool/school aged playground was torn and broken. Small granules of surfacing were exposed. 10A NCAC 09 .0601(a) 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. Vaseline and Aquafor, both petroleum based products, were not stored behind lock and key. The kitchen was unlocked and accessible with no one inside. The electrical closet located in the hallway was observed unlocked. .2820(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two (2) employees did not update the health questionnaire annually. .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) veteran staff did not complete the required number of on-going annual training. One (1) employee was required to complete ten (10) hours and she completed three (3) hours. And one (1) employee was required to complete ten (10) hours and completed two (2) hours. .1103(a) 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. One (1) child's emergency medical care information was not updated annually. .0802(c) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. The address was not included on four (4) children's emergency contacts. .0802(c)(1) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child enrolled 2023 had a health assessment from 2021 on file. The assessment cannot be older than 12 months. GS110-91(1) 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. Three (3) children had expired off-premise permissions on file. .1005(b)(4) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Two (2) children did not have the date of enrollment listed on the discipline statement and one (1) child did not list the child's name. .1804(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) employee began employment on 2/5/24 and completed the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on 2/23/24. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Four (4) employees did not complete Child Maltreatment training within 90 days of employment. Two (2) employees had Child Maltreatment training older than 12 months and did not renew the training within 90 days of employment. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One (1) employee was required to complete health and safety (H&S) trainings by 6/5/24. One (1) employee was required to complete H&S trainings by 12/21/23 and trainings were completed 6/21/24. .1102(a) Corrective Action: Violations must be corrected immediately. The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter that includes the violation item number and an explanation of how each of today’s violations were corrected. Corrections must be received by me on or before Tuesday, July 16, 2024 to the email address listed below or the provider may mail corrections to me at P.O. Box 1967, Huntersville, NC 28078 understanding the letter of compliance should be delivered not submitted by the due date. Another visit will be made in the near future to verify compliance with violations. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. General Comments: Resuming Rated License Assessments: The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024 and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each include a preparation year and a reassessment year. Your facility is assigned to Cohort 1. Beginning in July 1, 2024 your reassessment year begins. I recommend reaching out to CCRI to get assistance with classroom arrangement and materials. Ideally the assessment should be requested in the fall of 2024. Staff should continue to submit official transcripts to WORKS as once the assessment is completed the program’s points in education will be assessed and points earned will reflect the information evaluated in WORKS. If there is a change to Cohorts I will reach out ASAP. But as of today, your assessment year began 7/1/24. - The teacher in Space 7 asked about adding plants to her classroom. The list of plants to avoid was emailed today. - Completed fire inspections are required to be mailed/emailed to the consultant within 7 days of the inspection. I recommend printing copies of the DCDEE inspection form to give the inspector at the completion of the inspection. A copy of the DCDEE inspection form was emailed to Ms. Carelock. - The EPR plan should be updated and reviewed in the risk management portal annually. The review sign-off is on page 28 of the plan. Make sure “publish plan” is clicked before leaving the document. You can print page 28 and the cover page that reflects the current date and add to the plan if no other changes are made. If changes are made be sure to print those changes and add to the plan. Staff should be trained on the changes. 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: CHESTERBROOK ACADEMY Facility ID: 60000988 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 7/2/2024 Number Present: 87 Completed Date: 7/2/2024 Age: From 0 To 10 Total Minutes: 262 Time In: 10:08 AM Time Out: 01:00 PM Time In: 01:30 PM Time Out: 03:00 PM 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 is currently operating with a Five Star License issued on April 6, 2022 and had an eighteen (18) month compliance history score of 78% prior to today’s visit. The March 2024 Center Item Number Listing and 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. Babette Carelock, Assistant Director, and I explained the purpose of the visit. Ms. Carelock stated Ms. Sonja Dodd, Director, was on vacation this week. Ms. Carelock accompanied me on the walk through. The facility operated two (2) infant classrooms. Classrooms were combined today in Space 1B. I observed one (1) infant being rocked and fall asleep in a teacher’s arms. She placed the infant in his crib on his back and documented the time she placed him in the crib. Safe sleep checks were documented as required. Each infant had an individual crib. Teachers stated sheets were washed and changed daily. I recommended when rooms were combined staff label the crib with infant’s name and if the child could roll over to ensure safe sleep checks were documented for the correct child if different teachers were in the classroom. I monitored diaper creams and observed each with current permission forms and the creams were labeled with the child’s name. A tub of Vaseline and tube of Aquafor were observed stored five (5) feet up in an unlocked cabinet. I explained petroleum based products were required to be stored behind lock and key. I monitored bottles and observed one (1) bottle was not dated. The child’s initials were on the bottle. The child’s full name should be listed on the bottle to ensure the correct bottle is given to the correct child. Toddlers were observed coming inside from outdoor play. Children were observed washing their hands before playing with materials. One (1) toddler class was observed on the playground. The teacher was engaged with children pushing two (2) children in a riding toy and talking to other children as they played. The toddler playground met requirements. All preschool classrooms were monitored. Staff was observed engaged with children and providing a welcoming and nurturing environment. Spaces 4 and 5 had radios and other items stored on the area labeled for food prep. We discussed moving all materials from the area unless the materials were for food service. I reminded staff that the food prep area should be cleaned with soapy water and sanitized prior to food being placed on the counter from the kitchen. I observed lunch being served and the lunch provided reflected what was listed on the menu. Books should be audited in all classrooms to ensure good repair. If a book is torn or missing pages it should be removed from the area. The electrical closet located in the hallway was observed unlocked and accessible. The door was locked during the visit. All outdoor learning environments were monitored. The poured in place soft surface on the preschool/school aged playground was observed torn and broken in multiple places. It appeared that the areas were attempted to be repaired, however the pieces were not secure and the area was still broken. The paint on the exterior doors facing the 2’s playground were chipped and peeling. I also observed torn and broken screens on the windows of Space 3. The kitchen was unlocked and no one was present inside. The door was locked during the visit. Allergies were observed posted. The last sanitation inspection was completed on 2/1/24 and received a superior rating. The last fire inspection was completed on 6/26/24 however the inspector did not complete the required form and the inspection was not sent to the consultant within 7 days of the inspection. Ms. Carelock emailed and called the inspector to request the correct form. Fire drills and shelter-in-place/lockdown drills were completed and documented as required. Playground inspections were completed. The facility did not provide transportation. Ms. Carelock stated during the summer field trips were brought to the center. She stated Kona Ice came and children went to the sidewalk outside the entrance for snow cones. She also infants were placed in the multi-seat stroller and were walked through the parking. Off-premise permissions were monitored. Ten (10) child files were monitored. Arrival and departure times were documented as required. One (1) child required emergency medication. The medication was properly stored and all required permissions and the medical action plan was completed and current. The facility was current and active with the Secretary of State. Seventeen (17) new employees were hired since the last annual compliance. Ms. Carelock tried to access the completed staff and training worksheets but the forms did not save with the entered information for each employee. Staff and training worksheets should be completed within five working days. An unannounced visit will be made to review staff information in the near future. 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. One (1) set of bottles was not dated and labeled with the child's full name. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The paint on the exterior doors facing the 2’s playground were chipped and peeling. 15A NCAC 18A .2825(a) 807 A safe indoor and outdoor environment was not provided for the children. The soft surface poured in place on the preschool/school aged playground was torn and broken. Small granules of surfacing were exposed. 10A NCAC 09 .0601(a) 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. Vaseline and Aquafor, both petroleum based products, were not stored behind lock and key. The kitchen was unlocked and accessible with no one inside. The electrical closet located in the hallway was observed unlocked. .2820(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two (2) employees did not update the health questionnaire annually. .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) veteran staff did not complete the required number of on-going annual training. One (1) employee was required to complete ten (10) hours and she completed three (3) hours. And one (1) employee was required to complete ten (10) hours and completed two (2) hours. .1103(a) 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. One (1) child's emergency medical care information was not updated annually. .0802(c) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. The address was not included on four (4) children's emergency contacts. .0802(c)(1) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child enrolled 2023 had a health assessment from 2021 on file. The assessment cannot be older than 12 months. GS110-91(1) 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. Three (3) children had expired off-premise permissions on file. .1005(b)(4) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Two (2) children did not have the date of enrollment listed on the discipline statement and one (1) child did not list the child's name. .1804(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) employee began employment on 2/5/24 and completed the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on 2/23/24. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Four (4) employees did not complete Child Maltreatment training within 90 days of employment. Two (2) employees had Child Maltreatment training older than 12 months and did not renew the training within 90 days of employment. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One (1) employee was required to complete health and safety (H&S) trainings by 6/5/24. One (1) employee was required to complete H&S trainings by 12/21/23 and trainings were completed 6/21/24. .1102(a) Corrective Action: Violations must be corrected immediately. The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter that includes the violation item number and an explanation of how each of today’s violations were corrected. Corrections must be received by me on or before Tuesday, July 16, 2024 to the email address listed below or the provider may mail corrections to me at P.O. Box 1967, Huntersville, NC 28078 understanding the letter of compliance should be delivered not submitted by the due date. Another visit will be made in the near future to verify compliance with violations. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. General Comments: Resuming Rated License Assessments: The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024 and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each include a preparation year and a reassessment year. Your facility is assigned to Cohort 1. Beginning in July 1, 2024 your reassessment year begins. I recommend reaching out to CCRI to get assistance with classroom arrangement and materials. Ideally the assessment should be requested in the fall of 2024. Staff should continue to submit official transcripts to WORKS as once the assessment is completed the program’s points in education will be assessed and points earned will reflect the information evaluated in WORKS. If there is a change to Cohorts I will reach out ASAP. But as of today, your assessment year began 7/1/24. - The teacher in Space 7 asked about adding plants to her classroom. The list of plants to avoid was emailed today. - Completed fire inspections are required to be mailed/emailed to the consultant within 7 days of the inspection. I recommend printing copies of the DCDEE inspection form to give the inspector at the completion of the inspection. A copy of the DCDEE inspection form was emailed to Ms. Carelock. - The EPR plan should be updated and reviewed in the risk management portal annually. The review sign-off is on page 28 of the plan. Make sure “publish plan” is clicked before leaving the document. You can print page 28 and the cover page that reflects the current date and add to the plan if no other changes are made. If changes are made be sure to print those changes and add to the plan. Staff should be trained on the changes. 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 .0302 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60000988 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 2/28/2024 Number Present: 77 Completed Date: 2/28/2024 Age: From 0 To 6 Total Minutes: 88 Time In: 10:17 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to verify compliance with child care requirement violations cited during a routine unannounced visit conducted on 2/13/24 specifically enhanced staff/child ratio requirements. Upon arrival I was greeted by Ms. Ebony Jones, Chesterbrook Academy Regional Director. She stated Ms. Sonya Dodd, Director, was conducting a virtual interview but was onsite. Ms. Babette Carelock, Assistant Director, met me in the lobby and began the walk through with me. Ms. Dodd joined us in Space 2A. In Space 1A I observed two (2) infants playing on the carpet with the teacher and two (2) infants sleeping in individual cribs. I observed one (1) infant sleeping on her side/tummy and the note on her crib indicated she could not roll over. The teacher stated she just began rolling over to her side and that she placed her on her back when she laid her down. The teacher replaced the sign on the crib to note the infant could roll over. The violation was cited and corrected during the visit. The following violations were observed corrected: Item #533 - 15A NCAC 18A .2804(d) 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. One (1) bottle was not dated and labeled in Space 1A. I observed all bottles labeled and dated in Space 1A. Item #805 - 10A NCAC 09.0604(t); .0302(d)(5) Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not documented in December 2023. I observed a fire drill completed on 2/26/24. Item #832- 10A NCAC 09. 0802(a) There was no written emergency medical care (EMC) plan. The posted EMC plan listed a staff member who was no longer employed at the facility. I observed current staff members listed on the posted EMC plan. 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. Two (2) new employees hired in January 2024 had medical reports older than 12 months. One (1) new employee hire in January 2024 had a medical letter on file that did not meet the requirements. I observed a current medical report on file for both employees. 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) new employees hired in January 2024 had TB test results older than 12 months. I observed current TB test results on file for both employees. 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. Four (4) new employees did not complete 6 clock hours of training within the first 2 weeks of employment. I observed all four (4) employees had documented orientation. The facility had a teacher workday/training day on 2/19/24 and Ms. Dodd stated she was able to complete training on that day. Item #1756 - 10A NCAC 09 .2818 Enhanced staff/child ratios and group sizes were not met. Seven (7) children were present with one (1) teacher in Space 2A. The youngest child present was one year of age. I observed all classrooms meeting staff/child ratio. Item #1874 - 10A NCAC 09.0608(d)(1-4) - 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. Three (3) new employees did not have a signed copy of the Shaken Baby Syndrome and Abusive Head Trauma policy on file for review. I observed each employee had a signed statement. Item #9995 - A violation was found for which there is no item number. 15A NCAC 18A .2818(e) Hand wash signs shall be posted at every hand wash lavatory area. Hand wash signs were not posted in the restrooms between Spaces 5 and 7. I observed handwashing signs posted in the restrooms between Spaces 5 and 7 and at each sink throughout the building. The following violations were granted an extension due to repair scheduling and training: Item #828 - 10A NCAC 09.0604(m) Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The air conditioning unit on the two (2) year old playground was not fenced or protected from children accessing the unit. I observed the air conditioning unit remained unprotected from children and no fencing was placed around the unit. Ms. Dodd stated the repairs were scheduled to be completed today however she was not given a time from maintenance on when the repairs would be completed. Ms. Dodd should send pictures of the completed work to correct violation. Item #1811 - 10A NCAC 09.0604(u);.0302(d)(8) - Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place or lockdown drill was documented in August 2023. Ms. Dodd stated Ms. Terri Flake, Area Director, was training her on shelter-in-place procedures today and a emergency drill would be completed tomorrow. Ms. Dodd should scan a copy of the documented drill on 2/29/24. The following violation was cited again today and corrected during the visit: Item #125 - 10A NCAC 09 .0302(d)(4) Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival times were not accurately documented in Space 2A. I observed one (1) child’s arrival time not documented in Space 2A and three (3) children’s arrival times were not documented in Space 2B. Coaching on the importance of real time documentation of when children arrive and depart was recommended. It was addressed during the visit. Times should be documented anytime a child leaves and comes back to the classroom to ensure each child’s presence is accounted for throughout the building. One (1) repeat violation and one (1) new violation were cited today. Both were corrected during the visit. The correction letter addressing Item #828 and Item #1811 should be emailed to me by 2/29/24. If repairs to the air conditioning unit are delayed Ms. Dodd should keep me informed of the new completion date. It is advised that children not use the playground until the repairs are completed. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. I observed one (1) child’s arrival time not documented in Space 2A and three (3) children’s arrival times were not documented in Space 2B. Repeat violation 10A NCAC 09 .0302(d)(4) 895 Infants under the age of 12 months were not placed on their backs for sleeping unless the center had obtained the appropriate written waiver. I observed one (1) infant sleeping on her side/tummy and the note on her crib indicated she could not roll over. .0606(a)(1)(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 Thursday, February 29, 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. 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 .0701 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60000988 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 2/28/2024 Number Present: 77 Completed Date: 2/28/2024 Age: From 0 To 6 Total Minutes: 88 Time In: 10:17 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to verify compliance with child care requirement violations cited during a routine unannounced visit conducted on 2/13/24 specifically enhanced staff/child ratio requirements. Upon arrival I was greeted by Ms. Ebony Jones, Chesterbrook Academy Regional Director. She stated Ms. Sonya Dodd, Director, was conducting a virtual interview but was onsite. Ms. Babette Carelock, Assistant Director, met me in the lobby and began the walk through with me. Ms. Dodd joined us in Space 2A. In Space 1A I observed two (2) infants playing on the carpet with the teacher and two (2) infants sleeping in individual cribs. I observed one (1) infant sleeping on her side/tummy and the note on her crib indicated she could not roll over. The teacher stated she just began rolling over to her side and that she placed her on her back when she laid her down. The teacher replaced the sign on the crib to note the infant could roll over. The violation was cited and corrected during the visit. The following violations were observed corrected: Item #533 - 15A NCAC 18A .2804(d) 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. One (1) bottle was not dated and labeled in Space 1A. I observed all bottles labeled and dated in Space 1A. Item #805 - 10A NCAC 09.0604(t); .0302(d)(5) Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not documented in December 2023. I observed a fire drill completed on 2/26/24. Item #832- 10A NCAC 09. 0802(a) There was no written emergency medical care (EMC) plan. The posted EMC plan listed a staff member who was no longer employed at the facility. I observed current staff members listed on the posted EMC plan. 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. Two (2) new employees hired in January 2024 had medical reports older than 12 months. One (1) new employee hire in January 2024 had a medical letter on file that did not meet the requirements. I observed a current medical report on file for both employees. 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) new employees hired in January 2024 had TB test results older than 12 months. I observed current TB test results on file for both employees. 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. Four (4) new employees did not complete 6 clock hours of training within the first 2 weeks of employment. I observed all four (4) employees had documented orientation. The facility had a teacher workday/training day on 2/19/24 and Ms. Dodd stated she was able to complete training on that day. Item #1756 - 10A NCAC 09 .2818 Enhanced staff/child ratios and group sizes were not met. Seven (7) children were present with one (1) teacher in Space 2A. The youngest child present was one year of age. I observed all classrooms meeting staff/child ratio. Item #1874 - 10A NCAC 09.0608(d)(1-4) - 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. Three (3) new employees did not have a signed copy of the Shaken Baby Syndrome and Abusive Head Trauma policy on file for review. I observed each employee had a signed statement. Item #9995 - A violation was found for which there is no item number. 15A NCAC 18A .2818(e) Hand wash signs shall be posted at every hand wash lavatory area. Hand wash signs were not posted in the restrooms between Spaces 5 and 7. I observed handwashing signs posted in the restrooms between Spaces 5 and 7 and at each sink throughout the building. The following violations were granted an extension due to repair scheduling and training: Item #828 - 10A NCAC 09.0604(m) Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The air conditioning unit on the two (2) year old playground was not fenced or protected from children accessing the unit. I observed the air conditioning unit remained unprotected from children and no fencing was placed around the unit. Ms. Dodd stated the repairs were scheduled to be completed today however she was not given a time from maintenance on when the repairs would be completed. Ms. Dodd should send pictures of the completed work to correct violation. Item #1811 - 10A NCAC 09.0604(u);.0302(d)(8) - Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place or lockdown drill was documented in August 2023. Ms. Dodd stated Ms. Terri Flake, Area Director, was training her on shelter-in-place procedures today and a emergency drill would be completed tomorrow. Ms. Dodd should scan a copy of the documented drill on 2/29/24. The following violation was cited again today and corrected during the visit: Item #125 - 10A NCAC 09 .0302(d)(4) Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival times were not accurately documented in Space 2A. I observed one (1) child’s arrival time not documented in Space 2A and three (3) children’s arrival times were not documented in Space 2B. Coaching on the importance of real time documentation of when children arrive and depart was recommended. It was addressed during the visit. Times should be documented anytime a child leaves and comes back to the classroom to ensure each child’s presence is accounted for throughout the building. One (1) repeat violation and one (1) new violation were cited today. Both were corrected during the visit. The correction letter addressing Item #828 and Item #1811 should be emailed to me by 2/29/24. If repairs to the air conditioning unit are delayed Ms. Dodd should keep me informed of the new completion date. It is advised that children not use the playground until the repairs are completed. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. I observed one (1) child’s arrival time not documented in Space 2A and three (3) children’s arrival times were not documented in Space 2B. Repeat violation 10A NCAC 09 .0302(d)(4) 895 Infants under the age of 12 months were not placed on their backs for sleeping unless the center had obtained the appropriate written waiver. I observed one (1) infant sleeping on her side/tummy and the note on her crib indicated she could not roll over. .0606(a)(1)(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 Thursday, February 29, 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. 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 .2818 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60000988 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 2/28/2024 Number Present: 77 Completed Date: 2/28/2024 Age: From 0 To 6 Total Minutes: 88 Time In: 10:17 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to verify compliance with child care requirement violations cited during a routine unannounced visit conducted on 2/13/24 specifically enhanced staff/child ratio requirements. Upon arrival I was greeted by Ms. Ebony Jones, Chesterbrook Academy Regional Director. She stated Ms. Sonya Dodd, Director, was conducting a virtual interview but was onsite. Ms. Babette Carelock, Assistant Director, met me in the lobby and began the walk through with me. Ms. Dodd joined us in Space 2A. In Space 1A I observed two (2) infants playing on the carpet with the teacher and two (2) infants sleeping in individual cribs. I observed one (1) infant sleeping on her side/tummy and the note on her crib indicated she could not roll over. The teacher stated she just began rolling over to her side and that she placed her on her back when she laid her down. The teacher replaced the sign on the crib to note the infant could roll over. The violation was cited and corrected during the visit. The following violations were observed corrected: Item #533 - 15A NCAC 18A .2804(d) 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. One (1) bottle was not dated and labeled in Space 1A. I observed all bottles labeled and dated in Space 1A. Item #805 - 10A NCAC 09.0604(t); .0302(d)(5) Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not documented in December 2023. I observed a fire drill completed on 2/26/24. Item #832- 10A NCAC 09. 0802(a) There was no written emergency medical care (EMC) plan. The posted EMC plan listed a staff member who was no longer employed at the facility. I observed current staff members listed on the posted EMC plan. 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. Two (2) new employees hired in January 2024 had medical reports older than 12 months. One (1) new employee hire in January 2024 had a medical letter on file that did not meet the requirements. I observed a current medical report on file for both employees. 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) new employees hired in January 2024 had TB test results older than 12 months. I observed current TB test results on file for both employees. 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. Four (4) new employees did not complete 6 clock hours of training within the first 2 weeks of employment. I observed all four (4) employees had documented orientation. The facility had a teacher workday/training day on 2/19/24 and Ms. Dodd stated she was able to complete training on that day. Item #1756 - 10A NCAC 09 .2818 Enhanced staff/child ratios and group sizes were not met. Seven (7) children were present with one (1) teacher in Space 2A. The youngest child present was one year of age. I observed all classrooms meeting staff/child ratio. Item #1874 - 10A NCAC 09.0608(d)(1-4) - 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. Three (3) new employees did not have a signed copy of the Shaken Baby Syndrome and Abusive Head Trauma policy on file for review. I observed each employee had a signed statement. Item #9995 - A violation was found for which there is no item number. 15A NCAC 18A .2818(e) Hand wash signs shall be posted at every hand wash lavatory area. Hand wash signs were not posted in the restrooms between Spaces 5 and 7. I observed handwashing signs posted in the restrooms between Spaces 5 and 7 and at each sink throughout the building. The following violations were granted an extension due to repair scheduling and training: Item #828 - 10A NCAC 09.0604(m) Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The air conditioning unit on the two (2) year old playground was not fenced or protected from children accessing the unit. I observed the air conditioning unit remained unprotected from children and no fencing was placed around the unit. Ms. Dodd stated the repairs were scheduled to be completed today however she was not given a time from maintenance on when the repairs would be completed. Ms. Dodd should send pictures of the completed work to correct violation. Item #1811 - 10A NCAC 09.0604(u);.0302(d)(8) - Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place or lockdown drill was documented in August 2023. Ms. Dodd stated Ms. Terri Flake, Area Director, was training her on shelter-in-place procedures today and a emergency drill would be completed tomorrow. Ms. Dodd should scan a copy of the documented drill on 2/29/24. The following violation was cited again today and corrected during the visit: Item #125 - 10A NCAC 09 .0302(d)(4) Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival times were not accurately documented in Space 2A. I observed one (1) child’s arrival time not documented in Space 2A and three (3) children’s arrival times were not documented in Space 2B. Coaching on the importance of real time documentation of when children arrive and depart was recommended. It was addressed during the visit. Times should be documented anytime a child leaves and comes back to the classroom to ensure each child’s presence is accounted for throughout the building. One (1) repeat violation and one (1) new violation were cited today. Both were corrected during the visit. The correction letter addressing Item #828 and Item #1811 should be emailed to me by 2/29/24. If repairs to the air conditioning unit are delayed Ms. Dodd should keep me informed of the new completion date. It is advised that children not use the playground until the repairs are completed. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. I observed one (1) child’s arrival time not documented in Space 2A and three (3) children’s arrival times were not documented in Space 2B. Repeat violation 10A NCAC 09 .0302(d)(4) 895 Infants under the age of 12 months were not placed on their backs for sleeping unless the center had obtained the appropriate written waiver. I observed one (1) infant sleeping on her side/tummy and the note on her crib indicated she could not roll over. .0606(a)(1)(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 Thursday, February 29, 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. 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. 0701 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60000988 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 2/28/2024 Number Present: 77 Completed Date: 2/28/2024 Age: From 0 To 6 Total Minutes: 88 Time In: 10:17 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to verify compliance with child care requirement violations cited during a routine unannounced visit conducted on 2/13/24 specifically enhanced staff/child ratio requirements. Upon arrival I was greeted by Ms. Ebony Jones, Chesterbrook Academy Regional Director. She stated Ms. Sonya Dodd, Director, was conducting a virtual interview but was onsite. Ms. Babette Carelock, Assistant Director, met me in the lobby and began the walk through with me. Ms. Dodd joined us in Space 2A. In Space 1A I observed two (2) infants playing on the carpet with the teacher and two (2) infants sleeping in individual cribs. I observed one (1) infant sleeping on her side/tummy and the note on her crib indicated she could not roll over. The teacher stated she just began rolling over to her side and that she placed her on her back when she laid her down. The teacher replaced the sign on the crib to note the infant could roll over. The violation was cited and corrected during the visit. The following violations were observed corrected: Item #533 - 15A NCAC 18A .2804(d) 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. One (1) bottle was not dated and labeled in Space 1A. I observed all bottles labeled and dated in Space 1A. Item #805 - 10A NCAC 09.0604(t); .0302(d)(5) Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not documented in December 2023. I observed a fire drill completed on 2/26/24. Item #832- 10A NCAC 09. 0802(a) There was no written emergency medical care (EMC) plan. The posted EMC plan listed a staff member who was no longer employed at the facility. I observed current staff members listed on the posted EMC plan. 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. Two (2) new employees hired in January 2024 had medical reports older than 12 months. One (1) new employee hire in January 2024 had a medical letter on file that did not meet the requirements. I observed a current medical report on file for both employees. 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) new employees hired in January 2024 had TB test results older than 12 months. I observed current TB test results on file for both employees. 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. Four (4) new employees did not complete 6 clock hours of training within the first 2 weeks of employment. I observed all four (4) employees had documented orientation. The facility had a teacher workday/training day on 2/19/24 and Ms. Dodd stated she was able to complete training on that day. Item #1756 - 10A NCAC 09 .2818 Enhanced staff/child ratios and group sizes were not met. Seven (7) children were present with one (1) teacher in Space 2A. The youngest child present was one year of age. I observed all classrooms meeting staff/child ratio. Item #1874 - 10A NCAC 09.0608(d)(1-4) - 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. Three (3) new employees did not have a signed copy of the Shaken Baby Syndrome and Abusive Head Trauma policy on file for review. I observed each employee had a signed statement. Item #9995 - A violation was found for which there is no item number. 15A NCAC 18A .2818(e) Hand wash signs shall be posted at every hand wash lavatory area. Hand wash signs were not posted in the restrooms between Spaces 5 and 7. I observed handwashing signs posted in the restrooms between Spaces 5 and 7 and at each sink throughout the building. The following violations were granted an extension due to repair scheduling and training: Item #828 - 10A NCAC 09.0604(m) Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The air conditioning unit on the two (2) year old playground was not fenced or protected from children accessing the unit. I observed the air conditioning unit remained unprotected from children and no fencing was placed around the unit. Ms. Dodd stated the repairs were scheduled to be completed today however she was not given a time from maintenance on when the repairs would be completed. Ms. Dodd should send pictures of the completed work to correct violation. Item #1811 - 10A NCAC 09.0604(u);.0302(d)(8) - Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place or lockdown drill was documented in August 2023. Ms. Dodd stated Ms. Terri Flake, Area Director, was training her on shelter-in-place procedures today and a emergency drill would be completed tomorrow. Ms. Dodd should scan a copy of the documented drill on 2/29/24. The following violation was cited again today and corrected during the visit: Item #125 - 10A NCAC 09 .0302(d)(4) Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival times were not accurately documented in Space 2A. I observed one (1) child’s arrival time not documented in Space 2A and three (3) children’s arrival times were not documented in Space 2B. Coaching on the importance of real time documentation of when children arrive and depart was recommended. It was addressed during the visit. Times should be documented anytime a child leaves and comes back to the classroom to ensure each child’s presence is accounted for throughout the building. One (1) repeat violation and one (1) new violation were cited today. Both were corrected during the visit. The correction letter addressing Item #828 and Item #1811 should be emailed to me by 2/29/24. If repairs to the air conditioning unit are delayed Ms. Dodd should keep me informed of the new completion date. It is advised that children not use the playground until the repairs are completed. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. I observed one (1) child’s arrival time not documented in Space 2A and three (3) children’s arrival times were not documented in Space 2B. Repeat violation 10A NCAC 09 .0302(d)(4) 895 Infants under the age of 12 months were not placed on their backs for sleeping unless the center had obtained the appropriate written waiver. I observed one (1) infant sleeping on her side/tummy and the note on her crib indicated she could not roll over. .0606(a)(1)(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 Thursday, February 29, 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. 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. 0802 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60000988 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 2/28/2024 Number Present: 77 Completed Date: 2/28/2024 Age: From 0 To 6 Total Minutes: 88 Time In: 10:17 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to verify compliance with child care requirement violations cited during a routine unannounced visit conducted on 2/13/24 specifically enhanced staff/child ratio requirements. Upon arrival I was greeted by Ms. Ebony Jones, Chesterbrook Academy Regional Director. She stated Ms. Sonya Dodd, Director, was conducting a virtual interview but was onsite. Ms. Babette Carelock, Assistant Director, met me in the lobby and began the walk through with me. Ms. Dodd joined us in Space 2A. In Space 1A I observed two (2) infants playing on the carpet with the teacher and two (2) infants sleeping in individual cribs. I observed one (1) infant sleeping on her side/tummy and the note on her crib indicated she could not roll over. The teacher stated she just began rolling over to her side and that she placed her on her back when she laid her down. The teacher replaced the sign on the crib to note the infant could roll over. The violation was cited and corrected during the visit. The following violations were observed corrected: Item #533 - 15A NCAC 18A .2804(d) 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. One (1) bottle was not dated and labeled in Space 1A. I observed all bottles labeled and dated in Space 1A. Item #805 - 10A NCAC 09.0604(t); .0302(d)(5) Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not documented in December 2023. I observed a fire drill completed on 2/26/24. Item #832- 10A NCAC 09. 0802(a) There was no written emergency medical care (EMC) plan. The posted EMC plan listed a staff member who was no longer employed at the facility. I observed current staff members listed on the posted EMC plan. 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. Two (2) new employees hired in January 2024 had medical reports older than 12 months. One (1) new employee hire in January 2024 had a medical letter on file that did not meet the requirements. I observed a current medical report on file for both employees. 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) new employees hired in January 2024 had TB test results older than 12 months. I observed current TB test results on file for both employees. 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. Four (4) new employees did not complete 6 clock hours of training within the first 2 weeks of employment. I observed all four (4) employees had documented orientation. The facility had a teacher workday/training day on 2/19/24 and Ms. Dodd stated she was able to complete training on that day. Item #1756 - 10A NCAC 09 .2818 Enhanced staff/child ratios and group sizes were not met. Seven (7) children were present with one (1) teacher in Space 2A. The youngest child present was one year of age. I observed all classrooms meeting staff/child ratio. Item #1874 - 10A NCAC 09.0608(d)(1-4) - 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. Three (3) new employees did not have a signed copy of the Shaken Baby Syndrome and Abusive Head Trauma policy on file for review. I observed each employee had a signed statement. Item #9995 - A violation was found for which there is no item number. 15A NCAC 18A .2818(e) Hand wash signs shall be posted at every hand wash lavatory area. Hand wash signs were not posted in the restrooms between Spaces 5 and 7. I observed handwashing signs posted in the restrooms between Spaces 5 and 7 and at each sink throughout the building. The following violations were granted an extension due to repair scheduling and training: Item #828 - 10A NCAC 09.0604(m) Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The air conditioning unit on the two (2) year old playground was not fenced or protected from children accessing the unit. I observed the air conditioning unit remained unprotected from children and no fencing was placed around the unit. Ms. Dodd stated the repairs were scheduled to be completed today however she was not given a time from maintenance on when the repairs would be completed. Ms. Dodd should send pictures of the completed work to correct violation. Item #1811 - 10A NCAC 09.0604(u);.0302(d)(8) - Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place or lockdown drill was documented in August 2023. Ms. Dodd stated Ms. Terri Flake, Area Director, was training her on shelter-in-place procedures today and a emergency drill would be completed tomorrow. Ms. Dodd should scan a copy of the documented drill on 2/29/24. The following violation was cited again today and corrected during the visit: Item #125 - 10A NCAC 09 .0302(d)(4) Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival times were not accurately documented in Space 2A. I observed one (1) child’s arrival time not documented in Space 2A and three (3) children’s arrival times were not documented in Space 2B. Coaching on the importance of real time documentation of when children arrive and depart was recommended. It was addressed during the visit. Times should be documented anytime a child leaves and comes back to the classroom to ensure each child’s presence is accounted for throughout the building. One (1) repeat violation and one (1) new violation were cited today. Both were corrected during the visit. The correction letter addressing Item #828 and Item #1811 should be emailed to me by 2/29/24. If repairs to the air conditioning unit are delayed Ms. Dodd should keep me informed of the new completion date. It is advised that children not use the playground until the repairs are completed. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. I observed one (1) child’s arrival time not documented in Space 2A and three (3) children’s arrival times were not documented in Space 2B. Repeat violation 10A NCAC 09 .0302(d)(4) 895 Infants under the age of 12 months were not placed on their backs for sleeping unless the center had obtained the appropriate written waiver. I observed one (1) infant sleeping on her side/tummy and the note on her crib indicated she could not roll over. .0606(a)(1)(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 Thursday, February 29, 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. 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: CHESTERBROOK ACADEMY Facility ID: 60000988 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 2/28/2024 Number Present: 77 Completed Date: 2/28/2024 Age: From 0 To 6 Total Minutes: 88 Time In: 10:17 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to verify compliance with child care requirement violations cited during a routine unannounced visit conducted on 2/13/24 specifically enhanced staff/child ratio requirements. Upon arrival I was greeted by Ms. Ebony Jones, Chesterbrook Academy Regional Director. She stated Ms. Sonya Dodd, Director, was conducting a virtual interview but was onsite. Ms. Babette Carelock, Assistant Director, met me in the lobby and began the walk through with me. Ms. Dodd joined us in Space 2A. In Space 1A I observed two (2) infants playing on the carpet with the teacher and two (2) infants sleeping in individual cribs. I observed one (1) infant sleeping on her side/tummy and the note on her crib indicated she could not roll over. The teacher stated she just began rolling over to her side and that she placed her on her back when she laid her down. The teacher replaced the sign on the crib to note the infant could roll over. The violation was cited and corrected during the visit. The following violations were observed corrected: Item #533 - 15A NCAC 18A .2804(d) 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. One (1) bottle was not dated and labeled in Space 1A. I observed all bottles labeled and dated in Space 1A. Item #805 - 10A NCAC 09.0604(t); .0302(d)(5) Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not documented in December 2023. I observed a fire drill completed on 2/26/24. Item #832- 10A NCAC 09. 0802(a) There was no written emergency medical care (EMC) plan. The posted EMC plan listed a staff member who was no longer employed at the facility. I observed current staff members listed on the posted EMC plan. 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. Two (2) new employees hired in January 2024 had medical reports older than 12 months. One (1) new employee hire in January 2024 had a medical letter on file that did not meet the requirements. I observed a current medical report on file for both employees. 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) new employees hired in January 2024 had TB test results older than 12 months. I observed current TB test results on file for both employees. 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. Four (4) new employees did not complete 6 clock hours of training within the first 2 weeks of employment. I observed all four (4) employees had documented orientation. The facility had a teacher workday/training day on 2/19/24 and Ms. Dodd stated she was able to complete training on that day. Item #1756 - 10A NCAC 09 .2818 Enhanced staff/child ratios and group sizes were not met. Seven (7) children were present with one (1) teacher in Space 2A. The youngest child present was one year of age. I observed all classrooms meeting staff/child ratio. Item #1874 - 10A NCAC 09.0608(d)(1-4) - 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. Three (3) new employees did not have a signed copy of the Shaken Baby Syndrome and Abusive Head Trauma policy on file for review. I observed each employee had a signed statement. Item #9995 - A violation was found for which there is no item number. 15A NCAC 18A .2818(e) Hand wash signs shall be posted at every hand wash lavatory area. Hand wash signs were not posted in the restrooms between Spaces 5 and 7. I observed handwashing signs posted in the restrooms between Spaces 5 and 7 and at each sink throughout the building. The following violations were granted an extension due to repair scheduling and training: Item #828 - 10A NCAC 09.0604(m) Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The air conditioning unit on the two (2) year old playground was not fenced or protected from children accessing the unit. I observed the air conditioning unit remained unprotected from children and no fencing was placed around the unit. Ms. Dodd stated the repairs were scheduled to be completed today however she was not given a time from maintenance on when the repairs would be completed. Ms. Dodd should send pictures of the completed work to correct violation. Item #1811 - 10A NCAC 09.0604(u);.0302(d)(8) - Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place or lockdown drill was documented in August 2023. Ms. Dodd stated Ms. Terri Flake, Area Director, was training her on shelter-in-place procedures today and a emergency drill would be completed tomorrow. Ms. Dodd should scan a copy of the documented drill on 2/29/24. The following violation was cited again today and corrected during the visit: Item #125 - 10A NCAC 09 .0302(d)(4) Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival times were not accurately documented in Space 2A. I observed one (1) child’s arrival time not documented in Space 2A and three (3) children’s arrival times were not documented in Space 2B. Coaching on the importance of real time documentation of when children arrive and depart was recommended. It was addressed during the visit. Times should be documented anytime a child leaves and comes back to the classroom to ensure each child’s presence is accounted for throughout the building. One (1) repeat violation and one (1) new violation were cited today. Both were corrected during the visit. The correction letter addressing Item #828 and Item #1811 should be emailed to me by 2/29/24. If repairs to the air conditioning unit are delayed Ms. Dodd should keep me informed of the new completion date. It is advised that children not use the playground until the repairs are completed. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. I observed one (1) child’s arrival time not documented in Space 2A and three (3) children’s arrival times were not documented in Space 2B. Repeat violation 10A NCAC 09 .0302(d)(4) 895 Infants under the age of 12 months were not placed on their backs for sleeping unless the center had obtained the appropriate written waiver. I observed one (1) infant sleeping on her side/tummy and the note on her crib indicated she could not roll over. .0606(a)(1)(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 Thursday, February 29, 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. 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 09.0608 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60000988 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 2/28/2024 Number Present: 77 Completed Date: 2/28/2024 Age: From 0 To 6 Total Minutes: 88 Time In: 10:17 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to verify compliance with child care requirement violations cited during a routine unannounced visit conducted on 2/13/24 specifically enhanced staff/child ratio requirements. Upon arrival I was greeted by Ms. Ebony Jones, Chesterbrook Academy Regional Director. She stated Ms. Sonya Dodd, Director, was conducting a virtual interview but was onsite. Ms. Babette Carelock, Assistant Director, met me in the lobby and began the walk through with me. Ms. Dodd joined us in Space 2A. In Space 1A I observed two (2) infants playing on the carpet with the teacher and two (2) infants sleeping in individual cribs. I observed one (1) infant sleeping on her side/tummy and the note on her crib indicated she could not roll over. The teacher stated she just began rolling over to her side and that she placed her on her back when she laid her down. The teacher replaced the sign on the crib to note the infant could roll over. The violation was cited and corrected during the visit. The following violations were observed corrected: Item #533 - 15A NCAC 18A .2804(d) 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. One (1) bottle was not dated and labeled in Space 1A. I observed all bottles labeled and dated in Space 1A. Item #805 - 10A NCAC 09.0604(t); .0302(d)(5) Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not documented in December 2023. I observed a fire drill completed on 2/26/24. Item #832- 10A NCAC 09. 0802(a) There was no written emergency medical care (EMC) plan. The posted EMC plan listed a staff member who was no longer employed at the facility. I observed current staff members listed on the posted EMC plan. 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. Two (2) new employees hired in January 2024 had medical reports older than 12 months. One (1) new employee hire in January 2024 had a medical letter on file that did not meet the requirements. I observed a current medical report on file for both employees. 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) new employees hired in January 2024 had TB test results older than 12 months. I observed current TB test results on file for both employees. 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. Four (4) new employees did not complete 6 clock hours of training within the first 2 weeks of employment. I observed all four (4) employees had documented orientation. The facility had a teacher workday/training day on 2/19/24 and Ms. Dodd stated she was able to complete training on that day. Item #1756 - 10A NCAC 09 .2818 Enhanced staff/child ratios and group sizes were not met. Seven (7) children were present with one (1) teacher in Space 2A. The youngest child present was one year of age. I observed all classrooms meeting staff/child ratio. Item #1874 - 10A NCAC 09.0608(d)(1-4) - 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. Three (3) new employees did not have a signed copy of the Shaken Baby Syndrome and Abusive Head Trauma policy on file for review. I observed each employee had a signed statement. Item #9995 - A violation was found for which there is no item number. 15A NCAC 18A .2818(e) Hand wash signs shall be posted at every hand wash lavatory area. Hand wash signs were not posted in the restrooms between Spaces 5 and 7. I observed handwashing signs posted in the restrooms between Spaces 5 and 7 and at each sink throughout the building. The following violations were granted an extension due to repair scheduling and training: Item #828 - 10A NCAC 09.0604(m) Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The air conditioning unit on the two (2) year old playground was not fenced or protected from children accessing the unit. I observed the air conditioning unit remained unprotected from children and no fencing was placed around the unit. Ms. Dodd stated the repairs were scheduled to be completed today however she was not given a time from maintenance on when the repairs would be completed. Ms. Dodd should send pictures of the completed work to correct violation. Item #1811 - 10A NCAC 09.0604(u);.0302(d)(8) - Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place or lockdown drill was documented in August 2023. Ms. Dodd stated Ms. Terri Flake, Area Director, was training her on shelter-in-place procedures today and a emergency drill would be completed tomorrow. Ms. Dodd should scan a copy of the documented drill on 2/29/24. The following violation was cited again today and corrected during the visit: Item #125 - 10A NCAC 09 .0302(d)(4) Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival times were not accurately documented in Space 2A. I observed one (1) child’s arrival time not documented in Space 2A and three (3) children’s arrival times were not documented in Space 2B. Coaching on the importance of real time documentation of when children arrive and depart was recommended. It was addressed during the visit. Times should be documented anytime a child leaves and comes back to the classroom to ensure each child’s presence is accounted for throughout the building. One (1) repeat violation and one (1) new violation were cited today. Both were corrected during the visit. The correction letter addressing Item #828 and Item #1811 should be emailed to me by 2/29/24. If repairs to the air conditioning unit are delayed Ms. Dodd should keep me informed of the new completion date. It is advised that children not use the playground until the repairs are completed. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. I observed one (1) child’s arrival time not documented in Space 2A and three (3) children’s arrival times were not documented in Space 2B. Repeat violation 10A NCAC 09 .0302(d)(4) 895 Infants under the age of 12 months were not placed on their backs for sleeping unless the center had obtained the appropriate written waiver. I observed one (1) infant sleeping on her side/tummy and the note on her crib indicated she could not roll over. .0606(a)(1)(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 Thursday, February 29, 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. 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: CHESTERBROOK ACADEMY Facility ID: 60000988 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 2/28/2024 Number Present: 77 Completed Date: 2/28/2024 Age: From 0 To 6 Total Minutes: 88 Time In: 10:17 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to verify compliance with child care requirement violations cited during a routine unannounced visit conducted on 2/13/24 specifically enhanced staff/child ratio requirements. Upon arrival I was greeted by Ms. Ebony Jones, Chesterbrook Academy Regional Director. She stated Ms. Sonya Dodd, Director, was conducting a virtual interview but was onsite. Ms. Babette Carelock, Assistant Director, met me in the lobby and began the walk through with me. Ms. Dodd joined us in Space 2A. In Space 1A I observed two (2) infants playing on the carpet with the teacher and two (2) infants sleeping in individual cribs. I observed one (1) infant sleeping on her side/tummy and the note on her crib indicated she could not roll over. The teacher stated she just began rolling over to her side and that she placed her on her back when she laid her down. The teacher replaced the sign on the crib to note the infant could roll over. The violation was cited and corrected during the visit. The following violations were observed corrected: Item #533 - 15A NCAC 18A .2804(d) 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. One (1) bottle was not dated and labeled in Space 1A. I observed all bottles labeled and dated in Space 1A. Item #805 - 10A NCAC 09.0604(t); .0302(d)(5) Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not documented in December 2023. I observed a fire drill completed on 2/26/24. Item #832- 10A NCAC 09. 0802(a) There was no written emergency medical care (EMC) plan. The posted EMC plan listed a staff member who was no longer employed at the facility. I observed current staff members listed on the posted EMC plan. 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. Two (2) new employees hired in January 2024 had medical reports older than 12 months. One (1) new employee hire in January 2024 had a medical letter on file that did not meet the requirements. I observed a current medical report on file for both employees. 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) new employees hired in January 2024 had TB test results older than 12 months. I observed current TB test results on file for both employees. 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. Four (4) new employees did not complete 6 clock hours of training within the first 2 weeks of employment. I observed all four (4) employees had documented orientation. The facility had a teacher workday/training day on 2/19/24 and Ms. Dodd stated she was able to complete training on that day. Item #1756 - 10A NCAC 09 .2818 Enhanced staff/child ratios and group sizes were not met. Seven (7) children were present with one (1) teacher in Space 2A. The youngest child present was one year of age. I observed all classrooms meeting staff/child ratio. Item #1874 - 10A NCAC 09.0608(d)(1-4) - 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. Three (3) new employees did not have a signed copy of the Shaken Baby Syndrome and Abusive Head Trauma policy on file for review. I observed each employee had a signed statement. Item #9995 - A violation was found for which there is no item number. 15A NCAC 18A .2818(e) Hand wash signs shall be posted at every hand wash lavatory area. Hand wash signs were not posted in the restrooms between Spaces 5 and 7. I observed handwashing signs posted in the restrooms between Spaces 5 and 7 and at each sink throughout the building. The following violations were granted an extension due to repair scheduling and training: Item #828 - 10A NCAC 09.0604(m) Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The air conditioning unit on the two (2) year old playground was not fenced or protected from children accessing the unit. I observed the air conditioning unit remained unprotected from children and no fencing was placed around the unit. Ms. Dodd stated the repairs were scheduled to be completed today however she was not given a time from maintenance on when the repairs would be completed. Ms. Dodd should send pictures of the completed work to correct violation. Item #1811 - 10A NCAC 09.0604(u);.0302(d)(8) - Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place or lockdown drill was documented in August 2023. Ms. Dodd stated Ms. Terri Flake, Area Director, was training her on shelter-in-place procedures today and a emergency drill would be completed tomorrow. Ms. Dodd should scan a copy of the documented drill on 2/29/24. The following violation was cited again today and corrected during the visit: Item #125 - 10A NCAC 09 .0302(d)(4) Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival times were not accurately documented in Space 2A. I observed one (1) child’s arrival time not documented in Space 2A and three (3) children’s arrival times were not documented in Space 2B. Coaching on the importance of real time documentation of when children arrive and depart was recommended. It was addressed during the visit. Times should be documented anytime a child leaves and comes back to the classroom to ensure each child’s presence is accounted for throughout the building. One (1) repeat violation and one (1) new violation were cited today. Both were corrected during the visit. The correction letter addressing Item #828 and Item #1811 should be emailed to me by 2/29/24. If repairs to the air conditioning unit are delayed Ms. Dodd should keep me informed of the new completion date. It is advised that children not use the playground until the repairs are completed. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. I observed one (1) child’s arrival time not documented in Space 2A and three (3) children’s arrival times were not documented in Space 2B. Repeat violation 10A NCAC 09 .0302(d)(4) 895 Infants under the age of 12 months were not placed on their backs for sleeping unless the center had obtained the appropriate written waiver. I observed one (1) infant sleeping on her side/tummy and the note on her crib indicated she could not roll over. .0606(a)(1)(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 Thursday, February 29, 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. 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