Chesterbrook Academy

10A NCAC 09 .0803 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60002773 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 8/26/2025 Number Present: 50 Completed Date: 8/26/2025 Age: From 0 To 5 Total Minutes: 315 Time In: 09:15 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The facility operates with a Three Star Rated License with an effective date of April 6, 2022. The facility Director, B. Roberts, assisted me with the visit. We completed a walk-through of the facility. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, teacher directed activities, free play of indoor and outdoor activities, group time, and lunch. Lunch consisted of baked ziti, peas, strawberries and milk. Staff members were observed leading group time, supervising activities and assisting with personal care routines. The NC Secretary of State website was reviewed on August 25, 2025, and SEG Inc. was listed as current-active. A sanitation inspection was completed July 22, 2025, with a “Superior” classification. The last approved fire inspection conducted was July 14, 2025. The Emergency Drill Log was reviewed today. A lockdown drill was conducted on June 30, 2025, and the last fire drill was conducted on July 31, 2025. Playground safety checklists were also monitored and are occurring each month as required. Files for ten percent of children enrolled were monitored. The Staff and Training Worksheets were received today. There have been two new staff hired since a routine unannounced visit was conducted on April 29, 2025. Files for the two new staff and ten percent of existing staff files were monitored. The worksheets were reviewed to ensure all existing staff are current with criminal background checks, First Aid, CPR, ITS-SIDS training and BSAC training. A criminal background check employee roster was reviewed. All staff have been entered and connected to the facility. The following violations were observed today. 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. In space #3, there were four bottles that were just alike in the refrigerator that were not labeled with a name and date. 15A NCAC 18A .2804(d) 721 All equipment and furnishings were not in good repair. On the preschool playground, there was a tricycle with a large crack down the middle of the seat. There were also two plastic baskets bolted to the picnic table in poor repair. G.S. 110-91(6); .0601(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In the van used to transport children, there was a tube of Aquaphor lip protection and sunscreen located in console. 15A NCAC 18A .2820(d) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. In space #3, there was a plastic container of cream with no ingredients listed on the container. The container was accompanied with parent authorization to use as a diaper cream. 10A NCAC 09 .0803(4) 1123 All vehicles used to transport children were not free of hazards. In the van used to transport school age children, there were empty zip loc bags and a plastic Smuckers uncrustables wrapper on the floor, empty soda cans in the door and console and an empty styrofoam cup in the console. 10A NCAC 09 .1002(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Two children being transported did not have emergency care information and a photograph in the notebook used for transporting. 10A NCAC 09 .1003(d) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Two children did not have emergency medical care information updated annually. .0802(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child did not have a medical exam on file. GS110-91(1) 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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before September 9, 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: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: The corporation’s Director of Compliance, T. Flake, was present during today’s visit. A conversation was held with the Director and Ms. Flake regarding Pathway to the Stars. The facility is planning on option #1 and will have the environment rating scale assessments conducted. The facility has participated in the mock assessments with the North Carolina Rated License Assessment Project and is also part of the Quality Everyday Initiate with Child Care Resources. Child Care Consultants from Mecklenburg County will host upcoming training session on QRIS. You only need to attend one session. Date: Tuesday September 9 Time: 10am-12pm or 1pm-3 pm Location: Child Care Resources Regency Executive Drive Charlotte Date: Wednesday September 10 Time: 10am-12pm or 1pm-3 pm or 6:30pm-8:30pm Location: Child Care Resources Regency Executive Drive Charlotte Date: Thursday September 11 Time: 10am-12pm or 1pm-3 pm Location: Child Care Resources Regency Executive Drive Charlotte The session will provide valuable insights on QRIS, also known as Pathways to the Stars, and is designed to help you understand and prepare for the transition to the new QRIS system. A formal invitation with a link for registration information will follow soon. Emergency Medical Care- A conversation was held with the Director regarding updating the emergency medical care information for children. The following information must be updated annually or when changes occur. (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. Transportation- Prior to children being transported, identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form must be in the vehicle. A suggestion was made to review the notebook before children are transported to ensure all required information is present. I encourage you to also utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/ Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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 .1002 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60002773 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 8/26/2025 Number Present: 50 Completed Date: 8/26/2025 Age: From 0 To 5 Total Minutes: 315 Time In: 09:15 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The facility operates with a Three Star Rated License with an effective date of April 6, 2022. The facility Director, B. Roberts, assisted me with the visit. We completed a walk-through of the facility. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, teacher directed activities, free play of indoor and outdoor activities, group time, and lunch. Lunch consisted of baked ziti, peas, strawberries and milk. Staff members were observed leading group time, supervising activities and assisting with personal care routines. The NC Secretary of State website was reviewed on August 25, 2025, and SEG Inc. was listed as current-active. A sanitation inspection was completed July 22, 2025, with a “Superior” classification. The last approved fire inspection conducted was July 14, 2025. The Emergency Drill Log was reviewed today. A lockdown drill was conducted on June 30, 2025, and the last fire drill was conducted on July 31, 2025. Playground safety checklists were also monitored and are occurring each month as required. Files for ten percent of children enrolled were monitored. The Staff and Training Worksheets were received today. There have been two new staff hired since a routine unannounced visit was conducted on April 29, 2025. Files for the two new staff and ten percent of existing staff files were monitored. The worksheets were reviewed to ensure all existing staff are current with criminal background checks, First Aid, CPR, ITS-SIDS training and BSAC training. A criminal background check employee roster was reviewed. All staff have been entered and connected to the facility. The following violations were observed today. 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. In space #3, there were four bottles that were just alike in the refrigerator that were not labeled with a name and date. 15A NCAC 18A .2804(d) 721 All equipment and furnishings were not in good repair. On the preschool playground, there was a tricycle with a large crack down the middle of the seat. There were also two plastic baskets bolted to the picnic table in poor repair. G.S. 110-91(6); .0601(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In the van used to transport children, there was a tube of Aquaphor lip protection and sunscreen located in console. 15A NCAC 18A .2820(d) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. In space #3, there was a plastic container of cream with no ingredients listed on the container. The container was accompanied with parent authorization to use as a diaper cream. 10A NCAC 09 .0803(4) 1123 All vehicles used to transport children were not free of hazards. In the van used to transport school age children, there were empty zip loc bags and a plastic Smuckers uncrustables wrapper on the floor, empty soda cans in the door and console and an empty styrofoam cup in the console. 10A NCAC 09 .1002(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Two children being transported did not have emergency care information and a photograph in the notebook used for transporting. 10A NCAC 09 .1003(d) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Two children did not have emergency medical care information updated annually. .0802(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child did not have a medical exam on file. GS110-91(1) 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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before September 9, 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: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: The corporation’s Director of Compliance, T. Flake, was present during today’s visit. A conversation was held with the Director and Ms. Flake regarding Pathway to the Stars. The facility is planning on option #1 and will have the environment rating scale assessments conducted. The facility has participated in the mock assessments with the North Carolina Rated License Assessment Project and is also part of the Quality Everyday Initiate with Child Care Resources. Child Care Consultants from Mecklenburg County will host upcoming training session on QRIS. You only need to attend one session. Date: Tuesday September 9 Time: 10am-12pm or 1pm-3 pm Location: Child Care Resources Regency Executive Drive Charlotte Date: Wednesday September 10 Time: 10am-12pm or 1pm-3 pm or 6:30pm-8:30pm Location: Child Care Resources Regency Executive Drive Charlotte Date: Thursday September 11 Time: 10am-12pm or 1pm-3 pm Location: Child Care Resources Regency Executive Drive Charlotte The session will provide valuable insights on QRIS, also known as Pathways to the Stars, and is designed to help you understand and prepare for the transition to the new QRIS system. A formal invitation with a link for registration information will follow soon. Emergency Medical Care- A conversation was held with the Director regarding updating the emergency medical care information for children. The following information must be updated annually or when changes occur. (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. Transportation- Prior to children being transported, identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form must be in the vehicle. A suggestion was made to review the notebook before children are transported to ensure all required information is present. I encourage you to also utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/ Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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 .1003 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60002773 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 8/26/2025 Number Present: 50 Completed Date: 8/26/2025 Age: From 0 To 5 Total Minutes: 315 Time In: 09:15 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The facility operates with a Three Star Rated License with an effective date of April 6, 2022. The facility Director, B. Roberts, assisted me with the visit. We completed a walk-through of the facility. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, teacher directed activities, free play of indoor and outdoor activities, group time, and lunch. Lunch consisted of baked ziti, peas, strawberries and milk. Staff members were observed leading group time, supervising activities and assisting with personal care routines. The NC Secretary of State website was reviewed on August 25, 2025, and SEG Inc. was listed as current-active. A sanitation inspection was completed July 22, 2025, with a “Superior” classification. The last approved fire inspection conducted was July 14, 2025. The Emergency Drill Log was reviewed today. A lockdown drill was conducted on June 30, 2025, and the last fire drill was conducted on July 31, 2025. Playground safety checklists were also monitored and are occurring each month as required. Files for ten percent of children enrolled were monitored. The Staff and Training Worksheets were received today. There have been two new staff hired since a routine unannounced visit was conducted on April 29, 2025. Files for the two new staff and ten percent of existing staff files were monitored. The worksheets were reviewed to ensure all existing staff are current with criminal background checks, First Aid, CPR, ITS-SIDS training and BSAC training. A criminal background check employee roster was reviewed. All staff have been entered and connected to the facility. The following violations were observed today. 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. In space #3, there were four bottles that were just alike in the refrigerator that were not labeled with a name and date. 15A NCAC 18A .2804(d) 721 All equipment and furnishings were not in good repair. On the preschool playground, there was a tricycle with a large crack down the middle of the seat. There were also two plastic baskets bolted to the picnic table in poor repair. G.S. 110-91(6); .0601(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In the van used to transport children, there was a tube of Aquaphor lip protection and sunscreen located in console. 15A NCAC 18A .2820(d) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. In space #3, there was a plastic container of cream with no ingredients listed on the container. The container was accompanied with parent authorization to use as a diaper cream. 10A NCAC 09 .0803(4) 1123 All vehicles used to transport children were not free of hazards. In the van used to transport school age children, there were empty zip loc bags and a plastic Smuckers uncrustables wrapper on the floor, empty soda cans in the door and console and an empty styrofoam cup in the console. 10A NCAC 09 .1002(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Two children being transported did not have emergency care information and a photograph in the notebook used for transporting. 10A NCAC 09 .1003(d) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Two children did not have emergency medical care information updated annually. .0802(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child did not have a medical exam on file. GS110-91(1) 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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before September 9, 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: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: The corporation’s Director of Compliance, T. Flake, was present during today’s visit. A conversation was held with the Director and Ms. Flake regarding Pathway to the Stars. The facility is planning on option #1 and will have the environment rating scale assessments conducted. The facility has participated in the mock assessments with the North Carolina Rated License Assessment Project and is also part of the Quality Everyday Initiate with Child Care Resources. Child Care Consultants from Mecklenburg County will host upcoming training session on QRIS. You only need to attend one session. Date: Tuesday September 9 Time: 10am-12pm or 1pm-3 pm Location: Child Care Resources Regency Executive Drive Charlotte Date: Wednesday September 10 Time: 10am-12pm or 1pm-3 pm or 6:30pm-8:30pm Location: Child Care Resources Regency Executive Drive Charlotte Date: Thursday September 11 Time: 10am-12pm or 1pm-3 pm Location: Child Care Resources Regency Executive Drive Charlotte The session will provide valuable insights on QRIS, also known as Pathways to the Stars, and is designed to help you understand and prepare for the transition to the new QRIS system. A formal invitation with a link for registration information will follow soon. Emergency Medical Care- A conversation was held with the Director regarding updating the emergency medical care information for children. The following information must be updated annually or when changes occur. (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. Transportation- Prior to children being transported, identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form must be in the vehicle. A suggestion was made to review the notebook before children are transported to ensure all required information is present. I encourage you to also utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/ Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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: 60002773 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 8/26/2025 Number Present: 50 Completed Date: 8/26/2025 Age: From 0 To 5 Total Minutes: 315 Time In: 09:15 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The facility operates with a Three Star Rated License with an effective date of April 6, 2022. The facility Director, B. Roberts, assisted me with the visit. We completed a walk-through of the facility. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, teacher directed activities, free play of indoor and outdoor activities, group time, and lunch. Lunch consisted of baked ziti, peas, strawberries and milk. Staff members were observed leading group time, supervising activities and assisting with personal care routines. The NC Secretary of State website was reviewed on August 25, 2025, and SEG Inc. was listed as current-active. A sanitation inspection was completed July 22, 2025, with a “Superior” classification. The last approved fire inspection conducted was July 14, 2025. The Emergency Drill Log was reviewed today. A lockdown drill was conducted on June 30, 2025, and the last fire drill was conducted on July 31, 2025. Playground safety checklists were also monitored and are occurring each month as required. Files for ten percent of children enrolled were monitored. The Staff and Training Worksheets were received today. There have been two new staff hired since a routine unannounced visit was conducted on April 29, 2025. Files for the two new staff and ten percent of existing staff files were monitored. The worksheets were reviewed to ensure all existing staff are current with criminal background checks, First Aid, CPR, ITS-SIDS training and BSAC training. A criminal background check employee roster was reviewed. All staff have been entered and connected to the facility. The following violations were observed today. 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. In space #3, there were four bottles that were just alike in the refrigerator that were not labeled with a name and date. 15A NCAC 18A .2804(d) 721 All equipment and furnishings were not in good repair. On the preschool playground, there was a tricycle with a large crack down the middle of the seat. There were also two plastic baskets bolted to the picnic table in poor repair. G.S. 110-91(6); .0601(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In the van used to transport children, there was a tube of Aquaphor lip protection and sunscreen located in console. 15A NCAC 18A .2820(d) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. In space #3, there was a plastic container of cream with no ingredients listed on the container. The container was accompanied with parent authorization to use as a diaper cream. 10A NCAC 09 .0803(4) 1123 All vehicles used to transport children were not free of hazards. In the van used to transport school age children, there were empty zip loc bags and a plastic Smuckers uncrustables wrapper on the floor, empty soda cans in the door and console and an empty styrofoam cup in the console. 10A NCAC 09 .1002(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Two children being transported did not have emergency care information and a photograph in the notebook used for transporting. 10A NCAC 09 .1003(d) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Two children did not have emergency medical care information updated annually. .0802(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child did not have a medical exam on file. GS110-91(1) 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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before September 9, 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: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: The corporation’s Director of Compliance, T. Flake, was present during today’s visit. A conversation was held with the Director and Ms. Flake regarding Pathway to the Stars. The facility is planning on option #1 and will have the environment rating scale assessments conducted. The facility has participated in the mock assessments with the North Carolina Rated License Assessment Project and is also part of the Quality Everyday Initiate with Child Care Resources. Child Care Consultants from Mecklenburg County will host upcoming training session on QRIS. You only need to attend one session. Date: Tuesday September 9 Time: 10am-12pm or 1pm-3 pm Location: Child Care Resources Regency Executive Drive Charlotte Date: Wednesday September 10 Time: 10am-12pm or 1pm-3 pm or 6:30pm-8:30pm Location: Child Care Resources Regency Executive Drive Charlotte Date: Thursday September 11 Time: 10am-12pm or 1pm-3 pm Location: Child Care Resources Regency Executive Drive Charlotte The session will provide valuable insights on QRIS, also known as Pathways to the Stars, and is designed to help you understand and prepare for the transition to the new QRIS system. A formal invitation with a link for registration information will follow soon. Emergency Medical Care- A conversation was held with the Director regarding updating the emergency medical care information for children. The following information must be updated annually or when changes occur. (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. Transportation- Prior to children being transported, identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form must be in the vehicle. A suggestion was made to review the notebook before children are transported to ensure all required information is present. I encourage you to also utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/ Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-91 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60002773 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 8/26/2025 Number Present: 50 Completed Date: 8/26/2025 Age: From 0 To 5 Total Minutes: 315 Time In: 09:15 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The facility operates with a Three Star Rated License with an effective date of April 6, 2022. The facility Director, B. Roberts, assisted me with the visit. We completed a walk-through of the facility. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, teacher directed activities, free play of indoor and outdoor activities, group time, and lunch. Lunch consisted of baked ziti, peas, strawberries and milk. Staff members were observed leading group time, supervising activities and assisting with personal care routines. The NC Secretary of State website was reviewed on August 25, 2025, and SEG Inc. was listed as current-active. A sanitation inspection was completed July 22, 2025, with a “Superior” classification. The last approved fire inspection conducted was July 14, 2025. The Emergency Drill Log was reviewed today. A lockdown drill was conducted on June 30, 2025, and the last fire drill was conducted on July 31, 2025. Playground safety checklists were also monitored and are occurring each month as required. Files for ten percent of children enrolled were monitored. The Staff and Training Worksheets were received today. There have been two new staff hired since a routine unannounced visit was conducted on April 29, 2025. Files for the two new staff and ten percent of existing staff files were monitored. The worksheets were reviewed to ensure all existing staff are current with criminal background checks, First Aid, CPR, ITS-SIDS training and BSAC training. A criminal background check employee roster was reviewed. All staff have been entered and connected to the facility. The following violations were observed today. 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. In space #3, there were four bottles that were just alike in the refrigerator that were not labeled with a name and date. 15A NCAC 18A .2804(d) 721 All equipment and furnishings were not in good repair. On the preschool playground, there was a tricycle with a large crack down the middle of the seat. There were also two plastic baskets bolted to the picnic table in poor repair. G.S. 110-91(6); .0601(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In the van used to transport children, there was a tube of Aquaphor lip protection and sunscreen located in console. 15A NCAC 18A .2820(d) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. In space #3, there was a plastic container of cream with no ingredients listed on the container. The container was accompanied with parent authorization to use as a diaper cream. 10A NCAC 09 .0803(4) 1123 All vehicles used to transport children were not free of hazards. In the van used to transport school age children, there were empty zip loc bags and a plastic Smuckers uncrustables wrapper on the floor, empty soda cans in the door and console and an empty styrofoam cup in the console. 10A NCAC 09 .1002(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Two children being transported did not have emergency care information and a photograph in the notebook used for transporting. 10A NCAC 09 .1003(d) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Two children did not have emergency medical care information updated annually. .0802(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child did not have a medical exam on file. GS110-91(1) 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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before September 9, 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: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: The corporation’s Director of Compliance, T. Flake, was present during today’s visit. A conversation was held with the Director and Ms. Flake regarding Pathway to the Stars. The facility is planning on option #1 and will have the environment rating scale assessments conducted. The facility has participated in the mock assessments with the North Carolina Rated License Assessment Project and is also part of the Quality Everyday Initiate with Child Care Resources. Child Care Consultants from Mecklenburg County will host upcoming training session on QRIS. You only need to attend one session. Date: Tuesday September 9 Time: 10am-12pm or 1pm-3 pm Location: Child Care Resources Regency Executive Drive Charlotte Date: Wednesday September 10 Time: 10am-12pm or 1pm-3 pm or 6:30pm-8:30pm Location: Child Care Resources Regency Executive Drive Charlotte Date: Thursday September 11 Time: 10am-12pm or 1pm-3 pm Location: Child Care Resources Regency Executive Drive Charlotte The session will provide valuable insights on QRIS, also known as Pathways to the Stars, and is designed to help you understand and prepare for the transition to the new QRIS system. A formal invitation with a link for registration information will follow soon. Emergency Medical Care- A conversation was held with the Director regarding updating the emergency medical care information for children. The following information must be updated annually or when changes occur. (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. Transportation- Prior to children being transported, identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form must be in the vehicle. A suggestion was made to review the notebook before children are transported to ensure all required information is present. I encourage you to also utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/ Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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

NC GS 110-90 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60002773 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 8/26/2025 Number Present: 50 Completed Date: 8/26/2025 Age: From 0 To 5 Total Minutes: 315 Time In: 09:15 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The facility operates with a Three Star Rated License with an effective date of April 6, 2022. The facility Director, B. Roberts, assisted me with the visit. We completed a walk-through of the facility. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, teacher directed activities, free play of indoor and outdoor activities, group time, and lunch. Lunch consisted of baked ziti, peas, strawberries and milk. Staff members were observed leading group time, supervising activities and assisting with personal care routines. The NC Secretary of State website was reviewed on August 25, 2025, and SEG Inc. was listed as current-active. A sanitation inspection was completed July 22, 2025, with a “Superior” classification. The last approved fire inspection conducted was July 14, 2025. The Emergency Drill Log was reviewed today. A lockdown drill was conducted on June 30, 2025, and the last fire drill was conducted on July 31, 2025. Playground safety checklists were also monitored and are occurring each month as required. Files for ten percent of children enrolled were monitored. The Staff and Training Worksheets were received today. There have been two new staff hired since a routine unannounced visit was conducted on April 29, 2025. Files for the two new staff and ten percent of existing staff files were monitored. The worksheets were reviewed to ensure all existing staff are current with criminal background checks, First Aid, CPR, ITS-SIDS training and BSAC training. A criminal background check employee roster was reviewed. All staff have been entered and connected to the facility. The following violations were observed today. 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. In space #3, there were four bottles that were just alike in the refrigerator that were not labeled with a name and date. 15A NCAC 18A .2804(d) 721 All equipment and furnishings were not in good repair. On the preschool playground, there was a tricycle with a large crack down the middle of the seat. There were also two plastic baskets bolted to the picnic table in poor repair. G.S. 110-91(6); .0601(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In the van used to transport children, there was a tube of Aquaphor lip protection and sunscreen located in console. 15A NCAC 18A .2820(d) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. In space #3, there was a plastic container of cream with no ingredients listed on the container. The container was accompanied with parent authorization to use as a diaper cream. 10A NCAC 09 .0803(4) 1123 All vehicles used to transport children were not free of hazards. In the van used to transport school age children, there were empty zip loc bags and a plastic Smuckers uncrustables wrapper on the floor, empty soda cans in the door and console and an empty styrofoam cup in the console. 10A NCAC 09 .1002(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Two children being transported did not have emergency care information and a photograph in the notebook used for transporting. 10A NCAC 09 .1003(d) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Two children did not have emergency medical care information updated annually. .0802(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child did not have a medical exam on file. GS110-91(1) 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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before September 9, 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: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: The corporation’s Director of Compliance, T. Flake, was present during today’s visit. A conversation was held with the Director and Ms. Flake regarding Pathway to the Stars. The facility is planning on option #1 and will have the environment rating scale assessments conducted. The facility has participated in the mock assessments with the North Carolina Rated License Assessment Project and is also part of the Quality Everyday Initiate with Child Care Resources. Child Care Consultants from Mecklenburg County will host upcoming training session on QRIS. You only need to attend one session. Date: Tuesday September 9 Time: 10am-12pm or 1pm-3 pm Location: Child Care Resources Regency Executive Drive Charlotte Date: Wednesday September 10 Time: 10am-12pm or 1pm-3 pm or 6:30pm-8:30pm Location: Child Care Resources Regency Executive Drive Charlotte Date: Thursday September 11 Time: 10am-12pm or 1pm-3 pm Location: Child Care Resources Regency Executive Drive Charlotte The session will provide valuable insights on QRIS, also known as Pathways to the Stars, and is designed to help you understand and prepare for the transition to the new QRIS system. A formal invitation with a link for registration information will follow soon. Emergency Medical Care- A conversation was held with the Director regarding updating the emergency medical care information for children. The following information must be updated annually or when changes occur. (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. Transportation- Prior to children being transported, identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form must be in the vehicle. A suggestion was made to review the notebook before children are transported to ensure all required information is present. I encourage you to also utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/ Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60002773 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 4/29/2025 Number Present: 77 Completed Date: 4/29/2025 Age: From 0 To 5 Total Minutes: 275 Time In: 10:00 AM Time Out: 02:35 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 your program for compliance with applicable child care requirements for a routine unannounced visit. The facility operates with a Three Star Rated License with an effective date of April 6, 2022. The program’s compliance history before today’s visit was eighty percent. The NC Secretary of State website was reviewed on April 28, 2025, and SEC INC. was listed as current-active. B. Roberts, Principal, assisted me with today’s visit. A walk through the facility was conducted with Ms. Roberts. Children were observed in the indoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in free choice of indoor activities, transitions, personal care routines, teacher directed activities and circle time. The caregivers were interacting and meeting the developmental needs for each of the children. Staff and Training Worksheets from had not been updated prior to today’s visit. Previous worksheets from the annual compliance visit conducted on September 3, 2024, were used to verify existing staff were current with criminal background checks, ITS-SIDS training, First Aid and CPR certification. Ten new staff have been hired since the annual compliance visit. Files for the new staff were monitored. The last fire inspection was conducted on July 16, 2024. A sanitation inspection was conducted on January 28, 2025, with a “Superior” classification. The last monthly fire drill was conducted on March 26, 2025. A shelter in place drill was conducted on March 31, 2025. Playground Inspection Checklists were also monitored today and occurring monthly as required. The following violations were observed today. Violation Number Comment Rule 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. Cots throughout the classrooms were labeled with multiple numbers making it difficult to know which cots where individually assigned to a child. 15A NCAC 18A .2821(b) & (c) 721 All equipment and furnishings were not in good repair. In space #1, there was a pillow in the cozy area with a torn zipper and exposed fiber fill. G.S. 110-91(6); .0601(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #7, there was one outlet that was not protected by a safety cover. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #6, there was an aerosol can of shaving cream stored in an unlocked cabinet. .2820(b) 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. In space #1, diapers were stored in plastic bags in a bottom unlocked cabinet. Art with wiggle eyes was displayed on a board in a classroom occupied by children one year of age (space #5). Also, water beads were being stored in an unlocked cabinet in space #5. .0604(q) 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 new staff member had a medical report on file signed by a health care professional, however the medical report was not completed in full. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One new staff member had a TB screening on file signed by a health care professional, however the screening was not completed in full. .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. First Aid training for one staff member was completed by an approved agency, however the course is not approved. First Aid training for one staff member was completed by an unapproved agency. .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. CPR training for one staff member was completed by an approved agency, however the course is not approved. CPR training for one staff member was completed by an unapproved agency. .1102(d) 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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before May 13, 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: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: The courses completed for First Aid/CPR training must be an approved course through an approved agency. A conversation was held with Ms. Roberts regarding approved agencies. We reviewed the list of approved agencies, and I explained how to click on each link for a list of approved courses for each approved agency. North Carolina Division of Child Development and Early Education CPR and First Aid Training Information was emailed to Ms. Roberts during the visit. A suggestion was made to review with all staff storage of hazardous products, purses, potential choking hazardous, etc. A copy of the Hazardous Item Storage in Child Care Centers from Mecklenburg Environmental Health was given to Ms. Roberts during the visit. I encourage you to utilize the North Carolina Rated License Project’s (NCRLAP) website for information, resources and training related to the Infant/Toddler Environment Rating Scale 3rd Edition and the Early Childhood Environment Rating Scale- 3rd Edition at www.ncrlap.org. Automated Background Check Management System (ABCMS)- We discussed the process of entering and linking staff information to the facility via the ABCMS. Ms. Roberts stated that the process has been completed except for a couple of new staff. DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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 .0701 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60002773 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 4/29/2025 Number Present: 77 Completed Date: 4/29/2025 Age: From 0 To 5 Total Minutes: 275 Time In: 10:00 AM Time Out: 02:35 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 your program for compliance with applicable child care requirements for a routine unannounced visit. The facility operates with a Three Star Rated License with an effective date of April 6, 2022. The program’s compliance history before today’s visit was eighty percent. The NC Secretary of State website was reviewed on April 28, 2025, and SEC INC. was listed as current-active. B. Roberts, Principal, assisted me with today’s visit. A walk through the facility was conducted with Ms. Roberts. Children were observed in the indoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in free choice of indoor activities, transitions, personal care routines, teacher directed activities and circle time. The caregivers were interacting and meeting the developmental needs for each of the children. Staff and Training Worksheets from had not been updated prior to today’s visit. Previous worksheets from the annual compliance visit conducted on September 3, 2024, were used to verify existing staff were current with criminal background checks, ITS-SIDS training, First Aid and CPR certification. Ten new staff have been hired since the annual compliance visit. Files for the new staff were monitored. The last fire inspection was conducted on July 16, 2024. A sanitation inspection was conducted on January 28, 2025, with a “Superior” classification. The last monthly fire drill was conducted on March 26, 2025. A shelter in place drill was conducted on March 31, 2025. Playground Inspection Checklists were also monitored today and occurring monthly as required. The following violations were observed today. Violation Number Comment Rule 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. Cots throughout the classrooms were labeled with multiple numbers making it difficult to know which cots where individually assigned to a child. 15A NCAC 18A .2821(b) & (c) 721 All equipment and furnishings were not in good repair. In space #1, there was a pillow in the cozy area with a torn zipper and exposed fiber fill. G.S. 110-91(6); .0601(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #7, there was one outlet that was not protected by a safety cover. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #6, there was an aerosol can of shaving cream stored in an unlocked cabinet. .2820(b) 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. In space #1, diapers were stored in plastic bags in a bottom unlocked cabinet. Art with wiggle eyes was displayed on a board in a classroom occupied by children one year of age (space #5). Also, water beads were being stored in an unlocked cabinet in space #5. .0604(q) 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 new staff member had a medical report on file signed by a health care professional, however the medical report was not completed in full. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One new staff member had a TB screening on file signed by a health care professional, however the screening was not completed in full. .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. First Aid training for one staff member was completed by an approved agency, however the course is not approved. First Aid training for one staff member was completed by an unapproved agency. .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. CPR training for one staff member was completed by an approved agency, however the course is not approved. CPR training for one staff member was completed by an unapproved agency. .1102(d) 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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before May 13, 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: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: The courses completed for First Aid/CPR training must be an approved course through an approved agency. A conversation was held with Ms. Roberts regarding approved agencies. We reviewed the list of approved agencies, and I explained how to click on each link for a list of approved courses for each approved agency. North Carolina Division of Child Development and Early Education CPR and First Aid Training Information was emailed to Ms. Roberts during the visit. A suggestion was made to review with all staff storage of hazardous products, purses, potential choking hazardous, etc. A copy of the Hazardous Item Storage in Child Care Centers from Mecklenburg Environmental Health was given to Ms. Roberts during the visit. I encourage you to utilize the North Carolina Rated License Project’s (NCRLAP) website for information, resources and training related to the Infant/Toddler Environment Rating Scale 3rd Edition and the Early Childhood Environment Rating Scale- 3rd Edition at www.ncrlap.org. Automated Background Check Management System (ABCMS)- We discussed the process of entering and linking staff information to the facility via the ABCMS. Ms. Roberts stated that the process has been completed except for a couple of new staff. DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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: 60002773 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 4/29/2025 Number Present: 77 Completed Date: 4/29/2025 Age: From 0 To 5 Total Minutes: 275 Time In: 10:00 AM Time Out: 02:35 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 your program for compliance with applicable child care requirements for a routine unannounced visit. The facility operates with a Three Star Rated License with an effective date of April 6, 2022. The program’s compliance history before today’s visit was eighty percent. The NC Secretary of State website was reviewed on April 28, 2025, and SEC INC. was listed as current-active. B. Roberts, Principal, assisted me with today’s visit. A walk through the facility was conducted with Ms. Roberts. Children were observed in the indoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in free choice of indoor activities, transitions, personal care routines, teacher directed activities and circle time. The caregivers were interacting and meeting the developmental needs for each of the children. Staff and Training Worksheets from had not been updated prior to today’s visit. Previous worksheets from the annual compliance visit conducted on September 3, 2024, were used to verify existing staff were current with criminal background checks, ITS-SIDS training, First Aid and CPR certification. Ten new staff have been hired since the annual compliance visit. Files for the new staff were monitored. The last fire inspection was conducted on July 16, 2024. A sanitation inspection was conducted on January 28, 2025, with a “Superior” classification. The last monthly fire drill was conducted on March 26, 2025. A shelter in place drill was conducted on March 31, 2025. Playground Inspection Checklists were also monitored today and occurring monthly as required. The following violations were observed today. Violation Number Comment Rule 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. Cots throughout the classrooms were labeled with multiple numbers making it difficult to know which cots where individually assigned to a child. 15A NCAC 18A .2821(b) & (c) 721 All equipment and furnishings were not in good repair. In space #1, there was a pillow in the cozy area with a torn zipper and exposed fiber fill. G.S. 110-91(6); .0601(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #7, there was one outlet that was not protected by a safety cover. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #6, there was an aerosol can of shaving cream stored in an unlocked cabinet. .2820(b) 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. In space #1, diapers were stored in plastic bags in a bottom unlocked cabinet. Art with wiggle eyes was displayed on a board in a classroom occupied by children one year of age (space #5). Also, water beads were being stored in an unlocked cabinet in space #5. .0604(q) 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 new staff member had a medical report on file signed by a health care professional, however the medical report was not completed in full. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One new staff member had a TB screening on file signed by a health care professional, however the screening was not completed in full. .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. First Aid training for one staff member was completed by an approved agency, however the course is not approved. First Aid training for one staff member was completed by an unapproved agency. .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. CPR training for one staff member was completed by an approved agency, however the course is not approved. CPR training for one staff member was completed by an unapproved agency. .1102(d) 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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before May 13, 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: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: The courses completed for First Aid/CPR training must be an approved course through an approved agency. A conversation was held with Ms. Roberts regarding approved agencies. We reviewed the list of approved agencies, and I explained how to click on each link for a list of approved courses for each approved agency. North Carolina Division of Child Development and Early Education CPR and First Aid Training Information was emailed to Ms. Roberts during the visit. A suggestion was made to review with all staff storage of hazardous products, purses, potential choking hazardous, etc. A copy of the Hazardous Item Storage in Child Care Centers from Mecklenburg Environmental Health was given to Ms. Roberts during the visit. I encourage you to utilize the North Carolina Rated License Project’s (NCRLAP) website for information, resources and training related to the Infant/Toddler Environment Rating Scale 3rd Edition and the Early Childhood Environment Rating Scale- 3rd Edition at www.ncrlap.org. Automated Background Check Management System (ABCMS)- We discussed the process of entering and linking staff information to the facility via the ABCMS. Ms. Roberts stated that the process has been completed except for a couple of new staff. DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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

NC GS 110-90 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60002773 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 4/29/2025 Number Present: 77 Completed Date: 4/29/2025 Age: From 0 To 5 Total Minutes: 275 Time In: 10:00 AM Time Out: 02:35 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 your program for compliance with applicable child care requirements for a routine unannounced visit. The facility operates with a Three Star Rated License with an effective date of April 6, 2022. The program’s compliance history before today’s visit was eighty percent. The NC Secretary of State website was reviewed on April 28, 2025, and SEC INC. was listed as current-active. B. Roberts, Principal, assisted me with today’s visit. A walk through the facility was conducted with Ms. Roberts. Children were observed in the indoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in free choice of indoor activities, transitions, personal care routines, teacher directed activities and circle time. The caregivers were interacting and meeting the developmental needs for each of the children. Staff and Training Worksheets from had not been updated prior to today’s visit. Previous worksheets from the annual compliance visit conducted on September 3, 2024, were used to verify existing staff were current with criminal background checks, ITS-SIDS training, First Aid and CPR certification. Ten new staff have been hired since the annual compliance visit. Files for the new staff were monitored. The last fire inspection was conducted on July 16, 2024. A sanitation inspection was conducted on January 28, 2025, with a “Superior” classification. The last monthly fire drill was conducted on March 26, 2025. A shelter in place drill was conducted on March 31, 2025. Playground Inspection Checklists were also monitored today and occurring monthly as required. The following violations were observed today. Violation Number Comment Rule 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. Cots throughout the classrooms were labeled with multiple numbers making it difficult to know which cots where individually assigned to a child. 15A NCAC 18A .2821(b) & (c) 721 All equipment and furnishings were not in good repair. In space #1, there was a pillow in the cozy area with a torn zipper and exposed fiber fill. G.S. 110-91(6); .0601(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #7, there was one outlet that was not protected by a safety cover. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #6, there was an aerosol can of shaving cream stored in an unlocked cabinet. .2820(b) 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. In space #1, diapers were stored in plastic bags in a bottom unlocked cabinet. Art with wiggle eyes was displayed on a board in a classroom occupied by children one year of age (space #5). Also, water beads were being stored in an unlocked cabinet in space #5. .0604(q) 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 new staff member had a medical report on file signed by a health care professional, however the medical report was not completed in full. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One new staff member had a TB screening on file signed by a health care professional, however the screening was not completed in full. .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. First Aid training for one staff member was completed by an approved agency, however the course is not approved. First Aid training for one staff member was completed by an unapproved agency. .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. CPR training for one staff member was completed by an approved agency, however the course is not approved. CPR training for one staff member was completed by an unapproved agency. .1102(d) 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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before May 13, 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: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: The courses completed for First Aid/CPR training must be an approved course through an approved agency. A conversation was held with Ms. Roberts regarding approved agencies. We reviewed the list of approved agencies, and I explained how to click on each link for a list of approved courses for each approved agency. North Carolina Division of Child Development and Early Education CPR and First Aid Training Information was emailed to Ms. Roberts during the visit. A suggestion was made to review with all staff storage of hazardous products, purses, potential choking hazardous, etc. A copy of the Hazardous Item Storage in Child Care Centers from Mecklenburg Environmental Health was given to Ms. Roberts during the visit. I encourage you to utilize the North Carolina Rated License Project’s (NCRLAP) website for information, resources and training related to the Infant/Toddler Environment Rating Scale 3rd Edition and the Early Childhood Environment Rating Scale- 3rd Edition at www.ncrlap.org. Automated Background Check Management System (ABCMS)- We discussed the process of entering and linking staff information to the facility via the ABCMS. Ms. Roberts stated that the process has been completed except for a couple of new staff. DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60002773 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 9/3/2024 Number Present: 58 Completed Date: 9/3/2024 Age: From 0 To 5 Total Minutes: 335 Time In: 09:15 AM Time Out: 02:50 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 compliance of applicable child care requirements during the annual compliance visit. The facility's 18 month compliance history was 81%. A checklist was used while monitoring your program. Brandy Roberts, Administrator, was present during today's visit and accompanied me on the walkthrough. I monitored the indoor and outdoor environment and the vehicle you use to transport children daily. You provided your transportation notebook that holds the registration, insurance, attendance, children's emergency information with photographs, and the permission to transport. All were found to be current and meeting compliance. The van was monitored, the no smoking signs are posted in the van, the fire extinguisher and first aid kit are mounted securely and the vehicle is in good repair. Each classroom was monitored today, four of the rooms were not in use today. In other classrooms I was observed to observe staff/child interactions and found that staff spoke in nurturing tones with all children in their care, children were redirected to other activities if needed, staff were on the children's eye levels, some seated and engaged in activities others walking around the indoor and outdoor environment monitoring play. Supervision and enhanced staff/child ratios were maintained. Each classroom had a current activity plan posted, I was able to observe the day's plan being implemented. Each classroom had a variety of material accessible and clearly defined in each interest center. While in Space 1, which serves 2 year olds, I observed foam sponge rollers in the art center accessible. I explained they were not age appropriate, children could choke on the foam sponge, and you removed them from the room. You stated the room had been originally set up for three year olds maybe that was why they were present, you removed them during the visit. No other safety concerns were observed in any other classroom. Cleaning supplies were observed stored properly. Outlets were observed covered when not in use. Medications were monitored in each classroom. One medication in Space 1 was a cream that had Rx on the container, no pharmacy label was attached, and the parent instructions did not indicate why you needed to administer the medication. You removed the cream from the classroom and have stored it in a locked cabinet to give back to the parent or get the pharmacy label and updated permission to administer with all required information. Medications were observed stored properly. I reviewed the Medical actions forms on site and found them to be current and maintaining compliance. All playgrounds were monitored today. The gate between the preschool and two year old playground was observed to be unraveling at the base, leaving a long piece of chain linked fencing pointed into the two's playground. We observed what looked to be a sprinkler head sticking out of the ground by the sandbox on the preschool playground, it is considered a tripping hazard. There were no other concerns on the playgrounds, staff were observed interacting with children as they played and moving about the outdoor play area in order to see all the children as they moved around the areas. Program records were reviewed and found meeting compliance. All items required to be posted were observed posted. While in the infant room I reviewed the visual safe sleep checks and found them meeting compliance. Each enrolled child under 15 months had a current feeding schedule posted. Current allergy information was posted in each classroom, as were the cot/crib charts. The last fire inspection was conducted on 7/16/24. The last sanitation inspection was conducted on 6/26/24. The emergency drill log, monthly playground inspections and current incident logs were reviewed and found meeting compliance. A sample of children's files were review and found meeting compliance. You provided the current staff and training worksheets, I used them review staff files. One staff did not complete the health and safety trainings within five years of last completion, she completed all the topic areas but didn't do so in within 5 years of last completion. There were not other issues with staff files. The following violations were observed today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Indoors there were no safety concerns, outdoors I observed a sprinkler head sticking up by the sandbox on the preschool playground. The gate between the preschool and two's playground has part of the chain link fencing unraveling at the base and protruding into the playground. 10A NCAC 09 .0601(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One prescribed cream did not have the original box and pharmacy label on site. .0803(2)(a) 847 Parent's medication authorization did not include required information. One prescribed cream on site has written permission, however it doesn't indicate the reason for administering the medication 10A NCAC 09 .0803(4)(6-9) 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. While in Space 1 I observed foam sponge rollers in the art center. .0604(q) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One staff did not complete 6 of the topic areas of health and safety trainings within 5 years of last completion. .1103(b) Compliance Letter: Childcare providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today shall be corrected immediately. Bandy Roberts, administrator, will email a compliance letter explaining how each violation cited today has been corrected. The compliance letter must be received by September 17, 2024. Due to my retirement I am asking that you email my supervision, Michele Sullivan, the compliance statement by 9-17-24. Her email address is michele.sullivan@dhhs.nc.gov. Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Technical Assistance was provided on the following: Playground- We talked about the daily and monthly checks. I encourage you to talk with all staff about what poor repair means. The staff are focused on the children, but they need to remember the environment and ensure everything remains in good repair where children have access. The chain link fencing and the ground are both part of the environment so on a regular basis, especially after lawn care, checking the chain link fencing for unraveling and the ground for tripping hazards. Foam products - You all just changed some of the classrooms around, when changing a classroom from a preschool environment to an environment serving children under 3 I encourage you to check all material to ensure they are appropriate for the age you will be serving in that room. You can get the hard foam stampers with big knobs to hold the stampers and use during art, however they wouldn't be able to remain accessible to children under 3, but just be used as a teacher directed activity and them stored above 5 feet after the activity is over. No sponge or soft foam that can easily be torn is allowed in rooms serving children under 3. Medications: You have a system in place to receive medications, I encourage you be more diligent about checking the permission slips to ensure all required information is provided and conduct monthly checks to ensure requirements are met. You think the cream without the pharmacy label had the box with pharmacy label, but may have been thrown away. Checking requirements monthly will help ensure compliance. Health and Safety Trainings - for the five year renewal, the trainings must be completed within 5 years of each topic area's last completion. If you have any questions please contact me: Andrea.anderson@dhhs.nc.gov or (704)594-0039. I will be retiring 9/13/24. You may contact me up that date. I will send an email next week providing you contact information in my absence. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60002773 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 9/3/2024 Number Present: 58 Completed Date: 9/3/2024 Age: From 0 To 5 Total Minutes: 335 Time In: 09:15 AM Time Out: 02:50 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 compliance of applicable child care requirements during the annual compliance visit. The facility's 18 month compliance history was 81%. A checklist was used while monitoring your program. Brandy Roberts, Administrator, was present during today's visit and accompanied me on the walkthrough. I monitored the indoor and outdoor environment and the vehicle you use to transport children daily. You provided your transportation notebook that holds the registration, insurance, attendance, children's emergency information with photographs, and the permission to transport. All were found to be current and meeting compliance. The van was monitored, the no smoking signs are posted in the van, the fire extinguisher and first aid kit are mounted securely and the vehicle is in good repair. Each classroom was monitored today, four of the rooms were not in use today. In other classrooms I was observed to observe staff/child interactions and found that staff spoke in nurturing tones with all children in their care, children were redirected to other activities if needed, staff were on the children's eye levels, some seated and engaged in activities others walking around the indoor and outdoor environment monitoring play. Supervision and enhanced staff/child ratios were maintained. Each classroom had a current activity plan posted, I was able to observe the day's plan being implemented. Each classroom had a variety of material accessible and clearly defined in each interest center. While in Space 1, which serves 2 year olds, I observed foam sponge rollers in the art center accessible. I explained they were not age appropriate, children could choke on the foam sponge, and you removed them from the room. You stated the room had been originally set up for three year olds maybe that was why they were present, you removed them during the visit. No other safety concerns were observed in any other classroom. Cleaning supplies were observed stored properly. Outlets were observed covered when not in use. Medications were monitored in each classroom. One medication in Space 1 was a cream that had Rx on the container, no pharmacy label was attached, and the parent instructions did not indicate why you needed to administer the medication. You removed the cream from the classroom and have stored it in a locked cabinet to give back to the parent or get the pharmacy label and updated permission to administer with all required information. Medications were observed stored properly. I reviewed the Medical actions forms on site and found them to be current and maintaining compliance. All playgrounds were monitored today. The gate between the preschool and two year old playground was observed to be unraveling at the base, leaving a long piece of chain linked fencing pointed into the two's playground. We observed what looked to be a sprinkler head sticking out of the ground by the sandbox on the preschool playground, it is considered a tripping hazard. There were no other concerns on the playgrounds, staff were observed interacting with children as they played and moving about the outdoor play area in order to see all the children as they moved around the areas. Program records were reviewed and found meeting compliance. All items required to be posted were observed posted. While in the infant room I reviewed the visual safe sleep checks and found them meeting compliance. Each enrolled child under 15 months had a current feeding schedule posted. Current allergy information was posted in each classroom, as were the cot/crib charts. The last fire inspection was conducted on 7/16/24. The last sanitation inspection was conducted on 6/26/24. The emergency drill log, monthly playground inspections and current incident logs were reviewed and found meeting compliance. A sample of children's files were review and found meeting compliance. You provided the current staff and training worksheets, I used them review staff files. One staff did not complete the health and safety trainings within five years of last completion, she completed all the topic areas but didn't do so in within 5 years of last completion. There were not other issues with staff files. The following violations were observed today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Indoors there were no safety concerns, outdoors I observed a sprinkler head sticking up by the sandbox on the preschool playground. The gate between the preschool and two's playground has part of the chain link fencing unraveling at the base and protruding into the playground. 10A NCAC 09 .0601(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One prescribed cream did not have the original box and pharmacy label on site. .0803(2)(a) 847 Parent's medication authorization did not include required information. One prescribed cream on site has written permission, however it doesn't indicate the reason for administering the medication 10A NCAC 09 .0803(4)(6-9) 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. While in Space 1 I observed foam sponge rollers in the art center. .0604(q) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One staff did not complete 6 of the topic areas of health and safety trainings within 5 years of last completion. .1103(b) Compliance Letter: Childcare providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today shall be corrected immediately. Bandy Roberts, administrator, will email a compliance letter explaining how each violation cited today has been corrected. The compliance letter must be received by September 17, 2024. Due to my retirement I am asking that you email my supervision, Michele Sullivan, the compliance statement by 9-17-24. Her email address is michele.sullivan@dhhs.nc.gov. Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Technical Assistance was provided on the following: Playground- We talked about the daily and monthly checks. I encourage you to talk with all staff about what poor repair means. The staff are focused on the children, but they need to remember the environment and ensure everything remains in good repair where children have access. The chain link fencing and the ground are both part of the environment so on a regular basis, especially after lawn care, checking the chain link fencing for unraveling and the ground for tripping hazards. Foam products - You all just changed some of the classrooms around, when changing a classroom from a preschool environment to an environment serving children under 3 I encourage you to check all material to ensure they are appropriate for the age you will be serving in that room. You can get the hard foam stampers with big knobs to hold the stampers and use during art, however they wouldn't be able to remain accessible to children under 3, but just be used as a teacher directed activity and them stored above 5 feet after the activity is over. No sponge or soft foam that can easily be torn is allowed in rooms serving children under 3. Medications: You have a system in place to receive medications, I encourage you be more diligent about checking the permission slips to ensure all required information is provided and conduct monthly checks to ensure requirements are met. You think the cream without the pharmacy label had the box with pharmacy label, but may have been thrown away. Checking requirements monthly will help ensure compliance. Health and Safety Trainings - for the five year renewal, the trainings must be completed within 5 years of each topic area's last completion. If you have any questions please contact me: Andrea.anderson@dhhs.nc.gov or (704)594-0039. I will be retiring 9/13/24. You may contact me up that date. I will send an email next week providing you contact information in my absence. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60002773 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 4/22/2024 Number Present: 82 Completed Date: 4/22/2024 Age: From 0 To 5 Total Minutes: 345 Time In: 09:45 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced Observations: The purpose of today's visit was to monitor compliance with all applicable childcare requirements during a Routine Unannounced visit. Lisa Eddins-Smith, Child Care Consultant accompanied me today. The current Three-Star rated license was issued on April 06, 2022. The last Annual Compliance Visit was completed on September 18, 2023. The facility has a compliance history of 88% prior to today’s visit. The license and NC child care law summary were prominently posted. Upon arrival we were greeted at the front entrance by Ms. Wendy Clarke, Assistant Principal. We introduced ourselves and explained the purpose of the visit. Ms. Clarke informed us that Ms. Brandy Roberts, the school’s Principal, was at another facility for the day and she would assist us as we conducted a walk-through of the facility. Ms. T. Flake, Support Principal, arrived and joined our walk through during our observation of Space #11. Children were observed participating in group time activities, outdoor play, personal care routines, transitional activities and meal-time. In Space 1 children were using colored pencils and engaged in a teacher led art activity. It was Equipment in the dramatic play area was in poor repair as the faucet on the kitchen sink was missing leaving a hole with ragged edges. In Space 2, the children were outside playing. It was observed that there were insufficient materials in the learning centers. Plastic bags containing cotton balls and other materials were observed located in unlocked cabinets posing a choking hazard. Cups located in cubbies were not dated and labeled. We observed children playing on the playground and engaged in riding tricycles and climbing on a stationary play area. The door leading to the outdoor environment has a barrier installed to prevent pinched fingers. However, the barrier was cracked which posed a pinch point. In Space 3 infants were in personal care routines, both teachers were feeding infants when we arrived. Three (3) infants were in cribs and 1 was awake. Visual safe sleep documentation was not maintained accurately. The infant that was awake was removed from the crib and placed on the floor to play. One additional staff support was called to the room by Ms. Clarke to assist with crying infants. All topical ointment permission to administer medication forms were monitored and found in compliance. Four bottle storing human milk were observed not labeled with the child’s name and incorrect date (4/21) . In Space 4 it was observed that children were cared for in a nurturing manner and engaged in play on the floor with the caregiver. The electrical closet located in the hallway next to Space 5 was found unlocked with hazardous products stored on a cleaning cart inside the doorway. In Space 5, children were observed singing in circle time. There was one child who had emergency medication present with a Medical Action Plan present however there was not a completed permission to administer form on file here were inadequate and inaccessible materials in the book center for the number of children present. Both caregivers spoke in nurturing tones and cared for the needs of the children. All topical ointment permission to administer medication forms were checked and found in compliance. In Space 6, children were engaged in free play. Some of the wall covering was observed peeling and accessible to children. Meal-time was also observed. The menu was not followed as the children were served cheese quesadilla, mixed vegetables and pears. The menu stated cheese quesadilla, green beans and pears for today’s date. There were not enough materials in the learning centers. No musical instruments were available were the shelve had been labeled. In Space 8, children were observed in center play. There was one child who had emergency medication present with a Medical Action Plan present however there was not a completed permission to administer form on file. A trash can with standing water was observed under a leak in the ceiling near the dramatic play area at the back of the classroom. In Space 9, children were observed playing in centers and then transitioning to go outside for outdoor play. Materials were observed stored in the bathroom. In Space 10, there were no children present. This is the school age room. In Space 11, children were actively engaged in activities with one teacher and another teacher was assisting children with bathroom and handwashing. There was one child who had emergency medication present with a Medical Action Plan present however there was not a completed permission to administer form on file. We observed pizza, mixed vegetables and pears being served and the menu stated cheese quesadilla, green beans and pears for today. In Space 12, we observed children seated for lunch while the teacher plated their food. Required documents were not posted in the classroom. As children were served lunch, the teacher had her back to the tables and was unable to see and hear children as they were eating. Emergency drills (shelter-in-place/lockdown) were reviewed and found in compliance. Monthly outdoor playground inspections were monitored and observed to be in compliance. Staff files were monitored for using the most recently updated Staff and Training Worksheet. Health and Safety were not in compliance. The last sanitation inspection was conducted December 12, 2023. The last fire inspection is due by 7/7/23 was due to be conducted and successfully passed either on or before February 23, 2023. Monthly emergency drill log, playground inspections and the incident log were monitored and found meeting compliance. The following violations were observed meeting compliance. Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Space 12, serving three year old's did not have the staff/child ratio information posted. .0713(a)(10), (c) & (f)(3); .2818(e) 428 A current activity plan was not posted for each group of children for reference. Space 11 and 12 did not have current activity plans posted. GS 110-91(12); .0508(a) 434 The materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. In Space 2, 5, 6, and 12 we observed empty shelves in interest centers. If they weren't empty you didn't have enough material for three children to play independently in a center. Books shelves, dramatic play, science and music shelves were the main interest centers that either did not have any material or not enough for three children to play independently. 10A NCAC 09 .0509(2) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. During today's visit the menu stated cheese quesadillas, pears, green beans and milk would be served. During lunch time we observed one room being served cheese pizza, mixed vegetables, pears and milk being served. Other rooms they were served mixed vegetables instead of green beans and the current menu posted was not updated reflecting the change. 10A NCAC 09 .0901(b) 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. Two water bottles in Space 2 were not labeled. In Space 3, four bottles storing human milk were observed dated 4/21/24 and were not labeled with the infant's name. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) Space 5, serving one year old's with four being under 15 months of age, did not have any feeding schedule posted. Only two of the four children's feeding schedules were located during the visit. 10A NCAC 09 .0902(a) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Space 8 we observed a bucket situated between two centers. The bucket was observed with water at the bottom. The teacher reported that the ceiling was leaking. Space 6 wallpaper was observed peeling form the wall. A door cover to protect children from getting pinched fingers, on the back door leading to the Two Year Old's playground was observed cracked. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. Space 1 we observed a pretend sink in the dramatic play area missing the pretend faucet, a phone only had the base, the ear piece was missing. In many of the classrooms books observed accessible were observed missing pages or torn. G.S. 110-91(6); .0601(b) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. During today's walkthrough we checked the electric closet door, it was unlocked and chemicals were observed stored in the electrical closet. .0604(a) 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. While in Space 2, serving two year old's, we observed unlocked cabinet drawers with ziplock bags storing material, plastic wrapping loosely stored. The cabinet drawers were on the lower cabinets, below 5 feet. .0604(q) 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. Visual safe sleep checks are not begun when the infant is placed in the crib to rest. Staff reported they don't start the checks until the infant falls asleep. We entered Space 3 at 10:15 and three infants were observed sleeping. Of the three sleeping infants only one infant's visual sleep check had not been documented. At 10:30 the staff were instructed to conduct and document the check by the licensing consultant. .0606(g) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. You have epi pens and auvi-q's on site to administer children, although the medical action plan is on site they were older than 6 months old, written permission to administer the medication was not on site for these medications. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff did not complete the training within the first 90 days of hire. She was hired on 7/24/23 completed the training on 2/21/24. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One staff hired 12/12/2022 did not complete the required health and safety trainings within the first year of employment, she completed them by 4/1/2024. .1102(a) 9995 A violation was found for which there is no item number. Many classrooms were observed with trash cans that did not have lids. This is a violation of sanitation requirement 15A NCAC 18A .2830(a) Compliance Letter: Childcare providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today shall be corrected immediately. Brandy Roberts, administrator, will email a compliance letter explaining how each violation cited today has been corrected. The compliance letter must be received by the consultant, andrea.anderson@dhhs.nc.gov, on or before May 6, 2024. Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Technical Assistance was provided on the following: Classroom Checklists: I highly encourage you to utilize your opening and closing classroom checklists daily. You want to make sure each morning the room is ready to care for children. Utilizing the checklist will ensure you activity plans are posted, material/equipment is in good condition ready for use, outlets are covered, etc. Put a practice in place where you each classroom is conducting these checks prior to children entering the room for care and where administrators are monitoring to ensure they are being completed. I also encourage admin have checklists to use daily to ensure the building is ready for care, checking to make sure hall closets are locked properly, the playground is ready for play, outlets in the hallway covered, lights working properly, each classroom has required information posted, etc. When you find something in poor repair, if you cannot remove the item immediately you must make sure it is inaccessible to children in care until it can be removed, repaired or replaced. Doing these daily checks will also help ensure each interest center has enough material accessible for three children to play independently in each interest center. Staff should notify you when something on the checklist isn't meeting requirements and/or policies. Health and Safety Trainings: You will need to come up with a system to ensure staff are completing the required trainings within the required timeframe. You can accept any health and safety training completed less than a year from hire. Recognizing and responding to suspicions of maltreatment must be completed within the first 90 days of employment, you may want to have staff complete the first week of hire to ensure they complete within the required timeframe. Medications: I reviewed the rules regarding Medical Action plans and permission to administer medication for chronic or life threatening conditions. The medical action plan is valid for a year and provides you with the information of the child's condition, symptoms to look for an how to treat. Any medication on the form should be on site so you can care for the child properly and you need written permission to administer the medication. The permission to administer is valid for 6 months. Children can grow out of their allergies, conditions so you want to ensure the medication is still required and get a new permission to administer every 6 months the child needs the medication. If the medication is no longer required you will get that in writing and place in the child's file. Please contact me if you have any questions Andrea Anderson 12233 Royal Castle Ct Charlotte, NC 28277 andrea.anderson@dhhs.nc.gov (704)594-0039 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0902 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60002773 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 4/22/2024 Number Present: 82 Completed Date: 4/22/2024 Age: From 0 To 5 Total Minutes: 345 Time In: 09:45 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced Observations: The purpose of today's visit was to monitor compliance with all applicable childcare requirements during a Routine Unannounced visit. Lisa Eddins-Smith, Child Care Consultant accompanied me today. The current Three-Star rated license was issued on April 06, 2022. The last Annual Compliance Visit was completed on September 18, 2023. The facility has a compliance history of 88% prior to today’s visit. The license and NC child care law summary were prominently posted. Upon arrival we were greeted at the front entrance by Ms. Wendy Clarke, Assistant Principal. We introduced ourselves and explained the purpose of the visit. Ms. Clarke informed us that Ms. Brandy Roberts, the school’s Principal, was at another facility for the day and she would assist us as we conducted a walk-through of the facility. Ms. T. Flake, Support Principal, arrived and joined our walk through during our observation of Space #11. Children were observed participating in group time activities, outdoor play, personal care routines, transitional activities and meal-time. In Space 1 children were using colored pencils and engaged in a teacher led art activity. It was Equipment in the dramatic play area was in poor repair as the faucet on the kitchen sink was missing leaving a hole with ragged edges. In Space 2, the children were outside playing. It was observed that there were insufficient materials in the learning centers. Plastic bags containing cotton balls and other materials were observed located in unlocked cabinets posing a choking hazard. Cups located in cubbies were not dated and labeled. We observed children playing on the playground and engaged in riding tricycles and climbing on a stationary play area. The door leading to the outdoor environment has a barrier installed to prevent pinched fingers. However, the barrier was cracked which posed a pinch point. In Space 3 infants were in personal care routines, both teachers were feeding infants when we arrived. Three (3) infants were in cribs and 1 was awake. Visual safe sleep documentation was not maintained accurately. The infant that was awake was removed from the crib and placed on the floor to play. One additional staff support was called to the room by Ms. Clarke to assist with crying infants. All topical ointment permission to administer medication forms were monitored and found in compliance. Four bottle storing human milk were observed not labeled with the child’s name and incorrect date (4/21) . In Space 4 it was observed that children were cared for in a nurturing manner and engaged in play on the floor with the caregiver. The electrical closet located in the hallway next to Space 5 was found unlocked with hazardous products stored on a cleaning cart inside the doorway. In Space 5, children were observed singing in circle time. There was one child who had emergency medication present with a Medical Action Plan present however there was not a completed permission to administer form on file here were inadequate and inaccessible materials in the book center for the number of children present. Both caregivers spoke in nurturing tones and cared for the needs of the children. All topical ointment permission to administer medication forms were checked and found in compliance. In Space 6, children were engaged in free play. Some of the wall covering was observed peeling and accessible to children. Meal-time was also observed. The menu was not followed as the children were served cheese quesadilla, mixed vegetables and pears. The menu stated cheese quesadilla, green beans and pears for today’s date. There were not enough materials in the learning centers. No musical instruments were available were the shelve had been labeled. In Space 8, children were observed in center play. There was one child who had emergency medication present with a Medical Action Plan present however there was not a completed permission to administer form on file. A trash can with standing water was observed under a leak in the ceiling near the dramatic play area at the back of the classroom. In Space 9, children were observed playing in centers and then transitioning to go outside for outdoor play. Materials were observed stored in the bathroom. In Space 10, there were no children present. This is the school age room. In Space 11, children were actively engaged in activities with one teacher and another teacher was assisting children with bathroom and handwashing. There was one child who had emergency medication present with a Medical Action Plan present however there was not a completed permission to administer form on file. We observed pizza, mixed vegetables and pears being served and the menu stated cheese quesadilla, green beans and pears for today. In Space 12, we observed children seated for lunch while the teacher plated their food. Required documents were not posted in the classroom. As children were served lunch, the teacher had her back to the tables and was unable to see and hear children as they were eating. Emergency drills (shelter-in-place/lockdown) were reviewed and found in compliance. Monthly outdoor playground inspections were monitored and observed to be in compliance. Staff files were monitored for using the most recently updated Staff and Training Worksheet. Health and Safety were not in compliance. The last sanitation inspection was conducted December 12, 2023. The last fire inspection is due by 7/7/23 was due to be conducted and successfully passed either on or before February 23, 2023. Monthly emergency drill log, playground inspections and the incident log were monitored and found meeting compliance. The following violations were observed meeting compliance. Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Space 12, serving three year old's did not have the staff/child ratio information posted. .0713(a)(10), (c) & (f)(3); .2818(e) 428 A current activity plan was not posted for each group of children for reference. Space 11 and 12 did not have current activity plans posted. GS 110-91(12); .0508(a) 434 The materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. In Space 2, 5, 6, and 12 we observed empty shelves in interest centers. If they weren't empty you didn't have enough material for three children to play independently in a center. Books shelves, dramatic play, science and music shelves were the main interest centers that either did not have any material or not enough for three children to play independently. 10A NCAC 09 .0509(2) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. During today's visit the menu stated cheese quesadillas, pears, green beans and milk would be served. During lunch time we observed one room being served cheese pizza, mixed vegetables, pears and milk being served. Other rooms they were served mixed vegetables instead of green beans and the current menu posted was not updated reflecting the change. 10A NCAC 09 .0901(b) 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. Two water bottles in Space 2 were not labeled. In Space 3, four bottles storing human milk were observed dated 4/21/24 and were not labeled with the infant's name. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) Space 5, serving one year old's with four being under 15 months of age, did not have any feeding schedule posted. Only two of the four children's feeding schedules were located during the visit. 10A NCAC 09 .0902(a) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Space 8 we observed a bucket situated between two centers. The bucket was observed with water at the bottom. The teacher reported that the ceiling was leaking. Space 6 wallpaper was observed peeling form the wall. A door cover to protect children from getting pinched fingers, on the back door leading to the Two Year Old's playground was observed cracked. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. Space 1 we observed a pretend sink in the dramatic play area missing the pretend faucet, a phone only had the base, the ear piece was missing. In many of the classrooms books observed accessible were observed missing pages or torn. G.S. 110-91(6); .0601(b) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. During today's walkthrough we checked the electric closet door, it was unlocked and chemicals were observed stored in the electrical closet. .0604(a) 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. While in Space 2, serving two year old's, we observed unlocked cabinet drawers with ziplock bags storing material, plastic wrapping loosely stored. The cabinet drawers were on the lower cabinets, below 5 feet. .0604(q) 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. Visual safe sleep checks are not begun when the infant is placed in the crib to rest. Staff reported they don't start the checks until the infant falls asleep. We entered Space 3 at 10:15 and three infants were observed sleeping. Of the three sleeping infants only one infant's visual sleep check had not been documented. At 10:30 the staff were instructed to conduct and document the check by the licensing consultant. .0606(g) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. You have epi pens and auvi-q's on site to administer children, although the medical action plan is on site they were older than 6 months old, written permission to administer the medication was not on site for these medications. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff did not complete the training within the first 90 days of hire. She was hired on 7/24/23 completed the training on 2/21/24. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One staff hired 12/12/2022 did not complete the required health and safety trainings within the first year of employment, she completed them by 4/1/2024. .1102(a) 9995 A violation was found for which there is no item number. Many classrooms were observed with trash cans that did not have lids. This is a violation of sanitation requirement 15A NCAC 18A .2830(a) Compliance Letter: Childcare providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today shall be corrected immediately. Brandy Roberts, administrator, will email a compliance letter explaining how each violation cited today has been corrected. The compliance letter must be received by the consultant, andrea.anderson@dhhs.nc.gov, on or before May 6, 2024. Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Technical Assistance was provided on the following: Classroom Checklists: I highly encourage you to utilize your opening and closing classroom checklists daily. You want to make sure each morning the room is ready to care for children. Utilizing the checklist will ensure you activity plans are posted, material/equipment is in good condition ready for use, outlets are covered, etc. Put a practice in place where you each classroom is conducting these checks prior to children entering the room for care and where administrators are monitoring to ensure they are being completed. I also encourage admin have checklists to use daily to ensure the building is ready for care, checking to make sure hall closets are locked properly, the playground is ready for play, outlets in the hallway covered, lights working properly, each classroom has required information posted, etc. When you find something in poor repair, if you cannot remove the item immediately you must make sure it is inaccessible to children in care until it can be removed, repaired or replaced. Doing these daily checks will also help ensure each interest center has enough material accessible for three children to play independently in each interest center. Staff should notify you when something on the checklist isn't meeting requirements and/or policies. Health and Safety Trainings: You will need to come up with a system to ensure staff are completing the required trainings within the required timeframe. You can accept any health and safety training completed less than a year from hire. Recognizing and responding to suspicions of maltreatment must be completed within the first 90 days of employment, you may want to have staff complete the first week of hire to ensure they complete within the required timeframe. Medications: I reviewed the rules regarding Medical Action plans and permission to administer medication for chronic or life threatening conditions. The medical action plan is valid for a year and provides you with the information of the child's condition, symptoms to look for an how to treat. Any medication on the form should be on site so you can care for the child properly and you need written permission to administer the medication. The permission to administer is valid for 6 months. Children can grow out of their allergies, conditions so you want to ensure the medication is still required and get a new permission to administer every 6 months the child needs the medication. If the medication is no longer required you will get that in writing and place in the child's file. Please contact me if you have any questions Andrea Anderson 12233 Royal Castle Ct Charlotte, NC 28277 andrea.anderson@dhhs.nc.gov (704)594-0039 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 .0509 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60002773 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 4/22/2024 Number Present: 82 Completed Date: 4/22/2024 Age: From 0 To 5 Total Minutes: 345 Time In: 09:45 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced Observations: The purpose of today's visit was to monitor compliance with all applicable childcare requirements during a Routine Unannounced visit. Lisa Eddins-Smith, Child Care Consultant accompanied me today. The current Three-Star rated license was issued on April 06, 2022. The last Annual Compliance Visit was completed on September 18, 2023. The facility has a compliance history of 88% prior to today’s visit. The license and NC child care law summary were prominently posted. Upon arrival we were greeted at the front entrance by Ms. Wendy Clarke, Assistant Principal. We introduced ourselves and explained the purpose of the visit. Ms. Clarke informed us that Ms. Brandy Roberts, the school’s Principal, was at another facility for the day and she would assist us as we conducted a walk-through of the facility. Ms. T. Flake, Support Principal, arrived and joined our walk through during our observation of Space #11. Children were observed participating in group time activities, outdoor play, personal care routines, transitional activities and meal-time. In Space 1 children were using colored pencils and engaged in a teacher led art activity. It was Equipment in the dramatic play area was in poor repair as the faucet on the kitchen sink was missing leaving a hole with ragged edges. In Space 2, the children were outside playing. It was observed that there were insufficient materials in the learning centers. Plastic bags containing cotton balls and other materials were observed located in unlocked cabinets posing a choking hazard. Cups located in cubbies were not dated and labeled. We observed children playing on the playground and engaged in riding tricycles and climbing on a stationary play area. The door leading to the outdoor environment has a barrier installed to prevent pinched fingers. However, the barrier was cracked which posed a pinch point. In Space 3 infants were in personal care routines, both teachers were feeding infants when we arrived. Three (3) infants were in cribs and 1 was awake. Visual safe sleep documentation was not maintained accurately. The infant that was awake was removed from the crib and placed on the floor to play. One additional staff support was called to the room by Ms. Clarke to assist with crying infants. All topical ointment permission to administer medication forms were monitored and found in compliance. Four bottle storing human milk were observed not labeled with the child’s name and incorrect date (4/21) . In Space 4 it was observed that children were cared for in a nurturing manner and engaged in play on the floor with the caregiver. The electrical closet located in the hallway next to Space 5 was found unlocked with hazardous products stored on a cleaning cart inside the doorway. In Space 5, children were observed singing in circle time. There was one child who had emergency medication present with a Medical Action Plan present however there was not a completed permission to administer form on file here were inadequate and inaccessible materials in the book center for the number of children present. Both caregivers spoke in nurturing tones and cared for the needs of the children. All topical ointment permission to administer medication forms were checked and found in compliance. In Space 6, children were engaged in free play. Some of the wall covering was observed peeling and accessible to children. Meal-time was also observed. The menu was not followed as the children were served cheese quesadilla, mixed vegetables and pears. The menu stated cheese quesadilla, green beans and pears for today’s date. There were not enough materials in the learning centers. No musical instruments were available were the shelve had been labeled. In Space 8, children were observed in center play. There was one child who had emergency medication present with a Medical Action Plan present however there was not a completed permission to administer form on file. A trash can with standing water was observed under a leak in the ceiling near the dramatic play area at the back of the classroom. In Space 9, children were observed playing in centers and then transitioning to go outside for outdoor play. Materials were observed stored in the bathroom. In Space 10, there were no children present. This is the school age room. In Space 11, children were actively engaged in activities with one teacher and another teacher was assisting children with bathroom and handwashing. There was one child who had emergency medication present with a Medical Action Plan present however there was not a completed permission to administer form on file. We observed pizza, mixed vegetables and pears being served and the menu stated cheese quesadilla, green beans and pears for today. In Space 12, we observed children seated for lunch while the teacher plated their food. Required documents were not posted in the classroom. As children were served lunch, the teacher had her back to the tables and was unable to see and hear children as they were eating. Emergency drills (shelter-in-place/lockdown) were reviewed and found in compliance. Monthly outdoor playground inspections were monitored and observed to be in compliance. Staff files were monitored for using the most recently updated Staff and Training Worksheet. Health and Safety were not in compliance. The last sanitation inspection was conducted December 12, 2023. The last fire inspection is due by 7/7/23 was due to be conducted and successfully passed either on or before February 23, 2023. Monthly emergency drill log, playground inspections and the incident log were monitored and found meeting compliance. The following violations were observed meeting compliance. Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Space 12, serving three year old's did not have the staff/child ratio information posted. .0713(a)(10), (c) & (f)(3); .2818(e) 428 A current activity plan was not posted for each group of children for reference. Space 11 and 12 did not have current activity plans posted. GS 110-91(12); .0508(a) 434 The materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. In Space 2, 5, 6, and 12 we observed empty shelves in interest centers. If they weren't empty you didn't have enough material for three children to play independently in a center. Books shelves, dramatic play, science and music shelves were the main interest centers that either did not have any material or not enough for three children to play independently. 10A NCAC 09 .0509(2) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. During today's visit the menu stated cheese quesadillas, pears, green beans and milk would be served. During lunch time we observed one room being served cheese pizza, mixed vegetables, pears and milk being served. Other rooms they were served mixed vegetables instead of green beans and the current menu posted was not updated reflecting the change. 10A NCAC 09 .0901(b) 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. Two water bottles in Space 2 were not labeled. In Space 3, four bottles storing human milk were observed dated 4/21/24 and were not labeled with the infant's name. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) Space 5, serving one year old's with four being under 15 months of age, did not have any feeding schedule posted. Only two of the four children's feeding schedules were located during the visit. 10A NCAC 09 .0902(a) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Space 8 we observed a bucket situated between two centers. The bucket was observed with water at the bottom. The teacher reported that the ceiling was leaking. Space 6 wallpaper was observed peeling form the wall. A door cover to protect children from getting pinched fingers, on the back door leading to the Two Year Old's playground was observed cracked. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. Space 1 we observed a pretend sink in the dramatic play area missing the pretend faucet, a phone only had the base, the ear piece was missing. In many of the classrooms books observed accessible were observed missing pages or torn. G.S. 110-91(6); .0601(b) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. During today's walkthrough we checked the electric closet door, it was unlocked and chemicals were observed stored in the electrical closet. .0604(a) 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. While in Space 2, serving two year old's, we observed unlocked cabinet drawers with ziplock bags storing material, plastic wrapping loosely stored. The cabinet drawers were on the lower cabinets, below 5 feet. .0604(q) 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. Visual safe sleep checks are not begun when the infant is placed in the crib to rest. Staff reported they don't start the checks until the infant falls asleep. We entered Space 3 at 10:15 and three infants were observed sleeping. Of the three sleeping infants only one infant's visual sleep check had not been documented. At 10:30 the staff were instructed to conduct and document the check by the licensing consultant. .0606(g) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. You have epi pens and auvi-q's on site to administer children, although the medical action plan is on site they were older than 6 months old, written permission to administer the medication was not on site for these medications. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff did not complete the training within the first 90 days of hire. She was hired on 7/24/23 completed the training on 2/21/24. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One staff hired 12/12/2022 did not complete the required health and safety trainings within the first year of employment, she completed them by 4/1/2024. .1102(a) 9995 A violation was found for which there is no item number. Many classrooms were observed with trash cans that did not have lids. This is a violation of sanitation requirement 15A NCAC 18A .2830(a) Compliance Letter: Childcare providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today shall be corrected immediately. Brandy Roberts, administrator, will email a compliance letter explaining how each violation cited today has been corrected. The compliance letter must be received by the consultant, andrea.anderson@dhhs.nc.gov, on or before May 6, 2024. Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Technical Assistance was provided on the following: Classroom Checklists: I highly encourage you to utilize your opening and closing classroom checklists daily. You want to make sure each morning the room is ready to care for children. Utilizing the checklist will ensure you activity plans are posted, material/equipment is in good condition ready for use, outlets are covered, etc. Put a practice in place where you each classroom is conducting these checks prior to children entering the room for care and where administrators are monitoring to ensure they are being completed. I also encourage admin have checklists to use daily to ensure the building is ready for care, checking to make sure hall closets are locked properly, the playground is ready for play, outlets in the hallway covered, lights working properly, each classroom has required information posted, etc. When you find something in poor repair, if you cannot remove the item immediately you must make sure it is inaccessible to children in care until it can be removed, repaired or replaced. Doing these daily checks will also help ensure each interest center has enough material accessible for three children to play independently in each interest center. Staff should notify you when something on the checklist isn't meeting requirements and/or policies. Health and Safety Trainings: You will need to come up with a system to ensure staff are completing the required trainings within the required timeframe. You can accept any health and safety training completed less than a year from hire. Recognizing and responding to suspicions of maltreatment must be completed within the first 90 days of employment, you may want to have staff complete the first week of hire to ensure they complete within the required timeframe. Medications: I reviewed the rules regarding Medical Action plans and permission to administer medication for chronic or life threatening conditions. The medical action plan is valid for a year and provides you with the information of the child's condition, symptoms to look for an how to treat. Any medication on the form should be on site so you can care for the child properly and you need written permission to administer the medication. The permission to administer is valid for 6 months. Children can grow out of their allergies, conditions so you want to ensure the medication is still required and get a new permission to administer every 6 months the child needs the medication. If the medication is no longer required you will get that in writing and place in the child's file. Please contact me if you have any questions Andrea Anderson 12233 Royal Castle Ct Charlotte, NC 28277 andrea.anderson@dhhs.nc.gov (704)594-0039 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: 60002773 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 4/22/2024 Number Present: 82 Completed Date: 4/22/2024 Age: From 0 To 5 Total Minutes: 345 Time In: 09:45 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced Observations: The purpose of today's visit was to monitor compliance with all applicable childcare requirements during a Routine Unannounced visit. Lisa Eddins-Smith, Child Care Consultant accompanied me today. The current Three-Star rated license was issued on April 06, 2022. The last Annual Compliance Visit was completed on September 18, 2023. The facility has a compliance history of 88% prior to today’s visit. The license and NC child care law summary were prominently posted. Upon arrival we were greeted at the front entrance by Ms. Wendy Clarke, Assistant Principal. We introduced ourselves and explained the purpose of the visit. Ms. Clarke informed us that Ms. Brandy Roberts, the school’s Principal, was at another facility for the day and she would assist us as we conducted a walk-through of the facility. Ms. T. Flake, Support Principal, arrived and joined our walk through during our observation of Space #11. Children were observed participating in group time activities, outdoor play, personal care routines, transitional activities and meal-time. In Space 1 children were using colored pencils and engaged in a teacher led art activity. It was Equipment in the dramatic play area was in poor repair as the faucet on the kitchen sink was missing leaving a hole with ragged edges. In Space 2, the children were outside playing. It was observed that there were insufficient materials in the learning centers. Plastic bags containing cotton balls and other materials were observed located in unlocked cabinets posing a choking hazard. Cups located in cubbies were not dated and labeled. We observed children playing on the playground and engaged in riding tricycles and climbing on a stationary play area. The door leading to the outdoor environment has a barrier installed to prevent pinched fingers. However, the barrier was cracked which posed a pinch point. In Space 3 infants were in personal care routines, both teachers were feeding infants when we arrived. Three (3) infants were in cribs and 1 was awake. Visual safe sleep documentation was not maintained accurately. The infant that was awake was removed from the crib and placed on the floor to play. One additional staff support was called to the room by Ms. Clarke to assist with crying infants. All topical ointment permission to administer medication forms were monitored and found in compliance. Four bottle storing human milk were observed not labeled with the child’s name and incorrect date (4/21) . In Space 4 it was observed that children were cared for in a nurturing manner and engaged in play on the floor with the caregiver. The electrical closet located in the hallway next to Space 5 was found unlocked with hazardous products stored on a cleaning cart inside the doorway. In Space 5, children were observed singing in circle time. There was one child who had emergency medication present with a Medical Action Plan present however there was not a completed permission to administer form on file here were inadequate and inaccessible materials in the book center for the number of children present. Both caregivers spoke in nurturing tones and cared for the needs of the children. All topical ointment permission to administer medication forms were checked and found in compliance. In Space 6, children were engaged in free play. Some of the wall covering was observed peeling and accessible to children. Meal-time was also observed. The menu was not followed as the children were served cheese quesadilla, mixed vegetables and pears. The menu stated cheese quesadilla, green beans and pears for today’s date. There were not enough materials in the learning centers. No musical instruments were available were the shelve had been labeled. In Space 8, children were observed in center play. There was one child who had emergency medication present with a Medical Action Plan present however there was not a completed permission to administer form on file. A trash can with standing water was observed under a leak in the ceiling near the dramatic play area at the back of the classroom. In Space 9, children were observed playing in centers and then transitioning to go outside for outdoor play. Materials were observed stored in the bathroom. In Space 10, there were no children present. This is the school age room. In Space 11, children were actively engaged in activities with one teacher and another teacher was assisting children with bathroom and handwashing. There was one child who had emergency medication present with a Medical Action Plan present however there was not a completed permission to administer form on file. We observed pizza, mixed vegetables and pears being served and the menu stated cheese quesadilla, green beans and pears for today. In Space 12, we observed children seated for lunch while the teacher plated their food. Required documents were not posted in the classroom. As children were served lunch, the teacher had her back to the tables and was unable to see and hear children as they were eating. Emergency drills (shelter-in-place/lockdown) were reviewed and found in compliance. Monthly outdoor playground inspections were monitored and observed to be in compliance. Staff files were monitored for using the most recently updated Staff and Training Worksheet. Health and Safety were not in compliance. The last sanitation inspection was conducted December 12, 2023. The last fire inspection is due by 7/7/23 was due to be conducted and successfully passed either on or before February 23, 2023. Monthly emergency drill log, playground inspections and the incident log were monitored and found meeting compliance. The following violations were observed meeting compliance. Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Space 12, serving three year old's did not have the staff/child ratio information posted. .0713(a)(10), (c) & (f)(3); .2818(e) 428 A current activity plan was not posted for each group of children for reference. Space 11 and 12 did not have current activity plans posted. GS 110-91(12); .0508(a) 434 The materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. In Space 2, 5, 6, and 12 we observed empty shelves in interest centers. If they weren't empty you didn't have enough material for three children to play independently in a center. Books shelves, dramatic play, science and music shelves were the main interest centers that either did not have any material or not enough for three children to play independently. 10A NCAC 09 .0509(2) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. During today's visit the menu stated cheese quesadillas, pears, green beans and milk would be served. During lunch time we observed one room being served cheese pizza, mixed vegetables, pears and milk being served. Other rooms they were served mixed vegetables instead of green beans and the current menu posted was not updated reflecting the change. 10A NCAC 09 .0901(b) 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. Two water bottles in Space 2 were not labeled. In Space 3, four bottles storing human milk were observed dated 4/21/24 and were not labeled with the infant's name. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) Space 5, serving one year old's with four being under 15 months of age, did not have any feeding schedule posted. Only two of the four children's feeding schedules were located during the visit. 10A NCAC 09 .0902(a) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Space 8 we observed a bucket situated between two centers. The bucket was observed with water at the bottom. The teacher reported that the ceiling was leaking. Space 6 wallpaper was observed peeling form the wall. A door cover to protect children from getting pinched fingers, on the back door leading to the Two Year Old's playground was observed cracked. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. Space 1 we observed a pretend sink in the dramatic play area missing the pretend faucet, a phone only had the base, the ear piece was missing. In many of the classrooms books observed accessible were observed missing pages or torn. G.S. 110-91(6); .0601(b) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. During today's walkthrough we checked the electric closet door, it was unlocked and chemicals were observed stored in the electrical closet. .0604(a) 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. While in Space 2, serving two year old's, we observed unlocked cabinet drawers with ziplock bags storing material, plastic wrapping loosely stored. The cabinet drawers were on the lower cabinets, below 5 feet. .0604(q) 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. Visual safe sleep checks are not begun when the infant is placed in the crib to rest. Staff reported they don't start the checks until the infant falls asleep. We entered Space 3 at 10:15 and three infants were observed sleeping. Of the three sleeping infants only one infant's visual sleep check had not been documented. At 10:30 the staff were instructed to conduct and document the check by the licensing consultant. .0606(g) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. You have epi pens and auvi-q's on site to administer children, although the medical action plan is on site they were older than 6 months old, written permission to administer the medication was not on site for these medications. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff did not complete the training within the first 90 days of hire. She was hired on 7/24/23 completed the training on 2/21/24. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One staff hired 12/12/2022 did not complete the required health and safety trainings within the first year of employment, she completed them by 4/1/2024. .1102(a) 9995 A violation was found for which there is no item number. Many classrooms were observed with trash cans that did not have lids. This is a violation of sanitation requirement 15A NCAC 18A .2830(a) Compliance Letter: Childcare providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today shall be corrected immediately. Brandy Roberts, administrator, will email a compliance letter explaining how each violation cited today has been corrected. The compliance letter must be received by the consultant, andrea.anderson@dhhs.nc.gov, on or before May 6, 2024. Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Technical Assistance was provided on the following: Classroom Checklists: I highly encourage you to utilize your opening and closing classroom checklists daily. You want to make sure each morning the room is ready to care for children. Utilizing the checklist will ensure you activity plans are posted, material/equipment is in good condition ready for use, outlets are covered, etc. Put a practice in place where you each classroom is conducting these checks prior to children entering the room for care and where administrators are monitoring to ensure they are being completed. I also encourage admin have checklists to use daily to ensure the building is ready for care, checking to make sure hall closets are locked properly, the playground is ready for play, outlets in the hallway covered, lights working properly, each classroom has required information posted, etc. When you find something in poor repair, if you cannot remove the item immediately you must make sure it is inaccessible to children in care until it can be removed, repaired or replaced. Doing these daily checks will also help ensure each interest center has enough material accessible for three children to play independently in each interest center. Staff should notify you when something on the checklist isn't meeting requirements and/or policies. Health and Safety Trainings: You will need to come up with a system to ensure staff are completing the required trainings within the required timeframe. You can accept any health and safety training completed less than a year from hire. Recognizing and responding to suspicions of maltreatment must be completed within the first 90 days of employment, you may want to have staff complete the first week of hire to ensure they complete within the required timeframe. Medications: I reviewed the rules regarding Medical Action plans and permission to administer medication for chronic or life threatening conditions. The medical action plan is valid for a year and provides you with the information of the child's condition, symptoms to look for an how to treat. Any medication on the form should be on site so you can care for the child properly and you need written permission to administer the medication. The permission to administer is valid for 6 months. Children can grow out of their allergies, conditions so you want to ensure the medication is still required and get a new permission to administer every 6 months the child needs the medication. If the medication is no longer required you will get that in writing and place in the child's file. Please contact me if you have any questions Andrea Anderson 12233 Royal Castle Ct Charlotte, NC 28277 andrea.anderson@dhhs.nc.gov (704)594-0039 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: 60002773 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 4/22/2024 Number Present: 82 Completed Date: 4/22/2024 Age: From 0 To 5 Total Minutes: 345 Time In: 09:45 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced Observations: The purpose of today's visit was to monitor compliance with all applicable childcare requirements during a Routine Unannounced visit. Lisa Eddins-Smith, Child Care Consultant accompanied me today. The current Three-Star rated license was issued on April 06, 2022. The last Annual Compliance Visit was completed on September 18, 2023. The facility has a compliance history of 88% prior to today’s visit. The license and NC child care law summary were prominently posted. Upon arrival we were greeted at the front entrance by Ms. Wendy Clarke, Assistant Principal. We introduced ourselves and explained the purpose of the visit. Ms. Clarke informed us that Ms. Brandy Roberts, the school’s Principal, was at another facility for the day and she would assist us as we conducted a walk-through of the facility. Ms. T. Flake, Support Principal, arrived and joined our walk through during our observation of Space #11. Children were observed participating in group time activities, outdoor play, personal care routines, transitional activities and meal-time. In Space 1 children were using colored pencils and engaged in a teacher led art activity. It was Equipment in the dramatic play area was in poor repair as the faucet on the kitchen sink was missing leaving a hole with ragged edges. In Space 2, the children were outside playing. It was observed that there were insufficient materials in the learning centers. Plastic bags containing cotton balls and other materials were observed located in unlocked cabinets posing a choking hazard. Cups located in cubbies were not dated and labeled. We observed children playing on the playground and engaged in riding tricycles and climbing on a stationary play area. The door leading to the outdoor environment has a barrier installed to prevent pinched fingers. However, the barrier was cracked which posed a pinch point. In Space 3 infants were in personal care routines, both teachers were feeding infants when we arrived. Three (3) infants were in cribs and 1 was awake. Visual safe sleep documentation was not maintained accurately. The infant that was awake was removed from the crib and placed on the floor to play. One additional staff support was called to the room by Ms. Clarke to assist with crying infants. All topical ointment permission to administer medication forms were monitored and found in compliance. Four bottle storing human milk were observed not labeled with the child’s name and incorrect date (4/21) . In Space 4 it was observed that children were cared for in a nurturing manner and engaged in play on the floor with the caregiver. The electrical closet located in the hallway next to Space 5 was found unlocked with hazardous products stored on a cleaning cart inside the doorway. In Space 5, children were observed singing in circle time. There was one child who had emergency medication present with a Medical Action Plan present however there was not a completed permission to administer form on file here were inadequate and inaccessible materials in the book center for the number of children present. Both caregivers spoke in nurturing tones and cared for the needs of the children. All topical ointment permission to administer medication forms were checked and found in compliance. In Space 6, children were engaged in free play. Some of the wall covering was observed peeling and accessible to children. Meal-time was also observed. The menu was not followed as the children were served cheese quesadilla, mixed vegetables and pears. The menu stated cheese quesadilla, green beans and pears for today’s date. There were not enough materials in the learning centers. No musical instruments were available were the shelve had been labeled. In Space 8, children were observed in center play. There was one child who had emergency medication present with a Medical Action Plan present however there was not a completed permission to administer form on file. A trash can with standing water was observed under a leak in the ceiling near the dramatic play area at the back of the classroom. In Space 9, children were observed playing in centers and then transitioning to go outside for outdoor play. Materials were observed stored in the bathroom. In Space 10, there were no children present. This is the school age room. In Space 11, children were actively engaged in activities with one teacher and another teacher was assisting children with bathroom and handwashing. There was one child who had emergency medication present with a Medical Action Plan present however there was not a completed permission to administer form on file. We observed pizza, mixed vegetables and pears being served and the menu stated cheese quesadilla, green beans and pears for today. In Space 12, we observed children seated for lunch while the teacher plated their food. Required documents were not posted in the classroom. As children were served lunch, the teacher had her back to the tables and was unable to see and hear children as they were eating. Emergency drills (shelter-in-place/lockdown) were reviewed and found in compliance. Monthly outdoor playground inspections were monitored and observed to be in compliance. Staff files were monitored for using the most recently updated Staff and Training Worksheet. Health and Safety were not in compliance. The last sanitation inspection was conducted December 12, 2023. The last fire inspection is due by 7/7/23 was due to be conducted and successfully passed either on or before February 23, 2023. Monthly emergency drill log, playground inspections and the incident log were monitored and found meeting compliance. The following violations were observed meeting compliance. Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Space 12, serving three year old's did not have the staff/child ratio information posted. .0713(a)(10), (c) & (f)(3); .2818(e) 428 A current activity plan was not posted for each group of children for reference. Space 11 and 12 did not have current activity plans posted. GS 110-91(12); .0508(a) 434 The materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. In Space 2, 5, 6, and 12 we observed empty shelves in interest centers. If they weren't empty you didn't have enough material for three children to play independently in a center. Books shelves, dramatic play, science and music shelves were the main interest centers that either did not have any material or not enough for three children to play independently. 10A NCAC 09 .0509(2) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. During today's visit the menu stated cheese quesadillas, pears, green beans and milk would be served. During lunch time we observed one room being served cheese pizza, mixed vegetables, pears and milk being served. Other rooms they were served mixed vegetables instead of green beans and the current menu posted was not updated reflecting the change. 10A NCAC 09 .0901(b) 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. Two water bottles in Space 2 were not labeled. In Space 3, four bottles storing human milk were observed dated 4/21/24 and were not labeled with the infant's name. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) Space 5, serving one year old's with four being under 15 months of age, did not have any feeding schedule posted. Only two of the four children's feeding schedules were located during the visit. 10A NCAC 09 .0902(a) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Space 8 we observed a bucket situated between two centers. The bucket was observed with water at the bottom. The teacher reported that the ceiling was leaking. Space 6 wallpaper was observed peeling form the wall. A door cover to protect children from getting pinched fingers, on the back door leading to the Two Year Old's playground was observed cracked. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. Space 1 we observed a pretend sink in the dramatic play area missing the pretend faucet, a phone only had the base, the ear piece was missing. In many of the classrooms books observed accessible were observed missing pages or torn. G.S. 110-91(6); .0601(b) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. During today's walkthrough we checked the electric closet door, it was unlocked and chemicals were observed stored in the electrical closet. .0604(a) 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. While in Space 2, serving two year old's, we observed unlocked cabinet drawers with ziplock bags storing material, plastic wrapping loosely stored. The cabinet drawers were on the lower cabinets, below 5 feet. .0604(q) 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. Visual safe sleep checks are not begun when the infant is placed in the crib to rest. Staff reported they don't start the checks until the infant falls asleep. We entered Space 3 at 10:15 and three infants were observed sleeping. Of the three sleeping infants only one infant's visual sleep check had not been documented. At 10:30 the staff were instructed to conduct and document the check by the licensing consultant. .0606(g) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. You have epi pens and auvi-q's on site to administer children, although the medical action plan is on site they were older than 6 months old, written permission to administer the medication was not on site for these medications. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff did not complete the training within the first 90 days of hire. She was hired on 7/24/23 completed the training on 2/21/24. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One staff hired 12/12/2022 did not complete the required health and safety trainings within the first year of employment, she completed them by 4/1/2024. .1102(a) 9995 A violation was found for which there is no item number. Many classrooms were observed with trash cans that did not have lids. This is a violation of sanitation requirement 15A NCAC 18A .2830(a) Compliance Letter: Childcare providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today shall be corrected immediately. Brandy Roberts, administrator, will email a compliance letter explaining how each violation cited today has been corrected. The compliance letter must be received by the consultant, andrea.anderson@dhhs.nc.gov, on or before May 6, 2024. Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Technical Assistance was provided on the following: Classroom Checklists: I highly encourage you to utilize your opening and closing classroom checklists daily. You want to make sure each morning the room is ready to care for children. Utilizing the checklist will ensure you activity plans are posted, material/equipment is in good condition ready for use, outlets are covered, etc. Put a practice in place where you each classroom is conducting these checks prior to children entering the room for care and where administrators are monitoring to ensure they are being completed. I also encourage admin have checklists to use daily to ensure the building is ready for care, checking to make sure hall closets are locked properly, the playground is ready for play, outlets in the hallway covered, lights working properly, each classroom has required information posted, etc. When you find something in poor repair, if you cannot remove the item immediately you must make sure it is inaccessible to children in care until it can be removed, repaired or replaced. Doing these daily checks will also help ensure each interest center has enough material accessible for three children to play independently in each interest center. Staff should notify you when something on the checklist isn't meeting requirements and/or policies. Health and Safety Trainings: You will need to come up with a system to ensure staff are completing the required trainings within the required timeframe. You can accept any health and safety training completed less than a year from hire. Recognizing and responding to suspicions of maltreatment must be completed within the first 90 days of employment, you may want to have staff complete the first week of hire to ensure they complete within the required timeframe. Medications: I reviewed the rules regarding Medical Action plans and permission to administer medication for chronic or life threatening conditions. The medical action plan is valid for a year and provides you with the information of the child's condition, symptoms to look for an how to treat. Any medication on the form should be on site so you can care for the child properly and you need written permission to administer the medication. The permission to administer is valid for 6 months. Children can grow out of their allergies, conditions so you want to ensure the medication is still required and get a new permission to administer every 6 months the child needs the medication. If the medication is no longer required you will get that in writing and place in the child's file. Please contact me if you have any questions Andrea Anderson 12233 Royal Castle Ct Charlotte, NC 28277 andrea.anderson@dhhs.nc.gov (704)594-0039 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0514 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60002773 Consultant: AMY ITALIANO Operation Type: Center Case Number: Visit Date: 9/18/2023 Number Present: 58 Completed Date: 9/18/2023 Age: From 0 To 4 Total Minutes: 255 Time In: 10:15 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance during an Annual Compliance Visit. The facility has a Three Star License issued April 6, 2022. The facility has a compliance history of 77% prior to today’s visit. The last Annual Compliance Visit was conducted September 26, 2022. Upon my arrival I was greeted by Ms. Brandy Roberts, Director. I explained the purpose of today’s visit. Ms. Roberts and I conducted the walk-through. Infants were observed playing on the floor with the caregivers. One (1) infant was sleeping. Safe Sleep Charts and Feeding schedules were monitored and found in compliance Three (3) bottles were not dated. This was corrected. Preschool children were observed in free play, outside play, and preparing for lunch. Teachers were engaged with the children. All groups were in staff/child ratio. Children were adequately supervised, and hazardous products were stored locked. Playgrounds were monitored today and found in compliance. Program records were reviewed and found in compliance. The facility uses one bus for transportation, however there are two buses on site. Both buses were found in compliance. Nine (9) children’s files were monitored, two (2) violations were observed. Seventeen (17) new staff files were monitored, one (1) violation was observed. - The last sanitation inspection was conducted on April 11, 2023, with 8 demerits and a superior rating. - The last fire inspection was completed July 7, 2023. Four (4) violations were observed and discussed with Ms. Roberts during today’s visit. One (1) violation was corrected during today’s visit. Violation Number Comment Rule 533 Breast 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. Three (3) bottles were not dated. 15A NCAC 18A .2804(d) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. One child did not have an acknowledgement on file that the parent received or discussed the operational policies. 10A NCAC 09 .0514(b) 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 child did not have current emergency information on file. .0802(c) 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. An employee who started employment on 1.10.23 did not completed the required training. .1102(g) Corrective Action The childcare provider is expected to always maintain all applicable childcare requirements. The provider will send the following to me on or before October 2, 2023. Ms. Roberts must send a letter explaining what actions were taken to correct the violations cited during the visit. Failure to correct the violations and/or submit the compliance letter to me by the due date listed about may result in an unannounced follow-up visit being conducted to ensure corrections were made. Please mail/email/scan this letter to: Amy Italiano – amy.italiano@dhhs.nc.gov PO Box 659 Waxhaw NC 28173 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: - Ms. Roberts and I discussed that on the playground there is some surfacing that is starting to wear and rip. I suggested she talk with cooperate regarding a budget plan to replace or patch the surfacing. - 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. While the first reassessment year won’t begin until July 1, 2024, the preparation year for cohort one begins July 1, 2023. Your consultant will reach out to you prior to the beginning of the preparation year of your assigned cohort, you are in cohort three and will provide guidance to assist you as you begin the process. If you have questions prior to me reaching out, please don’t hesitate to contact me. Thank you for your time today. If you have any questions, please feel free to contact me at 704-936-6065 or through email at amy.italiano@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 .1801 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60002773 Consultant: AMY ITALIANO Operation Type: Center Case Number: 0823-154L Visit Date: 8/15/2023 Number Present: 88 Completed Date: 8/15/2023 Age: From 0 To 7 Total Minutes: 90 Time In: 12:30 PM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations of childcare requirements during a complaint visit. The facility has a Three-Star License issued April 6, 2022. The last Annual Compliance Visit was conducted September 26, 2023. The facility has a compliance history of 75% prior to today’s visit. Upon my arrival I was greeted by Brandy Roberts, Director and Wendy Clark Assistant Director. I shared the following allegations with Ms. Roberts and Ms. Clark. There is a concern that children were left unattended/unsupervised in a classroom. Administrators were not surprised by today’s visit, since it was a self-report. It was stated that on August 9, 2023, around 4:08 p.m., a teacher ran out of the classroom to the office and was upset, saying “he’s on the floor; he’s on the floor.” She was talking to the reporter in the hallway and said she had to go. The teacher was referring to her 2-year-old son. She had been notified that he was having a seizure. She left the premises. The reporter was speaking with service people about the alarm system at the time. The reporter assumed there was another teacher in the classroom. A parent came in about ten minutes later to pick up her son and saw the students were unsupervised. She reported this to a teacher in the office and the reporter was notified and went to the classroom. There were 10 children (3 and 4 years old) playing with toys in different centers. The reporter stated that they children were okay. There had been no prior incidents of this teacher leaving her group unsupervised. She has been with the center since March 2023. She remains employed but is currently on leave with her child. Ms. Roberts accompanied me on today’s walk-through. Preschool children were observed in outside time and free play. All groups were within staff/child ratio and adequately supervised. Hazardous products were stored locked. I reviewed the video of the above allegation. The children were observed unsupervised for approximately 13 minutes in classroom #8 The children continued to play in activities centers. Based on staff interview, and review of the video the allegation that that children were left unattended/unsupervised in a classroom was substantiated. One (1) violation was observed and cited during today’s visit. Corrective Action The childcare provider is always expected to maintain all applicable childcare requirements. A follow-up visit will be made in the near future. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Ten children aged 3 and 4 years of age were observed unsupervised for approximately 13 minutes in classroom #8. .1801(a)(1-5) Corrective Action The childcare provider is always expected to maintain all applicable childcare requirements. A follow-up visit will be made in the near future. Technical Assistance: - The following rule was reviewed with the administrators. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. . - Ms. Roberts stated that she just returned from vacation is was just made aware of what occurred. She and Ms. Jones plan to discussed the incident and review the supervision policy. I discussed with Ms. Roberts that based on the substantiated complaint an Administrative Action might be issued. Thank you for your time today. If you have any questions or I can help you with anything please free to contact me at 704-936-6065, or email me at amy.italiano@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