Chesterbrook Academy

10A NCAC 09 .0601 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60002826 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 3/10/2026 Number Present: 121 Completed Date: 3/10/2026 Age: From 0 To 5 Total Minutes: 365 Time In: 09:15 AM Time Out: 03:20 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 program currently operates with a four-star license, issued April 6, 2022, earning 4 points in the education component, 6 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by offering a staff benefits package and infrastructure of parent involvement. The last Annual Compliance Visit was conducted March 13, 2025. The facility compliance history is 84% prior to today’s visit. The NC Secretary of State website was reviewed on March 10, 2026, and SEG, Inc. is listed as active-current. Upon arrival I was greeted by Carol Bireley, Director. I stated the purpose of the visit. Lauren Noonan, Office Administrator, was present during the visit. Ms. Bireley and Ms. Noonan assisted me with the visit today. The last sanitation inspection is dated December 2, 2025, with a superior rating. The last fire inspection is dated May 5, 2024. The center was inspected 1/6/2026 however the DCDEE report was not completed and sent to the Division. A violation was cited. A walk-through of the center was completed today, and all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance Permit restrictions were met, and I observed children in approved/adequate space. Each classroom was monitored today. Children were observed participating in free play in activity areas, personal care routines, outdoor play, teacher directed activities, group time, and lunch. Staff were observed interacting with the children in a nurturing and caring manner. In the rooms serving infants and toddlers I observed feeding schedules posted meeting compliance for children enrolled under 15 months. I observed the safe sleep policy posted and in compliance. I monitored safe sleep checks for children under 12 months in compliance. I observed bottles labeled and dated throughout the facility. I monitored topical creams today throughout the facility. A violation was cited. I monitored each room for safe indoor environment and general safety. Please see violations cited for detailed information. The activity plan and attendance were reviewed for each room and found meeting compliance. The program uses Links to Learning and The Creative Curriculum. I observed lesson plans posted and evidence of materials supporting the curriculum and theme in each classroom. Throughout the facility, material and equipment in classrooms was monitored for age appropriateness and good repair. I monitored all outdoor play areas and cited violations. Please see violations for details. There are seven (7) children enrolled currently with emergency medications. Violations were cited. Ten percent of children’s records were monitored. Violations were cited. Posted items required were observed and met compliance. Program records were reviewed. The last fire drill was conducted on March 6, 2026. The last shelter in place was conducted January 31, 2026. The playground inspections and the incident log were in compliance. The EPR is April 15, 2025, and the ready to go file was monitored and found in compliance. The staff and training worksheet was provided and used to review staff files. All new staff files were reviewed, and ten (10) percent of veteran staff files were reviewed. Nine (9) new staff have been hired since the last annual compliance visit. Violations were cited. The center does not have a current roster in ABCMS. A violation was cited. The center does not provide transportation. The following violations were cited today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection on file is dated May 5, 2024. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Five (5) children did not have a summary on file signed and dated on or before enrollment. GS 110-102 807 A safe indoor and outdoor environment was not provided for the children. In Spaces 6, 7, 8 and 9 rusty bolts were exposed on the toilets. In Space 7, broken tile was observed at the threshold of the door and in the bathroom. Fungal growth was observed on the white picket fence located next to the bike trail playground. The border was cracked with sharp edges and bolts were rusted on the border on the playground serving preschool children. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. In Space 1, A permission to administer form named Epi-pen as medication and gave instructions for Cetrizine dosage only. In Space 2, Cortisone and Vicks did not have a permission to administer form signed by a physician stating that a child under two (2) years old had been prescribed the topical ointments. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 4, an Auvi-Q was observed expired 8/25/2025. .0803(12) 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. An employee hired 2/9/2026 has a medical assessment on file dated 1/2/2025. 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. An employee hired 2/9/2026 has a TB test on file dated 1/2/2025. An employee hired 9/14/2015 did not have a TB Test on file. .0701(a) 1303 Application was not signed by the parent. One (1) child did not have an application on file signed and dated. 10A NCAC 09 .0801(a) 1310 The completed, signed application was not on file on the first day each child attends. Five (5) children did not have an application on file signed and dated on or before enrollment. .0801(a) 1318 Medical authorization was not present on child's first day. Three (3) children did not have a summary on file signed and dated on or before enrollment. .0802(d) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The facility has no ABCMS roster. G.S. 110-90.2 & .2703(r) 1867 The depth of the loose surfacing was not based on critical height of the equipment. There is not sufficient mulch for critical height on the playground serving preschoolers. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space 5, a permission to administer form was not provided for a child requiring emergency medication. In Space 7, a child requiring emergency medication did not have a parent signature on the FARE. .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. Two employees have a certificate on file over one year old. One employee hired 2/23/2026 has a certificate on file dated 1/11/2024. One employees hired 5/13/2025 has a certificate on file dated 11/10/2023. .1102(g) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Five 95) children did not have a policy on file signed and dated on or before enrollment. .0608(b)(1-6) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before March 24, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware that 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. Please email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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 Staff and Children’s Records We discussed that the date of enrollment and date of employment should be monitored closely to maintain compliance with any signatures required to be on or before the first date of enrollment for a child and employment for a staff. The staff and children’s worksheets from today’s visit will help you to determine what documents are required on or before enrollment and employment. We discussed veteran employee files. Please get your application and orientation on file in your employee file as well as a medical assessment and TB test for the veteran employee hired 9/14/2025. Administration of Medication We discussed the importance of signatures, dates and expiration dates on all forms. Please review the agenda I recently provided for the Provider Meeting conducted in February for centers. I recommend you attend all Provider Meetings in the future to assist with understanding of child Care rules as well as how the Division monitors during your visits. QRIS – Pathway to the Stars We discussed that the center has not determined the Pathway. I reminded you that the timeline requires that all centers have applied for the new licenses on or before December 31, 2026. At that time if the center has not completed the application, a one-star license will be issued. I will follow up with you in two weeks to determine the pathway chosen and the next steps for your facility. The best way to see the requirements for each Pathway is to access the Application for Star Rated Assessments located under Provider Documents and Forms on our website. There is one application for all three pathways. Required documents can be reviewed for each Pathway here. ABCMS (Criminal Background System): We discussed that you have no roster to review in ABCMS. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119 As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. I will email you the most current ABCMS Technical Assistance sheet which will inclide support information for NCID. Emergency Drill Logs/Inspections We discussed conducting the shelter in place /lockdown drill at least every three months. There was a period of almost 5 months between drills from July 24, 2025 to December 22, 2025. I did not cite a violation today. We discussed that a fire inspection is due annually and the NCDCDEE form must be completed and emailed to me within one week of the inspection. Plastic Bags We discussed purchasing silicone bags for your diaper creams and training all staff regarding food storage in baggies stored in baskets on counter or in backpacks in the rooms serving children under three years old. A violation was not cited today since this was an isolated incident in the room serving infants only. 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. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60002826 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 3/10/2026 Number Present: 121 Completed Date: 3/10/2026 Age: From 0 To 5 Total Minutes: 365 Time In: 09:15 AM Time Out: 03:20 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 program currently operates with a four-star license, issued April 6, 2022, earning 4 points in the education component, 6 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by offering a staff benefits package and infrastructure of parent involvement. The last Annual Compliance Visit was conducted March 13, 2025. The facility compliance history is 84% prior to today’s visit. The NC Secretary of State website was reviewed on March 10, 2026, and SEG, Inc. is listed as active-current. Upon arrival I was greeted by Carol Bireley, Director. I stated the purpose of the visit. Lauren Noonan, Office Administrator, was present during the visit. Ms. Bireley and Ms. Noonan assisted me with the visit today. The last sanitation inspection is dated December 2, 2025, with a superior rating. The last fire inspection is dated May 5, 2024. The center was inspected 1/6/2026 however the DCDEE report was not completed and sent to the Division. A violation was cited. A walk-through of the center was completed today, and all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance Permit restrictions were met, and I observed children in approved/adequate space. Each classroom was monitored today. Children were observed participating in free play in activity areas, personal care routines, outdoor play, teacher directed activities, group time, and lunch. Staff were observed interacting with the children in a nurturing and caring manner. In the rooms serving infants and toddlers I observed feeding schedules posted meeting compliance for children enrolled under 15 months. I observed the safe sleep policy posted and in compliance. I monitored safe sleep checks for children under 12 months in compliance. I observed bottles labeled and dated throughout the facility. I monitored topical creams today throughout the facility. A violation was cited. I monitored each room for safe indoor environment and general safety. Please see violations cited for detailed information. The activity plan and attendance were reviewed for each room and found meeting compliance. The program uses Links to Learning and The Creative Curriculum. I observed lesson plans posted and evidence of materials supporting the curriculum and theme in each classroom. Throughout the facility, material and equipment in classrooms was monitored for age appropriateness and good repair. I monitored all outdoor play areas and cited violations. Please see violations for details. There are seven (7) children enrolled currently with emergency medications. Violations were cited. Ten percent of children’s records were monitored. Violations were cited. Posted items required were observed and met compliance. Program records were reviewed. The last fire drill was conducted on March 6, 2026. The last shelter in place was conducted January 31, 2026. The playground inspections and the incident log were in compliance. The EPR is April 15, 2025, and the ready to go file was monitored and found in compliance. The staff and training worksheet was provided and used to review staff files. All new staff files were reviewed, and ten (10) percent of veteran staff files were reviewed. Nine (9) new staff have been hired since the last annual compliance visit. Violations were cited. The center does not have a current roster in ABCMS. A violation was cited. The center does not provide transportation. The following violations were cited today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection on file is dated May 5, 2024. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Five (5) children did not have a summary on file signed and dated on or before enrollment. GS 110-102 807 A safe indoor and outdoor environment was not provided for the children. In Spaces 6, 7, 8 and 9 rusty bolts were exposed on the toilets. In Space 7, broken tile was observed at the threshold of the door and in the bathroom. Fungal growth was observed on the white picket fence located next to the bike trail playground. The border was cracked with sharp edges and bolts were rusted on the border on the playground serving preschool children. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. In Space 1, A permission to administer form named Epi-pen as medication and gave instructions for Cetrizine dosage only. In Space 2, Cortisone and Vicks did not have a permission to administer form signed by a physician stating that a child under two (2) years old had been prescribed the topical ointments. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 4, an Auvi-Q was observed expired 8/25/2025. .0803(12) 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. An employee hired 2/9/2026 has a medical assessment on file dated 1/2/2025. 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. An employee hired 2/9/2026 has a TB test on file dated 1/2/2025. An employee hired 9/14/2015 did not have a TB Test on file. .0701(a) 1303 Application was not signed by the parent. One (1) child did not have an application on file signed and dated. 10A NCAC 09 .0801(a) 1310 The completed, signed application was not on file on the first day each child attends. Five (5) children did not have an application on file signed and dated on or before enrollment. .0801(a) 1318 Medical authorization was not present on child's first day. Three (3) children did not have a summary on file signed and dated on or before enrollment. .0802(d) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The facility has no ABCMS roster. G.S. 110-90.2 & .2703(r) 1867 The depth of the loose surfacing was not based on critical height of the equipment. There is not sufficient mulch for critical height on the playground serving preschoolers. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space 5, a permission to administer form was not provided for a child requiring emergency medication. In Space 7, a child requiring emergency medication did not have a parent signature on the FARE. .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. Two employees have a certificate on file over one year old. One employee hired 2/23/2026 has a certificate on file dated 1/11/2024. One employees hired 5/13/2025 has a certificate on file dated 11/10/2023. .1102(g) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Five 95) children did not have a policy on file signed and dated on or before enrollment. .0608(b)(1-6) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before March 24, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware that 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. Please email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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 Staff and Children’s Records We discussed that the date of enrollment and date of employment should be monitored closely to maintain compliance with any signatures required to be on or before the first date of enrollment for a child and employment for a staff. The staff and children’s worksheets from today’s visit will help you to determine what documents are required on or before enrollment and employment. We discussed veteran employee files. Please get your application and orientation on file in your employee file as well as a medical assessment and TB test for the veteran employee hired 9/14/2025. Administration of Medication We discussed the importance of signatures, dates and expiration dates on all forms. Please review the agenda I recently provided for the Provider Meeting conducted in February for centers. I recommend you attend all Provider Meetings in the future to assist with understanding of child Care rules as well as how the Division monitors during your visits. QRIS – Pathway to the Stars We discussed that the center has not determined the Pathway. I reminded you that the timeline requires that all centers have applied for the new licenses on or before December 31, 2026. At that time if the center has not completed the application, a one-star license will be issued. I will follow up with you in two weeks to determine the pathway chosen and the next steps for your facility. The best way to see the requirements for each Pathway is to access the Application for Star Rated Assessments located under Provider Documents and Forms on our website. There is one application for all three pathways. Required documents can be reviewed for each Pathway here. ABCMS (Criminal Background System): We discussed that you have no roster to review in ABCMS. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119 As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. I will email you the most current ABCMS Technical Assistance sheet which will inclide support information for NCID. Emergency Drill Logs/Inspections We discussed conducting the shelter in place /lockdown drill at least every three months. There was a period of almost 5 months between drills from July 24, 2025 to December 22, 2025. I did not cite a violation today. We discussed that a fire inspection is due annually and the NCDCDEE form must be completed and emailed to me within one week of the inspection. Plastic Bags We discussed purchasing silicone bags for your diaper creams and training all staff regarding food storage in baggies stored in baskets on counter or in backpacks in the rooms serving children under three years old. A violation was not cited today since this was an isolated incident in the room serving infants only. 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. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: 60002826 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 3/10/2026 Number Present: 121 Completed Date: 3/10/2026 Age: From 0 To 5 Total Minutes: 365 Time In: 09:15 AM Time Out: 03:20 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 program currently operates with a four-star license, issued April 6, 2022, earning 4 points in the education component, 6 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by offering a staff benefits package and infrastructure of parent involvement. The last Annual Compliance Visit was conducted March 13, 2025. The facility compliance history is 84% prior to today’s visit. The NC Secretary of State website was reviewed on March 10, 2026, and SEG, Inc. is listed as active-current. Upon arrival I was greeted by Carol Bireley, Director. I stated the purpose of the visit. Lauren Noonan, Office Administrator, was present during the visit. Ms. Bireley and Ms. Noonan assisted me with the visit today. The last sanitation inspection is dated December 2, 2025, with a superior rating. The last fire inspection is dated May 5, 2024. The center was inspected 1/6/2026 however the DCDEE report was not completed and sent to the Division. A violation was cited. A walk-through of the center was completed today, and all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance Permit restrictions were met, and I observed children in approved/adequate space. Each classroom was monitored today. Children were observed participating in free play in activity areas, personal care routines, outdoor play, teacher directed activities, group time, and lunch. Staff were observed interacting with the children in a nurturing and caring manner. In the rooms serving infants and toddlers I observed feeding schedules posted meeting compliance for children enrolled under 15 months. I observed the safe sleep policy posted and in compliance. I monitored safe sleep checks for children under 12 months in compliance. I observed bottles labeled and dated throughout the facility. I monitored topical creams today throughout the facility. A violation was cited. I monitored each room for safe indoor environment and general safety. Please see violations cited for detailed information. The activity plan and attendance were reviewed for each room and found meeting compliance. The program uses Links to Learning and The Creative Curriculum. I observed lesson plans posted and evidence of materials supporting the curriculum and theme in each classroom. Throughout the facility, material and equipment in classrooms was monitored for age appropriateness and good repair. I monitored all outdoor play areas and cited violations. Please see violations for details. There are seven (7) children enrolled currently with emergency medications. Violations were cited. Ten percent of children’s records were monitored. Violations were cited. Posted items required were observed and met compliance. Program records were reviewed. The last fire drill was conducted on March 6, 2026. The last shelter in place was conducted January 31, 2026. The playground inspections and the incident log were in compliance. The EPR is April 15, 2025, and the ready to go file was monitored and found in compliance. The staff and training worksheet was provided and used to review staff files. All new staff files were reviewed, and ten (10) percent of veteran staff files were reviewed. Nine (9) new staff have been hired since the last annual compliance visit. Violations were cited. The center does not have a current roster in ABCMS. A violation was cited. The center does not provide transportation. The following violations were cited today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection on file is dated May 5, 2024. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Five (5) children did not have a summary on file signed and dated on or before enrollment. GS 110-102 807 A safe indoor and outdoor environment was not provided for the children. In Spaces 6, 7, 8 and 9 rusty bolts were exposed on the toilets. In Space 7, broken tile was observed at the threshold of the door and in the bathroom. Fungal growth was observed on the white picket fence located next to the bike trail playground. The border was cracked with sharp edges and bolts were rusted on the border on the playground serving preschool children. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. In Space 1, A permission to administer form named Epi-pen as medication and gave instructions for Cetrizine dosage only. In Space 2, Cortisone and Vicks did not have a permission to administer form signed by a physician stating that a child under two (2) years old had been prescribed the topical ointments. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 4, an Auvi-Q was observed expired 8/25/2025. .0803(12) 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. An employee hired 2/9/2026 has a medical assessment on file dated 1/2/2025. 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. An employee hired 2/9/2026 has a TB test on file dated 1/2/2025. An employee hired 9/14/2015 did not have a TB Test on file. .0701(a) 1303 Application was not signed by the parent. One (1) child did not have an application on file signed and dated. 10A NCAC 09 .0801(a) 1310 The completed, signed application was not on file on the first day each child attends. Five (5) children did not have an application on file signed and dated on or before enrollment. .0801(a) 1318 Medical authorization was not present on child's first day. Three (3) children did not have a summary on file signed and dated on or before enrollment. .0802(d) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The facility has no ABCMS roster. G.S. 110-90.2 & .2703(r) 1867 The depth of the loose surfacing was not based on critical height of the equipment. There is not sufficient mulch for critical height on the playground serving preschoolers. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space 5, a permission to administer form was not provided for a child requiring emergency medication. In Space 7, a child requiring emergency medication did not have a parent signature on the FARE. .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. Two employees have a certificate on file over one year old. One employee hired 2/23/2026 has a certificate on file dated 1/11/2024. One employees hired 5/13/2025 has a certificate on file dated 11/10/2023. .1102(g) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Five 95) children did not have a policy on file signed and dated on or before enrollment. .0608(b)(1-6) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before March 24, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware that 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. Please email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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 Staff and Children’s Records We discussed that the date of enrollment and date of employment should be monitored closely to maintain compliance with any signatures required to be on or before the first date of enrollment for a child and employment for a staff. The staff and children’s worksheets from today’s visit will help you to determine what documents are required on or before enrollment and employment. We discussed veteran employee files. Please get your application and orientation on file in your employee file as well as a medical assessment and TB test for the veteran employee hired 9/14/2025. Administration of Medication We discussed the importance of signatures, dates and expiration dates on all forms. Please review the agenda I recently provided for the Provider Meeting conducted in February for centers. I recommend you attend all Provider Meetings in the future to assist with understanding of child Care rules as well as how the Division monitors during your visits. QRIS – Pathway to the Stars We discussed that the center has not determined the Pathway. I reminded you that the timeline requires that all centers have applied for the new licenses on or before December 31, 2026. At that time if the center has not completed the application, a one-star license will be issued. I will follow up with you in two weeks to determine the pathway chosen and the next steps for your facility. The best way to see the requirements for each Pathway is to access the Application for Star Rated Assessments located under Provider Documents and Forms on our website. There is one application for all three pathways. Required documents can be reviewed for each Pathway here. ABCMS (Criminal Background System): We discussed that you have no roster to review in ABCMS. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119 As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. I will email you the most current ABCMS Technical Assistance sheet which will inclide support information for NCID. Emergency Drill Logs/Inspections We discussed conducting the shelter in place /lockdown drill at least every three months. There was a period of almost 5 months between drills from July 24, 2025 to December 22, 2025. I did not cite a violation today. We discussed that a fire inspection is due annually and the NCDCDEE form must be completed and emailed to me within one week of the inspection. Plastic Bags We discussed purchasing silicone bags for your diaper creams and training all staff regarding food storage in baggies stored in baskets on counter or in backpacks in the rooms serving children under three years old. A violation was not cited today since this was an isolated incident in the room serving infants only. 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. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0801 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60002826 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 3/10/2026 Number Present: 121 Completed Date: 3/10/2026 Age: From 0 To 5 Total Minutes: 365 Time In: 09:15 AM Time Out: 03:20 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 program currently operates with a four-star license, issued April 6, 2022, earning 4 points in the education component, 6 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by offering a staff benefits package and infrastructure of parent involvement. The last Annual Compliance Visit was conducted March 13, 2025. The facility compliance history is 84% prior to today’s visit. The NC Secretary of State website was reviewed on March 10, 2026, and SEG, Inc. is listed as active-current. Upon arrival I was greeted by Carol Bireley, Director. I stated the purpose of the visit. Lauren Noonan, Office Administrator, was present during the visit. Ms. Bireley and Ms. Noonan assisted me with the visit today. The last sanitation inspection is dated December 2, 2025, with a superior rating. The last fire inspection is dated May 5, 2024. The center was inspected 1/6/2026 however the DCDEE report was not completed and sent to the Division. A violation was cited. A walk-through of the center was completed today, and all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance Permit restrictions were met, and I observed children in approved/adequate space. Each classroom was monitored today. Children were observed participating in free play in activity areas, personal care routines, outdoor play, teacher directed activities, group time, and lunch. Staff were observed interacting with the children in a nurturing and caring manner. In the rooms serving infants and toddlers I observed feeding schedules posted meeting compliance for children enrolled under 15 months. I observed the safe sleep policy posted and in compliance. I monitored safe sleep checks for children under 12 months in compliance. I observed bottles labeled and dated throughout the facility. I monitored topical creams today throughout the facility. A violation was cited. I monitored each room for safe indoor environment and general safety. Please see violations cited for detailed information. The activity plan and attendance were reviewed for each room and found meeting compliance. The program uses Links to Learning and The Creative Curriculum. I observed lesson plans posted and evidence of materials supporting the curriculum and theme in each classroom. Throughout the facility, material and equipment in classrooms was monitored for age appropriateness and good repair. I monitored all outdoor play areas and cited violations. Please see violations for details. There are seven (7) children enrolled currently with emergency medications. Violations were cited. Ten percent of children’s records were monitored. Violations were cited. Posted items required were observed and met compliance. Program records were reviewed. The last fire drill was conducted on March 6, 2026. The last shelter in place was conducted January 31, 2026. The playground inspections and the incident log were in compliance. The EPR is April 15, 2025, and the ready to go file was monitored and found in compliance. The staff and training worksheet was provided and used to review staff files. All new staff files were reviewed, and ten (10) percent of veteran staff files were reviewed. Nine (9) new staff have been hired since the last annual compliance visit. Violations were cited. The center does not have a current roster in ABCMS. A violation was cited. The center does not provide transportation. The following violations were cited today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection on file is dated May 5, 2024. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Five (5) children did not have a summary on file signed and dated on or before enrollment. GS 110-102 807 A safe indoor and outdoor environment was not provided for the children. In Spaces 6, 7, 8 and 9 rusty bolts were exposed on the toilets. In Space 7, broken tile was observed at the threshold of the door and in the bathroom. Fungal growth was observed on the white picket fence located next to the bike trail playground. The border was cracked with sharp edges and bolts were rusted on the border on the playground serving preschool children. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. In Space 1, A permission to administer form named Epi-pen as medication and gave instructions for Cetrizine dosage only. In Space 2, Cortisone and Vicks did not have a permission to administer form signed by a physician stating that a child under two (2) years old had been prescribed the topical ointments. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 4, an Auvi-Q was observed expired 8/25/2025. .0803(12) 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. An employee hired 2/9/2026 has a medical assessment on file dated 1/2/2025. 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. An employee hired 2/9/2026 has a TB test on file dated 1/2/2025. An employee hired 9/14/2015 did not have a TB Test on file. .0701(a) 1303 Application was not signed by the parent. One (1) child did not have an application on file signed and dated. 10A NCAC 09 .0801(a) 1310 The completed, signed application was not on file on the first day each child attends. Five (5) children did not have an application on file signed and dated on or before enrollment. .0801(a) 1318 Medical authorization was not present on child's first day. Three (3) children did not have a summary on file signed and dated on or before enrollment. .0802(d) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The facility has no ABCMS roster. G.S. 110-90.2 & .2703(r) 1867 The depth of the loose surfacing was not based on critical height of the equipment. There is not sufficient mulch for critical height on the playground serving preschoolers. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space 5, a permission to administer form was not provided for a child requiring emergency medication. In Space 7, a child requiring emergency medication did not have a parent signature on the FARE. .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. Two employees have a certificate on file over one year old. One employee hired 2/23/2026 has a certificate on file dated 1/11/2024. One employees hired 5/13/2025 has a certificate on file dated 11/10/2023. .1102(g) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Five 95) children did not have a policy on file signed and dated on or before enrollment. .0608(b)(1-6) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before March 24, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware that 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. Please email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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 Staff and Children’s Records We discussed that the date of enrollment and date of employment should be monitored closely to maintain compliance with any signatures required to be on or before the first date of enrollment for a child and employment for a staff. The staff and children’s worksheets from today’s visit will help you to determine what documents are required on or before enrollment and employment. We discussed veteran employee files. Please get your application and orientation on file in your employee file as well as a medical assessment and TB test for the veteran employee hired 9/14/2025. Administration of Medication We discussed the importance of signatures, dates and expiration dates on all forms. Please review the agenda I recently provided for the Provider Meeting conducted in February for centers. I recommend you attend all Provider Meetings in the future to assist with understanding of child Care rules as well as how the Division monitors during your visits. QRIS – Pathway to the Stars We discussed that the center has not determined the Pathway. I reminded you that the timeline requires that all centers have applied for the new licenses on or before December 31, 2026. At that time if the center has not completed the application, a one-star license will be issued. I will follow up with you in two weeks to determine the pathway chosen and the next steps for your facility. The best way to see the requirements for each Pathway is to access the Application for Star Rated Assessments located under Provider Documents and Forms on our website. There is one application for all three pathways. Required documents can be reviewed for each Pathway here. ABCMS (Criminal Background System): We discussed that you have no roster to review in ABCMS. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119 As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. I will email you the most current ABCMS Technical Assistance sheet which will inclide support information for NCID. Emergency Drill Logs/Inspections We discussed conducting the shelter in place /lockdown drill at least every three months. There was a period of almost 5 months between drills from July 24, 2025 to December 22, 2025. I did not cite a violation today. We discussed that a fire inspection is due annually and the NCDCDEE form must be completed and emailed to me within one week of the inspection. Plastic Bags We discussed purchasing silicone bags for your diaper creams and training all staff regarding food storage in baggies stored in baskets on counter or in backpacks in the rooms serving children under three years old. A violation was not cited today since this was an isolated incident in the room serving infants only. 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. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: 60002826 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 3/10/2026 Number Present: 121 Completed Date: 3/10/2026 Age: From 0 To 5 Total Minutes: 365 Time In: 09:15 AM Time Out: 03:20 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 program currently operates with a four-star license, issued April 6, 2022, earning 4 points in the education component, 6 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by offering a staff benefits package and infrastructure of parent involvement. The last Annual Compliance Visit was conducted March 13, 2025. The facility compliance history is 84% prior to today’s visit. The NC Secretary of State website was reviewed on March 10, 2026, and SEG, Inc. is listed as active-current. Upon arrival I was greeted by Carol Bireley, Director. I stated the purpose of the visit. Lauren Noonan, Office Administrator, was present during the visit. Ms. Bireley and Ms. Noonan assisted me with the visit today. The last sanitation inspection is dated December 2, 2025, with a superior rating. The last fire inspection is dated May 5, 2024. The center was inspected 1/6/2026 however the DCDEE report was not completed and sent to the Division. A violation was cited. A walk-through of the center was completed today, and all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance Permit restrictions were met, and I observed children in approved/adequate space. Each classroom was monitored today. Children were observed participating in free play in activity areas, personal care routines, outdoor play, teacher directed activities, group time, and lunch. Staff were observed interacting with the children in a nurturing and caring manner. In the rooms serving infants and toddlers I observed feeding schedules posted meeting compliance for children enrolled under 15 months. I observed the safe sleep policy posted and in compliance. I monitored safe sleep checks for children under 12 months in compliance. I observed bottles labeled and dated throughout the facility. I monitored topical creams today throughout the facility. A violation was cited. I monitored each room for safe indoor environment and general safety. Please see violations cited for detailed information. The activity plan and attendance were reviewed for each room and found meeting compliance. The program uses Links to Learning and The Creative Curriculum. I observed lesson plans posted and evidence of materials supporting the curriculum and theme in each classroom. Throughout the facility, material and equipment in classrooms was monitored for age appropriateness and good repair. I monitored all outdoor play areas and cited violations. Please see violations for details. There are seven (7) children enrolled currently with emergency medications. Violations were cited. Ten percent of children’s records were monitored. Violations were cited. Posted items required were observed and met compliance. Program records were reviewed. The last fire drill was conducted on March 6, 2026. The last shelter in place was conducted January 31, 2026. The playground inspections and the incident log were in compliance. The EPR is April 15, 2025, and the ready to go file was monitored and found in compliance. The staff and training worksheet was provided and used to review staff files. All new staff files were reviewed, and ten (10) percent of veteran staff files were reviewed. Nine (9) new staff have been hired since the last annual compliance visit. Violations were cited. The center does not have a current roster in ABCMS. A violation was cited. The center does not provide transportation. The following violations were cited today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection on file is dated May 5, 2024. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Five (5) children did not have a summary on file signed and dated on or before enrollment. GS 110-102 807 A safe indoor and outdoor environment was not provided for the children. In Spaces 6, 7, 8 and 9 rusty bolts were exposed on the toilets. In Space 7, broken tile was observed at the threshold of the door and in the bathroom. Fungal growth was observed on the white picket fence located next to the bike trail playground. The border was cracked with sharp edges and bolts were rusted on the border on the playground serving preschool children. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. In Space 1, A permission to administer form named Epi-pen as medication and gave instructions for Cetrizine dosage only. In Space 2, Cortisone and Vicks did not have a permission to administer form signed by a physician stating that a child under two (2) years old had been prescribed the topical ointments. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 4, an Auvi-Q was observed expired 8/25/2025. .0803(12) 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. An employee hired 2/9/2026 has a medical assessment on file dated 1/2/2025. 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. An employee hired 2/9/2026 has a TB test on file dated 1/2/2025. An employee hired 9/14/2015 did not have a TB Test on file. .0701(a) 1303 Application was not signed by the parent. One (1) child did not have an application on file signed and dated. 10A NCAC 09 .0801(a) 1310 The completed, signed application was not on file on the first day each child attends. Five (5) children did not have an application on file signed and dated on or before enrollment. .0801(a) 1318 Medical authorization was not present on child's first day. Three (3) children did not have a summary on file signed and dated on or before enrollment. .0802(d) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The facility has no ABCMS roster. G.S. 110-90.2 & .2703(r) 1867 The depth of the loose surfacing was not based on critical height of the equipment. There is not sufficient mulch for critical height on the playground serving preschoolers. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space 5, a permission to administer form was not provided for a child requiring emergency medication. In Space 7, a child requiring emergency medication did not have a parent signature on the FARE. .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. Two employees have a certificate on file over one year old. One employee hired 2/23/2026 has a certificate on file dated 1/11/2024. One employees hired 5/13/2025 has a certificate on file dated 11/10/2023. .1102(g) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Five 95) children did not have a policy on file signed and dated on or before enrollment. .0608(b)(1-6) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before March 24, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware that 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. Please email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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 Staff and Children’s Records We discussed that the date of enrollment and date of employment should be monitored closely to maintain compliance with any signatures required to be on or before the first date of enrollment for a child and employment for a staff. The staff and children’s worksheets from today’s visit will help you to determine what documents are required on or before enrollment and employment. We discussed veteran employee files. Please get your application and orientation on file in your employee file as well as a medical assessment and TB test for the veteran employee hired 9/14/2025. Administration of Medication We discussed the importance of signatures, dates and expiration dates on all forms. Please review the agenda I recently provided for the Provider Meeting conducted in February for centers. I recommend you attend all Provider Meetings in the future to assist with understanding of child Care rules as well as how the Division monitors during your visits. QRIS – Pathway to the Stars We discussed that the center has not determined the Pathway. I reminded you that the timeline requires that all centers have applied for the new licenses on or before December 31, 2026. At that time if the center has not completed the application, a one-star license will be issued. I will follow up with you in two weeks to determine the pathway chosen and the next steps for your facility. The best way to see the requirements for each Pathway is to access the Application for Star Rated Assessments located under Provider Documents and Forms on our website. There is one application for all three pathways. Required documents can be reviewed for each Pathway here. ABCMS (Criminal Background System): We discussed that you have no roster to review in ABCMS. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119 As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. I will email you the most current ABCMS Technical Assistance sheet which will inclide support information for NCID. Emergency Drill Logs/Inspections We discussed conducting the shelter in place /lockdown drill at least every three months. There was a period of almost 5 months between drills from July 24, 2025 to December 22, 2025. I did not cite a violation today. We discussed that a fire inspection is due annually and the NCDCDEE form must be completed and emailed to me within one week of the inspection. Plastic Bags We discussed purchasing silicone bags for your diaper creams and training all staff regarding food storage in baggies stored in baskets on counter or in backpacks in the rooms serving children under three years old. A violation was not cited today since this was an isolated incident in the room serving infants only. 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. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60002826 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 3/10/2026 Number Present: 121 Completed Date: 3/10/2026 Age: From 0 To 5 Total Minutes: 365 Time In: 09:15 AM Time Out: 03:20 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 program currently operates with a four-star license, issued April 6, 2022, earning 4 points in the education component, 6 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by offering a staff benefits package and infrastructure of parent involvement. The last Annual Compliance Visit was conducted March 13, 2025. The facility compliance history is 84% prior to today’s visit. The NC Secretary of State website was reviewed on March 10, 2026, and SEG, Inc. is listed as active-current. Upon arrival I was greeted by Carol Bireley, Director. I stated the purpose of the visit. Lauren Noonan, Office Administrator, was present during the visit. Ms. Bireley and Ms. Noonan assisted me with the visit today. The last sanitation inspection is dated December 2, 2025, with a superior rating. The last fire inspection is dated May 5, 2024. The center was inspected 1/6/2026 however the DCDEE report was not completed and sent to the Division. A violation was cited. A walk-through of the center was completed today, and all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance Permit restrictions were met, and I observed children in approved/adequate space. Each classroom was monitored today. Children were observed participating in free play in activity areas, personal care routines, outdoor play, teacher directed activities, group time, and lunch. Staff were observed interacting with the children in a nurturing and caring manner. In the rooms serving infants and toddlers I observed feeding schedules posted meeting compliance for children enrolled under 15 months. I observed the safe sleep policy posted and in compliance. I monitored safe sleep checks for children under 12 months in compliance. I observed bottles labeled and dated throughout the facility. I monitored topical creams today throughout the facility. A violation was cited. I monitored each room for safe indoor environment and general safety. Please see violations cited for detailed information. The activity plan and attendance were reviewed for each room and found meeting compliance. The program uses Links to Learning and The Creative Curriculum. I observed lesson plans posted and evidence of materials supporting the curriculum and theme in each classroom. Throughout the facility, material and equipment in classrooms was monitored for age appropriateness and good repair. I monitored all outdoor play areas and cited violations. Please see violations for details. There are seven (7) children enrolled currently with emergency medications. Violations were cited. Ten percent of children’s records were monitored. Violations were cited. Posted items required were observed and met compliance. Program records were reviewed. The last fire drill was conducted on March 6, 2026. The last shelter in place was conducted January 31, 2026. The playground inspections and the incident log were in compliance. The EPR is April 15, 2025, and the ready to go file was monitored and found in compliance. The staff and training worksheet was provided and used to review staff files. All new staff files were reviewed, and ten (10) percent of veteran staff files were reviewed. Nine (9) new staff have been hired since the last annual compliance visit. Violations were cited. The center does not have a current roster in ABCMS. A violation was cited. The center does not provide transportation. The following violations were cited today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection on file is dated May 5, 2024. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Five (5) children did not have a summary on file signed and dated on or before enrollment. GS 110-102 807 A safe indoor and outdoor environment was not provided for the children. In Spaces 6, 7, 8 and 9 rusty bolts were exposed on the toilets. In Space 7, broken tile was observed at the threshold of the door and in the bathroom. Fungal growth was observed on the white picket fence located next to the bike trail playground. The border was cracked with sharp edges and bolts were rusted on the border on the playground serving preschool children. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. In Space 1, A permission to administer form named Epi-pen as medication and gave instructions for Cetrizine dosage only. In Space 2, Cortisone and Vicks did not have a permission to administer form signed by a physician stating that a child under two (2) years old had been prescribed the topical ointments. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 4, an Auvi-Q was observed expired 8/25/2025. .0803(12) 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. An employee hired 2/9/2026 has a medical assessment on file dated 1/2/2025. 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. An employee hired 2/9/2026 has a TB test on file dated 1/2/2025. An employee hired 9/14/2015 did not have a TB Test on file. .0701(a) 1303 Application was not signed by the parent. One (1) child did not have an application on file signed and dated. 10A NCAC 09 .0801(a) 1310 The completed, signed application was not on file on the first day each child attends. Five (5) children did not have an application on file signed and dated on or before enrollment. .0801(a) 1318 Medical authorization was not present on child's first day. Three (3) children did not have a summary on file signed and dated on or before enrollment. .0802(d) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The facility has no ABCMS roster. G.S. 110-90.2 & .2703(r) 1867 The depth of the loose surfacing was not based on critical height of the equipment. There is not sufficient mulch for critical height on the playground serving preschoolers. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space 5, a permission to administer form was not provided for a child requiring emergency medication. In Space 7, a child requiring emergency medication did not have a parent signature on the FARE. .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. Two employees have a certificate on file over one year old. One employee hired 2/23/2026 has a certificate on file dated 1/11/2024. One employees hired 5/13/2025 has a certificate on file dated 11/10/2023. .1102(g) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Five 95) children did not have a policy on file signed and dated on or before enrollment. .0608(b)(1-6) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before March 24, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware that 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. Please email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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 Staff and Children’s Records We discussed that the date of enrollment and date of employment should be monitored closely to maintain compliance with any signatures required to be on or before the first date of enrollment for a child and employment for a staff. The staff and children’s worksheets from today’s visit will help you to determine what documents are required on or before enrollment and employment. We discussed veteran employee files. Please get your application and orientation on file in your employee file as well as a medical assessment and TB test for the veteran employee hired 9/14/2025. Administration of Medication We discussed the importance of signatures, dates and expiration dates on all forms. Please review the agenda I recently provided for the Provider Meeting conducted in February for centers. I recommend you attend all Provider Meetings in the future to assist with understanding of child Care rules as well as how the Division monitors during your visits. QRIS – Pathway to the Stars We discussed that the center has not determined the Pathway. I reminded you that the timeline requires that all centers have applied for the new licenses on or before December 31, 2026. At that time if the center has not completed the application, a one-star license will be issued. I will follow up with you in two weeks to determine the pathway chosen and the next steps for your facility. The best way to see the requirements for each Pathway is to access the Application for Star Rated Assessments located under Provider Documents and Forms on our website. There is one application for all three pathways. Required documents can be reviewed for each Pathway here. ABCMS (Criminal Background System): We discussed that you have no roster to review in ABCMS. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119 As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. I will email you the most current ABCMS Technical Assistance sheet which will inclide support information for NCID. Emergency Drill Logs/Inspections We discussed conducting the shelter in place /lockdown drill at least every three months. There was a period of almost 5 months between drills from July 24, 2025 to December 22, 2025. I did not cite a violation today. We discussed that a fire inspection is due annually and the NCDCDEE form must be completed and emailed to me within one week of the inspection. Plastic Bags We discussed purchasing silicone bags for your diaper creams and training all staff regarding food storage in baggies stored in baskets on counter or in backpacks in the rooms serving children under three years old. A violation was not cited today since this was an isolated incident in the room serving infants only. 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. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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 110-102 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60002826 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 3/10/2026 Number Present: 121 Completed Date: 3/10/2026 Age: From 0 To 5 Total Minutes: 365 Time In: 09:15 AM Time Out: 03:20 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 program currently operates with a four-star license, issued April 6, 2022, earning 4 points in the education component, 6 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by offering a staff benefits package and infrastructure of parent involvement. The last Annual Compliance Visit was conducted March 13, 2025. The facility compliance history is 84% prior to today’s visit. The NC Secretary of State website was reviewed on March 10, 2026, and SEG, Inc. is listed as active-current. Upon arrival I was greeted by Carol Bireley, Director. I stated the purpose of the visit. Lauren Noonan, Office Administrator, was present during the visit. Ms. Bireley and Ms. Noonan assisted me with the visit today. The last sanitation inspection is dated December 2, 2025, with a superior rating. The last fire inspection is dated May 5, 2024. The center was inspected 1/6/2026 however the DCDEE report was not completed and sent to the Division. A violation was cited. A walk-through of the center was completed today, and all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance Permit restrictions were met, and I observed children in approved/adequate space. Each classroom was monitored today. Children were observed participating in free play in activity areas, personal care routines, outdoor play, teacher directed activities, group time, and lunch. Staff were observed interacting with the children in a nurturing and caring manner. In the rooms serving infants and toddlers I observed feeding schedules posted meeting compliance for children enrolled under 15 months. I observed the safe sleep policy posted and in compliance. I monitored safe sleep checks for children under 12 months in compliance. I observed bottles labeled and dated throughout the facility. I monitored topical creams today throughout the facility. A violation was cited. I monitored each room for safe indoor environment and general safety. Please see violations cited for detailed information. The activity plan and attendance were reviewed for each room and found meeting compliance. The program uses Links to Learning and The Creative Curriculum. I observed lesson plans posted and evidence of materials supporting the curriculum and theme in each classroom. Throughout the facility, material and equipment in classrooms was monitored for age appropriateness and good repair. I monitored all outdoor play areas and cited violations. Please see violations for details. There are seven (7) children enrolled currently with emergency medications. Violations were cited. Ten percent of children’s records were monitored. Violations were cited. Posted items required were observed and met compliance. Program records were reviewed. The last fire drill was conducted on March 6, 2026. The last shelter in place was conducted January 31, 2026. The playground inspections and the incident log were in compliance. The EPR is April 15, 2025, and the ready to go file was monitored and found in compliance. The staff and training worksheet was provided and used to review staff files. All new staff files were reviewed, and ten (10) percent of veteran staff files were reviewed. Nine (9) new staff have been hired since the last annual compliance visit. Violations were cited. The center does not have a current roster in ABCMS. A violation was cited. The center does not provide transportation. The following violations were cited today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection on file is dated May 5, 2024. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Five (5) children did not have a summary on file signed and dated on or before enrollment. GS 110-102 807 A safe indoor and outdoor environment was not provided for the children. In Spaces 6, 7, 8 and 9 rusty bolts were exposed on the toilets. In Space 7, broken tile was observed at the threshold of the door and in the bathroom. Fungal growth was observed on the white picket fence located next to the bike trail playground. The border was cracked with sharp edges and bolts were rusted on the border on the playground serving preschool children. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. In Space 1, A permission to administer form named Epi-pen as medication and gave instructions for Cetrizine dosage only. In Space 2, Cortisone and Vicks did not have a permission to administer form signed by a physician stating that a child under two (2) years old had been prescribed the topical ointments. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 4, an Auvi-Q was observed expired 8/25/2025. .0803(12) 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. An employee hired 2/9/2026 has a medical assessment on file dated 1/2/2025. 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. An employee hired 2/9/2026 has a TB test on file dated 1/2/2025. An employee hired 9/14/2015 did not have a TB Test on file. .0701(a) 1303 Application was not signed by the parent. One (1) child did not have an application on file signed and dated. 10A NCAC 09 .0801(a) 1310 The completed, signed application was not on file on the first day each child attends. Five (5) children did not have an application on file signed and dated on or before enrollment. .0801(a) 1318 Medical authorization was not present on child's first day. Three (3) children did not have a summary on file signed and dated on or before enrollment. .0802(d) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The facility has no ABCMS roster. G.S. 110-90.2 & .2703(r) 1867 The depth of the loose surfacing was not based on critical height of the equipment. There is not sufficient mulch for critical height on the playground serving preschoolers. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space 5, a permission to administer form was not provided for a child requiring emergency medication. In Space 7, a child requiring emergency medication did not have a parent signature on the FARE. .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. Two employees have a certificate on file over one year old. One employee hired 2/23/2026 has a certificate on file dated 1/11/2024. One employees hired 5/13/2025 has a certificate on file dated 11/10/2023. .1102(g) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Five 95) children did not have a policy on file signed and dated on or before enrollment. .0608(b)(1-6) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before March 24, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware that 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. Please email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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 Staff and Children’s Records We discussed that the date of enrollment and date of employment should be monitored closely to maintain compliance with any signatures required to be on or before the first date of enrollment for a child and employment for a staff. The staff and children’s worksheets from today’s visit will help you to determine what documents are required on or before enrollment and employment. We discussed veteran employee files. Please get your application and orientation on file in your employee file as well as a medical assessment and TB test for the veteran employee hired 9/14/2025. Administration of Medication We discussed the importance of signatures, dates and expiration dates on all forms. Please review the agenda I recently provided for the Provider Meeting conducted in February for centers. I recommend you attend all Provider Meetings in the future to assist with understanding of child Care rules as well as how the Division monitors during your visits. QRIS – Pathway to the Stars We discussed that the center has not determined the Pathway. I reminded you that the timeline requires that all centers have applied for the new licenses on or before December 31, 2026. At that time if the center has not completed the application, a one-star license will be issued. I will follow up with you in two weeks to determine the pathway chosen and the next steps for your facility. The best way to see the requirements for each Pathway is to access the Application for Star Rated Assessments located under Provider Documents and Forms on our website. There is one application for all three pathways. Required documents can be reviewed for each Pathway here. ABCMS (Criminal Background System): We discussed that you have no roster to review in ABCMS. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119 As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. I will email you the most current ABCMS Technical Assistance sheet which will inclide support information for NCID. Emergency Drill Logs/Inspections We discussed conducting the shelter in place /lockdown drill at least every three months. There was a period of almost 5 months between drills from July 24, 2025 to December 22, 2025. I did not cite a violation today. We discussed that a fire inspection is due annually and the NCDCDEE form must be completed and emailed to me within one week of the inspection. Plastic Bags We discussed purchasing silicone bags for your diaper creams and training all staff regarding food storage in baggies stored in baskets on counter or in backpacks in the rooms serving children under three years old. A violation was not cited today since this was an isolated incident in the room serving infants only. 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. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: 60002826 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 3/10/2026 Number Present: 121 Completed Date: 3/10/2026 Age: From 0 To 5 Total Minutes: 365 Time In: 09:15 AM Time Out: 03:20 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 program currently operates with a four-star license, issued April 6, 2022, earning 4 points in the education component, 6 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by offering a staff benefits package and infrastructure of parent involvement. The last Annual Compliance Visit was conducted March 13, 2025. The facility compliance history is 84% prior to today’s visit. The NC Secretary of State website was reviewed on March 10, 2026, and SEG, Inc. is listed as active-current. Upon arrival I was greeted by Carol Bireley, Director. I stated the purpose of the visit. Lauren Noonan, Office Administrator, was present during the visit. Ms. Bireley and Ms. Noonan assisted me with the visit today. The last sanitation inspection is dated December 2, 2025, with a superior rating. The last fire inspection is dated May 5, 2024. The center was inspected 1/6/2026 however the DCDEE report was not completed and sent to the Division. A violation was cited. A walk-through of the center was completed today, and all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance Permit restrictions were met, and I observed children in approved/adequate space. Each classroom was monitored today. Children were observed participating in free play in activity areas, personal care routines, outdoor play, teacher directed activities, group time, and lunch. Staff were observed interacting with the children in a nurturing and caring manner. In the rooms serving infants and toddlers I observed feeding schedules posted meeting compliance for children enrolled under 15 months. I observed the safe sleep policy posted and in compliance. I monitored safe sleep checks for children under 12 months in compliance. I observed bottles labeled and dated throughout the facility. I monitored topical creams today throughout the facility. A violation was cited. I monitored each room for safe indoor environment and general safety. Please see violations cited for detailed information. The activity plan and attendance were reviewed for each room and found meeting compliance. The program uses Links to Learning and The Creative Curriculum. I observed lesson plans posted and evidence of materials supporting the curriculum and theme in each classroom. Throughout the facility, material and equipment in classrooms was monitored for age appropriateness and good repair. I monitored all outdoor play areas and cited violations. Please see violations for details. There are seven (7) children enrolled currently with emergency medications. Violations were cited. Ten percent of children’s records were monitored. Violations were cited. Posted items required were observed and met compliance. Program records were reviewed. The last fire drill was conducted on March 6, 2026. The last shelter in place was conducted January 31, 2026. The playground inspections and the incident log were in compliance. The EPR is April 15, 2025, and the ready to go file was monitored and found in compliance. The staff and training worksheet was provided and used to review staff files. All new staff files were reviewed, and ten (10) percent of veteran staff files were reviewed. Nine (9) new staff have been hired since the last annual compliance visit. Violations were cited. The center does not have a current roster in ABCMS. A violation was cited. The center does not provide transportation. The following violations were cited today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection on file is dated May 5, 2024. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Five (5) children did not have a summary on file signed and dated on or before enrollment. GS 110-102 807 A safe indoor and outdoor environment was not provided for the children. In Spaces 6, 7, 8 and 9 rusty bolts were exposed on the toilets. In Space 7, broken tile was observed at the threshold of the door and in the bathroom. Fungal growth was observed on the white picket fence located next to the bike trail playground. The border was cracked with sharp edges and bolts were rusted on the border on the playground serving preschool children. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. In Space 1, A permission to administer form named Epi-pen as medication and gave instructions for Cetrizine dosage only. In Space 2, Cortisone and Vicks did not have a permission to administer form signed by a physician stating that a child under two (2) years old had been prescribed the topical ointments. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 4, an Auvi-Q was observed expired 8/25/2025. .0803(12) 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. An employee hired 2/9/2026 has a medical assessment on file dated 1/2/2025. 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. An employee hired 2/9/2026 has a TB test on file dated 1/2/2025. An employee hired 9/14/2015 did not have a TB Test on file. .0701(a) 1303 Application was not signed by the parent. One (1) child did not have an application on file signed and dated. 10A NCAC 09 .0801(a) 1310 The completed, signed application was not on file on the first day each child attends. Five (5) children did not have an application on file signed and dated on or before enrollment. .0801(a) 1318 Medical authorization was not present on child's first day. Three (3) children did not have a summary on file signed and dated on or before enrollment. .0802(d) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The facility has no ABCMS roster. G.S. 110-90.2 & .2703(r) 1867 The depth of the loose surfacing was not based on critical height of the equipment. There is not sufficient mulch for critical height on the playground serving preschoolers. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space 5, a permission to administer form was not provided for a child requiring emergency medication. In Space 7, a child requiring emergency medication did not have a parent signature on the FARE. .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. Two employees have a certificate on file over one year old. One employee hired 2/23/2026 has a certificate on file dated 1/11/2024. One employees hired 5/13/2025 has a certificate on file dated 11/10/2023. .1102(g) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Five 95) children did not have a policy on file signed and dated on or before enrollment. .0608(b)(1-6) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before March 24, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware that 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. Please email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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 Staff and Children’s Records We discussed that the date of enrollment and date of employment should be monitored closely to maintain compliance with any signatures required to be on or before the first date of enrollment for a child and employment for a staff. The staff and children’s worksheets from today’s visit will help you to determine what documents are required on or before enrollment and employment. We discussed veteran employee files. Please get your application and orientation on file in your employee file as well as a medical assessment and TB test for the veteran employee hired 9/14/2025. Administration of Medication We discussed the importance of signatures, dates and expiration dates on all forms. Please review the agenda I recently provided for the Provider Meeting conducted in February for centers. I recommend you attend all Provider Meetings in the future to assist with understanding of child Care rules as well as how the Division monitors during your visits. QRIS – Pathway to the Stars We discussed that the center has not determined the Pathway. I reminded you that the timeline requires that all centers have applied for the new licenses on or before December 31, 2026. At that time if the center has not completed the application, a one-star license will be issued. I will follow up with you in two weeks to determine the pathway chosen and the next steps for your facility. The best way to see the requirements for each Pathway is to access the Application for Star Rated Assessments located under Provider Documents and Forms on our website. There is one application for all three pathways. Required documents can be reviewed for each Pathway here. ABCMS (Criminal Background System): We discussed that you have no roster to review in ABCMS. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119 As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. I will email you the most current ABCMS Technical Assistance sheet which will inclide support information for NCID. Emergency Drill Logs/Inspections We discussed conducting the shelter in place /lockdown drill at least every three months. There was a period of almost 5 months between drills from July 24, 2025 to December 22, 2025. I did not cite a violation today. We discussed that a fire inspection is due annually and the NCDCDEE form must be completed and emailed to me within one week of the inspection. Plastic Bags We discussed purchasing silicone bags for your diaper creams and training all staff regarding food storage in baggies stored in baskets on counter or in backpacks in the rooms serving children under three years old. A violation was not cited today since this was an isolated incident in the room serving infants only. 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. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: 60002826 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: 0925-272L Visit Date: 9/29/2025 Number Present: 95 Completed Date: 9/29/2025 Age: From 0 To 5 Total Minutes: 125 Time In: 10:30 AM Time Out: 12:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s follow-up complaint visit is to verify correction of violations documented during the self-report visit dated September 23, 2025. The compliance history was 84 % prior to today’s visit. Supervision, capacity, adequate/approved space and general license requirements were monitored during today’s visit. The program currently operates with a four-star license, issued April 6, 2022 Upon arrival I rang the doorbell twice before walking around the building to the playground. I requested a teacher to let someone from administration know I was here. I was greeted by Carol Bireley, Principal, who was preparing lunch in the kitchen. I stated the purpose for the visit. Ms. Bireley assisted me with the facility walk through During the visit, I observed children engaged in outdoor play, teacher directed activities and personal care routines. Caregivers throughout the center were attending to the needs of the children. I observed caring and nurturing interactions throughout the center. I monitored hazardous materials accessible to children or safety concerns and cited violations. Supervision and staff child ratios were maintained during today’s visit. Each group was observed in approved/adequate space. Permit restrictions were met. During the walkthrough I observed new cabinets and countertops in several rooms. The following violation cited September 23,2025, at the self-report visit, was monitored for compliance during this visit: Item # 303 Children were not adequately supervised at all times. One (1) child was left unsupervised in Space 6 during a transition to Space 7 on September 17, 2025. This violation is considered corrected. A staff meeting was completed Tuesday, September 23, 2025 and supervision as well as name to face transition procedures were reviewed. Ms. Birely provided the signature sheet for each staff member. The following violations were cited 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 9, three (3) water bottles were observed not dated and one (1) water bottle was observed not labeled and dated. 15A NCAC 18A .2804(d) 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 2, disinfectant was stored on the counter less than five (5) feet and accessible to children. In Space 7, and Auvi-Q was stored in an unlocked cabinet less than five (5) feet accessible to children. .2820(b) Compliance Statement Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. A follow-up visit will be conducted to monitor staff child ratios. On or before October 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 that 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 will be conducted. Email the information to: Email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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. Technical Assistance Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action (AA) 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. Administration Monitoring We discussed regular monitoring of classrooms by your administrative team. I suggest written checklists and walk throughs conducted which are documented by the administrative team to endure compliance with all childcare requirements. Safe Sleep Documentation We discussed updating your Safe Sleep Charts in order for staff to be able to make comments and write in the time a child rolls to tummy or side. You can se a sample safe sleep chart under provider documents and forms on our website. We discussed that only one position can be documented on the initial sleep position and that the child must always be placed on the back initially and that the position marked on the safe sleep chart must always be back. Storage of Hazardous Materials We discussed that the staff need to be reminded about your processes and the requirements for storage of hazardous materials, including bleach disinfectants and emergency medications. Safe Environment We discussed that the slide locks on cabinets are not acceptable as locks for items required to be in a locked cabinet. Additionally, the slide locks on the cabinets create pinch points not fully tightened creating an unsafe indoor environment forchildren. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: 60002826 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: 0925-272L Visit Date: 9/23/2025 Number Present: 94 Completed Date: 9/23/2025 Age: From 0 To 5 Total Minutes: 85 Time In: 10:35 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of childcare requirements. A self-report was received by the Division on September 18, 2025. The facility has a compliance history of 82% prior to today’s visit. Supervision, capacity, ratio, adequate/approved space and general license requirements were monitored during today’s visit. The program currently operates with a four-star license, issued April 6, 2022 Upon arrival I was greeted by Brenda Bennett, Assistant Principal. I met with Carol Bireley, Principal, to explain the purpose of the visit. Ms. Bireley assisted me with the visit and the facility walk through The allegation is a child was left in a room alone unsupervised during a transition to outdoor play. Ms. Birely assisted me with a walk through the facility. During the walkthrough, I observed children throughout the facility participating in personal care routines, play, outdoor play, activity areas, soccer shots and teacher directed activities. I found supervision and staff/child ratios to be in compliance. Caring and nurturing tones were used by the staff. Each group of children was observed in licensed approved space and adequately supervised during the visit. Based on the self-report and administrator interview the allegation that a child was left a child was left in a room alone unsupervised during a transition to outdoor play is confirmed. In Space 6, a child was left unsupervised for a short period of time at 10:45 am. The teacher in Space 6 requested a bathroom break. Three (3) children were finishing a project. An administrator told the teacher to transition the three (3) children to Space 7 to go outside with the teacher in Space 7. Only two (2) children were transitioned to Space 7. One (1) child left unsupervised in Space 6 knocked on the window of Space 6 and alerted the teacher located on the outdoor playground. The following violation was cited: Violation Number Comment Rule 303 Children were not adequately supervised at all times. One (1) child was left unsupervised in Space 6 during a transition to Space 7 on September 17, 2025. In Space 6, a child was left unsupervised for a short period of time at 10:45 am. The teacher in Space 6 requested a bathroom break. Three (3) children were finishing a project. An administrator told the teacher to transition the three (3) children to Space 7 to go outside with the teacher in Space 7. Only two (2) children were transitioned to Space 7. One (1) child left unsupervised in Space 6 knocked on the window of Space 6 and alerted the teacher located on the outdoor playground. .1801(a)(1-5) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 7, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected as well as monitoring for on-going compliance. I will make a return unannounced visit within two (2) weeks. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Email the information to: Lisa Eddins-Smith, Child Care Consultant Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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 Supervision We discussed your procedures regarding name to face requirements prior to leaving a classroom. We discussed reviewing supervision rule and reviewing your procedures as it relates to10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS during your scheduled staff meeting tonight. I suggest having each staff member in attendance sign the roster for you to keep on file as documentation that the staff was reminded of your name to face procedures and adequate supervision requirements are followed. (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. I suggest upon review with each staff member you require a staff acknowledgement and statement of understanding to be kept in each staff member’s file. The Division may consider administrative action. We discussed the following regarding administrative actions: 10A NCAC 09 .2201 ADMINISTRATIVE ACTIONS GENERAL PROVISIONS (b) The Division shall consider the following factors when determining whether to issue an administrative action or what type of administrative action to be issued, including: (1) the severity of the violation or incident; (2) the probability of recurrence of the violation or incident; (3) all prior administrative actions issued to the facility; (4) all prior incidents where the Division has determined that abuse, neglect, or child maltreatment occurred at the facility; (5) the operator's response to the violation or incident, including actions taken to prevent recurrence, such as revision to facility policies and procedures or additional staff training; (6) a self- report of the violation or incident was submitted to the Division by the operator; and (7) information or records received from local, State, or federal agencies relevant to the violation or incident. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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 .2201 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60002826 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: 0925-272L Visit Date: 9/23/2025 Number Present: 94 Completed Date: 9/23/2025 Age: From 0 To 5 Total Minutes: 85 Time In: 10:35 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of childcare requirements. A self-report was received by the Division on September 18, 2025. The facility has a compliance history of 82% prior to today’s visit. Supervision, capacity, ratio, adequate/approved space and general license requirements were monitored during today’s visit. The program currently operates with a four-star license, issued April 6, 2022 Upon arrival I was greeted by Brenda Bennett, Assistant Principal. I met with Carol Bireley, Principal, to explain the purpose of the visit. Ms. Bireley assisted me with the visit and the facility walk through The allegation is a child was left in a room alone unsupervised during a transition to outdoor play. Ms. Birely assisted me with a walk through the facility. During the walkthrough, I observed children throughout the facility participating in personal care routines, play, outdoor play, activity areas, soccer shots and teacher directed activities. I found supervision and staff/child ratios to be in compliance. Caring and nurturing tones were used by the staff. Each group of children was observed in licensed approved space and adequately supervised during the visit. Based on the self-report and administrator interview the allegation that a child was left a child was left in a room alone unsupervised during a transition to outdoor play is confirmed. In Space 6, a child was left unsupervised for a short period of time at 10:45 am. The teacher in Space 6 requested a bathroom break. Three (3) children were finishing a project. An administrator told the teacher to transition the three (3) children to Space 7 to go outside with the teacher in Space 7. Only two (2) children were transitioned to Space 7. One (1) child left unsupervised in Space 6 knocked on the window of Space 6 and alerted the teacher located on the outdoor playground. The following violation was cited: Violation Number Comment Rule 303 Children were not adequately supervised at all times. One (1) child was left unsupervised in Space 6 during a transition to Space 7 on September 17, 2025. In Space 6, a child was left unsupervised for a short period of time at 10:45 am. The teacher in Space 6 requested a bathroom break. Three (3) children were finishing a project. An administrator told the teacher to transition the three (3) children to Space 7 to go outside with the teacher in Space 7. Only two (2) children were transitioned to Space 7. One (1) child left unsupervised in Space 6 knocked on the window of Space 6 and alerted the teacher located on the outdoor playground. .1801(a)(1-5) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 7, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected as well as monitoring for on-going compliance. I will make a return unannounced visit within two (2) weeks. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Email the information to: Lisa Eddins-Smith, Child Care Consultant Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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 Supervision We discussed your procedures regarding name to face requirements prior to leaving a classroom. We discussed reviewing supervision rule and reviewing your procedures as it relates to10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS during your scheduled staff meeting tonight. I suggest having each staff member in attendance sign the roster for you to keep on file as documentation that the staff was reminded of your name to face procedures and adequate supervision requirements are followed. (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. I suggest upon review with each staff member you require a staff acknowledgement and statement of understanding to be kept in each staff member’s file. The Division may consider administrative action. We discussed the following regarding administrative actions: 10A NCAC 09 .2201 ADMINISTRATIVE ACTIONS GENERAL PROVISIONS (b) The Division shall consider the following factors when determining whether to issue an administrative action or what type of administrative action to be issued, including: (1) the severity of the violation or incident; (2) the probability of recurrence of the violation or incident; (3) all prior administrative actions issued to the facility; (4) all prior incidents where the Division has determined that abuse, neglect, or child maltreatment occurred at the facility; (5) the operator's response to the violation or incident, including actions taken to prevent recurrence, such as revision to facility policies and procedures or additional staff training; (6) a self- report of the violation or incident was submitted to the Division by the operator; and (7) information or records received from local, State, or federal agencies relevant to the violation or incident. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: 60002826 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: 0925-272L Visit Date: 9/23/2025 Number Present: 94 Completed Date: 9/23/2025 Age: From 0 To 5 Total Minutes: 85 Time In: 10:35 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of childcare requirements. A self-report was received by the Division on September 18, 2025. The facility has a compliance history of 82% prior to today’s visit. Supervision, capacity, ratio, adequate/approved space and general license requirements were monitored during today’s visit. The program currently operates with a four-star license, issued April 6, 2022 Upon arrival I was greeted by Brenda Bennett, Assistant Principal. I met with Carol Bireley, Principal, to explain the purpose of the visit. Ms. Bireley assisted me with the visit and the facility walk through The allegation is a child was left in a room alone unsupervised during a transition to outdoor play. Ms. Birely assisted me with a walk through the facility. During the walkthrough, I observed children throughout the facility participating in personal care routines, play, outdoor play, activity areas, soccer shots and teacher directed activities. I found supervision and staff/child ratios to be in compliance. Caring and nurturing tones were used by the staff. Each group of children was observed in licensed approved space and adequately supervised during the visit. Based on the self-report and administrator interview the allegation that a child was left a child was left in a room alone unsupervised during a transition to outdoor play is confirmed. In Space 6, a child was left unsupervised for a short period of time at 10:45 am. The teacher in Space 6 requested a bathroom break. Three (3) children were finishing a project. An administrator told the teacher to transition the three (3) children to Space 7 to go outside with the teacher in Space 7. Only two (2) children were transitioned to Space 7. One (1) child left unsupervised in Space 6 knocked on the window of Space 6 and alerted the teacher located on the outdoor playground. The following violation was cited: Violation Number Comment Rule 303 Children were not adequately supervised at all times. One (1) child was left unsupervised in Space 6 during a transition to Space 7 on September 17, 2025. In Space 6, a child was left unsupervised for a short period of time at 10:45 am. The teacher in Space 6 requested a bathroom break. Three (3) children were finishing a project. An administrator told the teacher to transition the three (3) children to Space 7 to go outside with the teacher in Space 7. Only two (2) children were transitioned to Space 7. One (1) child left unsupervised in Space 6 knocked on the window of Space 6 and alerted the teacher located on the outdoor playground. .1801(a)(1-5) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 7, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected as well as monitoring for on-going compliance. I will make a return unannounced visit within two (2) weeks. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Email the information to: Lisa Eddins-Smith, Child Care Consultant Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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 Supervision We discussed your procedures regarding name to face requirements prior to leaving a classroom. We discussed reviewing supervision rule and reviewing your procedures as it relates to10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS during your scheduled staff meeting tonight. I suggest having each staff member in attendance sign the roster for you to keep on file as documentation that the staff was reminded of your name to face procedures and adequate supervision requirements are followed. (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. I suggest upon review with each staff member you require a staff acknowledgement and statement of understanding to be kept in each staff member’s file. The Division may consider administrative action. We discussed the following regarding administrative actions: 10A NCAC 09 .2201 ADMINISTRATIVE ACTIONS GENERAL PROVISIONS (b) The Division shall consider the following factors when determining whether to issue an administrative action or what type of administrative action to be issued, including: (1) the severity of the violation or incident; (2) the probability of recurrence of the violation or incident; (3) all prior administrative actions issued to the facility; (4) all prior incidents where the Division has determined that abuse, neglect, or child maltreatment occurred at the facility; (5) the operator's response to the violation or incident, including actions taken to prevent recurrence, such as revision to facility policies and procedures or additional staff training; (6) a self- report of the violation or incident was submitted to the Division by the operator; and (7) information or records received from local, State, or federal agencies relevant to the violation or incident. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: 60002826 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 7/15/2025 Number Present: 113 Completed Date: 7/15/2025 Age: From 0 To 6 Total Minutes: 155 Time In: 09:15 AM Time Out: 11:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on April 30, 2025. The compliance history was 81 % prior to today’s visit. Supervision, capacity, adequate/approved space, and general license requirements were monitored during today’s visit. Upon arrival I was greeted by Brenda Bennett, Assistant Director and Carol Bireley, Director. I explained the purpose of my visit and Ms. Bireley assisted me with the visit and the facility walk through. I observed the Written Warning prominently posted in a notebook on the front desk. The children were observed in center play, circle time, outdoor play, teacher directed activities and personal care routines. Staff/ratio was in compliance. I observed adequate supervision, and the staff were observed using caring and nurturing tones. I reviewed new staff files and cited one (1) violation. Ms. Birely and I met to review the status of the following stipulations outlined in the corrective actions. 1. Regarding the child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .1803(a)(1)(9) regarding discipline During today’s visit there were two violations cited.See violations section for details. 2.Regarding within one (1) week after this Notice is received, Carol Bireley, administrator, shall contact Jennifer Kappas from Child Care Resources Inc. at 704-376-6697 ext. 370 , email jkappas@childcareresourcesinc.org, to arrange for A+ Supervision training and Behavioral Intervention Strategies: You want me to try what? training. No children shall be in care during this training. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in the mandatory training. Documentation of the training shall be maintained in the facility files for review by representatives of the Division of Child Development and Early education upon request. A+ Supervision training was conducted. Behavioral Intervention Strategies: You want me to try what? training was completed June 24, 2025. 3. Within two (2) weeks after the required A+ Supervision training is completed, Ms. Bireley shall revise the facility’s supervision policy and procedures to include, in detail, the steps the facility will take to ensure adequate supervision of children. The policy and procedures were received May 27, 2025, and approved May 28, 2025. The policies and procedures were printed during the visit today and placed in the binder with the written warning. 4.Within two (2) weeks after the required Behavioral Intervention Strategies: You want me to try what? training is completed, Ms. Bireley shall revise the current discipline policy and procedures to include, in detail, the steps the facility will take to ensure appropriate discipline of children. The training was completed June 24, 2025. The policies were emailed and received July 9, 2025. During today’s visit the policies were approved. Please print them and place them in the binder with your Administrative Action. 5.Within two (2) weeks after notification from the Division the stipulation has been met for the policy and procedures related to supervision and discipline of children, Ms. Bireley shall conduct a staff meeting with all staff members to discuss the policy and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. Ms. Birely will send me the roster following the staff meeting scheduled for July 24, 2025. After the staff meeting all updated policies must be included in your current policies. The following two violations were cited today: Violation Number Comment Rule 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. In Space 2, a fan without a mesh guard was on the counter accessible to children. 10A NCAC 09 .0604(d) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two (2) new staff members did not have a signed Shaken Baby Policy on file. .0608(d)(1-4) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before July 29, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Email the information to: Lisa Eddins-Smith, Child Care Consultant Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance Countertops and Cabinets We discussed that in Spaces 2, 3, 4 and 5 the countertops and cabinets are in poor repair. This was not cited today however, this is an on-going concern. Please provide a written plan including a timeframe for repairs to be completed. We also discussed the cleanliness of the overall cleanliness especially around the trash cans in Spaces 4 and 5. The odor in the rooms due to diapering and food service would be better contained with a tight fitting lid and hands free trash can Updated Policies All new policies in response to the Written Warning must be included in and/or added to your staff policies and available for review by a representative of the Division. 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 training free of charge. The What’s New tab provides current information that is sent out through blast emails. DCDEE WORKS: Please obtain and keep current WORKS letters on file for each of your staff in preparation for the upcoming QRIS Initiative. You can access WORKS information here: https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: 60002826 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 7/15/2025 Number Present: 113 Completed Date: 7/15/2025 Age: From 0 To 6 Total Minutes: 155 Time In: 09:15 AM Time Out: 11:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on April 30, 2025. The compliance history was 81 % prior to today’s visit. Supervision, capacity, adequate/approved space, and general license requirements were monitored during today’s visit. Upon arrival I was greeted by Brenda Bennett, Assistant Director and Carol Bireley, Director. I explained the purpose of my visit and Ms. Bireley assisted me with the visit and the facility walk through. I observed the Written Warning prominently posted in a notebook on the front desk. The children were observed in center play, circle time, outdoor play, teacher directed activities and personal care routines. Staff/ratio was in compliance. I observed adequate supervision, and the staff were observed using caring and nurturing tones. I reviewed new staff files and cited one (1) violation. Ms. Birely and I met to review the status of the following stipulations outlined in the corrective actions. 1. Regarding the child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .1803(a)(1)(9) regarding discipline During today’s visit there were two violations cited.See violations section for details. 2.Regarding within one (1) week after this Notice is received, Carol Bireley, administrator, shall contact Jennifer Kappas from Child Care Resources Inc. at 704-376-6697 ext. 370 , email jkappas@childcareresourcesinc.org, to arrange for A+ Supervision training and Behavioral Intervention Strategies: You want me to try what? training. No children shall be in care during this training. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in the mandatory training. Documentation of the training shall be maintained in the facility files for review by representatives of the Division of Child Development and Early education upon request. A+ Supervision training was conducted. Behavioral Intervention Strategies: You want me to try what? training was completed June 24, 2025. 3. Within two (2) weeks after the required A+ Supervision training is completed, Ms. Bireley shall revise the facility’s supervision policy and procedures to include, in detail, the steps the facility will take to ensure adequate supervision of children. The policy and procedures were received May 27, 2025, and approved May 28, 2025. The policies and procedures were printed during the visit today and placed in the binder with the written warning. 4.Within two (2) weeks after the required Behavioral Intervention Strategies: You want me to try what? training is completed, Ms. Bireley shall revise the current discipline policy and procedures to include, in detail, the steps the facility will take to ensure appropriate discipline of children. The training was completed June 24, 2025. The policies were emailed and received July 9, 2025. During today’s visit the policies were approved. Please print them and place them in the binder with your Administrative Action. 5.Within two (2) weeks after notification from the Division the stipulation has been met for the policy and procedures related to supervision and discipline of children, Ms. Bireley shall conduct a staff meeting with all staff members to discuss the policy and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. Ms. Birely will send me the roster following the staff meeting scheduled for July 24, 2025. After the staff meeting all updated policies must be included in your current policies. The following two violations were cited today: Violation Number Comment Rule 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. In Space 2, a fan without a mesh guard was on the counter accessible to children. 10A NCAC 09 .0604(d) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two (2) new staff members did not have a signed Shaken Baby Policy on file. .0608(d)(1-4) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before July 29, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Email the information to: Lisa Eddins-Smith, Child Care Consultant Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance Countertops and Cabinets We discussed that in Spaces 2, 3, 4 and 5 the countertops and cabinets are in poor repair. This was not cited today however, this is an on-going concern. Please provide a written plan including a timeframe for repairs to be completed. We also discussed the cleanliness of the overall cleanliness especially around the trash cans in Spaces 4 and 5. The odor in the rooms due to diapering and food service would be better contained with a tight fitting lid and hands free trash can Updated Policies All new policies in response to the Written Warning must be included in and/or added to your staff policies and available for review by a representative of the Division. 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 training free of charge. The What’s New tab provides current information that is sent out through blast emails. DCDEE WORKS: Please obtain and keep current WORKS letters on file for each of your staff in preparation for the upcoming QRIS Initiative. You can access WORKS information here: https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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 .1803 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60002826 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 7/15/2025 Number Present: 113 Completed Date: 7/15/2025 Age: From 0 To 6 Total Minutes: 155 Time In: 09:15 AM Time Out: 11:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on April 30, 2025. The compliance history was 81 % prior to today’s visit. Supervision, capacity, adequate/approved space, and general license requirements were monitored during today’s visit. Upon arrival I was greeted by Brenda Bennett, Assistant Director and Carol Bireley, Director. I explained the purpose of my visit and Ms. Bireley assisted me with the visit and the facility walk through. I observed the Written Warning prominently posted in a notebook on the front desk. The children were observed in center play, circle time, outdoor play, teacher directed activities and personal care routines. Staff/ratio was in compliance. I observed adequate supervision, and the staff were observed using caring and nurturing tones. I reviewed new staff files and cited one (1) violation. Ms. Birely and I met to review the status of the following stipulations outlined in the corrective actions. 1. Regarding the child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .1803(a)(1)(9) regarding discipline During today’s visit there were two violations cited.See violations section for details. 2.Regarding within one (1) week after this Notice is received, Carol Bireley, administrator, shall contact Jennifer Kappas from Child Care Resources Inc. at 704-376-6697 ext. 370 , email jkappas@childcareresourcesinc.org, to arrange for A+ Supervision training and Behavioral Intervention Strategies: You want me to try what? training. No children shall be in care during this training. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in the mandatory training. Documentation of the training shall be maintained in the facility files for review by representatives of the Division of Child Development and Early education upon request. A+ Supervision training was conducted. Behavioral Intervention Strategies: You want me to try what? training was completed June 24, 2025. 3. Within two (2) weeks after the required A+ Supervision training is completed, Ms. Bireley shall revise the facility’s supervision policy and procedures to include, in detail, the steps the facility will take to ensure adequate supervision of children. The policy and procedures were received May 27, 2025, and approved May 28, 2025. The policies and procedures were printed during the visit today and placed in the binder with the written warning. 4.Within two (2) weeks after the required Behavioral Intervention Strategies: You want me to try what? training is completed, Ms. Bireley shall revise the current discipline policy and procedures to include, in detail, the steps the facility will take to ensure appropriate discipline of children. The training was completed June 24, 2025. The policies were emailed and received July 9, 2025. During today’s visit the policies were approved. Please print them and place them in the binder with your Administrative Action. 5.Within two (2) weeks after notification from the Division the stipulation has been met for the policy and procedures related to supervision and discipline of children, Ms. Bireley shall conduct a staff meeting with all staff members to discuss the policy and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. Ms. Birely will send me the roster following the staff meeting scheduled for July 24, 2025. After the staff meeting all updated policies must be included in your current policies. The following two violations were cited today: Violation Number Comment Rule 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. In Space 2, a fan without a mesh guard was on the counter accessible to children. 10A NCAC 09 .0604(d) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two (2) new staff members did not have a signed Shaken Baby Policy on file. .0608(d)(1-4) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before July 29, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Email the information to: Lisa Eddins-Smith, Child Care Consultant Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance Countertops and Cabinets We discussed that in Spaces 2, 3, 4 and 5 the countertops and cabinets are in poor repair. This was not cited today however, this is an on-going concern. Please provide a written plan including a timeframe for repairs to be completed. We also discussed the cleanliness of the overall cleanliness especially around the trash cans in Spaces 4 and 5. The odor in the rooms due to diapering and food service would be better contained with a tight fitting lid and hands free trash can Updated Policies All new policies in response to the Written Warning must be included in and/or added to your staff policies and available for review by a representative of the Division. 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 training free of charge. The What’s New tab provides current information that is sent out through blast emails. DCDEE WORKS: Please obtain and keep current WORKS letters on file for each of your staff in preparation for the upcoming QRIS Initiative. You can access WORKS information here: https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: 60002826 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 7/15/2025 Number Present: 113 Completed Date: 7/15/2025 Age: From 0 To 6 Total Minutes: 155 Time In: 09:15 AM Time Out: 11:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on April 30, 2025. The compliance history was 81 % prior to today’s visit. Supervision, capacity, adequate/approved space, and general license requirements were monitored during today’s visit. Upon arrival I was greeted by Brenda Bennett, Assistant Director and Carol Bireley, Director. I explained the purpose of my visit and Ms. Bireley assisted me with the visit and the facility walk through. I observed the Written Warning prominently posted in a notebook on the front desk. The children were observed in center play, circle time, outdoor play, teacher directed activities and personal care routines. Staff/ratio was in compliance. I observed adequate supervision, and the staff were observed using caring and nurturing tones. I reviewed new staff files and cited one (1) violation. Ms. Birely and I met to review the status of the following stipulations outlined in the corrective actions. 1. Regarding the child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .1803(a)(1)(9) regarding discipline During today’s visit there were two violations cited.See violations section for details. 2.Regarding within one (1) week after this Notice is received, Carol Bireley, administrator, shall contact Jennifer Kappas from Child Care Resources Inc. at 704-376-6697 ext. 370 , email jkappas@childcareresourcesinc.org, to arrange for A+ Supervision training and Behavioral Intervention Strategies: You want me to try what? training. No children shall be in care during this training. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in the mandatory training. Documentation of the training shall be maintained in the facility files for review by representatives of the Division of Child Development and Early education upon request. A+ Supervision training was conducted. Behavioral Intervention Strategies: You want me to try what? training was completed June 24, 2025. 3. Within two (2) weeks after the required A+ Supervision training is completed, Ms. Bireley shall revise the facility’s supervision policy and procedures to include, in detail, the steps the facility will take to ensure adequate supervision of children. The policy and procedures were received May 27, 2025, and approved May 28, 2025. The policies and procedures were printed during the visit today and placed in the binder with the written warning. 4.Within two (2) weeks after the required Behavioral Intervention Strategies: You want me to try what? training is completed, Ms. Bireley shall revise the current discipline policy and procedures to include, in detail, the steps the facility will take to ensure appropriate discipline of children. The training was completed June 24, 2025. The policies were emailed and received July 9, 2025. During today’s visit the policies were approved. Please print them and place them in the binder with your Administrative Action. 5.Within two (2) weeks after notification from the Division the stipulation has been met for the policy and procedures related to supervision and discipline of children, Ms. Bireley shall conduct a staff meeting with all staff members to discuss the policy and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. Ms. Birely will send me the roster following the staff meeting scheduled for July 24, 2025. After the staff meeting all updated policies must be included in your current policies. The following two violations were cited today: Violation Number Comment Rule 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. In Space 2, a fan without a mesh guard was on the counter accessible to children. 10A NCAC 09 .0604(d) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two (2) new staff members did not have a signed Shaken Baby Policy on file. .0608(d)(1-4) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before July 29, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Email the information to: Lisa Eddins-Smith, Child Care Consultant Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance Countertops and Cabinets We discussed that in Spaces 2, 3, 4 and 5 the countertops and cabinets are in poor repair. This was not cited today however, this is an on-going concern. Please provide a written plan including a timeframe for repairs to be completed. We also discussed the cleanliness of the overall cleanliness especially around the trash cans in Spaces 4 and 5. The odor in the rooms due to diapering and food service would be better contained with a tight fitting lid and hands free trash can Updated Policies All new policies in response to the Written Warning must be included in and/or added to your staff policies and available for review by a representative of the Division. 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 training free of charge. The What’s New tab provides current information that is sent out through blast emails. DCDEE WORKS: Please obtain and keep current WORKS letters on file for each of your staff in preparation for the upcoming QRIS Initiative. You can access WORKS information here: https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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 .1722 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60002826 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: 0325-444L Visit Date: 4/7/2025 Number Present: 114 Completed Date: 4/7/2025 Age: From 0 To 5 Total Minutes: 135 Time In: 11:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The facility has a compliance history of 81% prior to today’s visit. Supervision, capacity, ratio, adequate/approved space and general license requirements were monitored during today’s visit. The program currently operates with a four-star license, issued April 6, 2022 Upon arrival I was greeted by Carol Bireley, Principal. I explained the purpose of the visit and reviewed the allegation. Ms. Bireley assisted me with the facility walk through. The allegation is: There are violations of childcare requirements. Ms. Bireley, Principal, stated she was not aware of any details supporting the specific allegation. During today’s visit, I monitored all indoor classrooms, observed staff interactions with children, interviewed one (1) administrator and five (5) teachers. During the visit, I observed children engaged in transition to lunch, transition to rest time and personal care routines. Nurturing and caring tones were heard with the children throughout the facility. Supervision and staff child ratios were observed in compliance. Findings: Based on interviews it was determined that a staff member has been observed speaking sternly in a harsh manner to children while holding them tightly. It was reported that the children were frightened and crying when this occurred. It was also reported that a staff member has handled a child roughly during changing routines and used words in an inappropriate tone of voice which shamed a child who had a toileting accident. Violations of childcare requirements regarding children not handled in a nurturing manner, handled roughly, and prohibited discipline is confirmed. The following violations were cited today: Violation Number Comment Rule 904 Child was handled roughly. During diaper changing routines a staff member pulled a child's legs over the head of the child in a rough manner. .1803(a)(1) 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. A staff member shamed a child after a toileting accident. A staff member spoke in a way to a child causing the child to be frightened and cry. .1803(a)(9) Compliance Statement Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 21, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Follow-up visits will be conducted to monitor for compliance of child care requirements. Please be aware that 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 will be conducted. Email the information to: Email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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 I reviewed rule 10A NCAC 09 .1722 PROHIBITED DISCIPLINE with all staff members interviewed and Ms. Bireley. (a) No child shall be subjected to any form of corporal punishment by the family child care home operator, additional caregiver, substitute provider, or any other person in the home, whether or not these persons reside in the home as follows: (1) No child shall be handled roughly in any way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking; (2) No child shall ever be placed in a locked room, closet, or box, or be left alone in a room separated from staff; (3) No discipline shall ever be delegated to another child; (4) No food shall be withheld or given as a means of punishment or reward; (5) No child shall ever be disciplined for toileting accidents; (6) No child shall ever be disciplined for not sleeping during rest period; (7) No child shall be disciplined by assigning chores that require contact with or use (8) Physical activity, such as running laps and doing push-ups, shall not be withheld or required as punishment; (9) No child shall ever be yelled at, shamed, humiliated, frightened, threatened, or bullied; and (10) No child shall be restrained as a form of discipline unless the child's safety or the safety of others is at risk. For purposes of this Rule, "restraining" shall mean that a caregiver physically holds a child in a manner that restricts the child's movement, for a minimum amount of time necessary to ensure a safe environment. Children shall not be restrained through the use of heavy objects, including a caregiver's body, or any device such as straps, blankets, car seats, or cribs. (b) Discipline practices shall be age and developmentally appropriate. We discussed that staff shared that children and staff are moved regularly leaving one staff member to care for young children especially in the toddler rooms. The staff interviewed shared that this is frustrating especially with all the daily responsibilities required. We discussed the importance of consistent caregivers for young children. You shared that you have someone from Child Care Resources Inc currently providing Technical Assistance in the rooms serving toddlers and twos. She has been working with the center since December 2024. I suggested contacting Child Care Resources Healthy Social Behaviors Initiative for additional staff training support. We discussed that Administrative Action would follow based on the findings of March 20 visit and today’s visit. Staff training will be required as well as revised polices and procedures regqrdgin supervision and discipline. We discussed the following rule 10A NCAC 09 .2203 WRITTEN WARNINGS (1) a substantiation of one or more violations as a result of a complaint that do not meet the criteria for a maltreatment finding in accordance with G.S. 110-105.3(b)(3) but for which corrective action is needed; (2) citation of 16 or more violations of separate rules in a single visit where the operator does not meet the criteria of other administrative actions set forth in this Section; or (3) citation of one of the following violations on two consecutive visits: A written warning, which shall include a corrective action plan, may be issued to an operator in regard to any violation including, but not limited to, these situations: supervision of children; discipline, nurture, or care of children; staff/child ratio; group size; licensed capacity; permit restriction; CPR training; First Aid training; ITS-SIDS training; and criminal record check requirements regarding pre-service and three-year reassessments in accordance with G.S. 110-90.2(b). At the completion of the visit, a handwritten visit summary was left with you. This visit summary was emailed to you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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 .2203 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60002826 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: 0325-444L Visit Date: 4/7/2025 Number Present: 114 Completed Date: 4/7/2025 Age: From 0 To 5 Total Minutes: 135 Time In: 11:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The facility has a compliance history of 81% prior to today’s visit. Supervision, capacity, ratio, adequate/approved space and general license requirements were monitored during today’s visit. The program currently operates with a four-star license, issued April 6, 2022 Upon arrival I was greeted by Carol Bireley, Principal. I explained the purpose of the visit and reviewed the allegation. Ms. Bireley assisted me with the facility walk through. The allegation is: There are violations of childcare requirements. Ms. Bireley, Principal, stated she was not aware of any details supporting the specific allegation. During today’s visit, I monitored all indoor classrooms, observed staff interactions with children, interviewed one (1) administrator and five (5) teachers. During the visit, I observed children engaged in transition to lunch, transition to rest time and personal care routines. Nurturing and caring tones were heard with the children throughout the facility. Supervision and staff child ratios were observed in compliance. Findings: Based on interviews it was determined that a staff member has been observed speaking sternly in a harsh manner to children while holding them tightly. It was reported that the children were frightened and crying when this occurred. It was also reported that a staff member has handled a child roughly during changing routines and used words in an inappropriate tone of voice which shamed a child who had a toileting accident. Violations of childcare requirements regarding children not handled in a nurturing manner, handled roughly, and prohibited discipline is confirmed. The following violations were cited today: Violation Number Comment Rule 904 Child was handled roughly. During diaper changing routines a staff member pulled a child's legs over the head of the child in a rough manner. .1803(a)(1) 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. A staff member shamed a child after a toileting accident. A staff member spoke in a way to a child causing the child to be frightened and cry. .1803(a)(9) Compliance Statement Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 21, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Follow-up visits will be conducted to monitor for compliance of child care requirements. Please be aware that 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 will be conducted. Email the information to: Email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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 I reviewed rule 10A NCAC 09 .1722 PROHIBITED DISCIPLINE with all staff members interviewed and Ms. Bireley. (a) No child shall be subjected to any form of corporal punishment by the family child care home operator, additional caregiver, substitute provider, or any other person in the home, whether or not these persons reside in the home as follows: (1) No child shall be handled roughly in any way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking; (2) No child shall ever be placed in a locked room, closet, or box, or be left alone in a room separated from staff; (3) No discipline shall ever be delegated to another child; (4) No food shall be withheld or given as a means of punishment or reward; (5) No child shall ever be disciplined for toileting accidents; (6) No child shall ever be disciplined for not sleeping during rest period; (7) No child shall be disciplined by assigning chores that require contact with or use (8) Physical activity, such as running laps and doing push-ups, shall not be withheld or required as punishment; (9) No child shall ever be yelled at, shamed, humiliated, frightened, threatened, or bullied; and (10) No child shall be restrained as a form of discipline unless the child's safety or the safety of others is at risk. For purposes of this Rule, "restraining" shall mean that a caregiver physically holds a child in a manner that restricts the child's movement, for a minimum amount of time necessary to ensure a safe environment. Children shall not be restrained through the use of heavy objects, including a caregiver's body, or any device such as straps, blankets, car seats, or cribs. (b) Discipline practices shall be age and developmentally appropriate. We discussed that staff shared that children and staff are moved regularly leaving one staff member to care for young children especially in the toddler rooms. The staff interviewed shared that this is frustrating especially with all the daily responsibilities required. We discussed the importance of consistent caregivers for young children. You shared that you have someone from Child Care Resources Inc currently providing Technical Assistance in the rooms serving toddlers and twos. She has been working with the center since December 2024. I suggested contacting Child Care Resources Healthy Social Behaviors Initiative for additional staff training support. We discussed that Administrative Action would follow based on the findings of March 20 visit and today’s visit. Staff training will be required as well as revised polices and procedures regqrdgin supervision and discipline. We discussed the following rule 10A NCAC 09 .2203 WRITTEN WARNINGS (1) a substantiation of one or more violations as a result of a complaint that do not meet the criteria for a maltreatment finding in accordance with G.S. 110-105.3(b)(3) but for which corrective action is needed; (2) citation of 16 or more violations of separate rules in a single visit where the operator does not meet the criteria of other administrative actions set forth in this Section; or (3) citation of one of the following violations on two consecutive visits: A written warning, which shall include a corrective action plan, may be issued to an operator in regard to any violation including, but not limited to, these situations: supervision of children; discipline, nurture, or care of children; staff/child ratio; group size; licensed capacity; permit restriction; CPR training; First Aid training; ITS-SIDS training; and criminal record check requirements regarding pre-service and three-year reassessments in accordance with G.S. 110-90.2(b). At the completion of the visit, a handwritten visit summary was left with you. This visit summary was emailed to you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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. 110-105 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60002826 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: 0325-444L Visit Date: 4/7/2025 Number Present: 114 Completed Date: 4/7/2025 Age: From 0 To 5 Total Minutes: 135 Time In: 11:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The facility has a compliance history of 81% prior to today’s visit. Supervision, capacity, ratio, adequate/approved space and general license requirements were monitored during today’s visit. The program currently operates with a four-star license, issued April 6, 2022 Upon arrival I was greeted by Carol Bireley, Principal. I explained the purpose of the visit and reviewed the allegation. Ms. Bireley assisted me with the facility walk through. The allegation is: There are violations of childcare requirements. Ms. Bireley, Principal, stated she was not aware of any details supporting the specific allegation. During today’s visit, I monitored all indoor classrooms, observed staff interactions with children, interviewed one (1) administrator and five (5) teachers. During the visit, I observed children engaged in transition to lunch, transition to rest time and personal care routines. Nurturing and caring tones were heard with the children throughout the facility. Supervision and staff child ratios were observed in compliance. Findings: Based on interviews it was determined that a staff member has been observed speaking sternly in a harsh manner to children while holding them tightly. It was reported that the children were frightened and crying when this occurred. It was also reported that a staff member has handled a child roughly during changing routines and used words in an inappropriate tone of voice which shamed a child who had a toileting accident. Violations of childcare requirements regarding children not handled in a nurturing manner, handled roughly, and prohibited discipline is confirmed. The following violations were cited today: Violation Number Comment Rule 904 Child was handled roughly. During diaper changing routines a staff member pulled a child's legs over the head of the child in a rough manner. .1803(a)(1) 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. A staff member shamed a child after a toileting accident. A staff member spoke in a way to a child causing the child to be frightened and cry. .1803(a)(9) Compliance Statement Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 21, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Follow-up visits will be conducted to monitor for compliance of child care requirements. Please be aware that 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 will be conducted. Email the information to: Email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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 I reviewed rule 10A NCAC 09 .1722 PROHIBITED DISCIPLINE with all staff members interviewed and Ms. Bireley. (a) No child shall be subjected to any form of corporal punishment by the family child care home operator, additional caregiver, substitute provider, or any other person in the home, whether or not these persons reside in the home as follows: (1) No child shall be handled roughly in any way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking; (2) No child shall ever be placed in a locked room, closet, or box, or be left alone in a room separated from staff; (3) No discipline shall ever be delegated to another child; (4) No food shall be withheld or given as a means of punishment or reward; (5) No child shall ever be disciplined for toileting accidents; (6) No child shall ever be disciplined for not sleeping during rest period; (7) No child shall be disciplined by assigning chores that require contact with or use (8) Physical activity, such as running laps and doing push-ups, shall not be withheld or required as punishment; (9) No child shall ever be yelled at, shamed, humiliated, frightened, threatened, or bullied; and (10) No child shall be restrained as a form of discipline unless the child's safety or the safety of others is at risk. For purposes of this Rule, "restraining" shall mean that a caregiver physically holds a child in a manner that restricts the child's movement, for a minimum amount of time necessary to ensure a safe environment. Children shall not be restrained through the use of heavy objects, including a caregiver's body, or any device such as straps, blankets, car seats, or cribs. (b) Discipline practices shall be age and developmentally appropriate. We discussed that staff shared that children and staff are moved regularly leaving one staff member to care for young children especially in the toddler rooms. The staff interviewed shared that this is frustrating especially with all the daily responsibilities required. We discussed the importance of consistent caregivers for young children. You shared that you have someone from Child Care Resources Inc currently providing Technical Assistance in the rooms serving toddlers and twos. She has been working with the center since December 2024. I suggested contacting Child Care Resources Healthy Social Behaviors Initiative for additional staff training support. We discussed that Administrative Action would follow based on the findings of March 20 visit and today’s visit. Staff training will be required as well as revised polices and procedures regqrdgin supervision and discipline. We discussed the following rule 10A NCAC 09 .2203 WRITTEN WARNINGS (1) a substantiation of one or more violations as a result of a complaint that do not meet the criteria for a maltreatment finding in accordance with G.S. 110-105.3(b)(3) but for which corrective action is needed; (2) citation of 16 or more violations of separate rules in a single visit where the operator does not meet the criteria of other administrative actions set forth in this Section; or (3) citation of one of the following violations on two consecutive visits: A written warning, which shall include a corrective action plan, may be issued to an operator in regard to any violation including, but not limited to, these situations: supervision of children; discipline, nurture, or care of children; staff/child ratio; group size; licensed capacity; permit restriction; CPR training; First Aid training; ITS-SIDS training; and criminal record check requirements regarding pre-service and three-year reassessments in accordance with G.S. 110-90.2(b). At the completion of the visit, a handwritten visit summary was left with you. This visit summary was emailed to you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60002826 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: 0325-444L Visit Date: 4/7/2025 Number Present: 114 Completed Date: 4/7/2025 Age: From 0 To 5 Total Minutes: 135 Time In: 11:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The facility has a compliance history of 81% prior to today’s visit. Supervision, capacity, ratio, adequate/approved space and general license requirements were monitored during today’s visit. The program currently operates with a four-star license, issued April 6, 2022 Upon arrival I was greeted by Carol Bireley, Principal. I explained the purpose of the visit and reviewed the allegation. Ms. Bireley assisted me with the facility walk through. The allegation is: There are violations of childcare requirements. Ms. Bireley, Principal, stated she was not aware of any details supporting the specific allegation. During today’s visit, I monitored all indoor classrooms, observed staff interactions with children, interviewed one (1) administrator and five (5) teachers. During the visit, I observed children engaged in transition to lunch, transition to rest time and personal care routines. Nurturing and caring tones were heard with the children throughout the facility. Supervision and staff child ratios were observed in compliance. Findings: Based on interviews it was determined that a staff member has been observed speaking sternly in a harsh manner to children while holding them tightly. It was reported that the children were frightened and crying when this occurred. It was also reported that a staff member has handled a child roughly during changing routines and used words in an inappropriate tone of voice which shamed a child who had a toileting accident. Violations of childcare requirements regarding children not handled in a nurturing manner, handled roughly, and prohibited discipline is confirmed. The following violations were cited today: Violation Number Comment Rule 904 Child was handled roughly. During diaper changing routines a staff member pulled a child's legs over the head of the child in a rough manner. .1803(a)(1) 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. A staff member shamed a child after a toileting accident. A staff member spoke in a way to a child causing the child to be frightened and cry. .1803(a)(9) Compliance Statement Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 21, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Follow-up visits will be conducted to monitor for compliance of child care requirements. Please be aware that 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 will be conducted. Email the information to: Email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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 I reviewed rule 10A NCAC 09 .1722 PROHIBITED DISCIPLINE with all staff members interviewed and Ms. Bireley. (a) No child shall be subjected to any form of corporal punishment by the family child care home operator, additional caregiver, substitute provider, or any other person in the home, whether or not these persons reside in the home as follows: (1) No child shall be handled roughly in any way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking; (2) No child shall ever be placed in a locked room, closet, or box, or be left alone in a room separated from staff; (3) No discipline shall ever be delegated to another child; (4) No food shall be withheld or given as a means of punishment or reward; (5) No child shall ever be disciplined for toileting accidents; (6) No child shall ever be disciplined for not sleeping during rest period; (7) No child shall be disciplined by assigning chores that require contact with or use (8) Physical activity, such as running laps and doing push-ups, shall not be withheld or required as punishment; (9) No child shall ever be yelled at, shamed, humiliated, frightened, threatened, or bullied; and (10) No child shall be restrained as a form of discipline unless the child's safety or the safety of others is at risk. For purposes of this Rule, "restraining" shall mean that a caregiver physically holds a child in a manner that restricts the child's movement, for a minimum amount of time necessary to ensure a safe environment. Children shall not be restrained through the use of heavy objects, including a caregiver's body, or any device such as straps, blankets, car seats, or cribs. (b) Discipline practices shall be age and developmentally appropriate. We discussed that staff shared that children and staff are moved regularly leaving one staff member to care for young children especially in the toddler rooms. The staff interviewed shared that this is frustrating especially with all the daily responsibilities required. We discussed the importance of consistent caregivers for young children. You shared that you have someone from Child Care Resources Inc currently providing Technical Assistance in the rooms serving toddlers and twos. She has been working with the center since December 2024. I suggested contacting Child Care Resources Healthy Social Behaviors Initiative for additional staff training support. We discussed that Administrative Action would follow based on the findings of March 20 visit and today’s visit. Staff training will be required as well as revised polices and procedures regqrdgin supervision and discipline. We discussed the following rule 10A NCAC 09 .2203 WRITTEN WARNINGS (1) a substantiation of one or more violations as a result of a complaint that do not meet the criteria for a maltreatment finding in accordance with G.S. 110-105.3(b)(3) but for which corrective action is needed; (2) citation of 16 or more violations of separate rules in a single visit where the operator does not meet the criteria of other administrative actions set forth in this Section; or (3) citation of one of the following violations on two consecutive visits: A written warning, which shall include a corrective action plan, may be issued to an operator in regard to any violation including, but not limited to, these situations: supervision of children; discipline, nurture, or care of children; staff/child ratio; group size; licensed capacity; permit restriction; CPR training; First Aid training; ITS-SIDS training; and criminal record check requirements regarding pre-service and three-year reassessments in accordance with G.S. 110-90.2(b). At the completion of the visit, a handwritten visit summary was left with you. This visit summary was emailed to you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: 60002826 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: 0325-444L Visit Date: 4/7/2025 Number Present: 114 Completed Date: 4/7/2025 Age: From 0 To 5 Total Minutes: 135 Time In: 11:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The facility has a compliance history of 81% prior to today’s visit. Supervision, capacity, ratio, adequate/approved space and general license requirements were monitored during today’s visit. The program currently operates with a four-star license, issued April 6, 2022 Upon arrival I was greeted by Carol Bireley, Principal. I explained the purpose of the visit and reviewed the allegation. Ms. Bireley assisted me with the facility walk through. The allegation is: There are violations of childcare requirements. Ms. Bireley, Principal, stated she was not aware of any details supporting the specific allegation. During today’s visit, I monitored all indoor classrooms, observed staff interactions with children, interviewed one (1) administrator and five (5) teachers. During the visit, I observed children engaged in transition to lunch, transition to rest time and personal care routines. Nurturing and caring tones were heard with the children throughout the facility. Supervision and staff child ratios were observed in compliance. Findings: Based on interviews it was determined that a staff member has been observed speaking sternly in a harsh manner to children while holding them tightly. It was reported that the children were frightened and crying when this occurred. It was also reported that a staff member has handled a child roughly during changing routines and used words in an inappropriate tone of voice which shamed a child who had a toileting accident. Violations of childcare requirements regarding children not handled in a nurturing manner, handled roughly, and prohibited discipline is confirmed. The following violations were cited today: Violation Number Comment Rule 904 Child was handled roughly. During diaper changing routines a staff member pulled a child's legs over the head of the child in a rough manner. .1803(a)(1) 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. A staff member shamed a child after a toileting accident. A staff member spoke in a way to a child causing the child to be frightened and cry. .1803(a)(9) Compliance Statement Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 21, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Follow-up visits will be conducted to monitor for compliance of child care requirements. Please be aware that 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 will be conducted. Email the information to: Email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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 I reviewed rule 10A NCAC 09 .1722 PROHIBITED DISCIPLINE with all staff members interviewed and Ms. Bireley. (a) No child shall be subjected to any form of corporal punishment by the family child care home operator, additional caregiver, substitute provider, or any other person in the home, whether or not these persons reside in the home as follows: (1) No child shall be handled roughly in any way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking; (2) No child shall ever be placed in a locked room, closet, or box, or be left alone in a room separated from staff; (3) No discipline shall ever be delegated to another child; (4) No food shall be withheld or given as a means of punishment or reward; (5) No child shall ever be disciplined for toileting accidents; (6) No child shall ever be disciplined for not sleeping during rest period; (7) No child shall be disciplined by assigning chores that require contact with or use (8) Physical activity, such as running laps and doing push-ups, shall not be withheld or required as punishment; (9) No child shall ever be yelled at, shamed, humiliated, frightened, threatened, or bullied; and (10) No child shall be restrained as a form of discipline unless the child's safety or the safety of others is at risk. For purposes of this Rule, "restraining" shall mean that a caregiver physically holds a child in a manner that restricts the child's movement, for a minimum amount of time necessary to ensure a safe environment. Children shall not be restrained through the use of heavy objects, including a caregiver's body, or any device such as straps, blankets, car seats, or cribs. (b) Discipline practices shall be age and developmentally appropriate. We discussed that staff shared that children and staff are moved regularly leaving one staff member to care for young children especially in the toddler rooms. The staff interviewed shared that this is frustrating especially with all the daily responsibilities required. We discussed the importance of consistent caregivers for young children. You shared that you have someone from Child Care Resources Inc currently providing Technical Assistance in the rooms serving toddlers and twos. She has been working with the center since December 2024. I suggested contacting Child Care Resources Healthy Social Behaviors Initiative for additional staff training support. We discussed that Administrative Action would follow based on the findings of March 20 visit and today’s visit. Staff training will be required as well as revised polices and procedures regqrdgin supervision and discipline. We discussed the following rule 10A NCAC 09 .2203 WRITTEN WARNINGS (1) a substantiation of one or more violations as a result of a complaint that do not meet the criteria for a maltreatment finding in accordance with G.S. 110-105.3(b)(3) but for which corrective action is needed; (2) citation of 16 or more violations of separate rules in a single visit where the operator does not meet the criteria of other administrative actions set forth in this Section; or (3) citation of one of the following violations on two consecutive visits: A written warning, which shall include a corrective action plan, may be issued to an operator in regard to any violation including, but not limited to, these situations: supervision of children; discipline, nurture, or care of children; staff/child ratio; group size; licensed capacity; permit restriction; CPR training; First Aid training; ITS-SIDS training; and criminal record check requirements regarding pre-service and three-year reassessments in accordance with G.S. 110-90.2(b). At the completion of the visit, a handwritten visit summary was left with you. This visit summary was emailed to you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: 60002826 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: 0325-284L Visit Date: 3/24/2025 Number Present: 111 Completed Date: 3/24/2025 Age: From 0 To 5 Total Minutes: 170 Time In: 12:20 PM Time Out: 03:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The facility has a compliance history of 81% prior to today’s visit. Supervision, capacity, ratio, adequate/approved space and general license requirements were monitored during today’s visit. The program currently operates with a four-star license, issued April 6, 2022 Upon arrival I was greeted by Brenda Bennett, Assistant Principal. Terri Flake, Area Principal and Carol Bireley, Principal, to explain the purpose of the visit. Ms. Bireley assisted me with the visit and the facility walk through. Ms. Flake joined us to monitor the outdoor play area. The allegations are: There are violations of childcare requirements On March 20, 2025, Terri Flake, Area Principal and Carol Birely, Principal, self-reported that four (4) 2-year-old children eloped from the playground to the parking area on March 19 between 11 and 11:17 a.m. Ms. Bireley identified the children and parents and stated she notified the parents by phone and spoke with parents in person during pick-up. Ms. Bireley, Director, stated a repairman was working on the gutters that morning and did not lock the gate when he left. The children were outdoors about 45 minutes later, playing by the gate. A teacher could not lock the gate, so she moved the kids from the area, but they kept returning. She was standing to the right of the playground by the infant – toddler fence and the gate was behind her. Another teacher was standing with her back to the building looking towards the middle of the playground. The gate was in front of her to the left on the opposite side of the playground. It was not visible to her. Four kids got out through the gate and into the parking area. Two teachers in the infant room saw the children pass by the window and one teacher went after them. The other teacher in the infant room yelled to alert them that children were outside the gate. There were no moving vehicles in the lot, which is a private parking area. The children were not upset and were not injured. The staff to child ratio was 2:13 for the group of 2-year-old children. During today’s visit, I monitored all indoor classrooms, all outdoor play areas, interviewed two (2) administrators, reviewed written statements provided by six (6) teachers and interviews (4) four teachers. During the visit, I observed children engaged in outdoor play, rest time and teacher personal care routines. Nurturing and caring tones were heard with the children throughout the facility. Supervision and staff child ratios were observed in compliance. Findings: Based on interviews, observations, and records review it was determined that children are not adequately supervised is substantiated. The following violations were cited today: Violation Number Comment Rule 303 Children were not adequately supervised at all times. Four (4) children were unsupervised in the center parking lot area after going through a gate while playing on the playground. .1801(a)(1-5) Compliance Statement Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. A follow-up visit will be conducted to monitor staff child ratios. On or before April 7, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Follow-up visits will be conducted to monitor for compliance of child care requirements. Please be aware that 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 will be conducted. Email the information to: Email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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 Please review the following rules with your staff: Supervision: 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS 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. For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. We discussed the following rule: 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. We discussed the following rule: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (m) Air conditioning units shall be located so that they are not accessible to children or shall be fitted with a mesh guard to prevent objects from being thrown into them. We discussed that Administrative Action will follow based on the findings of today’s visit. Please review the following requirements: 10A NCAC 09 .2203 WRITTEN WARNINGS (1) a substantiation of one or more violations as a result of a complaint that do not meet the criteria for a maltreatment finding in accordance with G.S. 110-105.3(b)(3) but for which corrective action is needed; (2) citation of 16 or more violations of separate rules in a single visit where the operator does not meet the criteria of other administrative actions set forth in this Section; or (3) citation of one of the following violations on two consecutive visits: A written warning, which shall include a corrective action plan, may be issued to an operator in regard to any violation including, but not limited to, these situations: supervision of children; discipline, nurture, or care of children; staff/child ratio; group size; licensed capacity; permit restriction; CPR training; First Aid training; ITS-SIDS training; and criminal record check requirements regarding pre-service and three-year reassessments in accordance with G.S. 110-90.2(b). At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0605 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60002826 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: 0325-284L Visit Date: 3/24/2025 Number Present: 111 Completed Date: 3/24/2025 Age: From 0 To 5 Total Minutes: 170 Time In: 12:20 PM Time Out: 03:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The facility has a compliance history of 81% prior to today’s visit. Supervision, capacity, ratio, adequate/approved space and general license requirements were monitored during today’s visit. The program currently operates with a four-star license, issued April 6, 2022 Upon arrival I was greeted by Brenda Bennett, Assistant Principal. Terri Flake, Area Principal and Carol Bireley, Principal, to explain the purpose of the visit. Ms. Bireley assisted me with the visit and the facility walk through. Ms. Flake joined us to monitor the outdoor play area. The allegations are: There are violations of childcare requirements On March 20, 2025, Terri Flake, Area Principal and Carol Birely, Principal, self-reported that four (4) 2-year-old children eloped from the playground to the parking area on March 19 between 11 and 11:17 a.m. Ms. Bireley identified the children and parents and stated she notified the parents by phone and spoke with parents in person during pick-up. Ms. Bireley, Director, stated a repairman was working on the gutters that morning and did not lock the gate when he left. The children were outdoors about 45 minutes later, playing by the gate. A teacher could not lock the gate, so she moved the kids from the area, but they kept returning. She was standing to the right of the playground by the infant – toddler fence and the gate was behind her. Another teacher was standing with her back to the building looking towards the middle of the playground. The gate was in front of her to the left on the opposite side of the playground. It was not visible to her. Four kids got out through the gate and into the parking area. Two teachers in the infant room saw the children pass by the window and one teacher went after them. The other teacher in the infant room yelled to alert them that children were outside the gate. There were no moving vehicles in the lot, which is a private parking area. The children were not upset and were not injured. The staff to child ratio was 2:13 for the group of 2-year-old children. During today’s visit, I monitored all indoor classrooms, all outdoor play areas, interviewed two (2) administrators, reviewed written statements provided by six (6) teachers and interviews (4) four teachers. During the visit, I observed children engaged in outdoor play, rest time and teacher personal care routines. Nurturing and caring tones were heard with the children throughout the facility. Supervision and staff child ratios were observed in compliance. Findings: Based on interviews, observations, and records review it was determined that children are not adequately supervised is substantiated. The following violations were cited today: Violation Number Comment Rule 303 Children were not adequately supervised at all times. Four (4) children were unsupervised in the center parking lot area after going through a gate while playing on the playground. .1801(a)(1-5) Compliance Statement Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. A follow-up visit will be conducted to monitor staff child ratios. On or before April 7, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Follow-up visits will be conducted to monitor for compliance of child care requirements. Please be aware that 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 will be conducted. Email the information to: Email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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 Please review the following rules with your staff: Supervision: 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS 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. For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. We discussed the following rule: 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. We discussed the following rule: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (m) Air conditioning units shall be located so that they are not accessible to children or shall be fitted with a mesh guard to prevent objects from being thrown into them. We discussed that Administrative Action will follow based on the findings of today’s visit. Please review the following requirements: 10A NCAC 09 .2203 WRITTEN WARNINGS (1) a substantiation of one or more violations as a result of a complaint that do not meet the criteria for a maltreatment finding in accordance with G.S. 110-105.3(b)(3) but for which corrective action is needed; (2) citation of 16 or more violations of separate rules in a single visit where the operator does not meet the criteria of other administrative actions set forth in this Section; or (3) citation of one of the following violations on two consecutive visits: A written warning, which shall include a corrective action plan, may be issued to an operator in regard to any violation including, but not limited to, these situations: supervision of children; discipline, nurture, or care of children; staff/child ratio; group size; licensed capacity; permit restriction; CPR training; First Aid training; ITS-SIDS training; and criminal record check requirements regarding pre-service and three-year reassessments in accordance with G.S. 110-90.2(b). At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: 60002826 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: 0325-284L Visit Date: 3/24/2025 Number Present: 111 Completed Date: 3/24/2025 Age: From 0 To 5 Total Minutes: 170 Time In: 12:20 PM Time Out: 03:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The facility has a compliance history of 81% prior to today’s visit. Supervision, capacity, ratio, adequate/approved space and general license requirements were monitored during today’s visit. The program currently operates with a four-star license, issued April 6, 2022 Upon arrival I was greeted by Brenda Bennett, Assistant Principal. Terri Flake, Area Principal and Carol Bireley, Principal, to explain the purpose of the visit. Ms. Bireley assisted me with the visit and the facility walk through. Ms. Flake joined us to monitor the outdoor play area. The allegations are: There are violations of childcare requirements On March 20, 2025, Terri Flake, Area Principal and Carol Birely, Principal, self-reported that four (4) 2-year-old children eloped from the playground to the parking area on March 19 between 11 and 11:17 a.m. Ms. Bireley identified the children and parents and stated she notified the parents by phone and spoke with parents in person during pick-up. Ms. Bireley, Director, stated a repairman was working on the gutters that morning and did not lock the gate when he left. The children were outdoors about 45 minutes later, playing by the gate. A teacher could not lock the gate, so she moved the kids from the area, but they kept returning. She was standing to the right of the playground by the infant – toddler fence and the gate was behind her. Another teacher was standing with her back to the building looking towards the middle of the playground. The gate was in front of her to the left on the opposite side of the playground. It was not visible to her. Four kids got out through the gate and into the parking area. Two teachers in the infant room saw the children pass by the window and one teacher went after them. The other teacher in the infant room yelled to alert them that children were outside the gate. There were no moving vehicles in the lot, which is a private parking area. The children were not upset and were not injured. The staff to child ratio was 2:13 for the group of 2-year-old children. During today’s visit, I monitored all indoor classrooms, all outdoor play areas, interviewed two (2) administrators, reviewed written statements provided by six (6) teachers and interviews (4) four teachers. During the visit, I observed children engaged in outdoor play, rest time and teacher personal care routines. Nurturing and caring tones were heard with the children throughout the facility. Supervision and staff child ratios were observed in compliance. Findings: Based on interviews, observations, and records review it was determined that children are not adequately supervised is substantiated. The following violations were cited today: Violation Number Comment Rule 303 Children were not adequately supervised at all times. Four (4) children were unsupervised in the center parking lot area after going through a gate while playing on the playground. .1801(a)(1-5) Compliance Statement Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. A follow-up visit will be conducted to monitor staff child ratios. On or before April 7, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Follow-up visits will be conducted to monitor for compliance of child care requirements. Please be aware that 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 will be conducted. Email the information to: Email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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 Please review the following rules with your staff: Supervision: 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS 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. For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. We discussed the following rule: 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. We discussed the following rule: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (m) Air conditioning units shall be located so that they are not accessible to children or shall be fitted with a mesh guard to prevent objects from being thrown into them. We discussed that Administrative Action will follow based on the findings of today’s visit. Please review the following requirements: 10A NCAC 09 .2203 WRITTEN WARNINGS (1) a substantiation of one or more violations as a result of a complaint that do not meet the criteria for a maltreatment finding in accordance with G.S. 110-105.3(b)(3) but for which corrective action is needed; (2) citation of 16 or more violations of separate rules in a single visit where the operator does not meet the criteria of other administrative actions set forth in this Section; or (3) citation of one of the following violations on two consecutive visits: A written warning, which shall include a corrective action plan, may be issued to an operator in regard to any violation including, but not limited to, these situations: supervision of children; discipline, nurture, or care of children; staff/child ratio; group size; licensed capacity; permit restriction; CPR training; First Aid training; ITS-SIDS training; and criminal record check requirements regarding pre-service and three-year reassessments in accordance with G.S. 110-90.2(b). At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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 .2203 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60002826 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: 0325-284L Visit Date: 3/24/2025 Number Present: 111 Completed Date: 3/24/2025 Age: From 0 To 5 Total Minutes: 170 Time In: 12:20 PM Time Out: 03:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The facility has a compliance history of 81% prior to today’s visit. Supervision, capacity, ratio, adequate/approved space and general license requirements were monitored during today’s visit. The program currently operates with a four-star license, issued April 6, 2022 Upon arrival I was greeted by Brenda Bennett, Assistant Principal. Terri Flake, Area Principal and Carol Bireley, Principal, to explain the purpose of the visit. Ms. Bireley assisted me with the visit and the facility walk through. Ms. Flake joined us to monitor the outdoor play area. The allegations are: There are violations of childcare requirements On March 20, 2025, Terri Flake, Area Principal and Carol Birely, Principal, self-reported that four (4) 2-year-old children eloped from the playground to the parking area on March 19 between 11 and 11:17 a.m. Ms. Bireley identified the children and parents and stated she notified the parents by phone and spoke with parents in person during pick-up. Ms. Bireley, Director, stated a repairman was working on the gutters that morning and did not lock the gate when he left. The children were outdoors about 45 minutes later, playing by the gate. A teacher could not lock the gate, so she moved the kids from the area, but they kept returning. She was standing to the right of the playground by the infant – toddler fence and the gate was behind her. Another teacher was standing with her back to the building looking towards the middle of the playground. The gate was in front of her to the left on the opposite side of the playground. It was not visible to her. Four kids got out through the gate and into the parking area. Two teachers in the infant room saw the children pass by the window and one teacher went after them. The other teacher in the infant room yelled to alert them that children were outside the gate. There were no moving vehicles in the lot, which is a private parking area. The children were not upset and were not injured. The staff to child ratio was 2:13 for the group of 2-year-old children. During today’s visit, I monitored all indoor classrooms, all outdoor play areas, interviewed two (2) administrators, reviewed written statements provided by six (6) teachers and interviews (4) four teachers. During the visit, I observed children engaged in outdoor play, rest time and teacher personal care routines. Nurturing and caring tones were heard with the children throughout the facility. Supervision and staff child ratios were observed in compliance. Findings: Based on interviews, observations, and records review it was determined that children are not adequately supervised is substantiated. The following violations were cited today: Violation Number Comment Rule 303 Children were not adequately supervised at all times. Four (4) children were unsupervised in the center parking lot area after going through a gate while playing on the playground. .1801(a)(1-5) Compliance Statement Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. A follow-up visit will be conducted to monitor staff child ratios. On or before April 7, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Follow-up visits will be conducted to monitor for compliance of child care requirements. Please be aware that 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 will be conducted. Email the information to: Email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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 Please review the following rules with your staff: Supervision: 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS 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. For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. We discussed the following rule: 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. We discussed the following rule: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (m) Air conditioning units shall be located so that they are not accessible to children or shall be fitted with a mesh guard to prevent objects from being thrown into them. We discussed that Administrative Action will follow based on the findings of today’s visit. Please review the following requirements: 10A NCAC 09 .2203 WRITTEN WARNINGS (1) a substantiation of one or more violations as a result of a complaint that do not meet the criteria for a maltreatment finding in accordance with G.S. 110-105.3(b)(3) but for which corrective action is needed; (2) citation of 16 or more violations of separate rules in a single visit where the operator does not meet the criteria of other administrative actions set forth in this Section; or (3) citation of one of the following violations on two consecutive visits: A written warning, which shall include a corrective action plan, may be issued to an operator in regard to any violation including, but not limited to, these situations: supervision of children; discipline, nurture, or care of children; staff/child ratio; group size; licensed capacity; permit restriction; CPR training; First Aid training; ITS-SIDS training; and criminal record check requirements regarding pre-service and three-year reassessments in accordance with G.S. 110-90.2(b). At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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. 110-105 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60002826 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: 0325-284L Visit Date: 3/24/2025 Number Present: 111 Completed Date: 3/24/2025 Age: From 0 To 5 Total Minutes: 170 Time In: 12:20 PM Time Out: 03:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The facility has a compliance history of 81% prior to today’s visit. Supervision, capacity, ratio, adequate/approved space and general license requirements were monitored during today’s visit. The program currently operates with a four-star license, issued April 6, 2022 Upon arrival I was greeted by Brenda Bennett, Assistant Principal. Terri Flake, Area Principal and Carol Bireley, Principal, to explain the purpose of the visit. Ms. Bireley assisted me with the visit and the facility walk through. Ms. Flake joined us to monitor the outdoor play area. The allegations are: There are violations of childcare requirements On March 20, 2025, Terri Flake, Area Principal and Carol Birely, Principal, self-reported that four (4) 2-year-old children eloped from the playground to the parking area on March 19 between 11 and 11:17 a.m. Ms. Bireley identified the children and parents and stated she notified the parents by phone and spoke with parents in person during pick-up. Ms. Bireley, Director, stated a repairman was working on the gutters that morning and did not lock the gate when he left. The children were outdoors about 45 minutes later, playing by the gate. A teacher could not lock the gate, so she moved the kids from the area, but they kept returning. She was standing to the right of the playground by the infant – toddler fence and the gate was behind her. Another teacher was standing with her back to the building looking towards the middle of the playground. The gate was in front of her to the left on the opposite side of the playground. It was not visible to her. Four kids got out through the gate and into the parking area. Two teachers in the infant room saw the children pass by the window and one teacher went after them. The other teacher in the infant room yelled to alert them that children were outside the gate. There were no moving vehicles in the lot, which is a private parking area. The children were not upset and were not injured. The staff to child ratio was 2:13 for the group of 2-year-old children. During today’s visit, I monitored all indoor classrooms, all outdoor play areas, interviewed two (2) administrators, reviewed written statements provided by six (6) teachers and interviews (4) four teachers. During the visit, I observed children engaged in outdoor play, rest time and teacher personal care routines. Nurturing and caring tones were heard with the children throughout the facility. Supervision and staff child ratios were observed in compliance. Findings: Based on interviews, observations, and records review it was determined that children are not adequately supervised is substantiated. The following violations were cited today: Violation Number Comment Rule 303 Children were not adequately supervised at all times. Four (4) children were unsupervised in the center parking lot area after going through a gate while playing on the playground. .1801(a)(1-5) Compliance Statement Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. A follow-up visit will be conducted to monitor staff child ratios. On or before April 7, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Follow-up visits will be conducted to monitor for compliance of child care requirements. Please be aware that 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 will be conducted. Email the information to: Email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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 Please review the following rules with your staff: Supervision: 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS 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. For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. We discussed the following rule: 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. We discussed the following rule: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (m) Air conditioning units shall be located so that they are not accessible to children or shall be fitted with a mesh guard to prevent objects from being thrown into them. We discussed that Administrative Action will follow based on the findings of today’s visit. Please review the following requirements: 10A NCAC 09 .2203 WRITTEN WARNINGS (1) a substantiation of one or more violations as a result of a complaint that do not meet the criteria for a maltreatment finding in accordance with G.S. 110-105.3(b)(3) but for which corrective action is needed; (2) citation of 16 or more violations of separate rules in a single visit where the operator does not meet the criteria of other administrative actions set forth in this Section; or (3) citation of one of the following violations on two consecutive visits: A written warning, which shall include a corrective action plan, may be issued to an operator in regard to any violation including, but not limited to, these situations: supervision of children; discipline, nurture, or care of children; staff/child ratio; group size; licensed capacity; permit restriction; CPR training; First Aid training; ITS-SIDS training; and criminal record check requirements regarding pre-service and three-year reassessments in accordance with G.S. 110-90.2(b). At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60002826 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: 0325-284L Visit Date: 3/24/2025 Number Present: 111 Completed Date: 3/24/2025 Age: From 0 To 5 Total Minutes: 170 Time In: 12:20 PM Time Out: 03:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The facility has a compliance history of 81% prior to today’s visit. Supervision, capacity, ratio, adequate/approved space and general license requirements were monitored during today’s visit. The program currently operates with a four-star license, issued April 6, 2022 Upon arrival I was greeted by Brenda Bennett, Assistant Principal. Terri Flake, Area Principal and Carol Bireley, Principal, to explain the purpose of the visit. Ms. Bireley assisted me with the visit and the facility walk through. Ms. Flake joined us to monitor the outdoor play area. The allegations are: There are violations of childcare requirements On March 20, 2025, Terri Flake, Area Principal and Carol Birely, Principal, self-reported that four (4) 2-year-old children eloped from the playground to the parking area on March 19 between 11 and 11:17 a.m. Ms. Bireley identified the children and parents and stated she notified the parents by phone and spoke with parents in person during pick-up. Ms. Bireley, Director, stated a repairman was working on the gutters that morning and did not lock the gate when he left. The children were outdoors about 45 minutes later, playing by the gate. A teacher could not lock the gate, so she moved the kids from the area, but they kept returning. She was standing to the right of the playground by the infant – toddler fence and the gate was behind her. Another teacher was standing with her back to the building looking towards the middle of the playground. The gate was in front of her to the left on the opposite side of the playground. It was not visible to her. Four kids got out through the gate and into the parking area. Two teachers in the infant room saw the children pass by the window and one teacher went after them. The other teacher in the infant room yelled to alert them that children were outside the gate. There were no moving vehicles in the lot, which is a private parking area. The children were not upset and were not injured. The staff to child ratio was 2:13 for the group of 2-year-old children. During today’s visit, I monitored all indoor classrooms, all outdoor play areas, interviewed two (2) administrators, reviewed written statements provided by six (6) teachers and interviews (4) four teachers. During the visit, I observed children engaged in outdoor play, rest time and teacher personal care routines. Nurturing and caring tones were heard with the children throughout the facility. Supervision and staff child ratios were observed in compliance. Findings: Based on interviews, observations, and records review it was determined that children are not adequately supervised is substantiated. The following violations were cited today: Violation Number Comment Rule 303 Children were not adequately supervised at all times. Four (4) children were unsupervised in the center parking lot area after going through a gate while playing on the playground. .1801(a)(1-5) Compliance Statement Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. A follow-up visit will be conducted to monitor staff child ratios. On or before April 7, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Follow-up visits will be conducted to monitor for compliance of child care requirements. Please be aware that 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 will be conducted. Email the information to: Email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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 Please review the following rules with your staff: Supervision: 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS 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. For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. We discussed the following rule: 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. We discussed the following rule: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (m) Air conditioning units shall be located so that they are not accessible to children or shall be fitted with a mesh guard to prevent objects from being thrown into them. We discussed that Administrative Action will follow based on the findings of today’s visit. Please review the following requirements: 10A NCAC 09 .2203 WRITTEN WARNINGS (1) a substantiation of one or more violations as a result of a complaint that do not meet the criteria for a maltreatment finding in accordance with G.S. 110-105.3(b)(3) but for which corrective action is needed; (2) citation of 16 or more violations of separate rules in a single visit where the operator does not meet the criteria of other administrative actions set forth in this Section; or (3) citation of one of the following violations on two consecutive visits: A written warning, which shall include a corrective action plan, may be issued to an operator in regard to any violation including, but not limited to, these situations: supervision of children; discipline, nurture, or care of children; staff/child ratio; group size; licensed capacity; permit restriction; CPR training; First Aid training; ITS-SIDS training; and criminal record check requirements regarding pre-service and three-year reassessments in accordance with G.S. 110-90.2(b). At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: 60002826 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: 0325-284L Visit Date: 3/24/2025 Number Present: 111 Completed Date: 3/24/2025 Age: From 0 To 5 Total Minutes: 170 Time In: 12:20 PM Time Out: 03:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The facility has a compliance history of 81% prior to today’s visit. Supervision, capacity, ratio, adequate/approved space and general license requirements were monitored during today’s visit. The program currently operates with a four-star license, issued April 6, 2022 Upon arrival I was greeted by Brenda Bennett, Assistant Principal. Terri Flake, Area Principal and Carol Bireley, Principal, to explain the purpose of the visit. Ms. Bireley assisted me with the visit and the facility walk through. Ms. Flake joined us to monitor the outdoor play area. The allegations are: There are violations of childcare requirements On March 20, 2025, Terri Flake, Area Principal and Carol Birely, Principal, self-reported that four (4) 2-year-old children eloped from the playground to the parking area on March 19 between 11 and 11:17 a.m. Ms. Bireley identified the children and parents and stated she notified the parents by phone and spoke with parents in person during pick-up. Ms. Bireley, Director, stated a repairman was working on the gutters that morning and did not lock the gate when he left. The children were outdoors about 45 minutes later, playing by the gate. A teacher could not lock the gate, so she moved the kids from the area, but they kept returning. She was standing to the right of the playground by the infant – toddler fence and the gate was behind her. Another teacher was standing with her back to the building looking towards the middle of the playground. The gate was in front of her to the left on the opposite side of the playground. It was not visible to her. Four kids got out through the gate and into the parking area. Two teachers in the infant room saw the children pass by the window and one teacher went after them. The other teacher in the infant room yelled to alert them that children were outside the gate. There were no moving vehicles in the lot, which is a private parking area. The children were not upset and were not injured. The staff to child ratio was 2:13 for the group of 2-year-old children. During today’s visit, I monitored all indoor classrooms, all outdoor play areas, interviewed two (2) administrators, reviewed written statements provided by six (6) teachers and interviews (4) four teachers. During the visit, I observed children engaged in outdoor play, rest time and teacher personal care routines. Nurturing and caring tones were heard with the children throughout the facility. Supervision and staff child ratios were observed in compliance. Findings: Based on interviews, observations, and records review it was determined that children are not adequately supervised is substantiated. The following violations were cited today: Violation Number Comment Rule 303 Children were not adequately supervised at all times. Four (4) children were unsupervised in the center parking lot area after going through a gate while playing on the playground. .1801(a)(1-5) Compliance Statement Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. A follow-up visit will be conducted to monitor staff child ratios. On or before April 7, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Follow-up visits will be conducted to monitor for compliance of child care requirements. Please be aware that 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 will be conducted. Email the information to: Email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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 Please review the following rules with your staff: Supervision: 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS 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. For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. We discussed the following rule: 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. We discussed the following rule: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (m) Air conditioning units shall be located so that they are not accessible to children or shall be fitted with a mesh guard to prevent objects from being thrown into them. We discussed that Administrative Action will follow based on the findings of today’s visit. Please review the following requirements: 10A NCAC 09 .2203 WRITTEN WARNINGS (1) a substantiation of one or more violations as a result of a complaint that do not meet the criteria for a maltreatment finding in accordance with G.S. 110-105.3(b)(3) but for which corrective action is needed; (2) citation of 16 or more violations of separate rules in a single visit where the operator does not meet the criteria of other administrative actions set forth in this Section; or (3) citation of one of the following violations on two consecutive visits: A written warning, which shall include a corrective action plan, may be issued to an operator in regard to any violation including, but not limited to, these situations: supervision of children; discipline, nurture, or care of children; staff/child ratio; group size; licensed capacity; permit restriction; CPR training; First Aid training; ITS-SIDS training; and criminal record check requirements regarding pre-service and three-year reassessments in accordance with G.S. 110-90.2(b). At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: 60002826 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 3/13/2025 Number Present: 113 Completed Date: 3/13/2025 Age: From 0 To 5 Total Minutes: 375 Time In: 09:15 AM Time Out: 03:30 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 program currently operates with a four-star license, issued April 6, 2022, earning 4 points in the education component, 6 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by offering a staff benefits package and infrastructure of parent involvement. The last Annual Compliance Visit was conducted March 26, 2024. The facility has a compliance history of 81% prior to today’s visit. The NC Secretary of State website was reviewed on March 12, 2025, and SEG, Inc. is listed as active-current. Upon arrival I was greeted by Brenda Bennett, Assistant Principal and Carol Bireley, Principal, to explain the purpose of the visit. The center was having school pictures taken today. Ms. Bireley assisted me with the visit and the facility walk through. Posted items required were observed and met compliance. Program records were reviewed the last fire drill was conducted on February 27, 2025. The last shelter in place was conducted December 31, 2024. The playground inspections and the incident log were in compliance. The EPR is April 4, 2024, and the ready to go file was monitored and found in compliance. A walk-through of the center was completed today, and all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Permit restrictions were met, and I observed children in approved/adequate space. Each classroom was monitored today. Children were observed participating in free play in activity areas, personal care routines, outdoor play, teacher directed activities, group time, and lunch. Staff were observed interacting with the children in a nurturing and caring manner. The activity plan and attendance were reviewed for each room and found meeting compliance. The program uses Links to Learning and Creative Curriculum. I observed lesson plans posted and evidence of materials supporting the curriculum and theme in each classroom. Throughout the facility, material and equipment in classrooms was monitored for age appropriateness and good repair. In the room serving infants a toy shaker was observed with sharp and small jingle bells. In the room serving infants and toddlers In the room serving two-year-olds one magnetic activity was observed in poor repair and Ms. Birely threw it away In the rooms serving infants and toddlers I observed feeding schedules posted meeting compliance for children enrolled under 15 months. I observed the safe sleep policy posted and in compliance. I monitored safe sleep checks for children under 12 months and found in compliance. I observed bottles labeled and dated throughout the facility and the temperature was in compliance in the refrigerators. I monitored diaper creams today throughout the facility and found in compliance. I monitored each room for safe indoor environment and general safety. In rooms serving children under three (3) years of age I observed teacher supplies, pen caps and small hairbows, plastic baggies, and plastic on construction paper accessible to children. In rooms serving children under three I observed artwork hanging on string secured by small clothespins accessible to children. I observed Micrell Hand Soap in the classrooms with a warning to keep out of reach of children. In the classrooms serving infants, toddlers and tows, I observed cracked laminate on the countertops. Ms. Birely has requested repair of countertops. Please see violations cited for detailed information. I monitored all outdoor play areas and cited violations. Please see violations for details. I monitored the kitchen for expired food. Three unopened gallons of milk were observed dated 3/11/25 and 3/12/25. The expired milk was discarded by the center chef. There are eight (8) children enrolled currently with emergency medications. I reviewed the medical action care plan for all children and found in compliance. One child requiring Auvi-Q did not have the original box and label. Ten percent of children’s records were monitored, and two (2) violations were cited. The staff and training worksheet was provided and used to review staff files. All new staff files were reviewed, and ten (10) percent of veteran staff files were reviewed. Two (2) new staff have been hired since the routine unannounced visit December 16, 2024, Staff files were found in compliance. The center does not provide transportation. The following violations were cited today: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. he white plastic fencing leading to the outdoor bike trail had a large hole in the plastic creating sharp edges. The gutter located next to toddler play area on the the walkway leading to the parking lot was disconnected from a broken drain exposing sharp edges accessible to children. The concrete on the courtyard play area is broken with sharp edges creating a tripping hazard. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. The wooden borders located at the rear of the bike trail are splintering and have sharp points. The fence located on the back play area to the far right next to the gate has a build up of leaves creating a safety hazard. The shed was accessible to children and had splintering on the doors and did not close properly creating pinch points. The door to the hot water heater was not locked making the area accessible to children. The countertops in Spaces 2, 3 and 4 were cracked and peeling. 10A NCAC 09 .0601(a) 815 Electrical cords were accessible to infants and toddlers. In Space 3 and Space 4, electrical cords were hanging lower than five (5) feet accessible to children. 10A NCAC 09 .0604(f) 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate on the back playground to the far right facing the rear did not close properly creating leaving a space large enough for a child to fit through the opening. The gate on the back playground to the far left enclosing the drain did not close properly. The gate on the courtyard play area leading to the parking lot did not close properly leaving a space large enough for a child to fit through the opening. .0605(i) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The HVAC located at the doorway to Space 8 and the HVAC located near the kitchen exit did not have locks o the gates and were accessible to children. .0604 (m) 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 Spaces 3, 4, 5, 6, 7, 8, 9 Micrell hand soap with a warning to keep out of reach of children was on a counter accessible to children. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space 2, one (1) child requiring an Auvi-Q did not have the medication stored in the original labeled container. .0803(2)(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. In Spaces 2, 3, 4, 5 and 9 small parts including hairbows, clothespins, pen caps, keys, foam paint brushes, and foam sticker shapes were observed accessible to children. .0604(q) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child did ot have a medical report on file. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child did not have a medical assessment record on file. GS110-91(1) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch under the stationary equipment o the back playground did not meet critical depth requirement. .0605(k)(1-4) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before March 27, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Please email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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 Record Retention: We discussed how long to keep the incident log on file. Please see 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION for a chart outlining time requirements for retaining records and logs. Staff and Training Worksheets/ Health and Safety Training and On-Going Training: We discussed documenting the expirations dates for CPR/First Aid certification. The staff and training worksheet should be used as a working document can be used monthly to track staff training, certifications, CBC letter expirations and required annual updates. We discussed using the health and safety training worksheet to document training dates and attaching all certificates to the log for licensing review. We discussed logging all training annually on the on-going training worksheet and attaching the certificates to the document for review during licensing visits. 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. Understanding the New QRIS If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. Visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization for videos, new resources and updates. Get Ready for the 3’s / QRIS: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Until February 1, 2025, NCRLAP will use the Revised editions for official environment rating scale assessments for a NC Star Rated License (for new licensees or upon request.) ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: 60002826 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 3/13/2025 Number Present: 113 Completed Date: 3/13/2025 Age: From 0 To 5 Total Minutes: 375 Time In: 09:15 AM Time Out: 03:30 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 program currently operates with a four-star license, issued April 6, 2022, earning 4 points in the education component, 6 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by offering a staff benefits package and infrastructure of parent involvement. The last Annual Compliance Visit was conducted March 26, 2024. The facility has a compliance history of 81% prior to today’s visit. The NC Secretary of State website was reviewed on March 12, 2025, and SEG, Inc. is listed as active-current. Upon arrival I was greeted by Brenda Bennett, Assistant Principal and Carol Bireley, Principal, to explain the purpose of the visit. The center was having school pictures taken today. Ms. Bireley assisted me with the visit and the facility walk through. Posted items required were observed and met compliance. Program records were reviewed the last fire drill was conducted on February 27, 2025. The last shelter in place was conducted December 31, 2024. The playground inspections and the incident log were in compliance. The EPR is April 4, 2024, and the ready to go file was monitored and found in compliance. A walk-through of the center was completed today, and all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Permit restrictions were met, and I observed children in approved/adequate space. Each classroom was monitored today. Children were observed participating in free play in activity areas, personal care routines, outdoor play, teacher directed activities, group time, and lunch. Staff were observed interacting with the children in a nurturing and caring manner. The activity plan and attendance were reviewed for each room and found meeting compliance. The program uses Links to Learning and Creative Curriculum. I observed lesson plans posted and evidence of materials supporting the curriculum and theme in each classroom. Throughout the facility, material and equipment in classrooms was monitored for age appropriateness and good repair. In the room serving infants a toy shaker was observed with sharp and small jingle bells. In the room serving infants and toddlers In the room serving two-year-olds one magnetic activity was observed in poor repair and Ms. Birely threw it away In the rooms serving infants and toddlers I observed feeding schedules posted meeting compliance for children enrolled under 15 months. I observed the safe sleep policy posted and in compliance. I monitored safe sleep checks for children under 12 months and found in compliance. I observed bottles labeled and dated throughout the facility and the temperature was in compliance in the refrigerators. I monitored diaper creams today throughout the facility and found in compliance. I monitored each room for safe indoor environment and general safety. In rooms serving children under three (3) years of age I observed teacher supplies, pen caps and small hairbows, plastic baggies, and plastic on construction paper accessible to children. In rooms serving children under three I observed artwork hanging on string secured by small clothespins accessible to children. I observed Micrell Hand Soap in the classrooms with a warning to keep out of reach of children. In the classrooms serving infants, toddlers and tows, I observed cracked laminate on the countertops. Ms. Birely has requested repair of countertops. Please see violations cited for detailed information. I monitored all outdoor play areas and cited violations. Please see violations for details. I monitored the kitchen for expired food. Three unopened gallons of milk were observed dated 3/11/25 and 3/12/25. The expired milk was discarded by the center chef. There are eight (8) children enrolled currently with emergency medications. I reviewed the medical action care plan for all children and found in compliance. One child requiring Auvi-Q did not have the original box and label. Ten percent of children’s records were monitored, and two (2) violations were cited. The staff and training worksheet was provided and used to review staff files. All new staff files were reviewed, and ten (10) percent of veteran staff files were reviewed. Two (2) new staff have been hired since the routine unannounced visit December 16, 2024, Staff files were found in compliance. The center does not provide transportation. The following violations were cited today: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. he white plastic fencing leading to the outdoor bike trail had a large hole in the plastic creating sharp edges. The gutter located next to toddler play area on the the walkway leading to the parking lot was disconnected from a broken drain exposing sharp edges accessible to children. The concrete on the courtyard play area is broken with sharp edges creating a tripping hazard. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. The wooden borders located at the rear of the bike trail are splintering and have sharp points. The fence located on the back play area to the far right next to the gate has a build up of leaves creating a safety hazard. The shed was accessible to children and had splintering on the doors and did not close properly creating pinch points. The door to the hot water heater was not locked making the area accessible to children. The countertops in Spaces 2, 3 and 4 were cracked and peeling. 10A NCAC 09 .0601(a) 815 Electrical cords were accessible to infants and toddlers. In Space 3 and Space 4, electrical cords were hanging lower than five (5) feet accessible to children. 10A NCAC 09 .0604(f) 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate on the back playground to the far right facing the rear did not close properly creating leaving a space large enough for a child to fit through the opening. The gate on the back playground to the far left enclosing the drain did not close properly. The gate on the courtyard play area leading to the parking lot did not close properly leaving a space large enough for a child to fit through the opening. .0605(i) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The HVAC located at the doorway to Space 8 and the HVAC located near the kitchen exit did not have locks o the gates and were accessible to children. .0604 (m) 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 Spaces 3, 4, 5, 6, 7, 8, 9 Micrell hand soap with a warning to keep out of reach of children was on a counter accessible to children. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space 2, one (1) child requiring an Auvi-Q did not have the medication stored in the original labeled container. .0803(2)(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. In Spaces 2, 3, 4, 5 and 9 small parts including hairbows, clothespins, pen caps, keys, foam paint brushes, and foam sticker shapes were observed accessible to children. .0604(q) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child did ot have a medical report on file. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child did not have a medical assessment record on file. GS110-91(1) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch under the stationary equipment o the back playground did not meet critical depth requirement. .0605(k)(1-4) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before March 27, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Please email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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 Record Retention: We discussed how long to keep the incident log on file. Please see 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION for a chart outlining time requirements for retaining records and logs. Staff and Training Worksheets/ Health and Safety Training and On-Going Training: We discussed documenting the expirations dates for CPR/First Aid certification. The staff and training worksheet should be used as a working document can be used monthly to track staff training, certifications, CBC letter expirations and required annual updates. We discussed using the health and safety training worksheet to document training dates and attaching all certificates to the log for licensing review. We discussed logging all training annually on the on-going training worksheet and attaching the certificates to the document for review during licensing visits. 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. Understanding the New QRIS If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. Visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization for videos, new resources and updates. Get Ready for the 3’s / QRIS: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Until February 1, 2025, NCRLAP will use the Revised editions for official environment rating scale assessments for a NC Star Rated License (for new licensees or upon request.) ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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 .2318 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60002826 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 3/13/2025 Number Present: 113 Completed Date: 3/13/2025 Age: From 0 To 5 Total Minutes: 375 Time In: 09:15 AM Time Out: 03:30 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 program currently operates with a four-star license, issued April 6, 2022, earning 4 points in the education component, 6 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by offering a staff benefits package and infrastructure of parent involvement. The last Annual Compliance Visit was conducted March 26, 2024. The facility has a compliance history of 81% prior to today’s visit. The NC Secretary of State website was reviewed on March 12, 2025, and SEG, Inc. is listed as active-current. Upon arrival I was greeted by Brenda Bennett, Assistant Principal and Carol Bireley, Principal, to explain the purpose of the visit. The center was having school pictures taken today. Ms. Bireley assisted me with the visit and the facility walk through. Posted items required were observed and met compliance. Program records were reviewed the last fire drill was conducted on February 27, 2025. The last shelter in place was conducted December 31, 2024. The playground inspections and the incident log were in compliance. The EPR is April 4, 2024, and the ready to go file was monitored and found in compliance. A walk-through of the center was completed today, and all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Permit restrictions were met, and I observed children in approved/adequate space. Each classroom was monitored today. Children were observed participating in free play in activity areas, personal care routines, outdoor play, teacher directed activities, group time, and lunch. Staff were observed interacting with the children in a nurturing and caring manner. The activity plan and attendance were reviewed for each room and found meeting compliance. The program uses Links to Learning and Creative Curriculum. I observed lesson plans posted and evidence of materials supporting the curriculum and theme in each classroom. Throughout the facility, material and equipment in classrooms was monitored for age appropriateness and good repair. In the room serving infants a toy shaker was observed with sharp and small jingle bells. In the room serving infants and toddlers In the room serving two-year-olds one magnetic activity was observed in poor repair and Ms. Birely threw it away In the rooms serving infants and toddlers I observed feeding schedules posted meeting compliance for children enrolled under 15 months. I observed the safe sleep policy posted and in compliance. I monitored safe sleep checks for children under 12 months and found in compliance. I observed bottles labeled and dated throughout the facility and the temperature was in compliance in the refrigerators. I monitored diaper creams today throughout the facility and found in compliance. I monitored each room for safe indoor environment and general safety. In rooms serving children under three (3) years of age I observed teacher supplies, pen caps and small hairbows, plastic baggies, and plastic on construction paper accessible to children. In rooms serving children under three I observed artwork hanging on string secured by small clothespins accessible to children. I observed Micrell Hand Soap in the classrooms with a warning to keep out of reach of children. In the classrooms serving infants, toddlers and tows, I observed cracked laminate on the countertops. Ms. Birely has requested repair of countertops. Please see violations cited for detailed information. I monitored all outdoor play areas and cited violations. Please see violations for details. I monitored the kitchen for expired food. Three unopened gallons of milk were observed dated 3/11/25 and 3/12/25. The expired milk was discarded by the center chef. There are eight (8) children enrolled currently with emergency medications. I reviewed the medical action care plan for all children and found in compliance. One child requiring Auvi-Q did not have the original box and label. Ten percent of children’s records were monitored, and two (2) violations were cited. The staff and training worksheet was provided and used to review staff files. All new staff files were reviewed, and ten (10) percent of veteran staff files were reviewed. Two (2) new staff have been hired since the routine unannounced visit December 16, 2024, Staff files were found in compliance. The center does not provide transportation. The following violations were cited today: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. he white plastic fencing leading to the outdoor bike trail had a large hole in the plastic creating sharp edges. The gutter located next to toddler play area on the the walkway leading to the parking lot was disconnected from a broken drain exposing sharp edges accessible to children. The concrete on the courtyard play area is broken with sharp edges creating a tripping hazard. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. The wooden borders located at the rear of the bike trail are splintering and have sharp points. The fence located on the back play area to the far right next to the gate has a build up of leaves creating a safety hazard. The shed was accessible to children and had splintering on the doors and did not close properly creating pinch points. The door to the hot water heater was not locked making the area accessible to children. The countertops in Spaces 2, 3 and 4 were cracked and peeling. 10A NCAC 09 .0601(a) 815 Electrical cords were accessible to infants and toddlers. In Space 3 and Space 4, electrical cords were hanging lower than five (5) feet accessible to children. 10A NCAC 09 .0604(f) 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate on the back playground to the far right facing the rear did not close properly creating leaving a space large enough for a child to fit through the opening. The gate on the back playground to the far left enclosing the drain did not close properly. The gate on the courtyard play area leading to the parking lot did not close properly leaving a space large enough for a child to fit through the opening. .0605(i) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The HVAC located at the doorway to Space 8 and the HVAC located near the kitchen exit did not have locks o the gates and were accessible to children. .0604 (m) 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 Spaces 3, 4, 5, 6, 7, 8, 9 Micrell hand soap with a warning to keep out of reach of children was on a counter accessible to children. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space 2, one (1) child requiring an Auvi-Q did not have the medication stored in the original labeled container. .0803(2)(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. In Spaces 2, 3, 4, 5 and 9 small parts including hairbows, clothespins, pen caps, keys, foam paint brushes, and foam sticker shapes were observed accessible to children. .0604(q) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child did ot have a medical report on file. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child did not have a medical assessment record on file. GS110-91(1) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch under the stationary equipment o the back playground did not meet critical depth requirement. .0605(k)(1-4) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before March 27, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Please email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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 Record Retention: We discussed how long to keep the incident log on file. Please see 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION for a chart outlining time requirements for retaining records and logs. Staff and Training Worksheets/ Health and Safety Training and On-Going Training: We discussed documenting the expirations dates for CPR/First Aid certification. The staff and training worksheet should be used as a working document can be used monthly to track staff training, certifications, CBC letter expirations and required annual updates. We discussed using the health and safety training worksheet to document training dates and attaching all certificates to the log for licensing review. We discussed logging all training annually on the on-going training worksheet and attaching the certificates to the document for review during licensing visits. 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. Understanding the New QRIS If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. Visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization for videos, new resources and updates. Get Ready for the 3’s / QRIS: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Until February 1, 2025, NCRLAP will use the Revised editions for official environment rating scale assessments for a NC Star Rated License (for new licensees or upon request.) ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60002826 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 3/13/2025 Number Present: 113 Completed Date: 3/13/2025 Age: From 0 To 5 Total Minutes: 375 Time In: 09:15 AM Time Out: 03:30 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 program currently operates with a four-star license, issued April 6, 2022, earning 4 points in the education component, 6 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by offering a staff benefits package and infrastructure of parent involvement. The last Annual Compliance Visit was conducted March 26, 2024. The facility has a compliance history of 81% prior to today’s visit. The NC Secretary of State website was reviewed on March 12, 2025, and SEG, Inc. is listed as active-current. Upon arrival I was greeted by Brenda Bennett, Assistant Principal and Carol Bireley, Principal, to explain the purpose of the visit. The center was having school pictures taken today. Ms. Bireley assisted me with the visit and the facility walk through. Posted items required were observed and met compliance. Program records were reviewed the last fire drill was conducted on February 27, 2025. The last shelter in place was conducted December 31, 2024. The playground inspections and the incident log were in compliance. The EPR is April 4, 2024, and the ready to go file was monitored and found in compliance. A walk-through of the center was completed today, and all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Permit restrictions were met, and I observed children in approved/adequate space. Each classroom was monitored today. Children were observed participating in free play in activity areas, personal care routines, outdoor play, teacher directed activities, group time, and lunch. Staff were observed interacting with the children in a nurturing and caring manner. The activity plan and attendance were reviewed for each room and found meeting compliance. The program uses Links to Learning and Creative Curriculum. I observed lesson plans posted and evidence of materials supporting the curriculum and theme in each classroom. Throughout the facility, material and equipment in classrooms was monitored for age appropriateness and good repair. In the room serving infants a toy shaker was observed with sharp and small jingle bells. In the room serving infants and toddlers In the room serving two-year-olds one magnetic activity was observed in poor repair and Ms. Birely threw it away In the rooms serving infants and toddlers I observed feeding schedules posted meeting compliance for children enrolled under 15 months. I observed the safe sleep policy posted and in compliance. I monitored safe sleep checks for children under 12 months and found in compliance. I observed bottles labeled and dated throughout the facility and the temperature was in compliance in the refrigerators. I monitored diaper creams today throughout the facility and found in compliance. I monitored each room for safe indoor environment and general safety. In rooms serving children under three (3) years of age I observed teacher supplies, pen caps and small hairbows, plastic baggies, and plastic on construction paper accessible to children. In rooms serving children under three I observed artwork hanging on string secured by small clothespins accessible to children. I observed Micrell Hand Soap in the classrooms with a warning to keep out of reach of children. In the classrooms serving infants, toddlers and tows, I observed cracked laminate on the countertops. Ms. Birely has requested repair of countertops. Please see violations cited for detailed information. I monitored all outdoor play areas and cited violations. Please see violations for details. I monitored the kitchen for expired food. Three unopened gallons of milk were observed dated 3/11/25 and 3/12/25. The expired milk was discarded by the center chef. There are eight (8) children enrolled currently with emergency medications. I reviewed the medical action care plan for all children and found in compliance. One child requiring Auvi-Q did not have the original box and label. Ten percent of children’s records were monitored, and two (2) violations were cited. The staff and training worksheet was provided and used to review staff files. All new staff files were reviewed, and ten (10) percent of veteran staff files were reviewed. Two (2) new staff have been hired since the routine unannounced visit December 16, 2024, Staff files were found in compliance. The center does not provide transportation. The following violations were cited today: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. he white plastic fencing leading to the outdoor bike trail had a large hole in the plastic creating sharp edges. The gutter located next to toddler play area on the the walkway leading to the parking lot was disconnected from a broken drain exposing sharp edges accessible to children. The concrete on the courtyard play area is broken with sharp edges creating a tripping hazard. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. The wooden borders located at the rear of the bike trail are splintering and have sharp points. The fence located on the back play area to the far right next to the gate has a build up of leaves creating a safety hazard. The shed was accessible to children and had splintering on the doors and did not close properly creating pinch points. The door to the hot water heater was not locked making the area accessible to children. The countertops in Spaces 2, 3 and 4 were cracked and peeling. 10A NCAC 09 .0601(a) 815 Electrical cords were accessible to infants and toddlers. In Space 3 and Space 4, electrical cords were hanging lower than five (5) feet accessible to children. 10A NCAC 09 .0604(f) 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate on the back playground to the far right facing the rear did not close properly creating leaving a space large enough for a child to fit through the opening. The gate on the back playground to the far left enclosing the drain did not close properly. The gate on the courtyard play area leading to the parking lot did not close properly leaving a space large enough for a child to fit through the opening. .0605(i) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The HVAC located at the doorway to Space 8 and the HVAC located near the kitchen exit did not have locks o the gates and were accessible to children. .0604 (m) 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 Spaces 3, 4, 5, 6, 7, 8, 9 Micrell hand soap with a warning to keep out of reach of children was on a counter accessible to children. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space 2, one (1) child requiring an Auvi-Q did not have the medication stored in the original labeled container. .0803(2)(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. In Spaces 2, 3, 4, 5 and 9 small parts including hairbows, clothespins, pen caps, keys, foam paint brushes, and foam sticker shapes were observed accessible to children. .0604(q) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child did ot have a medical report on file. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child did not have a medical assessment record on file. GS110-91(1) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch under the stationary equipment o the back playground did not meet critical depth requirement. .0605(k)(1-4) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before March 27, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Please email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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 Record Retention: We discussed how long to keep the incident log on file. Please see 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION for a chart outlining time requirements for retaining records and logs. Staff and Training Worksheets/ Health and Safety Training and On-Going Training: We discussed documenting the expirations dates for CPR/First Aid certification. The staff and training worksheet should be used as a working document can be used monthly to track staff training, certifications, CBC letter expirations and required annual updates. We discussed using the health and safety training worksheet to document training dates and attaching all certificates to the log for licensing review. We discussed logging all training annually on the on-going training worksheet and attaching the certificates to the document for review during licensing visits. 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. Understanding the New QRIS If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. Visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization for videos, new resources and updates. Get Ready for the 3’s / QRIS: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Until February 1, 2025, NCRLAP will use the Revised editions for official environment rating scale assessments for a NC Star Rated License (for new licensees or upon request.) ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: 60002826 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 3/13/2025 Number Present: 113 Completed Date: 3/13/2025 Age: From 0 To 5 Total Minutes: 375 Time In: 09:15 AM Time Out: 03:30 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 program currently operates with a four-star license, issued April 6, 2022, earning 4 points in the education component, 6 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by offering a staff benefits package and infrastructure of parent involvement. The last Annual Compliance Visit was conducted March 26, 2024. The facility has a compliance history of 81% prior to today’s visit. The NC Secretary of State website was reviewed on March 12, 2025, and SEG, Inc. is listed as active-current. Upon arrival I was greeted by Brenda Bennett, Assistant Principal and Carol Bireley, Principal, to explain the purpose of the visit. The center was having school pictures taken today. Ms. Bireley assisted me with the visit and the facility walk through. Posted items required were observed and met compliance. Program records were reviewed the last fire drill was conducted on February 27, 2025. The last shelter in place was conducted December 31, 2024. The playground inspections and the incident log were in compliance. The EPR is April 4, 2024, and the ready to go file was monitored and found in compliance. A walk-through of the center was completed today, and all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Permit restrictions were met, and I observed children in approved/adequate space. Each classroom was monitored today. Children were observed participating in free play in activity areas, personal care routines, outdoor play, teacher directed activities, group time, and lunch. Staff were observed interacting with the children in a nurturing and caring manner. The activity plan and attendance were reviewed for each room and found meeting compliance. The program uses Links to Learning and Creative Curriculum. I observed lesson plans posted and evidence of materials supporting the curriculum and theme in each classroom. Throughout the facility, material and equipment in classrooms was monitored for age appropriateness and good repair. In the room serving infants a toy shaker was observed with sharp and small jingle bells. In the room serving infants and toddlers In the room serving two-year-olds one magnetic activity was observed in poor repair and Ms. Birely threw it away In the rooms serving infants and toddlers I observed feeding schedules posted meeting compliance for children enrolled under 15 months. I observed the safe sleep policy posted and in compliance. I monitored safe sleep checks for children under 12 months and found in compliance. I observed bottles labeled and dated throughout the facility and the temperature was in compliance in the refrigerators. I monitored diaper creams today throughout the facility and found in compliance. I monitored each room for safe indoor environment and general safety. In rooms serving children under three (3) years of age I observed teacher supplies, pen caps and small hairbows, plastic baggies, and plastic on construction paper accessible to children. In rooms serving children under three I observed artwork hanging on string secured by small clothespins accessible to children. I observed Micrell Hand Soap in the classrooms with a warning to keep out of reach of children. In the classrooms serving infants, toddlers and tows, I observed cracked laminate on the countertops. Ms. Birely has requested repair of countertops. Please see violations cited for detailed information. I monitored all outdoor play areas and cited violations. Please see violations for details. I monitored the kitchen for expired food. Three unopened gallons of milk were observed dated 3/11/25 and 3/12/25. The expired milk was discarded by the center chef. There are eight (8) children enrolled currently with emergency medications. I reviewed the medical action care plan for all children and found in compliance. One child requiring Auvi-Q did not have the original box and label. Ten percent of children’s records were monitored, and two (2) violations were cited. The staff and training worksheet was provided and used to review staff files. All new staff files were reviewed, and ten (10) percent of veteran staff files were reviewed. Two (2) new staff have been hired since the routine unannounced visit December 16, 2024, Staff files were found in compliance. The center does not provide transportation. The following violations were cited today: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. he white plastic fencing leading to the outdoor bike trail had a large hole in the plastic creating sharp edges. The gutter located next to toddler play area on the the walkway leading to the parking lot was disconnected from a broken drain exposing sharp edges accessible to children. The concrete on the courtyard play area is broken with sharp edges creating a tripping hazard. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. The wooden borders located at the rear of the bike trail are splintering and have sharp points. The fence located on the back play area to the far right next to the gate has a build up of leaves creating a safety hazard. The shed was accessible to children and had splintering on the doors and did not close properly creating pinch points. The door to the hot water heater was not locked making the area accessible to children. The countertops in Spaces 2, 3 and 4 were cracked and peeling. 10A NCAC 09 .0601(a) 815 Electrical cords were accessible to infants and toddlers. In Space 3 and Space 4, electrical cords were hanging lower than five (5) feet accessible to children. 10A NCAC 09 .0604(f) 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate on the back playground to the far right facing the rear did not close properly creating leaving a space large enough for a child to fit through the opening. The gate on the back playground to the far left enclosing the drain did not close properly. The gate on the courtyard play area leading to the parking lot did not close properly leaving a space large enough for a child to fit through the opening. .0605(i) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The HVAC located at the doorway to Space 8 and the HVAC located near the kitchen exit did not have locks o the gates and were accessible to children. .0604 (m) 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 Spaces 3, 4, 5, 6, 7, 8, 9 Micrell hand soap with a warning to keep out of reach of children was on a counter accessible to children. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space 2, one (1) child requiring an Auvi-Q did not have the medication stored in the original labeled container. .0803(2)(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. In Spaces 2, 3, 4, 5 and 9 small parts including hairbows, clothespins, pen caps, keys, foam paint brushes, and foam sticker shapes were observed accessible to children. .0604(q) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child did ot have a medical report on file. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child did not have a medical assessment record on file. GS110-91(1) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch under the stationary equipment o the back playground did not meet critical depth requirement. .0605(k)(1-4) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before March 27, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Please email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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 Record Retention: We discussed how long to keep the incident log on file. Please see 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION for a chart outlining time requirements for retaining records and logs. Staff and Training Worksheets/ Health and Safety Training and On-Going Training: We discussed documenting the expirations dates for CPR/First Aid certification. The staff and training worksheet should be used as a working document can be used monthly to track staff training, certifications, CBC letter expirations and required annual updates. We discussed using the health and safety training worksheet to document training dates and attaching all certificates to the log for licensing review. We discussed logging all training annually on the on-going training worksheet and attaching the certificates to the document for review during licensing visits. 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. Understanding the New QRIS If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. Visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization for videos, new resources and updates. Get Ready for the 3’s / QRIS: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Until February 1, 2025, NCRLAP will use the Revised editions for official environment rating scale assessments for a NC Star Rated License (for new licensees or upon request.) ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: 60002826 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 3/13/2025 Number Present: 113 Completed Date: 3/13/2025 Age: From 0 To 5 Total Minutes: 375 Time In: 09:15 AM Time Out: 03:30 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 program currently operates with a four-star license, issued April 6, 2022, earning 4 points in the education component, 6 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by offering a staff benefits package and infrastructure of parent involvement. The last Annual Compliance Visit was conducted March 26, 2024. The facility has a compliance history of 81% prior to today’s visit. The NC Secretary of State website was reviewed on March 12, 2025, and SEG, Inc. is listed as active-current. Upon arrival I was greeted by Brenda Bennett, Assistant Principal and Carol Bireley, Principal, to explain the purpose of the visit. The center was having school pictures taken today. Ms. Bireley assisted me with the visit and the facility walk through. Posted items required were observed and met compliance. Program records were reviewed the last fire drill was conducted on February 27, 2025. The last shelter in place was conducted December 31, 2024. The playground inspections and the incident log were in compliance. The EPR is April 4, 2024, and the ready to go file was monitored and found in compliance. A walk-through of the center was completed today, and all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Permit restrictions were met, and I observed children in approved/adequate space. Each classroom was monitored today. Children were observed participating in free play in activity areas, personal care routines, outdoor play, teacher directed activities, group time, and lunch. Staff were observed interacting with the children in a nurturing and caring manner. The activity plan and attendance were reviewed for each room and found meeting compliance. The program uses Links to Learning and Creative Curriculum. I observed lesson plans posted and evidence of materials supporting the curriculum and theme in each classroom. Throughout the facility, material and equipment in classrooms was monitored for age appropriateness and good repair. In the room serving infants a toy shaker was observed with sharp and small jingle bells. In the room serving infants and toddlers In the room serving two-year-olds one magnetic activity was observed in poor repair and Ms. Birely threw it away In the rooms serving infants and toddlers I observed feeding schedules posted meeting compliance for children enrolled under 15 months. I observed the safe sleep policy posted and in compliance. I monitored safe sleep checks for children under 12 months and found in compliance. I observed bottles labeled and dated throughout the facility and the temperature was in compliance in the refrigerators. I monitored diaper creams today throughout the facility and found in compliance. I monitored each room for safe indoor environment and general safety. In rooms serving children under three (3) years of age I observed teacher supplies, pen caps and small hairbows, plastic baggies, and plastic on construction paper accessible to children. In rooms serving children under three I observed artwork hanging on string secured by small clothespins accessible to children. I observed Micrell Hand Soap in the classrooms with a warning to keep out of reach of children. In the classrooms serving infants, toddlers and tows, I observed cracked laminate on the countertops. Ms. Birely has requested repair of countertops. Please see violations cited for detailed information. I monitored all outdoor play areas and cited violations. Please see violations for details. I monitored the kitchen for expired food. Three unopened gallons of milk were observed dated 3/11/25 and 3/12/25. The expired milk was discarded by the center chef. There are eight (8) children enrolled currently with emergency medications. I reviewed the medical action care plan for all children and found in compliance. One child requiring Auvi-Q did not have the original box and label. Ten percent of children’s records were monitored, and two (2) violations were cited. The staff and training worksheet was provided and used to review staff files. All new staff files were reviewed, and ten (10) percent of veteran staff files were reviewed. Two (2) new staff have been hired since the routine unannounced visit December 16, 2024, Staff files were found in compliance. The center does not provide transportation. The following violations were cited today: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. he white plastic fencing leading to the outdoor bike trail had a large hole in the plastic creating sharp edges. The gutter located next to toddler play area on the the walkway leading to the parking lot was disconnected from a broken drain exposing sharp edges accessible to children. The concrete on the courtyard play area is broken with sharp edges creating a tripping hazard. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. The wooden borders located at the rear of the bike trail are splintering and have sharp points. The fence located on the back play area to the far right next to the gate has a build up of leaves creating a safety hazard. The shed was accessible to children and had splintering on the doors and did not close properly creating pinch points. The door to the hot water heater was not locked making the area accessible to children. The countertops in Spaces 2, 3 and 4 were cracked and peeling. 10A NCAC 09 .0601(a) 815 Electrical cords were accessible to infants and toddlers. In Space 3 and Space 4, electrical cords were hanging lower than five (5) feet accessible to children. 10A NCAC 09 .0604(f) 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate on the back playground to the far right facing the rear did not close properly creating leaving a space large enough for a child to fit through the opening. The gate on the back playground to the far left enclosing the drain did not close properly. The gate on the courtyard play area leading to the parking lot did not close properly leaving a space large enough for a child to fit through the opening. .0605(i) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The HVAC located at the doorway to Space 8 and the HVAC located near the kitchen exit did not have locks o the gates and were accessible to children. .0604 (m) 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 Spaces 3, 4, 5, 6, 7, 8, 9 Micrell hand soap with a warning to keep out of reach of children was on a counter accessible to children. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space 2, one (1) child requiring an Auvi-Q did not have the medication stored in the original labeled container. .0803(2)(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. In Spaces 2, 3, 4, 5 and 9 small parts including hairbows, clothespins, pen caps, keys, foam paint brushes, and foam sticker shapes were observed accessible to children. .0604(q) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child did ot have a medical report on file. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child did not have a medical assessment record on file. GS110-91(1) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch under the stationary equipment o the back playground did not meet critical depth requirement. .0605(k)(1-4) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before March 27, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Please email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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 Record Retention: We discussed how long to keep the incident log on file. Please see 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION for a chart outlining time requirements for retaining records and logs. Staff and Training Worksheets/ Health and Safety Training and On-Going Training: We discussed documenting the expirations dates for CPR/First Aid certification. The staff and training worksheet should be used as a working document can be used monthly to track staff training, certifications, CBC letter expirations and required annual updates. We discussed using the health and safety training worksheet to document training dates and attaching all certificates to the log for licensing review. We discussed logging all training annually on the on-going training worksheet and attaching the certificates to the document for review during licensing visits. 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. Understanding the New QRIS If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. Visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization for videos, new resources and updates. Get Ready for the 3’s / QRIS: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Until February 1, 2025, NCRLAP will use the Revised editions for official environment rating scale assessments for a NC Star Rated License (for new licensees or upon request.) ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: 60002826 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 3/13/2025 Number Present: 113 Completed Date: 3/13/2025 Age: From 0 To 5 Total Minutes: 375 Time In: 09:15 AM Time Out: 03:30 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 program currently operates with a four-star license, issued April 6, 2022, earning 4 points in the education component, 6 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by offering a staff benefits package and infrastructure of parent involvement. The last Annual Compliance Visit was conducted March 26, 2024. The facility has a compliance history of 81% prior to today’s visit. The NC Secretary of State website was reviewed on March 12, 2025, and SEG, Inc. is listed as active-current. Upon arrival I was greeted by Brenda Bennett, Assistant Principal and Carol Bireley, Principal, to explain the purpose of the visit. The center was having school pictures taken today. Ms. Bireley assisted me with the visit and the facility walk through. Posted items required were observed and met compliance. Program records were reviewed the last fire drill was conducted on February 27, 2025. The last shelter in place was conducted December 31, 2024. The playground inspections and the incident log were in compliance. The EPR is April 4, 2024, and the ready to go file was monitored and found in compliance. A walk-through of the center was completed today, and all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Permit restrictions were met, and I observed children in approved/adequate space. Each classroom was monitored today. Children were observed participating in free play in activity areas, personal care routines, outdoor play, teacher directed activities, group time, and lunch. Staff were observed interacting with the children in a nurturing and caring manner. The activity plan and attendance were reviewed for each room and found meeting compliance. The program uses Links to Learning and Creative Curriculum. I observed lesson plans posted and evidence of materials supporting the curriculum and theme in each classroom. Throughout the facility, material and equipment in classrooms was monitored for age appropriateness and good repair. In the room serving infants a toy shaker was observed with sharp and small jingle bells. In the room serving infants and toddlers In the room serving two-year-olds one magnetic activity was observed in poor repair and Ms. Birely threw it away In the rooms serving infants and toddlers I observed feeding schedules posted meeting compliance for children enrolled under 15 months. I observed the safe sleep policy posted and in compliance. I monitored safe sleep checks for children under 12 months and found in compliance. I observed bottles labeled and dated throughout the facility and the temperature was in compliance in the refrigerators. I monitored diaper creams today throughout the facility and found in compliance. I monitored each room for safe indoor environment and general safety. In rooms serving children under three (3) years of age I observed teacher supplies, pen caps and small hairbows, plastic baggies, and plastic on construction paper accessible to children. In rooms serving children under three I observed artwork hanging on string secured by small clothespins accessible to children. I observed Micrell Hand Soap in the classrooms with a warning to keep out of reach of children. In the classrooms serving infants, toddlers and tows, I observed cracked laminate on the countertops. Ms. Birely has requested repair of countertops. Please see violations cited for detailed information. I monitored all outdoor play areas and cited violations. Please see violations for details. I monitored the kitchen for expired food. Three unopened gallons of milk were observed dated 3/11/25 and 3/12/25. The expired milk was discarded by the center chef. There are eight (8) children enrolled currently with emergency medications. I reviewed the medical action care plan for all children and found in compliance. One child requiring Auvi-Q did not have the original box and label. Ten percent of children’s records were monitored, and two (2) violations were cited. The staff and training worksheet was provided and used to review staff files. All new staff files were reviewed, and ten (10) percent of veteran staff files were reviewed. Two (2) new staff have been hired since the routine unannounced visit December 16, 2024, Staff files were found in compliance. The center does not provide transportation. The following violations were cited today: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. he white plastic fencing leading to the outdoor bike trail had a large hole in the plastic creating sharp edges. The gutter located next to toddler play area on the the walkway leading to the parking lot was disconnected from a broken drain exposing sharp edges accessible to children. The concrete on the courtyard play area is broken with sharp edges creating a tripping hazard. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. The wooden borders located at the rear of the bike trail are splintering and have sharp points. The fence located on the back play area to the far right next to the gate has a build up of leaves creating a safety hazard. The shed was accessible to children and had splintering on the doors and did not close properly creating pinch points. The door to the hot water heater was not locked making the area accessible to children. The countertops in Spaces 2, 3 and 4 were cracked and peeling. 10A NCAC 09 .0601(a) 815 Electrical cords were accessible to infants and toddlers. In Space 3 and Space 4, electrical cords were hanging lower than five (5) feet accessible to children. 10A NCAC 09 .0604(f) 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate on the back playground to the far right facing the rear did not close properly creating leaving a space large enough for a child to fit through the opening. The gate on the back playground to the far left enclosing the drain did not close properly. The gate on the courtyard play area leading to the parking lot did not close properly leaving a space large enough for a child to fit through the opening. .0605(i) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The HVAC located at the doorway to Space 8 and the HVAC located near the kitchen exit did not have locks o the gates and were accessible to children. .0604 (m) 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 Spaces 3, 4, 5, 6, 7, 8, 9 Micrell hand soap with a warning to keep out of reach of children was on a counter accessible to children. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space 2, one (1) child requiring an Auvi-Q did not have the medication stored in the original labeled container. .0803(2)(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. In Spaces 2, 3, 4, 5 and 9 small parts including hairbows, clothespins, pen caps, keys, foam paint brushes, and foam sticker shapes were observed accessible to children. .0604(q) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child did ot have a medical report on file. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child did not have a medical assessment record on file. GS110-91(1) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch under the stationary equipment o the back playground did not meet critical depth requirement. .0605(k)(1-4) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before March 27, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Please email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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 Record Retention: We discussed how long to keep the incident log on file. Please see 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION for a chart outlining time requirements for retaining records and logs. Staff and Training Worksheets/ Health and Safety Training and On-Going Training: We discussed documenting the expirations dates for CPR/First Aid certification. The staff and training worksheet should be used as a working document can be used monthly to track staff training, certifications, CBC letter expirations and required annual updates. We discussed using the health and safety training worksheet to document training dates and attaching all certificates to the log for licensing review. We discussed logging all training annually on the on-going training worksheet and attaching the certificates to the document for review during licensing visits. 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. Understanding the New QRIS If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. Visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization for videos, new resources and updates. Get Ready for the 3’s / QRIS: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Until February 1, 2025, NCRLAP will use the Revised editions for official environment rating scale assessments for a NC Star Rated License (for new licensees or upon request.) ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: 60002826 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 12/16/2024 Number Present: 99 Completed Date: 12/16/2024 Age: From 0 To 5 Total Minutes: 273 Time In: 09:42 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s Routine Unannounced visit was to monitor for applicable childcare requirements. The facility has a Four-Star License issued April 6, 2022. The facility has a compliance history of 83% prior to today’s visit. The last Annual Compliance Visit was conducted March 26, 2024. Upon arrival I was greeted by Ania Robinson, Office Administrator and Brenda Bennett, Assistant Director. I met with Carol Bireley, Director, to explain the purpose of the visit and Ms. Bireley assisted me with the facility walk through today. I monitored every classroom during today’s visit. The program currently operates with a four-star license, issued April 6, 2022, earning 4 points in the education component, 6 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by offering a staff benefits package and infrastructure of parent involvement. The following child care requirements were monitored and observed today using the Child Care Checklist and the Master Child Care Center Item Number Listing: Supervision: Each group of children were adequately supervised during the visit. Nurturing tones were heard when staff spoke with children. Staff/Child Ratio: The ratios were maintained during today’s visit. CPR: Each staff has current CPR. First Aid: Each staff has current First Aid. CBC Qualification: Staff were current with Criminal Background Check (CBC) qualification. ITS-SIDS: Staff requiring ITS-SIDS certification were current and in compliance. Safe sleep checks were monitored, a violation was cited and technical assistance was provided to infant teachers. Emergency Medical Care Plan: The Emergency Care Plan was posted and in compliance. Administration of Medication: Diaper creams and Emergency Medications were monitored and found not in compliance. See the violations cited. Storage of Hazardous Substances: I observed hazardous substances that were accessible to children and not stored properly during the visit. See the violations cited. Storage of Medication: I observed diaper creams accessible to children. See the violations cited. General Safety: There were general safety concerns. See the violations cited. Technical assistance was provided regarding broken tiles and cracked counter tops. Ms. Bireley informed me that a work order was in place for these items. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: Each group of children were observed in licensed approved space. Program Records: I reviewed all information required to be posted and found meeting compliance. The last Sanitation Inspection was completed December 10, 2024, with a superior rating and five (5) demerits. The playground inspections were in compliance. The incident log was monitored and in compliance. The emergency drill log was monitored. The fire drills were in compliance. A violation was cited for the shelter in place drill. The last fire inspection posted was approved May 15, 2024. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Cords were observed hanging down accessible to children in Space 3, Space 5, and Space 9. A torn sharp pocket label on the side of a bookshelf was observed in Space 5. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 1 a closet was unlocked with hand sanitizer, sharp scissors and tweezers accessible to children. In Space 2 a closet was unlocked with deodorant and body spray accessible to children. In Space 5 a closet was unlocked with hand sanitizer and cough drops accessible to children. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Diaper creams were stored in an unlocked lower cabinet accessible to children in Space 1. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. In Space 4, three (3) children had diaper cream without a permission to administer form and one (1) child had insect repellant and sunscreen without a permission to administer form. In Space 6, one (1) child did not have a signed permission to administer form for Auvi-Q. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 6 two (2) children had an expired Auvi-Q dated 6/2024. .0803(12) 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 Spaces 2, 3, 4, 5 and 9 plastic was observed accessible to children. In Space 9 pom poms and small foam pieces were observed in unlocked lower cabinet. .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. In Space 2, a caregiver documented an infant placed on tummy as initial sleep position. .0606(g) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter in place drill was not conducted every three months. One was conducted 6/18/24 and the next one was conducted 10/17/24. .0604(u);.0302(d)(8) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before January 3, 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: Lisa Eddins-Smith, Child Care Consultant 8801 Crosstimbers Drive Charlotte. NC 28215 Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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. Pre-Service Requirements for Administrator Form: We discussed completing this form in order to update the Administrator information on fir with the NCDCDEE. The form can be found in the Provider Documents and Forms tab on our website. Staff and training Worksheets: We discussed making this a working document which is updated immediately there is a new employee hired and reviewed monthly for veteran staff. This is a working document and I recommend keeping it digitally on your desktop. We discussed having this available for review at any time. Cabinets, Tiles and Countertop Repairs: We discussed checking all locked lower cabinet doors for pinch points. We discussed the broken tiles and countertops in poor repair throughout the center. You have placed a work order for repair. Medications: We discussed implementing a consistent method for accepting and tracking medications. I would recommend a spreadsheet and that all medications are accepted by the administrative team and forms checked for accuracy before distributing to the classroom. Emergency Medications: We discussed a check system or a spreadsheet to monitor the emergency medications, the forms needed and the expiration dates. A spreadsheet would be one way to keep up with details for each child's FARE. Storage of Hazardous Materials: We discussed the importance of locking the closet doors at all times. Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. 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. Get Ready for the 3’s: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Until February 1, 2025, NCRLAP will use the Revised editions for official environment rating scale assessments for a NC Star Rated License (for new licensees or upon request.) SAVE THE DATE – NCRLAP Get Ready for the 3’s Training for Mecklenburg County Facilities WHO: All Mecklenburg County Owners and Administrators WHAT: Training with Megan Porter from the NCRLAP The Environment Rating Scales (ERS) Third editions- ECERS-3, ITERS-3 WHEN: January 14, 2025, 1:00 pm-3:00 pm WHERE: Child Care Resources Inc. 200-B Regency Executive Park Dr. STE 240 Charlotte, NC 28217 WHY: Exciting news! New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, and ITERS-3—also known as the "3s"—will be used for DCDEE assessments. We want you to have all you need to prepare for them. These third editions come with a spiral binding at the top, replacing the current revised editions. QRIS UPDATES: Quality Rating and Improvement System (QRIS), a star rating system for early childhood education facilities. QRIS is a systemic approach to assess, improve, and communicate the level of quality in child care. It encourages programs to engage in continuous quality improvement and families may use the star rating to make informed decisions when choosing a child care facility. We understand that you may have questions as you consider this information. Questions about QRIS Modernization (Reform) may be sent to DCDEE_QRIS@dhhs.nc.gov. In an effort to provide consistent and accurate answers to all individuals, we will be collecting the questions and preparing a FAQ that will be shared as we continue this work. Visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization for the most up to date news regarding QRIS including Pathway options for your facility. ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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: 60002826 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 12/16/2024 Number Present: 99 Completed Date: 12/16/2024 Age: From 0 To 5 Total Minutes: 273 Time In: 09:42 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s Routine Unannounced visit was to monitor for applicable childcare requirements. The facility has a Four-Star License issued April 6, 2022. The facility has a compliance history of 83% prior to today’s visit. The last Annual Compliance Visit was conducted March 26, 2024. Upon arrival I was greeted by Ania Robinson, Office Administrator and Brenda Bennett, Assistant Director. I met with Carol Bireley, Director, to explain the purpose of the visit and Ms. Bireley assisted me with the facility walk through today. I monitored every classroom during today’s visit. The program currently operates with a four-star license, issued April 6, 2022, earning 4 points in the education component, 6 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by offering a staff benefits package and infrastructure of parent involvement. The following child care requirements were monitored and observed today using the Child Care Checklist and the Master Child Care Center Item Number Listing: Supervision: Each group of children were adequately supervised during the visit. Nurturing tones were heard when staff spoke with children. Staff/Child Ratio: The ratios were maintained during today’s visit. CPR: Each staff has current CPR. First Aid: Each staff has current First Aid. CBC Qualification: Staff were current with Criminal Background Check (CBC) qualification. ITS-SIDS: Staff requiring ITS-SIDS certification were current and in compliance. Safe sleep checks were monitored, a violation was cited and technical assistance was provided to infant teachers. Emergency Medical Care Plan: The Emergency Care Plan was posted and in compliance. Administration of Medication: Diaper creams and Emergency Medications were monitored and found not in compliance. See the violations cited. Storage of Hazardous Substances: I observed hazardous substances that were accessible to children and not stored properly during the visit. See the violations cited. Storage of Medication: I observed diaper creams accessible to children. See the violations cited. General Safety: There were general safety concerns. See the violations cited. Technical assistance was provided regarding broken tiles and cracked counter tops. Ms. Bireley informed me that a work order was in place for these items. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: Each group of children were observed in licensed approved space. Program Records: I reviewed all information required to be posted and found meeting compliance. The last Sanitation Inspection was completed December 10, 2024, with a superior rating and five (5) demerits. The playground inspections were in compliance. The incident log was monitored and in compliance. The emergency drill log was monitored. The fire drills were in compliance. A violation was cited for the shelter in place drill. The last fire inspection posted was approved May 15, 2024. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Cords were observed hanging down accessible to children in Space 3, Space 5, and Space 9. A torn sharp pocket label on the side of a bookshelf was observed in Space 5. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 1 a closet was unlocked with hand sanitizer, sharp scissors and tweezers accessible to children. In Space 2 a closet was unlocked with deodorant and body spray accessible to children. In Space 5 a closet was unlocked with hand sanitizer and cough drops accessible to children. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Diaper creams were stored in an unlocked lower cabinet accessible to children in Space 1. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. In Space 4, three (3) children had diaper cream without a permission to administer form and one (1) child had insect repellant and sunscreen without a permission to administer form. In Space 6, one (1) child did not have a signed permission to administer form for Auvi-Q. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 6 two (2) children had an expired Auvi-Q dated 6/2024. .0803(12) 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 Spaces 2, 3, 4, 5 and 9 plastic was observed accessible to children. In Space 9 pom poms and small foam pieces were observed in unlocked lower cabinet. .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. In Space 2, a caregiver documented an infant placed on tummy as initial sleep position. .0606(g) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter in place drill was not conducted every three months. One was conducted 6/18/24 and the next one was conducted 10/17/24. .0604(u);.0302(d)(8) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before January 3, 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: Lisa Eddins-Smith, Child Care Consultant 8801 Crosstimbers Drive Charlotte. NC 28215 Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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. Pre-Service Requirements for Administrator Form: We discussed completing this form in order to update the Administrator information on fir with the NCDCDEE. The form can be found in the Provider Documents and Forms tab on our website. Staff and training Worksheets: We discussed making this a working document which is updated immediately there is a new employee hired and reviewed monthly for veteran staff. This is a working document and I recommend keeping it digitally on your desktop. We discussed having this available for review at any time. Cabinets, Tiles and Countertop Repairs: We discussed checking all locked lower cabinet doors for pinch points. We discussed the broken tiles and countertops in poor repair throughout the center. You have placed a work order for repair. Medications: We discussed implementing a consistent method for accepting and tracking medications. I would recommend a spreadsheet and that all medications are accepted by the administrative team and forms checked for accuracy before distributing to the classroom. Emergency Medications: We discussed a check system or a spreadsheet to monitor the emergency medications, the forms needed and the expiration dates. A spreadsheet would be one way to keep up with details for each child's FARE. Storage of Hazardous Materials: We discussed the importance of locking the closet doors at all times. Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. 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. Get Ready for the 3’s: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Until February 1, 2025, NCRLAP will use the Revised editions for official environment rating scale assessments for a NC Star Rated License (for new licensees or upon request.) SAVE THE DATE – NCRLAP Get Ready for the 3’s Training for Mecklenburg County Facilities WHO: All Mecklenburg County Owners and Administrators WHAT: Training with Megan Porter from the NCRLAP The Environment Rating Scales (ERS) Third editions- ECERS-3, ITERS-3 WHEN: January 14, 2025, 1:00 pm-3:00 pm WHERE: Child Care Resources Inc. 200-B Regency Executive Park Dr. STE 240 Charlotte, NC 28217 WHY: Exciting news! New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, and ITERS-3—also known as the "3s"—will be used for DCDEE assessments. We want you to have all you need to prepare for them. These third editions come with a spiral binding at the top, replacing the current revised editions. QRIS UPDATES: Quality Rating and Improvement System (QRIS), a star rating system for early childhood education facilities. QRIS is a systemic approach to assess, improve, and communicate the level of quality in child care. It encourages programs to engage in continuous quality improvement and families may use the star rating to make informed decisions when choosing a child care facility. We understand that you may have questions as you consider this information. Questions about QRIS Modernization (Reform) may be sent to DCDEE_QRIS@dhhs.nc.gov. In an effort to provide consistent and accurate answers to all individuals, we will be collecting the questions and preparing a FAQ that will be shared as we continue this work. Visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization for the most up to date news regarding QRIS including Pathway options for your facility. ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60002826 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 12/16/2024 Number Present: 99 Completed Date: 12/16/2024 Age: From 0 To 5 Total Minutes: 273 Time In: 09:42 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s Routine Unannounced visit was to monitor for applicable childcare requirements. The facility has a Four-Star License issued April 6, 2022. The facility has a compliance history of 83% prior to today’s visit. The last Annual Compliance Visit was conducted March 26, 2024. Upon arrival I was greeted by Ania Robinson, Office Administrator and Brenda Bennett, Assistant Director. I met with Carol Bireley, Director, to explain the purpose of the visit and Ms. Bireley assisted me with the facility walk through today. I monitored every classroom during today’s visit. The program currently operates with a four-star license, issued April 6, 2022, earning 4 points in the education component, 6 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by offering a staff benefits package and infrastructure of parent involvement. The following child care requirements were monitored and observed today using the Child Care Checklist and the Master Child Care Center Item Number Listing: Supervision: Each group of children were adequately supervised during the visit. Nurturing tones were heard when staff spoke with children. Staff/Child Ratio: The ratios were maintained during today’s visit. CPR: Each staff has current CPR. First Aid: Each staff has current First Aid. CBC Qualification: Staff were current with Criminal Background Check (CBC) qualification. ITS-SIDS: Staff requiring ITS-SIDS certification were current and in compliance. Safe sleep checks were monitored, a violation was cited and technical assistance was provided to infant teachers. Emergency Medical Care Plan: The Emergency Care Plan was posted and in compliance. Administration of Medication: Diaper creams and Emergency Medications were monitored and found not in compliance. See the violations cited. Storage of Hazardous Substances: I observed hazardous substances that were accessible to children and not stored properly during the visit. See the violations cited. Storage of Medication: I observed diaper creams accessible to children. See the violations cited. General Safety: There were general safety concerns. See the violations cited. Technical assistance was provided regarding broken tiles and cracked counter tops. Ms. Bireley informed me that a work order was in place for these items. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: Each group of children were observed in licensed approved space. Program Records: I reviewed all information required to be posted and found meeting compliance. The last Sanitation Inspection was completed December 10, 2024, with a superior rating and five (5) demerits. The playground inspections were in compliance. The incident log was monitored and in compliance. The emergency drill log was monitored. The fire drills were in compliance. A violation was cited for the shelter in place drill. The last fire inspection posted was approved May 15, 2024. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Cords were observed hanging down accessible to children in Space 3, Space 5, and Space 9. A torn sharp pocket label on the side of a bookshelf was observed in Space 5. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 1 a closet was unlocked with hand sanitizer, sharp scissors and tweezers accessible to children. In Space 2 a closet was unlocked with deodorant and body spray accessible to children. In Space 5 a closet was unlocked with hand sanitizer and cough drops accessible to children. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Diaper creams were stored in an unlocked lower cabinet accessible to children in Space 1. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. In Space 4, three (3) children had diaper cream without a permission to administer form and one (1) child had insect repellant and sunscreen without a permission to administer form. In Space 6, one (1) child did not have a signed permission to administer form for Auvi-Q. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 6 two (2) children had an expired Auvi-Q dated 6/2024. .0803(12) 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 Spaces 2, 3, 4, 5 and 9 plastic was observed accessible to children. In Space 9 pom poms and small foam pieces were observed in unlocked lower cabinet. .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. In Space 2, a caregiver documented an infant placed on tummy as initial sleep position. .0606(g) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter in place drill was not conducted every three months. One was conducted 6/18/24 and the next one was conducted 10/17/24. .0604(u);.0302(d)(8) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before January 3, 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: Lisa Eddins-Smith, Child Care Consultant 8801 Crosstimbers Drive Charlotte. NC 28215 Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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. Pre-Service Requirements for Administrator Form: We discussed completing this form in order to update the Administrator information on fir with the NCDCDEE. The form can be found in the Provider Documents and Forms tab on our website. Staff and training Worksheets: We discussed making this a working document which is updated immediately there is a new employee hired and reviewed monthly for veteran staff. This is a working document and I recommend keeping it digitally on your desktop. We discussed having this available for review at any time. Cabinets, Tiles and Countertop Repairs: We discussed checking all locked lower cabinet doors for pinch points. We discussed the broken tiles and countertops in poor repair throughout the center. You have placed a work order for repair. Medications: We discussed implementing a consistent method for accepting and tracking medications. I would recommend a spreadsheet and that all medications are accepted by the administrative team and forms checked for accuracy before distributing to the classroom. Emergency Medications: We discussed a check system or a spreadsheet to monitor the emergency medications, the forms needed and the expiration dates. A spreadsheet would be one way to keep up with details for each child's FARE. Storage of Hazardous Materials: We discussed the importance of locking the closet doors at all times. Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. 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. Get Ready for the 3’s: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Until February 1, 2025, NCRLAP will use the Revised editions for official environment rating scale assessments for a NC Star Rated License (for new licensees or upon request.) SAVE THE DATE – NCRLAP Get Ready for the 3’s Training for Mecklenburg County Facilities WHO: All Mecklenburg County Owners and Administrators WHAT: Training with Megan Porter from the NCRLAP The Environment Rating Scales (ERS) Third editions- ECERS-3, ITERS-3 WHEN: January 14, 2025, 1:00 pm-3:00 pm WHERE: Child Care Resources Inc. 200-B Regency Executive Park Dr. STE 240 Charlotte, NC 28217 WHY: Exciting news! New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, and ITERS-3—also known as the "3s"—will be used for DCDEE assessments. We want you to have all you need to prepare for them. These third editions come with a spiral binding at the top, replacing the current revised editions. QRIS UPDATES: Quality Rating and Improvement System (QRIS), a star rating system for early childhood education facilities. QRIS is a systemic approach to assess, improve, and communicate the level of quality in child care. It encourages programs to engage in continuous quality improvement and families may use the star rating to make informed decisions when choosing a child care facility. We understand that you may have questions as you consider this information. Questions about QRIS Modernization (Reform) may be sent to DCDEE_QRIS@dhhs.nc.gov. In an effort to provide consistent and accurate answers to all individuals, we will be collecting the questions and preparing a FAQ that will be shared as we continue this work. Visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization for the most up to date news regarding QRIS including Pathway options for your facility. ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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: 60002826 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 12/16/2024 Number Present: 99 Completed Date: 12/16/2024 Age: From 0 To 5 Total Minutes: 273 Time In: 09:42 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s Routine Unannounced visit was to monitor for applicable childcare requirements. The facility has a Four-Star License issued April 6, 2022. The facility has a compliance history of 83% prior to today’s visit. The last Annual Compliance Visit was conducted March 26, 2024. Upon arrival I was greeted by Ania Robinson, Office Administrator and Brenda Bennett, Assistant Director. I met with Carol Bireley, Director, to explain the purpose of the visit and Ms. Bireley assisted me with the facility walk through today. I monitored every classroom during today’s visit. The program currently operates with a four-star license, issued April 6, 2022, earning 4 points in the education component, 6 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by offering a staff benefits package and infrastructure of parent involvement. The following child care requirements were monitored and observed today using the Child Care Checklist and the Master Child Care Center Item Number Listing: Supervision: Each group of children were adequately supervised during the visit. Nurturing tones were heard when staff spoke with children. Staff/Child Ratio: The ratios were maintained during today’s visit. CPR: Each staff has current CPR. First Aid: Each staff has current First Aid. CBC Qualification: Staff were current with Criminal Background Check (CBC) qualification. ITS-SIDS: Staff requiring ITS-SIDS certification were current and in compliance. Safe sleep checks were monitored, a violation was cited and technical assistance was provided to infant teachers. Emergency Medical Care Plan: The Emergency Care Plan was posted and in compliance. Administration of Medication: Diaper creams and Emergency Medications were monitored and found not in compliance. See the violations cited. Storage of Hazardous Substances: I observed hazardous substances that were accessible to children and not stored properly during the visit. See the violations cited. Storage of Medication: I observed diaper creams accessible to children. See the violations cited. General Safety: There were general safety concerns. See the violations cited. Technical assistance was provided regarding broken tiles and cracked counter tops. Ms. Bireley informed me that a work order was in place for these items. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: Each group of children were observed in licensed approved space. Program Records: I reviewed all information required to be posted and found meeting compliance. The last Sanitation Inspection was completed December 10, 2024, with a superior rating and five (5) demerits. The playground inspections were in compliance. The incident log was monitored and in compliance. The emergency drill log was monitored. The fire drills were in compliance. A violation was cited for the shelter in place drill. The last fire inspection posted was approved May 15, 2024. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Cords were observed hanging down accessible to children in Space 3, Space 5, and Space 9. A torn sharp pocket label on the side of a bookshelf was observed in Space 5. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 1 a closet was unlocked with hand sanitizer, sharp scissors and tweezers accessible to children. In Space 2 a closet was unlocked with deodorant and body spray accessible to children. In Space 5 a closet was unlocked with hand sanitizer and cough drops accessible to children. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Diaper creams were stored in an unlocked lower cabinet accessible to children in Space 1. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. In Space 4, three (3) children had diaper cream without a permission to administer form and one (1) child had insect repellant and sunscreen without a permission to administer form. In Space 6, one (1) child did not have a signed permission to administer form for Auvi-Q. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 6 two (2) children had an expired Auvi-Q dated 6/2024. .0803(12) 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 Spaces 2, 3, 4, 5 and 9 plastic was observed accessible to children. In Space 9 pom poms and small foam pieces were observed in unlocked lower cabinet. .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. In Space 2, a caregiver documented an infant placed on tummy as initial sleep position. .0606(g) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter in place drill was not conducted every three months. One was conducted 6/18/24 and the next one was conducted 10/17/24. .0604(u);.0302(d)(8) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before January 3, 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: Lisa Eddins-Smith, Child Care Consultant 8801 Crosstimbers Drive Charlotte. NC 28215 Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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. Pre-Service Requirements for Administrator Form: We discussed completing this form in order to update the Administrator information on fir with the NCDCDEE. The form can be found in the Provider Documents and Forms tab on our website. Staff and training Worksheets: We discussed making this a working document which is updated immediately there is a new employee hired and reviewed monthly for veteran staff. This is a working document and I recommend keeping it digitally on your desktop. We discussed having this available for review at any time. Cabinets, Tiles and Countertop Repairs: We discussed checking all locked lower cabinet doors for pinch points. We discussed the broken tiles and countertops in poor repair throughout the center. You have placed a work order for repair. Medications: We discussed implementing a consistent method for accepting and tracking medications. I would recommend a spreadsheet and that all medications are accepted by the administrative team and forms checked for accuracy before distributing to the classroom. Emergency Medications: We discussed a check system or a spreadsheet to monitor the emergency medications, the forms needed and the expiration dates. A spreadsheet would be one way to keep up with details for each child's FARE. Storage of Hazardous Materials: We discussed the importance of locking the closet doors at all times. Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. 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. Get Ready for the 3’s: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Until February 1, 2025, NCRLAP will use the Revised editions for official environment rating scale assessments for a NC Star Rated License (for new licensees or upon request.) SAVE THE DATE – NCRLAP Get Ready for the 3’s Training for Mecklenburg County Facilities WHO: All Mecklenburg County Owners and Administrators WHAT: Training with Megan Porter from the NCRLAP The Environment Rating Scales (ERS) Third editions- ECERS-3, ITERS-3 WHEN: January 14, 2025, 1:00 pm-3:00 pm WHERE: Child Care Resources Inc. 200-B Regency Executive Park Dr. STE 240 Charlotte, NC 28217 WHY: Exciting news! New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, and ITERS-3—also known as the "3s"—will be used for DCDEE assessments. We want you to have all you need to prepare for them. These third editions come with a spiral binding at the top, replacing the current revised editions. QRIS UPDATES: Quality Rating and Improvement System (QRIS), a star rating system for early childhood education facilities. QRIS is a systemic approach to assess, improve, and communicate the level of quality in child care. It encourages programs to engage in continuous quality improvement and families may use the star rating to make informed decisions when choosing a child care facility. We understand that you may have questions as you consider this information. Questions about QRIS Modernization (Reform) may be sent to DCDEE_QRIS@dhhs.nc.gov. In an effort to provide consistent and accurate answers to all individuals, we will be collecting the questions and preparing a FAQ that will be shared as we continue this work. Visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization for the most up to date news regarding QRIS including Pathway options for your facility. ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60002826 Consultant: LEIGH BROOME Operation Type: Center Case Number: 0924-120A Visit Date: 9/11/2024 Number Present: 100 Completed Date: 9/11/2024 Age: From 0 To 5 Total Minutes: 128 Time In: 11:17 AM Time Out: 01:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Teri Flake, Support Principal, accompanied me during a walk-through of the facility. During the visit, I spoke with Ms. Flake and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A staff member spoke to children in a harsh manner when redirecting children's behaviors. G.S. 110-91(10) 904 Child was handled roughly. A staff member pinched children as a form of discipline. On one occasion during nap time, the staff member used her foot to lift a child's cot with the child on it as she told the child to be quiet. .1803(a)(1) 1041 Prior to employment a Criminal Background Check was not completed. One staff member, Carol Bireley, did not have a current criminal background check on file on September 11, 2024. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. On September 11, 2024, valid qualification letters were not available for two employees. G.S. 110-90.2(b) & (d) & .2703(e) Violations must be corrected immediately. Within one week, September 18, 2024, you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at Leigh Broome, Investigations Consultant, Leigh.Broome@dhhs.nc.gov. You may contact me at Leigh Broome, Investigations Consultant, 704-594-0146, leigh.broome@dhhs.nc.gov or Veronica Grant, South Central Investigations Team Supervisor, veronica.grant@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60002826 Consultant: LEIGH BROOME Operation Type: Center Case Number: 0924-120A Visit Date: 9/11/2024 Number Present: 100 Completed Date: 9/11/2024 Age: From 0 To 5 Total Minutes: 128 Time In: 11:17 AM Time Out: 01:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Teri Flake, Support Principal, accompanied me during a walk-through of the facility. During the visit, I spoke with Ms. Flake and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A staff member spoke to children in a harsh manner when redirecting children's behaviors. G.S. 110-91(10) 904 Child was handled roughly. A staff member pinched children as a form of discipline. On one occasion during nap time, the staff member used her foot to lift a child's cot with the child on it as she told the child to be quiet. .1803(a)(1) 1041 Prior to employment a Criminal Background Check was not completed. One staff member, Carol Bireley, did not have a current criminal background check on file on September 11, 2024. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. On September 11, 2024, valid qualification letters were not available for two employees. G.S. 110-90.2(b) & (d) & .2703(e) Violations must be corrected immediately. Within one week, September 18, 2024, you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at Leigh Broome, Investigations Consultant, Leigh.Broome@dhhs.nc.gov. You may contact me at Leigh Broome, Investigations Consultant, 704-594-0146, leigh.broome@dhhs.nc.gov or Veronica Grant, South Central Investigations Team Supervisor, veronica.grant@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60002826 Consultant: KAYE DUNLAP Operation Type: Center Case Number: 0724-354L Visit Date: 8/12/2024 Number Present: 100 Completed Date: 8/12/2024 Age: From 0 To 5 Total Minutes: 205 Time In: 08:50 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegations are as follows: There are concerns that: Meal portions are smaller than normal. Breakfast does not contain all of the required components. Some children do not receive breakfast because of a food shortage. The activity schedule is not followed regarding food service. Upon my arrival, I was greeted by the Director, C. Bireley. I stated the reason for the visit. A walk through of the center was conducted with the Director. In space # 5, there were ten children two years of age with one staff member. The Director asked the Teacher if she needed to move a child to another classroom and the Teacher responded that yes, the tenth child had just been dropped off. The Director moved a child to another classroom. The Director, Cook and eight other staff members were interviewed individually regarding each allegations. Allegation #1 regarding meal portions are smaller than required. Meals are portioned out in the kitchen and distributed to each classroom for staff to plate. I observed morning snack. Snack consisted of milk, and an English muffin with jelly The English muffin met requirements for portion size however, portions of milk did not. I asked six staff the requirements for milk and two of the six answered four ounces. In space #8, I observed a staff member pouring milk into nineteen cups and asked how much she normally serves the children. She reported that she pours about half a cup but was sure how much was supposed to be served. I stated to her that the requirement was at least four ounces of milk for snack. She then began to pour more milk in each cup. I pulled two cups to the side before additional milk was poured into the cups and measured them. There were two ounces in each cup. Allegation #2 regarding breakfast does not contain all of the required components. The facility serves a morning snack instead of breakfast. The requirement components for the two are different. Snack requires two of five components to be served and breakfast requires three components. The five components are milk, meat/meat alternates, vegetable, fruit and grains. The morning snack observed met requirements for components. The menu for the month of August was reviewed today and met requirements for components for each snack and lunch. Allegation #3 regarding some children do not receive breakfast because of a food shortage. During staff reported that there were no issues with food shortages. They also reported that if they run out of food and children are asking for more, the Cook will bring more food to the classroom. Today, I observed enough food in each classroom and kitchen. Allegation #4 regarding the activity schedule is not followed regarding food service. I observed the morning snack being served as listed on the schedule. Staff reported that snacks and meals are served on time. Based on observation of portion size of milk being served today, the allegation regarding portion size is deemed substantiated. Based on observations and that the facility does not serves breakfast, the allegation regarding breakfast does not contain all of the required components is deemed unsubstantiated. Based on observations of morning snack being served and staff interviews, the allegation regarding some children do not receive breakfast because of a food shortage is deemed unsubstantiated. Based on observations today and staff interviews, the allegation regarding the activity schedule is not follow regarding food service is deemed unsubstantiated. The following violations were cited today. Violation Number Comment Rule 502 Number and size of servings were not appropriate for ages and developmental levels of children in care. In space #8, the portion size for milk served for morning snack to children three years of age was not at least four ounces as required. 10A NCAC 09 .0901(a) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In space #8, nineteen children did not wash their hands prior to eating morning snack. 15A NCAC 18A .2803(c) 1756 Enhanced staff/child ratios and group sizes were not met. In space #5, there were ten children two years of age present with one staff member. 10A NCAC 09 .2818 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 August 26, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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: -Since portion size of milk did not meet requirements today and staff are responsible for plating food and portioning milk, I suggest the USDA guidelines for meal/snack components with required portion sizes in the food prep area of each classroom be posted for easy reference for staff. The Director stated that the facility has a teacher workday on August 23rd and she planned to review the guidelines and portion requirements with the staff during a staff member that day. I also suggested that sippy cups used by the younger children could be marked with a line indicating four ounces. The cook placed a mark on each sippy during the visit. -When speaking with Teachers today, each referred to morning snack as breakfast even though the AM snack is listed on the menus. Since the requirements for a snack and breakfast are different, I suggest reviewing the required components for each as well as reminding the staff to that facility serves a morning snack and should be referred to as that. -When a staff member is receiving children during drop off time and are going to be out of staff/child ratio if another child arrives, administration should be notified and parents should be asked to wait at the door until another staff member arrives to ensure staff/child ratios are in compliance. 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 .2818 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 60002826 Consultant: KAYE DUNLAP Operation Type: Center Case Number: 0724-354L Visit Date: 8/12/2024 Number Present: 100 Completed Date: 8/12/2024 Age: From 0 To 5 Total Minutes: 205 Time In: 08:50 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegations are as follows: There are concerns that: Meal portions are smaller than normal. Breakfast does not contain all of the required components. Some children do not receive breakfast because of a food shortage. The activity schedule is not followed regarding food service. Upon my arrival, I was greeted by the Director, C. Bireley. I stated the reason for the visit. A walk through of the center was conducted with the Director. In space # 5, there were ten children two years of age with one staff member. The Director asked the Teacher if she needed to move a child to another classroom and the Teacher responded that yes, the tenth child had just been dropped off. The Director moved a child to another classroom. The Director, Cook and eight other staff members were interviewed individually regarding each allegations. Allegation #1 regarding meal portions are smaller than required. Meals are portioned out in the kitchen and distributed to each classroom for staff to plate. I observed morning snack. Snack consisted of milk, and an English muffin with jelly The English muffin met requirements for portion size however, portions of milk did not. I asked six staff the requirements for milk and two of the six answered four ounces. In space #8, I observed a staff member pouring milk into nineteen cups and asked how much she normally serves the children. She reported that she pours about half a cup but was sure how much was supposed to be served. I stated to her that the requirement was at least four ounces of milk for snack. She then began to pour more milk in each cup. I pulled two cups to the side before additional milk was poured into the cups and measured them. There were two ounces in each cup. Allegation #2 regarding breakfast does not contain all of the required components. The facility serves a morning snack instead of breakfast. The requirement components for the two are different. Snack requires two of five components to be served and breakfast requires three components. The five components are milk, meat/meat alternates, vegetable, fruit and grains. The morning snack observed met requirements for components. The menu for the month of August was reviewed today and met requirements for components for each snack and lunch. Allegation #3 regarding some children do not receive breakfast because of a food shortage. During staff reported that there were no issues with food shortages. They also reported that if they run out of food and children are asking for more, the Cook will bring more food to the classroom. Today, I observed enough food in each classroom and kitchen. Allegation #4 regarding the activity schedule is not followed regarding food service. I observed the morning snack being served as listed on the schedule. Staff reported that snacks and meals are served on time. Based on observation of portion size of milk being served today, the allegation regarding portion size is deemed substantiated. Based on observations and that the facility does not serves breakfast, the allegation regarding breakfast does not contain all of the required components is deemed unsubstantiated. Based on observations of morning snack being served and staff interviews, the allegation regarding some children do not receive breakfast because of a food shortage is deemed unsubstantiated. Based on observations today and staff interviews, the allegation regarding the activity schedule is not follow regarding food service is deemed unsubstantiated. The following violations were cited today. Violation Number Comment Rule 502 Number and size of servings were not appropriate for ages and developmental levels of children in care. In space #8, the portion size for milk served for morning snack to children three years of age was not at least four ounces as required. 10A NCAC 09 .0901(a) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In space #8, nineteen children did not wash their hands prior to eating morning snack. 15A NCAC 18A .2803(c) 1756 Enhanced staff/child ratios and group sizes were not met. In space #5, there were ten children two years of age present with one staff member. 10A NCAC 09 .2818 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 August 26, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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: -Since portion size of milk did not meet requirements today and staff are responsible for plating food and portioning milk, I suggest the USDA guidelines for meal/snack components with required portion sizes in the food prep area of each classroom be posted for easy reference for staff. The Director stated that the facility has a teacher workday on August 23rd and she planned to review the guidelines and portion requirements with the staff during a staff member that day. I also suggested that sippy cups used by the younger children could be marked with a line indicating four ounces. The cook placed a mark on each sippy during the visit. -When speaking with Teachers today, each referred to morning snack as breakfast even though the AM snack is listed on the menus. Since the requirements for a snack and breakfast are different, I suggest reviewing the required components for each as well as reminding the staff to that facility serves a morning snack and should be referred to as that. -When a staff member is receiving children during drop off time and are going to be out of staff/child ratio if another child arrives, administration should be notified and parents should be asked to wait at the door until another staff member arrives to ensure staff/child ratios are in compliance. 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: 60002826 Consultant: KAYE DUNLAP Operation Type: Center Case Number: 0724-354L Visit Date: 8/12/2024 Number Present: 100 Completed Date: 8/12/2024 Age: From 0 To 5 Total Minutes: 205 Time In: 08:50 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegations are as follows: There are concerns that: Meal portions are smaller than normal. Breakfast does not contain all of the required components. Some children do not receive breakfast because of a food shortage. The activity schedule is not followed regarding food service. Upon my arrival, I was greeted by the Director, C. Bireley. I stated the reason for the visit. A walk through of the center was conducted with the Director. In space # 5, there were ten children two years of age with one staff member. The Director asked the Teacher if she needed to move a child to another classroom and the Teacher responded that yes, the tenth child had just been dropped off. The Director moved a child to another classroom. The Director, Cook and eight other staff members were interviewed individually regarding each allegations. Allegation #1 regarding meal portions are smaller than required. Meals are portioned out in the kitchen and distributed to each classroom for staff to plate. I observed morning snack. Snack consisted of milk, and an English muffin with jelly The English muffin met requirements for portion size however, portions of milk did not. I asked six staff the requirements for milk and two of the six answered four ounces. In space #8, I observed a staff member pouring milk into nineteen cups and asked how much she normally serves the children. She reported that she pours about half a cup but was sure how much was supposed to be served. I stated to her that the requirement was at least four ounces of milk for snack. She then began to pour more milk in each cup. I pulled two cups to the side before additional milk was poured into the cups and measured them. There were two ounces in each cup. Allegation #2 regarding breakfast does not contain all of the required components. The facility serves a morning snack instead of breakfast. The requirement components for the two are different. Snack requires two of five components to be served and breakfast requires three components. The five components are milk, meat/meat alternates, vegetable, fruit and grains. The morning snack observed met requirements for components. The menu for the month of August was reviewed today and met requirements for components for each snack and lunch. Allegation #3 regarding some children do not receive breakfast because of a food shortage. During staff reported that there were no issues with food shortages. They also reported that if they run out of food and children are asking for more, the Cook will bring more food to the classroom. Today, I observed enough food in each classroom and kitchen. Allegation #4 regarding the activity schedule is not followed regarding food service. I observed the morning snack being served as listed on the schedule. Staff reported that snacks and meals are served on time. Based on observation of portion size of milk being served today, the allegation regarding portion size is deemed substantiated. Based on observations and that the facility does not serves breakfast, the allegation regarding breakfast does not contain all of the required components is deemed unsubstantiated. Based on observations of morning snack being served and staff interviews, the allegation regarding some children do not receive breakfast because of a food shortage is deemed unsubstantiated. Based on observations today and staff interviews, the allegation regarding the activity schedule is not follow regarding food service is deemed unsubstantiated. The following violations were cited today. Violation Number Comment Rule 502 Number and size of servings were not appropriate for ages and developmental levels of children in care. In space #8, the portion size for milk served for morning snack to children three years of age was not at least four ounces as required. 10A NCAC 09 .0901(a) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In space #8, nineteen children did not wash their hands prior to eating morning snack. 15A NCAC 18A .2803(c) 1756 Enhanced staff/child ratios and group sizes were not met. In space #5, there were ten children two years of age present with one staff member. 10A NCAC 09 .2818 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 August 26, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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: -Since portion size of milk did not meet requirements today and staff are responsible for plating food and portioning milk, I suggest the USDA guidelines for meal/snack components with required portion sizes in the food prep area of each classroom be posted for easy reference for staff. The Director stated that the facility has a teacher workday on August 23rd and she planned to review the guidelines and portion requirements with the staff during a staff member that day. I also suggested that sippy cups used by the younger children could be marked with a line indicating four ounces. The cook placed a mark on each sippy during the visit. -When speaking with Teachers today, each referred to morning snack as breakfast even though the AM snack is listed on the menus. Since the requirements for a snack and breakfast are different, I suggest reviewing the required components for each as well as reminding the staff to that facility serves a morning snack and should be referred to as that. -When a staff member is receiving children during drop off time and are going to be out of staff/child ratio if another child arrives, administration should be notified and parents should be asked to wait at the door until another staff member arrives to ensure staff/child ratios are in compliance. 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