10A NCAC 09 .0102 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 9/23/2025 Number Present: 0 Completed Date: 9/23/2025 Age: From 0 To 0 Total Minutes: 240 Time In: 09:30 AM Time Out: 12:00 PM Time In: 01:00 PM Time Out: 02:30 PM 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, including compliance with requirements located in Child Care Rule Section .3000 in spaces #101, #102, #103, and #107, where children participating in the NC Pre-K program are cared for. I was greeted by Lead Teacher, Ms. Hilary Bost, and I explained the purpose of the visit. There were not children present, due to Charlotte Mecklenburg Schools (CMS) Teacher Workday. Ms. Bost assisted me with today’s visit. Your program currently operates with a four-star license, issued January 17, 2020, earning four (4) points in the education component, seven (7) points in the program standards component and one (1) quality point Your program was also monitored for compliance with implementing an approved curriculum Teaching Strategies Gold as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted September 26, 2024. The sanitation inspection was completed September 22, 2025 with a “Superior” classification and thirteen (13) demerits. The last fire inspection was conducted April 22, 2025, and your facility was approved. The 2025 Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit; NC Pre-K requirements were monitored. A copy of the Annual Compliance Checklist for Centers was provided to the Lead Teacher, Ms. Bost, after the visit. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. The current NC Pre-K staff are lead teachers, Hilary Bost, Erin Cherry, Meredith Stewart, and Yvette Butler and teacher assistants, Pecora Jackson, Janay Porter, Jalynn, Allen, and Marie DeSouza. You stated you were in the process of completing the Parent Evaluation Developmental Status (PEDS) screening; children are still enrolling in the program. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The checkpoint assessments are conducted three (3) times per year: at the beginning, middle and end of the school year. The first day of school was August 28, 2025. The classroom operates from 8:00 am to 3:00 pm. Parent conferences are held two (2) times per year. You stated that you use the Parent Square app to communicate with parents. In addition, a monthly newsletter is sent home to the parents, and weekly information is sent home weekly on Parent Square; information is provided to parents individually if needed. The Staff and Training Worksheet was used to monitor staff records; compliance was met. Children's files were not available and a violation was cited. Currently there are no children with medications; no children with allergies. The following program requirements were observed posted and compliant: First Aid Poster, Child Care License, No Tobacco Sign, Summary of NC Law, September Menu, Daily Schedules and Activity Plans, and Emergency Medical Care Plan. The Fire Drill Record was reviewed and compliance was met. The Shelter-in-Place/Lockdown Drills were reviewed and a violation was cited. The Playground Inspections were reviewed and compliance was met. There is not an assigned playground for the NC Pre-K Program, because the playground on site is for children five (5) years-old and older. The Lead Teacher, Ms. Bost, stated that materials are provided to support outdoor play, such as balls, bicycles, and chalk in the courtyard area outside the classroom. The center does provide transportation and the following was observed for compliance: Safe pick-up and Delivery statement (Posted), and Emergency Information on Children. The bus used to transport children was not on site. Two (2) violations were cited. Violation Number Comment Rule 1328 Children's records were not made available for review. Files from the 2024-2025 school year were available; no files for 2025-2026 school year. G.S. 110-91(9) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place/lockdown drills were not practiced every three (3) months; last drills was practice March 31, 2025; fire drill was conducted June 4, 2025. .0604(u);.0302(d)(8) -A visit will be conducted within five (5) days to monitor children present. 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. 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -Ms. Bost stated that the children's files have not arrived to the program, and the files are in transit. Children's records must be made available for review (G.S. 110-91(9)). -Shelter-in-place or lockdown drills must be practiced every three (3) months and/or drill record must be complete (Child Care Rule 10A NCAC 09 .0102, .0302(d)(8), .0604(u)). -Ms. Bost inquired about records, and was referred to Child Care Rule 10A NCAC 09 10A NCAC 09 .2318 Child Care Center Record Retention. The rule states how long to keep record item. -Three (3) staff are in the process of completing their CPR/First Aid training. Staff must have approved training in CPR/First Aid Verification of staff completion training from an approved training organization; verification must be in the staff file (Child Care Rule 10A NCAC 09 .1102(c)(d)). -Continue to review the Emergency Medical Care Plan annually; lasted updated August 21, 2025 (Child Care Rule 10A NCAC 09 .0802(a)). -The roster was noted in ABCMS. Please removed staff that are not longer working with the program. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • 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. -On June 26th, the North Carolina Rules Review Commission (RRC) approved the QRIS Modernization rules adopted by the NC Child Care Commission during their April meeting. The Division of Child Development and Early Education is preparing a summary of the rules, an online training module for Moodle, and an implementation plan. The implementation plan will allow time for administrators/operators to learn and understand the different pathways and the changes within our system. We encourage you to visit the QRIS Modernization page on the DCDEE website to learn more now. -The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition will begin soon with the following informational opportunities: • In August, we’ll provide a rule roll out module in the DCDEE e-learning Moodle platform and hosted webinars. • In September, child care consultants hosted in-person facility operator/administrator meetings within the counties served; provided additional guidance on the changes, the transition plan and timeline. • Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within twelve (12) months based on the pathway chosen. -Child Care Consultants from Mecklenburg County hosted training sessions on QRIS. The session will provide valuable insights on QRIS, also known as Pathways to the Stars, and is designed to help you understand and prepare for the transition to the new QRIS system. -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. Please review the information on the NCRLAP's website to become familiar with the new third edition. -An email was issued on July 31, 2025, regarding the Quality Every Day (QED) Program. Quality Every Day (QED) is a quality initiative at Child Care Resources Inc., funded by Smart Start of Mecklenburg County. They are recruiting for the QED Program this year for those that may be interested in coaching and training for teachers and directors. There are different tracks for participation (Licensing renewal, Program start-up, staff-child interactions and director support); and there are new opportunities this year like updated ERS-3 trainings, Leadership college coursework for administrators and Communities of Practice for both Child Care Directors and Family Child Care providers. They still have opportunities for college coursework and stipends for coursework completion. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, 704-962-7854, Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, 704-594-0147, Michele.Sullivan@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0802 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 9/23/2025 Number Present: 0 Completed Date: 9/23/2025 Age: From 0 To 0 Total Minutes: 240 Time In: 09:30 AM Time Out: 12:00 PM Time In: 01:00 PM Time Out: 02:30 PM 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, including compliance with requirements located in Child Care Rule Section .3000 in spaces #101, #102, #103, and #107, where children participating in the NC Pre-K program are cared for. I was greeted by Lead Teacher, Ms. Hilary Bost, and I explained the purpose of the visit. There were not children present, due to Charlotte Mecklenburg Schools (CMS) Teacher Workday. Ms. Bost assisted me with today’s visit. Your program currently operates with a four-star license, issued January 17, 2020, earning four (4) points in the education component, seven (7) points in the program standards component and one (1) quality point Your program was also monitored for compliance with implementing an approved curriculum Teaching Strategies Gold as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted September 26, 2024. The sanitation inspection was completed September 22, 2025 with a “Superior” classification and thirteen (13) demerits. The last fire inspection was conducted April 22, 2025, and your facility was approved. The 2025 Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit; NC Pre-K requirements were monitored. A copy of the Annual Compliance Checklist for Centers was provided to the Lead Teacher, Ms. Bost, after the visit. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. The current NC Pre-K staff are lead teachers, Hilary Bost, Erin Cherry, Meredith Stewart, and Yvette Butler and teacher assistants, Pecora Jackson, Janay Porter, Jalynn, Allen, and Marie DeSouza. You stated you were in the process of completing the Parent Evaluation Developmental Status (PEDS) screening; children are still enrolling in the program. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The checkpoint assessments are conducted three (3) times per year: at the beginning, middle and end of the school year. The first day of school was August 28, 2025. The classroom operates from 8:00 am to 3:00 pm. Parent conferences are held two (2) times per year. You stated that you use the Parent Square app to communicate with parents. In addition, a monthly newsletter is sent home to the parents, and weekly information is sent home weekly on Parent Square; information is provided to parents individually if needed. The Staff and Training Worksheet was used to monitor staff records; compliance was met. Children's files were not available and a violation was cited. Currently there are no children with medications; no children with allergies. The following program requirements were observed posted and compliant: First Aid Poster, Child Care License, No Tobacco Sign, Summary of NC Law, September Menu, Daily Schedules and Activity Plans, and Emergency Medical Care Plan. The Fire Drill Record was reviewed and compliance was met. The Shelter-in-Place/Lockdown Drills were reviewed and a violation was cited. The Playground Inspections were reviewed and compliance was met. There is not an assigned playground for the NC Pre-K Program, because the playground on site is for children five (5) years-old and older. The Lead Teacher, Ms. Bost, stated that materials are provided to support outdoor play, such as balls, bicycles, and chalk in the courtyard area outside the classroom. The center does provide transportation and the following was observed for compliance: Safe pick-up and Delivery statement (Posted), and Emergency Information on Children. The bus used to transport children was not on site. Two (2) violations were cited. Violation Number Comment Rule 1328 Children's records were not made available for review. Files from the 2024-2025 school year were available; no files for 2025-2026 school year. G.S. 110-91(9) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place/lockdown drills were not practiced every three (3) months; last drills was practice March 31, 2025; fire drill was conducted June 4, 2025. .0604(u);.0302(d)(8) -A visit will be conducted within five (5) days to monitor children present. 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. 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -Ms. Bost stated that the children's files have not arrived to the program, and the files are in transit. Children's records must be made available for review (G.S. 110-91(9)). -Shelter-in-place or lockdown drills must be practiced every three (3) months and/or drill record must be complete (Child Care Rule 10A NCAC 09 .0102, .0302(d)(8), .0604(u)). -Ms. Bost inquired about records, and was referred to Child Care Rule 10A NCAC 09 10A NCAC 09 .2318 Child Care Center Record Retention. The rule states how long to keep record item. -Three (3) staff are in the process of completing their CPR/First Aid training. Staff must have approved training in CPR/First Aid Verification of staff completion training from an approved training organization; verification must be in the staff file (Child Care Rule 10A NCAC 09 .1102(c)(d)). -Continue to review the Emergency Medical Care Plan annually; lasted updated August 21, 2025 (Child Care Rule 10A NCAC 09 .0802(a)). -The roster was noted in ABCMS. Please removed staff that are not longer working with the program. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • 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. -On June 26th, the North Carolina Rules Review Commission (RRC) approved the QRIS Modernization rules adopted by the NC Child Care Commission during their April meeting. The Division of Child Development and Early Education is preparing a summary of the rules, an online training module for Moodle, and an implementation plan. The implementation plan will allow time for administrators/operators to learn and understand the different pathways and the changes within our system. We encourage you to visit the QRIS Modernization page on the DCDEE website to learn more now. -The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition will begin soon with the following informational opportunities: • In August, we’ll provide a rule roll out module in the DCDEE e-learning Moodle platform and hosted webinars. • In September, child care consultants hosted in-person facility operator/administrator meetings within the counties served; provided additional guidance on the changes, the transition plan and timeline. • Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within twelve (12) months based on the pathway chosen. -Child Care Consultants from Mecklenburg County hosted training sessions on QRIS. The session will provide valuable insights on QRIS, also known as Pathways to the Stars, and is designed to help you understand and prepare for the transition to the new QRIS system. -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. Please review the information on the NCRLAP's website to become familiar with the new third edition. -An email was issued on July 31, 2025, regarding the Quality Every Day (QED) Program. Quality Every Day (QED) is a quality initiative at Child Care Resources Inc., funded by Smart Start of Mecklenburg County. They are recruiting for the QED Program this year for those that may be interested in coaching and training for teachers and directors. There are different tracks for participation (Licensing renewal, Program start-up, staff-child interactions and director support); and there are new opportunities this year like updated ERS-3 trainings, Leadership college coursework for administrators and Communities of Practice for both Child Care Directors and Family Child Care providers. They still have opportunities for college coursework and stipends for coursework completion. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, 704-962-7854, Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, 704-594-0147, Michele.Sullivan@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 9/23/2025 Number Present: 0 Completed Date: 9/23/2025 Age: From 0 To 0 Total Minutes: 240 Time In: 09:30 AM Time Out: 12:00 PM Time In: 01:00 PM Time Out: 02:30 PM 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, including compliance with requirements located in Child Care Rule Section .3000 in spaces #101, #102, #103, and #107, where children participating in the NC Pre-K program are cared for. I was greeted by Lead Teacher, Ms. Hilary Bost, and I explained the purpose of the visit. There were not children present, due to Charlotte Mecklenburg Schools (CMS) Teacher Workday. Ms. Bost assisted me with today’s visit. Your program currently operates with a four-star license, issued January 17, 2020, earning four (4) points in the education component, seven (7) points in the program standards component and one (1) quality point Your program was also monitored for compliance with implementing an approved curriculum Teaching Strategies Gold as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted September 26, 2024. The sanitation inspection was completed September 22, 2025 with a “Superior” classification and thirteen (13) demerits. The last fire inspection was conducted April 22, 2025, and your facility was approved. The 2025 Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit; NC Pre-K requirements were monitored. A copy of the Annual Compliance Checklist for Centers was provided to the Lead Teacher, Ms. Bost, after the visit. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. The current NC Pre-K staff are lead teachers, Hilary Bost, Erin Cherry, Meredith Stewart, and Yvette Butler and teacher assistants, Pecora Jackson, Janay Porter, Jalynn, Allen, and Marie DeSouza. You stated you were in the process of completing the Parent Evaluation Developmental Status (PEDS) screening; children are still enrolling in the program. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The checkpoint assessments are conducted three (3) times per year: at the beginning, middle and end of the school year. The first day of school was August 28, 2025. The classroom operates from 8:00 am to 3:00 pm. Parent conferences are held two (2) times per year. You stated that you use the Parent Square app to communicate with parents. In addition, a monthly newsletter is sent home to the parents, and weekly information is sent home weekly on Parent Square; information is provided to parents individually if needed. The Staff and Training Worksheet was used to monitor staff records; compliance was met. Children's files were not available and a violation was cited. Currently there are no children with medications; no children with allergies. The following program requirements were observed posted and compliant: First Aid Poster, Child Care License, No Tobacco Sign, Summary of NC Law, September Menu, Daily Schedules and Activity Plans, and Emergency Medical Care Plan. The Fire Drill Record was reviewed and compliance was met. The Shelter-in-Place/Lockdown Drills were reviewed and a violation was cited. The Playground Inspections were reviewed and compliance was met. There is not an assigned playground for the NC Pre-K Program, because the playground on site is for children five (5) years-old and older. The Lead Teacher, Ms. Bost, stated that materials are provided to support outdoor play, such as balls, bicycles, and chalk in the courtyard area outside the classroom. The center does provide transportation and the following was observed for compliance: Safe pick-up and Delivery statement (Posted), and Emergency Information on Children. The bus used to transport children was not on site. Two (2) violations were cited. Violation Number Comment Rule 1328 Children's records were not made available for review. Files from the 2024-2025 school year were available; no files for 2025-2026 school year. G.S. 110-91(9) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place/lockdown drills were not practiced every three (3) months; last drills was practice March 31, 2025; fire drill was conducted June 4, 2025. .0604(u);.0302(d)(8) -A visit will be conducted within five (5) days to monitor children present. 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. 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -Ms. Bost stated that the children's files have not arrived to the program, and the files are in transit. Children's records must be made available for review (G.S. 110-91(9)). -Shelter-in-place or lockdown drills must be practiced every three (3) months and/or drill record must be complete (Child Care Rule 10A NCAC 09 .0102, .0302(d)(8), .0604(u)). -Ms. Bost inquired about records, and was referred to Child Care Rule 10A NCAC 09 10A NCAC 09 .2318 Child Care Center Record Retention. The rule states how long to keep record item. -Three (3) staff are in the process of completing their CPR/First Aid training. Staff must have approved training in CPR/First Aid Verification of staff completion training from an approved training organization; verification must be in the staff file (Child Care Rule 10A NCAC 09 .1102(c)(d)). -Continue to review the Emergency Medical Care Plan annually; lasted updated August 21, 2025 (Child Care Rule 10A NCAC 09 .0802(a)). -The roster was noted in ABCMS. Please removed staff that are not longer working with the program. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • 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. -On June 26th, the North Carolina Rules Review Commission (RRC) approved the QRIS Modernization rules adopted by the NC Child Care Commission during their April meeting. The Division of Child Development and Early Education is preparing a summary of the rules, an online training module for Moodle, and an implementation plan. The implementation plan will allow time for administrators/operators to learn and understand the different pathways and the changes within our system. We encourage you to visit the QRIS Modernization page on the DCDEE website to learn more now. -The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition will begin soon with the following informational opportunities: • In August, we’ll provide a rule roll out module in the DCDEE e-learning Moodle platform and hosted webinars. • In September, child care consultants hosted in-person facility operator/administrator meetings within the counties served; provided additional guidance on the changes, the transition plan and timeline. • Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within twelve (12) months based on the pathway chosen. -Child Care Consultants from Mecklenburg County hosted training sessions on QRIS. The session will provide valuable insights on QRIS, also known as Pathways to the Stars, and is designed to help you understand and prepare for the transition to the new QRIS system. -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. Please review the information on the NCRLAP's website to become familiar with the new third edition. -An email was issued on July 31, 2025, regarding the Quality Every Day (QED) Program. Quality Every Day (QED) is a quality initiative at Child Care Resources Inc., funded by Smart Start of Mecklenburg County. They are recruiting for the QED Program this year for those that may be interested in coaching and training for teachers and directors. There are different tracks for participation (Licensing renewal, Program start-up, staff-child interactions and director support); and there are new opportunities this year like updated ERS-3 trainings, Leadership college coursework for administrators and Communities of Practice for both Child Care Directors and Family Child Care providers. They still have opportunities for college coursework and stipends for coursework completion. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, 704-962-7854, Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, 704-594-0147, Michele.Sullivan@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2318 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 9/23/2025 Number Present: 0 Completed Date: 9/23/2025 Age: From 0 To 0 Total Minutes: 240 Time In: 09:30 AM Time Out: 12:00 PM Time In: 01:00 PM Time Out: 02:30 PM 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, including compliance with requirements located in Child Care Rule Section .3000 in spaces #101, #102, #103, and #107, where children participating in the NC Pre-K program are cared for. I was greeted by Lead Teacher, Ms. Hilary Bost, and I explained the purpose of the visit. There were not children present, due to Charlotte Mecklenburg Schools (CMS) Teacher Workday. Ms. Bost assisted me with today’s visit. Your program currently operates with a four-star license, issued January 17, 2020, earning four (4) points in the education component, seven (7) points in the program standards component and one (1) quality point Your program was also monitored for compliance with implementing an approved curriculum Teaching Strategies Gold as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted September 26, 2024. The sanitation inspection was completed September 22, 2025 with a “Superior” classification and thirteen (13) demerits. The last fire inspection was conducted April 22, 2025, and your facility was approved. The 2025 Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit; NC Pre-K requirements were monitored. A copy of the Annual Compliance Checklist for Centers was provided to the Lead Teacher, Ms. Bost, after the visit. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. The current NC Pre-K staff are lead teachers, Hilary Bost, Erin Cherry, Meredith Stewart, and Yvette Butler and teacher assistants, Pecora Jackson, Janay Porter, Jalynn, Allen, and Marie DeSouza. You stated you were in the process of completing the Parent Evaluation Developmental Status (PEDS) screening; children are still enrolling in the program. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The checkpoint assessments are conducted three (3) times per year: at the beginning, middle and end of the school year. The first day of school was August 28, 2025. The classroom operates from 8:00 am to 3:00 pm. Parent conferences are held two (2) times per year. You stated that you use the Parent Square app to communicate with parents. In addition, a monthly newsletter is sent home to the parents, and weekly information is sent home weekly on Parent Square; information is provided to parents individually if needed. The Staff and Training Worksheet was used to monitor staff records; compliance was met. Children's files were not available and a violation was cited. Currently there are no children with medications; no children with allergies. The following program requirements were observed posted and compliant: First Aid Poster, Child Care License, No Tobacco Sign, Summary of NC Law, September Menu, Daily Schedules and Activity Plans, and Emergency Medical Care Plan. The Fire Drill Record was reviewed and compliance was met. The Shelter-in-Place/Lockdown Drills were reviewed and a violation was cited. The Playground Inspections were reviewed and compliance was met. There is not an assigned playground for the NC Pre-K Program, because the playground on site is for children five (5) years-old and older. The Lead Teacher, Ms. Bost, stated that materials are provided to support outdoor play, such as balls, bicycles, and chalk in the courtyard area outside the classroom. The center does provide transportation and the following was observed for compliance: Safe pick-up and Delivery statement (Posted), and Emergency Information on Children. The bus used to transport children was not on site. Two (2) violations were cited. Violation Number Comment Rule 1328 Children's records were not made available for review. Files from the 2024-2025 school year were available; no files for 2025-2026 school year. G.S. 110-91(9) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place/lockdown drills were not practiced every three (3) months; last drills was practice March 31, 2025; fire drill was conducted June 4, 2025. .0604(u);.0302(d)(8) -A visit will be conducted within five (5) days to monitor children present. 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. 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -Ms. Bost stated that the children's files have not arrived to the program, and the files are in transit. Children's records must be made available for review (G.S. 110-91(9)). -Shelter-in-place or lockdown drills must be practiced every three (3) months and/or drill record must be complete (Child Care Rule 10A NCAC 09 .0102, .0302(d)(8), .0604(u)). -Ms. Bost inquired about records, and was referred to Child Care Rule 10A NCAC 09 10A NCAC 09 .2318 Child Care Center Record Retention. The rule states how long to keep record item. -Three (3) staff are in the process of completing their CPR/First Aid training. Staff must have approved training in CPR/First Aid Verification of staff completion training from an approved training organization; verification must be in the staff file (Child Care Rule 10A NCAC 09 .1102(c)(d)). -Continue to review the Emergency Medical Care Plan annually; lasted updated August 21, 2025 (Child Care Rule 10A NCAC 09 .0802(a)). -The roster was noted in ABCMS. Please removed staff that are not longer working with the program. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • 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. -On June 26th, the North Carolina Rules Review Commission (RRC) approved the QRIS Modernization rules adopted by the NC Child Care Commission during their April meeting. The Division of Child Development and Early Education is preparing a summary of the rules, an online training module for Moodle, and an implementation plan. The implementation plan will allow time for administrators/operators to learn and understand the different pathways and the changes within our system. We encourage you to visit the QRIS Modernization page on the DCDEE website to learn more now. -The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition will begin soon with the following informational opportunities: • In August, we’ll provide a rule roll out module in the DCDEE e-learning Moodle platform and hosted webinars. • In September, child care consultants hosted in-person facility operator/administrator meetings within the counties served; provided additional guidance on the changes, the transition plan and timeline. • Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within twelve (12) months based on the pathway chosen. -Child Care Consultants from Mecklenburg County hosted training sessions on QRIS. The session will provide valuable insights on QRIS, also known as Pathways to the Stars, and is designed to help you understand and prepare for the transition to the new QRIS system. -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. Please review the information on the NCRLAP's website to become familiar with the new third edition. -An email was issued on July 31, 2025, regarding the Quality Every Day (QED) Program. Quality Every Day (QED) is a quality initiative at Child Care Resources Inc., funded by Smart Start of Mecklenburg County. They are recruiting for the QED Program this year for those that may be interested in coaching and training for teachers and directors. There are different tracks for participation (Licensing renewal, Program start-up, staff-child interactions and director support); and there are new opportunities this year like updated ERS-3 trainings, Leadership college coursework for administrators and Communities of Practice for both Child Care Directors and Family Child Care providers. They still have opportunities for college coursework and stipends for coursework completion. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, 704-962-7854, Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, 704-594-0147, Michele.Sullivan@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 9/23/2025 Number Present: 0 Completed Date: 9/23/2025 Age: From 0 To 0 Total Minutes: 240 Time In: 09:30 AM Time Out: 12:00 PM Time In: 01:00 PM Time Out: 02:30 PM 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, including compliance with requirements located in Child Care Rule Section .3000 in spaces #101, #102, #103, and #107, where children participating in the NC Pre-K program are cared for. I was greeted by Lead Teacher, Ms. Hilary Bost, and I explained the purpose of the visit. There were not children present, due to Charlotte Mecklenburg Schools (CMS) Teacher Workday. Ms. Bost assisted me with today’s visit. Your program currently operates with a four-star license, issued January 17, 2020, earning four (4) points in the education component, seven (7) points in the program standards component and one (1) quality point Your program was also monitored for compliance with implementing an approved curriculum Teaching Strategies Gold as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted September 26, 2024. The sanitation inspection was completed September 22, 2025 with a “Superior” classification and thirteen (13) demerits. The last fire inspection was conducted April 22, 2025, and your facility was approved. The 2025 Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit; NC Pre-K requirements were monitored. A copy of the Annual Compliance Checklist for Centers was provided to the Lead Teacher, Ms. Bost, after the visit. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. The current NC Pre-K staff are lead teachers, Hilary Bost, Erin Cherry, Meredith Stewart, and Yvette Butler and teacher assistants, Pecora Jackson, Janay Porter, Jalynn, Allen, and Marie DeSouza. You stated you were in the process of completing the Parent Evaluation Developmental Status (PEDS) screening; children are still enrolling in the program. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The checkpoint assessments are conducted three (3) times per year: at the beginning, middle and end of the school year. The first day of school was August 28, 2025. The classroom operates from 8:00 am to 3:00 pm. Parent conferences are held two (2) times per year. You stated that you use the Parent Square app to communicate with parents. In addition, a monthly newsletter is sent home to the parents, and weekly information is sent home weekly on Parent Square; information is provided to parents individually if needed. The Staff and Training Worksheet was used to monitor staff records; compliance was met. Children's files were not available and a violation was cited. Currently there are no children with medications; no children with allergies. The following program requirements were observed posted and compliant: First Aid Poster, Child Care License, No Tobacco Sign, Summary of NC Law, September Menu, Daily Schedules and Activity Plans, and Emergency Medical Care Plan. The Fire Drill Record was reviewed and compliance was met. The Shelter-in-Place/Lockdown Drills were reviewed and a violation was cited. The Playground Inspections were reviewed and compliance was met. There is not an assigned playground for the NC Pre-K Program, because the playground on site is for children five (5) years-old and older. The Lead Teacher, Ms. Bost, stated that materials are provided to support outdoor play, such as balls, bicycles, and chalk in the courtyard area outside the classroom. The center does provide transportation and the following was observed for compliance: Safe pick-up and Delivery statement (Posted), and Emergency Information on Children. The bus used to transport children was not on site. Two (2) violations were cited. Violation Number Comment Rule 1328 Children's records were not made available for review. Files from the 2024-2025 school year were available; no files for 2025-2026 school year. G.S. 110-91(9) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place/lockdown drills were not practiced every three (3) months; last drills was practice March 31, 2025; fire drill was conducted June 4, 2025. .0604(u);.0302(d)(8) -A visit will be conducted within five (5) days to monitor children present. 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. 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -Ms. Bost stated that the children's files have not arrived to the program, and the files are in transit. Children's records must be made available for review (G.S. 110-91(9)). -Shelter-in-place or lockdown drills must be practiced every three (3) months and/or drill record must be complete (Child Care Rule 10A NCAC 09 .0102, .0302(d)(8), .0604(u)). -Ms. Bost inquired about records, and was referred to Child Care Rule 10A NCAC 09 10A NCAC 09 .2318 Child Care Center Record Retention. The rule states how long to keep record item. -Three (3) staff are in the process of completing their CPR/First Aid training. Staff must have approved training in CPR/First Aid Verification of staff completion training from an approved training organization; verification must be in the staff file (Child Care Rule 10A NCAC 09 .1102(c)(d)). -Continue to review the Emergency Medical Care Plan annually; lasted updated August 21, 2025 (Child Care Rule 10A NCAC 09 .0802(a)). -The roster was noted in ABCMS. Please removed staff that are not longer working with the program. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • 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. -On June 26th, the North Carolina Rules Review Commission (RRC) approved the QRIS Modernization rules adopted by the NC Child Care Commission during their April meeting. The Division of Child Development and Early Education is preparing a summary of the rules, an online training module for Moodle, and an implementation plan. The implementation plan will allow time for administrators/operators to learn and understand the different pathways and the changes within our system. We encourage you to visit the QRIS Modernization page on the DCDEE website to learn more now. -The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition will begin soon with the following informational opportunities: • In August, we’ll provide a rule roll out module in the DCDEE e-learning Moodle platform and hosted webinars. • In September, child care consultants hosted in-person facility operator/administrator meetings within the counties served; provided additional guidance on the changes, the transition plan and timeline. • Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within twelve (12) months based on the pathway chosen. -Child Care Consultants from Mecklenburg County hosted training sessions on QRIS. The session will provide valuable insights on QRIS, also known as Pathways to the Stars, and is designed to help you understand and prepare for the transition to the new QRIS system. -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. Please review the information on the NCRLAP's website to become familiar with the new third edition. -An email was issued on July 31, 2025, regarding the Quality Every Day (QED) Program. Quality Every Day (QED) is a quality initiative at Child Care Resources Inc., funded by Smart Start of Mecklenburg County. They are recruiting for the QED Program this year for those that may be interested in coaching and training for teachers and directors. There are different tracks for participation (Licensing renewal, Program start-up, staff-child interactions and director support); and there are new opportunities this year like updated ERS-3 trainings, Leadership college coursework for administrators and Communities of Practice for both Child Care Directors and Family Child Care providers. They still have opportunities for college coursework and stipends for coursework completion. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, 704-962-7854, Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, 704-594-0147, Michele.Sullivan@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 9/23/2025 Number Present: 0 Completed Date: 9/23/2025 Age: From 0 To 0 Total Minutes: 240 Time In: 09:30 AM Time Out: 12:00 PM Time In: 01:00 PM Time Out: 02:30 PM 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, including compliance with requirements located in Child Care Rule Section .3000 in spaces #101, #102, #103, and #107, where children participating in the NC Pre-K program are cared for. I was greeted by Lead Teacher, Ms. Hilary Bost, and I explained the purpose of the visit. There were not children present, due to Charlotte Mecklenburg Schools (CMS) Teacher Workday. Ms. Bost assisted me with today’s visit. Your program currently operates with a four-star license, issued January 17, 2020, earning four (4) points in the education component, seven (7) points in the program standards component and one (1) quality point Your program was also monitored for compliance with implementing an approved curriculum Teaching Strategies Gold as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted September 26, 2024. The sanitation inspection was completed September 22, 2025 with a “Superior” classification and thirteen (13) demerits. The last fire inspection was conducted April 22, 2025, and your facility was approved. The 2025 Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit; NC Pre-K requirements were monitored. A copy of the Annual Compliance Checklist for Centers was provided to the Lead Teacher, Ms. Bost, after the visit. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. The current NC Pre-K staff are lead teachers, Hilary Bost, Erin Cherry, Meredith Stewart, and Yvette Butler and teacher assistants, Pecora Jackson, Janay Porter, Jalynn, Allen, and Marie DeSouza. You stated you were in the process of completing the Parent Evaluation Developmental Status (PEDS) screening; children are still enrolling in the program. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The checkpoint assessments are conducted three (3) times per year: at the beginning, middle and end of the school year. The first day of school was August 28, 2025. The classroom operates from 8:00 am to 3:00 pm. Parent conferences are held two (2) times per year. You stated that you use the Parent Square app to communicate with parents. In addition, a monthly newsletter is sent home to the parents, and weekly information is sent home weekly on Parent Square; information is provided to parents individually if needed. The Staff and Training Worksheet was used to monitor staff records; compliance was met. Children's files were not available and a violation was cited. Currently there are no children with medications; no children with allergies. The following program requirements were observed posted and compliant: First Aid Poster, Child Care License, No Tobacco Sign, Summary of NC Law, September Menu, Daily Schedules and Activity Plans, and Emergency Medical Care Plan. The Fire Drill Record was reviewed and compliance was met. The Shelter-in-Place/Lockdown Drills were reviewed and a violation was cited. The Playground Inspections were reviewed and compliance was met. There is not an assigned playground for the NC Pre-K Program, because the playground on site is for children five (5) years-old and older. The Lead Teacher, Ms. Bost, stated that materials are provided to support outdoor play, such as balls, bicycles, and chalk in the courtyard area outside the classroom. The center does provide transportation and the following was observed for compliance: Safe pick-up and Delivery statement (Posted), and Emergency Information on Children. The bus used to transport children was not on site. Two (2) violations were cited. Violation Number Comment Rule 1328 Children's records were not made available for review. Files from the 2024-2025 school year were available; no files for 2025-2026 school year. G.S. 110-91(9) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place/lockdown drills were not practiced every three (3) months; last drills was practice March 31, 2025; fire drill was conducted June 4, 2025. .0604(u);.0302(d)(8) -A visit will be conducted within five (5) days to monitor children present. 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. 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -Ms. Bost stated that the children's files have not arrived to the program, and the files are in transit. Children's records must be made available for review (G.S. 110-91(9)). -Shelter-in-place or lockdown drills must be practiced every three (3) months and/or drill record must be complete (Child Care Rule 10A NCAC 09 .0102, .0302(d)(8), .0604(u)). -Ms. Bost inquired about records, and was referred to Child Care Rule 10A NCAC 09 10A NCAC 09 .2318 Child Care Center Record Retention. The rule states how long to keep record item. -Three (3) staff are in the process of completing their CPR/First Aid training. Staff must have approved training in CPR/First Aid Verification of staff completion training from an approved training organization; verification must be in the staff file (Child Care Rule 10A NCAC 09 .1102(c)(d)). -Continue to review the Emergency Medical Care Plan annually; lasted updated August 21, 2025 (Child Care Rule 10A NCAC 09 .0802(a)). -The roster was noted in ABCMS. Please removed staff that are not longer working with the program. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • 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. -On June 26th, the North Carolina Rules Review Commission (RRC) approved the QRIS Modernization rules adopted by the NC Child Care Commission during their April meeting. The Division of Child Development and Early Education is preparing a summary of the rules, an online training module for Moodle, and an implementation plan. The implementation plan will allow time for administrators/operators to learn and understand the different pathways and the changes within our system. We encourage you to visit the QRIS Modernization page on the DCDEE website to learn more now. -The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition will begin soon with the following informational opportunities: • In August, we’ll provide a rule roll out module in the DCDEE e-learning Moodle platform and hosted webinars. • In September, child care consultants hosted in-person facility operator/administrator meetings within the counties served; provided additional guidance on the changes, the transition plan and timeline. • Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within twelve (12) months based on the pathway chosen. -Child Care Consultants from Mecklenburg County hosted training sessions on QRIS. The session will provide valuable insights on QRIS, also known as Pathways to the Stars, and is designed to help you understand and prepare for the transition to the new QRIS system. -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. Please review the information on the NCRLAP's website to become familiar with the new third edition. -An email was issued on July 31, 2025, regarding the Quality Every Day (QED) Program. Quality Every Day (QED) is a quality initiative at Child Care Resources Inc., funded by Smart Start of Mecklenburg County. They are recruiting for the QED Program this year for those that may be interested in coaching and training for teachers and directors. There are different tracks for participation (Licensing renewal, Program start-up, staff-child interactions and director support); and there are new opportunities this year like updated ERS-3 trainings, Leadership college coursework for administrators and Communities of Practice for both Child Care Directors and Family Child Care providers. They still have opportunities for college coursework and stipends for coursework completion. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, 704-962-7854, Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, 704-594-0147, Michele.Sullivan@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 9/23/2025 Number Present: 0 Completed Date: 9/23/2025 Age: From 0 To 0 Total Minutes: 240 Time In: 09:30 AM Time Out: 12:00 PM Time In: 01:00 PM Time Out: 02:30 PM 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, including compliance with requirements located in Child Care Rule Section .3000 in spaces #101, #102, #103, and #107, where children participating in the NC Pre-K program are cared for. I was greeted by Lead Teacher, Ms. Hilary Bost, and I explained the purpose of the visit. There were not children present, due to Charlotte Mecklenburg Schools (CMS) Teacher Workday. Ms. Bost assisted me with today’s visit. Your program currently operates with a four-star license, issued January 17, 2020, earning four (4) points in the education component, seven (7) points in the program standards component and one (1) quality point Your program was also monitored for compliance with implementing an approved curriculum Teaching Strategies Gold as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted September 26, 2024. The sanitation inspection was completed September 22, 2025 with a “Superior” classification and thirteen (13) demerits. The last fire inspection was conducted April 22, 2025, and your facility was approved. The 2025 Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit; NC Pre-K requirements were monitored. A copy of the Annual Compliance Checklist for Centers was provided to the Lead Teacher, Ms. Bost, after the visit. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. The current NC Pre-K staff are lead teachers, Hilary Bost, Erin Cherry, Meredith Stewart, and Yvette Butler and teacher assistants, Pecora Jackson, Janay Porter, Jalynn, Allen, and Marie DeSouza. You stated you were in the process of completing the Parent Evaluation Developmental Status (PEDS) screening; children are still enrolling in the program. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The checkpoint assessments are conducted three (3) times per year: at the beginning, middle and end of the school year. The first day of school was August 28, 2025. The classroom operates from 8:00 am to 3:00 pm. Parent conferences are held two (2) times per year. You stated that you use the Parent Square app to communicate with parents. In addition, a monthly newsletter is sent home to the parents, and weekly information is sent home weekly on Parent Square; information is provided to parents individually if needed. The Staff and Training Worksheet was used to monitor staff records; compliance was met. Children's files were not available and a violation was cited. Currently there are no children with medications; no children with allergies. The following program requirements were observed posted and compliant: First Aid Poster, Child Care License, No Tobacco Sign, Summary of NC Law, September Menu, Daily Schedules and Activity Plans, and Emergency Medical Care Plan. The Fire Drill Record was reviewed and compliance was met. The Shelter-in-Place/Lockdown Drills were reviewed and a violation was cited. The Playground Inspections were reviewed and compliance was met. There is not an assigned playground for the NC Pre-K Program, because the playground on site is for children five (5) years-old and older. The Lead Teacher, Ms. Bost, stated that materials are provided to support outdoor play, such as balls, bicycles, and chalk in the courtyard area outside the classroom. The center does provide transportation and the following was observed for compliance: Safe pick-up and Delivery statement (Posted), and Emergency Information on Children. The bus used to transport children was not on site. Two (2) violations were cited. Violation Number Comment Rule 1328 Children's records were not made available for review. Files from the 2024-2025 school year were available; no files for 2025-2026 school year. G.S. 110-91(9) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place/lockdown drills were not practiced every three (3) months; last drills was practice March 31, 2025; fire drill was conducted June 4, 2025. .0604(u);.0302(d)(8) -A visit will be conducted within five (5) days to monitor children present. 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. 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -Ms. Bost stated that the children's files have not arrived to the program, and the files are in transit. Children's records must be made available for review (G.S. 110-91(9)). -Shelter-in-place or lockdown drills must be practiced every three (3) months and/or drill record must be complete (Child Care Rule 10A NCAC 09 .0102, .0302(d)(8), .0604(u)). -Ms. Bost inquired about records, and was referred to Child Care Rule 10A NCAC 09 10A NCAC 09 .2318 Child Care Center Record Retention. The rule states how long to keep record item. -Three (3) staff are in the process of completing their CPR/First Aid training. Staff must have approved training in CPR/First Aid Verification of staff completion training from an approved training organization; verification must be in the staff file (Child Care Rule 10A NCAC 09 .1102(c)(d)). -Continue to review the Emergency Medical Care Plan annually; lasted updated August 21, 2025 (Child Care Rule 10A NCAC 09 .0802(a)). -The roster was noted in ABCMS. Please removed staff that are not longer working with the program. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • 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. -On June 26th, the North Carolina Rules Review Commission (RRC) approved the QRIS Modernization rules adopted by the NC Child Care Commission during their April meeting. The Division of Child Development and Early Education is preparing a summary of the rules, an online training module for Moodle, and an implementation plan. The implementation plan will allow time for administrators/operators to learn and understand the different pathways and the changes within our system. We encourage you to visit the QRIS Modernization page on the DCDEE website to learn more now. -The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition will begin soon with the following informational opportunities: • In August, we’ll provide a rule roll out module in the DCDEE e-learning Moodle platform and hosted webinars. • In September, child care consultants hosted in-person facility operator/administrator meetings within the counties served; provided additional guidance on the changes, the transition plan and timeline. • Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within twelve (12) months based on the pathway chosen. -Child Care Consultants from Mecklenburg County hosted training sessions on QRIS. The session will provide valuable insights on QRIS, also known as Pathways to the Stars, and is designed to help you understand and prepare for the transition to the new QRIS system. -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. Please review the information on the NCRLAP's website to become familiar with the new third edition. -An email was issued on July 31, 2025, regarding the Quality Every Day (QED) Program. Quality Every Day (QED) is a quality initiative at Child Care Resources Inc., funded by Smart Start of Mecklenburg County. They are recruiting for the QED Program this year for those that may be interested in coaching and training for teachers and directors. There are different tracks for participation (Licensing renewal, Program start-up, staff-child interactions and director support); and there are new opportunities this year like updated ERS-3 trainings, Leadership college coursework for administrators and Communities of Practice for both Child Care Directors and Family Child Care providers. They still have opportunities for college coursework and stipends for coursework completion. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, 704-962-7854, Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, 704-594-0147, Michele.Sullivan@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 54 Completed Date: 4/9/2025 Age: From 4 To 5 Total Minutes: 335 Time In: 10:10 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a Routine Unannounced visit. I was greeted by Lead Teacher, Ms. Yvette Butler, and I explained the purpose of the visit. The facility had a Four-Star License issued January 17, 2020, and an eighteen-month compliance history score of eighty-six (86) percent prior to today’s visit. Upon arrival, I observed the children in space 101, space 102, space 103, and space 107 eating lunch and the children were served the following: Crispy Beef & Cheese Taco, Mexican Rice with Vegetables, Sweet Kernel Corn, Applesauce, and one (1) percent Milk. A menu was not posted, and a violation was cited. After lunch the children returned to the classrooms and washed their hands. The last annual compliance visit was conducted September 26, 2024. The following child care requirements were monitored and observed today using the Child Care Center 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: Staff was current with CPR. First Aid: Staff was current First Aid. Special Training: Staff are continuing to complete required in-service training. CBC Qualification: Each staff member was current with CBC qualifications. Two (2) staff did not have a qualification letter on file, and a violation was cited. New Staff: There are four (4) new staff; staff files were reviewed. A violation was cited for staff files that were not available for review. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: A child's medication was reviewed and compliance was met. A violation was cited for a Medical Action Plan without the medication available. Storage of Hazardous Substances: I did not observe any hazardous substances that were accessible, they were observed stored properly during the visit. Storage of Medication: The medication was observed properly stored. General Safety: There were electrical outlets uncovered, and a violation was cited. 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 monthly fire drill and emergency drill and the quarterly drill (shelter-in-place) were reviewed; a violation was cited for the fire drill, and a violation was cited for the shelter-in-place/down. The Playground Inspections were incomplete, and a violation was cited. License Posted: The license was observed posted on the information board. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was completed February 12, 2025, with a "Superior" rating and fourteen (14) demerits. The last fire inspection was conducted April 22, 2024. Eight (8) violations were cited. Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. A Department of Public Instruction Form did not include the names of four (4) new staff (M.S.), (M.D.), (J.A.) and (L.S.); file not available. G.S. 110-91(9); .0304(g); .2318 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The April Menu was not observed posted; only a snack menu was observed posted. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire Drill record was incomplete for the March 2025 Drill. .0604(t); .0302(d)(5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There were two (2) outlets uncovered in space 101, an outlet uncovered in space 102, and an outlet uncovered in space 107. 10A NCAC 09 .0604(c) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections were incomplete for November 2024, December 2024, January-March 2025. .0605(q) 1757 A valid qualification letter was not on file and available to review at the facility. Staff (M.D.) and staff (L.M.) did not have a valid letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown was not practiced every three (3) months; were practiced September 4, 2025, October 1, 2024, November 19, 2024, and March 31, 2025. A drill was not practiced in February 2025. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A child (K.W.) has a Medical Action Plan on file, and the child did not have the emergency medication was not available. .0801(b) 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 23, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance was provided: -Each lead teacher in space 101, space 102, and space 107 was reminded to cover electrical outlets to prevent injury. Electrical outlets and power strips, not in use, located in space used by children must have safety outlets covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child (Child Care Rule 10A NCAC 09 .0604(c)). -The Lead Teacher, Ms. Butler, was informed that the snack menu was posted on the information board, but the lunch menu was not posted. Menus for all meals and snacks must current and posted where easily seen by parents (Child Care Rule 10A NCAC 09 .0901(b)). -There were two (2) staff members that did not have a qualification letter on file, and valid qualification letters must be on file and available to review at the facility (Child Care Rule 10A NCAC 09 .2703; G.S. 110-90.2(b)). -Ms. Butler was informed that the fire drill was incomplete for March 2025. Fire drills must practiced monthly and/or the drill record must be completed (Child Care Rule 10A NCAC 09 .0302(d)(5) and .0604(t)). -Ensure that shelter-in-place or lockdown drills are practiced every three (3) months and/or drill record and the drill must be complete. The shelter-in-place or lockdown was not practiced every three (3) months; were practiced September 4, 2025, October 1, 2024, November 19, 2024, and March 31, 2025. A drill was not practiced in February 2025 (Child Care Rule 10A NCAC 09 .0302(d)(8); .0604(u)). -Playground inspections were incomplete for November 2024, December 2024, January 2025- March 2025. Monthly playground inspections must be completed and be completed by an individual trained in playground safety requirements (Child Care Rule 10A NCAC 09 .0605(q)). -A Department of Public Instruction (DPI) form did not include the names of four (4) new staff. The center must maintain records as required in rule, and made available to the Division for review (Child Care Rule 10A NCAC 09 .0304(g); .2318; G.S. 110-91(9)). -New staff have ninety (90) days to complete CPR/First Aid training. All staff must successfully complete certification in CPR/First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization must be on file in the staff member's file (Child Care Rule 10A NCAC 09 . 1102(c); .1102(d)). -Continue to document the Screen Time Log for each child care space, when screen time is used. Each child three (3) years of age and older can be allowed up to a maximum of thirty (30) minutes of screen time per day and no more than two (2) and a half hours a week; screen time must adhere to the Developmental Domains. (Child Care Rules 10A NCAC 09 .0510(d)(2)(B); .1718(b)). -For chronic medications, such as emergency medications (ex: epi-pen, inhalers), the Permission to Administer Medication form is valid for six (6) months. NC Pre-K Programs must adhere to North Carolina Child Care Rules. Refer to Child Care Rule 10A NCAC 09 .0803(a-i): A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. -For medications (chronic medications) that are listed on a child's Application/Medical Action Plan, and/or if the parent informs staff that the child has a medication, the medication must be available. Refer to Child Care Rule .0801(b): For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. -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. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • 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. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once; according to the website the water has been tested. -NCID Password Rule to Change If you have a MYNCID or NCID account, you may have received an email this week announcing changes to the password rules. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. The change will affect state agency staff as well as external users like citizens, providers, and state and local county staff. There is no action you need to take on or before February 23rd. When you change your current password after Feb. 23, however, you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deep sleep). Strong, unique passwords – along with practicing mindful cybersecurity practices – are key components to protecting your devices and personal information at home and at work. -The facility's email address noted in Regulatory was verified as correct; provider confirmed that she is receiving emails. - Emergency medications can be kept in the classroom and stored five (5) feet unlocked. Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container (Sanitation 15A NCAC 18A .2820(d)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 . 1102 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 54 Completed Date: 4/9/2025 Age: From 4 To 5 Total Minutes: 335 Time In: 10:10 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a Routine Unannounced visit. I was greeted by Lead Teacher, Ms. Yvette Butler, and I explained the purpose of the visit. The facility had a Four-Star License issued January 17, 2020, and an eighteen-month compliance history score of eighty-six (86) percent prior to today’s visit. Upon arrival, I observed the children in space 101, space 102, space 103, and space 107 eating lunch and the children were served the following: Crispy Beef & Cheese Taco, Mexican Rice with Vegetables, Sweet Kernel Corn, Applesauce, and one (1) percent Milk. A menu was not posted, and a violation was cited. After lunch the children returned to the classrooms and washed their hands. The last annual compliance visit was conducted September 26, 2024. The following child care requirements were monitored and observed today using the Child Care Center 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: Staff was current with CPR. First Aid: Staff was current First Aid. Special Training: Staff are continuing to complete required in-service training. CBC Qualification: Each staff member was current with CBC qualifications. Two (2) staff did not have a qualification letter on file, and a violation was cited. New Staff: There are four (4) new staff; staff files were reviewed. A violation was cited for staff files that were not available for review. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: A child's medication was reviewed and compliance was met. A violation was cited for a Medical Action Plan without the medication available. Storage of Hazardous Substances: I did not observe any hazardous substances that were accessible, they were observed stored properly during the visit. Storage of Medication: The medication was observed properly stored. General Safety: There were electrical outlets uncovered, and a violation was cited. 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 monthly fire drill and emergency drill and the quarterly drill (shelter-in-place) were reviewed; a violation was cited for the fire drill, and a violation was cited for the shelter-in-place/down. The Playground Inspections were incomplete, and a violation was cited. License Posted: The license was observed posted on the information board. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was completed February 12, 2025, with a "Superior" rating and fourteen (14) demerits. The last fire inspection was conducted April 22, 2024. Eight (8) violations were cited. Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. A Department of Public Instruction Form did not include the names of four (4) new staff (M.S.), (M.D.), (J.A.) and (L.S.); file not available. G.S. 110-91(9); .0304(g); .2318 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The April Menu was not observed posted; only a snack menu was observed posted. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire Drill record was incomplete for the March 2025 Drill. .0604(t); .0302(d)(5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There were two (2) outlets uncovered in space 101, an outlet uncovered in space 102, and an outlet uncovered in space 107. 10A NCAC 09 .0604(c) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections were incomplete for November 2024, December 2024, January-March 2025. .0605(q) 1757 A valid qualification letter was not on file and available to review at the facility. Staff (M.D.) and staff (L.M.) did not have a valid letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown was not practiced every three (3) months; were practiced September 4, 2025, October 1, 2024, November 19, 2024, and March 31, 2025. A drill was not practiced in February 2025. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A child (K.W.) has a Medical Action Plan on file, and the child did not have the emergency medication was not available. .0801(b) 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 23, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance was provided: -Each lead teacher in space 101, space 102, and space 107 was reminded to cover electrical outlets to prevent injury. Electrical outlets and power strips, not in use, located in space used by children must have safety outlets covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child (Child Care Rule 10A NCAC 09 .0604(c)). -The Lead Teacher, Ms. Butler, was informed that the snack menu was posted on the information board, but the lunch menu was not posted. Menus for all meals and snacks must current and posted where easily seen by parents (Child Care Rule 10A NCAC 09 .0901(b)). -There were two (2) staff members that did not have a qualification letter on file, and valid qualification letters must be on file and available to review at the facility (Child Care Rule 10A NCAC 09 .2703; G.S. 110-90.2(b)). -Ms. Butler was informed that the fire drill was incomplete for March 2025. Fire drills must practiced monthly and/or the drill record must be completed (Child Care Rule 10A NCAC 09 .0302(d)(5) and .0604(t)). -Ensure that shelter-in-place or lockdown drills are practiced every three (3) months and/or drill record and the drill must be complete. The shelter-in-place or lockdown was not practiced every three (3) months; were practiced September 4, 2025, October 1, 2024, November 19, 2024, and March 31, 2025. A drill was not practiced in February 2025 (Child Care Rule 10A NCAC 09 .0302(d)(8); .0604(u)). -Playground inspections were incomplete for November 2024, December 2024, January 2025- March 2025. Monthly playground inspections must be completed and be completed by an individual trained in playground safety requirements (Child Care Rule 10A NCAC 09 .0605(q)). -A Department of Public Instruction (DPI) form did not include the names of four (4) new staff. The center must maintain records as required in rule, and made available to the Division for review (Child Care Rule 10A NCAC 09 .0304(g); .2318; G.S. 110-91(9)). -New staff have ninety (90) days to complete CPR/First Aid training. All staff must successfully complete certification in CPR/First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization must be on file in the staff member's file (Child Care Rule 10A NCAC 09 . 1102(c); .1102(d)). -Continue to document the Screen Time Log for each child care space, when screen time is used. Each child three (3) years of age and older can be allowed up to a maximum of thirty (30) minutes of screen time per day and no more than two (2) and a half hours a week; screen time must adhere to the Developmental Domains. (Child Care Rules 10A NCAC 09 .0510(d)(2)(B); .1718(b)). -For chronic medications, such as emergency medications (ex: epi-pen, inhalers), the Permission to Administer Medication form is valid for six (6) months. NC Pre-K Programs must adhere to North Carolina Child Care Rules. Refer to Child Care Rule 10A NCAC 09 .0803(a-i): A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. -For medications (chronic medications) that are listed on a child's Application/Medical Action Plan, and/or if the parent informs staff that the child has a medication, the medication must be available. Refer to Child Care Rule .0801(b): For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. -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. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • 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. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once; according to the website the water has been tested. -NCID Password Rule to Change If you have a MYNCID or NCID account, you may have received an email this week announcing changes to the password rules. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. The change will affect state agency staff as well as external users like citizens, providers, and state and local county staff. There is no action you need to take on or before February 23rd. When you change your current password after Feb. 23, however, you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deep sleep). Strong, unique passwords – along with practicing mindful cybersecurity practices – are key components to protecting your devices and personal information at home and at work. -The facility's email address noted in Regulatory was verified as correct; provider confirmed that she is receiving emails. - Emergency medications can be kept in the classroom and stored five (5) feet unlocked. Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container (Sanitation 15A NCAC 18A .2820(d)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 54 Completed Date: 4/9/2025 Age: From 4 To 5 Total Minutes: 335 Time In: 10:10 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a Routine Unannounced visit. I was greeted by Lead Teacher, Ms. Yvette Butler, and I explained the purpose of the visit. The facility had a Four-Star License issued January 17, 2020, and an eighteen-month compliance history score of eighty-six (86) percent prior to today’s visit. Upon arrival, I observed the children in space 101, space 102, space 103, and space 107 eating lunch and the children were served the following: Crispy Beef & Cheese Taco, Mexican Rice with Vegetables, Sweet Kernel Corn, Applesauce, and one (1) percent Milk. A menu was not posted, and a violation was cited. After lunch the children returned to the classrooms and washed their hands. The last annual compliance visit was conducted September 26, 2024. The following child care requirements were monitored and observed today using the Child Care Center 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: Staff was current with CPR. First Aid: Staff was current First Aid. Special Training: Staff are continuing to complete required in-service training. CBC Qualification: Each staff member was current with CBC qualifications. Two (2) staff did not have a qualification letter on file, and a violation was cited. New Staff: There are four (4) new staff; staff files were reviewed. A violation was cited for staff files that were not available for review. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: A child's medication was reviewed and compliance was met. A violation was cited for a Medical Action Plan without the medication available. Storage of Hazardous Substances: I did not observe any hazardous substances that were accessible, they were observed stored properly during the visit. Storage of Medication: The medication was observed properly stored. General Safety: There were electrical outlets uncovered, and a violation was cited. 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 monthly fire drill and emergency drill and the quarterly drill (shelter-in-place) were reviewed; a violation was cited for the fire drill, and a violation was cited for the shelter-in-place/down. The Playground Inspections were incomplete, and a violation was cited. License Posted: The license was observed posted on the information board. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was completed February 12, 2025, with a "Superior" rating and fourteen (14) demerits. The last fire inspection was conducted April 22, 2024. Eight (8) violations were cited. Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. A Department of Public Instruction Form did not include the names of four (4) new staff (M.S.), (M.D.), (J.A.) and (L.S.); file not available. G.S. 110-91(9); .0304(g); .2318 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The April Menu was not observed posted; only a snack menu was observed posted. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire Drill record was incomplete for the March 2025 Drill. .0604(t); .0302(d)(5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There were two (2) outlets uncovered in space 101, an outlet uncovered in space 102, and an outlet uncovered in space 107. 10A NCAC 09 .0604(c) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections were incomplete for November 2024, December 2024, January-March 2025. .0605(q) 1757 A valid qualification letter was not on file and available to review at the facility. Staff (M.D.) and staff (L.M.) did not have a valid letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown was not practiced every three (3) months; were practiced September 4, 2025, October 1, 2024, November 19, 2024, and March 31, 2025. A drill was not practiced in February 2025. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A child (K.W.) has a Medical Action Plan on file, and the child did not have the emergency medication was not available. .0801(b) 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 23, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance was provided: -Each lead teacher in space 101, space 102, and space 107 was reminded to cover electrical outlets to prevent injury. Electrical outlets and power strips, not in use, located in space used by children must have safety outlets covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child (Child Care Rule 10A NCAC 09 .0604(c)). -The Lead Teacher, Ms. Butler, was informed that the snack menu was posted on the information board, but the lunch menu was not posted. Menus for all meals and snacks must current and posted where easily seen by parents (Child Care Rule 10A NCAC 09 .0901(b)). -There were two (2) staff members that did not have a qualification letter on file, and valid qualification letters must be on file and available to review at the facility (Child Care Rule 10A NCAC 09 .2703; G.S. 110-90.2(b)). -Ms. Butler was informed that the fire drill was incomplete for March 2025. Fire drills must practiced monthly and/or the drill record must be completed (Child Care Rule 10A NCAC 09 .0302(d)(5) and .0604(t)). -Ensure that shelter-in-place or lockdown drills are practiced every three (3) months and/or drill record and the drill must be complete. The shelter-in-place or lockdown was not practiced every three (3) months; were practiced September 4, 2025, October 1, 2024, November 19, 2024, and March 31, 2025. A drill was not practiced in February 2025 (Child Care Rule 10A NCAC 09 .0302(d)(8); .0604(u)). -Playground inspections were incomplete for November 2024, December 2024, January 2025- March 2025. Monthly playground inspections must be completed and be completed by an individual trained in playground safety requirements (Child Care Rule 10A NCAC 09 .0605(q)). -A Department of Public Instruction (DPI) form did not include the names of four (4) new staff. The center must maintain records as required in rule, and made available to the Division for review (Child Care Rule 10A NCAC 09 .0304(g); .2318; G.S. 110-91(9)). -New staff have ninety (90) days to complete CPR/First Aid training. All staff must successfully complete certification in CPR/First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization must be on file in the staff member's file (Child Care Rule 10A NCAC 09 . 1102(c); .1102(d)). -Continue to document the Screen Time Log for each child care space, when screen time is used. Each child three (3) years of age and older can be allowed up to a maximum of thirty (30) minutes of screen time per day and no more than two (2) and a half hours a week; screen time must adhere to the Developmental Domains. (Child Care Rules 10A NCAC 09 .0510(d)(2)(B); .1718(b)). -For chronic medications, such as emergency medications (ex: epi-pen, inhalers), the Permission to Administer Medication form is valid for six (6) months. NC Pre-K Programs must adhere to North Carolina Child Care Rules. Refer to Child Care Rule 10A NCAC 09 .0803(a-i): A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. -For medications (chronic medications) that are listed on a child's Application/Medical Action Plan, and/or if the parent informs staff that the child has a medication, the medication must be available. Refer to Child Care Rule .0801(b): For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. -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. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • 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. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once; according to the website the water has been tested. -NCID Password Rule to Change If you have a MYNCID or NCID account, you may have received an email this week announcing changes to the password rules. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. The change will affect state agency staff as well as external users like citizens, providers, and state and local county staff. There is no action you need to take on or before February 23rd. When you change your current password after Feb. 23, however, you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deep sleep). Strong, unique passwords – along with practicing mindful cybersecurity practices – are key components to protecting your devices and personal information at home and at work. -The facility's email address noted in Regulatory was verified as correct; provider confirmed that she is receiving emails. - Emergency medications can be kept in the classroom and stored five (5) feet unlocked. Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container (Sanitation 15A NCAC 18A .2820(d)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 54 Completed Date: 4/9/2025 Age: From 4 To 5 Total Minutes: 335 Time In: 10:10 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a Routine Unannounced visit. I was greeted by Lead Teacher, Ms. Yvette Butler, and I explained the purpose of the visit. The facility had a Four-Star License issued January 17, 2020, and an eighteen-month compliance history score of eighty-six (86) percent prior to today’s visit. Upon arrival, I observed the children in space 101, space 102, space 103, and space 107 eating lunch and the children were served the following: Crispy Beef & Cheese Taco, Mexican Rice with Vegetables, Sweet Kernel Corn, Applesauce, and one (1) percent Milk. A menu was not posted, and a violation was cited. After lunch the children returned to the classrooms and washed their hands. The last annual compliance visit was conducted September 26, 2024. The following child care requirements were monitored and observed today using the Child Care Center 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: Staff was current with CPR. First Aid: Staff was current First Aid. Special Training: Staff are continuing to complete required in-service training. CBC Qualification: Each staff member was current with CBC qualifications. Two (2) staff did not have a qualification letter on file, and a violation was cited. New Staff: There are four (4) new staff; staff files were reviewed. A violation was cited for staff files that were not available for review. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: A child's medication was reviewed and compliance was met. A violation was cited for a Medical Action Plan without the medication available. Storage of Hazardous Substances: I did not observe any hazardous substances that were accessible, they were observed stored properly during the visit. Storage of Medication: The medication was observed properly stored. General Safety: There were electrical outlets uncovered, and a violation was cited. 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 monthly fire drill and emergency drill and the quarterly drill (shelter-in-place) were reviewed; a violation was cited for the fire drill, and a violation was cited for the shelter-in-place/down. The Playground Inspections were incomplete, and a violation was cited. License Posted: The license was observed posted on the information board. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was completed February 12, 2025, with a "Superior" rating and fourteen (14) demerits. The last fire inspection was conducted April 22, 2024. Eight (8) violations were cited. Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. A Department of Public Instruction Form did not include the names of four (4) new staff (M.S.), (M.D.), (J.A.) and (L.S.); file not available. G.S. 110-91(9); .0304(g); .2318 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The April Menu was not observed posted; only a snack menu was observed posted. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire Drill record was incomplete for the March 2025 Drill. .0604(t); .0302(d)(5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There were two (2) outlets uncovered in space 101, an outlet uncovered in space 102, and an outlet uncovered in space 107. 10A NCAC 09 .0604(c) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections were incomplete for November 2024, December 2024, January-March 2025. .0605(q) 1757 A valid qualification letter was not on file and available to review at the facility. Staff (M.D.) and staff (L.M.) did not have a valid letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown was not practiced every three (3) months; were practiced September 4, 2025, October 1, 2024, November 19, 2024, and March 31, 2025. A drill was not practiced in February 2025. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A child (K.W.) has a Medical Action Plan on file, and the child did not have the emergency medication was not available. .0801(b) 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 23, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance was provided: -Each lead teacher in space 101, space 102, and space 107 was reminded to cover electrical outlets to prevent injury. Electrical outlets and power strips, not in use, located in space used by children must have safety outlets covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child (Child Care Rule 10A NCAC 09 .0604(c)). -The Lead Teacher, Ms. Butler, was informed that the snack menu was posted on the information board, but the lunch menu was not posted. Menus for all meals and snacks must current and posted where easily seen by parents (Child Care Rule 10A NCAC 09 .0901(b)). -There were two (2) staff members that did not have a qualification letter on file, and valid qualification letters must be on file and available to review at the facility (Child Care Rule 10A NCAC 09 .2703; G.S. 110-90.2(b)). -Ms. Butler was informed that the fire drill was incomplete for March 2025. Fire drills must practiced monthly and/or the drill record must be completed (Child Care Rule 10A NCAC 09 .0302(d)(5) and .0604(t)). -Ensure that shelter-in-place or lockdown drills are practiced every three (3) months and/or drill record and the drill must be complete. The shelter-in-place or lockdown was not practiced every three (3) months; were practiced September 4, 2025, October 1, 2024, November 19, 2024, and March 31, 2025. A drill was not practiced in February 2025 (Child Care Rule 10A NCAC 09 .0302(d)(8); .0604(u)). -Playground inspections were incomplete for November 2024, December 2024, January 2025- March 2025. Monthly playground inspections must be completed and be completed by an individual trained in playground safety requirements (Child Care Rule 10A NCAC 09 .0605(q)). -A Department of Public Instruction (DPI) form did not include the names of four (4) new staff. The center must maintain records as required in rule, and made available to the Division for review (Child Care Rule 10A NCAC 09 .0304(g); .2318; G.S. 110-91(9)). -New staff have ninety (90) days to complete CPR/First Aid training. All staff must successfully complete certification in CPR/First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization must be on file in the staff member's file (Child Care Rule 10A NCAC 09 . 1102(c); .1102(d)). -Continue to document the Screen Time Log for each child care space, when screen time is used. Each child three (3) years of age and older can be allowed up to a maximum of thirty (30) minutes of screen time per day and no more than two (2) and a half hours a week; screen time must adhere to the Developmental Domains. (Child Care Rules 10A NCAC 09 .0510(d)(2)(B); .1718(b)). -For chronic medications, such as emergency medications (ex: epi-pen, inhalers), the Permission to Administer Medication form is valid for six (6) months. NC Pre-K Programs must adhere to North Carolina Child Care Rules. Refer to Child Care Rule 10A NCAC 09 .0803(a-i): A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. -For medications (chronic medications) that are listed on a child's Application/Medical Action Plan, and/or if the parent informs staff that the child has a medication, the medication must be available. Refer to Child Care Rule .0801(b): For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. -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. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • 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. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once; according to the website the water has been tested. -NCID Password Rule to Change If you have a MYNCID or NCID account, you may have received an email this week announcing changes to the password rules. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. The change will affect state agency staff as well as external users like citizens, providers, and state and local county staff. There is no action you need to take on or before February 23rd. When you change your current password after Feb. 23, however, you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deep sleep). Strong, unique passwords – along with practicing mindful cybersecurity practices – are key components to protecting your devices and personal information at home and at work. -The facility's email address noted in Regulatory was verified as correct; provider confirmed that she is receiving emails. - Emergency medications can be kept in the classroom and stored five (5) feet unlocked. Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container (Sanitation 15A NCAC 18A .2820(d)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0510 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 54 Completed Date: 4/9/2025 Age: From 4 To 5 Total Minutes: 335 Time In: 10:10 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a Routine Unannounced visit. I was greeted by Lead Teacher, Ms. Yvette Butler, and I explained the purpose of the visit. The facility had a Four-Star License issued January 17, 2020, and an eighteen-month compliance history score of eighty-six (86) percent prior to today’s visit. Upon arrival, I observed the children in space 101, space 102, space 103, and space 107 eating lunch and the children were served the following: Crispy Beef & Cheese Taco, Mexican Rice with Vegetables, Sweet Kernel Corn, Applesauce, and one (1) percent Milk. A menu was not posted, and a violation was cited. After lunch the children returned to the classrooms and washed their hands. The last annual compliance visit was conducted September 26, 2024. The following child care requirements were monitored and observed today using the Child Care Center 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: Staff was current with CPR. First Aid: Staff was current First Aid. Special Training: Staff are continuing to complete required in-service training. CBC Qualification: Each staff member was current with CBC qualifications. Two (2) staff did not have a qualification letter on file, and a violation was cited. New Staff: There are four (4) new staff; staff files were reviewed. A violation was cited for staff files that were not available for review. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: A child's medication was reviewed and compliance was met. A violation was cited for a Medical Action Plan without the medication available. Storage of Hazardous Substances: I did not observe any hazardous substances that were accessible, they were observed stored properly during the visit. Storage of Medication: The medication was observed properly stored. General Safety: There were electrical outlets uncovered, and a violation was cited. 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 monthly fire drill and emergency drill and the quarterly drill (shelter-in-place) were reviewed; a violation was cited for the fire drill, and a violation was cited for the shelter-in-place/down. The Playground Inspections were incomplete, and a violation was cited. License Posted: The license was observed posted on the information board. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was completed February 12, 2025, with a "Superior" rating and fourteen (14) demerits. The last fire inspection was conducted April 22, 2024. Eight (8) violations were cited. Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. A Department of Public Instruction Form did not include the names of four (4) new staff (M.S.), (M.D.), (J.A.) and (L.S.); file not available. G.S. 110-91(9); .0304(g); .2318 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The April Menu was not observed posted; only a snack menu was observed posted. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire Drill record was incomplete for the March 2025 Drill. .0604(t); .0302(d)(5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There were two (2) outlets uncovered in space 101, an outlet uncovered in space 102, and an outlet uncovered in space 107. 10A NCAC 09 .0604(c) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections were incomplete for November 2024, December 2024, January-March 2025. .0605(q) 1757 A valid qualification letter was not on file and available to review at the facility. Staff (M.D.) and staff (L.M.) did not have a valid letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown was not practiced every three (3) months; were practiced September 4, 2025, October 1, 2024, November 19, 2024, and March 31, 2025. A drill was not practiced in February 2025. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A child (K.W.) has a Medical Action Plan on file, and the child did not have the emergency medication was not available. .0801(b) 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 23, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance was provided: -Each lead teacher in space 101, space 102, and space 107 was reminded to cover electrical outlets to prevent injury. Electrical outlets and power strips, not in use, located in space used by children must have safety outlets covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child (Child Care Rule 10A NCAC 09 .0604(c)). -The Lead Teacher, Ms. Butler, was informed that the snack menu was posted on the information board, but the lunch menu was not posted. Menus for all meals and snacks must current and posted where easily seen by parents (Child Care Rule 10A NCAC 09 .0901(b)). -There were two (2) staff members that did not have a qualification letter on file, and valid qualification letters must be on file and available to review at the facility (Child Care Rule 10A NCAC 09 .2703; G.S. 110-90.2(b)). -Ms. Butler was informed that the fire drill was incomplete for March 2025. Fire drills must practiced monthly and/or the drill record must be completed (Child Care Rule 10A NCAC 09 .0302(d)(5) and .0604(t)). -Ensure that shelter-in-place or lockdown drills are practiced every three (3) months and/or drill record and the drill must be complete. The shelter-in-place or lockdown was not practiced every three (3) months; were practiced September 4, 2025, October 1, 2024, November 19, 2024, and March 31, 2025. A drill was not practiced in February 2025 (Child Care Rule 10A NCAC 09 .0302(d)(8); .0604(u)). -Playground inspections were incomplete for November 2024, December 2024, January 2025- March 2025. Monthly playground inspections must be completed and be completed by an individual trained in playground safety requirements (Child Care Rule 10A NCAC 09 .0605(q)). -A Department of Public Instruction (DPI) form did not include the names of four (4) new staff. The center must maintain records as required in rule, and made available to the Division for review (Child Care Rule 10A NCAC 09 .0304(g); .2318; G.S. 110-91(9)). -New staff have ninety (90) days to complete CPR/First Aid training. All staff must successfully complete certification in CPR/First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization must be on file in the staff member's file (Child Care Rule 10A NCAC 09 . 1102(c); .1102(d)). -Continue to document the Screen Time Log for each child care space, when screen time is used. Each child three (3) years of age and older can be allowed up to a maximum of thirty (30) minutes of screen time per day and no more than two (2) and a half hours a week; screen time must adhere to the Developmental Domains. (Child Care Rules 10A NCAC 09 .0510(d)(2)(B); .1718(b)). -For chronic medications, such as emergency medications (ex: epi-pen, inhalers), the Permission to Administer Medication form is valid for six (6) months. NC Pre-K Programs must adhere to North Carolina Child Care Rules. Refer to Child Care Rule 10A NCAC 09 .0803(a-i): A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. -For medications (chronic medications) that are listed on a child's Application/Medical Action Plan, and/or if the parent informs staff that the child has a medication, the medication must be available. Refer to Child Care Rule .0801(b): For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. -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. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • 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. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once; according to the website the water has been tested. -NCID Password Rule to Change If you have a MYNCID or NCID account, you may have received an email this week announcing changes to the password rules. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. The change will affect state agency staff as well as external users like citizens, providers, and state and local county staff. There is no action you need to take on or before February 23rd. When you change your current password after Feb. 23, however, you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deep sleep). Strong, unique passwords – along with practicing mindful cybersecurity practices – are key components to protecting your devices and personal information at home and at work. -The facility's email address noted in Regulatory was verified as correct; provider confirmed that she is receiving emails. - Emergency medications can be kept in the classroom and stored five (5) feet unlocked. Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container (Sanitation 15A NCAC 18A .2820(d)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 54 Completed Date: 4/9/2025 Age: From 4 To 5 Total Minutes: 335 Time In: 10:10 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a Routine Unannounced visit. I was greeted by Lead Teacher, Ms. Yvette Butler, and I explained the purpose of the visit. The facility had a Four-Star License issued January 17, 2020, and an eighteen-month compliance history score of eighty-six (86) percent prior to today’s visit. Upon arrival, I observed the children in space 101, space 102, space 103, and space 107 eating lunch and the children were served the following: Crispy Beef & Cheese Taco, Mexican Rice with Vegetables, Sweet Kernel Corn, Applesauce, and one (1) percent Milk. A menu was not posted, and a violation was cited. After lunch the children returned to the classrooms and washed their hands. The last annual compliance visit was conducted September 26, 2024. The following child care requirements were monitored and observed today using the Child Care Center 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: Staff was current with CPR. First Aid: Staff was current First Aid. Special Training: Staff are continuing to complete required in-service training. CBC Qualification: Each staff member was current with CBC qualifications. Two (2) staff did not have a qualification letter on file, and a violation was cited. New Staff: There are four (4) new staff; staff files were reviewed. A violation was cited for staff files that were not available for review. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: A child's medication was reviewed and compliance was met. A violation was cited for a Medical Action Plan without the medication available. Storage of Hazardous Substances: I did not observe any hazardous substances that were accessible, they were observed stored properly during the visit. Storage of Medication: The medication was observed properly stored. General Safety: There were electrical outlets uncovered, and a violation was cited. 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 monthly fire drill and emergency drill and the quarterly drill (shelter-in-place) were reviewed; a violation was cited for the fire drill, and a violation was cited for the shelter-in-place/down. The Playground Inspections were incomplete, and a violation was cited. License Posted: The license was observed posted on the information board. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was completed February 12, 2025, with a "Superior" rating and fourteen (14) demerits. The last fire inspection was conducted April 22, 2024. Eight (8) violations were cited. Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. A Department of Public Instruction Form did not include the names of four (4) new staff (M.S.), (M.D.), (J.A.) and (L.S.); file not available. G.S. 110-91(9); .0304(g); .2318 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The April Menu was not observed posted; only a snack menu was observed posted. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire Drill record was incomplete for the March 2025 Drill. .0604(t); .0302(d)(5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There were two (2) outlets uncovered in space 101, an outlet uncovered in space 102, and an outlet uncovered in space 107. 10A NCAC 09 .0604(c) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections were incomplete for November 2024, December 2024, January-March 2025. .0605(q) 1757 A valid qualification letter was not on file and available to review at the facility. Staff (M.D.) and staff (L.M.) did not have a valid letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown was not practiced every three (3) months; were practiced September 4, 2025, October 1, 2024, November 19, 2024, and March 31, 2025. A drill was not practiced in February 2025. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A child (K.W.) has a Medical Action Plan on file, and the child did not have the emergency medication was not available. .0801(b) 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 23, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance was provided: -Each lead teacher in space 101, space 102, and space 107 was reminded to cover electrical outlets to prevent injury. Electrical outlets and power strips, not in use, located in space used by children must have safety outlets covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child (Child Care Rule 10A NCAC 09 .0604(c)). -The Lead Teacher, Ms. Butler, was informed that the snack menu was posted on the information board, but the lunch menu was not posted. Menus for all meals and snacks must current and posted where easily seen by parents (Child Care Rule 10A NCAC 09 .0901(b)). -There were two (2) staff members that did not have a qualification letter on file, and valid qualification letters must be on file and available to review at the facility (Child Care Rule 10A NCAC 09 .2703; G.S. 110-90.2(b)). -Ms. Butler was informed that the fire drill was incomplete for March 2025. Fire drills must practiced monthly and/or the drill record must be completed (Child Care Rule 10A NCAC 09 .0302(d)(5) and .0604(t)). -Ensure that shelter-in-place or lockdown drills are practiced every three (3) months and/or drill record and the drill must be complete. The shelter-in-place or lockdown was not practiced every three (3) months; were practiced September 4, 2025, October 1, 2024, November 19, 2024, and March 31, 2025. A drill was not practiced in February 2025 (Child Care Rule 10A NCAC 09 .0302(d)(8); .0604(u)). -Playground inspections were incomplete for November 2024, December 2024, January 2025- March 2025. Monthly playground inspections must be completed and be completed by an individual trained in playground safety requirements (Child Care Rule 10A NCAC 09 .0605(q)). -A Department of Public Instruction (DPI) form did not include the names of four (4) new staff. The center must maintain records as required in rule, and made available to the Division for review (Child Care Rule 10A NCAC 09 .0304(g); .2318; G.S. 110-91(9)). -New staff have ninety (90) days to complete CPR/First Aid training. All staff must successfully complete certification in CPR/First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization must be on file in the staff member's file (Child Care Rule 10A NCAC 09 . 1102(c); .1102(d)). -Continue to document the Screen Time Log for each child care space, when screen time is used. Each child three (3) years of age and older can be allowed up to a maximum of thirty (30) minutes of screen time per day and no more than two (2) and a half hours a week; screen time must adhere to the Developmental Domains. (Child Care Rules 10A NCAC 09 .0510(d)(2)(B); .1718(b)). -For chronic medications, such as emergency medications (ex: epi-pen, inhalers), the Permission to Administer Medication form is valid for six (6) months. NC Pre-K Programs must adhere to North Carolina Child Care Rules. Refer to Child Care Rule 10A NCAC 09 .0803(a-i): A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. -For medications (chronic medications) that are listed on a child's Application/Medical Action Plan, and/or if the parent informs staff that the child has a medication, the medication must be available. Refer to Child Care Rule .0801(b): For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. -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. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • 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. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once; according to the website the water has been tested. -NCID Password Rule to Change If you have a MYNCID or NCID account, you may have received an email this week announcing changes to the password rules. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. The change will affect state agency staff as well as external users like citizens, providers, and state and local county staff. There is no action you need to take on or before February 23rd. When you change your current password after Feb. 23, however, you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deep sleep). Strong, unique passwords – along with practicing mindful cybersecurity practices – are key components to protecting your devices and personal information at home and at work. -The facility's email address noted in Regulatory was verified as correct; provider confirmed that she is receiving emails. - Emergency medications can be kept in the classroom and stored five (5) feet unlocked. Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container (Sanitation 15A NCAC 18A .2820(d)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0605 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 54 Completed Date: 4/9/2025 Age: From 4 To 5 Total Minutes: 335 Time In: 10:10 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a Routine Unannounced visit. I was greeted by Lead Teacher, Ms. Yvette Butler, and I explained the purpose of the visit. The facility had a Four-Star License issued January 17, 2020, and an eighteen-month compliance history score of eighty-six (86) percent prior to today’s visit. Upon arrival, I observed the children in space 101, space 102, space 103, and space 107 eating lunch and the children were served the following: Crispy Beef & Cheese Taco, Mexican Rice with Vegetables, Sweet Kernel Corn, Applesauce, and one (1) percent Milk. A menu was not posted, and a violation was cited. After lunch the children returned to the classrooms and washed their hands. The last annual compliance visit was conducted September 26, 2024. The following child care requirements were monitored and observed today using the Child Care Center 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: Staff was current with CPR. First Aid: Staff was current First Aid. Special Training: Staff are continuing to complete required in-service training. CBC Qualification: Each staff member was current with CBC qualifications. Two (2) staff did not have a qualification letter on file, and a violation was cited. New Staff: There are four (4) new staff; staff files were reviewed. A violation was cited for staff files that were not available for review. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: A child's medication was reviewed and compliance was met. A violation was cited for a Medical Action Plan without the medication available. Storage of Hazardous Substances: I did not observe any hazardous substances that were accessible, they were observed stored properly during the visit. Storage of Medication: The medication was observed properly stored. General Safety: There were electrical outlets uncovered, and a violation was cited. 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 monthly fire drill and emergency drill and the quarterly drill (shelter-in-place) were reviewed; a violation was cited for the fire drill, and a violation was cited for the shelter-in-place/down. The Playground Inspections were incomplete, and a violation was cited. License Posted: The license was observed posted on the information board. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was completed February 12, 2025, with a "Superior" rating and fourteen (14) demerits. The last fire inspection was conducted April 22, 2024. Eight (8) violations were cited. Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. A Department of Public Instruction Form did not include the names of four (4) new staff (M.S.), (M.D.), (J.A.) and (L.S.); file not available. G.S. 110-91(9); .0304(g); .2318 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The April Menu was not observed posted; only a snack menu was observed posted. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire Drill record was incomplete for the March 2025 Drill. .0604(t); .0302(d)(5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There were two (2) outlets uncovered in space 101, an outlet uncovered in space 102, and an outlet uncovered in space 107. 10A NCAC 09 .0604(c) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections were incomplete for November 2024, December 2024, January-March 2025. .0605(q) 1757 A valid qualification letter was not on file and available to review at the facility. Staff (M.D.) and staff (L.M.) did not have a valid letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown was not practiced every three (3) months; were practiced September 4, 2025, October 1, 2024, November 19, 2024, and March 31, 2025. A drill was not practiced in February 2025. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A child (K.W.) has a Medical Action Plan on file, and the child did not have the emergency medication was not available. .0801(b) 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 23, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance was provided: -Each lead teacher in space 101, space 102, and space 107 was reminded to cover electrical outlets to prevent injury. Electrical outlets and power strips, not in use, located in space used by children must have safety outlets covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child (Child Care Rule 10A NCAC 09 .0604(c)). -The Lead Teacher, Ms. Butler, was informed that the snack menu was posted on the information board, but the lunch menu was not posted. Menus for all meals and snacks must current and posted where easily seen by parents (Child Care Rule 10A NCAC 09 .0901(b)). -There were two (2) staff members that did not have a qualification letter on file, and valid qualification letters must be on file and available to review at the facility (Child Care Rule 10A NCAC 09 .2703; G.S. 110-90.2(b)). -Ms. Butler was informed that the fire drill was incomplete for March 2025. Fire drills must practiced monthly and/or the drill record must be completed (Child Care Rule 10A NCAC 09 .0302(d)(5) and .0604(t)). -Ensure that shelter-in-place or lockdown drills are practiced every three (3) months and/or drill record and the drill must be complete. The shelter-in-place or lockdown was not practiced every three (3) months; were practiced September 4, 2025, October 1, 2024, November 19, 2024, and March 31, 2025. A drill was not practiced in February 2025 (Child Care Rule 10A NCAC 09 .0302(d)(8); .0604(u)). -Playground inspections were incomplete for November 2024, December 2024, January 2025- March 2025. Monthly playground inspections must be completed and be completed by an individual trained in playground safety requirements (Child Care Rule 10A NCAC 09 .0605(q)). -A Department of Public Instruction (DPI) form did not include the names of four (4) new staff. The center must maintain records as required in rule, and made available to the Division for review (Child Care Rule 10A NCAC 09 .0304(g); .2318; G.S. 110-91(9)). -New staff have ninety (90) days to complete CPR/First Aid training. All staff must successfully complete certification in CPR/First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization must be on file in the staff member's file (Child Care Rule 10A NCAC 09 . 1102(c); .1102(d)). -Continue to document the Screen Time Log for each child care space, when screen time is used. Each child three (3) years of age and older can be allowed up to a maximum of thirty (30) minutes of screen time per day and no more than two (2) and a half hours a week; screen time must adhere to the Developmental Domains. (Child Care Rules 10A NCAC 09 .0510(d)(2)(B); .1718(b)). -For chronic medications, such as emergency medications (ex: epi-pen, inhalers), the Permission to Administer Medication form is valid for six (6) months. NC Pre-K Programs must adhere to North Carolina Child Care Rules. Refer to Child Care Rule 10A NCAC 09 .0803(a-i): A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. -For medications (chronic medications) that are listed on a child's Application/Medical Action Plan, and/or if the parent informs staff that the child has a medication, the medication must be available. Refer to Child Care Rule .0801(b): For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. -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. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • 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. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once; according to the website the water has been tested. -NCID Password Rule to Change If you have a MYNCID or NCID account, you may have received an email this week announcing changes to the password rules. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. The change will affect state agency staff as well as external users like citizens, providers, and state and local county staff. There is no action you need to take on or before February 23rd. When you change your current password after Feb. 23, however, you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deep sleep). Strong, unique passwords – along with practicing mindful cybersecurity practices – are key components to protecting your devices and personal information at home and at work. -The facility's email address noted in Regulatory was verified as correct; provider confirmed that she is receiving emails. - Emergency medications can be kept in the classroom and stored five (5) feet unlocked. Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container (Sanitation 15A NCAC 18A .2820(d)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 54 Completed Date: 4/9/2025 Age: From 4 To 5 Total Minutes: 335 Time In: 10:10 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a Routine Unannounced visit. I was greeted by Lead Teacher, Ms. Yvette Butler, and I explained the purpose of the visit. The facility had a Four-Star License issued January 17, 2020, and an eighteen-month compliance history score of eighty-six (86) percent prior to today’s visit. Upon arrival, I observed the children in space 101, space 102, space 103, and space 107 eating lunch and the children were served the following: Crispy Beef & Cheese Taco, Mexican Rice with Vegetables, Sweet Kernel Corn, Applesauce, and one (1) percent Milk. A menu was not posted, and a violation was cited. After lunch the children returned to the classrooms and washed their hands. The last annual compliance visit was conducted September 26, 2024. The following child care requirements were monitored and observed today using the Child Care Center 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: Staff was current with CPR. First Aid: Staff was current First Aid. Special Training: Staff are continuing to complete required in-service training. CBC Qualification: Each staff member was current with CBC qualifications. Two (2) staff did not have a qualification letter on file, and a violation was cited. New Staff: There are four (4) new staff; staff files were reviewed. A violation was cited for staff files that were not available for review. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: A child's medication was reviewed and compliance was met. A violation was cited for a Medical Action Plan without the medication available. Storage of Hazardous Substances: I did not observe any hazardous substances that were accessible, they were observed stored properly during the visit. Storage of Medication: The medication was observed properly stored. General Safety: There were electrical outlets uncovered, and a violation was cited. 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 monthly fire drill and emergency drill and the quarterly drill (shelter-in-place) were reviewed; a violation was cited for the fire drill, and a violation was cited for the shelter-in-place/down. The Playground Inspections were incomplete, and a violation was cited. License Posted: The license was observed posted on the information board. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was completed February 12, 2025, with a "Superior" rating and fourteen (14) demerits. The last fire inspection was conducted April 22, 2024. Eight (8) violations were cited. Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. A Department of Public Instruction Form did not include the names of four (4) new staff (M.S.), (M.D.), (J.A.) and (L.S.); file not available. G.S. 110-91(9); .0304(g); .2318 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The April Menu was not observed posted; only a snack menu was observed posted. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire Drill record was incomplete for the March 2025 Drill. .0604(t); .0302(d)(5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There were two (2) outlets uncovered in space 101, an outlet uncovered in space 102, and an outlet uncovered in space 107. 10A NCAC 09 .0604(c) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections were incomplete for November 2024, December 2024, January-March 2025. .0605(q) 1757 A valid qualification letter was not on file and available to review at the facility. Staff (M.D.) and staff (L.M.) did not have a valid letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown was not practiced every three (3) months; were practiced September 4, 2025, October 1, 2024, November 19, 2024, and March 31, 2025. A drill was not practiced in February 2025. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A child (K.W.) has a Medical Action Plan on file, and the child did not have the emergency medication was not available. .0801(b) 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 23, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance was provided: -Each lead teacher in space 101, space 102, and space 107 was reminded to cover electrical outlets to prevent injury. Electrical outlets and power strips, not in use, located in space used by children must have safety outlets covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child (Child Care Rule 10A NCAC 09 .0604(c)). -The Lead Teacher, Ms. Butler, was informed that the snack menu was posted on the information board, but the lunch menu was not posted. Menus for all meals and snacks must current and posted where easily seen by parents (Child Care Rule 10A NCAC 09 .0901(b)). -There were two (2) staff members that did not have a qualification letter on file, and valid qualification letters must be on file and available to review at the facility (Child Care Rule 10A NCAC 09 .2703; G.S. 110-90.2(b)). -Ms. Butler was informed that the fire drill was incomplete for March 2025. Fire drills must practiced monthly and/or the drill record must be completed (Child Care Rule 10A NCAC 09 .0302(d)(5) and .0604(t)). -Ensure that shelter-in-place or lockdown drills are practiced every three (3) months and/or drill record and the drill must be complete. The shelter-in-place or lockdown was not practiced every three (3) months; were practiced September 4, 2025, October 1, 2024, November 19, 2024, and March 31, 2025. A drill was not practiced in February 2025 (Child Care Rule 10A NCAC 09 .0302(d)(8); .0604(u)). -Playground inspections were incomplete for November 2024, December 2024, January 2025- March 2025. Monthly playground inspections must be completed and be completed by an individual trained in playground safety requirements (Child Care Rule 10A NCAC 09 .0605(q)). -A Department of Public Instruction (DPI) form did not include the names of four (4) new staff. The center must maintain records as required in rule, and made available to the Division for review (Child Care Rule 10A NCAC 09 .0304(g); .2318; G.S. 110-91(9)). -New staff have ninety (90) days to complete CPR/First Aid training. All staff must successfully complete certification in CPR/First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization must be on file in the staff member's file (Child Care Rule 10A NCAC 09 . 1102(c); .1102(d)). -Continue to document the Screen Time Log for each child care space, when screen time is used. Each child three (3) years of age and older can be allowed up to a maximum of thirty (30) minutes of screen time per day and no more than two (2) and a half hours a week; screen time must adhere to the Developmental Domains. (Child Care Rules 10A NCAC 09 .0510(d)(2)(B); .1718(b)). -For chronic medications, such as emergency medications (ex: epi-pen, inhalers), the Permission to Administer Medication form is valid for six (6) months. NC Pre-K Programs must adhere to North Carolina Child Care Rules. Refer to Child Care Rule 10A NCAC 09 .0803(a-i): A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. -For medications (chronic medications) that are listed on a child's Application/Medical Action Plan, and/or if the parent informs staff that the child has a medication, the medication must be available. Refer to Child Care Rule .0801(b): For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. -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. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • 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. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once; according to the website the water has been tested. -NCID Password Rule to Change If you have a MYNCID or NCID account, you may have received an email this week announcing changes to the password rules. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. The change will affect state agency staff as well as external users like citizens, providers, and state and local county staff. There is no action you need to take on or before February 23rd. When you change your current password after Feb. 23, however, you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deep sleep). Strong, unique passwords – along with practicing mindful cybersecurity practices – are key components to protecting your devices and personal information at home and at work. -The facility's email address noted in Regulatory was verified as correct; provider confirmed that she is receiving emails. - Emergency medications can be kept in the classroom and stored five (5) feet unlocked. Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container (Sanitation 15A NCAC 18A .2820(d)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 54 Completed Date: 4/9/2025 Age: From 4 To 5 Total Minutes: 335 Time In: 10:10 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a Routine Unannounced visit. I was greeted by Lead Teacher, Ms. Yvette Butler, and I explained the purpose of the visit. The facility had a Four-Star License issued January 17, 2020, and an eighteen-month compliance history score of eighty-six (86) percent prior to today’s visit. Upon arrival, I observed the children in space 101, space 102, space 103, and space 107 eating lunch and the children were served the following: Crispy Beef & Cheese Taco, Mexican Rice with Vegetables, Sweet Kernel Corn, Applesauce, and one (1) percent Milk. A menu was not posted, and a violation was cited. After lunch the children returned to the classrooms and washed their hands. The last annual compliance visit was conducted September 26, 2024. The following child care requirements were monitored and observed today using the Child Care Center 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: Staff was current with CPR. First Aid: Staff was current First Aid. Special Training: Staff are continuing to complete required in-service training. CBC Qualification: Each staff member was current with CBC qualifications. Two (2) staff did not have a qualification letter on file, and a violation was cited. New Staff: There are four (4) new staff; staff files were reviewed. A violation was cited for staff files that were not available for review. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: A child's medication was reviewed and compliance was met. A violation was cited for a Medical Action Plan without the medication available. Storage of Hazardous Substances: I did not observe any hazardous substances that were accessible, they were observed stored properly during the visit. Storage of Medication: The medication was observed properly stored. General Safety: There were electrical outlets uncovered, and a violation was cited. 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 monthly fire drill and emergency drill and the quarterly drill (shelter-in-place) were reviewed; a violation was cited for the fire drill, and a violation was cited for the shelter-in-place/down. The Playground Inspections were incomplete, and a violation was cited. License Posted: The license was observed posted on the information board. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was completed February 12, 2025, with a "Superior" rating and fourteen (14) demerits. The last fire inspection was conducted April 22, 2024. Eight (8) violations were cited. Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. A Department of Public Instruction Form did not include the names of four (4) new staff (M.S.), (M.D.), (J.A.) and (L.S.); file not available. G.S. 110-91(9); .0304(g); .2318 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The April Menu was not observed posted; only a snack menu was observed posted. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire Drill record was incomplete for the March 2025 Drill. .0604(t); .0302(d)(5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There were two (2) outlets uncovered in space 101, an outlet uncovered in space 102, and an outlet uncovered in space 107. 10A NCAC 09 .0604(c) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections were incomplete for November 2024, December 2024, January-March 2025. .0605(q) 1757 A valid qualification letter was not on file and available to review at the facility. Staff (M.D.) and staff (L.M.) did not have a valid letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown was not practiced every three (3) months; were practiced September 4, 2025, October 1, 2024, November 19, 2024, and March 31, 2025. A drill was not practiced in February 2025. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A child (K.W.) has a Medical Action Plan on file, and the child did not have the emergency medication was not available. .0801(b) 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 23, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance was provided: -Each lead teacher in space 101, space 102, and space 107 was reminded to cover electrical outlets to prevent injury. Electrical outlets and power strips, not in use, located in space used by children must have safety outlets covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child (Child Care Rule 10A NCAC 09 .0604(c)). -The Lead Teacher, Ms. Butler, was informed that the snack menu was posted on the information board, but the lunch menu was not posted. Menus for all meals and snacks must current and posted where easily seen by parents (Child Care Rule 10A NCAC 09 .0901(b)). -There were two (2) staff members that did not have a qualification letter on file, and valid qualification letters must be on file and available to review at the facility (Child Care Rule 10A NCAC 09 .2703; G.S. 110-90.2(b)). -Ms. Butler was informed that the fire drill was incomplete for March 2025. Fire drills must practiced monthly and/or the drill record must be completed (Child Care Rule 10A NCAC 09 .0302(d)(5) and .0604(t)). -Ensure that shelter-in-place or lockdown drills are practiced every three (3) months and/or drill record and the drill must be complete. The shelter-in-place or lockdown was not practiced every three (3) months; were practiced September 4, 2025, October 1, 2024, November 19, 2024, and March 31, 2025. A drill was not practiced in February 2025 (Child Care Rule 10A NCAC 09 .0302(d)(8); .0604(u)). -Playground inspections were incomplete for November 2024, December 2024, January 2025- March 2025. Monthly playground inspections must be completed and be completed by an individual trained in playground safety requirements (Child Care Rule 10A NCAC 09 .0605(q)). -A Department of Public Instruction (DPI) form did not include the names of four (4) new staff. The center must maintain records as required in rule, and made available to the Division for review (Child Care Rule 10A NCAC 09 .0304(g); .2318; G.S. 110-91(9)). -New staff have ninety (90) days to complete CPR/First Aid training. All staff must successfully complete certification in CPR/First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization must be on file in the staff member's file (Child Care Rule 10A NCAC 09 . 1102(c); .1102(d)). -Continue to document the Screen Time Log for each child care space, when screen time is used. Each child three (3) years of age and older can be allowed up to a maximum of thirty (30) minutes of screen time per day and no more than two (2) and a half hours a week; screen time must adhere to the Developmental Domains. (Child Care Rules 10A NCAC 09 .0510(d)(2)(B); .1718(b)). -For chronic medications, such as emergency medications (ex: epi-pen, inhalers), the Permission to Administer Medication form is valid for six (6) months. NC Pre-K Programs must adhere to North Carolina Child Care Rules. Refer to Child Care Rule 10A NCAC 09 .0803(a-i): A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. -For medications (chronic medications) that are listed on a child's Application/Medical Action Plan, and/or if the parent informs staff that the child has a medication, the medication must be available. Refer to Child Care Rule .0801(b): For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. -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. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • 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. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once; according to the website the water has been tested. -NCID Password Rule to Change If you have a MYNCID or NCID account, you may have received an email this week announcing changes to the password rules. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. The change will affect state agency staff as well as external users like citizens, providers, and state and local county staff. There is no action you need to take on or before February 23rd. When you change your current password after Feb. 23, however, you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deep sleep). Strong, unique passwords – along with practicing mindful cybersecurity practices – are key components to protecting your devices and personal information at home and at work. -The facility's email address noted in Regulatory was verified as correct; provider confirmed that she is receiving emails. - Emergency medications can be kept in the classroom and stored five (5) feet unlocked. Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container (Sanitation 15A NCAC 18A .2820(d)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1725 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 54 Completed Date: 4/9/2025 Age: From 4 To 5 Total Minutes: 335 Time In: 10:10 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a Routine Unannounced visit. I was greeted by Lead Teacher, Ms. Yvette Butler, and I explained the purpose of the visit. The facility had a Four-Star License issued January 17, 2020, and an eighteen-month compliance history score of eighty-six (86) percent prior to today’s visit. Upon arrival, I observed the children in space 101, space 102, space 103, and space 107 eating lunch and the children were served the following: Crispy Beef & Cheese Taco, Mexican Rice with Vegetables, Sweet Kernel Corn, Applesauce, and one (1) percent Milk. A menu was not posted, and a violation was cited. After lunch the children returned to the classrooms and washed their hands. The last annual compliance visit was conducted September 26, 2024. The following child care requirements were monitored and observed today using the Child Care Center 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: Staff was current with CPR. First Aid: Staff was current First Aid. Special Training: Staff are continuing to complete required in-service training. CBC Qualification: Each staff member was current with CBC qualifications. Two (2) staff did not have a qualification letter on file, and a violation was cited. New Staff: There are four (4) new staff; staff files were reviewed. A violation was cited for staff files that were not available for review. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: A child's medication was reviewed and compliance was met. A violation was cited for a Medical Action Plan without the medication available. Storage of Hazardous Substances: I did not observe any hazardous substances that were accessible, they were observed stored properly during the visit. Storage of Medication: The medication was observed properly stored. General Safety: There were electrical outlets uncovered, and a violation was cited. 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 monthly fire drill and emergency drill and the quarterly drill (shelter-in-place) were reviewed; a violation was cited for the fire drill, and a violation was cited for the shelter-in-place/down. The Playground Inspections were incomplete, and a violation was cited. License Posted: The license was observed posted on the information board. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was completed February 12, 2025, with a "Superior" rating and fourteen (14) demerits. The last fire inspection was conducted April 22, 2024. Eight (8) violations were cited. Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. A Department of Public Instruction Form did not include the names of four (4) new staff (M.S.), (M.D.), (J.A.) and (L.S.); file not available. G.S. 110-91(9); .0304(g); .2318 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The April Menu was not observed posted; only a snack menu was observed posted. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire Drill record was incomplete for the March 2025 Drill. .0604(t); .0302(d)(5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There were two (2) outlets uncovered in space 101, an outlet uncovered in space 102, and an outlet uncovered in space 107. 10A NCAC 09 .0604(c) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections were incomplete for November 2024, December 2024, January-March 2025. .0605(q) 1757 A valid qualification letter was not on file and available to review at the facility. Staff (M.D.) and staff (L.M.) did not have a valid letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown was not practiced every three (3) months; were practiced September 4, 2025, October 1, 2024, November 19, 2024, and March 31, 2025. A drill was not practiced in February 2025. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A child (K.W.) has a Medical Action Plan on file, and the child did not have the emergency medication was not available. .0801(b) 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 23, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance was provided: -Each lead teacher in space 101, space 102, and space 107 was reminded to cover electrical outlets to prevent injury. Electrical outlets and power strips, not in use, located in space used by children must have safety outlets covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child (Child Care Rule 10A NCAC 09 .0604(c)). -The Lead Teacher, Ms. Butler, was informed that the snack menu was posted on the information board, but the lunch menu was not posted. Menus for all meals and snacks must current and posted where easily seen by parents (Child Care Rule 10A NCAC 09 .0901(b)). -There were two (2) staff members that did not have a qualification letter on file, and valid qualification letters must be on file and available to review at the facility (Child Care Rule 10A NCAC 09 .2703; G.S. 110-90.2(b)). -Ms. Butler was informed that the fire drill was incomplete for March 2025. Fire drills must practiced monthly and/or the drill record must be completed (Child Care Rule 10A NCAC 09 .0302(d)(5) and .0604(t)). -Ensure that shelter-in-place or lockdown drills are practiced every three (3) months and/or drill record and the drill must be complete. The shelter-in-place or lockdown was not practiced every three (3) months; were practiced September 4, 2025, October 1, 2024, November 19, 2024, and March 31, 2025. A drill was not practiced in February 2025 (Child Care Rule 10A NCAC 09 .0302(d)(8); .0604(u)). -Playground inspections were incomplete for November 2024, December 2024, January 2025- March 2025. Monthly playground inspections must be completed and be completed by an individual trained in playground safety requirements (Child Care Rule 10A NCAC 09 .0605(q)). -A Department of Public Instruction (DPI) form did not include the names of four (4) new staff. The center must maintain records as required in rule, and made available to the Division for review (Child Care Rule 10A NCAC 09 .0304(g); .2318; G.S. 110-91(9)). -New staff have ninety (90) days to complete CPR/First Aid training. All staff must successfully complete certification in CPR/First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization must be on file in the staff member's file (Child Care Rule 10A NCAC 09 . 1102(c); .1102(d)). -Continue to document the Screen Time Log for each child care space, when screen time is used. Each child three (3) years of age and older can be allowed up to a maximum of thirty (30) minutes of screen time per day and no more than two (2) and a half hours a week; screen time must adhere to the Developmental Domains. (Child Care Rules 10A NCAC 09 .0510(d)(2)(B); .1718(b)). -For chronic medications, such as emergency medications (ex: epi-pen, inhalers), the Permission to Administer Medication form is valid for six (6) months. NC Pre-K Programs must adhere to North Carolina Child Care Rules. Refer to Child Care Rule 10A NCAC 09 .0803(a-i): A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. -For medications (chronic medications) that are listed on a child's Application/Medical Action Plan, and/or if the parent informs staff that the child has a medication, the medication must be available. Refer to Child Care Rule .0801(b): For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. -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. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • 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. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once; according to the website the water has been tested. -NCID Password Rule to Change If you have a MYNCID or NCID account, you may have received an email this week announcing changes to the password rules. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. The change will affect state agency staff as well as external users like citizens, providers, and state and local county staff. There is no action you need to take on or before February 23rd. When you change your current password after Feb. 23, however, you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deep sleep). Strong, unique passwords – along with practicing mindful cybersecurity practices – are key components to protecting your devices and personal information at home and at work. -The facility's email address noted in Regulatory was verified as correct; provider confirmed that she is receiving emails. - Emergency medications can be kept in the classroom and stored five (5) feet unlocked. Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container (Sanitation 15A NCAC 18A .2820(d)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2703 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 54 Completed Date: 4/9/2025 Age: From 4 To 5 Total Minutes: 335 Time In: 10:10 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a Routine Unannounced visit. I was greeted by Lead Teacher, Ms. Yvette Butler, and I explained the purpose of the visit. The facility had a Four-Star License issued January 17, 2020, and an eighteen-month compliance history score of eighty-six (86) percent prior to today’s visit. Upon arrival, I observed the children in space 101, space 102, space 103, and space 107 eating lunch and the children were served the following: Crispy Beef & Cheese Taco, Mexican Rice with Vegetables, Sweet Kernel Corn, Applesauce, and one (1) percent Milk. A menu was not posted, and a violation was cited. After lunch the children returned to the classrooms and washed their hands. The last annual compliance visit was conducted September 26, 2024. The following child care requirements were monitored and observed today using the Child Care Center 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: Staff was current with CPR. First Aid: Staff was current First Aid. Special Training: Staff are continuing to complete required in-service training. CBC Qualification: Each staff member was current with CBC qualifications. Two (2) staff did not have a qualification letter on file, and a violation was cited. New Staff: There are four (4) new staff; staff files were reviewed. A violation was cited for staff files that were not available for review. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: A child's medication was reviewed and compliance was met. A violation was cited for a Medical Action Plan without the medication available. Storage of Hazardous Substances: I did not observe any hazardous substances that were accessible, they were observed stored properly during the visit. Storage of Medication: The medication was observed properly stored. General Safety: There were electrical outlets uncovered, and a violation was cited. 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 monthly fire drill and emergency drill and the quarterly drill (shelter-in-place) were reviewed; a violation was cited for the fire drill, and a violation was cited for the shelter-in-place/down. The Playground Inspections were incomplete, and a violation was cited. License Posted: The license was observed posted on the information board. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was completed February 12, 2025, with a "Superior" rating and fourteen (14) demerits. The last fire inspection was conducted April 22, 2024. Eight (8) violations were cited. Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. A Department of Public Instruction Form did not include the names of four (4) new staff (M.S.), (M.D.), (J.A.) and (L.S.); file not available. G.S. 110-91(9); .0304(g); .2318 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The April Menu was not observed posted; only a snack menu was observed posted. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire Drill record was incomplete for the March 2025 Drill. .0604(t); .0302(d)(5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There were two (2) outlets uncovered in space 101, an outlet uncovered in space 102, and an outlet uncovered in space 107. 10A NCAC 09 .0604(c) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections were incomplete for November 2024, December 2024, January-March 2025. .0605(q) 1757 A valid qualification letter was not on file and available to review at the facility. Staff (M.D.) and staff (L.M.) did not have a valid letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown was not practiced every three (3) months; were practiced September 4, 2025, October 1, 2024, November 19, 2024, and March 31, 2025. A drill was not practiced in February 2025. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A child (K.W.) has a Medical Action Plan on file, and the child did not have the emergency medication was not available. .0801(b) 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 23, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance was provided: -Each lead teacher in space 101, space 102, and space 107 was reminded to cover electrical outlets to prevent injury. Electrical outlets and power strips, not in use, located in space used by children must have safety outlets covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child (Child Care Rule 10A NCAC 09 .0604(c)). -The Lead Teacher, Ms. Butler, was informed that the snack menu was posted on the information board, but the lunch menu was not posted. Menus for all meals and snacks must current and posted where easily seen by parents (Child Care Rule 10A NCAC 09 .0901(b)). -There were two (2) staff members that did not have a qualification letter on file, and valid qualification letters must be on file and available to review at the facility (Child Care Rule 10A NCAC 09 .2703; G.S. 110-90.2(b)). -Ms. Butler was informed that the fire drill was incomplete for March 2025. Fire drills must practiced monthly and/or the drill record must be completed (Child Care Rule 10A NCAC 09 .0302(d)(5) and .0604(t)). -Ensure that shelter-in-place or lockdown drills are practiced every three (3) months and/or drill record and the drill must be complete. The shelter-in-place or lockdown was not practiced every three (3) months; were practiced September 4, 2025, October 1, 2024, November 19, 2024, and March 31, 2025. A drill was not practiced in February 2025 (Child Care Rule 10A NCAC 09 .0302(d)(8); .0604(u)). -Playground inspections were incomplete for November 2024, December 2024, January 2025- March 2025. Monthly playground inspections must be completed and be completed by an individual trained in playground safety requirements (Child Care Rule 10A NCAC 09 .0605(q)). -A Department of Public Instruction (DPI) form did not include the names of four (4) new staff. The center must maintain records as required in rule, and made available to the Division for review (Child Care Rule 10A NCAC 09 .0304(g); .2318; G.S. 110-91(9)). -New staff have ninety (90) days to complete CPR/First Aid training. All staff must successfully complete certification in CPR/First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization must be on file in the staff member's file (Child Care Rule 10A NCAC 09 . 1102(c); .1102(d)). -Continue to document the Screen Time Log for each child care space, when screen time is used. Each child three (3) years of age and older can be allowed up to a maximum of thirty (30) minutes of screen time per day and no more than two (2) and a half hours a week; screen time must adhere to the Developmental Domains. (Child Care Rules 10A NCAC 09 .0510(d)(2)(B); .1718(b)). -For chronic medications, such as emergency medications (ex: epi-pen, inhalers), the Permission to Administer Medication form is valid for six (6) months. NC Pre-K Programs must adhere to North Carolina Child Care Rules. Refer to Child Care Rule 10A NCAC 09 .0803(a-i): A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. -For medications (chronic medications) that are listed on a child's Application/Medical Action Plan, and/or if the parent informs staff that the child has a medication, the medication must be available. Refer to Child Care Rule .0801(b): For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. -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. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • 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. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once; according to the website the water has been tested. -NCID Password Rule to Change If you have a MYNCID or NCID account, you may have received an email this week announcing changes to the password rules. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. The change will affect state agency staff as well as external users like citizens, providers, and state and local county staff. There is no action you need to take on or before February 23rd. When you change your current password after Feb. 23, however, you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deep sleep). Strong, unique passwords – along with practicing mindful cybersecurity practices – are key components to protecting your devices and personal information at home and at work. -The facility's email address noted in Regulatory was verified as correct; provider confirmed that she is receiving emails. - Emergency medications can be kept in the classroom and stored five (5) feet unlocked. Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container (Sanitation 15A NCAC 18A .2820(d)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 54 Completed Date: 4/9/2025 Age: From 4 To 5 Total Minutes: 335 Time In: 10:10 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a Routine Unannounced visit. I was greeted by Lead Teacher, Ms. Yvette Butler, and I explained the purpose of the visit. The facility had a Four-Star License issued January 17, 2020, and an eighteen-month compliance history score of eighty-six (86) percent prior to today’s visit. Upon arrival, I observed the children in space 101, space 102, space 103, and space 107 eating lunch and the children were served the following: Crispy Beef & Cheese Taco, Mexican Rice with Vegetables, Sweet Kernel Corn, Applesauce, and one (1) percent Milk. A menu was not posted, and a violation was cited. After lunch the children returned to the classrooms and washed their hands. The last annual compliance visit was conducted September 26, 2024. The following child care requirements were monitored and observed today using the Child Care Center 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: Staff was current with CPR. First Aid: Staff was current First Aid. Special Training: Staff are continuing to complete required in-service training. CBC Qualification: Each staff member was current with CBC qualifications. Two (2) staff did not have a qualification letter on file, and a violation was cited. New Staff: There are four (4) new staff; staff files were reviewed. A violation was cited for staff files that were not available for review. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: A child's medication was reviewed and compliance was met. A violation was cited for a Medical Action Plan without the medication available. Storage of Hazardous Substances: I did not observe any hazardous substances that were accessible, they were observed stored properly during the visit. Storage of Medication: The medication was observed properly stored. General Safety: There were electrical outlets uncovered, and a violation was cited. 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 monthly fire drill and emergency drill and the quarterly drill (shelter-in-place) were reviewed; a violation was cited for the fire drill, and a violation was cited for the shelter-in-place/down. The Playground Inspections were incomplete, and a violation was cited. License Posted: The license was observed posted on the information board. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was completed February 12, 2025, with a "Superior" rating and fourteen (14) demerits. The last fire inspection was conducted April 22, 2024. Eight (8) violations were cited. Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. A Department of Public Instruction Form did not include the names of four (4) new staff (M.S.), (M.D.), (J.A.) and (L.S.); file not available. G.S. 110-91(9); .0304(g); .2318 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The April Menu was not observed posted; only a snack menu was observed posted. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire Drill record was incomplete for the March 2025 Drill. .0604(t); .0302(d)(5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There were two (2) outlets uncovered in space 101, an outlet uncovered in space 102, and an outlet uncovered in space 107. 10A NCAC 09 .0604(c) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections were incomplete for November 2024, December 2024, January-March 2025. .0605(q) 1757 A valid qualification letter was not on file and available to review at the facility. Staff (M.D.) and staff (L.M.) did not have a valid letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown was not practiced every three (3) months; were practiced September 4, 2025, October 1, 2024, November 19, 2024, and March 31, 2025. A drill was not practiced in February 2025. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A child (K.W.) has a Medical Action Plan on file, and the child did not have the emergency medication was not available. .0801(b) 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 23, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance was provided: -Each lead teacher in space 101, space 102, and space 107 was reminded to cover electrical outlets to prevent injury. Electrical outlets and power strips, not in use, located in space used by children must have safety outlets covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child (Child Care Rule 10A NCAC 09 .0604(c)). -The Lead Teacher, Ms. Butler, was informed that the snack menu was posted on the information board, but the lunch menu was not posted. Menus for all meals and snacks must current and posted where easily seen by parents (Child Care Rule 10A NCAC 09 .0901(b)). -There were two (2) staff members that did not have a qualification letter on file, and valid qualification letters must be on file and available to review at the facility (Child Care Rule 10A NCAC 09 .2703; G.S. 110-90.2(b)). -Ms. Butler was informed that the fire drill was incomplete for March 2025. Fire drills must practiced monthly and/or the drill record must be completed (Child Care Rule 10A NCAC 09 .0302(d)(5) and .0604(t)). -Ensure that shelter-in-place or lockdown drills are practiced every three (3) months and/or drill record and the drill must be complete. The shelter-in-place or lockdown was not practiced every three (3) months; were practiced September 4, 2025, October 1, 2024, November 19, 2024, and March 31, 2025. A drill was not practiced in February 2025 (Child Care Rule 10A NCAC 09 .0302(d)(8); .0604(u)). -Playground inspections were incomplete for November 2024, December 2024, January 2025- March 2025. Monthly playground inspections must be completed and be completed by an individual trained in playground safety requirements (Child Care Rule 10A NCAC 09 .0605(q)). -A Department of Public Instruction (DPI) form did not include the names of four (4) new staff. The center must maintain records as required in rule, and made available to the Division for review (Child Care Rule 10A NCAC 09 .0304(g); .2318; G.S. 110-91(9)). -New staff have ninety (90) days to complete CPR/First Aid training. All staff must successfully complete certification in CPR/First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization must be on file in the staff member's file (Child Care Rule 10A NCAC 09 . 1102(c); .1102(d)). -Continue to document the Screen Time Log for each child care space, when screen time is used. Each child three (3) years of age and older can be allowed up to a maximum of thirty (30) minutes of screen time per day and no more than two (2) and a half hours a week; screen time must adhere to the Developmental Domains. (Child Care Rules 10A NCAC 09 .0510(d)(2)(B); .1718(b)). -For chronic medications, such as emergency medications (ex: epi-pen, inhalers), the Permission to Administer Medication form is valid for six (6) months. NC Pre-K Programs must adhere to North Carolina Child Care Rules. Refer to Child Care Rule 10A NCAC 09 .0803(a-i): A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. -For medications (chronic medications) that are listed on a child's Application/Medical Action Plan, and/or if the parent informs staff that the child has a medication, the medication must be available. Refer to Child Care Rule .0801(b): For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. -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. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • 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. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once; according to the website the water has been tested. -NCID Password Rule to Change If you have a MYNCID or NCID account, you may have received an email this week announcing changes to the password rules. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. The change will affect state agency staff as well as external users like citizens, providers, and state and local county staff. There is no action you need to take on or before February 23rd. When you change your current password after Feb. 23, however, you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deep sleep). Strong, unique passwords – along with practicing mindful cybersecurity practices – are key components to protecting your devices and personal information at home and at work. -The facility's email address noted in Regulatory was verified as correct; provider confirmed that she is receiving emails. - Emergency medications can be kept in the classroom and stored five (5) feet unlocked. Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container (Sanitation 15A NCAC 18A .2820(d)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 54 Completed Date: 4/9/2025 Age: From 4 To 5 Total Minutes: 335 Time In: 10:10 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a Routine Unannounced visit. I was greeted by Lead Teacher, Ms. Yvette Butler, and I explained the purpose of the visit. The facility had a Four-Star License issued January 17, 2020, and an eighteen-month compliance history score of eighty-six (86) percent prior to today’s visit. Upon arrival, I observed the children in space 101, space 102, space 103, and space 107 eating lunch and the children were served the following: Crispy Beef & Cheese Taco, Mexican Rice with Vegetables, Sweet Kernel Corn, Applesauce, and one (1) percent Milk. A menu was not posted, and a violation was cited. After lunch the children returned to the classrooms and washed their hands. The last annual compliance visit was conducted September 26, 2024. The following child care requirements were monitored and observed today using the Child Care Center 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: Staff was current with CPR. First Aid: Staff was current First Aid. Special Training: Staff are continuing to complete required in-service training. CBC Qualification: Each staff member was current with CBC qualifications. Two (2) staff did not have a qualification letter on file, and a violation was cited. New Staff: There are four (4) new staff; staff files were reviewed. A violation was cited for staff files that were not available for review. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: A child's medication was reviewed and compliance was met. A violation was cited for a Medical Action Plan without the medication available. Storage of Hazardous Substances: I did not observe any hazardous substances that were accessible, they were observed stored properly during the visit. Storage of Medication: The medication was observed properly stored. General Safety: There were electrical outlets uncovered, and a violation was cited. 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 monthly fire drill and emergency drill and the quarterly drill (shelter-in-place) were reviewed; a violation was cited for the fire drill, and a violation was cited for the shelter-in-place/down. The Playground Inspections were incomplete, and a violation was cited. License Posted: The license was observed posted on the information board. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was completed February 12, 2025, with a "Superior" rating and fourteen (14) demerits. The last fire inspection was conducted April 22, 2024. Eight (8) violations were cited. Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. A Department of Public Instruction Form did not include the names of four (4) new staff (M.S.), (M.D.), (J.A.) and (L.S.); file not available. G.S. 110-91(9); .0304(g); .2318 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The April Menu was not observed posted; only a snack menu was observed posted. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire Drill record was incomplete for the March 2025 Drill. .0604(t); .0302(d)(5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There were two (2) outlets uncovered in space 101, an outlet uncovered in space 102, and an outlet uncovered in space 107. 10A NCAC 09 .0604(c) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections were incomplete for November 2024, December 2024, January-March 2025. .0605(q) 1757 A valid qualification letter was not on file and available to review at the facility. Staff (M.D.) and staff (L.M.) did not have a valid letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown was not practiced every three (3) months; were practiced September 4, 2025, October 1, 2024, November 19, 2024, and March 31, 2025. A drill was not practiced in February 2025. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A child (K.W.) has a Medical Action Plan on file, and the child did not have the emergency medication was not available. .0801(b) 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 23, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance was provided: -Each lead teacher in space 101, space 102, and space 107 was reminded to cover electrical outlets to prevent injury. Electrical outlets and power strips, not in use, located in space used by children must have safety outlets covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child (Child Care Rule 10A NCAC 09 .0604(c)). -The Lead Teacher, Ms. Butler, was informed that the snack menu was posted on the information board, but the lunch menu was not posted. Menus for all meals and snacks must current and posted where easily seen by parents (Child Care Rule 10A NCAC 09 .0901(b)). -There were two (2) staff members that did not have a qualification letter on file, and valid qualification letters must be on file and available to review at the facility (Child Care Rule 10A NCAC 09 .2703; G.S. 110-90.2(b)). -Ms. Butler was informed that the fire drill was incomplete for March 2025. Fire drills must practiced monthly and/or the drill record must be completed (Child Care Rule 10A NCAC 09 .0302(d)(5) and .0604(t)). -Ensure that shelter-in-place or lockdown drills are practiced every three (3) months and/or drill record and the drill must be complete. The shelter-in-place or lockdown was not practiced every three (3) months; were practiced September 4, 2025, October 1, 2024, November 19, 2024, and March 31, 2025. A drill was not practiced in February 2025 (Child Care Rule 10A NCAC 09 .0302(d)(8); .0604(u)). -Playground inspections were incomplete for November 2024, December 2024, January 2025- March 2025. Monthly playground inspections must be completed and be completed by an individual trained in playground safety requirements (Child Care Rule 10A NCAC 09 .0605(q)). -A Department of Public Instruction (DPI) form did not include the names of four (4) new staff. The center must maintain records as required in rule, and made available to the Division for review (Child Care Rule 10A NCAC 09 .0304(g); .2318; G.S. 110-91(9)). -New staff have ninety (90) days to complete CPR/First Aid training. All staff must successfully complete certification in CPR/First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization must be on file in the staff member's file (Child Care Rule 10A NCAC 09 . 1102(c); .1102(d)). -Continue to document the Screen Time Log for each child care space, when screen time is used. Each child three (3) years of age and older can be allowed up to a maximum of thirty (30) minutes of screen time per day and no more than two (2) and a half hours a week; screen time must adhere to the Developmental Domains. (Child Care Rules 10A NCAC 09 .0510(d)(2)(B); .1718(b)). -For chronic medications, such as emergency medications (ex: epi-pen, inhalers), the Permission to Administer Medication form is valid for six (6) months. NC Pre-K Programs must adhere to North Carolina Child Care Rules. Refer to Child Care Rule 10A NCAC 09 .0803(a-i): A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. -For medications (chronic medications) that are listed on a child's Application/Medical Action Plan, and/or if the parent informs staff that the child has a medication, the medication must be available. Refer to Child Care Rule .0801(b): For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. -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. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • 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. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once; according to the website the water has been tested. -NCID Password Rule to Change If you have a MYNCID or NCID account, you may have received an email this week announcing changes to the password rules. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. The change will affect state agency staff as well as external users like citizens, providers, and state and local county staff. There is no action you need to take on or before February 23rd. When you change your current password after Feb. 23, however, you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deep sleep). Strong, unique passwords – along with practicing mindful cybersecurity practices – are key components to protecting your devices and personal information at home and at work. -The facility's email address noted in Regulatory was verified as correct; provider confirmed that she is receiving emails. - Emergency medications can be kept in the classroom and stored five (5) feet unlocked. Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container (Sanitation 15A NCAC 18A .2820(d)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 54 Completed Date: 4/9/2025 Age: From 4 To 5 Total Minutes: 335 Time In: 10:10 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a Routine Unannounced visit. I was greeted by Lead Teacher, Ms. Yvette Butler, and I explained the purpose of the visit. The facility had a Four-Star License issued January 17, 2020, and an eighteen-month compliance history score of eighty-six (86) percent prior to today’s visit. Upon arrival, I observed the children in space 101, space 102, space 103, and space 107 eating lunch and the children were served the following: Crispy Beef & Cheese Taco, Mexican Rice with Vegetables, Sweet Kernel Corn, Applesauce, and one (1) percent Milk. A menu was not posted, and a violation was cited. After lunch the children returned to the classrooms and washed their hands. The last annual compliance visit was conducted September 26, 2024. The following child care requirements were monitored and observed today using the Child Care Center 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: Staff was current with CPR. First Aid: Staff was current First Aid. Special Training: Staff are continuing to complete required in-service training. CBC Qualification: Each staff member was current with CBC qualifications. Two (2) staff did not have a qualification letter on file, and a violation was cited. New Staff: There are four (4) new staff; staff files were reviewed. A violation was cited for staff files that were not available for review. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: A child's medication was reviewed and compliance was met. A violation was cited for a Medical Action Plan without the medication available. Storage of Hazardous Substances: I did not observe any hazardous substances that were accessible, they were observed stored properly during the visit. Storage of Medication: The medication was observed properly stored. General Safety: There were electrical outlets uncovered, and a violation was cited. 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 monthly fire drill and emergency drill and the quarterly drill (shelter-in-place) were reviewed; a violation was cited for the fire drill, and a violation was cited for the shelter-in-place/down. The Playground Inspections were incomplete, and a violation was cited. License Posted: The license was observed posted on the information board. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was completed February 12, 2025, with a "Superior" rating and fourteen (14) demerits. The last fire inspection was conducted April 22, 2024. Eight (8) violations were cited. Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. A Department of Public Instruction Form did not include the names of four (4) new staff (M.S.), (M.D.), (J.A.) and (L.S.); file not available. G.S. 110-91(9); .0304(g); .2318 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The April Menu was not observed posted; only a snack menu was observed posted. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire Drill record was incomplete for the March 2025 Drill. .0604(t); .0302(d)(5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There were two (2) outlets uncovered in space 101, an outlet uncovered in space 102, and an outlet uncovered in space 107. 10A NCAC 09 .0604(c) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections were incomplete for November 2024, December 2024, January-March 2025. .0605(q) 1757 A valid qualification letter was not on file and available to review at the facility. Staff (M.D.) and staff (L.M.) did not have a valid letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown was not practiced every three (3) months; were practiced September 4, 2025, October 1, 2024, November 19, 2024, and March 31, 2025. A drill was not practiced in February 2025. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A child (K.W.) has a Medical Action Plan on file, and the child did not have the emergency medication was not available. .0801(b) 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 23, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance was provided: -Each lead teacher in space 101, space 102, and space 107 was reminded to cover electrical outlets to prevent injury. Electrical outlets and power strips, not in use, located in space used by children must have safety outlets covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child (Child Care Rule 10A NCAC 09 .0604(c)). -The Lead Teacher, Ms. Butler, was informed that the snack menu was posted on the information board, but the lunch menu was not posted. Menus for all meals and snacks must current and posted where easily seen by parents (Child Care Rule 10A NCAC 09 .0901(b)). -There were two (2) staff members that did not have a qualification letter on file, and valid qualification letters must be on file and available to review at the facility (Child Care Rule 10A NCAC 09 .2703; G.S. 110-90.2(b)). -Ms. Butler was informed that the fire drill was incomplete for March 2025. Fire drills must practiced monthly and/or the drill record must be completed (Child Care Rule 10A NCAC 09 .0302(d)(5) and .0604(t)). -Ensure that shelter-in-place or lockdown drills are practiced every three (3) months and/or drill record and the drill must be complete. The shelter-in-place or lockdown was not practiced every three (3) months; were practiced September 4, 2025, October 1, 2024, November 19, 2024, and March 31, 2025. A drill was not practiced in February 2025 (Child Care Rule 10A NCAC 09 .0302(d)(8); .0604(u)). -Playground inspections were incomplete for November 2024, December 2024, January 2025- March 2025. Monthly playground inspections must be completed and be completed by an individual trained in playground safety requirements (Child Care Rule 10A NCAC 09 .0605(q)). -A Department of Public Instruction (DPI) form did not include the names of four (4) new staff. The center must maintain records as required in rule, and made available to the Division for review (Child Care Rule 10A NCAC 09 .0304(g); .2318; G.S. 110-91(9)). -New staff have ninety (90) days to complete CPR/First Aid training. All staff must successfully complete certification in CPR/First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization must be on file in the staff member's file (Child Care Rule 10A NCAC 09 . 1102(c); .1102(d)). -Continue to document the Screen Time Log for each child care space, when screen time is used. Each child three (3) years of age and older can be allowed up to a maximum of thirty (30) minutes of screen time per day and no more than two (2) and a half hours a week; screen time must adhere to the Developmental Domains. (Child Care Rules 10A NCAC 09 .0510(d)(2)(B); .1718(b)). -For chronic medications, such as emergency medications (ex: epi-pen, inhalers), the Permission to Administer Medication form is valid for six (6) months. NC Pre-K Programs must adhere to North Carolina Child Care Rules. Refer to Child Care Rule 10A NCAC 09 .0803(a-i): A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. -For medications (chronic medications) that are listed on a child's Application/Medical Action Plan, and/or if the parent informs staff that the child has a medication, the medication must be available. Refer to Child Care Rule .0801(b): For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. -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. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • 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. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once; according to the website the water has been tested. -NCID Password Rule to Change If you have a MYNCID or NCID account, you may have received an email this week announcing changes to the password rules. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. The change will affect state agency staff as well as external users like citizens, providers, and state and local county staff. There is no action you need to take on or before February 23rd. When you change your current password after Feb. 23, however, you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deep sleep). Strong, unique passwords – along with practicing mindful cybersecurity practices – are key components to protecting your devices and personal information at home and at work. -The facility's email address noted in Regulatory was verified as correct; provider confirmed that she is receiving emails. - Emergency medications can be kept in the classroom and stored five (5) feet unlocked. Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container (Sanitation 15A NCAC 18A .2820(d)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 54 Completed Date: 4/9/2025 Age: From 4 To 5 Total Minutes: 335 Time In: 10:10 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a Routine Unannounced visit. I was greeted by Lead Teacher, Ms. Yvette Butler, and I explained the purpose of the visit. The facility had a Four-Star License issued January 17, 2020, and an eighteen-month compliance history score of eighty-six (86) percent prior to today’s visit. Upon arrival, I observed the children in space 101, space 102, space 103, and space 107 eating lunch and the children were served the following: Crispy Beef & Cheese Taco, Mexican Rice with Vegetables, Sweet Kernel Corn, Applesauce, and one (1) percent Milk. A menu was not posted, and a violation was cited. After lunch the children returned to the classrooms and washed their hands. The last annual compliance visit was conducted September 26, 2024. The following child care requirements were monitored and observed today using the Child Care Center 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: Staff was current with CPR. First Aid: Staff was current First Aid. Special Training: Staff are continuing to complete required in-service training. CBC Qualification: Each staff member was current with CBC qualifications. Two (2) staff did not have a qualification letter on file, and a violation was cited. New Staff: There are four (4) new staff; staff files were reviewed. A violation was cited for staff files that were not available for review. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: A child's medication was reviewed and compliance was met. A violation was cited for a Medical Action Plan without the medication available. Storage of Hazardous Substances: I did not observe any hazardous substances that were accessible, they were observed stored properly during the visit. Storage of Medication: The medication was observed properly stored. General Safety: There were electrical outlets uncovered, and a violation was cited. 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 monthly fire drill and emergency drill and the quarterly drill (shelter-in-place) were reviewed; a violation was cited for the fire drill, and a violation was cited for the shelter-in-place/down. The Playground Inspections were incomplete, and a violation was cited. License Posted: The license was observed posted on the information board. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was completed February 12, 2025, with a "Superior" rating and fourteen (14) demerits. The last fire inspection was conducted April 22, 2024. Eight (8) violations were cited. Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. A Department of Public Instruction Form did not include the names of four (4) new staff (M.S.), (M.D.), (J.A.) and (L.S.); file not available. G.S. 110-91(9); .0304(g); .2318 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The April Menu was not observed posted; only a snack menu was observed posted. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire Drill record was incomplete for the March 2025 Drill. .0604(t); .0302(d)(5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There were two (2) outlets uncovered in space 101, an outlet uncovered in space 102, and an outlet uncovered in space 107. 10A NCAC 09 .0604(c) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections were incomplete for November 2024, December 2024, January-March 2025. .0605(q) 1757 A valid qualification letter was not on file and available to review at the facility. Staff (M.D.) and staff (L.M.) did not have a valid letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown was not practiced every three (3) months; were practiced September 4, 2025, October 1, 2024, November 19, 2024, and March 31, 2025. A drill was not practiced in February 2025. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A child (K.W.) has a Medical Action Plan on file, and the child did not have the emergency medication was not available. .0801(b) 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 23, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance was provided: -Each lead teacher in space 101, space 102, and space 107 was reminded to cover electrical outlets to prevent injury. Electrical outlets and power strips, not in use, located in space used by children must have safety outlets covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child (Child Care Rule 10A NCAC 09 .0604(c)). -The Lead Teacher, Ms. Butler, was informed that the snack menu was posted on the information board, but the lunch menu was not posted. Menus for all meals and snacks must current and posted where easily seen by parents (Child Care Rule 10A NCAC 09 .0901(b)). -There were two (2) staff members that did not have a qualification letter on file, and valid qualification letters must be on file and available to review at the facility (Child Care Rule 10A NCAC 09 .2703; G.S. 110-90.2(b)). -Ms. Butler was informed that the fire drill was incomplete for March 2025. Fire drills must practiced monthly and/or the drill record must be completed (Child Care Rule 10A NCAC 09 .0302(d)(5) and .0604(t)). -Ensure that shelter-in-place or lockdown drills are practiced every three (3) months and/or drill record and the drill must be complete. The shelter-in-place or lockdown was not practiced every three (3) months; were practiced September 4, 2025, October 1, 2024, November 19, 2024, and March 31, 2025. A drill was not practiced in February 2025 (Child Care Rule 10A NCAC 09 .0302(d)(8); .0604(u)). -Playground inspections were incomplete for November 2024, December 2024, January 2025- March 2025. Monthly playground inspections must be completed and be completed by an individual trained in playground safety requirements (Child Care Rule 10A NCAC 09 .0605(q)). -A Department of Public Instruction (DPI) form did not include the names of four (4) new staff. The center must maintain records as required in rule, and made available to the Division for review (Child Care Rule 10A NCAC 09 .0304(g); .2318; G.S. 110-91(9)). -New staff have ninety (90) days to complete CPR/First Aid training. All staff must successfully complete certification in CPR/First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization must be on file in the staff member's file (Child Care Rule 10A NCAC 09 . 1102(c); .1102(d)). -Continue to document the Screen Time Log for each child care space, when screen time is used. Each child three (3) years of age and older can be allowed up to a maximum of thirty (30) minutes of screen time per day and no more than two (2) and a half hours a week; screen time must adhere to the Developmental Domains. (Child Care Rules 10A NCAC 09 .0510(d)(2)(B); .1718(b)). -For chronic medications, such as emergency medications (ex: epi-pen, inhalers), the Permission to Administer Medication form is valid for six (6) months. NC Pre-K Programs must adhere to North Carolina Child Care Rules. Refer to Child Care Rule 10A NCAC 09 .0803(a-i): A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. -For medications (chronic medications) that are listed on a child's Application/Medical Action Plan, and/or if the parent informs staff that the child has a medication, the medication must be available. Refer to Child Care Rule .0801(b): For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. -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. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • 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. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once; according to the website the water has been tested. -NCID Password Rule to Change If you have a MYNCID or NCID account, you may have received an email this week announcing changes to the password rules. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. The change will affect state agency staff as well as external users like citizens, providers, and state and local county staff. There is no action you need to take on or before February 23rd. When you change your current password after Feb. 23, however, you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deep sleep). Strong, unique passwords – along with practicing mindful cybersecurity practices – are key components to protecting your devices and personal information at home and at work. -The facility's email address noted in Regulatory was verified as correct; provider confirmed that she is receiving emails. - Emergency medications can be kept in the classroom and stored five (5) feet unlocked. Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container (Sanitation 15A NCAC 18A .2820(d)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 9/26/2024 Number Present: 40 Completed Date: 9/26/2024 Age: From 4 To 5 Total Minutes: 360 Time In: 08:45 AM Time Out: 02:45 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 conduct an Annual Compliance/Unannounced visit to monitor child care requirements. The facility currently holds a Four-Star License issued January 17, 2020, and had a compliance history score of 82% prior to today’s visit. The facility’s last Annual Compliance Visit was September 27, 2023. Upon arrival, I checked in with the main office. The office staff called for a NC Pre-K staff member to meet me and escort me to the classrooms. I was greeted by Curriculum Specialist/NC Pre-K Coach Nakeya Brailsford. I explained the purpose of the visit. Ms. Brailsford escorted me to the classrooms and introduced me to Lead Teacher, Yvette Butler. Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit; NC Pre-K requirements were monitored. Three (3) classroom spaces are being used for the North Carolina Pre-K Program (NC Pre-K). Upon arrival, I observed the children in each child care space participating in circle time, morning exercise, story time and small group time led by teachers. The teachers used nurturing tones with the children, and the teachers provided adequate supervision. I observed the NC Pre-K Coach, Ms. Brailsford in Space 103 supporting the classroom teachers. Ms. Brailsford assisted me today with securing needed records for the visit. Ms. Brailsford has a current CBC Qualifying Letter on file at the center. I observed mats and linens available for each child enrolled in each classroom. The following program requirements were observed posted and compliant: First Aid Poster, Child Care License, No Tobacco Sign, Summary of NC Law dated January, 2021, September Menu, Daily Schedules and Activity Plans, and Emergency Medical Care Plan. The Playground Inspections were reviewed and met compliance. The Shelter-in-Place/Lockdown drills meet compliance .The Incident Logs were available in each classroom ad met compliance. The following NC Pre-K requirements were monitored during today’s visit: 10A NCAC 09 .3002 FACILITY REQUIREMENTS-The facility requirements were met. The program has maintained a Four-Star License. 10A NCAC 09 .3003 PROGRAM ATTENDANCE POLICY-The attendance policy and daily attendance was reviewed, and compliance was met. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS- Health assessments were reviewed. Health assessments for several children were missing that will be due soon to meet the requirement. See Technical Assistance for more information. 10A NCAC 09 .3007 EARLY LEARNING STANDARDS AND CURRICULA-Teaching Strategies were observed. The Curriculum Coach, Ms. Brailsford was on site to support the staff. 10A NCAC 09 .3008 FORMATIVE ASSESSMENT-Pass (Phonological Awareness Skills Test) was used as an assessment. I observed assessments in the children’s files. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE-Child were maintained during the visit. 10A NCAC 09 .3010 FAMILY ENGAGEMENT-The program has completed Parent Orientation, and Open House as well as family visits. 10A NCAC 10 .3011 NC PRE-K SITE-LEVEL ADMINISTRATOR QUALIFICATIONS were met. 10A NCAC 09 .3012 NC PRE-K TEACHER EDUCATION, LICENSURE AND CREDENTIALS- the NC Pre-K teachers met the NC Pre-K Qualifications, a Bachelor of Arts in Birth to Kindergarten. 10 A NCAC 09 .3013 NC PRE-K TEACHER ASSISTANT EDUCATION AND CREDENTIALS- The NC Pre-K assistant teachers met compliance. 10A NCAC 09 .3014 NC PRE-K SUSBTITUTE STAFF- There were no substitute teachers present. Nine (9) children’s files were selected and reviewed. Space 103 and 107 had records for children in a notebook. Space 102 had children’s assessment records available in folders. For the records I could not access in a notebook, a classroom folder or the DPI Off -Site Verification Form I used a folder brought to me from the Main Office. Ms. Brailsford assisted me and brought the records. The DPI Off-Site Verification Form for Children’s Records dated August 29, 2024, was accessed in the Program Notebook given to me by Ms. Butler. The number of children enrolled per classroom did not match the number of children listed on the form. One classroom is not in use and One Lead Teacher listed on the forms, Ms. Bost, is no longer employed. Ms. Bost moved into a position as the PE Teacher recently. See violations section in the Visit Summary for more information. The Staff and Training Worksheets were reviewed and met compliance. Health and Safety trainings and certifications were verified in the Program Notebook. There is one (1) child with emergency medication for Type 1 Diabetes. The medication was accessible in the classroom. The Medical Action Plan and permission to administer medication form was not with the emergency medication. However, A Diabetes Medical Plan completed and signed by the physician, the parent and the school nurse was observed in a notebook brought from the main office was reviewed. The school nurse, Nurse Chrstine, was contacted and I spoke with her regarding the DCDEE forms. She asked that I explain the DCDEE requirements and forms to her however during the conversation she referred me to her supervisor, Ms. Robin. Nurse Christine caller and connected me with Nurse Robin. After speaking with Ms. Robin and Michele Sullivan, Licensing Supervisor, we determined that the Diabetes Medication Plan on file would be sufficient to meet licensing requirements today. Please see Technical Assistance for the emergency medication rule. There is not an assigned playground for the NC Pre-K Program, because the playground on site is for children five (5) years old and older. The Lead Teacher, Ms. Butler, stated that materials are provided to support outdoor play, such as balls, bicycles, and chalk in the courtyard area outside the classroom. I observed the materials outside of the classroom area. I was not able to observe outdoor play due to inclement weather. The center does provide transportation, and the following was observed for compliance: Safe pick-up and Delivery statement (Posted), and Emergency Information on Children. The bus used to transport children was not on site. The sanitation inspection was completed May 16, 2024, with a “Superior” classification and ten (10) demerits. The last fire inspection was conducted April 22, 2024. Eight (8) violations were cited today: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. The DPI Off-Site Verification Form for Children's Records classroom lists did not correspond to the number of children enrolled in each classroom. One classroom no longer in use was included with the DPI Off-Site Verification Form. G.S. 110-91(9); .0304(g); .2318 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In Space 103 the refrigerator did not have a thermometer 15A NCAC 18A .2806(j)(2) 807 A safe indoor and outdoor environment was not provided for the children. In Space 102 and 103 a rusted bolt was exposed on the toilet. In Space 102 a locked cabinet would not shut completely allowing a pinch point accessible by children. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space 107 a drop cord without safety plugs was accessible to children. 10A NCAC 09 .0604(c) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. One (1) child's file did not include a parent signature on the transportation policy. .1003(i)(j) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. One child did not have the emergency contact information completed on the form available for review in the file. .0802(c)(1) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. The statement was not included in the Parent Handbook or found on the signature page for Nine (9) children's files. .0604(j) 1871 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with parents of currently enrolled children 0-5 within 30 days of adopting the policy. Five (5) children did not have the policy in the files reviewed. .0608(b) 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 10, 2024 , we 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: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@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: Child Health Assessments: 10A NCAC 09 .3005 (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. We discussed reviewing the medication rules. I suggested to Nurse Robin to contact the nurses at Metro to understand how best to comply with the NCDCDEE rules regarding Medical Action Plans, Emergency Medications and Permission to Administer Medications. I have included the rules references below. Emergency Medications 10A NCAC 09 .0801 (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; Permission to Administer 10A NCAC 09 .1720 MEDICATION REQUIREMENTS A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (A) the child's name; (B) the subject medical conditions or allergic reactions; (C) the names of the authorized over-the-counter medications; (D) the criteria for the administration of the medication; (E) the amount and frequency of the dosages; (F) the manner in which the medication shall be administered; (G) the signature of the parent; (H) the date the authorization was signed by the parent; and (I) the length of time the authorization is valid, if less than six months. 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. Additionally we have resources available specific to NC Pre-K at https://ncchildcare.ncdhhs.gov/Home/DCDEE-Sections/North-Carolina-Pre-Kindergarten-NC-Pre-K 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. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle, https://www.dcdee.moodle.nc.gov/ —a video tutorial followed by a few questions. 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 980-748-6270 or by email at Lisa.Eddins-Smith@dhhs.nc.gov or contact Deanna Matthews at 704-962-7854 or by email at Deanna.Matthews@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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 9/26/2024 Number Present: 40 Completed Date: 9/26/2024 Age: From 4 To 5 Total Minutes: 360 Time In: 08:45 AM Time Out: 02:45 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 conduct an Annual Compliance/Unannounced visit to monitor child care requirements. The facility currently holds a Four-Star License issued January 17, 2020, and had a compliance history score of 82% prior to today’s visit. The facility’s last Annual Compliance Visit was September 27, 2023. Upon arrival, I checked in with the main office. The office staff called for a NC Pre-K staff member to meet me and escort me to the classrooms. I was greeted by Curriculum Specialist/NC Pre-K Coach Nakeya Brailsford. I explained the purpose of the visit. Ms. Brailsford escorted me to the classrooms and introduced me to Lead Teacher, Yvette Butler. Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit; NC Pre-K requirements were monitored. Three (3) classroom spaces are being used for the North Carolina Pre-K Program (NC Pre-K). Upon arrival, I observed the children in each child care space participating in circle time, morning exercise, story time and small group time led by teachers. The teachers used nurturing tones with the children, and the teachers provided adequate supervision. I observed the NC Pre-K Coach, Ms. Brailsford in Space 103 supporting the classroom teachers. Ms. Brailsford assisted me today with securing needed records for the visit. Ms. Brailsford has a current CBC Qualifying Letter on file at the center. I observed mats and linens available for each child enrolled in each classroom. The following program requirements were observed posted and compliant: First Aid Poster, Child Care License, No Tobacco Sign, Summary of NC Law dated January, 2021, September Menu, Daily Schedules and Activity Plans, and Emergency Medical Care Plan. The Playground Inspections were reviewed and met compliance. The Shelter-in-Place/Lockdown drills meet compliance .The Incident Logs were available in each classroom ad met compliance. The following NC Pre-K requirements were monitored during today’s visit: 10A NCAC 09 .3002 FACILITY REQUIREMENTS-The facility requirements were met. The program has maintained a Four-Star License. 10A NCAC 09 .3003 PROGRAM ATTENDANCE POLICY-The attendance policy and daily attendance was reviewed, and compliance was met. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS- Health assessments were reviewed. Health assessments for several children were missing that will be due soon to meet the requirement. See Technical Assistance for more information. 10A NCAC 09 .3007 EARLY LEARNING STANDARDS AND CURRICULA-Teaching Strategies were observed. The Curriculum Coach, Ms. Brailsford was on site to support the staff. 10A NCAC 09 .3008 FORMATIVE ASSESSMENT-Pass (Phonological Awareness Skills Test) was used as an assessment. I observed assessments in the children’s files. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE-Child were maintained during the visit. 10A NCAC 09 .3010 FAMILY ENGAGEMENT-The program has completed Parent Orientation, and Open House as well as family visits. 10A NCAC 10 .3011 NC PRE-K SITE-LEVEL ADMINISTRATOR QUALIFICATIONS were met. 10A NCAC 09 .3012 NC PRE-K TEACHER EDUCATION, LICENSURE AND CREDENTIALS- the NC Pre-K teachers met the NC Pre-K Qualifications, a Bachelor of Arts in Birth to Kindergarten. 10 A NCAC 09 .3013 NC PRE-K TEACHER ASSISTANT EDUCATION AND CREDENTIALS- The NC Pre-K assistant teachers met compliance. 10A NCAC 09 .3014 NC PRE-K SUSBTITUTE STAFF- There were no substitute teachers present. Nine (9) children’s files were selected and reviewed. Space 103 and 107 had records for children in a notebook. Space 102 had children’s assessment records available in folders. For the records I could not access in a notebook, a classroom folder or the DPI Off -Site Verification Form I used a folder brought to me from the Main Office. Ms. Brailsford assisted me and brought the records. The DPI Off-Site Verification Form for Children’s Records dated August 29, 2024, was accessed in the Program Notebook given to me by Ms. Butler. The number of children enrolled per classroom did not match the number of children listed on the form. One classroom is not in use and One Lead Teacher listed on the forms, Ms. Bost, is no longer employed. Ms. Bost moved into a position as the PE Teacher recently. See violations section in the Visit Summary for more information. The Staff and Training Worksheets were reviewed and met compliance. Health and Safety trainings and certifications were verified in the Program Notebook. There is one (1) child with emergency medication for Type 1 Diabetes. The medication was accessible in the classroom. The Medical Action Plan and permission to administer medication form was not with the emergency medication. However, A Diabetes Medical Plan completed and signed by the physician, the parent and the school nurse was observed in a notebook brought from the main office was reviewed. The school nurse, Nurse Chrstine, was contacted and I spoke with her regarding the DCDEE forms. She asked that I explain the DCDEE requirements and forms to her however during the conversation she referred me to her supervisor, Ms. Robin. Nurse Christine caller and connected me with Nurse Robin. After speaking with Ms. Robin and Michele Sullivan, Licensing Supervisor, we determined that the Diabetes Medication Plan on file would be sufficient to meet licensing requirements today. Please see Technical Assistance for the emergency medication rule. There is not an assigned playground for the NC Pre-K Program, because the playground on site is for children five (5) years old and older. The Lead Teacher, Ms. Butler, stated that materials are provided to support outdoor play, such as balls, bicycles, and chalk in the courtyard area outside the classroom. I observed the materials outside of the classroom area. I was not able to observe outdoor play due to inclement weather. The center does provide transportation, and the following was observed for compliance: Safe pick-up and Delivery statement (Posted), and Emergency Information on Children. The bus used to transport children was not on site. The sanitation inspection was completed May 16, 2024, with a “Superior” classification and ten (10) demerits. The last fire inspection was conducted April 22, 2024. Eight (8) violations were cited today: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. The DPI Off-Site Verification Form for Children's Records classroom lists did not correspond to the number of children enrolled in each classroom. One classroom no longer in use was included with the DPI Off-Site Verification Form. G.S. 110-91(9); .0304(g); .2318 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In Space 103 the refrigerator did not have a thermometer 15A NCAC 18A .2806(j)(2) 807 A safe indoor and outdoor environment was not provided for the children. In Space 102 and 103 a rusted bolt was exposed on the toilet. In Space 102 a locked cabinet would not shut completely allowing a pinch point accessible by children. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space 107 a drop cord without safety plugs was accessible to children. 10A NCAC 09 .0604(c) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. One (1) child's file did not include a parent signature on the transportation policy. .1003(i)(j) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. One child did not have the emergency contact information completed on the form available for review in the file. .0802(c)(1) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. The statement was not included in the Parent Handbook or found on the signature page for Nine (9) children's files. .0604(j) 1871 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with parents of currently enrolled children 0-5 within 30 days of adopting the policy. Five (5) children did not have the policy in the files reviewed. .0608(b) 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 10, 2024 , we 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: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@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: Child Health Assessments: 10A NCAC 09 .3005 (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. We discussed reviewing the medication rules. I suggested to Nurse Robin to contact the nurses at Metro to understand how best to comply with the NCDCDEE rules regarding Medical Action Plans, Emergency Medications and Permission to Administer Medications. I have included the rules references below. Emergency Medications 10A NCAC 09 .0801 (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; Permission to Administer 10A NCAC 09 .1720 MEDICATION REQUIREMENTS A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (A) the child's name; (B) the subject medical conditions or allergic reactions; (C) the names of the authorized over-the-counter medications; (D) the criteria for the administration of the medication; (E) the amount and frequency of the dosages; (F) the manner in which the medication shall be administered; (G) the signature of the parent; (H) the date the authorization was signed by the parent; and (I) the length of time the authorization is valid, if less than six months. 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. Additionally we have resources available specific to NC Pre-K at https://ncchildcare.ncdhhs.gov/Home/DCDEE-Sections/North-Carolina-Pre-Kindergarten-NC-Pre-K 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. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle, https://www.dcdee.moodle.nc.gov/ —a video tutorial followed by a few questions. 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 980-748-6270 or by email at Lisa.Eddins-Smith@dhhs.nc.gov or contact Deanna Matthews at 704-962-7854 or by email at Deanna.Matthews@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 .0801 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 9/26/2024 Number Present: 40 Completed Date: 9/26/2024 Age: From 4 To 5 Total Minutes: 360 Time In: 08:45 AM Time Out: 02:45 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 conduct an Annual Compliance/Unannounced visit to monitor child care requirements. The facility currently holds a Four-Star License issued January 17, 2020, and had a compliance history score of 82% prior to today’s visit. The facility’s last Annual Compliance Visit was September 27, 2023. Upon arrival, I checked in with the main office. The office staff called for a NC Pre-K staff member to meet me and escort me to the classrooms. I was greeted by Curriculum Specialist/NC Pre-K Coach Nakeya Brailsford. I explained the purpose of the visit. Ms. Brailsford escorted me to the classrooms and introduced me to Lead Teacher, Yvette Butler. Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit; NC Pre-K requirements were monitored. Three (3) classroom spaces are being used for the North Carolina Pre-K Program (NC Pre-K). Upon arrival, I observed the children in each child care space participating in circle time, morning exercise, story time and small group time led by teachers. The teachers used nurturing tones with the children, and the teachers provided adequate supervision. I observed the NC Pre-K Coach, Ms. Brailsford in Space 103 supporting the classroom teachers. Ms. Brailsford assisted me today with securing needed records for the visit. Ms. Brailsford has a current CBC Qualifying Letter on file at the center. I observed mats and linens available for each child enrolled in each classroom. The following program requirements were observed posted and compliant: First Aid Poster, Child Care License, No Tobacco Sign, Summary of NC Law dated January, 2021, September Menu, Daily Schedules and Activity Plans, and Emergency Medical Care Plan. The Playground Inspections were reviewed and met compliance. The Shelter-in-Place/Lockdown drills meet compliance .The Incident Logs were available in each classroom ad met compliance. The following NC Pre-K requirements were monitored during today’s visit: 10A NCAC 09 .3002 FACILITY REQUIREMENTS-The facility requirements were met. The program has maintained a Four-Star License. 10A NCAC 09 .3003 PROGRAM ATTENDANCE POLICY-The attendance policy and daily attendance was reviewed, and compliance was met. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS- Health assessments were reviewed. Health assessments for several children were missing that will be due soon to meet the requirement. See Technical Assistance for more information. 10A NCAC 09 .3007 EARLY LEARNING STANDARDS AND CURRICULA-Teaching Strategies were observed. The Curriculum Coach, Ms. Brailsford was on site to support the staff. 10A NCAC 09 .3008 FORMATIVE ASSESSMENT-Pass (Phonological Awareness Skills Test) was used as an assessment. I observed assessments in the children’s files. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE-Child were maintained during the visit. 10A NCAC 09 .3010 FAMILY ENGAGEMENT-The program has completed Parent Orientation, and Open House as well as family visits. 10A NCAC 10 .3011 NC PRE-K SITE-LEVEL ADMINISTRATOR QUALIFICATIONS were met. 10A NCAC 09 .3012 NC PRE-K TEACHER EDUCATION, LICENSURE AND CREDENTIALS- the NC Pre-K teachers met the NC Pre-K Qualifications, a Bachelor of Arts in Birth to Kindergarten. 10 A NCAC 09 .3013 NC PRE-K TEACHER ASSISTANT EDUCATION AND CREDENTIALS- The NC Pre-K assistant teachers met compliance. 10A NCAC 09 .3014 NC PRE-K SUSBTITUTE STAFF- There were no substitute teachers present. Nine (9) children’s files were selected and reviewed. Space 103 and 107 had records for children in a notebook. Space 102 had children’s assessment records available in folders. For the records I could not access in a notebook, a classroom folder or the DPI Off -Site Verification Form I used a folder brought to me from the Main Office. Ms. Brailsford assisted me and brought the records. The DPI Off-Site Verification Form for Children’s Records dated August 29, 2024, was accessed in the Program Notebook given to me by Ms. Butler. The number of children enrolled per classroom did not match the number of children listed on the form. One classroom is not in use and One Lead Teacher listed on the forms, Ms. Bost, is no longer employed. Ms. Bost moved into a position as the PE Teacher recently. See violations section in the Visit Summary for more information. The Staff and Training Worksheets were reviewed and met compliance. Health and Safety trainings and certifications were verified in the Program Notebook. There is one (1) child with emergency medication for Type 1 Diabetes. The medication was accessible in the classroom. The Medical Action Plan and permission to administer medication form was not with the emergency medication. However, A Diabetes Medical Plan completed and signed by the physician, the parent and the school nurse was observed in a notebook brought from the main office was reviewed. The school nurse, Nurse Chrstine, was contacted and I spoke with her regarding the DCDEE forms. She asked that I explain the DCDEE requirements and forms to her however during the conversation she referred me to her supervisor, Ms. Robin. Nurse Christine caller and connected me with Nurse Robin. After speaking with Ms. Robin and Michele Sullivan, Licensing Supervisor, we determined that the Diabetes Medication Plan on file would be sufficient to meet licensing requirements today. Please see Technical Assistance for the emergency medication rule. There is not an assigned playground for the NC Pre-K Program, because the playground on site is for children five (5) years old and older. The Lead Teacher, Ms. Butler, stated that materials are provided to support outdoor play, such as balls, bicycles, and chalk in the courtyard area outside the classroom. I observed the materials outside of the classroom area. I was not able to observe outdoor play due to inclement weather. The center does provide transportation, and the following was observed for compliance: Safe pick-up and Delivery statement (Posted), and Emergency Information on Children. The bus used to transport children was not on site. The sanitation inspection was completed May 16, 2024, with a “Superior” classification and ten (10) demerits. The last fire inspection was conducted April 22, 2024. Eight (8) violations were cited today: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. The DPI Off-Site Verification Form for Children's Records classroom lists did not correspond to the number of children enrolled in each classroom. One classroom no longer in use was included with the DPI Off-Site Verification Form. G.S. 110-91(9); .0304(g); .2318 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In Space 103 the refrigerator did not have a thermometer 15A NCAC 18A .2806(j)(2) 807 A safe indoor and outdoor environment was not provided for the children. In Space 102 and 103 a rusted bolt was exposed on the toilet. In Space 102 a locked cabinet would not shut completely allowing a pinch point accessible by children. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space 107 a drop cord without safety plugs was accessible to children. 10A NCAC 09 .0604(c) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. One (1) child's file did not include a parent signature on the transportation policy. .1003(i)(j) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. One child did not have the emergency contact information completed on the form available for review in the file. .0802(c)(1) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. The statement was not included in the Parent Handbook or found on the signature page for Nine (9) children's files. .0604(j) 1871 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with parents of currently enrolled children 0-5 within 30 days of adopting the policy. Five (5) children did not have the policy in the files reviewed. .0608(b) 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 10, 2024 , we 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: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@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: Child Health Assessments: 10A NCAC 09 .3005 (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. We discussed reviewing the medication rules. I suggested to Nurse Robin to contact the nurses at Metro to understand how best to comply with the NCDCDEE rules regarding Medical Action Plans, Emergency Medications and Permission to Administer Medications. I have included the rules references below. Emergency Medications 10A NCAC 09 .0801 (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; Permission to Administer 10A NCAC 09 .1720 MEDICATION REQUIREMENTS A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (A) the child's name; (B) the subject medical conditions or allergic reactions; (C) the names of the authorized over-the-counter medications; (D) the criteria for the administration of the medication; (E) the amount and frequency of the dosages; (F) the manner in which the medication shall be administered; (G) the signature of the parent; (H) the date the authorization was signed by the parent; and (I) the length of time the authorization is valid, if less than six months. 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. Additionally we have resources available specific to NC Pre-K at https://ncchildcare.ncdhhs.gov/Home/DCDEE-Sections/North-Carolina-Pre-Kindergarten-NC-Pre-K 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. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle, https://www.dcdee.moodle.nc.gov/ —a video tutorial followed by a few questions. 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 980-748-6270 or by email at Lisa.Eddins-Smith@dhhs.nc.gov or contact Deanna Matthews at 704-962-7854 or by email at Deanna.Matthews@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 .1720 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 9/26/2024 Number Present: 40 Completed Date: 9/26/2024 Age: From 4 To 5 Total Minutes: 360 Time In: 08:45 AM Time Out: 02:45 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 conduct an Annual Compliance/Unannounced visit to monitor child care requirements. The facility currently holds a Four-Star License issued January 17, 2020, and had a compliance history score of 82% prior to today’s visit. The facility’s last Annual Compliance Visit was September 27, 2023. Upon arrival, I checked in with the main office. The office staff called for a NC Pre-K staff member to meet me and escort me to the classrooms. I was greeted by Curriculum Specialist/NC Pre-K Coach Nakeya Brailsford. I explained the purpose of the visit. Ms. Brailsford escorted me to the classrooms and introduced me to Lead Teacher, Yvette Butler. Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit; NC Pre-K requirements were monitored. Three (3) classroom spaces are being used for the North Carolina Pre-K Program (NC Pre-K). Upon arrival, I observed the children in each child care space participating in circle time, morning exercise, story time and small group time led by teachers. The teachers used nurturing tones with the children, and the teachers provided adequate supervision. I observed the NC Pre-K Coach, Ms. Brailsford in Space 103 supporting the classroom teachers. Ms. Brailsford assisted me today with securing needed records for the visit. Ms. Brailsford has a current CBC Qualifying Letter on file at the center. I observed mats and linens available for each child enrolled in each classroom. The following program requirements were observed posted and compliant: First Aid Poster, Child Care License, No Tobacco Sign, Summary of NC Law dated January, 2021, September Menu, Daily Schedules and Activity Plans, and Emergency Medical Care Plan. The Playground Inspections were reviewed and met compliance. The Shelter-in-Place/Lockdown drills meet compliance .The Incident Logs were available in each classroom ad met compliance. The following NC Pre-K requirements were monitored during today’s visit: 10A NCAC 09 .3002 FACILITY REQUIREMENTS-The facility requirements were met. The program has maintained a Four-Star License. 10A NCAC 09 .3003 PROGRAM ATTENDANCE POLICY-The attendance policy and daily attendance was reviewed, and compliance was met. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS- Health assessments were reviewed. Health assessments for several children were missing that will be due soon to meet the requirement. See Technical Assistance for more information. 10A NCAC 09 .3007 EARLY LEARNING STANDARDS AND CURRICULA-Teaching Strategies were observed. The Curriculum Coach, Ms. Brailsford was on site to support the staff. 10A NCAC 09 .3008 FORMATIVE ASSESSMENT-Pass (Phonological Awareness Skills Test) was used as an assessment. I observed assessments in the children’s files. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE-Child were maintained during the visit. 10A NCAC 09 .3010 FAMILY ENGAGEMENT-The program has completed Parent Orientation, and Open House as well as family visits. 10A NCAC 10 .3011 NC PRE-K SITE-LEVEL ADMINISTRATOR QUALIFICATIONS were met. 10A NCAC 09 .3012 NC PRE-K TEACHER EDUCATION, LICENSURE AND CREDENTIALS- the NC Pre-K teachers met the NC Pre-K Qualifications, a Bachelor of Arts in Birth to Kindergarten. 10 A NCAC 09 .3013 NC PRE-K TEACHER ASSISTANT EDUCATION AND CREDENTIALS- The NC Pre-K assistant teachers met compliance. 10A NCAC 09 .3014 NC PRE-K SUSBTITUTE STAFF- There were no substitute teachers present. Nine (9) children’s files were selected and reviewed. Space 103 and 107 had records for children in a notebook. Space 102 had children’s assessment records available in folders. For the records I could not access in a notebook, a classroom folder or the DPI Off -Site Verification Form I used a folder brought to me from the Main Office. Ms. Brailsford assisted me and brought the records. The DPI Off-Site Verification Form for Children’s Records dated August 29, 2024, was accessed in the Program Notebook given to me by Ms. Butler. The number of children enrolled per classroom did not match the number of children listed on the form. One classroom is not in use and One Lead Teacher listed on the forms, Ms. Bost, is no longer employed. Ms. Bost moved into a position as the PE Teacher recently. See violations section in the Visit Summary for more information. The Staff and Training Worksheets were reviewed and met compliance. Health and Safety trainings and certifications were verified in the Program Notebook. There is one (1) child with emergency medication for Type 1 Diabetes. The medication was accessible in the classroom. The Medical Action Plan and permission to administer medication form was not with the emergency medication. However, A Diabetes Medical Plan completed and signed by the physician, the parent and the school nurse was observed in a notebook brought from the main office was reviewed. The school nurse, Nurse Chrstine, was contacted and I spoke with her regarding the DCDEE forms. She asked that I explain the DCDEE requirements and forms to her however during the conversation she referred me to her supervisor, Ms. Robin. Nurse Christine caller and connected me with Nurse Robin. After speaking with Ms. Robin and Michele Sullivan, Licensing Supervisor, we determined that the Diabetes Medication Plan on file would be sufficient to meet licensing requirements today. Please see Technical Assistance for the emergency medication rule. There is not an assigned playground for the NC Pre-K Program, because the playground on site is for children five (5) years old and older. The Lead Teacher, Ms. Butler, stated that materials are provided to support outdoor play, such as balls, bicycles, and chalk in the courtyard area outside the classroom. I observed the materials outside of the classroom area. I was not able to observe outdoor play due to inclement weather. The center does provide transportation, and the following was observed for compliance: Safe pick-up and Delivery statement (Posted), and Emergency Information on Children. The bus used to transport children was not on site. The sanitation inspection was completed May 16, 2024, with a “Superior” classification and ten (10) demerits. The last fire inspection was conducted April 22, 2024. Eight (8) violations were cited today: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. The DPI Off-Site Verification Form for Children's Records classroom lists did not correspond to the number of children enrolled in each classroom. One classroom no longer in use was included with the DPI Off-Site Verification Form. G.S. 110-91(9); .0304(g); .2318 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In Space 103 the refrigerator did not have a thermometer 15A NCAC 18A .2806(j)(2) 807 A safe indoor and outdoor environment was not provided for the children. In Space 102 and 103 a rusted bolt was exposed on the toilet. In Space 102 a locked cabinet would not shut completely allowing a pinch point accessible by children. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space 107 a drop cord without safety plugs was accessible to children. 10A NCAC 09 .0604(c) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. One (1) child's file did not include a parent signature on the transportation policy. .1003(i)(j) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. One child did not have the emergency contact information completed on the form available for review in the file. .0802(c)(1) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. The statement was not included in the Parent Handbook or found on the signature page for Nine (9) children's files. .0604(j) 1871 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with parents of currently enrolled children 0-5 within 30 days of adopting the policy. Five (5) children did not have the policy in the files reviewed. .0608(b) 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 10, 2024 , we 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: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@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: Child Health Assessments: 10A NCAC 09 .3005 (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. We discussed reviewing the medication rules. I suggested to Nurse Robin to contact the nurses at Metro to understand how best to comply with the NCDCDEE rules regarding Medical Action Plans, Emergency Medications and Permission to Administer Medications. I have included the rules references below. Emergency Medications 10A NCAC 09 .0801 (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; Permission to Administer 10A NCAC 09 .1720 MEDICATION REQUIREMENTS A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (A) the child's name; (B) the subject medical conditions or allergic reactions; (C) the names of the authorized over-the-counter medications; (D) the criteria for the administration of the medication; (E) the amount and frequency of the dosages; (F) the manner in which the medication shall be administered; (G) the signature of the parent; (H) the date the authorization was signed by the parent; and (I) the length of time the authorization is valid, if less than six months. 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. Additionally we have resources available specific to NC Pre-K at https://ncchildcare.ncdhhs.gov/Home/DCDEE-Sections/North-Carolina-Pre-Kindergarten-NC-Pre-K 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. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle, https://www.dcdee.moodle.nc.gov/ —a video tutorial followed by a few questions. 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 980-748-6270 or by email at Lisa.Eddins-Smith@dhhs.nc.gov or contact Deanna Matthews at 704-962-7854 or by email at Deanna.Matthews@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 .3002 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 9/26/2024 Number Present: 40 Completed Date: 9/26/2024 Age: From 4 To 5 Total Minutes: 360 Time In: 08:45 AM Time Out: 02:45 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 conduct an Annual Compliance/Unannounced visit to monitor child care requirements. The facility currently holds a Four-Star License issued January 17, 2020, and had a compliance history score of 82% prior to today’s visit. The facility’s last Annual Compliance Visit was September 27, 2023. Upon arrival, I checked in with the main office. The office staff called for a NC Pre-K staff member to meet me and escort me to the classrooms. I was greeted by Curriculum Specialist/NC Pre-K Coach Nakeya Brailsford. I explained the purpose of the visit. Ms. Brailsford escorted me to the classrooms and introduced me to Lead Teacher, Yvette Butler. Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit; NC Pre-K requirements were monitored. Three (3) classroom spaces are being used for the North Carolina Pre-K Program (NC Pre-K). Upon arrival, I observed the children in each child care space participating in circle time, morning exercise, story time and small group time led by teachers. The teachers used nurturing tones with the children, and the teachers provided adequate supervision. I observed the NC Pre-K Coach, Ms. Brailsford in Space 103 supporting the classroom teachers. Ms. Brailsford assisted me today with securing needed records for the visit. Ms. Brailsford has a current CBC Qualifying Letter on file at the center. I observed mats and linens available for each child enrolled in each classroom. The following program requirements were observed posted and compliant: First Aid Poster, Child Care License, No Tobacco Sign, Summary of NC Law dated January, 2021, September Menu, Daily Schedules and Activity Plans, and Emergency Medical Care Plan. The Playground Inspections were reviewed and met compliance. The Shelter-in-Place/Lockdown drills meet compliance .The Incident Logs were available in each classroom ad met compliance. The following NC Pre-K requirements were monitored during today’s visit: 10A NCAC 09 .3002 FACILITY REQUIREMENTS-The facility requirements were met. The program has maintained a Four-Star License. 10A NCAC 09 .3003 PROGRAM ATTENDANCE POLICY-The attendance policy and daily attendance was reviewed, and compliance was met. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS- Health assessments were reviewed. Health assessments for several children were missing that will be due soon to meet the requirement. See Technical Assistance for more information. 10A NCAC 09 .3007 EARLY LEARNING STANDARDS AND CURRICULA-Teaching Strategies were observed. The Curriculum Coach, Ms. Brailsford was on site to support the staff. 10A NCAC 09 .3008 FORMATIVE ASSESSMENT-Pass (Phonological Awareness Skills Test) was used as an assessment. I observed assessments in the children’s files. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE-Child were maintained during the visit. 10A NCAC 09 .3010 FAMILY ENGAGEMENT-The program has completed Parent Orientation, and Open House as well as family visits. 10A NCAC 10 .3011 NC PRE-K SITE-LEVEL ADMINISTRATOR QUALIFICATIONS were met. 10A NCAC 09 .3012 NC PRE-K TEACHER EDUCATION, LICENSURE AND CREDENTIALS- the NC Pre-K teachers met the NC Pre-K Qualifications, a Bachelor of Arts in Birth to Kindergarten. 10 A NCAC 09 .3013 NC PRE-K TEACHER ASSISTANT EDUCATION AND CREDENTIALS- The NC Pre-K assistant teachers met compliance. 10A NCAC 09 .3014 NC PRE-K SUSBTITUTE STAFF- There were no substitute teachers present. Nine (9) children’s files were selected and reviewed. Space 103 and 107 had records for children in a notebook. Space 102 had children’s assessment records available in folders. For the records I could not access in a notebook, a classroom folder or the DPI Off -Site Verification Form I used a folder brought to me from the Main Office. Ms. Brailsford assisted me and brought the records. The DPI Off-Site Verification Form for Children’s Records dated August 29, 2024, was accessed in the Program Notebook given to me by Ms. Butler. The number of children enrolled per classroom did not match the number of children listed on the form. One classroom is not in use and One Lead Teacher listed on the forms, Ms. Bost, is no longer employed. Ms. Bost moved into a position as the PE Teacher recently. See violations section in the Visit Summary for more information. The Staff and Training Worksheets were reviewed and met compliance. Health and Safety trainings and certifications were verified in the Program Notebook. There is one (1) child with emergency medication for Type 1 Diabetes. The medication was accessible in the classroom. The Medical Action Plan and permission to administer medication form was not with the emergency medication. However, A Diabetes Medical Plan completed and signed by the physician, the parent and the school nurse was observed in a notebook brought from the main office was reviewed. The school nurse, Nurse Chrstine, was contacted and I spoke with her regarding the DCDEE forms. She asked that I explain the DCDEE requirements and forms to her however during the conversation she referred me to her supervisor, Ms. Robin. Nurse Christine caller and connected me with Nurse Robin. After speaking with Ms. Robin and Michele Sullivan, Licensing Supervisor, we determined that the Diabetes Medication Plan on file would be sufficient to meet licensing requirements today. Please see Technical Assistance for the emergency medication rule. There is not an assigned playground for the NC Pre-K Program, because the playground on site is for children five (5) years old and older. The Lead Teacher, Ms. Butler, stated that materials are provided to support outdoor play, such as balls, bicycles, and chalk in the courtyard area outside the classroom. I observed the materials outside of the classroom area. I was not able to observe outdoor play due to inclement weather. The center does provide transportation, and the following was observed for compliance: Safe pick-up and Delivery statement (Posted), and Emergency Information on Children. The bus used to transport children was not on site. The sanitation inspection was completed May 16, 2024, with a “Superior” classification and ten (10) demerits. The last fire inspection was conducted April 22, 2024. Eight (8) violations were cited today: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. The DPI Off-Site Verification Form for Children's Records classroom lists did not correspond to the number of children enrolled in each classroom. One classroom no longer in use was included with the DPI Off-Site Verification Form. G.S. 110-91(9); .0304(g); .2318 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In Space 103 the refrigerator did not have a thermometer 15A NCAC 18A .2806(j)(2) 807 A safe indoor and outdoor environment was not provided for the children. In Space 102 and 103 a rusted bolt was exposed on the toilet. In Space 102 a locked cabinet would not shut completely allowing a pinch point accessible by children. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space 107 a drop cord without safety plugs was accessible to children. 10A NCAC 09 .0604(c) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. One (1) child's file did not include a parent signature on the transportation policy. .1003(i)(j) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. One child did not have the emergency contact information completed on the form available for review in the file. .0802(c)(1) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. The statement was not included in the Parent Handbook or found on the signature page for Nine (9) children's files. .0604(j) 1871 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with parents of currently enrolled children 0-5 within 30 days of adopting the policy. Five (5) children did not have the policy in the files reviewed. .0608(b) 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 10, 2024 , we 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: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@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: Child Health Assessments: 10A NCAC 09 .3005 (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. We discussed reviewing the medication rules. I suggested to Nurse Robin to contact the nurses at Metro to understand how best to comply with the NCDCDEE rules regarding Medical Action Plans, Emergency Medications and Permission to Administer Medications. I have included the rules references below. Emergency Medications 10A NCAC 09 .0801 (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; Permission to Administer 10A NCAC 09 .1720 MEDICATION REQUIREMENTS A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (A) the child's name; (B) the subject medical conditions or allergic reactions; (C) the names of the authorized over-the-counter medications; (D) the criteria for the administration of the medication; (E) the amount and frequency of the dosages; (F) the manner in which the medication shall be administered; (G) the signature of the parent; (H) the date the authorization was signed by the parent; and (I) the length of time the authorization is valid, if less than six months. 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. Additionally we have resources available specific to NC Pre-K at https://ncchildcare.ncdhhs.gov/Home/DCDEE-Sections/North-Carolina-Pre-Kindergarten-NC-Pre-K 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. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle, https://www.dcdee.moodle.nc.gov/ —a video tutorial followed by a few questions. 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 980-748-6270 or by email at Lisa.Eddins-Smith@dhhs.nc.gov or contact Deanna Matthews at 704-962-7854 or by email at Deanna.Matthews@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 .3003 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 9/26/2024 Number Present: 40 Completed Date: 9/26/2024 Age: From 4 To 5 Total Minutes: 360 Time In: 08:45 AM Time Out: 02:45 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 conduct an Annual Compliance/Unannounced visit to monitor child care requirements. The facility currently holds a Four-Star License issued January 17, 2020, and had a compliance history score of 82% prior to today’s visit. The facility’s last Annual Compliance Visit was September 27, 2023. Upon arrival, I checked in with the main office. The office staff called for a NC Pre-K staff member to meet me and escort me to the classrooms. I was greeted by Curriculum Specialist/NC Pre-K Coach Nakeya Brailsford. I explained the purpose of the visit. Ms. Brailsford escorted me to the classrooms and introduced me to Lead Teacher, Yvette Butler. Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit; NC Pre-K requirements were monitored. Three (3) classroom spaces are being used for the North Carolina Pre-K Program (NC Pre-K). Upon arrival, I observed the children in each child care space participating in circle time, morning exercise, story time and small group time led by teachers. The teachers used nurturing tones with the children, and the teachers provided adequate supervision. I observed the NC Pre-K Coach, Ms. Brailsford in Space 103 supporting the classroom teachers. Ms. Brailsford assisted me today with securing needed records for the visit. Ms. Brailsford has a current CBC Qualifying Letter on file at the center. I observed mats and linens available for each child enrolled in each classroom. The following program requirements were observed posted and compliant: First Aid Poster, Child Care License, No Tobacco Sign, Summary of NC Law dated January, 2021, September Menu, Daily Schedules and Activity Plans, and Emergency Medical Care Plan. The Playground Inspections were reviewed and met compliance. The Shelter-in-Place/Lockdown drills meet compliance .The Incident Logs were available in each classroom ad met compliance. The following NC Pre-K requirements were monitored during today’s visit: 10A NCAC 09 .3002 FACILITY REQUIREMENTS-The facility requirements were met. The program has maintained a Four-Star License. 10A NCAC 09 .3003 PROGRAM ATTENDANCE POLICY-The attendance policy and daily attendance was reviewed, and compliance was met. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS- Health assessments were reviewed. Health assessments for several children were missing that will be due soon to meet the requirement. See Technical Assistance for more information. 10A NCAC 09 .3007 EARLY LEARNING STANDARDS AND CURRICULA-Teaching Strategies were observed. The Curriculum Coach, Ms. Brailsford was on site to support the staff. 10A NCAC 09 .3008 FORMATIVE ASSESSMENT-Pass (Phonological Awareness Skills Test) was used as an assessment. I observed assessments in the children’s files. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE-Child were maintained during the visit. 10A NCAC 09 .3010 FAMILY ENGAGEMENT-The program has completed Parent Orientation, and Open House as well as family visits. 10A NCAC 10 .3011 NC PRE-K SITE-LEVEL ADMINISTRATOR QUALIFICATIONS were met. 10A NCAC 09 .3012 NC PRE-K TEACHER EDUCATION, LICENSURE AND CREDENTIALS- the NC Pre-K teachers met the NC Pre-K Qualifications, a Bachelor of Arts in Birth to Kindergarten. 10 A NCAC 09 .3013 NC PRE-K TEACHER ASSISTANT EDUCATION AND CREDENTIALS- The NC Pre-K assistant teachers met compliance. 10A NCAC 09 .3014 NC PRE-K SUSBTITUTE STAFF- There were no substitute teachers present. Nine (9) children’s files were selected and reviewed. Space 103 and 107 had records for children in a notebook. Space 102 had children’s assessment records available in folders. For the records I could not access in a notebook, a classroom folder or the DPI Off -Site Verification Form I used a folder brought to me from the Main Office. Ms. Brailsford assisted me and brought the records. The DPI Off-Site Verification Form for Children’s Records dated August 29, 2024, was accessed in the Program Notebook given to me by Ms. Butler. The number of children enrolled per classroom did not match the number of children listed on the form. One classroom is not in use and One Lead Teacher listed on the forms, Ms. Bost, is no longer employed. Ms. Bost moved into a position as the PE Teacher recently. See violations section in the Visit Summary for more information. The Staff and Training Worksheets were reviewed and met compliance. Health and Safety trainings and certifications were verified in the Program Notebook. There is one (1) child with emergency medication for Type 1 Diabetes. The medication was accessible in the classroom. The Medical Action Plan and permission to administer medication form was not with the emergency medication. However, A Diabetes Medical Plan completed and signed by the physician, the parent and the school nurse was observed in a notebook brought from the main office was reviewed. The school nurse, Nurse Chrstine, was contacted and I spoke with her regarding the DCDEE forms. She asked that I explain the DCDEE requirements and forms to her however during the conversation she referred me to her supervisor, Ms. Robin. Nurse Christine caller and connected me with Nurse Robin. After speaking with Ms. Robin and Michele Sullivan, Licensing Supervisor, we determined that the Diabetes Medication Plan on file would be sufficient to meet licensing requirements today. Please see Technical Assistance for the emergency medication rule. There is not an assigned playground for the NC Pre-K Program, because the playground on site is for children five (5) years old and older. The Lead Teacher, Ms. Butler, stated that materials are provided to support outdoor play, such as balls, bicycles, and chalk in the courtyard area outside the classroom. I observed the materials outside of the classroom area. I was not able to observe outdoor play due to inclement weather. The center does provide transportation, and the following was observed for compliance: Safe pick-up and Delivery statement (Posted), and Emergency Information on Children. The bus used to transport children was not on site. The sanitation inspection was completed May 16, 2024, with a “Superior” classification and ten (10) demerits. The last fire inspection was conducted April 22, 2024. Eight (8) violations were cited today: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. The DPI Off-Site Verification Form for Children's Records classroom lists did not correspond to the number of children enrolled in each classroom. One classroom no longer in use was included with the DPI Off-Site Verification Form. G.S. 110-91(9); .0304(g); .2318 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In Space 103 the refrigerator did not have a thermometer 15A NCAC 18A .2806(j)(2) 807 A safe indoor and outdoor environment was not provided for the children. In Space 102 and 103 a rusted bolt was exposed on the toilet. In Space 102 a locked cabinet would not shut completely allowing a pinch point accessible by children. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space 107 a drop cord without safety plugs was accessible to children. 10A NCAC 09 .0604(c) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. One (1) child's file did not include a parent signature on the transportation policy. .1003(i)(j) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. One child did not have the emergency contact information completed on the form available for review in the file. .0802(c)(1) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. The statement was not included in the Parent Handbook or found on the signature page for Nine (9) children's files. .0604(j) 1871 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with parents of currently enrolled children 0-5 within 30 days of adopting the policy. Five (5) children did not have the policy in the files reviewed. .0608(b) 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 10, 2024 , we 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: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@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: Child Health Assessments: 10A NCAC 09 .3005 (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. We discussed reviewing the medication rules. I suggested to Nurse Robin to contact the nurses at Metro to understand how best to comply with the NCDCDEE rules regarding Medical Action Plans, Emergency Medications and Permission to Administer Medications. I have included the rules references below. Emergency Medications 10A NCAC 09 .0801 (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; Permission to Administer 10A NCAC 09 .1720 MEDICATION REQUIREMENTS A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (A) the child's name; (B) the subject medical conditions or allergic reactions; (C) the names of the authorized over-the-counter medications; (D) the criteria for the administration of the medication; (E) the amount and frequency of the dosages; (F) the manner in which the medication shall be administered; (G) the signature of the parent; (H) the date the authorization was signed by the parent; and (I) the length of time the authorization is valid, if less than six months. 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. Additionally we have resources available specific to NC Pre-K at https://ncchildcare.ncdhhs.gov/Home/DCDEE-Sections/North-Carolina-Pre-Kindergarten-NC-Pre-K 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. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle, https://www.dcdee.moodle.nc.gov/ —a video tutorial followed by a few questions. 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 980-748-6270 or by email at Lisa.Eddins-Smith@dhhs.nc.gov or contact Deanna Matthews at 704-962-7854 or by email at Deanna.Matthews@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 .3005 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 9/26/2024 Number Present: 40 Completed Date: 9/26/2024 Age: From 4 To 5 Total Minutes: 360 Time In: 08:45 AM Time Out: 02:45 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 conduct an Annual Compliance/Unannounced visit to monitor child care requirements. The facility currently holds a Four-Star License issued January 17, 2020, and had a compliance history score of 82% prior to today’s visit. The facility’s last Annual Compliance Visit was September 27, 2023. Upon arrival, I checked in with the main office. The office staff called for a NC Pre-K staff member to meet me and escort me to the classrooms. I was greeted by Curriculum Specialist/NC Pre-K Coach Nakeya Brailsford. I explained the purpose of the visit. Ms. Brailsford escorted me to the classrooms and introduced me to Lead Teacher, Yvette Butler. Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit; NC Pre-K requirements were monitored. Three (3) classroom spaces are being used for the North Carolina Pre-K Program (NC Pre-K). Upon arrival, I observed the children in each child care space participating in circle time, morning exercise, story time and small group time led by teachers. The teachers used nurturing tones with the children, and the teachers provided adequate supervision. I observed the NC Pre-K Coach, Ms. Brailsford in Space 103 supporting the classroom teachers. Ms. Brailsford assisted me today with securing needed records for the visit. Ms. Brailsford has a current CBC Qualifying Letter on file at the center. I observed mats and linens available for each child enrolled in each classroom. The following program requirements were observed posted and compliant: First Aid Poster, Child Care License, No Tobacco Sign, Summary of NC Law dated January, 2021, September Menu, Daily Schedules and Activity Plans, and Emergency Medical Care Plan. The Playground Inspections were reviewed and met compliance. The Shelter-in-Place/Lockdown drills meet compliance .The Incident Logs were available in each classroom ad met compliance. The following NC Pre-K requirements were monitored during today’s visit: 10A NCAC 09 .3002 FACILITY REQUIREMENTS-The facility requirements were met. The program has maintained a Four-Star License. 10A NCAC 09 .3003 PROGRAM ATTENDANCE POLICY-The attendance policy and daily attendance was reviewed, and compliance was met. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS- Health assessments were reviewed. Health assessments for several children were missing that will be due soon to meet the requirement. See Technical Assistance for more information. 10A NCAC 09 .3007 EARLY LEARNING STANDARDS AND CURRICULA-Teaching Strategies were observed. The Curriculum Coach, Ms. Brailsford was on site to support the staff. 10A NCAC 09 .3008 FORMATIVE ASSESSMENT-Pass (Phonological Awareness Skills Test) was used as an assessment. I observed assessments in the children’s files. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE-Child were maintained during the visit. 10A NCAC 09 .3010 FAMILY ENGAGEMENT-The program has completed Parent Orientation, and Open House as well as family visits. 10A NCAC 10 .3011 NC PRE-K SITE-LEVEL ADMINISTRATOR QUALIFICATIONS were met. 10A NCAC 09 .3012 NC PRE-K TEACHER EDUCATION, LICENSURE AND CREDENTIALS- the NC Pre-K teachers met the NC Pre-K Qualifications, a Bachelor of Arts in Birth to Kindergarten. 10 A NCAC 09 .3013 NC PRE-K TEACHER ASSISTANT EDUCATION AND CREDENTIALS- The NC Pre-K assistant teachers met compliance. 10A NCAC 09 .3014 NC PRE-K SUSBTITUTE STAFF- There were no substitute teachers present. Nine (9) children’s files were selected and reviewed. Space 103 and 107 had records for children in a notebook. Space 102 had children’s assessment records available in folders. For the records I could not access in a notebook, a classroom folder or the DPI Off -Site Verification Form I used a folder brought to me from the Main Office. Ms. Brailsford assisted me and brought the records. The DPI Off-Site Verification Form for Children’s Records dated August 29, 2024, was accessed in the Program Notebook given to me by Ms. Butler. The number of children enrolled per classroom did not match the number of children listed on the form. One classroom is not in use and One Lead Teacher listed on the forms, Ms. Bost, is no longer employed. Ms. Bost moved into a position as the PE Teacher recently. See violations section in the Visit Summary for more information. The Staff and Training Worksheets were reviewed and met compliance. Health and Safety trainings and certifications were verified in the Program Notebook. There is one (1) child with emergency medication for Type 1 Diabetes. The medication was accessible in the classroom. The Medical Action Plan and permission to administer medication form was not with the emergency medication. However, A Diabetes Medical Plan completed and signed by the physician, the parent and the school nurse was observed in a notebook brought from the main office was reviewed. The school nurse, Nurse Chrstine, was contacted and I spoke with her regarding the DCDEE forms. She asked that I explain the DCDEE requirements and forms to her however during the conversation she referred me to her supervisor, Ms. Robin. Nurse Christine caller and connected me with Nurse Robin. After speaking with Ms. Robin and Michele Sullivan, Licensing Supervisor, we determined that the Diabetes Medication Plan on file would be sufficient to meet licensing requirements today. Please see Technical Assistance for the emergency medication rule. There is not an assigned playground for the NC Pre-K Program, because the playground on site is for children five (5) years old and older. The Lead Teacher, Ms. Butler, stated that materials are provided to support outdoor play, such as balls, bicycles, and chalk in the courtyard area outside the classroom. I observed the materials outside of the classroom area. I was not able to observe outdoor play due to inclement weather. The center does provide transportation, and the following was observed for compliance: Safe pick-up and Delivery statement (Posted), and Emergency Information on Children. The bus used to transport children was not on site. The sanitation inspection was completed May 16, 2024, with a “Superior” classification and ten (10) demerits. The last fire inspection was conducted April 22, 2024. Eight (8) violations were cited today: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. The DPI Off-Site Verification Form for Children's Records classroom lists did not correspond to the number of children enrolled in each classroom. One classroom no longer in use was included with the DPI Off-Site Verification Form. G.S. 110-91(9); .0304(g); .2318 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In Space 103 the refrigerator did not have a thermometer 15A NCAC 18A .2806(j)(2) 807 A safe indoor and outdoor environment was not provided for the children. In Space 102 and 103 a rusted bolt was exposed on the toilet. In Space 102 a locked cabinet would not shut completely allowing a pinch point accessible by children. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space 107 a drop cord without safety plugs was accessible to children. 10A NCAC 09 .0604(c) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. One (1) child's file did not include a parent signature on the transportation policy. .1003(i)(j) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. One child did not have the emergency contact information completed on the form available for review in the file. .0802(c)(1) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. The statement was not included in the Parent Handbook or found on the signature page for Nine (9) children's files. .0604(j) 1871 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with parents of currently enrolled children 0-5 within 30 days of adopting the policy. Five (5) children did not have the policy in the files reviewed. .0608(b) 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 10, 2024 , we 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: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@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: Child Health Assessments: 10A NCAC 09 .3005 (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. We discussed reviewing the medication rules. I suggested to Nurse Robin to contact the nurses at Metro to understand how best to comply with the NCDCDEE rules regarding Medical Action Plans, Emergency Medications and Permission to Administer Medications. I have included the rules references below. Emergency Medications 10A NCAC 09 .0801 (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; Permission to Administer 10A NCAC 09 .1720 MEDICATION REQUIREMENTS A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (A) the child's name; (B) the subject medical conditions or allergic reactions; (C) the names of the authorized over-the-counter medications; (D) the criteria for the administration of the medication; (E) the amount and frequency of the dosages; (F) the manner in which the medication shall be administered; (G) the signature of the parent; (H) the date the authorization was signed by the parent; and (I) the length of time the authorization is valid, if less than six months. 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. Additionally we have resources available specific to NC Pre-K at https://ncchildcare.ncdhhs.gov/Home/DCDEE-Sections/North-Carolina-Pre-Kindergarten-NC-Pre-K 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. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle, https://www.dcdee.moodle.nc.gov/ —a video tutorial followed by a few questions. 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 980-748-6270 or by email at Lisa.Eddins-Smith@dhhs.nc.gov or contact Deanna Matthews at 704-962-7854 or by email at Deanna.Matthews@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 .3007 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 9/26/2024 Number Present: 40 Completed Date: 9/26/2024 Age: From 4 To 5 Total Minutes: 360 Time In: 08:45 AM Time Out: 02:45 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 conduct an Annual Compliance/Unannounced visit to monitor child care requirements. The facility currently holds a Four-Star License issued January 17, 2020, and had a compliance history score of 82% prior to today’s visit. The facility’s last Annual Compliance Visit was September 27, 2023. Upon arrival, I checked in with the main office. The office staff called for a NC Pre-K staff member to meet me and escort me to the classrooms. I was greeted by Curriculum Specialist/NC Pre-K Coach Nakeya Brailsford. I explained the purpose of the visit. Ms. Brailsford escorted me to the classrooms and introduced me to Lead Teacher, Yvette Butler. Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit; NC Pre-K requirements were monitored. Three (3) classroom spaces are being used for the North Carolina Pre-K Program (NC Pre-K). Upon arrival, I observed the children in each child care space participating in circle time, morning exercise, story time and small group time led by teachers. The teachers used nurturing tones with the children, and the teachers provided adequate supervision. I observed the NC Pre-K Coach, Ms. Brailsford in Space 103 supporting the classroom teachers. Ms. Brailsford assisted me today with securing needed records for the visit. Ms. Brailsford has a current CBC Qualifying Letter on file at the center. I observed mats and linens available for each child enrolled in each classroom. The following program requirements were observed posted and compliant: First Aid Poster, Child Care License, No Tobacco Sign, Summary of NC Law dated January, 2021, September Menu, Daily Schedules and Activity Plans, and Emergency Medical Care Plan. The Playground Inspections were reviewed and met compliance. The Shelter-in-Place/Lockdown drills meet compliance .The Incident Logs were available in each classroom ad met compliance. The following NC Pre-K requirements were monitored during today’s visit: 10A NCAC 09 .3002 FACILITY REQUIREMENTS-The facility requirements were met. The program has maintained a Four-Star License. 10A NCAC 09 .3003 PROGRAM ATTENDANCE POLICY-The attendance policy and daily attendance was reviewed, and compliance was met. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS- Health assessments were reviewed. Health assessments for several children were missing that will be due soon to meet the requirement. See Technical Assistance for more information. 10A NCAC 09 .3007 EARLY LEARNING STANDARDS AND CURRICULA-Teaching Strategies were observed. The Curriculum Coach, Ms. Brailsford was on site to support the staff. 10A NCAC 09 .3008 FORMATIVE ASSESSMENT-Pass (Phonological Awareness Skills Test) was used as an assessment. I observed assessments in the children’s files. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE-Child were maintained during the visit. 10A NCAC 09 .3010 FAMILY ENGAGEMENT-The program has completed Parent Orientation, and Open House as well as family visits. 10A NCAC 10 .3011 NC PRE-K SITE-LEVEL ADMINISTRATOR QUALIFICATIONS were met. 10A NCAC 09 .3012 NC PRE-K TEACHER EDUCATION, LICENSURE AND CREDENTIALS- the NC Pre-K teachers met the NC Pre-K Qualifications, a Bachelor of Arts in Birth to Kindergarten. 10 A NCAC 09 .3013 NC PRE-K TEACHER ASSISTANT EDUCATION AND CREDENTIALS- The NC Pre-K assistant teachers met compliance. 10A NCAC 09 .3014 NC PRE-K SUSBTITUTE STAFF- There were no substitute teachers present. Nine (9) children’s files were selected and reviewed. Space 103 and 107 had records for children in a notebook. Space 102 had children’s assessment records available in folders. For the records I could not access in a notebook, a classroom folder or the DPI Off -Site Verification Form I used a folder brought to me from the Main Office. Ms. Brailsford assisted me and brought the records. The DPI Off-Site Verification Form for Children’s Records dated August 29, 2024, was accessed in the Program Notebook given to me by Ms. Butler. The number of children enrolled per classroom did not match the number of children listed on the form. One classroom is not in use and One Lead Teacher listed on the forms, Ms. Bost, is no longer employed. Ms. Bost moved into a position as the PE Teacher recently. See violations section in the Visit Summary for more information. The Staff and Training Worksheets were reviewed and met compliance. Health and Safety trainings and certifications were verified in the Program Notebook. There is one (1) child with emergency medication for Type 1 Diabetes. The medication was accessible in the classroom. The Medical Action Plan and permission to administer medication form was not with the emergency medication. However, A Diabetes Medical Plan completed and signed by the physician, the parent and the school nurse was observed in a notebook brought from the main office was reviewed. The school nurse, Nurse Chrstine, was contacted and I spoke with her regarding the DCDEE forms. She asked that I explain the DCDEE requirements and forms to her however during the conversation she referred me to her supervisor, Ms. Robin. Nurse Christine caller and connected me with Nurse Robin. After speaking with Ms. Robin and Michele Sullivan, Licensing Supervisor, we determined that the Diabetes Medication Plan on file would be sufficient to meet licensing requirements today. Please see Technical Assistance for the emergency medication rule. There is not an assigned playground for the NC Pre-K Program, because the playground on site is for children five (5) years old and older. The Lead Teacher, Ms. Butler, stated that materials are provided to support outdoor play, such as balls, bicycles, and chalk in the courtyard area outside the classroom. I observed the materials outside of the classroom area. I was not able to observe outdoor play due to inclement weather. The center does provide transportation, and the following was observed for compliance: Safe pick-up and Delivery statement (Posted), and Emergency Information on Children. The bus used to transport children was not on site. The sanitation inspection was completed May 16, 2024, with a “Superior” classification and ten (10) demerits. The last fire inspection was conducted April 22, 2024. Eight (8) violations were cited today: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. The DPI Off-Site Verification Form for Children's Records classroom lists did not correspond to the number of children enrolled in each classroom. One classroom no longer in use was included with the DPI Off-Site Verification Form. G.S. 110-91(9); .0304(g); .2318 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In Space 103 the refrigerator did not have a thermometer 15A NCAC 18A .2806(j)(2) 807 A safe indoor and outdoor environment was not provided for the children. In Space 102 and 103 a rusted bolt was exposed on the toilet. In Space 102 a locked cabinet would not shut completely allowing a pinch point accessible by children. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space 107 a drop cord without safety plugs was accessible to children. 10A NCAC 09 .0604(c) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. One (1) child's file did not include a parent signature on the transportation policy. .1003(i)(j) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. One child did not have the emergency contact information completed on the form available for review in the file. .0802(c)(1) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. The statement was not included in the Parent Handbook or found on the signature page for Nine (9) children's files. .0604(j) 1871 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with parents of currently enrolled children 0-5 within 30 days of adopting the policy. Five (5) children did not have the policy in the files reviewed. .0608(b) 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 10, 2024 , we 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: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@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: Child Health Assessments: 10A NCAC 09 .3005 (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. We discussed reviewing the medication rules. I suggested to Nurse Robin to contact the nurses at Metro to understand how best to comply with the NCDCDEE rules regarding Medical Action Plans, Emergency Medications and Permission to Administer Medications. I have included the rules references below. Emergency Medications 10A NCAC 09 .0801 (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; Permission to Administer 10A NCAC 09 .1720 MEDICATION REQUIREMENTS A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (A) the child's name; (B) the subject medical conditions or allergic reactions; (C) the names of the authorized over-the-counter medications; (D) the criteria for the administration of the medication; (E) the amount and frequency of the dosages; (F) the manner in which the medication shall be administered; (G) the signature of the parent; (H) the date the authorization was signed by the parent; and (I) the length of time the authorization is valid, if less than six months. 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. Additionally we have resources available specific to NC Pre-K at https://ncchildcare.ncdhhs.gov/Home/DCDEE-Sections/North-Carolina-Pre-Kindergarten-NC-Pre-K 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. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle, https://www.dcdee.moodle.nc.gov/ —a video tutorial followed by a few questions. 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 980-748-6270 or by email at Lisa.Eddins-Smith@dhhs.nc.gov or contact Deanna Matthews at 704-962-7854 or by email at Deanna.Matthews@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 .3008 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 9/26/2024 Number Present: 40 Completed Date: 9/26/2024 Age: From 4 To 5 Total Minutes: 360 Time In: 08:45 AM Time Out: 02:45 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 conduct an Annual Compliance/Unannounced visit to monitor child care requirements. The facility currently holds a Four-Star License issued January 17, 2020, and had a compliance history score of 82% prior to today’s visit. The facility’s last Annual Compliance Visit was September 27, 2023. Upon arrival, I checked in with the main office. The office staff called for a NC Pre-K staff member to meet me and escort me to the classrooms. I was greeted by Curriculum Specialist/NC Pre-K Coach Nakeya Brailsford. I explained the purpose of the visit. Ms. Brailsford escorted me to the classrooms and introduced me to Lead Teacher, Yvette Butler. Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit; NC Pre-K requirements were monitored. Three (3) classroom spaces are being used for the North Carolina Pre-K Program (NC Pre-K). Upon arrival, I observed the children in each child care space participating in circle time, morning exercise, story time and small group time led by teachers. The teachers used nurturing tones with the children, and the teachers provided adequate supervision. I observed the NC Pre-K Coach, Ms. Brailsford in Space 103 supporting the classroom teachers. Ms. Brailsford assisted me today with securing needed records for the visit. Ms. Brailsford has a current CBC Qualifying Letter on file at the center. I observed mats and linens available for each child enrolled in each classroom. The following program requirements were observed posted and compliant: First Aid Poster, Child Care License, No Tobacco Sign, Summary of NC Law dated January, 2021, September Menu, Daily Schedules and Activity Plans, and Emergency Medical Care Plan. The Playground Inspections were reviewed and met compliance. The Shelter-in-Place/Lockdown drills meet compliance .The Incident Logs were available in each classroom ad met compliance. The following NC Pre-K requirements were monitored during today’s visit: 10A NCAC 09 .3002 FACILITY REQUIREMENTS-The facility requirements were met. The program has maintained a Four-Star License. 10A NCAC 09 .3003 PROGRAM ATTENDANCE POLICY-The attendance policy and daily attendance was reviewed, and compliance was met. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS- Health assessments were reviewed. Health assessments for several children were missing that will be due soon to meet the requirement. See Technical Assistance for more information. 10A NCAC 09 .3007 EARLY LEARNING STANDARDS AND CURRICULA-Teaching Strategies were observed. The Curriculum Coach, Ms. Brailsford was on site to support the staff. 10A NCAC 09 .3008 FORMATIVE ASSESSMENT-Pass (Phonological Awareness Skills Test) was used as an assessment. I observed assessments in the children’s files. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE-Child were maintained during the visit. 10A NCAC 09 .3010 FAMILY ENGAGEMENT-The program has completed Parent Orientation, and Open House as well as family visits. 10A NCAC 10 .3011 NC PRE-K SITE-LEVEL ADMINISTRATOR QUALIFICATIONS were met. 10A NCAC 09 .3012 NC PRE-K TEACHER EDUCATION, LICENSURE AND CREDENTIALS- the NC Pre-K teachers met the NC Pre-K Qualifications, a Bachelor of Arts in Birth to Kindergarten. 10 A NCAC 09 .3013 NC PRE-K TEACHER ASSISTANT EDUCATION AND CREDENTIALS- The NC Pre-K assistant teachers met compliance. 10A NCAC 09 .3014 NC PRE-K SUSBTITUTE STAFF- There were no substitute teachers present. Nine (9) children’s files were selected and reviewed. Space 103 and 107 had records for children in a notebook. Space 102 had children’s assessment records available in folders. For the records I could not access in a notebook, a classroom folder or the DPI Off -Site Verification Form I used a folder brought to me from the Main Office. Ms. Brailsford assisted me and brought the records. The DPI Off-Site Verification Form for Children’s Records dated August 29, 2024, was accessed in the Program Notebook given to me by Ms. Butler. The number of children enrolled per classroom did not match the number of children listed on the form. One classroom is not in use and One Lead Teacher listed on the forms, Ms. Bost, is no longer employed. Ms. Bost moved into a position as the PE Teacher recently. See violations section in the Visit Summary for more information. The Staff and Training Worksheets were reviewed and met compliance. Health and Safety trainings and certifications were verified in the Program Notebook. There is one (1) child with emergency medication for Type 1 Diabetes. The medication was accessible in the classroom. The Medical Action Plan and permission to administer medication form was not with the emergency medication. However, A Diabetes Medical Plan completed and signed by the physician, the parent and the school nurse was observed in a notebook brought from the main office was reviewed. The school nurse, Nurse Chrstine, was contacted and I spoke with her regarding the DCDEE forms. She asked that I explain the DCDEE requirements and forms to her however during the conversation she referred me to her supervisor, Ms. Robin. Nurse Christine caller and connected me with Nurse Robin. After speaking with Ms. Robin and Michele Sullivan, Licensing Supervisor, we determined that the Diabetes Medication Plan on file would be sufficient to meet licensing requirements today. Please see Technical Assistance for the emergency medication rule. There is not an assigned playground for the NC Pre-K Program, because the playground on site is for children five (5) years old and older. The Lead Teacher, Ms. Butler, stated that materials are provided to support outdoor play, such as balls, bicycles, and chalk in the courtyard area outside the classroom. I observed the materials outside of the classroom area. I was not able to observe outdoor play due to inclement weather. The center does provide transportation, and the following was observed for compliance: Safe pick-up and Delivery statement (Posted), and Emergency Information on Children. The bus used to transport children was not on site. The sanitation inspection was completed May 16, 2024, with a “Superior” classification and ten (10) demerits. The last fire inspection was conducted April 22, 2024. Eight (8) violations were cited today: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. The DPI Off-Site Verification Form for Children's Records classroom lists did not correspond to the number of children enrolled in each classroom. One classroom no longer in use was included with the DPI Off-Site Verification Form. G.S. 110-91(9); .0304(g); .2318 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In Space 103 the refrigerator did not have a thermometer 15A NCAC 18A .2806(j)(2) 807 A safe indoor and outdoor environment was not provided for the children. In Space 102 and 103 a rusted bolt was exposed on the toilet. In Space 102 a locked cabinet would not shut completely allowing a pinch point accessible by children. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space 107 a drop cord without safety plugs was accessible to children. 10A NCAC 09 .0604(c) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. One (1) child's file did not include a parent signature on the transportation policy. .1003(i)(j) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. One child did not have the emergency contact information completed on the form available for review in the file. .0802(c)(1) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. The statement was not included in the Parent Handbook or found on the signature page for Nine (9) children's files. .0604(j) 1871 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with parents of currently enrolled children 0-5 within 30 days of adopting the policy. Five (5) children did not have the policy in the files reviewed. .0608(b) 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 10, 2024 , we 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: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@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: Child Health Assessments: 10A NCAC 09 .3005 (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. We discussed reviewing the medication rules. I suggested to Nurse Robin to contact the nurses at Metro to understand how best to comply with the NCDCDEE rules regarding Medical Action Plans, Emergency Medications and Permission to Administer Medications. I have included the rules references below. Emergency Medications 10A NCAC 09 .0801 (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; Permission to Administer 10A NCAC 09 .1720 MEDICATION REQUIREMENTS A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (A) the child's name; (B) the subject medical conditions or allergic reactions; (C) the names of the authorized over-the-counter medications; (D) the criteria for the administration of the medication; (E) the amount and frequency of the dosages; (F) the manner in which the medication shall be administered; (G) the signature of the parent; (H) the date the authorization was signed by the parent; and (I) the length of time the authorization is valid, if less than six months. 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. Additionally we have resources available specific to NC Pre-K at https://ncchildcare.ncdhhs.gov/Home/DCDEE-Sections/North-Carolina-Pre-Kindergarten-NC-Pre-K 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. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle, https://www.dcdee.moodle.nc.gov/ —a video tutorial followed by a few questions. 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 980-748-6270 or by email at Lisa.Eddins-Smith@dhhs.nc.gov or contact Deanna Matthews at 704-962-7854 or by email at Deanna.Matthews@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 .3009 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 9/26/2024 Number Present: 40 Completed Date: 9/26/2024 Age: From 4 To 5 Total Minutes: 360 Time In: 08:45 AM Time Out: 02:45 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 conduct an Annual Compliance/Unannounced visit to monitor child care requirements. The facility currently holds a Four-Star License issued January 17, 2020, and had a compliance history score of 82% prior to today’s visit. The facility’s last Annual Compliance Visit was September 27, 2023. Upon arrival, I checked in with the main office. The office staff called for a NC Pre-K staff member to meet me and escort me to the classrooms. I was greeted by Curriculum Specialist/NC Pre-K Coach Nakeya Brailsford. I explained the purpose of the visit. Ms. Brailsford escorted me to the classrooms and introduced me to Lead Teacher, Yvette Butler. Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit; NC Pre-K requirements were monitored. Three (3) classroom spaces are being used for the North Carolina Pre-K Program (NC Pre-K). Upon arrival, I observed the children in each child care space participating in circle time, morning exercise, story time and small group time led by teachers. The teachers used nurturing tones with the children, and the teachers provided adequate supervision. I observed the NC Pre-K Coach, Ms. Brailsford in Space 103 supporting the classroom teachers. Ms. Brailsford assisted me today with securing needed records for the visit. Ms. Brailsford has a current CBC Qualifying Letter on file at the center. I observed mats and linens available for each child enrolled in each classroom. The following program requirements were observed posted and compliant: First Aid Poster, Child Care License, No Tobacco Sign, Summary of NC Law dated January, 2021, September Menu, Daily Schedules and Activity Plans, and Emergency Medical Care Plan. The Playground Inspections were reviewed and met compliance. The Shelter-in-Place/Lockdown drills meet compliance .The Incident Logs were available in each classroom ad met compliance. The following NC Pre-K requirements were monitored during today’s visit: 10A NCAC 09 .3002 FACILITY REQUIREMENTS-The facility requirements were met. The program has maintained a Four-Star License. 10A NCAC 09 .3003 PROGRAM ATTENDANCE POLICY-The attendance policy and daily attendance was reviewed, and compliance was met. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS- Health assessments were reviewed. Health assessments for several children were missing that will be due soon to meet the requirement. See Technical Assistance for more information. 10A NCAC 09 .3007 EARLY LEARNING STANDARDS AND CURRICULA-Teaching Strategies were observed. The Curriculum Coach, Ms. Brailsford was on site to support the staff. 10A NCAC 09 .3008 FORMATIVE ASSESSMENT-Pass (Phonological Awareness Skills Test) was used as an assessment. I observed assessments in the children’s files. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE-Child were maintained during the visit. 10A NCAC 09 .3010 FAMILY ENGAGEMENT-The program has completed Parent Orientation, and Open House as well as family visits. 10A NCAC 10 .3011 NC PRE-K SITE-LEVEL ADMINISTRATOR QUALIFICATIONS were met. 10A NCAC 09 .3012 NC PRE-K TEACHER EDUCATION, LICENSURE AND CREDENTIALS- the NC Pre-K teachers met the NC Pre-K Qualifications, a Bachelor of Arts in Birth to Kindergarten. 10 A NCAC 09 .3013 NC PRE-K TEACHER ASSISTANT EDUCATION AND CREDENTIALS- The NC Pre-K assistant teachers met compliance. 10A NCAC 09 .3014 NC PRE-K SUSBTITUTE STAFF- There were no substitute teachers present. Nine (9) children’s files were selected and reviewed. Space 103 and 107 had records for children in a notebook. Space 102 had children’s assessment records available in folders. For the records I could not access in a notebook, a classroom folder or the DPI Off -Site Verification Form I used a folder brought to me from the Main Office. Ms. Brailsford assisted me and brought the records. The DPI Off-Site Verification Form for Children’s Records dated August 29, 2024, was accessed in the Program Notebook given to me by Ms. Butler. The number of children enrolled per classroom did not match the number of children listed on the form. One classroom is not in use and One Lead Teacher listed on the forms, Ms. Bost, is no longer employed. Ms. Bost moved into a position as the PE Teacher recently. See violations section in the Visit Summary for more information. The Staff and Training Worksheets were reviewed and met compliance. Health and Safety trainings and certifications were verified in the Program Notebook. There is one (1) child with emergency medication for Type 1 Diabetes. The medication was accessible in the classroom. The Medical Action Plan and permission to administer medication form was not with the emergency medication. However, A Diabetes Medical Plan completed and signed by the physician, the parent and the school nurse was observed in a notebook brought from the main office was reviewed. The school nurse, Nurse Chrstine, was contacted and I spoke with her regarding the DCDEE forms. She asked that I explain the DCDEE requirements and forms to her however during the conversation she referred me to her supervisor, Ms. Robin. Nurse Christine caller and connected me with Nurse Robin. After speaking with Ms. Robin and Michele Sullivan, Licensing Supervisor, we determined that the Diabetes Medication Plan on file would be sufficient to meet licensing requirements today. Please see Technical Assistance for the emergency medication rule. There is not an assigned playground for the NC Pre-K Program, because the playground on site is for children five (5) years old and older. The Lead Teacher, Ms. Butler, stated that materials are provided to support outdoor play, such as balls, bicycles, and chalk in the courtyard area outside the classroom. I observed the materials outside of the classroom area. I was not able to observe outdoor play due to inclement weather. The center does provide transportation, and the following was observed for compliance: Safe pick-up and Delivery statement (Posted), and Emergency Information on Children. The bus used to transport children was not on site. The sanitation inspection was completed May 16, 2024, with a “Superior” classification and ten (10) demerits. The last fire inspection was conducted April 22, 2024. Eight (8) violations were cited today: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. The DPI Off-Site Verification Form for Children's Records classroom lists did not correspond to the number of children enrolled in each classroom. One classroom no longer in use was included with the DPI Off-Site Verification Form. G.S. 110-91(9); .0304(g); .2318 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In Space 103 the refrigerator did not have a thermometer 15A NCAC 18A .2806(j)(2) 807 A safe indoor and outdoor environment was not provided for the children. In Space 102 and 103 a rusted bolt was exposed on the toilet. In Space 102 a locked cabinet would not shut completely allowing a pinch point accessible by children. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space 107 a drop cord without safety plugs was accessible to children. 10A NCAC 09 .0604(c) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. One (1) child's file did not include a parent signature on the transportation policy. .1003(i)(j) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. One child did not have the emergency contact information completed on the form available for review in the file. .0802(c)(1) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. The statement was not included in the Parent Handbook or found on the signature page for Nine (9) children's files. .0604(j) 1871 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with parents of currently enrolled children 0-5 within 30 days of adopting the policy. Five (5) children did not have the policy in the files reviewed. .0608(b) 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 10, 2024 , we 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: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@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: Child Health Assessments: 10A NCAC 09 .3005 (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. We discussed reviewing the medication rules. I suggested to Nurse Robin to contact the nurses at Metro to understand how best to comply with the NCDCDEE rules regarding Medical Action Plans, Emergency Medications and Permission to Administer Medications. I have included the rules references below. Emergency Medications 10A NCAC 09 .0801 (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; Permission to Administer 10A NCAC 09 .1720 MEDICATION REQUIREMENTS A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (A) the child's name; (B) the subject medical conditions or allergic reactions; (C) the names of the authorized over-the-counter medications; (D) the criteria for the administration of the medication; (E) the amount and frequency of the dosages; (F) the manner in which the medication shall be administered; (G) the signature of the parent; (H) the date the authorization was signed by the parent; and (I) the length of time the authorization is valid, if less than six months. 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. Additionally we have resources available specific to NC Pre-K at https://ncchildcare.ncdhhs.gov/Home/DCDEE-Sections/North-Carolina-Pre-Kindergarten-NC-Pre-K 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. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle, https://www.dcdee.moodle.nc.gov/ —a video tutorial followed by a few questions. 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 980-748-6270 or by email at Lisa.Eddins-Smith@dhhs.nc.gov or contact Deanna Matthews at 704-962-7854 or by email at Deanna.Matthews@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 .3010 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 9/26/2024 Number Present: 40 Completed Date: 9/26/2024 Age: From 4 To 5 Total Minutes: 360 Time In: 08:45 AM Time Out: 02:45 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 conduct an Annual Compliance/Unannounced visit to monitor child care requirements. The facility currently holds a Four-Star License issued January 17, 2020, and had a compliance history score of 82% prior to today’s visit. The facility’s last Annual Compliance Visit was September 27, 2023. Upon arrival, I checked in with the main office. The office staff called for a NC Pre-K staff member to meet me and escort me to the classrooms. I was greeted by Curriculum Specialist/NC Pre-K Coach Nakeya Brailsford. I explained the purpose of the visit. Ms. Brailsford escorted me to the classrooms and introduced me to Lead Teacher, Yvette Butler. Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit; NC Pre-K requirements were monitored. Three (3) classroom spaces are being used for the North Carolina Pre-K Program (NC Pre-K). Upon arrival, I observed the children in each child care space participating in circle time, morning exercise, story time and small group time led by teachers. The teachers used nurturing tones with the children, and the teachers provided adequate supervision. I observed the NC Pre-K Coach, Ms. Brailsford in Space 103 supporting the classroom teachers. Ms. Brailsford assisted me today with securing needed records for the visit. Ms. Brailsford has a current CBC Qualifying Letter on file at the center. I observed mats and linens available for each child enrolled in each classroom. The following program requirements were observed posted and compliant: First Aid Poster, Child Care License, No Tobacco Sign, Summary of NC Law dated January, 2021, September Menu, Daily Schedules and Activity Plans, and Emergency Medical Care Plan. The Playground Inspections were reviewed and met compliance. The Shelter-in-Place/Lockdown drills meet compliance .The Incident Logs were available in each classroom ad met compliance. The following NC Pre-K requirements were monitored during today’s visit: 10A NCAC 09 .3002 FACILITY REQUIREMENTS-The facility requirements were met. The program has maintained a Four-Star License. 10A NCAC 09 .3003 PROGRAM ATTENDANCE POLICY-The attendance policy and daily attendance was reviewed, and compliance was met. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS- Health assessments were reviewed. Health assessments for several children were missing that will be due soon to meet the requirement. See Technical Assistance for more information. 10A NCAC 09 .3007 EARLY LEARNING STANDARDS AND CURRICULA-Teaching Strategies were observed. The Curriculum Coach, Ms. Brailsford was on site to support the staff. 10A NCAC 09 .3008 FORMATIVE ASSESSMENT-Pass (Phonological Awareness Skills Test) was used as an assessment. I observed assessments in the children’s files. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE-Child were maintained during the visit. 10A NCAC 09 .3010 FAMILY ENGAGEMENT-The program has completed Parent Orientation, and Open House as well as family visits. 10A NCAC 10 .3011 NC PRE-K SITE-LEVEL ADMINISTRATOR QUALIFICATIONS were met. 10A NCAC 09 .3012 NC PRE-K TEACHER EDUCATION, LICENSURE AND CREDENTIALS- the NC Pre-K teachers met the NC Pre-K Qualifications, a Bachelor of Arts in Birth to Kindergarten. 10 A NCAC 09 .3013 NC PRE-K TEACHER ASSISTANT EDUCATION AND CREDENTIALS- The NC Pre-K assistant teachers met compliance. 10A NCAC 09 .3014 NC PRE-K SUSBTITUTE STAFF- There were no substitute teachers present. Nine (9) children’s files were selected and reviewed. Space 103 and 107 had records for children in a notebook. Space 102 had children’s assessment records available in folders. For the records I could not access in a notebook, a classroom folder or the DPI Off -Site Verification Form I used a folder brought to me from the Main Office. Ms. Brailsford assisted me and brought the records. The DPI Off-Site Verification Form for Children’s Records dated August 29, 2024, was accessed in the Program Notebook given to me by Ms. Butler. The number of children enrolled per classroom did not match the number of children listed on the form. One classroom is not in use and One Lead Teacher listed on the forms, Ms. Bost, is no longer employed. Ms. Bost moved into a position as the PE Teacher recently. See violations section in the Visit Summary for more information. The Staff and Training Worksheets were reviewed and met compliance. Health and Safety trainings and certifications were verified in the Program Notebook. There is one (1) child with emergency medication for Type 1 Diabetes. The medication was accessible in the classroom. The Medical Action Plan and permission to administer medication form was not with the emergency medication. However, A Diabetes Medical Plan completed and signed by the physician, the parent and the school nurse was observed in a notebook brought from the main office was reviewed. The school nurse, Nurse Chrstine, was contacted and I spoke with her regarding the DCDEE forms. She asked that I explain the DCDEE requirements and forms to her however during the conversation she referred me to her supervisor, Ms. Robin. Nurse Christine caller and connected me with Nurse Robin. After speaking with Ms. Robin and Michele Sullivan, Licensing Supervisor, we determined that the Diabetes Medication Plan on file would be sufficient to meet licensing requirements today. Please see Technical Assistance for the emergency medication rule. There is not an assigned playground for the NC Pre-K Program, because the playground on site is for children five (5) years old and older. The Lead Teacher, Ms. Butler, stated that materials are provided to support outdoor play, such as balls, bicycles, and chalk in the courtyard area outside the classroom. I observed the materials outside of the classroom area. I was not able to observe outdoor play due to inclement weather. The center does provide transportation, and the following was observed for compliance: Safe pick-up and Delivery statement (Posted), and Emergency Information on Children. The bus used to transport children was not on site. The sanitation inspection was completed May 16, 2024, with a “Superior” classification and ten (10) demerits. The last fire inspection was conducted April 22, 2024. Eight (8) violations were cited today: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. The DPI Off-Site Verification Form for Children's Records classroom lists did not correspond to the number of children enrolled in each classroom. One classroom no longer in use was included with the DPI Off-Site Verification Form. G.S. 110-91(9); .0304(g); .2318 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In Space 103 the refrigerator did not have a thermometer 15A NCAC 18A .2806(j)(2) 807 A safe indoor and outdoor environment was not provided for the children. In Space 102 and 103 a rusted bolt was exposed on the toilet. In Space 102 a locked cabinet would not shut completely allowing a pinch point accessible by children. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space 107 a drop cord without safety plugs was accessible to children. 10A NCAC 09 .0604(c) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. One (1) child's file did not include a parent signature on the transportation policy. .1003(i)(j) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. One child did not have the emergency contact information completed on the form available for review in the file. .0802(c)(1) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. The statement was not included in the Parent Handbook or found on the signature page for Nine (9) children's files. .0604(j) 1871 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with parents of currently enrolled children 0-5 within 30 days of adopting the policy. Five (5) children did not have the policy in the files reviewed. .0608(b) 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 10, 2024 , we 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: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@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: Child Health Assessments: 10A NCAC 09 .3005 (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. We discussed reviewing the medication rules. I suggested to Nurse Robin to contact the nurses at Metro to understand how best to comply with the NCDCDEE rules regarding Medical Action Plans, Emergency Medications and Permission to Administer Medications. I have included the rules references below. Emergency Medications 10A NCAC 09 .0801 (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; Permission to Administer 10A NCAC 09 .1720 MEDICATION REQUIREMENTS A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (A) the child's name; (B) the subject medical conditions or allergic reactions; (C) the names of the authorized over-the-counter medications; (D) the criteria for the administration of the medication; (E) the amount and frequency of the dosages; (F) the manner in which the medication shall be administered; (G) the signature of the parent; (H) the date the authorization was signed by the parent; and (I) the length of time the authorization is valid, if less than six months. 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. Additionally we have resources available specific to NC Pre-K at https://ncchildcare.ncdhhs.gov/Home/DCDEE-Sections/North-Carolina-Pre-Kindergarten-NC-Pre-K 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. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle, https://www.dcdee.moodle.nc.gov/ —a video tutorial followed by a few questions. 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 980-748-6270 or by email at Lisa.Eddins-Smith@dhhs.nc.gov or contact Deanna Matthews at 704-962-7854 or by email at Deanna.Matthews@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 .3012 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 9/26/2024 Number Present: 40 Completed Date: 9/26/2024 Age: From 4 To 5 Total Minutes: 360 Time In: 08:45 AM Time Out: 02:45 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 conduct an Annual Compliance/Unannounced visit to monitor child care requirements. The facility currently holds a Four-Star License issued January 17, 2020, and had a compliance history score of 82% prior to today’s visit. The facility’s last Annual Compliance Visit was September 27, 2023. Upon arrival, I checked in with the main office. The office staff called for a NC Pre-K staff member to meet me and escort me to the classrooms. I was greeted by Curriculum Specialist/NC Pre-K Coach Nakeya Brailsford. I explained the purpose of the visit. Ms. Brailsford escorted me to the classrooms and introduced me to Lead Teacher, Yvette Butler. Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit; NC Pre-K requirements were monitored. Three (3) classroom spaces are being used for the North Carolina Pre-K Program (NC Pre-K). Upon arrival, I observed the children in each child care space participating in circle time, morning exercise, story time and small group time led by teachers. The teachers used nurturing tones with the children, and the teachers provided adequate supervision. I observed the NC Pre-K Coach, Ms. Brailsford in Space 103 supporting the classroom teachers. Ms. Brailsford assisted me today with securing needed records for the visit. Ms. Brailsford has a current CBC Qualifying Letter on file at the center. I observed mats and linens available for each child enrolled in each classroom. The following program requirements were observed posted and compliant: First Aid Poster, Child Care License, No Tobacco Sign, Summary of NC Law dated January, 2021, September Menu, Daily Schedules and Activity Plans, and Emergency Medical Care Plan. The Playground Inspections were reviewed and met compliance. The Shelter-in-Place/Lockdown drills meet compliance .The Incident Logs were available in each classroom ad met compliance. The following NC Pre-K requirements were monitored during today’s visit: 10A NCAC 09 .3002 FACILITY REQUIREMENTS-The facility requirements were met. The program has maintained a Four-Star License. 10A NCAC 09 .3003 PROGRAM ATTENDANCE POLICY-The attendance policy and daily attendance was reviewed, and compliance was met. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS- Health assessments were reviewed. Health assessments for several children were missing that will be due soon to meet the requirement. See Technical Assistance for more information. 10A NCAC 09 .3007 EARLY LEARNING STANDARDS AND CURRICULA-Teaching Strategies were observed. The Curriculum Coach, Ms. Brailsford was on site to support the staff. 10A NCAC 09 .3008 FORMATIVE ASSESSMENT-Pass (Phonological Awareness Skills Test) was used as an assessment. I observed assessments in the children’s files. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE-Child were maintained during the visit. 10A NCAC 09 .3010 FAMILY ENGAGEMENT-The program has completed Parent Orientation, and Open House as well as family visits. 10A NCAC 10 .3011 NC PRE-K SITE-LEVEL ADMINISTRATOR QUALIFICATIONS were met. 10A NCAC 09 .3012 NC PRE-K TEACHER EDUCATION, LICENSURE AND CREDENTIALS- the NC Pre-K teachers met the NC Pre-K Qualifications, a Bachelor of Arts in Birth to Kindergarten. 10 A NCAC 09 .3013 NC PRE-K TEACHER ASSISTANT EDUCATION AND CREDENTIALS- The NC Pre-K assistant teachers met compliance. 10A NCAC 09 .3014 NC PRE-K SUSBTITUTE STAFF- There were no substitute teachers present. Nine (9) children’s files were selected and reviewed. Space 103 and 107 had records for children in a notebook. Space 102 had children’s assessment records available in folders. For the records I could not access in a notebook, a classroom folder or the DPI Off -Site Verification Form I used a folder brought to me from the Main Office. Ms. Brailsford assisted me and brought the records. The DPI Off-Site Verification Form for Children’s Records dated August 29, 2024, was accessed in the Program Notebook given to me by Ms. Butler. The number of children enrolled per classroom did not match the number of children listed on the form. One classroom is not in use and One Lead Teacher listed on the forms, Ms. Bost, is no longer employed. Ms. Bost moved into a position as the PE Teacher recently. See violations section in the Visit Summary for more information. The Staff and Training Worksheets were reviewed and met compliance. Health and Safety trainings and certifications were verified in the Program Notebook. There is one (1) child with emergency medication for Type 1 Diabetes. The medication was accessible in the classroom. The Medical Action Plan and permission to administer medication form was not with the emergency medication. However, A Diabetes Medical Plan completed and signed by the physician, the parent and the school nurse was observed in a notebook brought from the main office was reviewed. The school nurse, Nurse Chrstine, was contacted and I spoke with her regarding the DCDEE forms. She asked that I explain the DCDEE requirements and forms to her however during the conversation she referred me to her supervisor, Ms. Robin. Nurse Christine caller and connected me with Nurse Robin. After speaking with Ms. Robin and Michele Sullivan, Licensing Supervisor, we determined that the Diabetes Medication Plan on file would be sufficient to meet licensing requirements today. Please see Technical Assistance for the emergency medication rule. There is not an assigned playground for the NC Pre-K Program, because the playground on site is for children five (5) years old and older. The Lead Teacher, Ms. Butler, stated that materials are provided to support outdoor play, such as balls, bicycles, and chalk in the courtyard area outside the classroom. I observed the materials outside of the classroom area. I was not able to observe outdoor play due to inclement weather. The center does provide transportation, and the following was observed for compliance: Safe pick-up and Delivery statement (Posted), and Emergency Information on Children. The bus used to transport children was not on site. The sanitation inspection was completed May 16, 2024, with a “Superior” classification and ten (10) demerits. The last fire inspection was conducted April 22, 2024. Eight (8) violations were cited today: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. The DPI Off-Site Verification Form for Children's Records classroom lists did not correspond to the number of children enrolled in each classroom. One classroom no longer in use was included with the DPI Off-Site Verification Form. G.S. 110-91(9); .0304(g); .2318 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In Space 103 the refrigerator did not have a thermometer 15A NCAC 18A .2806(j)(2) 807 A safe indoor and outdoor environment was not provided for the children. In Space 102 and 103 a rusted bolt was exposed on the toilet. In Space 102 a locked cabinet would not shut completely allowing a pinch point accessible by children. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space 107 a drop cord without safety plugs was accessible to children. 10A NCAC 09 .0604(c) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. One (1) child's file did not include a parent signature on the transportation policy. .1003(i)(j) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. One child did not have the emergency contact information completed on the form available for review in the file. .0802(c)(1) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. The statement was not included in the Parent Handbook or found on the signature page for Nine (9) children's files. .0604(j) 1871 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with parents of currently enrolled children 0-5 within 30 days of adopting the policy. Five (5) children did not have the policy in the files reviewed. .0608(b) 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 10, 2024 , we 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: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@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: Child Health Assessments: 10A NCAC 09 .3005 (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. We discussed reviewing the medication rules. I suggested to Nurse Robin to contact the nurses at Metro to understand how best to comply with the NCDCDEE rules regarding Medical Action Plans, Emergency Medications and Permission to Administer Medications. I have included the rules references below. Emergency Medications 10A NCAC 09 .0801 (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; Permission to Administer 10A NCAC 09 .1720 MEDICATION REQUIREMENTS A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (A) the child's name; (B) the subject medical conditions or allergic reactions; (C) the names of the authorized over-the-counter medications; (D) the criteria for the administration of the medication; (E) the amount and frequency of the dosages; (F) the manner in which the medication shall be administered; (G) the signature of the parent; (H) the date the authorization was signed by the parent; and (I) the length of time the authorization is valid, if less than six months. 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. Additionally we have resources available specific to NC Pre-K at https://ncchildcare.ncdhhs.gov/Home/DCDEE-Sections/North-Carolina-Pre-Kindergarten-NC-Pre-K 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. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle, https://www.dcdee.moodle.nc.gov/ —a video tutorial followed by a few questions. 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 980-748-6270 or by email at Lisa.Eddins-Smith@dhhs.nc.gov or contact Deanna Matthews at 704-962-7854 or by email at Deanna.Matthews@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 .3014 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 9/26/2024 Number Present: 40 Completed Date: 9/26/2024 Age: From 4 To 5 Total Minutes: 360 Time In: 08:45 AM Time Out: 02:45 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 conduct an Annual Compliance/Unannounced visit to monitor child care requirements. The facility currently holds a Four-Star License issued January 17, 2020, and had a compliance history score of 82% prior to today’s visit. The facility’s last Annual Compliance Visit was September 27, 2023. Upon arrival, I checked in with the main office. The office staff called for a NC Pre-K staff member to meet me and escort me to the classrooms. I was greeted by Curriculum Specialist/NC Pre-K Coach Nakeya Brailsford. I explained the purpose of the visit. Ms. Brailsford escorted me to the classrooms and introduced me to Lead Teacher, Yvette Butler. Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit; NC Pre-K requirements were monitored. Three (3) classroom spaces are being used for the North Carolina Pre-K Program (NC Pre-K). Upon arrival, I observed the children in each child care space participating in circle time, morning exercise, story time and small group time led by teachers. The teachers used nurturing tones with the children, and the teachers provided adequate supervision. I observed the NC Pre-K Coach, Ms. Brailsford in Space 103 supporting the classroom teachers. Ms. Brailsford assisted me today with securing needed records for the visit. Ms. Brailsford has a current CBC Qualifying Letter on file at the center. I observed mats and linens available for each child enrolled in each classroom. The following program requirements were observed posted and compliant: First Aid Poster, Child Care License, No Tobacco Sign, Summary of NC Law dated January, 2021, September Menu, Daily Schedules and Activity Plans, and Emergency Medical Care Plan. The Playground Inspections were reviewed and met compliance. The Shelter-in-Place/Lockdown drills meet compliance .The Incident Logs were available in each classroom ad met compliance. The following NC Pre-K requirements were monitored during today’s visit: 10A NCAC 09 .3002 FACILITY REQUIREMENTS-The facility requirements were met. The program has maintained a Four-Star License. 10A NCAC 09 .3003 PROGRAM ATTENDANCE POLICY-The attendance policy and daily attendance was reviewed, and compliance was met. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS- Health assessments were reviewed. Health assessments for several children were missing that will be due soon to meet the requirement. See Technical Assistance for more information. 10A NCAC 09 .3007 EARLY LEARNING STANDARDS AND CURRICULA-Teaching Strategies were observed. The Curriculum Coach, Ms. Brailsford was on site to support the staff. 10A NCAC 09 .3008 FORMATIVE ASSESSMENT-Pass (Phonological Awareness Skills Test) was used as an assessment. I observed assessments in the children’s files. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE-Child were maintained during the visit. 10A NCAC 09 .3010 FAMILY ENGAGEMENT-The program has completed Parent Orientation, and Open House as well as family visits. 10A NCAC 10 .3011 NC PRE-K SITE-LEVEL ADMINISTRATOR QUALIFICATIONS were met. 10A NCAC 09 .3012 NC PRE-K TEACHER EDUCATION, LICENSURE AND CREDENTIALS- the NC Pre-K teachers met the NC Pre-K Qualifications, a Bachelor of Arts in Birth to Kindergarten. 10 A NCAC 09 .3013 NC PRE-K TEACHER ASSISTANT EDUCATION AND CREDENTIALS- The NC Pre-K assistant teachers met compliance. 10A NCAC 09 .3014 NC PRE-K SUSBTITUTE STAFF- There were no substitute teachers present. Nine (9) children’s files were selected and reviewed. Space 103 and 107 had records for children in a notebook. Space 102 had children’s assessment records available in folders. For the records I could not access in a notebook, a classroom folder or the DPI Off -Site Verification Form I used a folder brought to me from the Main Office. Ms. Brailsford assisted me and brought the records. The DPI Off-Site Verification Form for Children’s Records dated August 29, 2024, was accessed in the Program Notebook given to me by Ms. Butler. The number of children enrolled per classroom did not match the number of children listed on the form. One classroom is not in use and One Lead Teacher listed on the forms, Ms. Bost, is no longer employed. Ms. Bost moved into a position as the PE Teacher recently. See violations section in the Visit Summary for more information. The Staff and Training Worksheets were reviewed and met compliance. Health and Safety trainings and certifications were verified in the Program Notebook. There is one (1) child with emergency medication for Type 1 Diabetes. The medication was accessible in the classroom. The Medical Action Plan and permission to administer medication form was not with the emergency medication. However, A Diabetes Medical Plan completed and signed by the physician, the parent and the school nurse was observed in a notebook brought from the main office was reviewed. The school nurse, Nurse Chrstine, was contacted and I spoke with her regarding the DCDEE forms. She asked that I explain the DCDEE requirements and forms to her however during the conversation she referred me to her supervisor, Ms. Robin. Nurse Christine caller and connected me with Nurse Robin. After speaking with Ms. Robin and Michele Sullivan, Licensing Supervisor, we determined that the Diabetes Medication Plan on file would be sufficient to meet licensing requirements today. Please see Technical Assistance for the emergency medication rule. There is not an assigned playground for the NC Pre-K Program, because the playground on site is for children five (5) years old and older. The Lead Teacher, Ms. Butler, stated that materials are provided to support outdoor play, such as balls, bicycles, and chalk in the courtyard area outside the classroom. I observed the materials outside of the classroom area. I was not able to observe outdoor play due to inclement weather. The center does provide transportation, and the following was observed for compliance: Safe pick-up and Delivery statement (Posted), and Emergency Information on Children. The bus used to transport children was not on site. The sanitation inspection was completed May 16, 2024, with a “Superior” classification and ten (10) demerits. The last fire inspection was conducted April 22, 2024. Eight (8) violations were cited today: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. The DPI Off-Site Verification Form for Children's Records classroom lists did not correspond to the number of children enrolled in each classroom. One classroom no longer in use was included with the DPI Off-Site Verification Form. G.S. 110-91(9); .0304(g); .2318 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In Space 103 the refrigerator did not have a thermometer 15A NCAC 18A .2806(j)(2) 807 A safe indoor and outdoor environment was not provided for the children. In Space 102 and 103 a rusted bolt was exposed on the toilet. In Space 102 a locked cabinet would not shut completely allowing a pinch point accessible by children. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space 107 a drop cord without safety plugs was accessible to children. 10A NCAC 09 .0604(c) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. One (1) child's file did not include a parent signature on the transportation policy. .1003(i)(j) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. One child did not have the emergency contact information completed on the form available for review in the file. .0802(c)(1) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. The statement was not included in the Parent Handbook or found on the signature page for Nine (9) children's files. .0604(j) 1871 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with parents of currently enrolled children 0-5 within 30 days of adopting the policy. Five (5) children did not have the policy in the files reviewed. .0608(b) 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 10, 2024 , we 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: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@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: Child Health Assessments: 10A NCAC 09 .3005 (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. We discussed reviewing the medication rules. I suggested to Nurse Robin to contact the nurses at Metro to understand how best to comply with the NCDCDEE rules regarding Medical Action Plans, Emergency Medications and Permission to Administer Medications. I have included the rules references below. Emergency Medications 10A NCAC 09 .0801 (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; Permission to Administer 10A NCAC 09 .1720 MEDICATION REQUIREMENTS A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (A) the child's name; (B) the subject medical conditions or allergic reactions; (C) the names of the authorized over-the-counter medications; (D) the criteria for the administration of the medication; (E) the amount and frequency of the dosages; (F) the manner in which the medication shall be administered; (G) the signature of the parent; (H) the date the authorization was signed by the parent; and (I) the length of time the authorization is valid, if less than six months. 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. Additionally we have resources available specific to NC Pre-K at https://ncchildcare.ncdhhs.gov/Home/DCDEE-Sections/North-Carolina-Pre-Kindergarten-NC-Pre-K 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. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle, https://www.dcdee.moodle.nc.gov/ —a video tutorial followed by a few questions. 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 980-748-6270 or by email at Lisa.Eddins-Smith@dhhs.nc.gov or contact Deanna Matthews at 704-962-7854 or by email at Deanna.Matthews@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 9/26/2024 Number Present: 40 Completed Date: 9/26/2024 Age: From 4 To 5 Total Minutes: 360 Time In: 08:45 AM Time Out: 02:45 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 conduct an Annual Compliance/Unannounced visit to monitor child care requirements. The facility currently holds a Four-Star License issued January 17, 2020, and had a compliance history score of 82% prior to today’s visit. The facility’s last Annual Compliance Visit was September 27, 2023. Upon arrival, I checked in with the main office. The office staff called for a NC Pre-K staff member to meet me and escort me to the classrooms. I was greeted by Curriculum Specialist/NC Pre-K Coach Nakeya Brailsford. I explained the purpose of the visit. Ms. Brailsford escorted me to the classrooms and introduced me to Lead Teacher, Yvette Butler. Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit; NC Pre-K requirements were monitored. Three (3) classroom spaces are being used for the North Carolina Pre-K Program (NC Pre-K). Upon arrival, I observed the children in each child care space participating in circle time, morning exercise, story time and small group time led by teachers. The teachers used nurturing tones with the children, and the teachers provided adequate supervision. I observed the NC Pre-K Coach, Ms. Brailsford in Space 103 supporting the classroom teachers. Ms. Brailsford assisted me today with securing needed records for the visit. Ms. Brailsford has a current CBC Qualifying Letter on file at the center. I observed mats and linens available for each child enrolled in each classroom. The following program requirements were observed posted and compliant: First Aid Poster, Child Care License, No Tobacco Sign, Summary of NC Law dated January, 2021, September Menu, Daily Schedules and Activity Plans, and Emergency Medical Care Plan. The Playground Inspections were reviewed and met compliance. The Shelter-in-Place/Lockdown drills meet compliance .The Incident Logs were available in each classroom ad met compliance. The following NC Pre-K requirements were monitored during today’s visit: 10A NCAC 09 .3002 FACILITY REQUIREMENTS-The facility requirements were met. The program has maintained a Four-Star License. 10A NCAC 09 .3003 PROGRAM ATTENDANCE POLICY-The attendance policy and daily attendance was reviewed, and compliance was met. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS- Health assessments were reviewed. Health assessments for several children were missing that will be due soon to meet the requirement. See Technical Assistance for more information. 10A NCAC 09 .3007 EARLY LEARNING STANDARDS AND CURRICULA-Teaching Strategies were observed. The Curriculum Coach, Ms. Brailsford was on site to support the staff. 10A NCAC 09 .3008 FORMATIVE ASSESSMENT-Pass (Phonological Awareness Skills Test) was used as an assessment. I observed assessments in the children’s files. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE-Child were maintained during the visit. 10A NCAC 09 .3010 FAMILY ENGAGEMENT-The program has completed Parent Orientation, and Open House as well as family visits. 10A NCAC 10 .3011 NC PRE-K SITE-LEVEL ADMINISTRATOR QUALIFICATIONS were met. 10A NCAC 09 .3012 NC PRE-K TEACHER EDUCATION, LICENSURE AND CREDENTIALS- the NC Pre-K teachers met the NC Pre-K Qualifications, a Bachelor of Arts in Birth to Kindergarten. 10 A NCAC 09 .3013 NC PRE-K TEACHER ASSISTANT EDUCATION AND CREDENTIALS- The NC Pre-K assistant teachers met compliance. 10A NCAC 09 .3014 NC PRE-K SUSBTITUTE STAFF- There were no substitute teachers present. Nine (9) children’s files were selected and reviewed. Space 103 and 107 had records for children in a notebook. Space 102 had children’s assessment records available in folders. For the records I could not access in a notebook, a classroom folder or the DPI Off -Site Verification Form I used a folder brought to me from the Main Office. Ms. Brailsford assisted me and brought the records. The DPI Off-Site Verification Form for Children’s Records dated August 29, 2024, was accessed in the Program Notebook given to me by Ms. Butler. The number of children enrolled per classroom did not match the number of children listed on the form. One classroom is not in use and One Lead Teacher listed on the forms, Ms. Bost, is no longer employed. Ms. Bost moved into a position as the PE Teacher recently. See violations section in the Visit Summary for more information. The Staff and Training Worksheets were reviewed and met compliance. Health and Safety trainings and certifications were verified in the Program Notebook. There is one (1) child with emergency medication for Type 1 Diabetes. The medication was accessible in the classroom. The Medical Action Plan and permission to administer medication form was not with the emergency medication. However, A Diabetes Medical Plan completed and signed by the physician, the parent and the school nurse was observed in a notebook brought from the main office was reviewed. The school nurse, Nurse Chrstine, was contacted and I spoke with her regarding the DCDEE forms. She asked that I explain the DCDEE requirements and forms to her however during the conversation she referred me to her supervisor, Ms. Robin. Nurse Christine caller and connected me with Nurse Robin. After speaking with Ms. Robin and Michele Sullivan, Licensing Supervisor, we determined that the Diabetes Medication Plan on file would be sufficient to meet licensing requirements today. Please see Technical Assistance for the emergency medication rule. There is not an assigned playground for the NC Pre-K Program, because the playground on site is for children five (5) years old and older. The Lead Teacher, Ms. Butler, stated that materials are provided to support outdoor play, such as balls, bicycles, and chalk in the courtyard area outside the classroom. I observed the materials outside of the classroom area. I was not able to observe outdoor play due to inclement weather. The center does provide transportation, and the following was observed for compliance: Safe pick-up and Delivery statement (Posted), and Emergency Information on Children. The bus used to transport children was not on site. The sanitation inspection was completed May 16, 2024, with a “Superior” classification and ten (10) demerits. The last fire inspection was conducted April 22, 2024. Eight (8) violations were cited today: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. The DPI Off-Site Verification Form for Children's Records classroom lists did not correspond to the number of children enrolled in each classroom. One classroom no longer in use was included with the DPI Off-Site Verification Form. G.S. 110-91(9); .0304(g); .2318 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In Space 103 the refrigerator did not have a thermometer 15A NCAC 18A .2806(j)(2) 807 A safe indoor and outdoor environment was not provided for the children. In Space 102 and 103 a rusted bolt was exposed on the toilet. In Space 102 a locked cabinet would not shut completely allowing a pinch point accessible by children. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space 107 a drop cord without safety plugs was accessible to children. 10A NCAC 09 .0604(c) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. One (1) child's file did not include a parent signature on the transportation policy. .1003(i)(j) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. One child did not have the emergency contact information completed on the form available for review in the file. .0802(c)(1) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. The statement was not included in the Parent Handbook or found on the signature page for Nine (9) children's files. .0604(j) 1871 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with parents of currently enrolled children 0-5 within 30 days of adopting the policy. Five (5) children did not have the policy in the files reviewed. .0608(b) 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 10, 2024 , we 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: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@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: Child Health Assessments: 10A NCAC 09 .3005 (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. We discussed reviewing the medication rules. I suggested to Nurse Robin to contact the nurses at Metro to understand how best to comply with the NCDCDEE rules regarding Medical Action Plans, Emergency Medications and Permission to Administer Medications. I have included the rules references below. Emergency Medications 10A NCAC 09 .0801 (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; Permission to Administer 10A NCAC 09 .1720 MEDICATION REQUIREMENTS A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (A) the child's name; (B) the subject medical conditions or allergic reactions; (C) the names of the authorized over-the-counter medications; (D) the criteria for the administration of the medication; (E) the amount and frequency of the dosages; (F) the manner in which the medication shall be administered; (G) the signature of the parent; (H) the date the authorization was signed by the parent; and (I) the length of time the authorization is valid, if less than six months. 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. Additionally we have resources available specific to NC Pre-K at https://ncchildcare.ncdhhs.gov/Home/DCDEE-Sections/North-Carolina-Pre-Kindergarten-NC-Pre-K 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. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle, https://www.dcdee.moodle.nc.gov/ —a video tutorial followed by a few questions. 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 980-748-6270 or by email at Lisa.Eddins-Smith@dhhs.nc.gov or contact Deanna Matthews at 704-962-7854 or by email at Deanna.Matthews@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: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 9/26/2024 Number Present: 40 Completed Date: 9/26/2024 Age: From 4 To 5 Total Minutes: 360 Time In: 08:45 AM Time Out: 02:45 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 conduct an Annual Compliance/Unannounced visit to monitor child care requirements. The facility currently holds a Four-Star License issued January 17, 2020, and had a compliance history score of 82% prior to today’s visit. The facility’s last Annual Compliance Visit was September 27, 2023. Upon arrival, I checked in with the main office. The office staff called for a NC Pre-K staff member to meet me and escort me to the classrooms. I was greeted by Curriculum Specialist/NC Pre-K Coach Nakeya Brailsford. I explained the purpose of the visit. Ms. Brailsford escorted me to the classrooms and introduced me to Lead Teacher, Yvette Butler. Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit; NC Pre-K requirements were monitored. Three (3) classroom spaces are being used for the North Carolina Pre-K Program (NC Pre-K). Upon arrival, I observed the children in each child care space participating in circle time, morning exercise, story time and small group time led by teachers. The teachers used nurturing tones with the children, and the teachers provided adequate supervision. I observed the NC Pre-K Coach, Ms. Brailsford in Space 103 supporting the classroom teachers. Ms. Brailsford assisted me today with securing needed records for the visit. Ms. Brailsford has a current CBC Qualifying Letter on file at the center. I observed mats and linens available for each child enrolled in each classroom. The following program requirements were observed posted and compliant: First Aid Poster, Child Care License, No Tobacco Sign, Summary of NC Law dated January, 2021, September Menu, Daily Schedules and Activity Plans, and Emergency Medical Care Plan. The Playground Inspections were reviewed and met compliance. The Shelter-in-Place/Lockdown drills meet compliance .The Incident Logs were available in each classroom ad met compliance. The following NC Pre-K requirements were monitored during today’s visit: 10A NCAC 09 .3002 FACILITY REQUIREMENTS-The facility requirements were met. The program has maintained a Four-Star License. 10A NCAC 09 .3003 PROGRAM ATTENDANCE POLICY-The attendance policy and daily attendance was reviewed, and compliance was met. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS- Health assessments were reviewed. Health assessments for several children were missing that will be due soon to meet the requirement. See Technical Assistance for more information. 10A NCAC 09 .3007 EARLY LEARNING STANDARDS AND CURRICULA-Teaching Strategies were observed. The Curriculum Coach, Ms. Brailsford was on site to support the staff. 10A NCAC 09 .3008 FORMATIVE ASSESSMENT-Pass (Phonological Awareness Skills Test) was used as an assessment. I observed assessments in the children’s files. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE-Child were maintained during the visit. 10A NCAC 09 .3010 FAMILY ENGAGEMENT-The program has completed Parent Orientation, and Open House as well as family visits. 10A NCAC 10 .3011 NC PRE-K SITE-LEVEL ADMINISTRATOR QUALIFICATIONS were met. 10A NCAC 09 .3012 NC PRE-K TEACHER EDUCATION, LICENSURE AND CREDENTIALS- the NC Pre-K teachers met the NC Pre-K Qualifications, a Bachelor of Arts in Birth to Kindergarten. 10 A NCAC 09 .3013 NC PRE-K TEACHER ASSISTANT EDUCATION AND CREDENTIALS- The NC Pre-K assistant teachers met compliance. 10A NCAC 09 .3014 NC PRE-K SUSBTITUTE STAFF- There were no substitute teachers present. Nine (9) children’s files were selected and reviewed. Space 103 and 107 had records for children in a notebook. Space 102 had children’s assessment records available in folders. For the records I could not access in a notebook, a classroom folder or the DPI Off -Site Verification Form I used a folder brought to me from the Main Office. Ms. Brailsford assisted me and brought the records. The DPI Off-Site Verification Form for Children’s Records dated August 29, 2024, was accessed in the Program Notebook given to me by Ms. Butler. The number of children enrolled per classroom did not match the number of children listed on the form. One classroom is not in use and One Lead Teacher listed on the forms, Ms. Bost, is no longer employed. Ms. Bost moved into a position as the PE Teacher recently. See violations section in the Visit Summary for more information. The Staff and Training Worksheets were reviewed and met compliance. Health and Safety trainings and certifications were verified in the Program Notebook. There is one (1) child with emergency medication for Type 1 Diabetes. The medication was accessible in the classroom. The Medical Action Plan and permission to administer medication form was not with the emergency medication. However, A Diabetes Medical Plan completed and signed by the physician, the parent and the school nurse was observed in a notebook brought from the main office was reviewed. The school nurse, Nurse Chrstine, was contacted and I spoke with her regarding the DCDEE forms. She asked that I explain the DCDEE requirements and forms to her however during the conversation she referred me to her supervisor, Ms. Robin. Nurse Christine caller and connected me with Nurse Robin. After speaking with Ms. Robin and Michele Sullivan, Licensing Supervisor, we determined that the Diabetes Medication Plan on file would be sufficient to meet licensing requirements today. Please see Technical Assistance for the emergency medication rule. There is not an assigned playground for the NC Pre-K Program, because the playground on site is for children five (5) years old and older. The Lead Teacher, Ms. Butler, stated that materials are provided to support outdoor play, such as balls, bicycles, and chalk in the courtyard area outside the classroom. I observed the materials outside of the classroom area. I was not able to observe outdoor play due to inclement weather. The center does provide transportation, and the following was observed for compliance: Safe pick-up and Delivery statement (Posted), and Emergency Information on Children. The bus used to transport children was not on site. The sanitation inspection was completed May 16, 2024, with a “Superior” classification and ten (10) demerits. The last fire inspection was conducted April 22, 2024. Eight (8) violations were cited today: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. The DPI Off-Site Verification Form for Children's Records classroom lists did not correspond to the number of children enrolled in each classroom. One classroom no longer in use was included with the DPI Off-Site Verification Form. G.S. 110-91(9); .0304(g); .2318 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In Space 103 the refrigerator did not have a thermometer 15A NCAC 18A .2806(j)(2) 807 A safe indoor and outdoor environment was not provided for the children. In Space 102 and 103 a rusted bolt was exposed on the toilet. In Space 102 a locked cabinet would not shut completely allowing a pinch point accessible by children. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space 107 a drop cord without safety plugs was accessible to children. 10A NCAC 09 .0604(c) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. One (1) child's file did not include a parent signature on the transportation policy. .1003(i)(j) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. One child did not have the emergency contact information completed on the form available for review in the file. .0802(c)(1) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. The statement was not included in the Parent Handbook or found on the signature page for Nine (9) children's files. .0604(j) 1871 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with parents of currently enrolled children 0-5 within 30 days of adopting the policy. Five (5) children did not have the policy in the files reviewed. .0608(b) 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 10, 2024 , we 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: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@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: Child Health Assessments: 10A NCAC 09 .3005 (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. We discussed reviewing the medication rules. I suggested to Nurse Robin to contact the nurses at Metro to understand how best to comply with the NCDCDEE rules regarding Medical Action Plans, Emergency Medications and Permission to Administer Medications. I have included the rules references below. Emergency Medications 10A NCAC 09 .0801 (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; Permission to Administer 10A NCAC 09 .1720 MEDICATION REQUIREMENTS A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (A) the child's name; (B) the subject medical conditions or allergic reactions; (C) the names of the authorized over-the-counter medications; (D) the criteria for the administration of the medication; (E) the amount and frequency of the dosages; (F) the manner in which the medication shall be administered; (G) the signature of the parent; (H) the date the authorization was signed by the parent; and (I) the length of time the authorization is valid, if less than six months. 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. Additionally we have resources available specific to NC Pre-K at https://ncchildcare.ncdhhs.gov/Home/DCDEE-Sections/North-Carolina-Pre-Kindergarten-NC-Pre-K 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. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle, https://www.dcdee.moodle.nc.gov/ —a video tutorial followed by a few questions. 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 980-748-6270 or by email at Lisa.Eddins-Smith@dhhs.nc.gov or contact Deanna Matthews at 704-962-7854 or by email at Deanna.Matthews@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 6/5/2024 Number Present: 54 Completed Date: 6/5/2024 Age: From 4 To 5 Total Minutes: 210 Time In: 10:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a Routine Unannounced visit. I was greeted by Lead Teacher Ms. Hillary Bost, and I explained the purpose of the visit. The facility had a Four-Star License issued January 17, 2020, and an eighteen-month compliance history score of eighty (80) percent prior to today’s visit. Upon arrival, I observed the children eating lunch and the children were served the following: Cheeseburgers, corn, mandarin oranges, and milk. After lunch the children returned to the classrooms and washed their hands. The last annual compliance visit was conducted September 27, 2023. The following child care requirements were monitored and observed today using the Child Care Center 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: Staff was current with CPR. First Aid: Staff was current First Aid. Special Training: Staff are continuing to complete required in-service training. CBC Qualification: Each staff member was not current with CBC qualifications, and a violation was cited. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: There are no children with medication; no children with allergies. Storage of Hazardous Substances: I did not observe any hazardous substances that were accessible, they were observed stored properly during the visit. Storage of Medication: Not applicable. General Safety: There were no safety concerns. 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 monthly fire drill and emergency drill and the quarterly drill (shelter-in-place) were reviewed; compliance was met. The playground inspections were up to date. License Posted: The license was observed posted on the information board. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was completed May 16, 2024, with a "Superior" rating and two (2) demerits. The Fire Inspection was completed and approved August 16, 2024, and was approved. Three (3) violations were cited; violations were corrected during the visit. Violation Number Comment Rule 1041 Prior to employment a Criminal Background Check was not completed. A CMS substitute staff member L.S. did not have a Criminal Background Check prior to employment. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. A CMS substitute staff member (L.S.) did not have a staff record for review. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not on file to review for a CMS substitute teacher (L.S.). G.S. 110-90.2(b) & (d) & .2703(e) An Administrative Action may be issued due to the compliance history score. You will be notified in writing of any action taken. 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 June 19, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -Child care staff must have an approved criminal background check approved before employment; is a repeat violation. If staff do not have an approved criminal background check/qualification letter, they will be asked to leave the facility; the NC Pre-K staff has a current letter on file in space 101. The NC Pre-K staff and the Charlotte Mecklenburg School (CMS) staff member (CMS-substitute), were informed that the substitute could not be left alone with children, and that the substitute would not be able to return the following day, because the substitute does not have a valid qualification letter. The CMS staff member was asked to leave the program, and the CMS staff member left; the CMS staff member was provided information on how to obtain a qualification letter. I spoke with Ms. Denise Addison by phone regarding the requirements for CMS staff members that are substitutes for NC Pre-K program. Refer to G.S. 110-90.2(b): (b) The Department shall ensure that, prior to employment and every five years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. -Copies of criminal qualification letters for staff must be kept on file; is a repeat violation. Refer to Child Care Rule NC NCAC 09 .2703(e): (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. -Staff files must be available for review; is a repeat violation. The substitute's file was not available for review. Refer to General Statutes 110-91(9): -Records – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. -All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. At the completion of the visit, this visit summary was reviewed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-91 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 6/5/2024 Number Present: 54 Completed Date: 6/5/2024 Age: From 4 To 5 Total Minutes: 210 Time In: 10:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a Routine Unannounced visit. I was greeted by Lead Teacher Ms. Hillary Bost, and I explained the purpose of the visit. The facility had a Four-Star License issued January 17, 2020, and an eighteen-month compliance history score of eighty (80) percent prior to today’s visit. Upon arrival, I observed the children eating lunch and the children were served the following: Cheeseburgers, corn, mandarin oranges, and milk. After lunch the children returned to the classrooms and washed their hands. The last annual compliance visit was conducted September 27, 2023. The following child care requirements were monitored and observed today using the Child Care Center 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: Staff was current with CPR. First Aid: Staff was current First Aid. Special Training: Staff are continuing to complete required in-service training. CBC Qualification: Each staff member was not current with CBC qualifications, and a violation was cited. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: There are no children with medication; no children with allergies. Storage of Hazardous Substances: I did not observe any hazardous substances that were accessible, they were observed stored properly during the visit. Storage of Medication: Not applicable. General Safety: There were no safety concerns. 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 monthly fire drill and emergency drill and the quarterly drill (shelter-in-place) were reviewed; compliance was met. The playground inspections were up to date. License Posted: The license was observed posted on the information board. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was completed May 16, 2024, with a "Superior" rating and two (2) demerits. The Fire Inspection was completed and approved August 16, 2024, and was approved. Three (3) violations were cited; violations were corrected during the visit. Violation Number Comment Rule 1041 Prior to employment a Criminal Background Check was not completed. A CMS substitute staff member L.S. did not have a Criminal Background Check prior to employment. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. A CMS substitute staff member (L.S.) did not have a staff record for review. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not on file to review for a CMS substitute teacher (L.S.). G.S. 110-90.2(b) & (d) & .2703(e) An Administrative Action may be issued due to the compliance history score. You will be notified in writing of any action taken. 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 June 19, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -Child care staff must have an approved criminal background check approved before employment; is a repeat violation. If staff do not have an approved criminal background check/qualification letter, they will be asked to leave the facility; the NC Pre-K staff has a current letter on file in space 101. The NC Pre-K staff and the Charlotte Mecklenburg School (CMS) staff member (CMS-substitute), were informed that the substitute could not be left alone with children, and that the substitute would not be able to return the following day, because the substitute does not have a valid qualification letter. The CMS staff member was asked to leave the program, and the CMS staff member left; the CMS staff member was provided information on how to obtain a qualification letter. I spoke with Ms. Denise Addison by phone regarding the requirements for CMS staff members that are substitutes for NC Pre-K program. Refer to G.S. 110-90.2(b): (b) The Department shall ensure that, prior to employment and every five years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. -Copies of criminal qualification letters for staff must be kept on file; is a repeat violation. Refer to Child Care Rule NC NCAC 09 .2703(e): (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. -Staff files must be available for review; is a repeat violation. The substitute's file was not available for review. Refer to General Statutes 110-91(9): -Records – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. -All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. At the completion of the visit, this visit summary was reviewed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 6/5/2024 Number Present: 54 Completed Date: 6/5/2024 Age: From 4 To 5 Total Minutes: 210 Time In: 10:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a Routine Unannounced visit. I was greeted by Lead Teacher Ms. Hillary Bost, and I explained the purpose of the visit. The facility had a Four-Star License issued January 17, 2020, and an eighteen-month compliance history score of eighty (80) percent prior to today’s visit. Upon arrival, I observed the children eating lunch and the children were served the following: Cheeseburgers, corn, mandarin oranges, and milk. After lunch the children returned to the classrooms and washed their hands. The last annual compliance visit was conducted September 27, 2023. The following child care requirements were monitored and observed today using the Child Care Center 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: Staff was current with CPR. First Aid: Staff was current First Aid. Special Training: Staff are continuing to complete required in-service training. CBC Qualification: Each staff member was not current with CBC qualifications, and a violation was cited. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: There are no children with medication; no children with allergies. Storage of Hazardous Substances: I did not observe any hazardous substances that were accessible, they were observed stored properly during the visit. Storage of Medication: Not applicable. General Safety: There were no safety concerns. 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 monthly fire drill and emergency drill and the quarterly drill (shelter-in-place) were reviewed; compliance was met. The playground inspections were up to date. License Posted: The license was observed posted on the information board. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was completed May 16, 2024, with a "Superior" rating and two (2) demerits. The Fire Inspection was completed and approved August 16, 2024, and was approved. Three (3) violations were cited; violations were corrected during the visit. Violation Number Comment Rule 1041 Prior to employment a Criminal Background Check was not completed. A CMS substitute staff member L.S. did not have a Criminal Background Check prior to employment. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. A CMS substitute staff member (L.S.) did not have a staff record for review. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not on file to review for a CMS substitute teacher (L.S.). G.S. 110-90.2(b) & (d) & .2703(e) An Administrative Action may be issued due to the compliance history score. You will be notified in writing of any action taken. 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 June 19, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -Child care staff must have an approved criminal background check approved before employment; is a repeat violation. If staff do not have an approved criminal background check/qualification letter, they will be asked to leave the facility; the NC Pre-K staff has a current letter on file in space 101. The NC Pre-K staff and the Charlotte Mecklenburg School (CMS) staff member (CMS-substitute), were informed that the substitute could not be left alone with children, and that the substitute would not be able to return the following day, because the substitute does not have a valid qualification letter. The CMS staff member was asked to leave the program, and the CMS staff member left; the CMS staff member was provided information on how to obtain a qualification letter. I spoke with Ms. Denise Addison by phone regarding the requirements for CMS staff members that are substitutes for NC Pre-K program. Refer to G.S. 110-90.2(b): (b) The Department shall ensure that, prior to employment and every five years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. -Copies of criminal qualification letters for staff must be kept on file; is a repeat violation. Refer to Child Care Rule NC NCAC 09 .2703(e): (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. -Staff files must be available for review; is a repeat violation. The substitute's file was not available for review. Refer to General Statutes 110-91(9): -Records – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. -All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. At the completion of the visit, this visit summary was reviewed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1401 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 3/19/2024 Number Present: 61 Completed Date: 3/19/2024 Age: From 4 To 5 Total Minutes: 207 Time In: 09:03 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during the unannounced follow-up visit on March 8, 2024. Nicole Bruce, Senior Environmental Health Specialist, with Environmental Health Mecklenburg County, accompanied me during the visit. In space 101, I observed the children having circle time. NC Pre-K Coach, NaKeya Brailsford, was present in space 101. I observed in space 102 the children were observed having circle time. In space 103 I observed the children participating in a group activity. In space 103 I observed the children returning to the classroom space, and I observed the children washing their hands. I observed the children in space 107 having circle time. The following violations documented during the March 8, 2024 visit were monitored for compliance during this visit: #103-The number of children present was not within permit capacity; the violation was not corrected. #209-Child used space that was not approved; the violation was not corrected. #1041-Prior to employment a Criminal Background Check was not completed. This violation was corrected. All staff present had completed a Criminal Background Check prior to employment; according to the signed DPI record. #1043-All staff records, except financial records, were not made available for review. This violation was corrected, and records were available for review. #1757-A valid qualification letter was not on file and available to review at the facility. All staff present had a valid qualification letter on file according to the signed DPI record; violation corrected. #301-Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Staff/child ratios and group sizes were met; violation corrected. The following violations were documented today and included two (2) of repeated violations as reflected in the violation customization: #103-The number of children present was not within permit capacity. #209-Children used space that was not approved. #1035-Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. #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. Four (4) violations were cited. Violation Number Comment Rule 103 The number of children present was not within permit capacity. The permit capacity for the facility is fifty-four (54) and the total children present was sixty-one (61). GS 110-91(7) & .1401(f) 209 Children used space that was not approved. Space 107 is not approved child care space, and children were present with staff in space 107. GS 110-91(1)&(4-5) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. A substitute (Visit Teacher, P.R.) in space 101 did not have the required Emergency Information Form on file on or before the first day of work. .0701(a) 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. A substitute (Visit Teacher, P.R.) in space 101 did not have a signed acknowledgment with all the required information. .0608(d)(1-4) An Administrative Action may be issued. You will be notified in writing of any action taken. 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 2, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -As of March 18, 2024, the compliance history score is 75%. The program is expected to maintain a compliance history score of at least 75%. -The number of children present was not within permit capacity. The license capacity is fifty-four (54), and there were sixty-one (61) children present; is a repeat violation. Refer to Child Care Rule 10A NCAC 09 .1401(f). -Child care space 107 is not an approved child care space. Refer to G.S. 110-91(1) & (4-5). -Child care providers, including the director, uncompensated providers, substitute providers, and volunteers must have the required Emergency Information Form on file on or before the first day of work, and the form must be updated annually. Refer to Child Care Rule 10A NCAC 09 .0701(a). -The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information must be maintained in the staff person's file. Refer to Child Care Rule 10A NCAC 09. 0608(d)(1-4). -Based on review of space 107 by Ms. Bruce, a new water heater under the sink was removed and a slightly larger water heater was installed in the ceiling above the sink. The plumbing and electrical components look new, and not preexisting. The water heater maxed out at 117F. Correct range is 80-110F. Water heater loses temp quickly. Recommend keeping water heater hot and adding a mixing valve to regulate the temperature. The new water heater needs to pass inspection from Code Enforcement. At the completion of the visit, this visit summary was reviewed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0701 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 3/19/2024 Number Present: 61 Completed Date: 3/19/2024 Age: From 4 To 5 Total Minutes: 207 Time In: 09:03 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during the unannounced follow-up visit on March 8, 2024. Nicole Bruce, Senior Environmental Health Specialist, with Environmental Health Mecklenburg County, accompanied me during the visit. In space 101, I observed the children having circle time. NC Pre-K Coach, NaKeya Brailsford, was present in space 101. I observed in space 102 the children were observed having circle time. In space 103 I observed the children participating in a group activity. In space 103 I observed the children returning to the classroom space, and I observed the children washing their hands. I observed the children in space 107 having circle time. The following violations documented during the March 8, 2024 visit were monitored for compliance during this visit: #103-The number of children present was not within permit capacity; the violation was not corrected. #209-Child used space that was not approved; the violation was not corrected. #1041-Prior to employment a Criminal Background Check was not completed. This violation was corrected. All staff present had completed a Criminal Background Check prior to employment; according to the signed DPI record. #1043-All staff records, except financial records, were not made available for review. This violation was corrected, and records were available for review. #1757-A valid qualification letter was not on file and available to review at the facility. All staff present had a valid qualification letter on file according to the signed DPI record; violation corrected. #301-Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Staff/child ratios and group sizes were met; violation corrected. The following violations were documented today and included two (2) of repeated violations as reflected in the violation customization: #103-The number of children present was not within permit capacity. #209-Children used space that was not approved. #1035-Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. #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. Four (4) violations were cited. Violation Number Comment Rule 103 The number of children present was not within permit capacity. The permit capacity for the facility is fifty-four (54) and the total children present was sixty-one (61). GS 110-91(7) & .1401(f) 209 Children used space that was not approved. Space 107 is not approved child care space, and children were present with staff in space 107. GS 110-91(1)&(4-5) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. A substitute (Visit Teacher, P.R.) in space 101 did not have the required Emergency Information Form on file on or before the first day of work. .0701(a) 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. A substitute (Visit Teacher, P.R.) in space 101 did not have a signed acknowledgment with all the required information. .0608(d)(1-4) An Administrative Action may be issued. You will be notified in writing of any action taken. 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 2, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -As of March 18, 2024, the compliance history score is 75%. The program is expected to maintain a compliance history score of at least 75%. -The number of children present was not within permit capacity. The license capacity is fifty-four (54), and there were sixty-one (61) children present; is a repeat violation. Refer to Child Care Rule 10A NCAC 09 .1401(f). -Child care space 107 is not an approved child care space. Refer to G.S. 110-91(1) & (4-5). -Child care providers, including the director, uncompensated providers, substitute providers, and volunteers must have the required Emergency Information Form on file on or before the first day of work, and the form must be updated annually. Refer to Child Care Rule 10A NCAC 09 .0701(a). -The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information must be maintained in the staff person's file. Refer to Child Care Rule 10A NCAC 09. 0608(d)(1-4). -Based on review of space 107 by Ms. Bruce, a new water heater under the sink was removed and a slightly larger water heater was installed in the ceiling above the sink. The plumbing and electrical components look new, and not preexisting. The water heater maxed out at 117F. Correct range is 80-110F. Water heater loses temp quickly. Recommend keeping water heater hot and adding a mixing valve to regulate the temperature. The new water heater needs to pass inspection from Code Enforcement. At the completion of the visit, this visit summary was reviewed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09. 0608 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 3/19/2024 Number Present: 61 Completed Date: 3/19/2024 Age: From 4 To 5 Total Minutes: 207 Time In: 09:03 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during the unannounced follow-up visit on March 8, 2024. Nicole Bruce, Senior Environmental Health Specialist, with Environmental Health Mecklenburg County, accompanied me during the visit. In space 101, I observed the children having circle time. NC Pre-K Coach, NaKeya Brailsford, was present in space 101. I observed in space 102 the children were observed having circle time. In space 103 I observed the children participating in a group activity. In space 103 I observed the children returning to the classroom space, and I observed the children washing their hands. I observed the children in space 107 having circle time. The following violations documented during the March 8, 2024 visit were monitored for compliance during this visit: #103-The number of children present was not within permit capacity; the violation was not corrected. #209-Child used space that was not approved; the violation was not corrected. #1041-Prior to employment a Criminal Background Check was not completed. This violation was corrected. All staff present had completed a Criminal Background Check prior to employment; according to the signed DPI record. #1043-All staff records, except financial records, were not made available for review. This violation was corrected, and records were available for review. #1757-A valid qualification letter was not on file and available to review at the facility. All staff present had a valid qualification letter on file according to the signed DPI record; violation corrected. #301-Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Staff/child ratios and group sizes were met; violation corrected. The following violations were documented today and included two (2) of repeated violations as reflected in the violation customization: #103-The number of children present was not within permit capacity. #209-Children used space that was not approved. #1035-Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. #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. Four (4) violations were cited. Violation Number Comment Rule 103 The number of children present was not within permit capacity. The permit capacity for the facility is fifty-four (54) and the total children present was sixty-one (61). GS 110-91(7) & .1401(f) 209 Children used space that was not approved. Space 107 is not approved child care space, and children were present with staff in space 107. GS 110-91(1)&(4-5) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. A substitute (Visit Teacher, P.R.) in space 101 did not have the required Emergency Information Form on file on or before the first day of work. .0701(a) 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. A substitute (Visit Teacher, P.R.) in space 101 did not have a signed acknowledgment with all the required information. .0608(d)(1-4) An Administrative Action may be issued. You will be notified in writing of any action taken. 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 2, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -As of March 18, 2024, the compliance history score is 75%. The program is expected to maintain a compliance history score of at least 75%. -The number of children present was not within permit capacity. The license capacity is fifty-four (54), and there were sixty-one (61) children present; is a repeat violation. Refer to Child Care Rule 10A NCAC 09 .1401(f). -Child care space 107 is not an approved child care space. Refer to G.S. 110-91(1) & (4-5). -Child care providers, including the director, uncompensated providers, substitute providers, and volunteers must have the required Emergency Information Form on file on or before the first day of work, and the form must be updated annually. Refer to Child Care Rule 10A NCAC 09 .0701(a). -The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information must be maintained in the staff person's file. Refer to Child Care Rule 10A NCAC 09. 0608(d)(1-4). -Based on review of space 107 by Ms. Bruce, a new water heater under the sink was removed and a slightly larger water heater was installed in the ceiling above the sink. The plumbing and electrical components look new, and not preexisting. The water heater maxed out at 117F. Correct range is 80-110F. Water heater loses temp quickly. Recommend keeping water heater hot and adding a mixing valve to regulate the temperature. The new water heater needs to pass inspection from Code Enforcement. At the completion of the visit, this visit summary was reviewed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 3/19/2024 Number Present: 61 Completed Date: 3/19/2024 Age: From 4 To 5 Total Minutes: 207 Time In: 09:03 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during the unannounced follow-up visit on March 8, 2024. Nicole Bruce, Senior Environmental Health Specialist, with Environmental Health Mecklenburg County, accompanied me during the visit. In space 101, I observed the children having circle time. NC Pre-K Coach, NaKeya Brailsford, was present in space 101. I observed in space 102 the children were observed having circle time. In space 103 I observed the children participating in a group activity. In space 103 I observed the children returning to the classroom space, and I observed the children washing their hands. I observed the children in space 107 having circle time. The following violations documented during the March 8, 2024 visit were monitored for compliance during this visit: #103-The number of children present was not within permit capacity; the violation was not corrected. #209-Child used space that was not approved; the violation was not corrected. #1041-Prior to employment a Criminal Background Check was not completed. This violation was corrected. All staff present had completed a Criminal Background Check prior to employment; according to the signed DPI record. #1043-All staff records, except financial records, were not made available for review. This violation was corrected, and records were available for review. #1757-A valid qualification letter was not on file and available to review at the facility. All staff present had a valid qualification letter on file according to the signed DPI record; violation corrected. #301-Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Staff/child ratios and group sizes were met; violation corrected. The following violations were documented today and included two (2) of repeated violations as reflected in the violation customization: #103-The number of children present was not within permit capacity. #209-Children used space that was not approved. #1035-Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. #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. Four (4) violations were cited. Violation Number Comment Rule 103 The number of children present was not within permit capacity. The permit capacity for the facility is fifty-four (54) and the total children present was sixty-one (61). GS 110-91(7) & .1401(f) 209 Children used space that was not approved. Space 107 is not approved child care space, and children were present with staff in space 107. GS 110-91(1)&(4-5) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. A substitute (Visit Teacher, P.R.) in space 101 did not have the required Emergency Information Form on file on or before the first day of work. .0701(a) 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. A substitute (Visit Teacher, P.R.) in space 101 did not have a signed acknowledgment with all the required information. .0608(d)(1-4) An Administrative Action may be issued. You will be notified in writing of any action taken. 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 2, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -As of March 18, 2024, the compliance history score is 75%. The program is expected to maintain a compliance history score of at least 75%. -The number of children present was not within permit capacity. The license capacity is fifty-four (54), and there were sixty-one (61) children present; is a repeat violation. Refer to Child Care Rule 10A NCAC 09 .1401(f). -Child care space 107 is not an approved child care space. Refer to G.S. 110-91(1) & (4-5). -Child care providers, including the director, uncompensated providers, substitute providers, and volunteers must have the required Emergency Information Form on file on or before the first day of work, and the form must be updated annually. Refer to Child Care Rule 10A NCAC 09 .0701(a). -The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information must be maintained in the staff person's file. Refer to Child Care Rule 10A NCAC 09. 0608(d)(1-4). -Based on review of space 107 by Ms. Bruce, a new water heater under the sink was removed and a slightly larger water heater was installed in the ceiling above the sink. The plumbing and electrical components look new, and not preexisting. The water heater maxed out at 117F. Correct range is 80-110F. Water heater loses temp quickly. Recommend keeping water heater hot and adding a mixing valve to regulate the temperature. The new water heater needs to pass inspection from Code Enforcement. At the completion of the visit, this visit summary was reviewed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 3/19/2024 Number Present: 61 Completed Date: 3/19/2024 Age: From 4 To 5 Total Minutes: 207 Time In: 09:03 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during the unannounced follow-up visit on March 8, 2024. Nicole Bruce, Senior Environmental Health Specialist, with Environmental Health Mecklenburg County, accompanied me during the visit. In space 101, I observed the children having circle time. NC Pre-K Coach, NaKeya Brailsford, was present in space 101. I observed in space 102 the children were observed having circle time. In space 103 I observed the children participating in a group activity. In space 103 I observed the children returning to the classroom space, and I observed the children washing their hands. I observed the children in space 107 having circle time. The following violations documented during the March 8, 2024 visit were monitored for compliance during this visit: #103-The number of children present was not within permit capacity; the violation was not corrected. #209-Child used space that was not approved; the violation was not corrected. #1041-Prior to employment a Criminal Background Check was not completed. This violation was corrected. All staff present had completed a Criminal Background Check prior to employment; according to the signed DPI record. #1043-All staff records, except financial records, were not made available for review. This violation was corrected, and records were available for review. #1757-A valid qualification letter was not on file and available to review at the facility. All staff present had a valid qualification letter on file according to the signed DPI record; violation corrected. #301-Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Staff/child ratios and group sizes were met; violation corrected. The following violations were documented today and included two (2) of repeated violations as reflected in the violation customization: #103-The number of children present was not within permit capacity. #209-Children used space that was not approved. #1035-Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. #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. Four (4) violations were cited. Violation Number Comment Rule 103 The number of children present was not within permit capacity. The permit capacity for the facility is fifty-four (54) and the total children present was sixty-one (61). GS 110-91(7) & .1401(f) 209 Children used space that was not approved. Space 107 is not approved child care space, and children were present with staff in space 107. GS 110-91(1)&(4-5) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. A substitute (Visit Teacher, P.R.) in space 101 did not have the required Emergency Information Form on file on or before the first day of work. .0701(a) 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. A substitute (Visit Teacher, P.R.) in space 101 did not have a signed acknowledgment with all the required information. .0608(d)(1-4) An Administrative Action may be issued. You will be notified in writing of any action taken. 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 2, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -As of March 18, 2024, the compliance history score is 75%. The program is expected to maintain a compliance history score of at least 75%. -The number of children present was not within permit capacity. The license capacity is fifty-four (54), and there were sixty-one (61) children present; is a repeat violation. Refer to Child Care Rule 10A NCAC 09 .1401(f). -Child care space 107 is not an approved child care space. Refer to G.S. 110-91(1) & (4-5). -Child care providers, including the director, uncompensated providers, substitute providers, and volunteers must have the required Emergency Information Form on file on or before the first day of work, and the form must be updated annually. Refer to Child Care Rule 10A NCAC 09 .0701(a). -The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information must be maintained in the staff person's file. Refer to Child Care Rule 10A NCAC 09. 0608(d)(1-4). -Based on review of space 107 by Ms. Bruce, a new water heater under the sink was removed and a slightly larger water heater was installed in the ceiling above the sink. The plumbing and electrical components look new, and not preexisting. The water heater maxed out at 117F. Correct range is 80-110F. Water heater loses temp quickly. Recommend keeping water heater hot and adding a mixing valve to regulate the temperature. The new water heater needs to pass inspection from Code Enforcement. At the completion of the visit, this visit summary was reviewed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 3/19/2024 Number Present: 61 Completed Date: 3/19/2024 Age: From 4 To 5 Total Minutes: 207 Time In: 09:03 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during the unannounced follow-up visit on March 8, 2024. Nicole Bruce, Senior Environmental Health Specialist, with Environmental Health Mecklenburg County, accompanied me during the visit. In space 101, I observed the children having circle time. NC Pre-K Coach, NaKeya Brailsford, was present in space 101. I observed in space 102 the children were observed having circle time. In space 103 I observed the children participating in a group activity. In space 103 I observed the children returning to the classroom space, and I observed the children washing their hands. I observed the children in space 107 having circle time. The following violations documented during the March 8, 2024 visit were monitored for compliance during this visit: #103-The number of children present was not within permit capacity; the violation was not corrected. #209-Child used space that was not approved; the violation was not corrected. #1041-Prior to employment a Criminal Background Check was not completed. This violation was corrected. All staff present had completed a Criminal Background Check prior to employment; according to the signed DPI record. #1043-All staff records, except financial records, were not made available for review. This violation was corrected, and records were available for review. #1757-A valid qualification letter was not on file and available to review at the facility. All staff present had a valid qualification letter on file according to the signed DPI record; violation corrected. #301-Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Staff/child ratios and group sizes were met; violation corrected. The following violations were documented today and included two (2) of repeated violations as reflected in the violation customization: #103-The number of children present was not within permit capacity. #209-Children used space that was not approved. #1035-Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. #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. Four (4) violations were cited. Violation Number Comment Rule 103 The number of children present was not within permit capacity. The permit capacity for the facility is fifty-four (54) and the total children present was sixty-one (61). GS 110-91(7) & .1401(f) 209 Children used space that was not approved. Space 107 is not approved child care space, and children were present with staff in space 107. GS 110-91(1)&(4-5) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. A substitute (Visit Teacher, P.R.) in space 101 did not have the required Emergency Information Form on file on or before the first day of work. .0701(a) 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. A substitute (Visit Teacher, P.R.) in space 101 did not have a signed acknowledgment with all the required information. .0608(d)(1-4) An Administrative Action may be issued. You will be notified in writing of any action taken. 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 2, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -As of March 18, 2024, the compliance history score is 75%. The program is expected to maintain a compliance history score of at least 75%. -The number of children present was not within permit capacity. The license capacity is fifty-four (54), and there were sixty-one (61) children present; is a repeat violation. Refer to Child Care Rule 10A NCAC 09 .1401(f). -Child care space 107 is not an approved child care space. Refer to G.S. 110-91(1) & (4-5). -Child care providers, including the director, uncompensated providers, substitute providers, and volunteers must have the required Emergency Information Form on file on or before the first day of work, and the form must be updated annually. Refer to Child Care Rule 10A NCAC 09 .0701(a). -The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information must be maintained in the staff person's file. Refer to Child Care Rule 10A NCAC 09. 0608(d)(1-4). -Based on review of space 107 by Ms. Bruce, a new water heater under the sink was removed and a slightly larger water heater was installed in the ceiling above the sink. The plumbing and electrical components look new, and not preexisting. The water heater maxed out at 117F. Correct range is 80-110F. Water heater loses temp quickly. Recommend keeping water heater hot and adding a mixing valve to regulate the temperature. The new water heater needs to pass inspection from Code Enforcement. At the completion of the visit, this visit summary was reviewed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1401 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 3/8/2024 Number Present: 60 Completed Date: 3/8/2024 Age: From 4 To 5 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during the unannounced follow-up visit on February 8, 2024. In space 101, I observed the children having circle time. A violation was cited because the CMS Substitute Teacher did not have a current criminal qualification letter on file; teacher was asked to leave the program. I observed in space 102, the children having circle time. In space 103, I observed one (1) teacher present with fifteen children present; class out of ratio and a violation was cited. The assistant teacher (CMS Substitute) returned to the space 103 with a student. I observed the children in space 107 having circle time. The enrollment during the visit was over capacity, and a violation was cited. The following violations documented during the February 8, 2024 visit were monitored for compliance during this visit: #103-The number of children present was not within permit capacity; the violation was not corrected. #209-Child used space that was not approved; the violation was not corrected. The following violations were documented today and included five (5) of repeated violations as reflected in the violation customization: #103-The number of children present was not within permit capacity. #209-Children used space that was not approved. #1041-Prior to employment a Criminal Background Check was not completed. #1043-All staff records, except financial records, were not made available for review. #1757-A valid qualification letter was not on file and available to review at the facility. #301-Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Six (6) violations were cited. Violation Number Comment Rule 103 The number of children present was not within permit capacity. The permit capacity for the facility is 54 and the total children present was 56. GS 110-91(7) & .1401(f) 209 Children used space that was not approved. Space 107 is not approved child care space. GS 110-91(1)&(4-5) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. One (1) teacher was present with fifteen (15) children present. GS 110-91(7);.0713(a-d) 1041 Prior to employment a Criminal Background Check was not completed. A CMS Substitute (B.G.) in child care space 101 did not have Criminal Background Check completed. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. A record was not available for staff (B.G.) in child care space 101; DPI form incomplete (signature). G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. CMS Staff (B.G.) in child care space 101 did not have a qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) An Administrative Action may be issued. You will be notified in writing of any action taken. 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 22, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -As of March 7, 2024, the compliance history score is 77%. The program is expected to maintain a compliance history score of at least 75%. -The number of children present was not within permit capacity. The license capacity is fifty-four (54), and there were sixty (60) children present; is a repeat violation. Refer to Child Care Rule 10A NCAC 09 .1401(f). -Child care space 107 is not an approved child care space. Refer to G.S. 110-91(1) & (4-5). -Staff/child ratios must be maintained at all times. The ratio for NC Pre-K is 1:10/2:20. Refer to Child Care Rule 10A NCAC 09 . 0713 (a-e) and Session Law 2023-134; Section 9D.1.(al). -Child care staff must have an approved criminal background check approved before employment; is a repeat violation. If staff do not have an approved criminal background check/qualification letter, they will be asked to leave the facility; the NC Pre-K staff has a current letter on file in space 101. The NC Pre-K staff and the Charlotte Mecklenburg School (CMS) staff member (CMS-substitute), were informed that the substitute could not be left alone with children, and that the substitute would not be able to return the following day, because the substitute does not have a valid qualification letter. I spoke to the school's Assistant Principal, Ms. Dorothy Dae, regarding the requirements for the qualification letter(s) for CMS Substitute staff. I spoke with Ms. Denise Addison, NC Pre-K Administer, regarding qualification letters. Refer to G.S. 110-90.2(b): (b) The Department shall ensure that, prior to employment and every five years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. -Copies of criminal qualification letters for staff must be kept on file; is a repeat violation. Refer to Child Care Rule NC NCAC 09 .2703(e): (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. -Staff files must be available for review; is a repeat violation. The substitute's file was not available for review. Refer to General Statutes 110-91(9): -Records – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. -All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. -I spoke with Mr. Ray, the school's Custodian, and Mr. Ray stated that the hot water issue for space 107 has not been resolved. At the completion of the visit, this visit summary was reviewed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 . 0713 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 3/8/2024 Number Present: 60 Completed Date: 3/8/2024 Age: From 4 To 5 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during the unannounced follow-up visit on February 8, 2024. In space 101, I observed the children having circle time. A violation was cited because the CMS Substitute Teacher did not have a current criminal qualification letter on file; teacher was asked to leave the program. I observed in space 102, the children having circle time. In space 103, I observed one (1) teacher present with fifteen children present; class out of ratio and a violation was cited. The assistant teacher (CMS Substitute) returned to the space 103 with a student. I observed the children in space 107 having circle time. The enrollment during the visit was over capacity, and a violation was cited. The following violations documented during the February 8, 2024 visit were monitored for compliance during this visit: #103-The number of children present was not within permit capacity; the violation was not corrected. #209-Child used space that was not approved; the violation was not corrected. The following violations were documented today and included five (5) of repeated violations as reflected in the violation customization: #103-The number of children present was not within permit capacity. #209-Children used space that was not approved. #1041-Prior to employment a Criminal Background Check was not completed. #1043-All staff records, except financial records, were not made available for review. #1757-A valid qualification letter was not on file and available to review at the facility. #301-Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Six (6) violations were cited. Violation Number Comment Rule 103 The number of children present was not within permit capacity. The permit capacity for the facility is 54 and the total children present was 56. GS 110-91(7) & .1401(f) 209 Children used space that was not approved. Space 107 is not approved child care space. GS 110-91(1)&(4-5) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. One (1) teacher was present with fifteen (15) children present. GS 110-91(7);.0713(a-d) 1041 Prior to employment a Criminal Background Check was not completed. A CMS Substitute (B.G.) in child care space 101 did not have Criminal Background Check completed. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. A record was not available for staff (B.G.) in child care space 101; DPI form incomplete (signature). G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. CMS Staff (B.G.) in child care space 101 did not have a qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) An Administrative Action may be issued. You will be notified in writing of any action taken. 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 22, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -As of March 7, 2024, the compliance history score is 77%. The program is expected to maintain a compliance history score of at least 75%. -The number of children present was not within permit capacity. The license capacity is fifty-four (54), and there were sixty (60) children present; is a repeat violation. Refer to Child Care Rule 10A NCAC 09 .1401(f). -Child care space 107 is not an approved child care space. Refer to G.S. 110-91(1) & (4-5). -Staff/child ratios must be maintained at all times. The ratio for NC Pre-K is 1:10/2:20. Refer to Child Care Rule 10A NCAC 09 . 0713 (a-e) and Session Law 2023-134; Section 9D.1.(al). -Child care staff must have an approved criminal background check approved before employment; is a repeat violation. If staff do not have an approved criminal background check/qualification letter, they will be asked to leave the facility; the NC Pre-K staff has a current letter on file in space 101. The NC Pre-K staff and the Charlotte Mecklenburg School (CMS) staff member (CMS-substitute), were informed that the substitute could not be left alone with children, and that the substitute would not be able to return the following day, because the substitute does not have a valid qualification letter. I spoke to the school's Assistant Principal, Ms. Dorothy Dae, regarding the requirements for the qualification letter(s) for CMS Substitute staff. I spoke with Ms. Denise Addison, NC Pre-K Administer, regarding qualification letters. Refer to G.S. 110-90.2(b): (b) The Department shall ensure that, prior to employment and every five years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. -Copies of criminal qualification letters for staff must be kept on file; is a repeat violation. Refer to Child Care Rule NC NCAC 09 .2703(e): (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. -Staff files must be available for review; is a repeat violation. The substitute's file was not available for review. Refer to General Statutes 110-91(9): -Records – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. -All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. -I spoke with Mr. Ray, the school's Custodian, and Mr. Ray stated that the hot water issue for space 107 has not been resolved. At the completion of the visit, this visit summary was reviewed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 3/8/2024 Number Present: 60 Completed Date: 3/8/2024 Age: From 4 To 5 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during the unannounced follow-up visit on February 8, 2024. In space 101, I observed the children having circle time. A violation was cited because the CMS Substitute Teacher did not have a current criminal qualification letter on file; teacher was asked to leave the program. I observed in space 102, the children having circle time. In space 103, I observed one (1) teacher present with fifteen children present; class out of ratio and a violation was cited. The assistant teacher (CMS Substitute) returned to the space 103 with a student. I observed the children in space 107 having circle time. The enrollment during the visit was over capacity, and a violation was cited. The following violations documented during the February 8, 2024 visit were monitored for compliance during this visit: #103-The number of children present was not within permit capacity; the violation was not corrected. #209-Child used space that was not approved; the violation was not corrected. The following violations were documented today and included five (5) of repeated violations as reflected in the violation customization: #103-The number of children present was not within permit capacity. #209-Children used space that was not approved. #1041-Prior to employment a Criminal Background Check was not completed. #1043-All staff records, except financial records, were not made available for review. #1757-A valid qualification letter was not on file and available to review at the facility. #301-Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Six (6) violations were cited. Violation Number Comment Rule 103 The number of children present was not within permit capacity. The permit capacity for the facility is 54 and the total children present was 56. GS 110-91(7) & .1401(f) 209 Children used space that was not approved. Space 107 is not approved child care space. GS 110-91(1)&(4-5) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. One (1) teacher was present with fifteen (15) children present. GS 110-91(7);.0713(a-d) 1041 Prior to employment a Criminal Background Check was not completed. A CMS Substitute (B.G.) in child care space 101 did not have Criminal Background Check completed. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. A record was not available for staff (B.G.) in child care space 101; DPI form incomplete (signature). G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. CMS Staff (B.G.) in child care space 101 did not have a qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) An Administrative Action may be issued. You will be notified in writing of any action taken. 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 22, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -As of March 7, 2024, the compliance history score is 77%. The program is expected to maintain a compliance history score of at least 75%. -The number of children present was not within permit capacity. The license capacity is fifty-four (54), and there were sixty (60) children present; is a repeat violation. Refer to Child Care Rule 10A NCAC 09 .1401(f). -Child care space 107 is not an approved child care space. Refer to G.S. 110-91(1) & (4-5). -Staff/child ratios must be maintained at all times. The ratio for NC Pre-K is 1:10/2:20. Refer to Child Care Rule 10A NCAC 09 . 0713 (a-e) and Session Law 2023-134; Section 9D.1.(al). -Child care staff must have an approved criminal background check approved before employment; is a repeat violation. If staff do not have an approved criminal background check/qualification letter, they will be asked to leave the facility; the NC Pre-K staff has a current letter on file in space 101. The NC Pre-K staff and the Charlotte Mecklenburg School (CMS) staff member (CMS-substitute), were informed that the substitute could not be left alone with children, and that the substitute would not be able to return the following day, because the substitute does not have a valid qualification letter. I spoke to the school's Assistant Principal, Ms. Dorothy Dae, regarding the requirements for the qualification letter(s) for CMS Substitute staff. I spoke with Ms. Denise Addison, NC Pre-K Administer, regarding qualification letters. Refer to G.S. 110-90.2(b): (b) The Department shall ensure that, prior to employment and every five years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. -Copies of criminal qualification letters for staff must be kept on file; is a repeat violation. Refer to Child Care Rule NC NCAC 09 .2703(e): (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. -Staff files must be available for review; is a repeat violation. The substitute's file was not available for review. Refer to General Statutes 110-91(9): -Records – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. -All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. -I spoke with Mr. Ray, the school's Custodian, and Mr. Ray stated that the hot water issue for space 107 has not been resolved. At the completion of the visit, this visit summary was reviewed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 3/8/2024 Number Present: 60 Completed Date: 3/8/2024 Age: From 4 To 5 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during the unannounced follow-up visit on February 8, 2024. In space 101, I observed the children having circle time. A violation was cited because the CMS Substitute Teacher did not have a current criminal qualification letter on file; teacher was asked to leave the program. I observed in space 102, the children having circle time. In space 103, I observed one (1) teacher present with fifteen children present; class out of ratio and a violation was cited. The assistant teacher (CMS Substitute) returned to the space 103 with a student. I observed the children in space 107 having circle time. The enrollment during the visit was over capacity, and a violation was cited. The following violations documented during the February 8, 2024 visit were monitored for compliance during this visit: #103-The number of children present was not within permit capacity; the violation was not corrected. #209-Child used space that was not approved; the violation was not corrected. The following violations were documented today and included five (5) of repeated violations as reflected in the violation customization: #103-The number of children present was not within permit capacity. #209-Children used space that was not approved. #1041-Prior to employment a Criminal Background Check was not completed. #1043-All staff records, except financial records, were not made available for review. #1757-A valid qualification letter was not on file and available to review at the facility. #301-Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Six (6) violations were cited. Violation Number Comment Rule 103 The number of children present was not within permit capacity. The permit capacity for the facility is 54 and the total children present was 56. GS 110-91(7) & .1401(f) 209 Children used space that was not approved. Space 107 is not approved child care space. GS 110-91(1)&(4-5) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. One (1) teacher was present with fifteen (15) children present. GS 110-91(7);.0713(a-d) 1041 Prior to employment a Criminal Background Check was not completed. A CMS Substitute (B.G.) in child care space 101 did not have Criminal Background Check completed. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. A record was not available for staff (B.G.) in child care space 101; DPI form incomplete (signature). G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. CMS Staff (B.G.) in child care space 101 did not have a qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) An Administrative Action may be issued. You will be notified in writing of any action taken. 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 22, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -As of March 7, 2024, the compliance history score is 77%. The program is expected to maintain a compliance history score of at least 75%. -The number of children present was not within permit capacity. The license capacity is fifty-four (54), and there were sixty (60) children present; is a repeat violation. Refer to Child Care Rule 10A NCAC 09 .1401(f). -Child care space 107 is not an approved child care space. Refer to G.S. 110-91(1) & (4-5). -Staff/child ratios must be maintained at all times. The ratio for NC Pre-K is 1:10/2:20. Refer to Child Care Rule 10A NCAC 09 . 0713 (a-e) and Session Law 2023-134; Section 9D.1.(al). -Child care staff must have an approved criminal background check approved before employment; is a repeat violation. If staff do not have an approved criminal background check/qualification letter, they will be asked to leave the facility; the NC Pre-K staff has a current letter on file in space 101. The NC Pre-K staff and the Charlotte Mecklenburg School (CMS) staff member (CMS-substitute), were informed that the substitute could not be left alone with children, and that the substitute would not be able to return the following day, because the substitute does not have a valid qualification letter. I spoke to the school's Assistant Principal, Ms. Dorothy Dae, regarding the requirements for the qualification letter(s) for CMS Substitute staff. I spoke with Ms. Denise Addison, NC Pre-K Administer, regarding qualification letters. Refer to G.S. 110-90.2(b): (b) The Department shall ensure that, prior to employment and every five years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. -Copies of criminal qualification letters for staff must be kept on file; is a repeat violation. Refer to Child Care Rule NC NCAC 09 .2703(e): (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. -Staff files must be available for review; is a repeat violation. The substitute's file was not available for review. Refer to General Statutes 110-91(9): -Records – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. -All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. -I spoke with Mr. Ray, the school's Custodian, and Mr. Ray stated that the hot water issue for space 107 has not been resolved. At the completion of the visit, this visit summary was reviewed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 3/8/2024 Number Present: 60 Completed Date: 3/8/2024 Age: From 4 To 5 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during the unannounced follow-up visit on February 8, 2024. In space 101, I observed the children having circle time. A violation was cited because the CMS Substitute Teacher did not have a current criminal qualification letter on file; teacher was asked to leave the program. I observed in space 102, the children having circle time. In space 103, I observed one (1) teacher present with fifteen children present; class out of ratio and a violation was cited. The assistant teacher (CMS Substitute) returned to the space 103 with a student. I observed the children in space 107 having circle time. The enrollment during the visit was over capacity, and a violation was cited. The following violations documented during the February 8, 2024 visit were monitored for compliance during this visit: #103-The number of children present was not within permit capacity; the violation was not corrected. #209-Child used space that was not approved; the violation was not corrected. The following violations were documented today and included five (5) of repeated violations as reflected in the violation customization: #103-The number of children present was not within permit capacity. #209-Children used space that was not approved. #1041-Prior to employment a Criminal Background Check was not completed. #1043-All staff records, except financial records, were not made available for review. #1757-A valid qualification letter was not on file and available to review at the facility. #301-Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Six (6) violations were cited. Violation Number Comment Rule 103 The number of children present was not within permit capacity. The permit capacity for the facility is 54 and the total children present was 56. GS 110-91(7) & .1401(f) 209 Children used space that was not approved. Space 107 is not approved child care space. GS 110-91(1)&(4-5) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. One (1) teacher was present with fifteen (15) children present. GS 110-91(7);.0713(a-d) 1041 Prior to employment a Criminal Background Check was not completed. A CMS Substitute (B.G.) in child care space 101 did not have Criminal Background Check completed. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. A record was not available for staff (B.G.) in child care space 101; DPI form incomplete (signature). G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. CMS Staff (B.G.) in child care space 101 did not have a qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) An Administrative Action may be issued. You will be notified in writing of any action taken. 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 22, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -As of March 7, 2024, the compliance history score is 77%. The program is expected to maintain a compliance history score of at least 75%. -The number of children present was not within permit capacity. The license capacity is fifty-four (54), and there were sixty (60) children present; is a repeat violation. Refer to Child Care Rule 10A NCAC 09 .1401(f). -Child care space 107 is not an approved child care space. Refer to G.S. 110-91(1) & (4-5). -Staff/child ratios must be maintained at all times. The ratio for NC Pre-K is 1:10/2:20. Refer to Child Care Rule 10A NCAC 09 . 0713 (a-e) and Session Law 2023-134; Section 9D.1.(al). -Child care staff must have an approved criminal background check approved before employment; is a repeat violation. If staff do not have an approved criminal background check/qualification letter, they will be asked to leave the facility; the NC Pre-K staff has a current letter on file in space 101. The NC Pre-K staff and the Charlotte Mecklenburg School (CMS) staff member (CMS-substitute), were informed that the substitute could not be left alone with children, and that the substitute would not be able to return the following day, because the substitute does not have a valid qualification letter. I spoke to the school's Assistant Principal, Ms. Dorothy Dae, regarding the requirements for the qualification letter(s) for CMS Substitute staff. I spoke with Ms. Denise Addison, NC Pre-K Administer, regarding qualification letters. Refer to G.S. 110-90.2(b): (b) The Department shall ensure that, prior to employment and every five years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. -Copies of criminal qualification letters for staff must be kept on file; is a repeat violation. Refer to Child Care Rule NC NCAC 09 .2703(e): (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. -Staff files must be available for review; is a repeat violation. The substitute's file was not available for review. Refer to General Statutes 110-91(9): -Records – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. -All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. -I spoke with Mr. Ray, the school's Custodian, and Mr. Ray stated that the hot water issue for space 107 has not been resolved. At the completion of the visit, this visit summary was reviewed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 3/8/2024 Number Present: 60 Completed Date: 3/8/2024 Age: From 4 To 5 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during the unannounced follow-up visit on February 8, 2024. In space 101, I observed the children having circle time. A violation was cited because the CMS Substitute Teacher did not have a current criminal qualification letter on file; teacher was asked to leave the program. I observed in space 102, the children having circle time. In space 103, I observed one (1) teacher present with fifteen children present; class out of ratio and a violation was cited. The assistant teacher (CMS Substitute) returned to the space 103 with a student. I observed the children in space 107 having circle time. The enrollment during the visit was over capacity, and a violation was cited. The following violations documented during the February 8, 2024 visit were monitored for compliance during this visit: #103-The number of children present was not within permit capacity; the violation was not corrected. #209-Child used space that was not approved; the violation was not corrected. The following violations were documented today and included five (5) of repeated violations as reflected in the violation customization: #103-The number of children present was not within permit capacity. #209-Children used space that was not approved. #1041-Prior to employment a Criminal Background Check was not completed. #1043-All staff records, except financial records, were not made available for review. #1757-A valid qualification letter was not on file and available to review at the facility. #301-Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Six (6) violations were cited. Violation Number Comment Rule 103 The number of children present was not within permit capacity. The permit capacity for the facility is 54 and the total children present was 56. GS 110-91(7) & .1401(f) 209 Children used space that was not approved. Space 107 is not approved child care space. GS 110-91(1)&(4-5) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. One (1) teacher was present with fifteen (15) children present. GS 110-91(7);.0713(a-d) 1041 Prior to employment a Criminal Background Check was not completed. A CMS Substitute (B.G.) in child care space 101 did not have Criminal Background Check completed. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. A record was not available for staff (B.G.) in child care space 101; DPI form incomplete (signature). G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. CMS Staff (B.G.) in child care space 101 did not have a qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) An Administrative Action may be issued. You will be notified in writing of any action taken. 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 22, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -As of March 7, 2024, the compliance history score is 77%. The program is expected to maintain a compliance history score of at least 75%. -The number of children present was not within permit capacity. The license capacity is fifty-four (54), and there were sixty (60) children present; is a repeat violation. Refer to Child Care Rule 10A NCAC 09 .1401(f). -Child care space 107 is not an approved child care space. Refer to G.S. 110-91(1) & (4-5). -Staff/child ratios must be maintained at all times. The ratio for NC Pre-K is 1:10/2:20. Refer to Child Care Rule 10A NCAC 09 . 0713 (a-e) and Session Law 2023-134; Section 9D.1.(al). -Child care staff must have an approved criminal background check approved before employment; is a repeat violation. If staff do not have an approved criminal background check/qualification letter, they will be asked to leave the facility; the NC Pre-K staff has a current letter on file in space 101. The NC Pre-K staff and the Charlotte Mecklenburg School (CMS) staff member (CMS-substitute), were informed that the substitute could not be left alone with children, and that the substitute would not be able to return the following day, because the substitute does not have a valid qualification letter. I spoke to the school's Assistant Principal, Ms. Dorothy Dae, regarding the requirements for the qualification letter(s) for CMS Substitute staff. I spoke with Ms. Denise Addison, NC Pre-K Administer, regarding qualification letters. Refer to G.S. 110-90.2(b): (b) The Department shall ensure that, prior to employment and every five years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. -Copies of criminal qualification letters for staff must be kept on file; is a repeat violation. Refer to Child Care Rule NC NCAC 09 .2703(e): (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. -Staff files must be available for review; is a repeat violation. The substitute's file was not available for review. Refer to General Statutes 110-91(9): -Records – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. -All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. -I spoke with Mr. Ray, the school's Custodian, and Mr. Ray stated that the hot water issue for space 107 has not been resolved. At the completion of the visit, this visit summary was reviewed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1401 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 2/8/2024 Number Present: 56 Completed Date: 2/8/2024 Age: From 4 To 5 Total Minutes: 200 Time In: 09:00 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced follow-up visit was to verify that the NC Pre-K is in compliance with operating in unapproved space. I was greeted by Lead Teacher Hillary Bost, and I explained the purpose of the visit. Sanitation Inspector, Nicole Bruce accompanied me during the visit. I observed each child care space participating in circle time. The following violation was documented during the January 8, 2024 visit was monitored for compliance during this visit: Item #209: Children used space that was not approved. Space 107 is not an approved child care space. Space 107 is not approved, and a violation was cited. The following violations cited January 8, 2024 were repeat violations cited on February 8, 2024: Item #1041: A staff member did not not have a Criminal Background Check completed prior to employment. Item #1043: A staff member did not have staff records; not made available for review. Item #1757: A staff member did not have a valid qualification letter on file. The number of children present was not within permit capacity, and a violation was cited. Five (5) violations were cited. Violation Number Comment Rule 103 The number of children present was not within permit capacity. The permit capacity for the facility is 54 and the total children present was 56. GS 110-91(7) & .1401(f) 209 Children used space that was not approved. Child care space 107 is not approved. GS 110-91(1)&(4-5) 1041 Prior to employment a Criminal Background Check was not completed. A CMS Substitute (T.K.) in child care space 102 did not have Criminal Background Check completed. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. A record was not available for staff (T.K.) in space 102. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Staff (T.K.) in child care space 102 did not have a qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) An Administrative Action may be issued. You will be notified in writing of any action taken. 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 February 22, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided during the visit: -Child care space 107., was not approved during the visit, due to not being able to pass inspection with Mecklenburg County Environmental Health (Sanitation), because of the water temperature. The water temperature tested today was too hot; the temperature should be 80-110 degrees Fahrenheit. The custodian was informed by Sanitation, that space 107 has to have an approved electrical inspection by Mecklenburg County Code Enforcement. Space(s) must be approved by Mecklenburg County Code Enforcement, Mecklenburg County Environmental Health (Sanitation), and the Division of Child Development and Early Education (DCDEE). Child care space(s) must be approved prior to use. Refer to G.S.110-91(1) & (4-5): (4) Building. – Each child care facility shall be located in a building which meets the appropriate requirements of the North Carolina Building Code under standards which shall be developed by the Building Code Council, subject to adoption by the Commission specifically for child care facilities, including facilities operated in a private residence. These standards shall be consistent with the provisions of this Article. A local building code enforcement officer shall approve any proposed alternate material, design, or method of construction, provided the building code enforcement officer finds that the alternate, for the purpose intended, is at least the equivalent of that prescribed in the technical building codes in quality, strength, effectiveness, fire resistance, durability, or safety. A local building code enforcement officer shall require that sufficient evidence or proof be submitted to substantiate any claim made regarding the alternate. The Child Care Commission may request changes to the Building Code to suit the special needs of preschool children. Satisfactorily written reports from representatives of building inspection agencies shall be required prior to the issuance of a license and whenever renovations are made to a child care center, or when the operator requests licensure of space not previously approved for child care. -Child care staff must have an approved criminal background check approved before employment; is a repeat violation. If staff do not have a an approved background, they will be asked to leave the facility; the NC Pre-K staff has a current letter on file in space 102. The NC Pre-K staff Charlotte Mecklenburg School (CMS) staff member (CMS-substitute) were informed that the substitute could not be left alone with children, and that the substitute would not be able to return the following day, because the substitute does not have a valid qualification letter. I spoke to the school's Principal, Ms. Ellis, regarding the requirements for the qualification letter(s) for CMS Substitute staff. The substitute was provided with information on how to obtain a qualification letter. Refer to G.S. 110-90.2(b): (b) The Department shall ensure that, prior to employment and every five years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. -Copies of criminal qualification letters for staff must be kept on file; is a repeat violation. Refer to Child Care Rule NC NCAC 09 .2703(e): (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. -Staff files must be available for review; is a repeat violation. The substitute's file was not available for review. Refer to General Statutes 110-91(9): -Records – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. -All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. -The number of children present was not within permit capacity, The license capacity is fifty-four(54), and there were fifty-six (56) children present. Refer to Child Care Rule 10A NCAC 09 .1401(f): (f) No room may be occupied by more than one child per 25 square feet of floor space, provided that a room may be occupied by a larger group of children for special activities so long as such occupancy does not violate the State fire code. At the completion of the visit, this visit summary was reviewed, and a copy was emailed to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-90 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 2/8/2024 Number Present: 56 Completed Date: 2/8/2024 Age: From 4 To 5 Total Minutes: 200 Time In: 09:00 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced follow-up visit was to verify that the NC Pre-K is in compliance with operating in unapproved space. I was greeted by Lead Teacher Hillary Bost, and I explained the purpose of the visit. Sanitation Inspector, Nicole Bruce accompanied me during the visit. I observed each child care space participating in circle time. The following violation was documented during the January 8, 2024 visit was monitored for compliance during this visit: Item #209: Children used space that was not approved. Space 107 is not an approved child care space. Space 107 is not approved, and a violation was cited. The following violations cited January 8, 2024 were repeat violations cited on February 8, 2024: Item #1041: A staff member did not not have a Criminal Background Check completed prior to employment. Item #1043: A staff member did not have staff records; not made available for review. Item #1757: A staff member did not have a valid qualification letter on file. The number of children present was not within permit capacity, and a violation was cited. Five (5) violations were cited. Violation Number Comment Rule 103 The number of children present was not within permit capacity. The permit capacity for the facility is 54 and the total children present was 56. GS 110-91(7) & .1401(f) 209 Children used space that was not approved. Child care space 107 is not approved. GS 110-91(1)&(4-5) 1041 Prior to employment a Criminal Background Check was not completed. A CMS Substitute (T.K.) in child care space 102 did not have Criminal Background Check completed. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. A record was not available for staff (T.K.) in space 102. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Staff (T.K.) in child care space 102 did not have a qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) An Administrative Action may be issued. You will be notified in writing of any action taken. 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 February 22, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided during the visit: -Child care space 107., was not approved during the visit, due to not being able to pass inspection with Mecklenburg County Environmental Health (Sanitation), because of the water temperature. The water temperature tested today was too hot; the temperature should be 80-110 degrees Fahrenheit. The custodian was informed by Sanitation, that space 107 has to have an approved electrical inspection by Mecklenburg County Code Enforcement. Space(s) must be approved by Mecklenburg County Code Enforcement, Mecklenburg County Environmental Health (Sanitation), and the Division of Child Development and Early Education (DCDEE). Child care space(s) must be approved prior to use. Refer to G.S.110-91(1) & (4-5): (4) Building. – Each child care facility shall be located in a building which meets the appropriate requirements of the North Carolina Building Code under standards which shall be developed by the Building Code Council, subject to adoption by the Commission specifically for child care facilities, including facilities operated in a private residence. These standards shall be consistent with the provisions of this Article. A local building code enforcement officer shall approve any proposed alternate material, design, or method of construction, provided the building code enforcement officer finds that the alternate, for the purpose intended, is at least the equivalent of that prescribed in the technical building codes in quality, strength, effectiveness, fire resistance, durability, or safety. A local building code enforcement officer shall require that sufficient evidence or proof be submitted to substantiate any claim made regarding the alternate. The Child Care Commission may request changes to the Building Code to suit the special needs of preschool children. Satisfactorily written reports from representatives of building inspection agencies shall be required prior to the issuance of a license and whenever renovations are made to a child care center, or when the operator requests licensure of space not previously approved for child care. -Child care staff must have an approved criminal background check approved before employment; is a repeat violation. If staff do not have a an approved background, they will be asked to leave the facility; the NC Pre-K staff has a current letter on file in space 102. The NC Pre-K staff Charlotte Mecklenburg School (CMS) staff member (CMS-substitute) were informed that the substitute could not be left alone with children, and that the substitute would not be able to return the following day, because the substitute does not have a valid qualification letter. I spoke to the school's Principal, Ms. Ellis, regarding the requirements for the qualification letter(s) for CMS Substitute staff. The substitute was provided with information on how to obtain a qualification letter. Refer to G.S. 110-90.2(b): (b) The Department shall ensure that, prior to employment and every five years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. -Copies of criminal qualification letters for staff must be kept on file; is a repeat violation. Refer to Child Care Rule NC NCAC 09 .2703(e): (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. -Staff files must be available for review; is a repeat violation. The substitute's file was not available for review. Refer to General Statutes 110-91(9): -Records – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. -All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. -The number of children present was not within permit capacity, The license capacity is fifty-four(54), and there were fifty-six (56) children present. Refer to Child Care Rule 10A NCAC 09 .1401(f): (f) No room may be occupied by more than one child per 25 square feet of floor space, provided that a room may be occupied by a larger group of children for special activities so long as such occupancy does not violate the State fire code. At the completion of the visit, this visit summary was reviewed, and a copy was emailed to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 2/8/2024 Number Present: 56 Completed Date: 2/8/2024 Age: From 4 To 5 Total Minutes: 200 Time In: 09:00 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced follow-up visit was to verify that the NC Pre-K is in compliance with operating in unapproved space. I was greeted by Lead Teacher Hillary Bost, and I explained the purpose of the visit. Sanitation Inspector, Nicole Bruce accompanied me during the visit. I observed each child care space participating in circle time. The following violation was documented during the January 8, 2024 visit was monitored for compliance during this visit: Item #209: Children used space that was not approved. Space 107 is not an approved child care space. Space 107 is not approved, and a violation was cited. The following violations cited January 8, 2024 were repeat violations cited on February 8, 2024: Item #1041: A staff member did not not have a Criminal Background Check completed prior to employment. Item #1043: A staff member did not have staff records; not made available for review. Item #1757: A staff member did not have a valid qualification letter on file. The number of children present was not within permit capacity, and a violation was cited. Five (5) violations were cited. Violation Number Comment Rule 103 The number of children present was not within permit capacity. The permit capacity for the facility is 54 and the total children present was 56. GS 110-91(7) & .1401(f) 209 Children used space that was not approved. Child care space 107 is not approved. GS 110-91(1)&(4-5) 1041 Prior to employment a Criminal Background Check was not completed. A CMS Substitute (T.K.) in child care space 102 did not have Criminal Background Check completed. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. A record was not available for staff (T.K.) in space 102. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Staff (T.K.) in child care space 102 did not have a qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) An Administrative Action may be issued. You will be notified in writing of any action taken. 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 February 22, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided during the visit: -Child care space 107., was not approved during the visit, due to not being able to pass inspection with Mecklenburg County Environmental Health (Sanitation), because of the water temperature. The water temperature tested today was too hot; the temperature should be 80-110 degrees Fahrenheit. The custodian was informed by Sanitation, that space 107 has to have an approved electrical inspection by Mecklenburg County Code Enforcement. Space(s) must be approved by Mecklenburg County Code Enforcement, Mecklenburg County Environmental Health (Sanitation), and the Division of Child Development and Early Education (DCDEE). Child care space(s) must be approved prior to use. Refer to G.S.110-91(1) & (4-5): (4) Building. – Each child care facility shall be located in a building which meets the appropriate requirements of the North Carolina Building Code under standards which shall be developed by the Building Code Council, subject to adoption by the Commission specifically for child care facilities, including facilities operated in a private residence. These standards shall be consistent with the provisions of this Article. A local building code enforcement officer shall approve any proposed alternate material, design, or method of construction, provided the building code enforcement officer finds that the alternate, for the purpose intended, is at least the equivalent of that prescribed in the technical building codes in quality, strength, effectiveness, fire resistance, durability, or safety. A local building code enforcement officer shall require that sufficient evidence or proof be submitted to substantiate any claim made regarding the alternate. The Child Care Commission may request changes to the Building Code to suit the special needs of preschool children. Satisfactorily written reports from representatives of building inspection agencies shall be required prior to the issuance of a license and whenever renovations are made to a child care center, or when the operator requests licensure of space not previously approved for child care. -Child care staff must have an approved criminal background check approved before employment; is a repeat violation. If staff do not have a an approved background, they will be asked to leave the facility; the NC Pre-K staff has a current letter on file in space 102. The NC Pre-K staff Charlotte Mecklenburg School (CMS) staff member (CMS-substitute) were informed that the substitute could not be left alone with children, and that the substitute would not be able to return the following day, because the substitute does not have a valid qualification letter. I spoke to the school's Principal, Ms. Ellis, regarding the requirements for the qualification letter(s) for CMS Substitute staff. The substitute was provided with information on how to obtain a qualification letter. Refer to G.S. 110-90.2(b): (b) The Department shall ensure that, prior to employment and every five years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. -Copies of criminal qualification letters for staff must be kept on file; is a repeat violation. Refer to Child Care Rule NC NCAC 09 .2703(e): (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. -Staff files must be available for review; is a repeat violation. The substitute's file was not available for review. Refer to General Statutes 110-91(9): -Records – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. -All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. -The number of children present was not within permit capacity, The license capacity is fifty-four(54), and there were fifty-six (56) children present. Refer to Child Care Rule 10A NCAC 09 .1401(f): (f) No room may be occupied by more than one child per 25 square feet of floor space, provided that a room may be occupied by a larger group of children for special activities so long as such occupancy does not violate the State fire code. At the completion of the visit, this visit summary was reviewed, and a copy was emailed to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S.110-91 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 2/8/2024 Number Present: 56 Completed Date: 2/8/2024 Age: From 4 To 5 Total Minutes: 200 Time In: 09:00 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced follow-up visit was to verify that the NC Pre-K is in compliance with operating in unapproved space. I was greeted by Lead Teacher Hillary Bost, and I explained the purpose of the visit. Sanitation Inspector, Nicole Bruce accompanied me during the visit. I observed each child care space participating in circle time. The following violation was documented during the January 8, 2024 visit was monitored for compliance during this visit: Item #209: Children used space that was not approved. Space 107 is not an approved child care space. Space 107 is not approved, and a violation was cited. The following violations cited January 8, 2024 were repeat violations cited on February 8, 2024: Item #1041: A staff member did not not have a Criminal Background Check completed prior to employment. Item #1043: A staff member did not have staff records; not made available for review. Item #1757: A staff member did not have a valid qualification letter on file. The number of children present was not within permit capacity, and a violation was cited. Five (5) violations were cited. Violation Number Comment Rule 103 The number of children present was not within permit capacity. The permit capacity for the facility is 54 and the total children present was 56. GS 110-91(7) & .1401(f) 209 Children used space that was not approved. Child care space 107 is not approved. GS 110-91(1)&(4-5) 1041 Prior to employment a Criminal Background Check was not completed. A CMS Substitute (T.K.) in child care space 102 did not have Criminal Background Check completed. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. A record was not available for staff (T.K.) in space 102. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Staff (T.K.) in child care space 102 did not have a qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) An Administrative Action may be issued. You will be notified in writing of any action taken. 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 February 22, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided during the visit: -Child care space 107., was not approved during the visit, due to not being able to pass inspection with Mecklenburg County Environmental Health (Sanitation), because of the water temperature. The water temperature tested today was too hot; the temperature should be 80-110 degrees Fahrenheit. The custodian was informed by Sanitation, that space 107 has to have an approved electrical inspection by Mecklenburg County Code Enforcement. Space(s) must be approved by Mecklenburg County Code Enforcement, Mecklenburg County Environmental Health (Sanitation), and the Division of Child Development and Early Education (DCDEE). Child care space(s) must be approved prior to use. Refer to G.S.110-91(1) & (4-5): (4) Building. – Each child care facility shall be located in a building which meets the appropriate requirements of the North Carolina Building Code under standards which shall be developed by the Building Code Council, subject to adoption by the Commission specifically for child care facilities, including facilities operated in a private residence. These standards shall be consistent with the provisions of this Article. A local building code enforcement officer shall approve any proposed alternate material, design, or method of construction, provided the building code enforcement officer finds that the alternate, for the purpose intended, is at least the equivalent of that prescribed in the technical building codes in quality, strength, effectiveness, fire resistance, durability, or safety. A local building code enforcement officer shall require that sufficient evidence or proof be submitted to substantiate any claim made regarding the alternate. The Child Care Commission may request changes to the Building Code to suit the special needs of preschool children. Satisfactorily written reports from representatives of building inspection agencies shall be required prior to the issuance of a license and whenever renovations are made to a child care center, or when the operator requests licensure of space not previously approved for child care. -Child care staff must have an approved criminal background check approved before employment; is a repeat violation. If staff do not have a an approved background, they will be asked to leave the facility; the NC Pre-K staff has a current letter on file in space 102. The NC Pre-K staff Charlotte Mecklenburg School (CMS) staff member (CMS-substitute) were informed that the substitute could not be left alone with children, and that the substitute would not be able to return the following day, because the substitute does not have a valid qualification letter. I spoke to the school's Principal, Ms. Ellis, regarding the requirements for the qualification letter(s) for CMS Substitute staff. The substitute was provided with information on how to obtain a qualification letter. Refer to G.S. 110-90.2(b): (b) The Department shall ensure that, prior to employment and every five years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. -Copies of criminal qualification letters for staff must be kept on file; is a repeat violation. Refer to Child Care Rule NC NCAC 09 .2703(e): (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. -Staff files must be available for review; is a repeat violation. The substitute's file was not available for review. Refer to General Statutes 110-91(9): -Records – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. -All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. -The number of children present was not within permit capacity, The license capacity is fifty-four(54), and there were fifty-six (56) children present. Refer to Child Care Rule 10A NCAC 09 .1401(f): (f) No room may be occupied by more than one child per 25 square feet of floor space, provided that a room may be occupied by a larger group of children for special activities so long as such occupancy does not violate the State fire code. At the completion of the visit, this visit summary was reviewed, and a copy was emailed to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 2/8/2024 Number Present: 56 Completed Date: 2/8/2024 Age: From 4 To 5 Total Minutes: 200 Time In: 09:00 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced follow-up visit was to verify that the NC Pre-K is in compliance with operating in unapproved space. I was greeted by Lead Teacher Hillary Bost, and I explained the purpose of the visit. Sanitation Inspector, Nicole Bruce accompanied me during the visit. I observed each child care space participating in circle time. The following violation was documented during the January 8, 2024 visit was monitored for compliance during this visit: Item #209: Children used space that was not approved. Space 107 is not an approved child care space. Space 107 is not approved, and a violation was cited. The following violations cited January 8, 2024 were repeat violations cited on February 8, 2024: Item #1041: A staff member did not not have a Criminal Background Check completed prior to employment. Item #1043: A staff member did not have staff records; not made available for review. Item #1757: A staff member did not have a valid qualification letter on file. The number of children present was not within permit capacity, and a violation was cited. Five (5) violations were cited. Violation Number Comment Rule 103 The number of children present was not within permit capacity. The permit capacity for the facility is 54 and the total children present was 56. GS 110-91(7) & .1401(f) 209 Children used space that was not approved. Child care space 107 is not approved. GS 110-91(1)&(4-5) 1041 Prior to employment a Criminal Background Check was not completed. A CMS Substitute (T.K.) in child care space 102 did not have Criminal Background Check completed. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. A record was not available for staff (T.K.) in space 102. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Staff (T.K.) in child care space 102 did not have a qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) An Administrative Action may be issued. You will be notified in writing of any action taken. 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 February 22, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided during the visit: -Child care space 107., was not approved during the visit, due to not being able to pass inspection with Mecklenburg County Environmental Health (Sanitation), because of the water temperature. The water temperature tested today was too hot; the temperature should be 80-110 degrees Fahrenheit. The custodian was informed by Sanitation, that space 107 has to have an approved electrical inspection by Mecklenburg County Code Enforcement. Space(s) must be approved by Mecklenburg County Code Enforcement, Mecklenburg County Environmental Health (Sanitation), and the Division of Child Development and Early Education (DCDEE). Child care space(s) must be approved prior to use. Refer to G.S.110-91(1) & (4-5): (4) Building. – Each child care facility shall be located in a building which meets the appropriate requirements of the North Carolina Building Code under standards which shall be developed by the Building Code Council, subject to adoption by the Commission specifically for child care facilities, including facilities operated in a private residence. These standards shall be consistent with the provisions of this Article. A local building code enforcement officer shall approve any proposed alternate material, design, or method of construction, provided the building code enforcement officer finds that the alternate, for the purpose intended, is at least the equivalent of that prescribed in the technical building codes in quality, strength, effectiveness, fire resistance, durability, or safety. A local building code enforcement officer shall require that sufficient evidence or proof be submitted to substantiate any claim made regarding the alternate. The Child Care Commission may request changes to the Building Code to suit the special needs of preschool children. Satisfactorily written reports from representatives of building inspection agencies shall be required prior to the issuance of a license and whenever renovations are made to a child care center, or when the operator requests licensure of space not previously approved for child care. -Child care staff must have an approved criminal background check approved before employment; is a repeat violation. If staff do not have a an approved background, they will be asked to leave the facility; the NC Pre-K staff has a current letter on file in space 102. The NC Pre-K staff Charlotte Mecklenburg School (CMS) staff member (CMS-substitute) were informed that the substitute could not be left alone with children, and that the substitute would not be able to return the following day, because the substitute does not have a valid qualification letter. I spoke to the school's Principal, Ms. Ellis, regarding the requirements for the qualification letter(s) for CMS Substitute staff. The substitute was provided with information on how to obtain a qualification letter. Refer to G.S. 110-90.2(b): (b) The Department shall ensure that, prior to employment and every five years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. -Copies of criminal qualification letters for staff must be kept on file; is a repeat violation. Refer to Child Care Rule NC NCAC 09 .2703(e): (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. -Staff files must be available for review; is a repeat violation. The substitute's file was not available for review. Refer to General Statutes 110-91(9): -Records – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. -All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. -The number of children present was not within permit capacity, The license capacity is fifty-four(54), and there were fifty-six (56) children present. Refer to Child Care Rule 10A NCAC 09 .1401(f): (f) No room may be occupied by more than one child per 25 square feet of floor space, provided that a room may be occupied by a larger group of children for special activities so long as such occupancy does not violate the State fire code. At the completion of the visit, this visit summary was reviewed, and a copy was emailed to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 2/8/2024 Number Present: 56 Completed Date: 2/8/2024 Age: From 4 To 5 Total Minutes: 200 Time In: 09:00 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced follow-up visit was to verify that the NC Pre-K is in compliance with operating in unapproved space. I was greeted by Lead Teacher Hillary Bost, and I explained the purpose of the visit. Sanitation Inspector, Nicole Bruce accompanied me during the visit. I observed each child care space participating in circle time. The following violation was documented during the January 8, 2024 visit was monitored for compliance during this visit: Item #209: Children used space that was not approved. Space 107 is not an approved child care space. Space 107 is not approved, and a violation was cited. The following violations cited January 8, 2024 were repeat violations cited on February 8, 2024: Item #1041: A staff member did not not have a Criminal Background Check completed prior to employment. Item #1043: A staff member did not have staff records; not made available for review. Item #1757: A staff member did not have a valid qualification letter on file. The number of children present was not within permit capacity, and a violation was cited. Five (5) violations were cited. Violation Number Comment Rule 103 The number of children present was not within permit capacity. The permit capacity for the facility is 54 and the total children present was 56. GS 110-91(7) & .1401(f) 209 Children used space that was not approved. Child care space 107 is not approved. GS 110-91(1)&(4-5) 1041 Prior to employment a Criminal Background Check was not completed. A CMS Substitute (T.K.) in child care space 102 did not have Criminal Background Check completed. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. A record was not available for staff (T.K.) in space 102. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Staff (T.K.) in child care space 102 did not have a qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) An Administrative Action may be issued. You will be notified in writing of any action taken. 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 February 22, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided during the visit: -Child care space 107., was not approved during the visit, due to not being able to pass inspection with Mecklenburg County Environmental Health (Sanitation), because of the water temperature. The water temperature tested today was too hot; the temperature should be 80-110 degrees Fahrenheit. The custodian was informed by Sanitation, that space 107 has to have an approved electrical inspection by Mecklenburg County Code Enforcement. Space(s) must be approved by Mecklenburg County Code Enforcement, Mecklenburg County Environmental Health (Sanitation), and the Division of Child Development and Early Education (DCDEE). Child care space(s) must be approved prior to use. Refer to G.S.110-91(1) & (4-5): (4) Building. – Each child care facility shall be located in a building which meets the appropriate requirements of the North Carolina Building Code under standards which shall be developed by the Building Code Council, subject to adoption by the Commission specifically for child care facilities, including facilities operated in a private residence. These standards shall be consistent with the provisions of this Article. A local building code enforcement officer shall approve any proposed alternate material, design, or method of construction, provided the building code enforcement officer finds that the alternate, for the purpose intended, is at least the equivalent of that prescribed in the technical building codes in quality, strength, effectiveness, fire resistance, durability, or safety. A local building code enforcement officer shall require that sufficient evidence or proof be submitted to substantiate any claim made regarding the alternate. The Child Care Commission may request changes to the Building Code to suit the special needs of preschool children. Satisfactorily written reports from representatives of building inspection agencies shall be required prior to the issuance of a license and whenever renovations are made to a child care center, or when the operator requests licensure of space not previously approved for child care. -Child care staff must have an approved criminal background check approved before employment; is a repeat violation. If staff do not have a an approved background, they will be asked to leave the facility; the NC Pre-K staff has a current letter on file in space 102. The NC Pre-K staff Charlotte Mecklenburg School (CMS) staff member (CMS-substitute) were informed that the substitute could not be left alone with children, and that the substitute would not be able to return the following day, because the substitute does not have a valid qualification letter. I spoke to the school's Principal, Ms. Ellis, regarding the requirements for the qualification letter(s) for CMS Substitute staff. The substitute was provided with information on how to obtain a qualification letter. Refer to G.S. 110-90.2(b): (b) The Department shall ensure that, prior to employment and every five years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. -Copies of criminal qualification letters for staff must be kept on file; is a repeat violation. Refer to Child Care Rule NC NCAC 09 .2703(e): (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. -Staff files must be available for review; is a repeat violation. The substitute's file was not available for review. Refer to General Statutes 110-91(9): -Records – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. -All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. -The number of children present was not within permit capacity, The license capacity is fifty-four(54), and there were fifty-six (56) children present. Refer to Child Care Rule 10A NCAC 09 .1401(f): (f) No room may be occupied by more than one child per 25 square feet of floor space, provided that a room may be occupied by a larger group of children for special activities so long as such occupancy does not violate the State fire code. At the completion of the visit, this visit summary was reviewed, and a copy was emailed to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 1/8/2024 Number Present: 62 Completed Date: 1/8/2024 Age: From 4 To 5 Total Minutes: 180 Time In: 11:15 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an unannounced follow-up visit. I was greeted by the Lead Teacher Ms. Hillary Bost, and I explained the purpose of the visit. I completed a walkthrough of the facility. I observed the children in space 101, space 102, and space 107 having independent play. In space 103, I observed the children having group time. I observed a CMS Speech Therapist, Ms. H. McAdam, providing services independently for a child in space 103, and a current letter is on file. The following violations documented during the November 20, 2023 visit were monitored for compliance during this visit: (209) Children used space that was not approved. Received compliance letter and children are in Space 107 that is not approved for child care, according to a Sanitation Inspection Report that was completed on December 18, 2023. A violation was cited (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. Received compliance letter that the violation is corrected. (1041) Prior to employment a Criminal Background Check was not completed. The CMS substitutes (T.W.) and (A.B.) in space 102 criminal background checks were not completed. Received compliance letter that the violation was corrected. (1043) All staff records, except financial records, were not made available for review. CMS substitute staff (T.W.) and (A.B.) did not have an available file for review. Received compliance letter that the violation is corrected. (1757) A valid qualification letter was not on file and available to review at the facility. Valid qualification letters were not on file for CMS substitute staff (T.W.) and (A.B.). Received compliance letter that the violation is corrected. In child care space 102, a CMS Staff was present without a current Criminal Background Check, and a violation was cited. A violation was cited because a criminal qualifying letter was not on file. A violation was cited for staff in space 102, for a staff record that was not available. Four (4) violations were cited. Violation Number Comment Rule 209 Children used space that was not approved. Space 107 is not an approved child care space. GS 110-91(1)&(4-5) 1041 Prior to employment a Criminal Background Check was not completed. A CMS Substitute (W.W.) in child care space 102 did not have Criminal Background Check completed. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. A record was not available for staff (W.W.) in space 102. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. CMS Staff (W.W.) in child care space 102 did not have a qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) An Administrative Action may be issued. You will be notified in writing of any action taken. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Thursday January 22, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided during the visit: -The NC Pre K Requirements are in SECTION .3000 NC PRE-KINDERGARTEN SERVICES. Please refer to Section .3000 for additional information. -Child care staff must have an approved criminal background check approved before employment. If staff do not have a an approved background, they will be asked to leave the facility; the CMS staff member was asked to leave during the visit, and the staff complied. Refer to G.S. 110-90.2: (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. -House Bill 103: Effective July 11, 2022, individuals have five (5) years to renew their criminal record check instead of every three (3) years. -Copies of criminal qualification letters must be kept on file. Refer to Child Care Rule NC NCAC 09 .2703(e): (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. At the completion of the visit, this visit summary was reviewed, and a copy was emailed to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-90 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 1/8/2024 Number Present: 62 Completed Date: 1/8/2024 Age: From 4 To 5 Total Minutes: 180 Time In: 11:15 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an unannounced follow-up visit. I was greeted by the Lead Teacher Ms. Hillary Bost, and I explained the purpose of the visit. I completed a walkthrough of the facility. I observed the children in space 101, space 102, and space 107 having independent play. In space 103, I observed the children having group time. I observed a CMS Speech Therapist, Ms. H. McAdam, providing services independently for a child in space 103, and a current letter is on file. The following violations documented during the November 20, 2023 visit were monitored for compliance during this visit: (209) Children used space that was not approved. Received compliance letter and children are in Space 107 that is not approved for child care, according to a Sanitation Inspection Report that was completed on December 18, 2023. A violation was cited (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. Received compliance letter that the violation is corrected. (1041) Prior to employment a Criminal Background Check was not completed. The CMS substitutes (T.W.) and (A.B.) in space 102 criminal background checks were not completed. Received compliance letter that the violation was corrected. (1043) All staff records, except financial records, were not made available for review. CMS substitute staff (T.W.) and (A.B.) did not have an available file for review. Received compliance letter that the violation is corrected. (1757) A valid qualification letter was not on file and available to review at the facility. Valid qualification letters were not on file for CMS substitute staff (T.W.) and (A.B.). Received compliance letter that the violation is corrected. In child care space 102, a CMS Staff was present without a current Criminal Background Check, and a violation was cited. A violation was cited because a criminal qualifying letter was not on file. A violation was cited for staff in space 102, for a staff record that was not available. Four (4) violations were cited. Violation Number Comment Rule 209 Children used space that was not approved. Space 107 is not an approved child care space. GS 110-91(1)&(4-5) 1041 Prior to employment a Criminal Background Check was not completed. A CMS Substitute (W.W.) in child care space 102 did not have Criminal Background Check completed. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. A record was not available for staff (W.W.) in space 102. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. CMS Staff (W.W.) in child care space 102 did not have a qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) An Administrative Action may be issued. You will be notified in writing of any action taken. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Thursday January 22, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided during the visit: -The NC Pre K Requirements are in SECTION .3000 NC PRE-KINDERGARTEN SERVICES. Please refer to Section .3000 for additional information. -Child care staff must have an approved criminal background check approved before employment. If staff do not have a an approved background, they will be asked to leave the facility; the CMS staff member was asked to leave during the visit, and the staff complied. Refer to G.S. 110-90.2: (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. -House Bill 103: Effective July 11, 2022, individuals have five (5) years to renew their criminal record check instead of every three (3) years. -Copies of criminal qualification letters must be kept on file. Refer to Child Care Rule NC NCAC 09 .2703(e): (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. At the completion of the visit, this visit summary was reviewed, and a copy was emailed to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 1/8/2024 Number Present: 62 Completed Date: 1/8/2024 Age: From 4 To 5 Total Minutes: 180 Time In: 11:15 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an unannounced follow-up visit. I was greeted by the Lead Teacher Ms. Hillary Bost, and I explained the purpose of the visit. I completed a walkthrough of the facility. I observed the children in space 101, space 102, and space 107 having independent play. In space 103, I observed the children having group time. I observed a CMS Speech Therapist, Ms. H. McAdam, providing services independently for a child in space 103, and a current letter is on file. The following violations documented during the November 20, 2023 visit were monitored for compliance during this visit: (209) Children used space that was not approved. Received compliance letter and children are in Space 107 that is not approved for child care, according to a Sanitation Inspection Report that was completed on December 18, 2023. A violation was cited (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. Received compliance letter that the violation is corrected. (1041) Prior to employment a Criminal Background Check was not completed. The CMS substitutes (T.W.) and (A.B.) in space 102 criminal background checks were not completed. Received compliance letter that the violation was corrected. (1043) All staff records, except financial records, were not made available for review. CMS substitute staff (T.W.) and (A.B.) did not have an available file for review. Received compliance letter that the violation is corrected. (1757) A valid qualification letter was not on file and available to review at the facility. Valid qualification letters were not on file for CMS substitute staff (T.W.) and (A.B.). Received compliance letter that the violation is corrected. In child care space 102, a CMS Staff was present without a current Criminal Background Check, and a violation was cited. A violation was cited because a criminal qualifying letter was not on file. A violation was cited for staff in space 102, for a staff record that was not available. Four (4) violations were cited. Violation Number Comment Rule 209 Children used space that was not approved. Space 107 is not an approved child care space. GS 110-91(1)&(4-5) 1041 Prior to employment a Criminal Background Check was not completed. A CMS Substitute (W.W.) in child care space 102 did not have Criminal Background Check completed. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. A record was not available for staff (W.W.) in space 102. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. CMS Staff (W.W.) in child care space 102 did not have a qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) An Administrative Action may be issued. You will be notified in writing of any action taken. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Thursday January 22, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided during the visit: -The NC Pre K Requirements are in SECTION .3000 NC PRE-KINDERGARTEN SERVICES. Please refer to Section .3000 for additional information. -Child care staff must have an approved criminal background check approved before employment. If staff do not have a an approved background, they will be asked to leave the facility; the CMS staff member was asked to leave during the visit, and the staff complied. Refer to G.S. 110-90.2: (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. -House Bill 103: Effective July 11, 2022, individuals have five (5) years to renew their criminal record check instead of every three (3) years. -Copies of criminal qualification letters must be kept on file. Refer to Child Care Rule NC NCAC 09 .2703(e): (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. At the completion of the visit, this visit summary was reviewed, and a copy was emailed to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 1/8/2024 Number Present: 62 Completed Date: 1/8/2024 Age: From 4 To 5 Total Minutes: 180 Time In: 11:15 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an unannounced follow-up visit. I was greeted by the Lead Teacher Ms. Hillary Bost, and I explained the purpose of the visit. I completed a walkthrough of the facility. I observed the children in space 101, space 102, and space 107 having independent play. In space 103, I observed the children having group time. I observed a CMS Speech Therapist, Ms. H. McAdam, providing services independently for a child in space 103, and a current letter is on file. The following violations documented during the November 20, 2023 visit were monitored for compliance during this visit: (209) Children used space that was not approved. Received compliance letter and children are in Space 107 that is not approved for child care, according to a Sanitation Inspection Report that was completed on December 18, 2023. A violation was cited (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. Received compliance letter that the violation is corrected. (1041) Prior to employment a Criminal Background Check was not completed. The CMS substitutes (T.W.) and (A.B.) in space 102 criminal background checks were not completed. Received compliance letter that the violation was corrected. (1043) All staff records, except financial records, were not made available for review. CMS substitute staff (T.W.) and (A.B.) did not have an available file for review. Received compliance letter that the violation is corrected. (1757) A valid qualification letter was not on file and available to review at the facility. Valid qualification letters were not on file for CMS substitute staff (T.W.) and (A.B.). Received compliance letter that the violation is corrected. In child care space 102, a CMS Staff was present without a current Criminal Background Check, and a violation was cited. A violation was cited because a criminal qualifying letter was not on file. A violation was cited for staff in space 102, for a staff record that was not available. Four (4) violations were cited. Violation Number Comment Rule 209 Children used space that was not approved. Space 107 is not an approved child care space. GS 110-91(1)&(4-5) 1041 Prior to employment a Criminal Background Check was not completed. A CMS Substitute (W.W.) in child care space 102 did not have Criminal Background Check completed. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. A record was not available for staff (W.W.) in space 102. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. CMS Staff (W.W.) in child care space 102 did not have a qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) An Administrative Action may be issued. You will be notified in writing of any action taken. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Thursday January 22, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided during the visit: -The NC Pre K Requirements are in SECTION .3000 NC PRE-KINDERGARTEN SERVICES. Please refer to Section .3000 for additional information. -Child care staff must have an approved criminal background check approved before employment. If staff do not have a an approved background, they will be asked to leave the facility; the CMS staff member was asked to leave during the visit, and the staff complied. Refer to G.S. 110-90.2: (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. -House Bill 103: Effective July 11, 2022, individuals have five (5) years to renew their criminal record check instead of every three (3) years. -Copies of criminal qualification letters must be kept on file. Refer to Child Care Rule NC NCAC 09 .2703(e): (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. At the completion of the visit, this visit summary was reviewed, and a copy was emailed to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 1/8/2024 Number Present: 62 Completed Date: 1/8/2024 Age: From 4 To 5 Total Minutes: 180 Time In: 11:15 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an unannounced follow-up visit. I was greeted by the Lead Teacher Ms. Hillary Bost, and I explained the purpose of the visit. I completed a walkthrough of the facility. I observed the children in space 101, space 102, and space 107 having independent play. In space 103, I observed the children having group time. I observed a CMS Speech Therapist, Ms. H. McAdam, providing services independently for a child in space 103, and a current letter is on file. The following violations documented during the November 20, 2023 visit were monitored for compliance during this visit: (209) Children used space that was not approved. Received compliance letter and children are in Space 107 that is not approved for child care, according to a Sanitation Inspection Report that was completed on December 18, 2023. A violation was cited (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. Received compliance letter that the violation is corrected. (1041) Prior to employment a Criminal Background Check was not completed. The CMS substitutes (T.W.) and (A.B.) in space 102 criminal background checks were not completed. Received compliance letter that the violation was corrected. (1043) All staff records, except financial records, were not made available for review. CMS substitute staff (T.W.) and (A.B.) did not have an available file for review. Received compliance letter that the violation is corrected. (1757) A valid qualification letter was not on file and available to review at the facility. Valid qualification letters were not on file for CMS substitute staff (T.W.) and (A.B.). Received compliance letter that the violation is corrected. In child care space 102, a CMS Staff was present without a current Criminal Background Check, and a violation was cited. A violation was cited because a criminal qualifying letter was not on file. A violation was cited for staff in space 102, for a staff record that was not available. Four (4) violations were cited. Violation Number Comment Rule 209 Children used space that was not approved. Space 107 is not an approved child care space. GS 110-91(1)&(4-5) 1041 Prior to employment a Criminal Background Check was not completed. A CMS Substitute (W.W.) in child care space 102 did not have Criminal Background Check completed. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. A record was not available for staff (W.W.) in space 102. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. CMS Staff (W.W.) in child care space 102 did not have a qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) An Administrative Action may be issued. You will be notified in writing of any action taken. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Thursday January 22, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided during the visit: -The NC Pre K Requirements are in SECTION .3000 NC PRE-KINDERGARTEN SERVICES. Please refer to Section .3000 for additional information. -Child care staff must have an approved criminal background check approved before employment. If staff do not have a an approved background, they will be asked to leave the facility; the CMS staff member was asked to leave during the visit, and the staff complied. Refer to G.S. 110-90.2: (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. -House Bill 103: Effective July 11, 2022, individuals have five (5) years to renew their criminal record check instead of every three (3) years. -Copies of criminal qualification letters must be kept on file. Refer to Child Care Rule NC NCAC 09 .2703(e): (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. At the completion of the visit, this visit summary was reviewed, and a copy was emailed to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 11/20/2023 Number Present: 59 Completed Date: 11/20/2023 Age: From 0 To 5 Total Minutes: 335 Time In: 09:00 AM Time Out: 02:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violation(s) documented during the September 27, 2023 annual compliance/unannounced visit. Ponpasert Vongvilay, Environmental Health Specialist Public Health, accompanied me during today's visit. I completed a walkthrough of the facility. Four classroom spaces were open. In space 101 (group 1), space 103 (group 3) and in space 107 (group 4), I observed the children having circle time. I observed the children in space 102 (group 2) returning from outdoor play. The following violation documented during the September 27, 2023 visit were monitored for compliance during this visit: (209)-Children used space that was not approved. Care was provided in classroom 107, which is unapproved. Space 107 (group 4) is operating in an unapproved child care space, and a violation was cited. The CMS substitutes that were in space 102 did not have a Criminal Background Check (CBC) and a violation was cited. A violation was cited for not having CBC letters on file prior to employment. A violation was cited for unavailable files for staff. Hazardous items were observed in space 103, and a violation was cited. In space 3., a violation was cited for pest under the sink. Six (6) violations were cited. Violation Number Comment Rule 209 Children used space that was not approved. Child care was provided in unapproved space, space 107. GS 110-91(1)&(4-5) 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. Two (2) Lysol spray bottles, one (1) Febreeze Air Freshener, one (1) Microburst Air Neutralizing spray, a bottle of shaving cream, and a staff member's purse were in unlocked cabinets accessible to children in space 103. .2820(b) 1041 Prior to employment a Criminal Background Check was not completed. The CMS substitutes (T.W.) and (A.B.) in space 102 criminal background checks were not completed. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. CMS substitute staff (T.W.) and (A.B.) did not have an available file for review. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Valid qualification letters were not on file for CMS substitute staff (T.W.) and (A.B.). G.S. 110-90.2(b) & (d) & .2703(e) 9999 A violation was found for which there is no item number. 15A NCAC 18A .2832 (2) OUTDOOR LEARNING ENVIRONMENT AND PREMISES: (a) Child care center premises, including the outdoor learning environment, shall be kept clean, drained to minimize standing water, free of litter and hazards, and maintained in a manner which does not create conditions that attract or harbor pests. Debris, glass, dilapidated structures, and broken play equipment shall be removed from areas accessible to children. Wells, grease traps, cisterns, and utility equipment shall be made inaccessible to children. 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 December 4, 2023, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -A Provisional License may be issued for the documented violation (Item #209). The violation must be corrected immediately on or before December 4, 2023. -Make certain that child care is not provided in any unapproved child care space(s). Space(s) must be approved by Sanitation and the Division of Child Development and Early Education (DCDEE). Child care space(s) must be approved prior to use. Refer to G.S.110-91(1) & (4-5): (4) Building. – Each child care facility shall be located in a building which meets the appropriate requirements of the North Carolina Building Code under standards which shall be developed by the Building Code Council, subject to adoption by the Commission specifically for child care facilities, including facilities operated in a private residence. These standards shall be consistent with the provisions of this Article. A local building code enforcement officer shall approve any proposed alternate material, design, or method of construction, provided the building code enforcement officer finds that the alternate, for the purpose intended, is at least the equivalent of that prescribed in the technical building codes in quality, strength, effectiveness, fire resistance, durability, or safety. A local building code enforcement officer shall require that sufficient evidence or proof be submitted to substantiate any claim made regarding the alternate. The Child Care Commission may request changes to the Building Code to suit the special needs of preschool children. Satisfactorily written reports from representatives of building inspection agencies shall be required prior to the issuance of a license and whenever renovations are made to a child care center, or when the operator requests licensure of space not previously approved for child care. (5) Fire Prevention. – Each child care facility shall be located in a building that meets appropriate requirements for fire prevention and safe evacuation that apply to child care facilities as established by the Department of Insurance in consultation with the Department. Except for child care centers located on State property, each child care center shall be inspected at least annually by a local fire department or volunteer fire department for compliance with these requirements. Child care centers located on State property shall be inspected at least annually by an official designated by the Department of Insurance. -The Sanitation Inspection that was completed during the visit, for child care space 107, was Disapproved November 20, 2023. The space was disapproved because of the following: water temperature was not in the range 80-110, the hooks were not spaced at least twelve (12) inches apart, and the roof was leaking. -Prior to employment, NC Pre K staff must have a CBC completed and have a qualification letter on file. Refer to G.S. 110-90.2(b): (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. -House Bill 103: Effective July 11, 2022, individuals have five (5) years to renew their criminal record check instead of every three (3) years. -Staff records must be available for review. Refer to G.S. 110-91(9): (9) Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. -Space calculations were completed for space 107. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-91 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 11/20/2023 Number Present: 59 Completed Date: 11/20/2023 Age: From 0 To 5 Total Minutes: 335 Time In: 09:00 AM Time Out: 02:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violation(s) documented during the September 27, 2023 annual compliance/unannounced visit. Ponpasert Vongvilay, Environmental Health Specialist Public Health, accompanied me during today's visit. I completed a walkthrough of the facility. Four classroom spaces were open. In space 101 (group 1), space 103 (group 3) and in space 107 (group 4), I observed the children having circle time. I observed the children in space 102 (group 2) returning from outdoor play. The following violation documented during the September 27, 2023 visit were monitored for compliance during this visit: (209)-Children used space that was not approved. Care was provided in classroom 107, which is unapproved. Space 107 (group 4) is operating in an unapproved child care space, and a violation was cited. The CMS substitutes that were in space 102 did not have a Criminal Background Check (CBC) and a violation was cited. A violation was cited for not having CBC letters on file prior to employment. A violation was cited for unavailable files for staff. Hazardous items were observed in space 103, and a violation was cited. In space 3., a violation was cited for pest under the sink. Six (6) violations were cited. Violation Number Comment Rule 209 Children used space that was not approved. Child care was provided in unapproved space, space 107. GS 110-91(1)&(4-5) 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. Two (2) Lysol spray bottles, one (1) Febreeze Air Freshener, one (1) Microburst Air Neutralizing spray, a bottle of shaving cream, and a staff member's purse were in unlocked cabinets accessible to children in space 103. .2820(b) 1041 Prior to employment a Criminal Background Check was not completed. The CMS substitutes (T.W.) and (A.B.) in space 102 criminal background checks were not completed. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. CMS substitute staff (T.W.) and (A.B.) did not have an available file for review. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Valid qualification letters were not on file for CMS substitute staff (T.W.) and (A.B.). G.S. 110-90.2(b) & (d) & .2703(e) 9999 A violation was found for which there is no item number. 15A NCAC 18A .2832 (2) OUTDOOR LEARNING ENVIRONMENT AND PREMISES: (a) Child care center premises, including the outdoor learning environment, shall be kept clean, drained to minimize standing water, free of litter and hazards, and maintained in a manner which does not create conditions that attract or harbor pests. Debris, glass, dilapidated structures, and broken play equipment shall be removed from areas accessible to children. Wells, grease traps, cisterns, and utility equipment shall be made inaccessible to children. 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 December 4, 2023, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -A Provisional License may be issued for the documented violation (Item #209). The violation must be corrected immediately on or before December 4, 2023. -Make certain that child care is not provided in any unapproved child care space(s). Space(s) must be approved by Sanitation and the Division of Child Development and Early Education (DCDEE). Child care space(s) must be approved prior to use. Refer to G.S.110-91(1) & (4-5): (4) Building. – Each child care facility shall be located in a building which meets the appropriate requirements of the North Carolina Building Code under standards which shall be developed by the Building Code Council, subject to adoption by the Commission specifically for child care facilities, including facilities operated in a private residence. These standards shall be consistent with the provisions of this Article. A local building code enforcement officer shall approve any proposed alternate material, design, or method of construction, provided the building code enforcement officer finds that the alternate, for the purpose intended, is at least the equivalent of that prescribed in the technical building codes in quality, strength, effectiveness, fire resistance, durability, or safety. A local building code enforcement officer shall require that sufficient evidence or proof be submitted to substantiate any claim made regarding the alternate. The Child Care Commission may request changes to the Building Code to suit the special needs of preschool children. Satisfactorily written reports from representatives of building inspection agencies shall be required prior to the issuance of a license and whenever renovations are made to a child care center, or when the operator requests licensure of space not previously approved for child care. (5) Fire Prevention. – Each child care facility shall be located in a building that meets appropriate requirements for fire prevention and safe evacuation that apply to child care facilities as established by the Department of Insurance in consultation with the Department. Except for child care centers located on State property, each child care center shall be inspected at least annually by a local fire department or volunteer fire department for compliance with these requirements. Child care centers located on State property shall be inspected at least annually by an official designated by the Department of Insurance. -The Sanitation Inspection that was completed during the visit, for child care space 107, was Disapproved November 20, 2023. The space was disapproved because of the following: water temperature was not in the range 80-110, the hooks were not spaced at least twelve (12) inches apart, and the roof was leaking. -Prior to employment, NC Pre K staff must have a CBC completed and have a qualification letter on file. Refer to G.S. 110-90.2(b): (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. -House Bill 103: Effective July 11, 2022, individuals have five (5) years to renew their criminal record check instead of every three (3) years. -Staff records must be available for review. Refer to G.S. 110-91(9): (9) Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. -Space calculations were completed for space 107. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S.110-91 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 11/20/2023 Number Present: 59 Completed Date: 11/20/2023 Age: From 0 To 5 Total Minutes: 335 Time In: 09:00 AM Time Out: 02:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violation(s) documented during the September 27, 2023 annual compliance/unannounced visit. Ponpasert Vongvilay, Environmental Health Specialist Public Health, accompanied me during today's visit. I completed a walkthrough of the facility. Four classroom spaces were open. In space 101 (group 1), space 103 (group 3) and in space 107 (group 4), I observed the children having circle time. I observed the children in space 102 (group 2) returning from outdoor play. The following violation documented during the September 27, 2023 visit were monitored for compliance during this visit: (209)-Children used space that was not approved. Care was provided in classroom 107, which is unapproved. Space 107 (group 4) is operating in an unapproved child care space, and a violation was cited. The CMS substitutes that were in space 102 did not have a Criminal Background Check (CBC) and a violation was cited. A violation was cited for not having CBC letters on file prior to employment. A violation was cited for unavailable files for staff. Hazardous items were observed in space 103, and a violation was cited. In space 3., a violation was cited for pest under the sink. Six (6) violations were cited. Violation Number Comment Rule 209 Children used space that was not approved. Child care was provided in unapproved space, space 107. GS 110-91(1)&(4-5) 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. Two (2) Lysol spray bottles, one (1) Febreeze Air Freshener, one (1) Microburst Air Neutralizing spray, a bottle of shaving cream, and a staff member's purse were in unlocked cabinets accessible to children in space 103. .2820(b) 1041 Prior to employment a Criminal Background Check was not completed. The CMS substitutes (T.W.) and (A.B.) in space 102 criminal background checks were not completed. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. CMS substitute staff (T.W.) and (A.B.) did not have an available file for review. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Valid qualification letters were not on file for CMS substitute staff (T.W.) and (A.B.). G.S. 110-90.2(b) & (d) & .2703(e) 9999 A violation was found for which there is no item number. 15A NCAC 18A .2832 (2) OUTDOOR LEARNING ENVIRONMENT AND PREMISES: (a) Child care center premises, including the outdoor learning environment, shall be kept clean, drained to minimize standing water, free of litter and hazards, and maintained in a manner which does not create conditions that attract or harbor pests. Debris, glass, dilapidated structures, and broken play equipment shall be removed from areas accessible to children. Wells, grease traps, cisterns, and utility equipment shall be made inaccessible to children. 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 December 4, 2023, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -A Provisional License may be issued for the documented violation (Item #209). The violation must be corrected immediately on or before December 4, 2023. -Make certain that child care is not provided in any unapproved child care space(s). Space(s) must be approved by Sanitation and the Division of Child Development and Early Education (DCDEE). Child care space(s) must be approved prior to use. Refer to G.S.110-91(1) & (4-5): (4) Building. – Each child care facility shall be located in a building which meets the appropriate requirements of the North Carolina Building Code under standards which shall be developed by the Building Code Council, subject to adoption by the Commission specifically for child care facilities, including facilities operated in a private residence. These standards shall be consistent with the provisions of this Article. A local building code enforcement officer shall approve any proposed alternate material, design, or method of construction, provided the building code enforcement officer finds that the alternate, for the purpose intended, is at least the equivalent of that prescribed in the technical building codes in quality, strength, effectiveness, fire resistance, durability, or safety. A local building code enforcement officer shall require that sufficient evidence or proof be submitted to substantiate any claim made regarding the alternate. The Child Care Commission may request changes to the Building Code to suit the special needs of preschool children. Satisfactorily written reports from representatives of building inspection agencies shall be required prior to the issuance of a license and whenever renovations are made to a child care center, or when the operator requests licensure of space not previously approved for child care. (5) Fire Prevention. – Each child care facility shall be located in a building that meets appropriate requirements for fire prevention and safe evacuation that apply to child care facilities as established by the Department of Insurance in consultation with the Department. Except for child care centers located on State property, each child care center shall be inspected at least annually by a local fire department or volunteer fire department for compliance with these requirements. Child care centers located on State property shall be inspected at least annually by an official designated by the Department of Insurance. -The Sanitation Inspection that was completed during the visit, for child care space 107, was Disapproved November 20, 2023. The space was disapproved because of the following: water temperature was not in the range 80-110, the hooks were not spaced at least twelve (12) inches apart, and the roof was leaking. -Prior to employment, NC Pre K staff must have a CBC completed and have a qualification letter on file. Refer to G.S. 110-90.2(b): (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. -House Bill 103: Effective July 11, 2022, individuals have five (5) years to renew their criminal record check instead of every three (3) years. -Staff records must be available for review. Refer to G.S. 110-91(9): (9) Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. -Space calculations were completed for space 107. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 11/20/2023 Number Present: 59 Completed Date: 11/20/2023 Age: From 0 To 5 Total Minutes: 335 Time In: 09:00 AM Time Out: 02:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violation(s) documented during the September 27, 2023 annual compliance/unannounced visit. Ponpasert Vongvilay, Environmental Health Specialist Public Health, accompanied me during today's visit. I completed a walkthrough of the facility. Four classroom spaces were open. In space 101 (group 1), space 103 (group 3) and in space 107 (group 4), I observed the children having circle time. I observed the children in space 102 (group 2) returning from outdoor play. The following violation documented during the September 27, 2023 visit were monitored for compliance during this visit: (209)-Children used space that was not approved. Care was provided in classroom 107, which is unapproved. Space 107 (group 4) is operating in an unapproved child care space, and a violation was cited. The CMS substitutes that were in space 102 did not have a Criminal Background Check (CBC) and a violation was cited. A violation was cited for not having CBC letters on file prior to employment. A violation was cited for unavailable files for staff. Hazardous items were observed in space 103, and a violation was cited. In space 3., a violation was cited for pest under the sink. Six (6) violations were cited. Violation Number Comment Rule 209 Children used space that was not approved. Child care was provided in unapproved space, space 107. GS 110-91(1)&(4-5) 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. Two (2) Lysol spray bottles, one (1) Febreeze Air Freshener, one (1) Microburst Air Neutralizing spray, a bottle of shaving cream, and a staff member's purse were in unlocked cabinets accessible to children in space 103. .2820(b) 1041 Prior to employment a Criminal Background Check was not completed. The CMS substitutes (T.W.) and (A.B.) in space 102 criminal background checks were not completed. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. CMS substitute staff (T.W.) and (A.B.) did not have an available file for review. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Valid qualification letters were not on file for CMS substitute staff (T.W.) and (A.B.). G.S. 110-90.2(b) & (d) & .2703(e) 9999 A violation was found for which there is no item number. 15A NCAC 18A .2832 (2) OUTDOOR LEARNING ENVIRONMENT AND PREMISES: (a) Child care center premises, including the outdoor learning environment, shall be kept clean, drained to minimize standing water, free of litter and hazards, and maintained in a manner which does not create conditions that attract or harbor pests. Debris, glass, dilapidated structures, and broken play equipment shall be removed from areas accessible to children. Wells, grease traps, cisterns, and utility equipment shall be made inaccessible to children. 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 December 4, 2023, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -A Provisional License may be issued for the documented violation (Item #209). The violation must be corrected immediately on or before December 4, 2023. -Make certain that child care is not provided in any unapproved child care space(s). Space(s) must be approved by Sanitation and the Division of Child Development and Early Education (DCDEE). Child care space(s) must be approved prior to use. Refer to G.S.110-91(1) & (4-5): (4) Building. – Each child care facility shall be located in a building which meets the appropriate requirements of the North Carolina Building Code under standards which shall be developed by the Building Code Council, subject to adoption by the Commission specifically for child care facilities, including facilities operated in a private residence. These standards shall be consistent with the provisions of this Article. A local building code enforcement officer shall approve any proposed alternate material, design, or method of construction, provided the building code enforcement officer finds that the alternate, for the purpose intended, is at least the equivalent of that prescribed in the technical building codes in quality, strength, effectiveness, fire resistance, durability, or safety. A local building code enforcement officer shall require that sufficient evidence or proof be submitted to substantiate any claim made regarding the alternate. The Child Care Commission may request changes to the Building Code to suit the special needs of preschool children. Satisfactorily written reports from representatives of building inspection agencies shall be required prior to the issuance of a license and whenever renovations are made to a child care center, or when the operator requests licensure of space not previously approved for child care. (5) Fire Prevention. – Each child care facility shall be located in a building that meets appropriate requirements for fire prevention and safe evacuation that apply to child care facilities as established by the Department of Insurance in consultation with the Department. Except for child care centers located on State property, each child care center shall be inspected at least annually by a local fire department or volunteer fire department for compliance with these requirements. Child care centers located on State property shall be inspected at least annually by an official designated by the Department of Insurance. -The Sanitation Inspection that was completed during the visit, for child care space 107, was Disapproved November 20, 2023. The space was disapproved because of the following: water temperature was not in the range 80-110, the hooks were not spaced at least twelve (12) inches apart, and the roof was leaking. -Prior to employment, NC Pre K staff must have a CBC completed and have a qualification letter on file. Refer to G.S. 110-90.2(b): (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. -House Bill 103: Effective July 11, 2022, individuals have five (5) years to renew their criminal record check instead of every three (3) years. -Staff records must be available for review. Refer to G.S. 110-91(9): (9) Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. -Space calculations were completed for space 107. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 11/20/2023 Number Present: 59 Completed Date: 11/20/2023 Age: From 0 To 5 Total Minutes: 335 Time In: 09:00 AM Time Out: 02:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violation(s) documented during the September 27, 2023 annual compliance/unannounced visit. Ponpasert Vongvilay, Environmental Health Specialist Public Health, accompanied me during today's visit. I completed a walkthrough of the facility. Four classroom spaces were open. In space 101 (group 1), space 103 (group 3) and in space 107 (group 4), I observed the children having circle time. I observed the children in space 102 (group 2) returning from outdoor play. The following violation documented during the September 27, 2023 visit were monitored for compliance during this visit: (209)-Children used space that was not approved. Care was provided in classroom 107, which is unapproved. Space 107 (group 4) is operating in an unapproved child care space, and a violation was cited. The CMS substitutes that were in space 102 did not have a Criminal Background Check (CBC) and a violation was cited. A violation was cited for not having CBC letters on file prior to employment. A violation was cited for unavailable files for staff. Hazardous items were observed in space 103, and a violation was cited. In space 3., a violation was cited for pest under the sink. Six (6) violations were cited. Violation Number Comment Rule 209 Children used space that was not approved. Child care was provided in unapproved space, space 107. GS 110-91(1)&(4-5) 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. Two (2) Lysol spray bottles, one (1) Febreeze Air Freshener, one (1) Microburst Air Neutralizing spray, a bottle of shaving cream, and a staff member's purse were in unlocked cabinets accessible to children in space 103. .2820(b) 1041 Prior to employment a Criminal Background Check was not completed. The CMS substitutes (T.W.) and (A.B.) in space 102 criminal background checks were not completed. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. CMS substitute staff (T.W.) and (A.B.) did not have an available file for review. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Valid qualification letters were not on file for CMS substitute staff (T.W.) and (A.B.). G.S. 110-90.2(b) & (d) & .2703(e) 9999 A violation was found for which there is no item number. 15A NCAC 18A .2832 (2) OUTDOOR LEARNING ENVIRONMENT AND PREMISES: (a) Child care center premises, including the outdoor learning environment, shall be kept clean, drained to minimize standing water, free of litter and hazards, and maintained in a manner which does not create conditions that attract or harbor pests. Debris, glass, dilapidated structures, and broken play equipment shall be removed from areas accessible to children. Wells, grease traps, cisterns, and utility equipment shall be made inaccessible to children. 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 December 4, 2023, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -A Provisional License may be issued for the documented violation (Item #209). The violation must be corrected immediately on or before December 4, 2023. -Make certain that child care is not provided in any unapproved child care space(s). Space(s) must be approved by Sanitation and the Division of Child Development and Early Education (DCDEE). Child care space(s) must be approved prior to use. Refer to G.S.110-91(1) & (4-5): (4) Building. – Each child care facility shall be located in a building which meets the appropriate requirements of the North Carolina Building Code under standards which shall be developed by the Building Code Council, subject to adoption by the Commission specifically for child care facilities, including facilities operated in a private residence. These standards shall be consistent with the provisions of this Article. A local building code enforcement officer shall approve any proposed alternate material, design, or method of construction, provided the building code enforcement officer finds that the alternate, for the purpose intended, is at least the equivalent of that prescribed in the technical building codes in quality, strength, effectiveness, fire resistance, durability, or safety. A local building code enforcement officer shall require that sufficient evidence or proof be submitted to substantiate any claim made regarding the alternate. The Child Care Commission may request changes to the Building Code to suit the special needs of preschool children. Satisfactorily written reports from representatives of building inspection agencies shall be required prior to the issuance of a license and whenever renovations are made to a child care center, or when the operator requests licensure of space not previously approved for child care. (5) Fire Prevention. – Each child care facility shall be located in a building that meets appropriate requirements for fire prevention and safe evacuation that apply to child care facilities as established by the Department of Insurance in consultation with the Department. Except for child care centers located on State property, each child care center shall be inspected at least annually by a local fire department or volunteer fire department for compliance with these requirements. Child care centers located on State property shall be inspected at least annually by an official designated by the Department of Insurance. -The Sanitation Inspection that was completed during the visit, for child care space 107, was Disapproved November 20, 2023. The space was disapproved because of the following: water temperature was not in the range 80-110, the hooks were not spaced at least twelve (12) inches apart, and the roof was leaking. -Prior to employment, NC Pre K staff must have a CBC completed and have a qualification letter on file. Refer to G.S. 110-90.2(b): (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. -House Bill 103: Effective July 11, 2022, individuals have five (5) years to renew their criminal record check instead of every three (3) years. -Staff records must be available for review. Refer to G.S. 110-91(9): (9) Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. -Space calculations were completed for space 107. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 9/27/2023 Number Present: 48 Completed Date: 9/27/2023 Age: From 4 To 5 Total Minutes: 360 Time In: 09:30 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 conduct an Annual Compliance/Unannounced visit to monitor child care requirements. The facility currently holds a Four-Star License issued January 17, 2020, and had a compliance history score of 89% prior to today’s visit. The facility’s last Annual Compliance Visit was October 4, 2022. I was greeted by Lead Teacher, Ms. Hillary Bost, and Teacher Assistant, Mr. Freeman, and I explained the purpose of the visit. Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit; NC Pre-K requirements were monitored. A copy of the Annual Compliance Checklist for Centers was provided to the Lead Teacher, Ms. Bost, after the visit. Four (4) classroom spaces are being used for the North Carolina Pre-K Program (NC Pre-K). Child care was provided in classroom 107, an unapproved space, and a violation was cited. Upon arrival, I observed the children in each child care space participating in small group time led by teachers. The teachers used nurturing tones with the children, and the teachers provided adequate supervision. I observed a CMS Speech Therapist, Ms. H. McAdam, in class providing services in the classroom 103. Ms. McDavid provided services to a child alone, and a violation was cited for a letter not on file. The following program requirements were observed posted and compliant: First Aid Poster, Child Care License, No Smoking Sign, Summary of NC Law, September Menu, Daily Schedules and Activity Plans, and Emergency Medical Care Plan. The Playground Inspections were reviewed and were met compliance. The Shelter-in-Place/Lockdown drills did not meet compliance and a violation was cited. The Incident Log was not available, and a violation was cited. The following NC Pre-K requirements were monitored during today’s visit: 10A NCAC 09 .3002 FACILITY REQUIREMENTS-The facility requirements were met. The program has maintained a Four-Star License. 10A NCAC 09 .3003 PROGRAM ATTENDANCE POLICY-The attendance policy and daily attendance was reviewed, and compliance was met. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS- Health assessments were reviewed. 10A NCAC 09 .3007 EARLY LEARNING STANDARDS AND CURRICULA-Teaching Strategies were observed. 10A NCAC 09 .3008 FORMATIVE ASSESSMENT-Pass (Phonological Awareness Skills Test) was used as an assessment. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE-Child were maintained during the visit. 10A NCAC 09 .3010 FAMILY ENGAGEMENT-The program has completed Parent Orientation, and Open House, and Curriculum Night is scheduled for September 28, 2023. 10A NCAC 10 .3011 NC PRE-K SITE-LEVEL ADMINISTRATOR QUALIFICATIONS were met. 10A NCAC 09 .3012 NC PRE-K TEACHER EDUCATION, LICENSURE AND CREDENTIALS- Both NC Pre-K teachers met the NC Pre-K Qualifications, a Bachelor of Arts in Birth to Kindergarten. 10 A NCAC 09 .3013 NC PRE-K TEACHER ASSISTANT EDUCATION AND CREDENTIALS- The NC Pre-K assistant teacher met compliance. 10A NCAC 09 .3014 NC PRE-K SUSBTITUTE STAFF- The substitute teacher met the education requirements for a substitute. Five (5) children’s files were selected and reviewed, and compliance was met. A violation was cited for a child’s application was not signed, and a violation was cited because a child did not have a medical. A remaining staff member’s file was reviewed, and two (2) new staff files were reviewed. A violation was cited for a staff’s expired CPR, and a violation was cited for a staff’s expired First Aid. The substitute staff did not have a Criminal Background Check (CBC) letter on file and the therapist did not have a CBC letter on file; a violation was cited. I confirmed in the Automated Background Check Management System (ABCMS) that the substitute teacher and the therapist have a current CBC letter. There are no children with medications, and there were no children with food allergies posted. There is not an assigned playground for the NC Pre-K Program, because the playground on site is for children five (5) years-old and older. The Lead Teacher, Ms. Bost, stated that materials are provided to support outdoor play, such as balls, bicycles, and chalk in the courtyard area outside the classroom. The center does provide transportation and the following was observed for compliance: Safe pick-up and Delivery statement (Posted), and Emergency Information on Children. The bus used to transport children was not on site. The sanitation inspection was completed May 5, 2023, with a “Superior” classification and eight (8) demerits. The last fire inspection was conducted August 16, 2023. Eleven (11) violations were cited during today’s visit. Violation Number Comment Rule 209 Children used space that was not approved. Care was provided in classroom 107, which is unapproved. GS 110-91(1)&(4-5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Outlets were uncovered in classroom 102, classroom 103, and classroom 107. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. There was a closet that was unlocked in classroom 102 that contained Lysol wipes, cleaner, and lotion. .2820(b) 853 Incident logs were not completed and maintained as required. The log was not available .0802(g)(1-6) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff (T.W.) did not have. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff (Y.B.) First Aid training expired February 2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Staff (Y.B.) CPR training expired February 2023. .1102(d) 1303 Application was not signed by the parent. An application was signed for child (K.E.) 10A NCAC 09 .0801(a) 1757 A valid qualification letter was not on file and available to review at the facility. A substitute teacher (T.W.) did not have a CBC letter on file, and a CMS Speech Therapist working separately with children did not have a letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. A health assessment was not on file for child (E. A.) .3005(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown drills were practiced September 27, 2022, January 18, 2023 and May 19, 2023. .0604(u);.0302(d)(8) Corrective Action The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter explaining how she corrected each of today’s violations and the steps she put in place to ensure on going compliance to me on or before Wednesday, October 11, 2023 to Deanna.Matthews@dhhs.nc.gov, or to the address listed below: Deanna Matthews P.O. Box 756 Gastonia, NC 28053-0756 Failure to correct the violations and/or submit the compliance letter to me by the due date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. The following Technical Assistance (TA) was provided: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -House Bill 103: Effective July 11, 2022, individuals have five (5) years to renew their criminal record check instead of every three (3) years. -On June 12th, Governor Cooper signed Senate Bill 291, extending the Child Care Hold Harmless legislation until June 30, 2024, and requiring the North Carolina Child Care Commission to make recommendations for modernizing the state’s Quality Rating and Improvement System. -NCDHHS Children’s Environmental Health has conducted a series of virtual trainings on the recently re-adopted Child Care Sanitation Rules, effective July 1, 2023. -The North Carolina Child Care Commission and the North Carolina Department of Health and Human Services Division of Child Development and Early Education are collaborating to modernize NC’s child care quality rating and improvement system (QRIS), commonly known as the Star Rated License. We are developing a plan that will be reviewed by the legislature in Spring 2024. During the next few months, we are collecting information from parents, teachers, administrators, operators, and partners to consider in the plan. -If you are unable to attend these sessions, you may also complete an online survey or write to DCDEE_QRIS@dhhs.nc.gov. -Your facility has been assigned to Cohort 2: Prep year 7/1/24-6/30/25, Reassessment year 7/1/25-6/30/26. Please refer to the link for additional information: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. -New staff, including substitutes have ninety (90) days to complete Child Maltreatment and CPR/First Aid. New staff must retake Child Maltreatment when moving from one child care facility to a new child care facility. -I will return in the near future to measure classroom 107. -Therapist who are left alone with child(ren) are required to have a DCDEE-CBC. Please contact Child Care Consultant, Deanna Matthews, at Deanna.Matthews@dhhs.nc.gov, or 704-962-7854, for questions or concerns, regarding today's visit. 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0801 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 9/27/2023 Number Present: 48 Completed Date: 9/27/2023 Age: From 4 To 5 Total Minutes: 360 Time In: 09:30 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 conduct an Annual Compliance/Unannounced visit to monitor child care requirements. The facility currently holds a Four-Star License issued January 17, 2020, and had a compliance history score of 89% prior to today’s visit. The facility’s last Annual Compliance Visit was October 4, 2022. I was greeted by Lead Teacher, Ms. Hillary Bost, and Teacher Assistant, Mr. Freeman, and I explained the purpose of the visit. Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit; NC Pre-K requirements were monitored. A copy of the Annual Compliance Checklist for Centers was provided to the Lead Teacher, Ms. Bost, after the visit. Four (4) classroom spaces are being used for the North Carolina Pre-K Program (NC Pre-K). Child care was provided in classroom 107, an unapproved space, and a violation was cited. Upon arrival, I observed the children in each child care space participating in small group time led by teachers. The teachers used nurturing tones with the children, and the teachers provided adequate supervision. I observed a CMS Speech Therapist, Ms. H. McAdam, in class providing services in the classroom 103. Ms. McDavid provided services to a child alone, and a violation was cited for a letter not on file. The following program requirements were observed posted and compliant: First Aid Poster, Child Care License, No Smoking Sign, Summary of NC Law, September Menu, Daily Schedules and Activity Plans, and Emergency Medical Care Plan. The Playground Inspections were reviewed and were met compliance. The Shelter-in-Place/Lockdown drills did not meet compliance and a violation was cited. The Incident Log was not available, and a violation was cited. The following NC Pre-K requirements were monitored during today’s visit: 10A NCAC 09 .3002 FACILITY REQUIREMENTS-The facility requirements were met. The program has maintained a Four-Star License. 10A NCAC 09 .3003 PROGRAM ATTENDANCE POLICY-The attendance policy and daily attendance was reviewed, and compliance was met. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS- Health assessments were reviewed. 10A NCAC 09 .3007 EARLY LEARNING STANDARDS AND CURRICULA-Teaching Strategies were observed. 10A NCAC 09 .3008 FORMATIVE ASSESSMENT-Pass (Phonological Awareness Skills Test) was used as an assessment. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE-Child were maintained during the visit. 10A NCAC 09 .3010 FAMILY ENGAGEMENT-The program has completed Parent Orientation, and Open House, and Curriculum Night is scheduled for September 28, 2023. 10A NCAC 10 .3011 NC PRE-K SITE-LEVEL ADMINISTRATOR QUALIFICATIONS were met. 10A NCAC 09 .3012 NC PRE-K TEACHER EDUCATION, LICENSURE AND CREDENTIALS- Both NC Pre-K teachers met the NC Pre-K Qualifications, a Bachelor of Arts in Birth to Kindergarten. 10 A NCAC 09 .3013 NC PRE-K TEACHER ASSISTANT EDUCATION AND CREDENTIALS- The NC Pre-K assistant teacher met compliance. 10A NCAC 09 .3014 NC PRE-K SUSBTITUTE STAFF- The substitute teacher met the education requirements for a substitute. Five (5) children’s files were selected and reviewed, and compliance was met. A violation was cited for a child’s application was not signed, and a violation was cited because a child did not have a medical. A remaining staff member’s file was reviewed, and two (2) new staff files were reviewed. A violation was cited for a staff’s expired CPR, and a violation was cited for a staff’s expired First Aid. The substitute staff did not have a Criminal Background Check (CBC) letter on file and the therapist did not have a CBC letter on file; a violation was cited. I confirmed in the Automated Background Check Management System (ABCMS) that the substitute teacher and the therapist have a current CBC letter. There are no children with medications, and there were no children with food allergies posted. There is not an assigned playground for the NC Pre-K Program, because the playground on site is for children five (5) years-old and older. The Lead Teacher, Ms. Bost, stated that materials are provided to support outdoor play, such as balls, bicycles, and chalk in the courtyard area outside the classroom. The center does provide transportation and the following was observed for compliance: Safe pick-up and Delivery statement (Posted), and Emergency Information on Children. The bus used to transport children was not on site. The sanitation inspection was completed May 5, 2023, with a “Superior” classification and eight (8) demerits. The last fire inspection was conducted August 16, 2023. Eleven (11) violations were cited during today’s visit. Violation Number Comment Rule 209 Children used space that was not approved. Care was provided in classroom 107, which is unapproved. GS 110-91(1)&(4-5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Outlets were uncovered in classroom 102, classroom 103, and classroom 107. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. There was a closet that was unlocked in classroom 102 that contained Lysol wipes, cleaner, and lotion. .2820(b) 853 Incident logs were not completed and maintained as required. The log was not available .0802(g)(1-6) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff (T.W.) did not have. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff (Y.B.) First Aid training expired February 2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Staff (Y.B.) CPR training expired February 2023. .1102(d) 1303 Application was not signed by the parent. An application was signed for child (K.E.) 10A NCAC 09 .0801(a) 1757 A valid qualification letter was not on file and available to review at the facility. A substitute teacher (T.W.) did not have a CBC letter on file, and a CMS Speech Therapist working separately with children did not have a letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. A health assessment was not on file for child (E. A.) .3005(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown drills were practiced September 27, 2022, January 18, 2023 and May 19, 2023. .0604(u);.0302(d)(8) Corrective Action The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter explaining how she corrected each of today’s violations and the steps she put in place to ensure on going compliance to me on or before Wednesday, October 11, 2023 to Deanna.Matthews@dhhs.nc.gov, or to the address listed below: Deanna Matthews P.O. Box 756 Gastonia, NC 28053-0756 Failure to correct the violations and/or submit the compliance letter to me by the due date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. The following Technical Assistance (TA) was provided: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -House Bill 103: Effective July 11, 2022, individuals have five (5) years to renew their criminal record check instead of every three (3) years. -On June 12th, Governor Cooper signed Senate Bill 291, extending the Child Care Hold Harmless legislation until June 30, 2024, and requiring the North Carolina Child Care Commission to make recommendations for modernizing the state’s Quality Rating and Improvement System. -NCDHHS Children’s Environmental Health has conducted a series of virtual trainings on the recently re-adopted Child Care Sanitation Rules, effective July 1, 2023. -The North Carolina Child Care Commission and the North Carolina Department of Health and Human Services Division of Child Development and Early Education are collaborating to modernize NC’s child care quality rating and improvement system (QRIS), commonly known as the Star Rated License. We are developing a plan that will be reviewed by the legislature in Spring 2024. During the next few months, we are collecting information from parents, teachers, administrators, operators, and partners to consider in the plan. -If you are unable to attend these sessions, you may also complete an online survey or write to DCDEE_QRIS@dhhs.nc.gov. -Your facility has been assigned to Cohort 2: Prep year 7/1/24-6/30/25, Reassessment year 7/1/25-6/30/26. Please refer to the link for additional information: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. -New staff, including substitutes have ninety (90) days to complete Child Maltreatment and CPR/First Aid. New staff must retake Child Maltreatment when moving from one child care facility to a new child care facility. -I will return in the near future to measure classroom 107. -Therapist who are left alone with child(ren) are required to have a DCDEE-CBC. Please contact Child Care Consultant, Deanna Matthews, at Deanna.Matthews@dhhs.nc.gov, or 704-962-7854, for questions or concerns, regarding today's visit. 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 .3002 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 9/27/2023 Number Present: 48 Completed Date: 9/27/2023 Age: From 4 To 5 Total Minutes: 360 Time In: 09:30 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 conduct an Annual Compliance/Unannounced visit to monitor child care requirements. The facility currently holds a Four-Star License issued January 17, 2020, and had a compliance history score of 89% prior to today’s visit. The facility’s last Annual Compliance Visit was October 4, 2022. I was greeted by Lead Teacher, Ms. Hillary Bost, and Teacher Assistant, Mr. Freeman, and I explained the purpose of the visit. Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit; NC Pre-K requirements were monitored. A copy of the Annual Compliance Checklist for Centers was provided to the Lead Teacher, Ms. Bost, after the visit. Four (4) classroom spaces are being used for the North Carolina Pre-K Program (NC Pre-K). Child care was provided in classroom 107, an unapproved space, and a violation was cited. Upon arrival, I observed the children in each child care space participating in small group time led by teachers. The teachers used nurturing tones with the children, and the teachers provided adequate supervision. I observed a CMS Speech Therapist, Ms. H. McAdam, in class providing services in the classroom 103. Ms. McDavid provided services to a child alone, and a violation was cited for a letter not on file. The following program requirements were observed posted and compliant: First Aid Poster, Child Care License, No Smoking Sign, Summary of NC Law, September Menu, Daily Schedules and Activity Plans, and Emergency Medical Care Plan. The Playground Inspections were reviewed and were met compliance. The Shelter-in-Place/Lockdown drills did not meet compliance and a violation was cited. The Incident Log was not available, and a violation was cited. The following NC Pre-K requirements were monitored during today’s visit: 10A NCAC 09 .3002 FACILITY REQUIREMENTS-The facility requirements were met. The program has maintained a Four-Star License. 10A NCAC 09 .3003 PROGRAM ATTENDANCE POLICY-The attendance policy and daily attendance was reviewed, and compliance was met. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS- Health assessments were reviewed. 10A NCAC 09 .3007 EARLY LEARNING STANDARDS AND CURRICULA-Teaching Strategies were observed. 10A NCAC 09 .3008 FORMATIVE ASSESSMENT-Pass (Phonological Awareness Skills Test) was used as an assessment. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE-Child were maintained during the visit. 10A NCAC 09 .3010 FAMILY ENGAGEMENT-The program has completed Parent Orientation, and Open House, and Curriculum Night is scheduled for September 28, 2023. 10A NCAC 10 .3011 NC PRE-K SITE-LEVEL ADMINISTRATOR QUALIFICATIONS were met. 10A NCAC 09 .3012 NC PRE-K TEACHER EDUCATION, LICENSURE AND CREDENTIALS- Both NC Pre-K teachers met the NC Pre-K Qualifications, a Bachelor of Arts in Birth to Kindergarten. 10 A NCAC 09 .3013 NC PRE-K TEACHER ASSISTANT EDUCATION AND CREDENTIALS- The NC Pre-K assistant teacher met compliance. 10A NCAC 09 .3014 NC PRE-K SUSBTITUTE STAFF- The substitute teacher met the education requirements for a substitute. Five (5) children’s files were selected and reviewed, and compliance was met. A violation was cited for a child’s application was not signed, and a violation was cited because a child did not have a medical. A remaining staff member’s file was reviewed, and two (2) new staff files were reviewed. A violation was cited for a staff’s expired CPR, and a violation was cited for a staff’s expired First Aid. The substitute staff did not have a Criminal Background Check (CBC) letter on file and the therapist did not have a CBC letter on file; a violation was cited. I confirmed in the Automated Background Check Management System (ABCMS) that the substitute teacher and the therapist have a current CBC letter. There are no children with medications, and there were no children with food allergies posted. There is not an assigned playground for the NC Pre-K Program, because the playground on site is for children five (5) years-old and older. The Lead Teacher, Ms. Bost, stated that materials are provided to support outdoor play, such as balls, bicycles, and chalk in the courtyard area outside the classroom. The center does provide transportation and the following was observed for compliance: Safe pick-up and Delivery statement (Posted), and Emergency Information on Children. The bus used to transport children was not on site. The sanitation inspection was completed May 5, 2023, with a “Superior” classification and eight (8) demerits. The last fire inspection was conducted August 16, 2023. Eleven (11) violations were cited during today’s visit. Violation Number Comment Rule 209 Children used space that was not approved. Care was provided in classroom 107, which is unapproved. GS 110-91(1)&(4-5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Outlets were uncovered in classroom 102, classroom 103, and classroom 107. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. There was a closet that was unlocked in classroom 102 that contained Lysol wipes, cleaner, and lotion. .2820(b) 853 Incident logs were not completed and maintained as required. The log was not available .0802(g)(1-6) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff (T.W.) did not have. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff (Y.B.) First Aid training expired February 2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Staff (Y.B.) CPR training expired February 2023. .1102(d) 1303 Application was not signed by the parent. An application was signed for child (K.E.) 10A NCAC 09 .0801(a) 1757 A valid qualification letter was not on file and available to review at the facility. A substitute teacher (T.W.) did not have a CBC letter on file, and a CMS Speech Therapist working separately with children did not have a letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. A health assessment was not on file for child (E. A.) .3005(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown drills were practiced September 27, 2022, January 18, 2023 and May 19, 2023. .0604(u);.0302(d)(8) Corrective Action The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter explaining how she corrected each of today’s violations and the steps she put in place to ensure on going compliance to me on or before Wednesday, October 11, 2023 to Deanna.Matthews@dhhs.nc.gov, or to the address listed below: Deanna Matthews P.O. Box 756 Gastonia, NC 28053-0756 Failure to correct the violations and/or submit the compliance letter to me by the due date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. The following Technical Assistance (TA) was provided: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -House Bill 103: Effective July 11, 2022, individuals have five (5) years to renew their criminal record check instead of every three (3) years. -On June 12th, Governor Cooper signed Senate Bill 291, extending the Child Care Hold Harmless legislation until June 30, 2024, and requiring the North Carolina Child Care Commission to make recommendations for modernizing the state’s Quality Rating and Improvement System. -NCDHHS Children’s Environmental Health has conducted a series of virtual trainings on the recently re-adopted Child Care Sanitation Rules, effective July 1, 2023. -The North Carolina Child Care Commission and the North Carolina Department of Health and Human Services Division of Child Development and Early Education are collaborating to modernize NC’s child care quality rating and improvement system (QRIS), commonly known as the Star Rated License. We are developing a plan that will be reviewed by the legislature in Spring 2024. During the next few months, we are collecting information from parents, teachers, administrators, operators, and partners to consider in the plan. -If you are unable to attend these sessions, you may also complete an online survey or write to DCDEE_QRIS@dhhs.nc.gov. -Your facility has been assigned to Cohort 2: Prep year 7/1/24-6/30/25, Reassessment year 7/1/25-6/30/26. Please refer to the link for additional information: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. -New staff, including substitutes have ninety (90) days to complete Child Maltreatment and CPR/First Aid. New staff must retake Child Maltreatment when moving from one child care facility to a new child care facility. -I will return in the near future to measure classroom 107. -Therapist who are left alone with child(ren) are required to have a DCDEE-CBC. Please contact Child Care Consultant, Deanna Matthews, at Deanna.Matthews@dhhs.nc.gov, or 704-962-7854, for questions or concerns, regarding today's visit. 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 .3003 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 9/27/2023 Number Present: 48 Completed Date: 9/27/2023 Age: From 4 To 5 Total Minutes: 360 Time In: 09:30 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 conduct an Annual Compliance/Unannounced visit to monitor child care requirements. The facility currently holds a Four-Star License issued January 17, 2020, and had a compliance history score of 89% prior to today’s visit. The facility’s last Annual Compliance Visit was October 4, 2022. I was greeted by Lead Teacher, Ms. Hillary Bost, and Teacher Assistant, Mr. Freeman, and I explained the purpose of the visit. Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit; NC Pre-K requirements were monitored. A copy of the Annual Compliance Checklist for Centers was provided to the Lead Teacher, Ms. Bost, after the visit. Four (4) classroom spaces are being used for the North Carolina Pre-K Program (NC Pre-K). Child care was provided in classroom 107, an unapproved space, and a violation was cited. Upon arrival, I observed the children in each child care space participating in small group time led by teachers. The teachers used nurturing tones with the children, and the teachers provided adequate supervision. I observed a CMS Speech Therapist, Ms. H. McAdam, in class providing services in the classroom 103. Ms. McDavid provided services to a child alone, and a violation was cited for a letter not on file. The following program requirements were observed posted and compliant: First Aid Poster, Child Care License, No Smoking Sign, Summary of NC Law, September Menu, Daily Schedules and Activity Plans, and Emergency Medical Care Plan. The Playground Inspections were reviewed and were met compliance. The Shelter-in-Place/Lockdown drills did not meet compliance and a violation was cited. The Incident Log was not available, and a violation was cited. The following NC Pre-K requirements were monitored during today’s visit: 10A NCAC 09 .3002 FACILITY REQUIREMENTS-The facility requirements were met. The program has maintained a Four-Star License. 10A NCAC 09 .3003 PROGRAM ATTENDANCE POLICY-The attendance policy and daily attendance was reviewed, and compliance was met. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS- Health assessments were reviewed. 10A NCAC 09 .3007 EARLY LEARNING STANDARDS AND CURRICULA-Teaching Strategies were observed. 10A NCAC 09 .3008 FORMATIVE ASSESSMENT-Pass (Phonological Awareness Skills Test) was used as an assessment. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE-Child were maintained during the visit. 10A NCAC 09 .3010 FAMILY ENGAGEMENT-The program has completed Parent Orientation, and Open House, and Curriculum Night is scheduled for September 28, 2023. 10A NCAC 10 .3011 NC PRE-K SITE-LEVEL ADMINISTRATOR QUALIFICATIONS were met. 10A NCAC 09 .3012 NC PRE-K TEACHER EDUCATION, LICENSURE AND CREDENTIALS- Both NC Pre-K teachers met the NC Pre-K Qualifications, a Bachelor of Arts in Birth to Kindergarten. 10 A NCAC 09 .3013 NC PRE-K TEACHER ASSISTANT EDUCATION AND CREDENTIALS- The NC Pre-K assistant teacher met compliance. 10A NCAC 09 .3014 NC PRE-K SUSBTITUTE STAFF- The substitute teacher met the education requirements for a substitute. Five (5) children’s files were selected and reviewed, and compliance was met. A violation was cited for a child’s application was not signed, and a violation was cited because a child did not have a medical. A remaining staff member’s file was reviewed, and two (2) new staff files were reviewed. A violation was cited for a staff’s expired CPR, and a violation was cited for a staff’s expired First Aid. The substitute staff did not have a Criminal Background Check (CBC) letter on file and the therapist did not have a CBC letter on file; a violation was cited. I confirmed in the Automated Background Check Management System (ABCMS) that the substitute teacher and the therapist have a current CBC letter. There are no children with medications, and there were no children with food allergies posted. There is not an assigned playground for the NC Pre-K Program, because the playground on site is for children five (5) years-old and older. The Lead Teacher, Ms. Bost, stated that materials are provided to support outdoor play, such as balls, bicycles, and chalk in the courtyard area outside the classroom. The center does provide transportation and the following was observed for compliance: Safe pick-up and Delivery statement (Posted), and Emergency Information on Children. The bus used to transport children was not on site. The sanitation inspection was completed May 5, 2023, with a “Superior” classification and eight (8) demerits. The last fire inspection was conducted August 16, 2023. Eleven (11) violations were cited during today’s visit. Violation Number Comment Rule 209 Children used space that was not approved. Care was provided in classroom 107, which is unapproved. GS 110-91(1)&(4-5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Outlets were uncovered in classroom 102, classroom 103, and classroom 107. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. There was a closet that was unlocked in classroom 102 that contained Lysol wipes, cleaner, and lotion. .2820(b) 853 Incident logs were not completed and maintained as required. The log was not available .0802(g)(1-6) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff (T.W.) did not have. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff (Y.B.) First Aid training expired February 2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Staff (Y.B.) CPR training expired February 2023. .1102(d) 1303 Application was not signed by the parent. An application was signed for child (K.E.) 10A NCAC 09 .0801(a) 1757 A valid qualification letter was not on file and available to review at the facility. A substitute teacher (T.W.) did not have a CBC letter on file, and a CMS Speech Therapist working separately with children did not have a letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. A health assessment was not on file for child (E. A.) .3005(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown drills were practiced September 27, 2022, January 18, 2023 and May 19, 2023. .0604(u);.0302(d)(8) Corrective Action The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter explaining how she corrected each of today’s violations and the steps she put in place to ensure on going compliance to me on or before Wednesday, October 11, 2023 to Deanna.Matthews@dhhs.nc.gov, or to the address listed below: Deanna Matthews P.O. Box 756 Gastonia, NC 28053-0756 Failure to correct the violations and/or submit the compliance letter to me by the due date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. The following Technical Assistance (TA) was provided: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -House Bill 103: Effective July 11, 2022, individuals have five (5) years to renew their criminal record check instead of every three (3) years. -On June 12th, Governor Cooper signed Senate Bill 291, extending the Child Care Hold Harmless legislation until June 30, 2024, and requiring the North Carolina Child Care Commission to make recommendations for modernizing the state’s Quality Rating and Improvement System. -NCDHHS Children’s Environmental Health has conducted a series of virtual trainings on the recently re-adopted Child Care Sanitation Rules, effective July 1, 2023. -The North Carolina Child Care Commission and the North Carolina Department of Health and Human Services Division of Child Development and Early Education are collaborating to modernize NC’s child care quality rating and improvement system (QRIS), commonly known as the Star Rated License. We are developing a plan that will be reviewed by the legislature in Spring 2024. During the next few months, we are collecting information from parents, teachers, administrators, operators, and partners to consider in the plan. -If you are unable to attend these sessions, you may also complete an online survey or write to DCDEE_QRIS@dhhs.nc.gov. -Your facility has been assigned to Cohort 2: Prep year 7/1/24-6/30/25, Reassessment year 7/1/25-6/30/26. Please refer to the link for additional information: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. -New staff, including substitutes have ninety (90) days to complete Child Maltreatment and CPR/First Aid. New staff must retake Child Maltreatment when moving from one child care facility to a new child care facility. -I will return in the near future to measure classroom 107. -Therapist who are left alone with child(ren) are required to have a DCDEE-CBC. Please contact Child Care Consultant, Deanna Matthews, at Deanna.Matthews@dhhs.nc.gov, or 704-962-7854, for questions or concerns, regarding today's visit. 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 .3005 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 9/27/2023 Number Present: 48 Completed Date: 9/27/2023 Age: From 4 To 5 Total Minutes: 360 Time In: 09:30 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 conduct an Annual Compliance/Unannounced visit to monitor child care requirements. The facility currently holds a Four-Star License issued January 17, 2020, and had a compliance history score of 89% prior to today’s visit. The facility’s last Annual Compliance Visit was October 4, 2022. I was greeted by Lead Teacher, Ms. Hillary Bost, and Teacher Assistant, Mr. Freeman, and I explained the purpose of the visit. Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit; NC Pre-K requirements were monitored. A copy of the Annual Compliance Checklist for Centers was provided to the Lead Teacher, Ms. Bost, after the visit. Four (4) classroom spaces are being used for the North Carolina Pre-K Program (NC Pre-K). Child care was provided in classroom 107, an unapproved space, and a violation was cited. Upon arrival, I observed the children in each child care space participating in small group time led by teachers. The teachers used nurturing tones with the children, and the teachers provided adequate supervision. I observed a CMS Speech Therapist, Ms. H. McAdam, in class providing services in the classroom 103. Ms. McDavid provided services to a child alone, and a violation was cited for a letter not on file. The following program requirements were observed posted and compliant: First Aid Poster, Child Care License, No Smoking Sign, Summary of NC Law, September Menu, Daily Schedules and Activity Plans, and Emergency Medical Care Plan. The Playground Inspections were reviewed and were met compliance. The Shelter-in-Place/Lockdown drills did not meet compliance and a violation was cited. The Incident Log was not available, and a violation was cited. The following NC Pre-K requirements were monitored during today’s visit: 10A NCAC 09 .3002 FACILITY REQUIREMENTS-The facility requirements were met. The program has maintained a Four-Star License. 10A NCAC 09 .3003 PROGRAM ATTENDANCE POLICY-The attendance policy and daily attendance was reviewed, and compliance was met. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS- Health assessments were reviewed. 10A NCAC 09 .3007 EARLY LEARNING STANDARDS AND CURRICULA-Teaching Strategies were observed. 10A NCAC 09 .3008 FORMATIVE ASSESSMENT-Pass (Phonological Awareness Skills Test) was used as an assessment. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE-Child were maintained during the visit. 10A NCAC 09 .3010 FAMILY ENGAGEMENT-The program has completed Parent Orientation, and Open House, and Curriculum Night is scheduled for September 28, 2023. 10A NCAC 10 .3011 NC PRE-K SITE-LEVEL ADMINISTRATOR QUALIFICATIONS were met. 10A NCAC 09 .3012 NC PRE-K TEACHER EDUCATION, LICENSURE AND CREDENTIALS- Both NC Pre-K teachers met the NC Pre-K Qualifications, a Bachelor of Arts in Birth to Kindergarten. 10 A NCAC 09 .3013 NC PRE-K TEACHER ASSISTANT EDUCATION AND CREDENTIALS- The NC Pre-K assistant teacher met compliance. 10A NCAC 09 .3014 NC PRE-K SUSBTITUTE STAFF- The substitute teacher met the education requirements for a substitute. Five (5) children’s files were selected and reviewed, and compliance was met. A violation was cited for a child’s application was not signed, and a violation was cited because a child did not have a medical. A remaining staff member’s file was reviewed, and two (2) new staff files were reviewed. A violation was cited for a staff’s expired CPR, and a violation was cited for a staff’s expired First Aid. The substitute staff did not have a Criminal Background Check (CBC) letter on file and the therapist did not have a CBC letter on file; a violation was cited. I confirmed in the Automated Background Check Management System (ABCMS) that the substitute teacher and the therapist have a current CBC letter. There are no children with medications, and there were no children with food allergies posted. There is not an assigned playground for the NC Pre-K Program, because the playground on site is for children five (5) years-old and older. The Lead Teacher, Ms. Bost, stated that materials are provided to support outdoor play, such as balls, bicycles, and chalk in the courtyard area outside the classroom. The center does provide transportation and the following was observed for compliance: Safe pick-up and Delivery statement (Posted), and Emergency Information on Children. The bus used to transport children was not on site. The sanitation inspection was completed May 5, 2023, with a “Superior” classification and eight (8) demerits. The last fire inspection was conducted August 16, 2023. Eleven (11) violations were cited during today’s visit. Violation Number Comment Rule 209 Children used space that was not approved. Care was provided in classroom 107, which is unapproved. GS 110-91(1)&(4-5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Outlets were uncovered in classroom 102, classroom 103, and classroom 107. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. There was a closet that was unlocked in classroom 102 that contained Lysol wipes, cleaner, and lotion. .2820(b) 853 Incident logs were not completed and maintained as required. The log was not available .0802(g)(1-6) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff (T.W.) did not have. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff (Y.B.) First Aid training expired February 2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Staff (Y.B.) CPR training expired February 2023. .1102(d) 1303 Application was not signed by the parent. An application was signed for child (K.E.) 10A NCAC 09 .0801(a) 1757 A valid qualification letter was not on file and available to review at the facility. A substitute teacher (T.W.) did not have a CBC letter on file, and a CMS Speech Therapist working separately with children did not have a letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. A health assessment was not on file for child (E. A.) .3005(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown drills were practiced September 27, 2022, January 18, 2023 and May 19, 2023. .0604(u);.0302(d)(8) Corrective Action The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter explaining how she corrected each of today’s violations and the steps she put in place to ensure on going compliance to me on or before Wednesday, October 11, 2023 to Deanna.Matthews@dhhs.nc.gov, or to the address listed below: Deanna Matthews P.O. Box 756 Gastonia, NC 28053-0756 Failure to correct the violations and/or submit the compliance letter to me by the due date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. The following Technical Assistance (TA) was provided: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -House Bill 103: Effective July 11, 2022, individuals have five (5) years to renew their criminal record check instead of every three (3) years. -On June 12th, Governor Cooper signed Senate Bill 291, extending the Child Care Hold Harmless legislation until June 30, 2024, and requiring the North Carolina Child Care Commission to make recommendations for modernizing the state’s Quality Rating and Improvement System. -NCDHHS Children’s Environmental Health has conducted a series of virtual trainings on the recently re-adopted Child Care Sanitation Rules, effective July 1, 2023. -The North Carolina Child Care Commission and the North Carolina Department of Health and Human Services Division of Child Development and Early Education are collaborating to modernize NC’s child care quality rating and improvement system (QRIS), commonly known as the Star Rated License. We are developing a plan that will be reviewed by the legislature in Spring 2024. During the next few months, we are collecting information from parents, teachers, administrators, operators, and partners to consider in the plan. -If you are unable to attend these sessions, you may also complete an online survey or write to DCDEE_QRIS@dhhs.nc.gov. -Your facility has been assigned to Cohort 2: Prep year 7/1/24-6/30/25, Reassessment year 7/1/25-6/30/26. Please refer to the link for additional information: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. -New staff, including substitutes have ninety (90) days to complete Child Maltreatment and CPR/First Aid. New staff must retake Child Maltreatment when moving from one child care facility to a new child care facility. -I will return in the near future to measure classroom 107. -Therapist who are left alone with child(ren) are required to have a DCDEE-CBC. Please contact Child Care Consultant, Deanna Matthews, at Deanna.Matthews@dhhs.nc.gov, or 704-962-7854, for questions or concerns, regarding today's visit. 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 .3007 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 9/27/2023 Number Present: 48 Completed Date: 9/27/2023 Age: From 4 To 5 Total Minutes: 360 Time In: 09:30 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 conduct an Annual Compliance/Unannounced visit to monitor child care requirements. The facility currently holds a Four-Star License issued January 17, 2020, and had a compliance history score of 89% prior to today’s visit. The facility’s last Annual Compliance Visit was October 4, 2022. I was greeted by Lead Teacher, Ms. Hillary Bost, and Teacher Assistant, Mr. Freeman, and I explained the purpose of the visit. Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit; NC Pre-K requirements were monitored. A copy of the Annual Compliance Checklist for Centers was provided to the Lead Teacher, Ms. Bost, after the visit. Four (4) classroom spaces are being used for the North Carolina Pre-K Program (NC Pre-K). Child care was provided in classroom 107, an unapproved space, and a violation was cited. Upon arrival, I observed the children in each child care space participating in small group time led by teachers. The teachers used nurturing tones with the children, and the teachers provided adequate supervision. I observed a CMS Speech Therapist, Ms. H. McAdam, in class providing services in the classroom 103. Ms. McDavid provided services to a child alone, and a violation was cited for a letter not on file. The following program requirements were observed posted and compliant: First Aid Poster, Child Care License, No Smoking Sign, Summary of NC Law, September Menu, Daily Schedules and Activity Plans, and Emergency Medical Care Plan. The Playground Inspections were reviewed and were met compliance. The Shelter-in-Place/Lockdown drills did not meet compliance and a violation was cited. The Incident Log was not available, and a violation was cited. The following NC Pre-K requirements were monitored during today’s visit: 10A NCAC 09 .3002 FACILITY REQUIREMENTS-The facility requirements were met. The program has maintained a Four-Star License. 10A NCAC 09 .3003 PROGRAM ATTENDANCE POLICY-The attendance policy and daily attendance was reviewed, and compliance was met. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS- Health assessments were reviewed. 10A NCAC 09 .3007 EARLY LEARNING STANDARDS AND CURRICULA-Teaching Strategies were observed. 10A NCAC 09 .3008 FORMATIVE ASSESSMENT-Pass (Phonological Awareness Skills Test) was used as an assessment. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE-Child were maintained during the visit. 10A NCAC 09 .3010 FAMILY ENGAGEMENT-The program has completed Parent Orientation, and Open House, and Curriculum Night is scheduled for September 28, 2023. 10A NCAC 10 .3011 NC PRE-K SITE-LEVEL ADMINISTRATOR QUALIFICATIONS were met. 10A NCAC 09 .3012 NC PRE-K TEACHER EDUCATION, LICENSURE AND CREDENTIALS- Both NC Pre-K teachers met the NC Pre-K Qualifications, a Bachelor of Arts in Birth to Kindergarten. 10 A NCAC 09 .3013 NC PRE-K TEACHER ASSISTANT EDUCATION AND CREDENTIALS- The NC Pre-K assistant teacher met compliance. 10A NCAC 09 .3014 NC PRE-K SUSBTITUTE STAFF- The substitute teacher met the education requirements for a substitute. Five (5) children’s files were selected and reviewed, and compliance was met. A violation was cited for a child’s application was not signed, and a violation was cited because a child did not have a medical. A remaining staff member’s file was reviewed, and two (2) new staff files were reviewed. A violation was cited for a staff’s expired CPR, and a violation was cited for a staff’s expired First Aid. The substitute staff did not have a Criminal Background Check (CBC) letter on file and the therapist did not have a CBC letter on file; a violation was cited. I confirmed in the Automated Background Check Management System (ABCMS) that the substitute teacher and the therapist have a current CBC letter. There are no children with medications, and there were no children with food allergies posted. There is not an assigned playground for the NC Pre-K Program, because the playground on site is for children five (5) years-old and older. The Lead Teacher, Ms. Bost, stated that materials are provided to support outdoor play, such as balls, bicycles, and chalk in the courtyard area outside the classroom. The center does provide transportation and the following was observed for compliance: Safe pick-up and Delivery statement (Posted), and Emergency Information on Children. The bus used to transport children was not on site. The sanitation inspection was completed May 5, 2023, with a “Superior” classification and eight (8) demerits. The last fire inspection was conducted August 16, 2023. Eleven (11) violations were cited during today’s visit. Violation Number Comment Rule 209 Children used space that was not approved. Care was provided in classroom 107, which is unapproved. GS 110-91(1)&(4-5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Outlets were uncovered in classroom 102, classroom 103, and classroom 107. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. There was a closet that was unlocked in classroom 102 that contained Lysol wipes, cleaner, and lotion. .2820(b) 853 Incident logs were not completed and maintained as required. The log was not available .0802(g)(1-6) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff (T.W.) did not have. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff (Y.B.) First Aid training expired February 2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Staff (Y.B.) CPR training expired February 2023. .1102(d) 1303 Application was not signed by the parent. An application was signed for child (K.E.) 10A NCAC 09 .0801(a) 1757 A valid qualification letter was not on file and available to review at the facility. A substitute teacher (T.W.) did not have a CBC letter on file, and a CMS Speech Therapist working separately with children did not have a letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. A health assessment was not on file for child (E. A.) .3005(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown drills were practiced September 27, 2022, January 18, 2023 and May 19, 2023. .0604(u);.0302(d)(8) Corrective Action The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter explaining how she corrected each of today’s violations and the steps she put in place to ensure on going compliance to me on or before Wednesday, October 11, 2023 to Deanna.Matthews@dhhs.nc.gov, or to the address listed below: Deanna Matthews P.O. Box 756 Gastonia, NC 28053-0756 Failure to correct the violations and/or submit the compliance letter to me by the due date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. The following Technical Assistance (TA) was provided: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -House Bill 103: Effective July 11, 2022, individuals have five (5) years to renew their criminal record check instead of every three (3) years. -On June 12th, Governor Cooper signed Senate Bill 291, extending the Child Care Hold Harmless legislation until June 30, 2024, and requiring the North Carolina Child Care Commission to make recommendations for modernizing the state’s Quality Rating and Improvement System. -NCDHHS Children’s Environmental Health has conducted a series of virtual trainings on the recently re-adopted Child Care Sanitation Rules, effective July 1, 2023. -The North Carolina Child Care Commission and the North Carolina Department of Health and Human Services Division of Child Development and Early Education are collaborating to modernize NC’s child care quality rating and improvement system (QRIS), commonly known as the Star Rated License. We are developing a plan that will be reviewed by the legislature in Spring 2024. During the next few months, we are collecting information from parents, teachers, administrators, operators, and partners to consider in the plan. -If you are unable to attend these sessions, you may also complete an online survey or write to DCDEE_QRIS@dhhs.nc.gov. -Your facility has been assigned to Cohort 2: Prep year 7/1/24-6/30/25, Reassessment year 7/1/25-6/30/26. Please refer to the link for additional information: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. -New staff, including substitutes have ninety (90) days to complete Child Maltreatment and CPR/First Aid. New staff must retake Child Maltreatment when moving from one child care facility to a new child care facility. -I will return in the near future to measure classroom 107. -Therapist who are left alone with child(ren) are required to have a DCDEE-CBC. Please contact Child Care Consultant, Deanna Matthews, at Deanna.Matthews@dhhs.nc.gov, or 704-962-7854, for questions or concerns, regarding today's visit. 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 .3008 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 9/27/2023 Number Present: 48 Completed Date: 9/27/2023 Age: From 4 To 5 Total Minutes: 360 Time In: 09:30 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 conduct an Annual Compliance/Unannounced visit to monitor child care requirements. The facility currently holds a Four-Star License issued January 17, 2020, and had a compliance history score of 89% prior to today’s visit. The facility’s last Annual Compliance Visit was October 4, 2022. I was greeted by Lead Teacher, Ms. Hillary Bost, and Teacher Assistant, Mr. Freeman, and I explained the purpose of the visit. Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit; NC Pre-K requirements were monitored. A copy of the Annual Compliance Checklist for Centers was provided to the Lead Teacher, Ms. Bost, after the visit. Four (4) classroom spaces are being used for the North Carolina Pre-K Program (NC Pre-K). Child care was provided in classroom 107, an unapproved space, and a violation was cited. Upon arrival, I observed the children in each child care space participating in small group time led by teachers. The teachers used nurturing tones with the children, and the teachers provided adequate supervision. I observed a CMS Speech Therapist, Ms. H. McAdam, in class providing services in the classroom 103. Ms. McDavid provided services to a child alone, and a violation was cited for a letter not on file. The following program requirements were observed posted and compliant: First Aid Poster, Child Care License, No Smoking Sign, Summary of NC Law, September Menu, Daily Schedules and Activity Plans, and Emergency Medical Care Plan. The Playground Inspections were reviewed and were met compliance. The Shelter-in-Place/Lockdown drills did not meet compliance and a violation was cited. The Incident Log was not available, and a violation was cited. The following NC Pre-K requirements were monitored during today’s visit: 10A NCAC 09 .3002 FACILITY REQUIREMENTS-The facility requirements were met. The program has maintained a Four-Star License. 10A NCAC 09 .3003 PROGRAM ATTENDANCE POLICY-The attendance policy and daily attendance was reviewed, and compliance was met. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS- Health assessments were reviewed. 10A NCAC 09 .3007 EARLY LEARNING STANDARDS AND CURRICULA-Teaching Strategies were observed. 10A NCAC 09 .3008 FORMATIVE ASSESSMENT-Pass (Phonological Awareness Skills Test) was used as an assessment. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE-Child were maintained during the visit. 10A NCAC 09 .3010 FAMILY ENGAGEMENT-The program has completed Parent Orientation, and Open House, and Curriculum Night is scheduled for September 28, 2023. 10A NCAC 10 .3011 NC PRE-K SITE-LEVEL ADMINISTRATOR QUALIFICATIONS were met. 10A NCAC 09 .3012 NC PRE-K TEACHER EDUCATION, LICENSURE AND CREDENTIALS- Both NC Pre-K teachers met the NC Pre-K Qualifications, a Bachelor of Arts in Birth to Kindergarten. 10 A NCAC 09 .3013 NC PRE-K TEACHER ASSISTANT EDUCATION AND CREDENTIALS- The NC Pre-K assistant teacher met compliance. 10A NCAC 09 .3014 NC PRE-K SUSBTITUTE STAFF- The substitute teacher met the education requirements for a substitute. Five (5) children’s files were selected and reviewed, and compliance was met. A violation was cited for a child’s application was not signed, and a violation was cited because a child did not have a medical. A remaining staff member’s file was reviewed, and two (2) new staff files were reviewed. A violation was cited for a staff’s expired CPR, and a violation was cited for a staff’s expired First Aid. The substitute staff did not have a Criminal Background Check (CBC) letter on file and the therapist did not have a CBC letter on file; a violation was cited. I confirmed in the Automated Background Check Management System (ABCMS) that the substitute teacher and the therapist have a current CBC letter. There are no children with medications, and there were no children with food allergies posted. There is not an assigned playground for the NC Pre-K Program, because the playground on site is for children five (5) years-old and older. The Lead Teacher, Ms. Bost, stated that materials are provided to support outdoor play, such as balls, bicycles, and chalk in the courtyard area outside the classroom. The center does provide transportation and the following was observed for compliance: Safe pick-up and Delivery statement (Posted), and Emergency Information on Children. The bus used to transport children was not on site. The sanitation inspection was completed May 5, 2023, with a “Superior” classification and eight (8) demerits. The last fire inspection was conducted August 16, 2023. Eleven (11) violations were cited during today’s visit. Violation Number Comment Rule 209 Children used space that was not approved. Care was provided in classroom 107, which is unapproved. GS 110-91(1)&(4-5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Outlets were uncovered in classroom 102, classroom 103, and classroom 107. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. There was a closet that was unlocked in classroom 102 that contained Lysol wipes, cleaner, and lotion. .2820(b) 853 Incident logs were not completed and maintained as required. The log was not available .0802(g)(1-6) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff (T.W.) did not have. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff (Y.B.) First Aid training expired February 2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Staff (Y.B.) CPR training expired February 2023. .1102(d) 1303 Application was not signed by the parent. An application was signed for child (K.E.) 10A NCAC 09 .0801(a) 1757 A valid qualification letter was not on file and available to review at the facility. A substitute teacher (T.W.) did not have a CBC letter on file, and a CMS Speech Therapist working separately with children did not have a letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. A health assessment was not on file for child (E. A.) .3005(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown drills were practiced September 27, 2022, January 18, 2023 and May 19, 2023. .0604(u);.0302(d)(8) Corrective Action The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter explaining how she corrected each of today’s violations and the steps she put in place to ensure on going compliance to me on or before Wednesday, October 11, 2023 to Deanna.Matthews@dhhs.nc.gov, or to the address listed below: Deanna Matthews P.O. Box 756 Gastonia, NC 28053-0756 Failure to correct the violations and/or submit the compliance letter to me by the due date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. The following Technical Assistance (TA) was provided: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -House Bill 103: Effective July 11, 2022, individuals have five (5) years to renew their criminal record check instead of every three (3) years. -On June 12th, Governor Cooper signed Senate Bill 291, extending the Child Care Hold Harmless legislation until June 30, 2024, and requiring the North Carolina Child Care Commission to make recommendations for modernizing the state’s Quality Rating and Improvement System. -NCDHHS Children’s Environmental Health has conducted a series of virtual trainings on the recently re-adopted Child Care Sanitation Rules, effective July 1, 2023. -The North Carolina Child Care Commission and the North Carolina Department of Health and Human Services Division of Child Development and Early Education are collaborating to modernize NC’s child care quality rating and improvement system (QRIS), commonly known as the Star Rated License. We are developing a plan that will be reviewed by the legislature in Spring 2024. During the next few months, we are collecting information from parents, teachers, administrators, operators, and partners to consider in the plan. -If you are unable to attend these sessions, you may also complete an online survey or write to DCDEE_QRIS@dhhs.nc.gov. -Your facility has been assigned to Cohort 2: Prep year 7/1/24-6/30/25, Reassessment year 7/1/25-6/30/26. Please refer to the link for additional information: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. -New staff, including substitutes have ninety (90) days to complete Child Maltreatment and CPR/First Aid. New staff must retake Child Maltreatment when moving from one child care facility to a new child care facility. -I will return in the near future to measure classroom 107. -Therapist who are left alone with child(ren) are required to have a DCDEE-CBC. Please contact Child Care Consultant, Deanna Matthews, at Deanna.Matthews@dhhs.nc.gov, or 704-962-7854, for questions or concerns, regarding today's visit. 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 .3009 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 9/27/2023 Number Present: 48 Completed Date: 9/27/2023 Age: From 4 To 5 Total Minutes: 360 Time In: 09:30 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 conduct an Annual Compliance/Unannounced visit to monitor child care requirements. The facility currently holds a Four-Star License issued January 17, 2020, and had a compliance history score of 89% prior to today’s visit. The facility’s last Annual Compliance Visit was October 4, 2022. I was greeted by Lead Teacher, Ms. Hillary Bost, and Teacher Assistant, Mr. Freeman, and I explained the purpose of the visit. Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit; NC Pre-K requirements were monitored. A copy of the Annual Compliance Checklist for Centers was provided to the Lead Teacher, Ms. Bost, after the visit. Four (4) classroom spaces are being used for the North Carolina Pre-K Program (NC Pre-K). Child care was provided in classroom 107, an unapproved space, and a violation was cited. Upon arrival, I observed the children in each child care space participating in small group time led by teachers. The teachers used nurturing tones with the children, and the teachers provided adequate supervision. I observed a CMS Speech Therapist, Ms. H. McAdam, in class providing services in the classroom 103. Ms. McDavid provided services to a child alone, and a violation was cited for a letter not on file. The following program requirements were observed posted and compliant: First Aid Poster, Child Care License, No Smoking Sign, Summary of NC Law, September Menu, Daily Schedules and Activity Plans, and Emergency Medical Care Plan. The Playground Inspections were reviewed and were met compliance. The Shelter-in-Place/Lockdown drills did not meet compliance and a violation was cited. The Incident Log was not available, and a violation was cited. The following NC Pre-K requirements were monitored during today’s visit: 10A NCAC 09 .3002 FACILITY REQUIREMENTS-The facility requirements were met. The program has maintained a Four-Star License. 10A NCAC 09 .3003 PROGRAM ATTENDANCE POLICY-The attendance policy and daily attendance was reviewed, and compliance was met. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS- Health assessments were reviewed. 10A NCAC 09 .3007 EARLY LEARNING STANDARDS AND CURRICULA-Teaching Strategies were observed. 10A NCAC 09 .3008 FORMATIVE ASSESSMENT-Pass (Phonological Awareness Skills Test) was used as an assessment. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE-Child were maintained during the visit. 10A NCAC 09 .3010 FAMILY ENGAGEMENT-The program has completed Parent Orientation, and Open House, and Curriculum Night is scheduled for September 28, 2023. 10A NCAC 10 .3011 NC PRE-K SITE-LEVEL ADMINISTRATOR QUALIFICATIONS were met. 10A NCAC 09 .3012 NC PRE-K TEACHER EDUCATION, LICENSURE AND CREDENTIALS- Both NC Pre-K teachers met the NC Pre-K Qualifications, a Bachelor of Arts in Birth to Kindergarten. 10 A NCAC 09 .3013 NC PRE-K TEACHER ASSISTANT EDUCATION AND CREDENTIALS- The NC Pre-K assistant teacher met compliance. 10A NCAC 09 .3014 NC PRE-K SUSBTITUTE STAFF- The substitute teacher met the education requirements for a substitute. Five (5) children’s files were selected and reviewed, and compliance was met. A violation was cited for a child’s application was not signed, and a violation was cited because a child did not have a medical. A remaining staff member’s file was reviewed, and two (2) new staff files were reviewed. A violation was cited for a staff’s expired CPR, and a violation was cited for a staff’s expired First Aid. The substitute staff did not have a Criminal Background Check (CBC) letter on file and the therapist did not have a CBC letter on file; a violation was cited. I confirmed in the Automated Background Check Management System (ABCMS) that the substitute teacher and the therapist have a current CBC letter. There are no children with medications, and there were no children with food allergies posted. There is not an assigned playground for the NC Pre-K Program, because the playground on site is for children five (5) years-old and older. The Lead Teacher, Ms. Bost, stated that materials are provided to support outdoor play, such as balls, bicycles, and chalk in the courtyard area outside the classroom. The center does provide transportation and the following was observed for compliance: Safe pick-up and Delivery statement (Posted), and Emergency Information on Children. The bus used to transport children was not on site. The sanitation inspection was completed May 5, 2023, with a “Superior” classification and eight (8) demerits. The last fire inspection was conducted August 16, 2023. Eleven (11) violations were cited during today’s visit. Violation Number Comment Rule 209 Children used space that was not approved. Care was provided in classroom 107, which is unapproved. GS 110-91(1)&(4-5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Outlets were uncovered in classroom 102, classroom 103, and classroom 107. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. There was a closet that was unlocked in classroom 102 that contained Lysol wipes, cleaner, and lotion. .2820(b) 853 Incident logs were not completed and maintained as required. The log was not available .0802(g)(1-6) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff (T.W.) did not have. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff (Y.B.) First Aid training expired February 2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Staff (Y.B.) CPR training expired February 2023. .1102(d) 1303 Application was not signed by the parent. An application was signed for child (K.E.) 10A NCAC 09 .0801(a) 1757 A valid qualification letter was not on file and available to review at the facility. A substitute teacher (T.W.) did not have a CBC letter on file, and a CMS Speech Therapist working separately with children did not have a letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. A health assessment was not on file for child (E. A.) .3005(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown drills were practiced September 27, 2022, January 18, 2023 and May 19, 2023. .0604(u);.0302(d)(8) Corrective Action The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter explaining how she corrected each of today’s violations and the steps she put in place to ensure on going compliance to me on or before Wednesday, October 11, 2023 to Deanna.Matthews@dhhs.nc.gov, or to the address listed below: Deanna Matthews P.O. Box 756 Gastonia, NC 28053-0756 Failure to correct the violations and/or submit the compliance letter to me by the due date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. The following Technical Assistance (TA) was provided: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -House Bill 103: Effective July 11, 2022, individuals have five (5) years to renew their criminal record check instead of every three (3) years. -On June 12th, Governor Cooper signed Senate Bill 291, extending the Child Care Hold Harmless legislation until June 30, 2024, and requiring the North Carolina Child Care Commission to make recommendations for modernizing the state’s Quality Rating and Improvement System. -NCDHHS Children’s Environmental Health has conducted a series of virtual trainings on the recently re-adopted Child Care Sanitation Rules, effective July 1, 2023. -The North Carolina Child Care Commission and the North Carolina Department of Health and Human Services Division of Child Development and Early Education are collaborating to modernize NC’s child care quality rating and improvement system (QRIS), commonly known as the Star Rated License. We are developing a plan that will be reviewed by the legislature in Spring 2024. During the next few months, we are collecting information from parents, teachers, administrators, operators, and partners to consider in the plan. -If you are unable to attend these sessions, you may also complete an online survey or write to DCDEE_QRIS@dhhs.nc.gov. -Your facility has been assigned to Cohort 2: Prep year 7/1/24-6/30/25, Reassessment year 7/1/25-6/30/26. Please refer to the link for additional information: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. -New staff, including substitutes have ninety (90) days to complete Child Maltreatment and CPR/First Aid. New staff must retake Child Maltreatment when moving from one child care facility to a new child care facility. -I will return in the near future to measure classroom 107. -Therapist who are left alone with child(ren) are required to have a DCDEE-CBC. Please contact Child Care Consultant, Deanna Matthews, at Deanna.Matthews@dhhs.nc.gov, or 704-962-7854, for questions or concerns, regarding today's visit. 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 .3010 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 9/27/2023 Number Present: 48 Completed Date: 9/27/2023 Age: From 4 To 5 Total Minutes: 360 Time In: 09:30 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 conduct an Annual Compliance/Unannounced visit to monitor child care requirements. The facility currently holds a Four-Star License issued January 17, 2020, and had a compliance history score of 89% prior to today’s visit. The facility’s last Annual Compliance Visit was October 4, 2022. I was greeted by Lead Teacher, Ms. Hillary Bost, and Teacher Assistant, Mr. Freeman, and I explained the purpose of the visit. Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit; NC Pre-K requirements were monitored. A copy of the Annual Compliance Checklist for Centers was provided to the Lead Teacher, Ms. Bost, after the visit. Four (4) classroom spaces are being used for the North Carolina Pre-K Program (NC Pre-K). Child care was provided in classroom 107, an unapproved space, and a violation was cited. Upon arrival, I observed the children in each child care space participating in small group time led by teachers. The teachers used nurturing tones with the children, and the teachers provided adequate supervision. I observed a CMS Speech Therapist, Ms. H. McAdam, in class providing services in the classroom 103. Ms. McDavid provided services to a child alone, and a violation was cited for a letter not on file. The following program requirements were observed posted and compliant: First Aid Poster, Child Care License, No Smoking Sign, Summary of NC Law, September Menu, Daily Schedules and Activity Plans, and Emergency Medical Care Plan. The Playground Inspections were reviewed and were met compliance. The Shelter-in-Place/Lockdown drills did not meet compliance and a violation was cited. The Incident Log was not available, and a violation was cited. The following NC Pre-K requirements were monitored during today’s visit: 10A NCAC 09 .3002 FACILITY REQUIREMENTS-The facility requirements were met. The program has maintained a Four-Star License. 10A NCAC 09 .3003 PROGRAM ATTENDANCE POLICY-The attendance policy and daily attendance was reviewed, and compliance was met. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS- Health assessments were reviewed. 10A NCAC 09 .3007 EARLY LEARNING STANDARDS AND CURRICULA-Teaching Strategies were observed. 10A NCAC 09 .3008 FORMATIVE ASSESSMENT-Pass (Phonological Awareness Skills Test) was used as an assessment. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE-Child were maintained during the visit. 10A NCAC 09 .3010 FAMILY ENGAGEMENT-The program has completed Parent Orientation, and Open House, and Curriculum Night is scheduled for September 28, 2023. 10A NCAC 10 .3011 NC PRE-K SITE-LEVEL ADMINISTRATOR QUALIFICATIONS were met. 10A NCAC 09 .3012 NC PRE-K TEACHER EDUCATION, LICENSURE AND CREDENTIALS- Both NC Pre-K teachers met the NC Pre-K Qualifications, a Bachelor of Arts in Birth to Kindergarten. 10 A NCAC 09 .3013 NC PRE-K TEACHER ASSISTANT EDUCATION AND CREDENTIALS- The NC Pre-K assistant teacher met compliance. 10A NCAC 09 .3014 NC PRE-K SUSBTITUTE STAFF- The substitute teacher met the education requirements for a substitute. Five (5) children’s files were selected and reviewed, and compliance was met. A violation was cited for a child’s application was not signed, and a violation was cited because a child did not have a medical. A remaining staff member’s file was reviewed, and two (2) new staff files were reviewed. A violation was cited for a staff’s expired CPR, and a violation was cited for a staff’s expired First Aid. The substitute staff did not have a Criminal Background Check (CBC) letter on file and the therapist did not have a CBC letter on file; a violation was cited. I confirmed in the Automated Background Check Management System (ABCMS) that the substitute teacher and the therapist have a current CBC letter. There are no children with medications, and there were no children with food allergies posted. There is not an assigned playground for the NC Pre-K Program, because the playground on site is for children five (5) years-old and older. The Lead Teacher, Ms. Bost, stated that materials are provided to support outdoor play, such as balls, bicycles, and chalk in the courtyard area outside the classroom. The center does provide transportation and the following was observed for compliance: Safe pick-up and Delivery statement (Posted), and Emergency Information on Children. The bus used to transport children was not on site. The sanitation inspection was completed May 5, 2023, with a “Superior” classification and eight (8) demerits. The last fire inspection was conducted August 16, 2023. Eleven (11) violations were cited during today’s visit. Violation Number Comment Rule 209 Children used space that was not approved. Care was provided in classroom 107, which is unapproved. GS 110-91(1)&(4-5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Outlets were uncovered in classroom 102, classroom 103, and classroom 107. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. There was a closet that was unlocked in classroom 102 that contained Lysol wipes, cleaner, and lotion. .2820(b) 853 Incident logs were not completed and maintained as required. The log was not available .0802(g)(1-6) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff (T.W.) did not have. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff (Y.B.) First Aid training expired February 2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Staff (Y.B.) CPR training expired February 2023. .1102(d) 1303 Application was not signed by the parent. An application was signed for child (K.E.) 10A NCAC 09 .0801(a) 1757 A valid qualification letter was not on file and available to review at the facility. A substitute teacher (T.W.) did not have a CBC letter on file, and a CMS Speech Therapist working separately with children did not have a letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. A health assessment was not on file for child (E. A.) .3005(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown drills were practiced September 27, 2022, January 18, 2023 and May 19, 2023. .0604(u);.0302(d)(8) Corrective Action The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter explaining how she corrected each of today’s violations and the steps she put in place to ensure on going compliance to me on or before Wednesday, October 11, 2023 to Deanna.Matthews@dhhs.nc.gov, or to the address listed below: Deanna Matthews P.O. Box 756 Gastonia, NC 28053-0756 Failure to correct the violations and/or submit the compliance letter to me by the due date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. The following Technical Assistance (TA) was provided: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -House Bill 103: Effective July 11, 2022, individuals have five (5) years to renew their criminal record check instead of every three (3) years. -On June 12th, Governor Cooper signed Senate Bill 291, extending the Child Care Hold Harmless legislation until June 30, 2024, and requiring the North Carolina Child Care Commission to make recommendations for modernizing the state’s Quality Rating and Improvement System. -NCDHHS Children’s Environmental Health has conducted a series of virtual trainings on the recently re-adopted Child Care Sanitation Rules, effective July 1, 2023. -The North Carolina Child Care Commission and the North Carolina Department of Health and Human Services Division of Child Development and Early Education are collaborating to modernize NC’s child care quality rating and improvement system (QRIS), commonly known as the Star Rated License. We are developing a plan that will be reviewed by the legislature in Spring 2024. During the next few months, we are collecting information from parents, teachers, administrators, operators, and partners to consider in the plan. -If you are unable to attend these sessions, you may also complete an online survey or write to DCDEE_QRIS@dhhs.nc.gov. -Your facility has been assigned to Cohort 2: Prep year 7/1/24-6/30/25, Reassessment year 7/1/25-6/30/26. Please refer to the link for additional information: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. -New staff, including substitutes have ninety (90) days to complete Child Maltreatment and CPR/First Aid. New staff must retake Child Maltreatment when moving from one child care facility to a new child care facility. -I will return in the near future to measure classroom 107. -Therapist who are left alone with child(ren) are required to have a DCDEE-CBC. Please contact Child Care Consultant, Deanna Matthews, at Deanna.Matthews@dhhs.nc.gov, or 704-962-7854, for questions or concerns, regarding today's visit. 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 .3012 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 9/27/2023 Number Present: 48 Completed Date: 9/27/2023 Age: From 4 To 5 Total Minutes: 360 Time In: 09:30 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 conduct an Annual Compliance/Unannounced visit to monitor child care requirements. The facility currently holds a Four-Star License issued January 17, 2020, and had a compliance history score of 89% prior to today’s visit. The facility’s last Annual Compliance Visit was October 4, 2022. I was greeted by Lead Teacher, Ms. Hillary Bost, and Teacher Assistant, Mr. Freeman, and I explained the purpose of the visit. Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit; NC Pre-K requirements were monitored. A copy of the Annual Compliance Checklist for Centers was provided to the Lead Teacher, Ms. Bost, after the visit. Four (4) classroom spaces are being used for the North Carolina Pre-K Program (NC Pre-K). Child care was provided in classroom 107, an unapproved space, and a violation was cited. Upon arrival, I observed the children in each child care space participating in small group time led by teachers. The teachers used nurturing tones with the children, and the teachers provided adequate supervision. I observed a CMS Speech Therapist, Ms. H. McAdam, in class providing services in the classroom 103. Ms. McDavid provided services to a child alone, and a violation was cited for a letter not on file. The following program requirements were observed posted and compliant: First Aid Poster, Child Care License, No Smoking Sign, Summary of NC Law, September Menu, Daily Schedules and Activity Plans, and Emergency Medical Care Plan. The Playground Inspections were reviewed and were met compliance. The Shelter-in-Place/Lockdown drills did not meet compliance and a violation was cited. The Incident Log was not available, and a violation was cited. The following NC Pre-K requirements were monitored during today’s visit: 10A NCAC 09 .3002 FACILITY REQUIREMENTS-The facility requirements were met. The program has maintained a Four-Star License. 10A NCAC 09 .3003 PROGRAM ATTENDANCE POLICY-The attendance policy and daily attendance was reviewed, and compliance was met. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS- Health assessments were reviewed. 10A NCAC 09 .3007 EARLY LEARNING STANDARDS AND CURRICULA-Teaching Strategies were observed. 10A NCAC 09 .3008 FORMATIVE ASSESSMENT-Pass (Phonological Awareness Skills Test) was used as an assessment. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE-Child were maintained during the visit. 10A NCAC 09 .3010 FAMILY ENGAGEMENT-The program has completed Parent Orientation, and Open House, and Curriculum Night is scheduled for September 28, 2023. 10A NCAC 10 .3011 NC PRE-K SITE-LEVEL ADMINISTRATOR QUALIFICATIONS were met. 10A NCAC 09 .3012 NC PRE-K TEACHER EDUCATION, LICENSURE AND CREDENTIALS- Both NC Pre-K teachers met the NC Pre-K Qualifications, a Bachelor of Arts in Birth to Kindergarten. 10 A NCAC 09 .3013 NC PRE-K TEACHER ASSISTANT EDUCATION AND CREDENTIALS- The NC Pre-K assistant teacher met compliance. 10A NCAC 09 .3014 NC PRE-K SUSBTITUTE STAFF- The substitute teacher met the education requirements for a substitute. Five (5) children’s files were selected and reviewed, and compliance was met. A violation was cited for a child’s application was not signed, and a violation was cited because a child did not have a medical. A remaining staff member’s file was reviewed, and two (2) new staff files were reviewed. A violation was cited for a staff’s expired CPR, and a violation was cited for a staff’s expired First Aid. The substitute staff did not have a Criminal Background Check (CBC) letter on file and the therapist did not have a CBC letter on file; a violation was cited. I confirmed in the Automated Background Check Management System (ABCMS) that the substitute teacher and the therapist have a current CBC letter. There are no children with medications, and there were no children with food allergies posted. There is not an assigned playground for the NC Pre-K Program, because the playground on site is for children five (5) years-old and older. The Lead Teacher, Ms. Bost, stated that materials are provided to support outdoor play, such as balls, bicycles, and chalk in the courtyard area outside the classroom. The center does provide transportation and the following was observed for compliance: Safe pick-up and Delivery statement (Posted), and Emergency Information on Children. The bus used to transport children was not on site. The sanitation inspection was completed May 5, 2023, with a “Superior” classification and eight (8) demerits. The last fire inspection was conducted August 16, 2023. Eleven (11) violations were cited during today’s visit. Violation Number Comment Rule 209 Children used space that was not approved. Care was provided in classroom 107, which is unapproved. GS 110-91(1)&(4-5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Outlets were uncovered in classroom 102, classroom 103, and classroom 107. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. There was a closet that was unlocked in classroom 102 that contained Lysol wipes, cleaner, and lotion. .2820(b) 853 Incident logs were not completed and maintained as required. The log was not available .0802(g)(1-6) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff (T.W.) did not have. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff (Y.B.) First Aid training expired February 2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Staff (Y.B.) CPR training expired February 2023. .1102(d) 1303 Application was not signed by the parent. An application was signed for child (K.E.) 10A NCAC 09 .0801(a) 1757 A valid qualification letter was not on file and available to review at the facility. A substitute teacher (T.W.) did not have a CBC letter on file, and a CMS Speech Therapist working separately with children did not have a letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. A health assessment was not on file for child (E. A.) .3005(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown drills were practiced September 27, 2022, January 18, 2023 and May 19, 2023. .0604(u);.0302(d)(8) Corrective Action The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter explaining how she corrected each of today’s violations and the steps she put in place to ensure on going compliance to me on or before Wednesday, October 11, 2023 to Deanna.Matthews@dhhs.nc.gov, or to the address listed below: Deanna Matthews P.O. Box 756 Gastonia, NC 28053-0756 Failure to correct the violations and/or submit the compliance letter to me by the due date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. The following Technical Assistance (TA) was provided: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -House Bill 103: Effective July 11, 2022, individuals have five (5) years to renew their criminal record check instead of every three (3) years. -On June 12th, Governor Cooper signed Senate Bill 291, extending the Child Care Hold Harmless legislation until June 30, 2024, and requiring the North Carolina Child Care Commission to make recommendations for modernizing the state’s Quality Rating and Improvement System. -NCDHHS Children’s Environmental Health has conducted a series of virtual trainings on the recently re-adopted Child Care Sanitation Rules, effective July 1, 2023. -The North Carolina Child Care Commission and the North Carolina Department of Health and Human Services Division of Child Development and Early Education are collaborating to modernize NC’s child care quality rating and improvement system (QRIS), commonly known as the Star Rated License. We are developing a plan that will be reviewed by the legislature in Spring 2024. During the next few months, we are collecting information from parents, teachers, administrators, operators, and partners to consider in the plan. -If you are unable to attend these sessions, you may also complete an online survey or write to DCDEE_QRIS@dhhs.nc.gov. -Your facility has been assigned to Cohort 2: Prep year 7/1/24-6/30/25, Reassessment year 7/1/25-6/30/26. Please refer to the link for additional information: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. -New staff, including substitutes have ninety (90) days to complete Child Maltreatment and CPR/First Aid. New staff must retake Child Maltreatment when moving from one child care facility to a new child care facility. -I will return in the near future to measure classroom 107. -Therapist who are left alone with child(ren) are required to have a DCDEE-CBC. Please contact Child Care Consultant, Deanna Matthews, at Deanna.Matthews@dhhs.nc.gov, or 704-962-7854, for questions or concerns, regarding today's visit. 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 .3014 · Violation

Name of Operation: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 9/27/2023 Number Present: 48 Completed Date: 9/27/2023 Age: From 4 To 5 Total Minutes: 360 Time In: 09:30 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 conduct an Annual Compliance/Unannounced visit to monitor child care requirements. The facility currently holds a Four-Star License issued January 17, 2020, and had a compliance history score of 89% prior to today’s visit. The facility’s last Annual Compliance Visit was October 4, 2022. I was greeted by Lead Teacher, Ms. Hillary Bost, and Teacher Assistant, Mr. Freeman, and I explained the purpose of the visit. Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit; NC Pre-K requirements were monitored. A copy of the Annual Compliance Checklist for Centers was provided to the Lead Teacher, Ms. Bost, after the visit. Four (4) classroom spaces are being used for the North Carolina Pre-K Program (NC Pre-K). Child care was provided in classroom 107, an unapproved space, and a violation was cited. Upon arrival, I observed the children in each child care space participating in small group time led by teachers. The teachers used nurturing tones with the children, and the teachers provided adequate supervision. I observed a CMS Speech Therapist, Ms. H. McAdam, in class providing services in the classroom 103. Ms. McDavid provided services to a child alone, and a violation was cited for a letter not on file. The following program requirements were observed posted and compliant: First Aid Poster, Child Care License, No Smoking Sign, Summary of NC Law, September Menu, Daily Schedules and Activity Plans, and Emergency Medical Care Plan. The Playground Inspections were reviewed and were met compliance. The Shelter-in-Place/Lockdown drills did not meet compliance and a violation was cited. The Incident Log was not available, and a violation was cited. The following NC Pre-K requirements were monitored during today’s visit: 10A NCAC 09 .3002 FACILITY REQUIREMENTS-The facility requirements were met. The program has maintained a Four-Star License. 10A NCAC 09 .3003 PROGRAM ATTENDANCE POLICY-The attendance policy and daily attendance was reviewed, and compliance was met. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS- Health assessments were reviewed. 10A NCAC 09 .3007 EARLY LEARNING STANDARDS AND CURRICULA-Teaching Strategies were observed. 10A NCAC 09 .3008 FORMATIVE ASSESSMENT-Pass (Phonological Awareness Skills Test) was used as an assessment. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE-Child were maintained during the visit. 10A NCAC 09 .3010 FAMILY ENGAGEMENT-The program has completed Parent Orientation, and Open House, and Curriculum Night is scheduled for September 28, 2023. 10A NCAC 10 .3011 NC PRE-K SITE-LEVEL ADMINISTRATOR QUALIFICATIONS were met. 10A NCAC 09 .3012 NC PRE-K TEACHER EDUCATION, LICENSURE AND CREDENTIALS- Both NC Pre-K teachers met the NC Pre-K Qualifications, a Bachelor of Arts in Birth to Kindergarten. 10 A NCAC 09 .3013 NC PRE-K TEACHER ASSISTANT EDUCATION AND CREDENTIALS- The NC Pre-K assistant teacher met compliance. 10A NCAC 09 .3014 NC PRE-K SUSBTITUTE STAFF- The substitute teacher met the education requirements for a substitute. Five (5) children’s files were selected and reviewed, and compliance was met. A violation was cited for a child’s application was not signed, and a violation was cited because a child did not have a medical. A remaining staff member’s file was reviewed, and two (2) new staff files were reviewed. A violation was cited for a staff’s expired CPR, and a violation was cited for a staff’s expired First Aid. The substitute staff did not have a Criminal Background Check (CBC) letter on file and the therapist did not have a CBC letter on file; a violation was cited. I confirmed in the Automated Background Check Management System (ABCMS) that the substitute teacher and the therapist have a current CBC letter. There are no children with medications, and there were no children with food allergies posted. There is not an assigned playground for the NC Pre-K Program, because the playground on site is for children five (5) years-old and older. The Lead Teacher, Ms. Bost, stated that materials are provided to support outdoor play, such as balls, bicycles, and chalk in the courtyard area outside the classroom. The center does provide transportation and the following was observed for compliance: Safe pick-up and Delivery statement (Posted), and Emergency Information on Children. The bus used to transport children was not on site. The sanitation inspection was completed May 5, 2023, with a “Superior” classification and eight (8) demerits. The last fire inspection was conducted August 16, 2023. Eleven (11) violations were cited during today’s visit. Violation Number Comment Rule 209 Children used space that was not approved. Care was provided in classroom 107, which is unapproved. GS 110-91(1)&(4-5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Outlets were uncovered in classroom 102, classroom 103, and classroom 107. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. There was a closet that was unlocked in classroom 102 that contained Lysol wipes, cleaner, and lotion. .2820(b) 853 Incident logs were not completed and maintained as required. The log was not available .0802(g)(1-6) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff (T.W.) did not have. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff (Y.B.) First Aid training expired February 2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Staff (Y.B.) CPR training expired February 2023. .1102(d) 1303 Application was not signed by the parent. An application was signed for child (K.E.) 10A NCAC 09 .0801(a) 1757 A valid qualification letter was not on file and available to review at the facility. A substitute teacher (T.W.) did not have a CBC letter on file, and a CMS Speech Therapist working separately with children did not have a letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. A health assessment was not on file for child (E. A.) .3005(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown drills were practiced September 27, 2022, January 18, 2023 and May 19, 2023. .0604(u);.0302(d)(8) Corrective Action The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter explaining how she corrected each of today’s violations and the steps she put in place to ensure on going compliance to me on or before Wednesday, October 11, 2023 to Deanna.Matthews@dhhs.nc.gov, or to the address listed below: Deanna Matthews P.O. Box 756 Gastonia, NC 28053-0756 Failure to correct the violations and/or submit the compliance letter to me by the due date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. The following Technical Assistance (TA) was provided: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -House Bill 103: Effective July 11, 2022, individuals have five (5) years to renew their criminal record check instead of every three (3) years. -On June 12th, Governor Cooper signed Senate Bill 291, extending the Child Care Hold Harmless legislation until June 30, 2024, and requiring the North Carolina Child Care Commission to make recommendations for modernizing the state’s Quality Rating and Improvement System. -NCDHHS Children’s Environmental Health has conducted a series of virtual trainings on the recently re-adopted Child Care Sanitation Rules, effective July 1, 2023. -The North Carolina Child Care Commission and the North Carolina Department of Health and Human Services Division of Child Development and Early Education are collaborating to modernize NC’s child care quality rating and improvement system (QRIS), commonly known as the Star Rated License. We are developing a plan that will be reviewed by the legislature in Spring 2024. During the next few months, we are collecting information from parents, teachers, administrators, operators, and partners to consider in the plan. -If you are unable to attend these sessions, you may also complete an online survey or write to DCDEE_QRIS@dhhs.nc.gov. -Your facility has been assigned to Cohort 2: Prep year 7/1/24-6/30/25, Reassessment year 7/1/25-6/30/26. Please refer to the link for additional information: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. -New staff, including substitutes have ninety (90) days to complete Child Maltreatment and CPR/First Aid. New staff must retake Child Maltreatment when moving from one child care facility to a new child care facility. -I will return in the near future to measure classroom 107. -Therapist who are left alone with child(ren) are required to have a DCDEE-CBC. Please contact Child Care Consultant, Deanna Matthews, at Deanna.Matthews@dhhs.nc.gov, or 704-962-7854, for questions or concerns, regarding today's visit. 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: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 9/27/2023 Number Present: 48 Completed Date: 9/27/2023 Age: From 4 To 5 Total Minutes: 360 Time In: 09:30 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 conduct an Annual Compliance/Unannounced visit to monitor child care requirements. The facility currently holds a Four-Star License issued January 17, 2020, and had a compliance history score of 89% prior to today’s visit. The facility’s last Annual Compliance Visit was October 4, 2022. I was greeted by Lead Teacher, Ms. Hillary Bost, and Teacher Assistant, Mr. Freeman, and I explained the purpose of the visit. Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit; NC Pre-K requirements were monitored. A copy of the Annual Compliance Checklist for Centers was provided to the Lead Teacher, Ms. Bost, after the visit. Four (4) classroom spaces are being used for the North Carolina Pre-K Program (NC Pre-K). Child care was provided in classroom 107, an unapproved space, and a violation was cited. Upon arrival, I observed the children in each child care space participating in small group time led by teachers. The teachers used nurturing tones with the children, and the teachers provided adequate supervision. I observed a CMS Speech Therapist, Ms. H. McAdam, in class providing services in the classroom 103. Ms. McDavid provided services to a child alone, and a violation was cited for a letter not on file. The following program requirements were observed posted and compliant: First Aid Poster, Child Care License, No Smoking Sign, Summary of NC Law, September Menu, Daily Schedules and Activity Plans, and Emergency Medical Care Plan. The Playground Inspections were reviewed and were met compliance. The Shelter-in-Place/Lockdown drills did not meet compliance and a violation was cited. The Incident Log was not available, and a violation was cited. The following NC Pre-K requirements were monitored during today’s visit: 10A NCAC 09 .3002 FACILITY REQUIREMENTS-The facility requirements were met. The program has maintained a Four-Star License. 10A NCAC 09 .3003 PROGRAM ATTENDANCE POLICY-The attendance policy and daily attendance was reviewed, and compliance was met. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS- Health assessments were reviewed. 10A NCAC 09 .3007 EARLY LEARNING STANDARDS AND CURRICULA-Teaching Strategies were observed. 10A NCAC 09 .3008 FORMATIVE ASSESSMENT-Pass (Phonological Awareness Skills Test) was used as an assessment. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE-Child were maintained during the visit. 10A NCAC 09 .3010 FAMILY ENGAGEMENT-The program has completed Parent Orientation, and Open House, and Curriculum Night is scheduled for September 28, 2023. 10A NCAC 10 .3011 NC PRE-K SITE-LEVEL ADMINISTRATOR QUALIFICATIONS were met. 10A NCAC 09 .3012 NC PRE-K TEACHER EDUCATION, LICENSURE AND CREDENTIALS- Both NC Pre-K teachers met the NC Pre-K Qualifications, a Bachelor of Arts in Birth to Kindergarten. 10 A NCAC 09 .3013 NC PRE-K TEACHER ASSISTANT EDUCATION AND CREDENTIALS- The NC Pre-K assistant teacher met compliance. 10A NCAC 09 .3014 NC PRE-K SUSBTITUTE STAFF- The substitute teacher met the education requirements for a substitute. Five (5) children’s files were selected and reviewed, and compliance was met. A violation was cited for a child’s application was not signed, and a violation was cited because a child did not have a medical. A remaining staff member’s file was reviewed, and two (2) new staff files were reviewed. A violation was cited for a staff’s expired CPR, and a violation was cited for a staff’s expired First Aid. The substitute staff did not have a Criminal Background Check (CBC) letter on file and the therapist did not have a CBC letter on file; a violation was cited. I confirmed in the Automated Background Check Management System (ABCMS) that the substitute teacher and the therapist have a current CBC letter. There are no children with medications, and there were no children with food allergies posted. There is not an assigned playground for the NC Pre-K Program, because the playground on site is for children five (5) years-old and older. The Lead Teacher, Ms. Bost, stated that materials are provided to support outdoor play, such as balls, bicycles, and chalk in the courtyard area outside the classroom. The center does provide transportation and the following was observed for compliance: Safe pick-up and Delivery statement (Posted), and Emergency Information on Children. The bus used to transport children was not on site. The sanitation inspection was completed May 5, 2023, with a “Superior” classification and eight (8) demerits. The last fire inspection was conducted August 16, 2023. Eleven (11) violations were cited during today’s visit. Violation Number Comment Rule 209 Children used space that was not approved. Care was provided in classroom 107, which is unapproved. GS 110-91(1)&(4-5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Outlets were uncovered in classroom 102, classroom 103, and classroom 107. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. There was a closet that was unlocked in classroom 102 that contained Lysol wipes, cleaner, and lotion. .2820(b) 853 Incident logs were not completed and maintained as required. The log was not available .0802(g)(1-6) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff (T.W.) did not have. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff (Y.B.) First Aid training expired February 2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Staff (Y.B.) CPR training expired February 2023. .1102(d) 1303 Application was not signed by the parent. An application was signed for child (K.E.) 10A NCAC 09 .0801(a) 1757 A valid qualification letter was not on file and available to review at the facility. A substitute teacher (T.W.) did not have a CBC letter on file, and a CMS Speech Therapist working separately with children did not have a letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. A health assessment was not on file for child (E. A.) .3005(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown drills were practiced September 27, 2022, January 18, 2023 and May 19, 2023. .0604(u);.0302(d)(8) Corrective Action The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter explaining how she corrected each of today’s violations and the steps she put in place to ensure on going compliance to me on or before Wednesday, October 11, 2023 to Deanna.Matthews@dhhs.nc.gov, or to the address listed below: Deanna Matthews P.O. Box 756 Gastonia, NC 28053-0756 Failure to correct the violations and/or submit the compliance letter to me by the due date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. The following Technical Assistance (TA) was provided: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -House Bill 103: Effective July 11, 2022, individuals have five (5) years to renew their criminal record check instead of every three (3) years. -On June 12th, Governor Cooper signed Senate Bill 291, extending the Child Care Hold Harmless legislation until June 30, 2024, and requiring the North Carolina Child Care Commission to make recommendations for modernizing the state’s Quality Rating and Improvement System. -NCDHHS Children’s Environmental Health has conducted a series of virtual trainings on the recently re-adopted Child Care Sanitation Rules, effective July 1, 2023. -The North Carolina Child Care Commission and the North Carolina Department of Health and Human Services Division of Child Development and Early Education are collaborating to modernize NC’s child care quality rating and improvement system (QRIS), commonly known as the Star Rated License. We are developing a plan that will be reviewed by the legislature in Spring 2024. During the next few months, we are collecting information from parents, teachers, administrators, operators, and partners to consider in the plan. -If you are unable to attend these sessions, you may also complete an online survey or write to DCDEE_QRIS@dhhs.nc.gov. -Your facility has been assigned to Cohort 2: Prep year 7/1/24-6/30/25, Reassessment year 7/1/25-6/30/26. Please refer to the link for additional information: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. -New staff, including substitutes have ninety (90) days to complete Child Maltreatment and CPR/First Aid. New staff must retake Child Maltreatment when moving from one child care facility to a new child care facility. -I will return in the near future to measure classroom 107. -Therapist who are left alone with child(ren) are required to have a DCDEE-CBC. Please contact Child Care Consultant, Deanna Matthews, at Deanna.Matthews@dhhs.nc.gov, or 704-962-7854, for questions or concerns, regarding today's visit. 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: DAVID COX ELEMENTARY Facility ID: 60003385 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 9/27/2023 Number Present: 48 Completed Date: 9/27/2023 Age: From 4 To 5 Total Minutes: 360 Time In: 09:30 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 conduct an Annual Compliance/Unannounced visit to monitor child care requirements. The facility currently holds a Four-Star License issued January 17, 2020, and had a compliance history score of 89% prior to today’s visit. The facility’s last Annual Compliance Visit was October 4, 2022. I was greeted by Lead Teacher, Ms. Hillary Bost, and Teacher Assistant, Mr. Freeman, and I explained the purpose of the visit. Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit; NC Pre-K requirements were monitored. A copy of the Annual Compliance Checklist for Centers was provided to the Lead Teacher, Ms. Bost, after the visit. Four (4) classroom spaces are being used for the North Carolina Pre-K Program (NC Pre-K). Child care was provided in classroom 107, an unapproved space, and a violation was cited. Upon arrival, I observed the children in each child care space participating in small group time led by teachers. The teachers used nurturing tones with the children, and the teachers provided adequate supervision. I observed a CMS Speech Therapist, Ms. H. McAdam, in class providing services in the classroom 103. Ms. McDavid provided services to a child alone, and a violation was cited for a letter not on file. The following program requirements were observed posted and compliant: First Aid Poster, Child Care License, No Smoking Sign, Summary of NC Law, September Menu, Daily Schedules and Activity Plans, and Emergency Medical Care Plan. The Playground Inspections were reviewed and were met compliance. The Shelter-in-Place/Lockdown drills did not meet compliance and a violation was cited. The Incident Log was not available, and a violation was cited. The following NC Pre-K requirements were monitored during today’s visit: 10A NCAC 09 .3002 FACILITY REQUIREMENTS-The facility requirements were met. The program has maintained a Four-Star License. 10A NCAC 09 .3003 PROGRAM ATTENDANCE POLICY-The attendance policy and daily attendance was reviewed, and compliance was met. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS- Health assessments were reviewed. 10A NCAC 09 .3007 EARLY LEARNING STANDARDS AND CURRICULA-Teaching Strategies were observed. 10A NCAC 09 .3008 FORMATIVE ASSESSMENT-Pass (Phonological Awareness Skills Test) was used as an assessment. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE-Child were maintained during the visit. 10A NCAC 09 .3010 FAMILY ENGAGEMENT-The program has completed Parent Orientation, and Open House, and Curriculum Night is scheduled for September 28, 2023. 10A NCAC 10 .3011 NC PRE-K SITE-LEVEL ADMINISTRATOR QUALIFICATIONS were met. 10A NCAC 09 .3012 NC PRE-K TEACHER EDUCATION, LICENSURE AND CREDENTIALS- Both NC Pre-K teachers met the NC Pre-K Qualifications, a Bachelor of Arts in Birth to Kindergarten. 10 A NCAC 09 .3013 NC PRE-K TEACHER ASSISTANT EDUCATION AND CREDENTIALS- The NC Pre-K assistant teacher met compliance. 10A NCAC 09 .3014 NC PRE-K SUSBTITUTE STAFF- The substitute teacher met the education requirements for a substitute. Five (5) children’s files were selected and reviewed, and compliance was met. A violation was cited for a child’s application was not signed, and a violation was cited because a child did not have a medical. A remaining staff member’s file was reviewed, and two (2) new staff files were reviewed. A violation was cited for a staff’s expired CPR, and a violation was cited for a staff’s expired First Aid. The substitute staff did not have a Criminal Background Check (CBC) letter on file and the therapist did not have a CBC letter on file; a violation was cited. I confirmed in the Automated Background Check Management System (ABCMS) that the substitute teacher and the therapist have a current CBC letter. There are no children with medications, and there were no children with food allergies posted. There is not an assigned playground for the NC Pre-K Program, because the playground on site is for children five (5) years-old and older. The Lead Teacher, Ms. Bost, stated that materials are provided to support outdoor play, such as balls, bicycles, and chalk in the courtyard area outside the classroom. The center does provide transportation and the following was observed for compliance: Safe pick-up and Delivery statement (Posted), and Emergency Information on Children. The bus used to transport children was not on site. The sanitation inspection was completed May 5, 2023, with a “Superior” classification and eight (8) demerits. The last fire inspection was conducted August 16, 2023. Eleven (11) violations were cited during today’s visit. Violation Number Comment Rule 209 Children used space that was not approved. Care was provided in classroom 107, which is unapproved. GS 110-91(1)&(4-5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Outlets were uncovered in classroom 102, classroom 103, and classroom 107. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. There was a closet that was unlocked in classroom 102 that contained Lysol wipes, cleaner, and lotion. .2820(b) 853 Incident logs were not completed and maintained as required. The log was not available .0802(g)(1-6) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff (T.W.) did not have. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff (Y.B.) First Aid training expired February 2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Staff (Y.B.) CPR training expired February 2023. .1102(d) 1303 Application was not signed by the parent. An application was signed for child (K.E.) 10A NCAC 09 .0801(a) 1757 A valid qualification letter was not on file and available to review at the facility. A substitute teacher (T.W.) did not have a CBC letter on file, and a CMS Speech Therapist working separately with children did not have a letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. A health assessment was not on file for child (E. A.) .3005(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown drills were practiced September 27, 2022, January 18, 2023 and May 19, 2023. .0604(u);.0302(d)(8) Corrective Action The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter explaining how she corrected each of today’s violations and the steps she put in place to ensure on going compliance to me on or before Wednesday, October 11, 2023 to Deanna.Matthews@dhhs.nc.gov, or to the address listed below: Deanna Matthews P.O. Box 756 Gastonia, NC 28053-0756 Failure to correct the violations and/or submit the compliance letter to me by the due date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. The following Technical Assistance (TA) was provided: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -House Bill 103: Effective July 11, 2022, individuals have five (5) years to renew their criminal record check instead of every three (3) years. -On June 12th, Governor Cooper signed Senate Bill 291, extending the Child Care Hold Harmless legislation until June 30, 2024, and requiring the North Carolina Child Care Commission to make recommendations for modernizing the state’s Quality Rating and Improvement System. -NCDHHS Children’s Environmental Health has conducted a series of virtual trainings on the recently re-adopted Child Care Sanitation Rules, effective July 1, 2023. -The North Carolina Child Care Commission and the North Carolina Department of Health and Human Services Division of Child Development and Early Education are collaborating to modernize NC’s child care quality rating and improvement system (QRIS), commonly known as the Star Rated License. We are developing a plan that will be reviewed by the legislature in Spring 2024. During the next few months, we are collecting information from parents, teachers, administrators, operators, and partners to consider in the plan. -If you are unable to attend these sessions, you may also complete an online survey or write to DCDEE_QRIS@dhhs.nc.gov. -Your facility has been assigned to Cohort 2: Prep year 7/1/24-6/30/25, Reassessment year 7/1/25-6/30/26. Please refer to the link for additional information: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. -New staff, including substitutes have ninety (90) days to complete Child Maltreatment and CPR/First Aid. New staff must retake Child Maltreatment when moving from one child care facility to a new child care facility. -I will return in the near future to measure classroom 107. -Therapist who are left alone with child(ren) are required to have a DCDEE-CBC. Please contact Child Care Consultant, Deanna Matthews, at Deanna.Matthews@dhhs.nc.gov, or 704-962-7854, for questions or concerns, regarding today's visit. 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