10A NCAC 09 .0604 · Violation

Name of Operation: FAIRYLAND INSTITUTE OF EARLY LEARNING, INC. PRESCH Facility ID: 60002629 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 2/18/2025 Number Present: 21 Completed Date: 2/18/2025 Age: From 0 To 4 Total Minutes: 195 Time In: 01:45 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with applicable child care requirements during a Routine Unannounced visit. Upon arrival at the four-star rated center the center Ms. Lenell Grier, greeted me at the front door. The 2025 DCDEE Child Care Center Item Number Listing dated was used to verify non-compliance during the visit. The following compliance sections were monitored for compliance: A1-supervision, B1-ratio, C4-CPR, C5-FA, C6-special training, E1-storage of hazardous products, E2-storage of medicine, F3-space, G1-staff records, G3-program records, G4-license posted and G5-restrictions. A walkthrough of spaces #1-6 were completed with Ms. Lenell Grier. Child Care Consultant, Deanna Matthews, accompanied me during the visit. Ms. Catherine Vaughan, a Speech Therapist, with Speech Inspirations worked independently with a child in space 5. Ms. Vaughan has current criminal qualifying letter on file with the center. Space 1, space 3, and space 6 were not in use. In space 4, I observed children zero (0) to twelve (12) months were cared for according to their individual needs. I observed children having supervised "tummy-time." The children in space 5 were observed transitioning from nap. Nurturing tones were heard when staff spoke with the children. Infants, toddlers and two-year-old children were relocated to other spaces. Infants were relocated to spaces #3 and #4. Space #3 only has one sink, and a half wall separated spaces #3 and #4. It was expressed to the operator, not to move children under the age of two and half years of age unless approved by EH, DCDEE and possibly Building and Standards. The center must contact Nicole Bruce with EH to begin the review process. If a resolution is not reached by the end of the week. The infants should be relocated back to space #1. Ms. Watts arrived at the center after Ms. Matthews left for another visit. The missing files were located by Ms. Watt and reviewed by me. Staff and Training worksheets were not located by Ms. Watts. The center will need to email me staff and training worksheets by the end of the week. Existing staff and training worksheets from the last AC visit, completed August 16, 2024, were reviewed and monitored. Verifiable proof of CPR and FA was not on file for T. Brown. T. Brown also must complete Recognizing and Responding to Child Maltreatment. The documentation on file and presented upon hiring was older than a year. We discussed ensuring proper training of another staff member to know where the center program, children and staff files are maintained. Ms. Watt cannot be the only staff member familiar with the required records. The last sanitation was completed October 24, 2024. The last fire inspection was completed on July 15, 2024. Violation Number Comment Rule 209 Children used space that was not approved. Infants were relocated to spaces #3 and #4 from space #1. Spaces #3 and #4 were not approved for infant's use. GS 110-91(1)&(4-5) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The fire drill was not completed for January 25, 2025. .0604(t); .0302(d)(5) 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 (T.B.) did not have verification of First Aid. .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 (T.B.) did not have verification of CPR training. .1102(d) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File was incomplete and did not include the required information. .0607(d)(10) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. T. Brown did not complete the required training within 90 days. .1102(g) The following Technical Assistance was provided: 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 (5) 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; the provider has contacted the Criminal Background Check unit, due to issues with the system; assistance was been provided, and the provider is in the process of completing the roster. • 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. -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; water was tested June 18, 2021. -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 for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. -The EPR Plan must be completed on a template provided by the Division and updated annually (Child Care Rule 10A NCAC 09 .0607(c)). -The trained staff must review the EPR Plan annually or when information in the plan changed to ensure all information is current (Child Care Rule 10A NCAC 09 .0607(e)). -All CDSA staff have background checks completed as required by DHHS. Employees of the CDSAs should have a badge or ID that shows they are employed by the CDSA. The NC Child Care Rules prohibit an adult being left a lone with children in a licensed childcare environment without the DCDEE background check. Specialized service providers, who are contracted with the CDSAs and working with children in a classroom with childcare staff would not be required by the law to have the background check (G.S. 110-90.2(b) & (d) & Child Care Rule 10A NCAC 09 .2703(e)). -All staff records must be made available for review (G.S 110-91(10)). -Fire drills must be practiced monthly and the drill record must be documented (Child Care Rule 10A NCAC 09 .0604(t) and .0302(d)(5). -The EPR Ready to Go file must include the following: (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers (Child Care Rule 10A NCAC 09 .0607(d)(10). -Staff must 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 must be maintained in the staff file (Child Care Rule 10A NCAC 09 .1102(c)). -Staff must 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 must be maintained Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Tuesday, March 4, 2025. You may email me with your letter of correction. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. 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. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov in the staff file (Child Care Rule 10A NCAC 09 .1102(d)). 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 .0607 · Violation

Name of Operation: FAIRYLAND INSTITUTE OF EARLY LEARNING, INC. PRESCH Facility ID: 60002629 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 2/18/2025 Number Present: 21 Completed Date: 2/18/2025 Age: From 0 To 4 Total Minutes: 195 Time In: 01:45 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with applicable child care requirements during a Routine Unannounced visit. Upon arrival at the four-star rated center the center Ms. Lenell Grier, greeted me at the front door. The 2025 DCDEE Child Care Center Item Number Listing dated was used to verify non-compliance during the visit. The following compliance sections were monitored for compliance: A1-supervision, B1-ratio, C4-CPR, C5-FA, C6-special training, E1-storage of hazardous products, E2-storage of medicine, F3-space, G1-staff records, G3-program records, G4-license posted and G5-restrictions. A walkthrough of spaces #1-6 were completed with Ms. Lenell Grier. Child Care Consultant, Deanna Matthews, accompanied me during the visit. Ms. Catherine Vaughan, a Speech Therapist, with Speech Inspirations worked independently with a child in space 5. Ms. Vaughan has current criminal qualifying letter on file with the center. Space 1, space 3, and space 6 were not in use. In space 4, I observed children zero (0) to twelve (12) months were cared for according to their individual needs. I observed children having supervised "tummy-time." The children in space 5 were observed transitioning from nap. Nurturing tones were heard when staff spoke with the children. Infants, toddlers and two-year-old children were relocated to other spaces. Infants were relocated to spaces #3 and #4. Space #3 only has one sink, and a half wall separated spaces #3 and #4. It was expressed to the operator, not to move children under the age of two and half years of age unless approved by EH, DCDEE and possibly Building and Standards. The center must contact Nicole Bruce with EH to begin the review process. If a resolution is not reached by the end of the week. The infants should be relocated back to space #1. Ms. Watts arrived at the center after Ms. Matthews left for another visit. The missing files were located by Ms. Watt and reviewed by me. Staff and Training worksheets were not located by Ms. Watts. The center will need to email me staff and training worksheets by the end of the week. Existing staff and training worksheets from the last AC visit, completed August 16, 2024, were reviewed and monitored. Verifiable proof of CPR and FA was not on file for T. Brown. T. Brown also must complete Recognizing and Responding to Child Maltreatment. The documentation on file and presented upon hiring was older than a year. We discussed ensuring proper training of another staff member to know where the center program, children and staff files are maintained. Ms. Watt cannot be the only staff member familiar with the required records. The last sanitation was completed October 24, 2024. The last fire inspection was completed on July 15, 2024. Violation Number Comment Rule 209 Children used space that was not approved. Infants were relocated to spaces #3 and #4 from space #1. Spaces #3 and #4 were not approved for infant's use. GS 110-91(1)&(4-5) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The fire drill was not completed for January 25, 2025. .0604(t); .0302(d)(5) 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 (T.B.) did not have verification of First Aid. .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 (T.B.) did not have verification of CPR training. .1102(d) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File was incomplete and did not include the required information. .0607(d)(10) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. T. Brown did not complete the required training within 90 days. .1102(g) The following Technical Assistance was provided: 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 (5) 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; the provider has contacted the Criminal Background Check unit, due to issues with the system; assistance was been provided, and the provider is in the process of completing the roster. • 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. -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; water was tested June 18, 2021. -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 for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. -The EPR Plan must be completed on a template provided by the Division and updated annually (Child Care Rule 10A NCAC 09 .0607(c)). -The trained staff must review the EPR Plan annually or when information in the plan changed to ensure all information is current (Child Care Rule 10A NCAC 09 .0607(e)). -All CDSA staff have background checks completed as required by DHHS. Employees of the CDSAs should have a badge or ID that shows they are employed by the CDSA. The NC Child Care Rules prohibit an adult being left a lone with children in a licensed childcare environment without the DCDEE background check. Specialized service providers, who are contracted with the CDSAs and working with children in a classroom with childcare staff would not be required by the law to have the background check (G.S. 110-90.2(b) & (d) & Child Care Rule 10A NCAC 09 .2703(e)). -All staff records must be made available for review (G.S 110-91(10)). -Fire drills must be practiced monthly and the drill record must be documented (Child Care Rule 10A NCAC 09 .0604(t) and .0302(d)(5). -The EPR Ready to Go file must include the following: (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers (Child Care Rule 10A NCAC 09 .0607(d)(10). -Staff must 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 must be maintained in the staff file (Child Care Rule 10A NCAC 09 .1102(c)). -Staff must 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 must be maintained Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Tuesday, March 4, 2025. You may email me with your letter of correction. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. 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. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov in the staff file (Child Care Rule 10A NCAC 09 .1102(d)). 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: FAIRYLAND INSTITUTE OF EARLY LEARNING, INC. PRESCH Facility ID: 60002629 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 2/18/2025 Number Present: 21 Completed Date: 2/18/2025 Age: From 0 To 4 Total Minutes: 195 Time In: 01:45 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with applicable child care requirements during a Routine Unannounced visit. Upon arrival at the four-star rated center the center Ms. Lenell Grier, greeted me at the front door. The 2025 DCDEE Child Care Center Item Number Listing dated was used to verify non-compliance during the visit. The following compliance sections were monitored for compliance: A1-supervision, B1-ratio, C4-CPR, C5-FA, C6-special training, E1-storage of hazardous products, E2-storage of medicine, F3-space, G1-staff records, G3-program records, G4-license posted and G5-restrictions. A walkthrough of spaces #1-6 were completed with Ms. Lenell Grier. Child Care Consultant, Deanna Matthews, accompanied me during the visit. Ms. Catherine Vaughan, a Speech Therapist, with Speech Inspirations worked independently with a child in space 5. Ms. Vaughan has current criminal qualifying letter on file with the center. Space 1, space 3, and space 6 were not in use. In space 4, I observed children zero (0) to twelve (12) months were cared for according to their individual needs. I observed children having supervised "tummy-time." The children in space 5 were observed transitioning from nap. Nurturing tones were heard when staff spoke with the children. Infants, toddlers and two-year-old children were relocated to other spaces. Infants were relocated to spaces #3 and #4. Space #3 only has one sink, and a half wall separated spaces #3 and #4. It was expressed to the operator, not to move children under the age of two and half years of age unless approved by EH, DCDEE and possibly Building and Standards. The center must contact Nicole Bruce with EH to begin the review process. If a resolution is not reached by the end of the week. The infants should be relocated back to space #1. Ms. Watts arrived at the center after Ms. Matthews left for another visit. The missing files were located by Ms. Watt and reviewed by me. Staff and Training worksheets were not located by Ms. Watts. The center will need to email me staff and training worksheets by the end of the week. Existing staff and training worksheets from the last AC visit, completed August 16, 2024, were reviewed and monitored. Verifiable proof of CPR and FA was not on file for T. Brown. T. Brown also must complete Recognizing and Responding to Child Maltreatment. The documentation on file and presented upon hiring was older than a year. We discussed ensuring proper training of another staff member to know where the center program, children and staff files are maintained. Ms. Watt cannot be the only staff member familiar with the required records. The last sanitation was completed October 24, 2024. The last fire inspection was completed on July 15, 2024. Violation Number Comment Rule 209 Children used space that was not approved. Infants were relocated to spaces #3 and #4 from space #1. Spaces #3 and #4 were not approved for infant's use. GS 110-91(1)&(4-5) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The fire drill was not completed for January 25, 2025. .0604(t); .0302(d)(5) 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 (T.B.) did not have verification of First Aid. .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 (T.B.) did not have verification of CPR training. .1102(d) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File was incomplete and did not include the required information. .0607(d)(10) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. T. Brown did not complete the required training within 90 days. .1102(g) The following Technical Assistance was provided: 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 (5) 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; the provider has contacted the Criminal Background Check unit, due to issues with the system; assistance was been provided, and the provider is in the process of completing the roster. • 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. -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; water was tested June 18, 2021. -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 for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. -The EPR Plan must be completed on a template provided by the Division and updated annually (Child Care Rule 10A NCAC 09 .0607(c)). -The trained staff must review the EPR Plan annually or when information in the plan changed to ensure all information is current (Child Care Rule 10A NCAC 09 .0607(e)). -All CDSA staff have background checks completed as required by DHHS. Employees of the CDSAs should have a badge or ID that shows they are employed by the CDSA. The NC Child Care Rules prohibit an adult being left a lone with children in a licensed childcare environment without the DCDEE background check. Specialized service providers, who are contracted with the CDSAs and working with children in a classroom with childcare staff would not be required by the law to have the background check (G.S. 110-90.2(b) & (d) & Child Care Rule 10A NCAC 09 .2703(e)). -All staff records must be made available for review (G.S 110-91(10)). -Fire drills must be practiced monthly and the drill record must be documented (Child Care Rule 10A NCAC 09 .0604(t) and .0302(d)(5). -The EPR Ready to Go file must include the following: (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers (Child Care Rule 10A NCAC 09 .0607(d)(10). -Staff must 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 must be maintained in the staff file (Child Care Rule 10A NCAC 09 .1102(c)). -Staff must 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 must be maintained Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Tuesday, March 4, 2025. You may email me with your letter of correction. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. 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. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov in the staff file (Child Care Rule 10A NCAC 09 .1102(d)). 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: FAIRYLAND INSTITUTE OF EARLY LEARNING, INC. PRESCH Facility ID: 60002629 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 2/18/2025 Number Present: 21 Completed Date: 2/18/2025 Age: From 0 To 4 Total Minutes: 195 Time In: 01:45 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with applicable child care requirements during a Routine Unannounced visit. Upon arrival at the four-star rated center the center Ms. Lenell Grier, greeted me at the front door. The 2025 DCDEE Child Care Center Item Number Listing dated was used to verify non-compliance during the visit. The following compliance sections were monitored for compliance: A1-supervision, B1-ratio, C4-CPR, C5-FA, C6-special training, E1-storage of hazardous products, E2-storage of medicine, F3-space, G1-staff records, G3-program records, G4-license posted and G5-restrictions. A walkthrough of spaces #1-6 were completed with Ms. Lenell Grier. Child Care Consultant, Deanna Matthews, accompanied me during the visit. Ms. Catherine Vaughan, a Speech Therapist, with Speech Inspirations worked independently with a child in space 5. Ms. Vaughan has current criminal qualifying letter on file with the center. Space 1, space 3, and space 6 were not in use. In space 4, I observed children zero (0) to twelve (12) months were cared for according to their individual needs. I observed children having supervised "tummy-time." The children in space 5 were observed transitioning from nap. Nurturing tones were heard when staff spoke with the children. Infants, toddlers and two-year-old children were relocated to other spaces. Infants were relocated to spaces #3 and #4. Space #3 only has one sink, and a half wall separated spaces #3 and #4. It was expressed to the operator, not to move children under the age of two and half years of age unless approved by EH, DCDEE and possibly Building and Standards. The center must contact Nicole Bruce with EH to begin the review process. If a resolution is not reached by the end of the week. The infants should be relocated back to space #1. Ms. Watts arrived at the center after Ms. Matthews left for another visit. The missing files were located by Ms. Watt and reviewed by me. Staff and Training worksheets were not located by Ms. Watts. The center will need to email me staff and training worksheets by the end of the week. Existing staff and training worksheets from the last AC visit, completed August 16, 2024, were reviewed and monitored. Verifiable proof of CPR and FA was not on file for T. Brown. T. Brown also must complete Recognizing and Responding to Child Maltreatment. The documentation on file and presented upon hiring was older than a year. We discussed ensuring proper training of another staff member to know where the center program, children and staff files are maintained. Ms. Watt cannot be the only staff member familiar with the required records. The last sanitation was completed October 24, 2024. The last fire inspection was completed on July 15, 2024. Violation Number Comment Rule 209 Children used space that was not approved. Infants were relocated to spaces #3 and #4 from space #1. Spaces #3 and #4 were not approved for infant's use. GS 110-91(1)&(4-5) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The fire drill was not completed for January 25, 2025. .0604(t); .0302(d)(5) 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 (T.B.) did not have verification of First Aid. .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 (T.B.) did not have verification of CPR training. .1102(d) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File was incomplete and did not include the required information. .0607(d)(10) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. T. Brown did not complete the required training within 90 days. .1102(g) The following Technical Assistance was provided: 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 (5) 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; the provider has contacted the Criminal Background Check unit, due to issues with the system; assistance was been provided, and the provider is in the process of completing the roster. • 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. -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; water was tested June 18, 2021. -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 for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. -The EPR Plan must be completed on a template provided by the Division and updated annually (Child Care Rule 10A NCAC 09 .0607(c)). -The trained staff must review the EPR Plan annually or when information in the plan changed to ensure all information is current (Child Care Rule 10A NCAC 09 .0607(e)). -All CDSA staff have background checks completed as required by DHHS. Employees of the CDSAs should have a badge or ID that shows they are employed by the CDSA. The NC Child Care Rules prohibit an adult being left a lone with children in a licensed childcare environment without the DCDEE background check. Specialized service providers, who are contracted with the CDSAs and working with children in a classroom with childcare staff would not be required by the law to have the background check (G.S. 110-90.2(b) & (d) & Child Care Rule 10A NCAC 09 .2703(e)). -All staff records must be made available for review (G.S 110-91(10)). -Fire drills must be practiced monthly and the drill record must be documented (Child Care Rule 10A NCAC 09 .0604(t) and .0302(d)(5). -The EPR Ready to Go file must include the following: (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers (Child Care Rule 10A NCAC 09 .0607(d)(10). -Staff must 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 must be maintained in the staff file (Child Care Rule 10A NCAC 09 .1102(c)). -Staff must 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 must be maintained Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Tuesday, March 4, 2025. You may email me with your letter of correction. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. 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. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov in the staff file (Child Care Rule 10A NCAC 09 .1102(d)). 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: FAIRYLAND INSTITUTE OF EARLY LEARNING, INC. PRESCH Facility ID: 60002629 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 2/18/2025 Number Present: 21 Completed Date: 2/18/2025 Age: From 0 To 4 Total Minutes: 195 Time In: 01:45 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with applicable child care requirements during a Routine Unannounced visit. Upon arrival at the four-star rated center the center Ms. Lenell Grier, greeted me at the front door. The 2025 DCDEE Child Care Center Item Number Listing dated was used to verify non-compliance during the visit. The following compliance sections were monitored for compliance: A1-supervision, B1-ratio, C4-CPR, C5-FA, C6-special training, E1-storage of hazardous products, E2-storage of medicine, F3-space, G1-staff records, G3-program records, G4-license posted and G5-restrictions. A walkthrough of spaces #1-6 were completed with Ms. Lenell Grier. Child Care Consultant, Deanna Matthews, accompanied me during the visit. Ms. Catherine Vaughan, a Speech Therapist, with Speech Inspirations worked independently with a child in space 5. Ms. Vaughan has current criminal qualifying letter on file with the center. Space 1, space 3, and space 6 were not in use. In space 4, I observed children zero (0) to twelve (12) months were cared for according to their individual needs. I observed children having supervised "tummy-time." The children in space 5 were observed transitioning from nap. Nurturing tones were heard when staff spoke with the children. Infants, toddlers and two-year-old children were relocated to other spaces. Infants were relocated to spaces #3 and #4. Space #3 only has one sink, and a half wall separated spaces #3 and #4. It was expressed to the operator, not to move children under the age of two and half years of age unless approved by EH, DCDEE and possibly Building and Standards. The center must contact Nicole Bruce with EH to begin the review process. If a resolution is not reached by the end of the week. The infants should be relocated back to space #1. Ms. Watts arrived at the center after Ms. Matthews left for another visit. The missing files were located by Ms. Watt and reviewed by me. Staff and Training worksheets were not located by Ms. Watts. The center will need to email me staff and training worksheets by the end of the week. Existing staff and training worksheets from the last AC visit, completed August 16, 2024, were reviewed and monitored. Verifiable proof of CPR and FA was not on file for T. Brown. T. Brown also must complete Recognizing and Responding to Child Maltreatment. The documentation on file and presented upon hiring was older than a year. We discussed ensuring proper training of another staff member to know where the center program, children and staff files are maintained. Ms. Watt cannot be the only staff member familiar with the required records. The last sanitation was completed October 24, 2024. The last fire inspection was completed on July 15, 2024. Violation Number Comment Rule 209 Children used space that was not approved. Infants were relocated to spaces #3 and #4 from space #1. Spaces #3 and #4 were not approved for infant's use. GS 110-91(1)&(4-5) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The fire drill was not completed for January 25, 2025. .0604(t); .0302(d)(5) 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 (T.B.) did not have verification of First Aid. .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 (T.B.) did not have verification of CPR training. .1102(d) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File was incomplete and did not include the required information. .0607(d)(10) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. T. Brown did not complete the required training within 90 days. .1102(g) The following Technical Assistance was provided: 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 (5) 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; the provider has contacted the Criminal Background Check unit, due to issues with the system; assistance was been provided, and the provider is in the process of completing the roster. • 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. -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; water was tested June 18, 2021. -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 for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. -The EPR Plan must be completed on a template provided by the Division and updated annually (Child Care Rule 10A NCAC 09 .0607(c)). -The trained staff must review the EPR Plan annually or when information in the plan changed to ensure all information is current (Child Care Rule 10A NCAC 09 .0607(e)). -All CDSA staff have background checks completed as required by DHHS. Employees of the CDSAs should have a badge or ID that shows they are employed by the CDSA. The NC Child Care Rules prohibit an adult being left a lone with children in a licensed childcare environment without the DCDEE background check. Specialized service providers, who are contracted with the CDSAs and working with children in a classroom with childcare staff would not be required by the law to have the background check (G.S. 110-90.2(b) & (d) & Child Care Rule 10A NCAC 09 .2703(e)). -All staff records must be made available for review (G.S 110-91(10)). -Fire drills must be practiced monthly and the drill record must be documented (Child Care Rule 10A NCAC 09 .0604(t) and .0302(d)(5). -The EPR Ready to Go file must include the following: (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers (Child Care Rule 10A NCAC 09 .0607(d)(10). -Staff must 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 must be maintained in the staff file (Child Care Rule 10A NCAC 09 .1102(c)). -Staff must 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 must be maintained Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Tuesday, March 4, 2025. You may email me with your letter of correction. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. 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. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov in the staff file (Child Care Rule 10A NCAC 09 .1102(d)). 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: FAIRYLAND INSTITUTE OF EARLY LEARNING, INC. PRESCH Facility ID: 60002629 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 2/18/2025 Number Present: 21 Completed Date: 2/18/2025 Age: From 0 To 4 Total Minutes: 195 Time In: 01:45 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with applicable child care requirements during a Routine Unannounced visit. Upon arrival at the four-star rated center the center Ms. Lenell Grier, greeted me at the front door. The 2025 DCDEE Child Care Center Item Number Listing dated was used to verify non-compliance during the visit. The following compliance sections were monitored for compliance: A1-supervision, B1-ratio, C4-CPR, C5-FA, C6-special training, E1-storage of hazardous products, E2-storage of medicine, F3-space, G1-staff records, G3-program records, G4-license posted and G5-restrictions. A walkthrough of spaces #1-6 were completed with Ms. Lenell Grier. Child Care Consultant, Deanna Matthews, accompanied me during the visit. Ms. Catherine Vaughan, a Speech Therapist, with Speech Inspirations worked independently with a child in space 5. Ms. Vaughan has current criminal qualifying letter on file with the center. Space 1, space 3, and space 6 were not in use. In space 4, I observed children zero (0) to twelve (12) months were cared for according to their individual needs. I observed children having supervised "tummy-time." The children in space 5 were observed transitioning from nap. Nurturing tones were heard when staff spoke with the children. Infants, toddlers and two-year-old children were relocated to other spaces. Infants were relocated to spaces #3 and #4. Space #3 only has one sink, and a half wall separated spaces #3 and #4. It was expressed to the operator, not to move children under the age of two and half years of age unless approved by EH, DCDEE and possibly Building and Standards. The center must contact Nicole Bruce with EH to begin the review process. If a resolution is not reached by the end of the week. The infants should be relocated back to space #1. Ms. Watts arrived at the center after Ms. Matthews left for another visit. The missing files were located by Ms. Watt and reviewed by me. Staff and Training worksheets were not located by Ms. Watts. The center will need to email me staff and training worksheets by the end of the week. Existing staff and training worksheets from the last AC visit, completed August 16, 2024, were reviewed and monitored. Verifiable proof of CPR and FA was not on file for T. Brown. T. Brown also must complete Recognizing and Responding to Child Maltreatment. The documentation on file and presented upon hiring was older than a year. We discussed ensuring proper training of another staff member to know where the center program, children and staff files are maintained. Ms. Watt cannot be the only staff member familiar with the required records. The last sanitation was completed October 24, 2024. The last fire inspection was completed on July 15, 2024. Violation Number Comment Rule 209 Children used space that was not approved. Infants were relocated to spaces #3 and #4 from space #1. Spaces #3 and #4 were not approved for infant's use. GS 110-91(1)&(4-5) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The fire drill was not completed for January 25, 2025. .0604(t); .0302(d)(5) 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 (T.B.) did not have verification of First Aid. .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 (T.B.) did not have verification of CPR training. .1102(d) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File was incomplete and did not include the required information. .0607(d)(10) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. T. Brown did not complete the required training within 90 days. .1102(g) The following Technical Assistance was provided: 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 (5) 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; the provider has contacted the Criminal Background Check unit, due to issues with the system; assistance was been provided, and the provider is in the process of completing the roster. • 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. -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; water was tested June 18, 2021. -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 for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. -The EPR Plan must be completed on a template provided by the Division and updated annually (Child Care Rule 10A NCAC 09 .0607(c)). -The trained staff must review the EPR Plan annually or when information in the plan changed to ensure all information is current (Child Care Rule 10A NCAC 09 .0607(e)). -All CDSA staff have background checks completed as required by DHHS. Employees of the CDSAs should have a badge or ID that shows they are employed by the CDSA. The NC Child Care Rules prohibit an adult being left a lone with children in a licensed childcare environment without the DCDEE background check. Specialized service providers, who are contracted with the CDSAs and working with children in a classroom with childcare staff would not be required by the law to have the background check (G.S. 110-90.2(b) & (d) & Child Care Rule 10A NCAC 09 .2703(e)). -All staff records must be made available for review (G.S 110-91(10)). -Fire drills must be practiced monthly and the drill record must be documented (Child Care Rule 10A NCAC 09 .0604(t) and .0302(d)(5). -The EPR Ready to Go file must include the following: (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers (Child Care Rule 10A NCAC 09 .0607(d)(10). -Staff must 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 must be maintained in the staff file (Child Care Rule 10A NCAC 09 .1102(c)). -Staff must 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 must be maintained Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Tuesday, March 4, 2025. You may email me with your letter of correction. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. 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. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov in the staff file (Child Care Rule 10A NCAC 09 .1102(d)). 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: FAIRYLAND INSTITUTE OF EARLY LEARNING, INC. PRESCH Facility ID: 60002629 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 2/18/2025 Number Present: 21 Completed Date: 2/18/2025 Age: From 0 To 4 Total Minutes: 195 Time In: 01:45 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with applicable child care requirements during a Routine Unannounced visit. Upon arrival at the four-star rated center the center Ms. Lenell Grier, greeted me at the front door. The 2025 DCDEE Child Care Center Item Number Listing dated was used to verify non-compliance during the visit. The following compliance sections were monitored for compliance: A1-supervision, B1-ratio, C4-CPR, C5-FA, C6-special training, E1-storage of hazardous products, E2-storage of medicine, F3-space, G1-staff records, G3-program records, G4-license posted and G5-restrictions. A walkthrough of spaces #1-6 were completed with Ms. Lenell Grier. Child Care Consultant, Deanna Matthews, accompanied me during the visit. Ms. Catherine Vaughan, a Speech Therapist, with Speech Inspirations worked independently with a child in space 5. Ms. Vaughan has current criminal qualifying letter on file with the center. Space 1, space 3, and space 6 were not in use. In space 4, I observed children zero (0) to twelve (12) months were cared for according to their individual needs. I observed children having supervised "tummy-time." The children in space 5 were observed transitioning from nap. Nurturing tones were heard when staff spoke with the children. Infants, toddlers and two-year-old children were relocated to other spaces. Infants were relocated to spaces #3 and #4. Space #3 only has one sink, and a half wall separated spaces #3 and #4. It was expressed to the operator, not to move children under the age of two and half years of age unless approved by EH, DCDEE and possibly Building and Standards. The center must contact Nicole Bruce with EH to begin the review process. If a resolution is not reached by the end of the week. The infants should be relocated back to space #1. Ms. Watts arrived at the center after Ms. Matthews left for another visit. The missing files were located by Ms. Watt and reviewed by me. Staff and Training worksheets were not located by Ms. Watts. The center will need to email me staff and training worksheets by the end of the week. Existing staff and training worksheets from the last AC visit, completed August 16, 2024, were reviewed and monitored. Verifiable proof of CPR and FA was not on file for T. Brown. T. Brown also must complete Recognizing and Responding to Child Maltreatment. The documentation on file and presented upon hiring was older than a year. We discussed ensuring proper training of another staff member to know where the center program, children and staff files are maintained. Ms. Watt cannot be the only staff member familiar with the required records. The last sanitation was completed October 24, 2024. The last fire inspection was completed on July 15, 2024. Violation Number Comment Rule 209 Children used space that was not approved. Infants were relocated to spaces #3 and #4 from space #1. Spaces #3 and #4 were not approved for infant's use. GS 110-91(1)&(4-5) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The fire drill was not completed for January 25, 2025. .0604(t); .0302(d)(5) 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 (T.B.) did not have verification of First Aid. .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 (T.B.) did not have verification of CPR training. .1102(d) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File was incomplete and did not include the required information. .0607(d)(10) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. T. Brown did not complete the required training within 90 days. .1102(g) The following Technical Assistance was provided: 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 (5) 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; the provider has contacted the Criminal Background Check unit, due to issues with the system; assistance was been provided, and the provider is in the process of completing the roster. • 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. -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; water was tested June 18, 2021. -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 for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. -The EPR Plan must be completed on a template provided by the Division and updated annually (Child Care Rule 10A NCAC 09 .0607(c)). -The trained staff must review the EPR Plan annually or when information in the plan changed to ensure all information is current (Child Care Rule 10A NCAC 09 .0607(e)). -All CDSA staff have background checks completed as required by DHHS. Employees of the CDSAs should have a badge or ID that shows they are employed by the CDSA. The NC Child Care Rules prohibit an adult being left a lone with children in a licensed childcare environment without the DCDEE background check. Specialized service providers, who are contracted with the CDSAs and working with children in a classroom with childcare staff would not be required by the law to have the background check (G.S. 110-90.2(b) & (d) & Child Care Rule 10A NCAC 09 .2703(e)). -All staff records must be made available for review (G.S 110-91(10)). -Fire drills must be practiced monthly and the drill record must be documented (Child Care Rule 10A NCAC 09 .0604(t) and .0302(d)(5). -The EPR Ready to Go file must include the following: (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers (Child Care Rule 10A NCAC 09 .0607(d)(10). -Staff must 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 must be maintained in the staff file (Child Care Rule 10A NCAC 09 .1102(c)). -Staff must 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 must be maintained Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Tuesday, March 4, 2025. You may email me with your letter of correction. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. 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. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov in the staff file (Child Care Rule 10A NCAC 09 .1102(d)). 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: FAIRYLAND INSTITUTE OF EARLY LEARNING, INC. PRESCH Facility ID: 60002629 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 2/18/2025 Number Present: 21 Completed Date: 2/18/2025 Age: From 0 To 4 Total Minutes: 195 Time In: 01:45 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with applicable child care requirements during a Routine Unannounced visit. Upon arrival at the four-star rated center the center Ms. Lenell Grier, greeted me at the front door. The 2025 DCDEE Child Care Center Item Number Listing dated was used to verify non-compliance during the visit. The following compliance sections were monitored for compliance: A1-supervision, B1-ratio, C4-CPR, C5-FA, C6-special training, E1-storage of hazardous products, E2-storage of medicine, F3-space, G1-staff records, G3-program records, G4-license posted and G5-restrictions. A walkthrough of spaces #1-6 were completed with Ms. Lenell Grier. Child Care Consultant, Deanna Matthews, accompanied me during the visit. Ms. Catherine Vaughan, a Speech Therapist, with Speech Inspirations worked independently with a child in space 5. Ms. Vaughan has current criminal qualifying letter on file with the center. Space 1, space 3, and space 6 were not in use. In space 4, I observed children zero (0) to twelve (12) months were cared for according to their individual needs. I observed children having supervised "tummy-time." The children in space 5 were observed transitioning from nap. Nurturing tones were heard when staff spoke with the children. Infants, toddlers and two-year-old children were relocated to other spaces. Infants were relocated to spaces #3 and #4. Space #3 only has one sink, and a half wall separated spaces #3 and #4. It was expressed to the operator, not to move children under the age of two and half years of age unless approved by EH, DCDEE and possibly Building and Standards. The center must contact Nicole Bruce with EH to begin the review process. If a resolution is not reached by the end of the week. The infants should be relocated back to space #1. Ms. Watts arrived at the center after Ms. Matthews left for another visit. The missing files were located by Ms. Watt and reviewed by me. Staff and Training worksheets were not located by Ms. Watts. The center will need to email me staff and training worksheets by the end of the week. Existing staff and training worksheets from the last AC visit, completed August 16, 2024, were reviewed and monitored. Verifiable proof of CPR and FA was not on file for T. Brown. T. Brown also must complete Recognizing and Responding to Child Maltreatment. The documentation on file and presented upon hiring was older than a year. We discussed ensuring proper training of another staff member to know where the center program, children and staff files are maintained. Ms. Watt cannot be the only staff member familiar with the required records. The last sanitation was completed October 24, 2024. The last fire inspection was completed on July 15, 2024. Violation Number Comment Rule 209 Children used space that was not approved. Infants were relocated to spaces #3 and #4 from space #1. Spaces #3 and #4 were not approved for infant's use. GS 110-91(1)&(4-5) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The fire drill was not completed for January 25, 2025. .0604(t); .0302(d)(5) 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 (T.B.) did not have verification of First Aid. .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 (T.B.) did not have verification of CPR training. .1102(d) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File was incomplete and did not include the required information. .0607(d)(10) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. T. Brown did not complete the required training within 90 days. .1102(g) The following Technical Assistance was provided: 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 (5) 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; the provider has contacted the Criminal Background Check unit, due to issues with the system; assistance was been provided, and the provider is in the process of completing the roster. • 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. -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; water was tested June 18, 2021. -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 for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. -The EPR Plan must be completed on a template provided by the Division and updated annually (Child Care Rule 10A NCAC 09 .0607(c)). -The trained staff must review the EPR Plan annually or when information in the plan changed to ensure all information is current (Child Care Rule 10A NCAC 09 .0607(e)). -All CDSA staff have background checks completed as required by DHHS. Employees of the CDSAs should have a badge or ID that shows they are employed by the CDSA. The NC Child Care Rules prohibit an adult being left a lone with children in a licensed childcare environment without the DCDEE background check. Specialized service providers, who are contracted with the CDSAs and working with children in a classroom with childcare staff would not be required by the law to have the background check (G.S. 110-90.2(b) & (d) & Child Care Rule 10A NCAC 09 .2703(e)). -All staff records must be made available for review (G.S 110-91(10)). -Fire drills must be practiced monthly and the drill record must be documented (Child Care Rule 10A NCAC 09 .0604(t) and .0302(d)(5). -The EPR Ready to Go file must include the following: (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers (Child Care Rule 10A NCAC 09 .0607(d)(10). -Staff must 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 must be maintained in the staff file (Child Care Rule 10A NCAC 09 .1102(c)). -Staff must 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 must be maintained Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Tuesday, March 4, 2025. You may email me with your letter of correction. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. 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. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov in the staff file (Child Care Rule 10A NCAC 09 .1102(d)). If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: FAIRYLAND INSTITUTE OF EARLY LEARNING, INC. PRESCH Facility ID: 60002629 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 6/13/2024 Number Present: 31 Completed Date: 6/13/2024 Age: From 0 To 4 Total Minutes: 390 Time In: 09:30 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with applicable child care requirements during a Routine Unannounced visit. Upon arrival at the four-star rated center the center administrator, Ms. Betty Watt, greeted me at the front door. The DCDEE Child Care Center Item Number Listing dated March 2024 was used to verify non-compliance during the visit. The following compliance sections were monitored for compliance: A1-supervision, B1-ratio, C4-CPR, C5-FA, C6-special training, E1-storage of hazardous products, E2-storage of medicine, F3-space, G1-staff records, G3-program records, G4-license posted and G5-restrictions. A walkthrough of spaces #1-6 were completed with Ms. Watt. Children were observed participating in eating lunch of spaghetti with meat sauce, wheat bread, mixed fruit, and a vegetable with milk. Three new staff files were monitored for compliance (B. Johnson, G. Heath, K. Avaramis). Staff and Training Worksheets were copied from the previous annual compliance visit to monitor compliance with existing staff. The worksheets were reviewed to ensure existing and new staff had current CBC’s, CPR, FA, SIDS, Health and Safety Training with Child Maltreatment Training. Two existing staff were monitored without current annual health questionnaires and emergency contact information. The two staff updated their forms during the visit. Two new staff and one existing staff did not have completed documentation of orientation during their first two weeks after hiring and completion of the orientation after first six weeks after hiring. One staff member was missing negative TB results. Two staff were missing documentation of review of the EPR plan during orientation. Six staff were monitored not current with CPR and FA. Two of the six staff presented CPR and FA certificates; however, the training source was not an approved trainer. We discussed better organization and labeling of presented materials in spaces #3 and #4. A garbage can with sealed lid must be used when children use pampers or pull ups. An additional can with lid should be placed in the bathroom in spaces #3 and #4. We discussed improving transitions in space #3 and #4. Materials were not placed back onto the shelves properly and due to limited labeling of shelving units. It was noted the smoke detector was chirping in the building. The building will be due for their annual fire inspection in July. A practice was observed by staff at the end of lunch time. Food was delivered to each classroom on a tiered cart family style. The staff member in space #3 and #4 stated they were instructed to scrape the finished contents from each plate into a plastic bag and place it back onto the cart to return to the kitchen to dispose of the contents into the kitchen garbage. Plates should be placed in the garbage can maintained in each classroom. Items should not be returned to the cart where food is brought to each classroom. The last sanitation inspection was conducted April 19, 2024, with six (6) demerits cited and a Superior classification issued. The last fire inspection conducted was July 28, 2023. The last annual compliance visit was completed February 5, 2024. The last ERS was completed March 24, 2022. The RLA was last processed February 23, 2023. Based on the recent cohort plan to return to three-year reassessments, the program will not be required to complete a reassessment until March of 2026. Violation Number Comment Rule 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were monitored accessible to two-year-old children in spaces #3 and #4. .0604(q) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The DCDEE ITS-SIDS sample policy was posted in the sleeping area for infants in space #1. However, the policy was not customized to indicate what the center's developed ITS-SIDS policy. .0606(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One existing staff member did not have a medical on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One existing staff did not have negative TB test results on file. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two staff members did not have a current HQ on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Two staff did not have a current emergency contact information on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff person did not have their six weeks of documentation of orientation on file. .1101(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. Six staff were monitored without current FA. .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. Six staff were monitored without current CPR training. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Three staff did not have their two-week documentation of orientation on file. .1101(a)(b) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. Children's applications and EPR plan were monitored stored in the RTGF. Other required forms were not monitored stored in the RTGF, like blank incident reports, allergy list, and map. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR plan was monitored not current. .0607(e) Technical Assistance Provided and General Discussion: 1. We discussed record keeping. Suggestions were made to use ½ inch binders and separate each staff file. 2. Recommendations were made to solicit CCRI to provide support and training with infant and toddler staff, especially for spaces #3 and #4. 3. It was recommended to contact the alarm system place to inquire about chirping smoke detector. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Thursday, June 27, 2024. You may email me your letter of correction. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. 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. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@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 .0102 · Violation

Name of Operation: FAIRYLAND INSTITUTE OF EARLY LEARNING, INC. PRESCH Facility ID: 60002629 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 8/17/2023 Number Present: 27 Completed Date: 8/17/2023 Age: From 0 To 3 Total Minutes: 185 Time In: 09:25 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to conduct the Annual Compliance with applicable child care rules. The facility currently has a Four Star Rated License with an effective date of January 31, 2019. The facility’s 18-month compliance history score before today’s visit was 84%. The facility license and North Carolina Summary of the Law was prominently posted. Upon arrival, I was greeted by the Assistant Director, B. Watt. I stated the reason for the visit. A walk through of the facility was conducted with the Assistant Director. During the walk through, I observed children participating in personal care routines, teacher directed activities, free choice of indoor and outdoor play. Staff were observed assisting children with routines and supervising activities. The Annual Compliance Monitoring Checklist for Child Care Centers and The Division of Child Development and Early Education’s 2022 June Items Listing was used to conduct the monitoring visit. The last approved fire inspection was conducted on July 28, 2023. The last sanitation inspection was conducted on January 5, 2023, with nineteen demerits and an Approved rating. The last fire drill was conducted on July 28, 2023. The last documented shelter-in-place or lockdown drill was conducted May 1, 2023. The outdoor safety checks were also monitored today and are occurring monthly as required. Ten percent of children’s records were monitored today. I received the Staff and Training Worksheets during the visit today. No new staff have been hired since the last visit conducted on January 19, 2023. Ten percent of staff files were monitored today. There were eleven violations cited and two corrected today. Violation Number Comment Rule 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. Food allergy information was not posted in the kitchen. .0901(g) 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. In space #5, there were no individual paper towels at three handwashing sinks. 15A NCAC 18A .2818(b) & (d) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy was not posted in the infant room. .0606(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff member did not have an annual staff evaluation and staff development plan on file. 10A NCAC 09 .0514(f) 1302 Individual applications were not on file for each child. One child did not have an application on file. 10A NCAC 09 .0801(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children did not have a medical exam on file. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child did not have an immunization record on file. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Two children did not have verification on file that the discipline policy had been received by the parent. .1804(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place or lockdown drill was conducted on May 1, 2023. .0604(u);.0302(d)(8) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File could not be located during the visit. .0607(d)(10) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One child did not have verification on file that the parent received notification of the smoking and tobacco restriction. .0604(j) Technical Assistance/General Information: The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each includes a preparation year and a reassessment year. The facility is in cohort #2 which means their preparation year will begin July 1, 2024, to June 30, 2025, with a reassessment year of July 1, 2025 to June 30, 2026. A conversation was held with the Director and Assistant Director regarding the violations cited. Below is the rule reference for each violation. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (b) The center shall post a copy of its safe sleep policy about infant safe sleep practices in a prominent place in the infant room where parents and caregivers are able to view daily. 10A NCAC 09 .1804 DISCIPLINE POLICY FOR CHILD CARE CENTERS (b) The child care center shall obtain from each parent, legal guardian, or full-time custodian a statement that attests that a copy of the center's written discipline policies was given to and discussed with him or her. That statement shall include the following: (1) the child's name; (2) the date of enrollment; and (3) if different, from the enrollment date the date the parent, legal guardian, or full-time custodian signed the statement. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (1) emergency medical information as set forth in Rule .0802(c) of this Section; (2) the child's full name and the name the child is to be called; (3) the child's date of birth; (4) any allergies and the symptoms and type of response required for allergic reactions; (5) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (6) fears or behavior characteristics that the child has; and (7) the names of individuals to whom the center may release the child, as authorized by the person who signs the application. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (j) The operator shall notify the parent of each child enrolled in the center, in writing, of the smoking and tobacco restriction. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (g) Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. § 110-91. Mandatory standards for a license. (1) Medical Care and Sanitation. – The Commission for Public Health shall adopt rules which establish minimum sanitation standards for child care centers and their personnel. The sanitation rules adopted by the Commission for Public Health shall cover such matters as the cleanliness of floors, walls, ceilings, storage spaces, utensils, and other facilities; adequacy of ventilation; sanitation of water supply, lavatory facilities, toilet facilities, sewage disposal, food protection facilities, bactericidal treatment of eating and drinking utensils, and solid-waste storage and disposal; methods of food preparation and serving; infectious disease control; sleeping facilities; and other items and facilities as are necessary in the interest of the public health. The Commission for Public Health shall allow child care centers to use domestic kitchen equipment, provided appropriate temperature levels for heating, cooling, and storing are maintained. Child care centers that fry foods shall use commercial hoods. These rules shall be developed in consultation with the Department. The Commission shall adopt rules for child care facilities to establish minimum requirements for child and staff health assessments and medical care procedures. These rules shall be developed in consultation with the Department. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. Violations must be corrected immediately. A signed and dated letter of compliance must be mailed or emailed to me by August 31, 2023. The letter of compliance must describe how and when the violations were corrected. The letter must be mailed to Kaye Dunlap, 3109 Wyntree Court, Matthews, NC, 28104 or emailed to Kaye.Dunlap@dhhs.nc.gov. If a letter is not received by the required date another visit will be conducted to confirm the violations were corrected. 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. Thank you for your time today. If you have questions or concerns, please feel free to contact me at 704-594-0152 or by email at Kaye.Dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0302 · Violation

Name of Operation: FAIRYLAND INSTITUTE OF EARLY LEARNING, INC. PRESCH Facility ID: 60002629 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 8/17/2023 Number Present: 27 Completed Date: 8/17/2023 Age: From 0 To 3 Total Minutes: 185 Time In: 09:25 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to conduct the Annual Compliance with applicable child care rules. The facility currently has a Four Star Rated License with an effective date of January 31, 2019. The facility’s 18-month compliance history score before today’s visit was 84%. The facility license and North Carolina Summary of the Law was prominently posted. Upon arrival, I was greeted by the Assistant Director, B. Watt. I stated the reason for the visit. A walk through of the facility was conducted with the Assistant Director. During the walk through, I observed children participating in personal care routines, teacher directed activities, free choice of indoor and outdoor play. Staff were observed assisting children with routines and supervising activities. The Annual Compliance Monitoring Checklist for Child Care Centers and The Division of Child Development and Early Education’s 2022 June Items Listing was used to conduct the monitoring visit. The last approved fire inspection was conducted on July 28, 2023. The last sanitation inspection was conducted on January 5, 2023, with nineteen demerits and an Approved rating. The last fire drill was conducted on July 28, 2023. The last documented shelter-in-place or lockdown drill was conducted May 1, 2023. The outdoor safety checks were also monitored today and are occurring monthly as required. Ten percent of children’s records were monitored today. I received the Staff and Training Worksheets during the visit today. No new staff have been hired since the last visit conducted on January 19, 2023. Ten percent of staff files were monitored today. There were eleven violations cited and two corrected today. Violation Number Comment Rule 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. Food allergy information was not posted in the kitchen. .0901(g) 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. In space #5, there were no individual paper towels at three handwashing sinks. 15A NCAC 18A .2818(b) & (d) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy was not posted in the infant room. .0606(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff member did not have an annual staff evaluation and staff development plan on file. 10A NCAC 09 .0514(f) 1302 Individual applications were not on file for each child. One child did not have an application on file. 10A NCAC 09 .0801(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children did not have a medical exam on file. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child did not have an immunization record on file. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Two children did not have verification on file that the discipline policy had been received by the parent. .1804(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place or lockdown drill was conducted on May 1, 2023. .0604(u);.0302(d)(8) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File could not be located during the visit. .0607(d)(10) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One child did not have verification on file that the parent received notification of the smoking and tobacco restriction. .0604(j) Technical Assistance/General Information: The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each includes a preparation year and a reassessment year. The facility is in cohort #2 which means their preparation year will begin July 1, 2024, to June 30, 2025, with a reassessment year of July 1, 2025 to June 30, 2026. A conversation was held with the Director and Assistant Director regarding the violations cited. Below is the rule reference for each violation. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (b) The center shall post a copy of its safe sleep policy about infant safe sleep practices in a prominent place in the infant room where parents and caregivers are able to view daily. 10A NCAC 09 .1804 DISCIPLINE POLICY FOR CHILD CARE CENTERS (b) The child care center shall obtain from each parent, legal guardian, or full-time custodian a statement that attests that a copy of the center's written discipline policies was given to and discussed with him or her. That statement shall include the following: (1) the child's name; (2) the date of enrollment; and (3) if different, from the enrollment date the date the parent, legal guardian, or full-time custodian signed the statement. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (1) emergency medical information as set forth in Rule .0802(c) of this Section; (2) the child's full name and the name the child is to be called; (3) the child's date of birth; (4) any allergies and the symptoms and type of response required for allergic reactions; (5) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (6) fears or behavior characteristics that the child has; and (7) the names of individuals to whom the center may release the child, as authorized by the person who signs the application. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (j) The operator shall notify the parent of each child enrolled in the center, in writing, of the smoking and tobacco restriction. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (g) Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. § 110-91. Mandatory standards for a license. (1) Medical Care and Sanitation. – The Commission for Public Health shall adopt rules which establish minimum sanitation standards for child care centers and their personnel. The sanitation rules adopted by the Commission for Public Health shall cover such matters as the cleanliness of floors, walls, ceilings, storage spaces, utensils, and other facilities; adequacy of ventilation; sanitation of water supply, lavatory facilities, toilet facilities, sewage disposal, food protection facilities, bactericidal treatment of eating and drinking utensils, and solid-waste storage and disposal; methods of food preparation and serving; infectious disease control; sleeping facilities; and other items and facilities as are necessary in the interest of the public health. The Commission for Public Health shall allow child care centers to use domestic kitchen equipment, provided appropriate temperature levels for heating, cooling, and storing are maintained. Child care centers that fry foods shall use commercial hoods. These rules shall be developed in consultation with the Department. The Commission shall adopt rules for child care facilities to establish minimum requirements for child and staff health assessments and medical care procedures. These rules shall be developed in consultation with the Department. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. Violations must be corrected immediately. A signed and dated letter of compliance must be mailed or emailed to me by August 31, 2023. The letter of compliance must describe how and when the violations were corrected. The letter must be mailed to Kaye Dunlap, 3109 Wyntree Court, Matthews, NC, 28104 or emailed to Kaye.Dunlap@dhhs.nc.gov. If a letter is not received by the required date another visit will be conducted to confirm the violations were corrected. 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. Thank you for your time today. If you have questions or concerns, please feel free to contact me at 704-594-0152 or by email at Kaye.Dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0514 · Violation

Name of Operation: FAIRYLAND INSTITUTE OF EARLY LEARNING, INC. PRESCH Facility ID: 60002629 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 8/17/2023 Number Present: 27 Completed Date: 8/17/2023 Age: From 0 To 3 Total Minutes: 185 Time In: 09:25 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to conduct the Annual Compliance with applicable child care rules. The facility currently has a Four Star Rated License with an effective date of January 31, 2019. The facility’s 18-month compliance history score before today’s visit was 84%. The facility license and North Carolina Summary of the Law was prominently posted. Upon arrival, I was greeted by the Assistant Director, B. Watt. I stated the reason for the visit. A walk through of the facility was conducted with the Assistant Director. During the walk through, I observed children participating in personal care routines, teacher directed activities, free choice of indoor and outdoor play. Staff were observed assisting children with routines and supervising activities. The Annual Compliance Monitoring Checklist for Child Care Centers and The Division of Child Development and Early Education’s 2022 June Items Listing was used to conduct the monitoring visit. The last approved fire inspection was conducted on July 28, 2023. The last sanitation inspection was conducted on January 5, 2023, with nineteen demerits and an Approved rating. The last fire drill was conducted on July 28, 2023. The last documented shelter-in-place or lockdown drill was conducted May 1, 2023. The outdoor safety checks were also monitored today and are occurring monthly as required. Ten percent of children’s records were monitored today. I received the Staff and Training Worksheets during the visit today. No new staff have been hired since the last visit conducted on January 19, 2023. Ten percent of staff files were monitored today. There were eleven violations cited and two corrected today. Violation Number Comment Rule 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. Food allergy information was not posted in the kitchen. .0901(g) 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. In space #5, there were no individual paper towels at three handwashing sinks. 15A NCAC 18A .2818(b) & (d) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy was not posted in the infant room. .0606(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff member did not have an annual staff evaluation and staff development plan on file. 10A NCAC 09 .0514(f) 1302 Individual applications were not on file for each child. One child did not have an application on file. 10A NCAC 09 .0801(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children did not have a medical exam on file. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child did not have an immunization record on file. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Two children did not have verification on file that the discipline policy had been received by the parent. .1804(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place or lockdown drill was conducted on May 1, 2023. .0604(u);.0302(d)(8) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File could not be located during the visit. .0607(d)(10) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One child did not have verification on file that the parent received notification of the smoking and tobacco restriction. .0604(j) Technical Assistance/General Information: The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each includes a preparation year and a reassessment year. The facility is in cohort #2 which means their preparation year will begin July 1, 2024, to June 30, 2025, with a reassessment year of July 1, 2025 to June 30, 2026. A conversation was held with the Director and Assistant Director regarding the violations cited. Below is the rule reference for each violation. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (b) The center shall post a copy of its safe sleep policy about infant safe sleep practices in a prominent place in the infant room where parents and caregivers are able to view daily. 10A NCAC 09 .1804 DISCIPLINE POLICY FOR CHILD CARE CENTERS (b) The child care center shall obtain from each parent, legal guardian, or full-time custodian a statement that attests that a copy of the center's written discipline policies was given to and discussed with him or her. That statement shall include the following: (1) the child's name; (2) the date of enrollment; and (3) if different, from the enrollment date the date the parent, legal guardian, or full-time custodian signed the statement. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (1) emergency medical information as set forth in Rule .0802(c) of this Section; (2) the child's full name and the name the child is to be called; (3) the child's date of birth; (4) any allergies and the symptoms and type of response required for allergic reactions; (5) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (6) fears or behavior characteristics that the child has; and (7) the names of individuals to whom the center may release the child, as authorized by the person who signs the application. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (j) The operator shall notify the parent of each child enrolled in the center, in writing, of the smoking and tobacco restriction. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (g) Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. § 110-91. Mandatory standards for a license. (1) Medical Care and Sanitation. – The Commission for Public Health shall adopt rules which establish minimum sanitation standards for child care centers and their personnel. The sanitation rules adopted by the Commission for Public Health shall cover such matters as the cleanliness of floors, walls, ceilings, storage spaces, utensils, and other facilities; adequacy of ventilation; sanitation of water supply, lavatory facilities, toilet facilities, sewage disposal, food protection facilities, bactericidal treatment of eating and drinking utensils, and solid-waste storage and disposal; methods of food preparation and serving; infectious disease control; sleeping facilities; and other items and facilities as are necessary in the interest of the public health. The Commission for Public Health shall allow child care centers to use domestic kitchen equipment, provided appropriate temperature levels for heating, cooling, and storing are maintained. Child care centers that fry foods shall use commercial hoods. These rules shall be developed in consultation with the Department. The Commission shall adopt rules for child care facilities to establish minimum requirements for child and staff health assessments and medical care procedures. These rules shall be developed in consultation with the Department. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. Violations must be corrected immediately. A signed and dated letter of compliance must be mailed or emailed to me by August 31, 2023. The letter of compliance must describe how and when the violations were corrected. The letter must be mailed to Kaye Dunlap, 3109 Wyntree Court, Matthews, NC, 28104 or emailed to Kaye.Dunlap@dhhs.nc.gov. If a letter is not received by the required date another visit will be conducted to confirm the violations were corrected. 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. Thank you for your time today. If you have questions or concerns, please feel free to contact me at 704-594-0152 or by email at Kaye.Dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: FAIRYLAND INSTITUTE OF EARLY LEARNING, INC. PRESCH Facility ID: 60002629 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 8/17/2023 Number Present: 27 Completed Date: 8/17/2023 Age: From 0 To 3 Total Minutes: 185 Time In: 09:25 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to conduct the Annual Compliance with applicable child care rules. The facility currently has a Four Star Rated License with an effective date of January 31, 2019. The facility’s 18-month compliance history score before today’s visit was 84%. The facility license and North Carolina Summary of the Law was prominently posted. Upon arrival, I was greeted by the Assistant Director, B. Watt. I stated the reason for the visit. A walk through of the facility was conducted with the Assistant Director. During the walk through, I observed children participating in personal care routines, teacher directed activities, free choice of indoor and outdoor play. Staff were observed assisting children with routines and supervising activities. The Annual Compliance Monitoring Checklist for Child Care Centers and The Division of Child Development and Early Education’s 2022 June Items Listing was used to conduct the monitoring visit. The last approved fire inspection was conducted on July 28, 2023. The last sanitation inspection was conducted on January 5, 2023, with nineteen demerits and an Approved rating. The last fire drill was conducted on July 28, 2023. The last documented shelter-in-place or lockdown drill was conducted May 1, 2023. The outdoor safety checks were also monitored today and are occurring monthly as required. Ten percent of children’s records were monitored today. I received the Staff and Training Worksheets during the visit today. No new staff have been hired since the last visit conducted on January 19, 2023. Ten percent of staff files were monitored today. There were eleven violations cited and two corrected today. Violation Number Comment Rule 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. Food allergy information was not posted in the kitchen. .0901(g) 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. In space #5, there were no individual paper towels at three handwashing sinks. 15A NCAC 18A .2818(b) & (d) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy was not posted in the infant room. .0606(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff member did not have an annual staff evaluation and staff development plan on file. 10A NCAC 09 .0514(f) 1302 Individual applications were not on file for each child. One child did not have an application on file. 10A NCAC 09 .0801(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children did not have a medical exam on file. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child did not have an immunization record on file. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Two children did not have verification on file that the discipline policy had been received by the parent. .1804(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place or lockdown drill was conducted on May 1, 2023. .0604(u);.0302(d)(8) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File could not be located during the visit. .0607(d)(10) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One child did not have verification on file that the parent received notification of the smoking and tobacco restriction. .0604(j) Technical Assistance/General Information: The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each includes a preparation year and a reassessment year. The facility is in cohort #2 which means their preparation year will begin July 1, 2024, to June 30, 2025, with a reassessment year of July 1, 2025 to June 30, 2026. A conversation was held with the Director and Assistant Director regarding the violations cited. Below is the rule reference for each violation. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (b) The center shall post a copy of its safe sleep policy about infant safe sleep practices in a prominent place in the infant room where parents and caregivers are able to view daily. 10A NCAC 09 .1804 DISCIPLINE POLICY FOR CHILD CARE CENTERS (b) The child care center shall obtain from each parent, legal guardian, or full-time custodian a statement that attests that a copy of the center's written discipline policies was given to and discussed with him or her. That statement shall include the following: (1) the child's name; (2) the date of enrollment; and (3) if different, from the enrollment date the date the parent, legal guardian, or full-time custodian signed the statement. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (1) emergency medical information as set forth in Rule .0802(c) of this Section; (2) the child's full name and the name the child is to be called; (3) the child's date of birth; (4) any allergies and the symptoms and type of response required for allergic reactions; (5) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (6) fears or behavior characteristics that the child has; and (7) the names of individuals to whom the center may release the child, as authorized by the person who signs the application. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (j) The operator shall notify the parent of each child enrolled in the center, in writing, of the smoking and tobacco restriction. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (g) Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. § 110-91. Mandatory standards for a license. (1) Medical Care and Sanitation. – The Commission for Public Health shall adopt rules which establish minimum sanitation standards for child care centers and their personnel. The sanitation rules adopted by the Commission for Public Health shall cover such matters as the cleanliness of floors, walls, ceilings, storage spaces, utensils, and other facilities; adequacy of ventilation; sanitation of water supply, lavatory facilities, toilet facilities, sewage disposal, food protection facilities, bactericidal treatment of eating and drinking utensils, and solid-waste storage and disposal; methods of food preparation and serving; infectious disease control; sleeping facilities; and other items and facilities as are necessary in the interest of the public health. The Commission for Public Health shall allow child care centers to use domestic kitchen equipment, provided appropriate temperature levels for heating, cooling, and storing are maintained. Child care centers that fry foods shall use commercial hoods. These rules shall be developed in consultation with the Department. The Commission shall adopt rules for child care facilities to establish minimum requirements for child and staff health assessments and medical care procedures. These rules shall be developed in consultation with the Department. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. Violations must be corrected immediately. A signed and dated letter of compliance must be mailed or emailed to me by August 31, 2023. The letter of compliance must describe how and when the violations were corrected. The letter must be mailed to Kaye Dunlap, 3109 Wyntree Court, Matthews, NC, 28104 or emailed to Kaye.Dunlap@dhhs.nc.gov. If a letter is not received by the required date another visit will be conducted to confirm the violations were corrected. 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. Thank you for your time today. If you have questions or concerns, please feel free to contact me at 704-594-0152 or by email at Kaye.Dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0606 · Violation

Name of Operation: FAIRYLAND INSTITUTE OF EARLY LEARNING, INC. PRESCH Facility ID: 60002629 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 8/17/2023 Number Present: 27 Completed Date: 8/17/2023 Age: From 0 To 3 Total Minutes: 185 Time In: 09:25 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to conduct the Annual Compliance with applicable child care rules. The facility currently has a Four Star Rated License with an effective date of January 31, 2019. The facility’s 18-month compliance history score before today’s visit was 84%. The facility license and North Carolina Summary of the Law was prominently posted. Upon arrival, I was greeted by the Assistant Director, B. Watt. I stated the reason for the visit. A walk through of the facility was conducted with the Assistant Director. During the walk through, I observed children participating in personal care routines, teacher directed activities, free choice of indoor and outdoor play. Staff were observed assisting children with routines and supervising activities. The Annual Compliance Monitoring Checklist for Child Care Centers and The Division of Child Development and Early Education’s 2022 June Items Listing was used to conduct the monitoring visit. The last approved fire inspection was conducted on July 28, 2023. The last sanitation inspection was conducted on January 5, 2023, with nineteen demerits and an Approved rating. The last fire drill was conducted on July 28, 2023. The last documented shelter-in-place or lockdown drill was conducted May 1, 2023. The outdoor safety checks were also monitored today and are occurring monthly as required. Ten percent of children’s records were monitored today. I received the Staff and Training Worksheets during the visit today. No new staff have been hired since the last visit conducted on January 19, 2023. Ten percent of staff files were monitored today. There were eleven violations cited and two corrected today. Violation Number Comment Rule 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. Food allergy information was not posted in the kitchen. .0901(g) 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. In space #5, there were no individual paper towels at three handwashing sinks. 15A NCAC 18A .2818(b) & (d) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy was not posted in the infant room. .0606(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff member did not have an annual staff evaluation and staff development plan on file. 10A NCAC 09 .0514(f) 1302 Individual applications were not on file for each child. One child did not have an application on file. 10A NCAC 09 .0801(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children did not have a medical exam on file. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child did not have an immunization record on file. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Two children did not have verification on file that the discipline policy had been received by the parent. .1804(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place or lockdown drill was conducted on May 1, 2023. .0604(u);.0302(d)(8) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File could not be located during the visit. .0607(d)(10) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One child did not have verification on file that the parent received notification of the smoking and tobacco restriction. .0604(j) Technical Assistance/General Information: The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each includes a preparation year and a reassessment year. The facility is in cohort #2 which means their preparation year will begin July 1, 2024, to June 30, 2025, with a reassessment year of July 1, 2025 to June 30, 2026. A conversation was held with the Director and Assistant Director regarding the violations cited. Below is the rule reference for each violation. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (b) The center shall post a copy of its safe sleep policy about infant safe sleep practices in a prominent place in the infant room where parents and caregivers are able to view daily. 10A NCAC 09 .1804 DISCIPLINE POLICY FOR CHILD CARE CENTERS (b) The child care center shall obtain from each parent, legal guardian, or full-time custodian a statement that attests that a copy of the center's written discipline policies was given to and discussed with him or her. That statement shall include the following: (1) the child's name; (2) the date of enrollment; and (3) if different, from the enrollment date the date the parent, legal guardian, or full-time custodian signed the statement. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (1) emergency medical information as set forth in Rule .0802(c) of this Section; (2) the child's full name and the name the child is to be called; (3) the child's date of birth; (4) any allergies and the symptoms and type of response required for allergic reactions; (5) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (6) fears or behavior characteristics that the child has; and (7) the names of individuals to whom the center may release the child, as authorized by the person who signs the application. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (j) The operator shall notify the parent of each child enrolled in the center, in writing, of the smoking and tobacco restriction. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (g) Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. § 110-91. Mandatory standards for a license. (1) Medical Care and Sanitation. – The Commission for Public Health shall adopt rules which establish minimum sanitation standards for child care centers and their personnel. The sanitation rules adopted by the Commission for Public Health shall cover such matters as the cleanliness of floors, walls, ceilings, storage spaces, utensils, and other facilities; adequacy of ventilation; sanitation of water supply, lavatory facilities, toilet facilities, sewage disposal, food protection facilities, bactericidal treatment of eating and drinking utensils, and solid-waste storage and disposal; methods of food preparation and serving; infectious disease control; sleeping facilities; and other items and facilities as are necessary in the interest of the public health. The Commission for Public Health shall allow child care centers to use domestic kitchen equipment, provided appropriate temperature levels for heating, cooling, and storing are maintained. Child care centers that fry foods shall use commercial hoods. These rules shall be developed in consultation with the Department. The Commission shall adopt rules for child care facilities to establish minimum requirements for child and staff health assessments and medical care procedures. These rules shall be developed in consultation with the Department. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. Violations must be corrected immediately. A signed and dated letter of compliance must be mailed or emailed to me by August 31, 2023. The letter of compliance must describe how and when the violations were corrected. The letter must be mailed to Kaye Dunlap, 3109 Wyntree Court, Matthews, NC, 28104 or emailed to Kaye.Dunlap@dhhs.nc.gov. If a letter is not received by the required date another visit will be conducted to confirm the violations were corrected. 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. Thank you for your time today. If you have questions or concerns, please feel free to contact me at 704-594-0152 or by email at Kaye.Dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0607 · Violation

Name of Operation: FAIRYLAND INSTITUTE OF EARLY LEARNING, INC. PRESCH Facility ID: 60002629 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 8/17/2023 Number Present: 27 Completed Date: 8/17/2023 Age: From 0 To 3 Total Minutes: 185 Time In: 09:25 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to conduct the Annual Compliance with applicable child care rules. The facility currently has a Four Star Rated License with an effective date of January 31, 2019. The facility’s 18-month compliance history score before today’s visit was 84%. The facility license and North Carolina Summary of the Law was prominently posted. Upon arrival, I was greeted by the Assistant Director, B. Watt. I stated the reason for the visit. A walk through of the facility was conducted with the Assistant Director. During the walk through, I observed children participating in personal care routines, teacher directed activities, free choice of indoor and outdoor play. Staff were observed assisting children with routines and supervising activities. The Annual Compliance Monitoring Checklist for Child Care Centers and The Division of Child Development and Early Education’s 2022 June Items Listing was used to conduct the monitoring visit. The last approved fire inspection was conducted on July 28, 2023. The last sanitation inspection was conducted on January 5, 2023, with nineteen demerits and an Approved rating. The last fire drill was conducted on July 28, 2023. The last documented shelter-in-place or lockdown drill was conducted May 1, 2023. The outdoor safety checks were also monitored today and are occurring monthly as required. Ten percent of children’s records were monitored today. I received the Staff and Training Worksheets during the visit today. No new staff have been hired since the last visit conducted on January 19, 2023. Ten percent of staff files were monitored today. There were eleven violations cited and two corrected today. Violation Number Comment Rule 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. Food allergy information was not posted in the kitchen. .0901(g) 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. In space #5, there were no individual paper towels at three handwashing sinks. 15A NCAC 18A .2818(b) & (d) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy was not posted in the infant room. .0606(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff member did not have an annual staff evaluation and staff development plan on file. 10A NCAC 09 .0514(f) 1302 Individual applications were not on file for each child. One child did not have an application on file. 10A NCAC 09 .0801(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children did not have a medical exam on file. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child did not have an immunization record on file. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Two children did not have verification on file that the discipline policy had been received by the parent. .1804(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place or lockdown drill was conducted on May 1, 2023. .0604(u);.0302(d)(8) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File could not be located during the visit. .0607(d)(10) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One child did not have verification on file that the parent received notification of the smoking and tobacco restriction. .0604(j) Technical Assistance/General Information: The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each includes a preparation year and a reassessment year. The facility is in cohort #2 which means their preparation year will begin July 1, 2024, to June 30, 2025, with a reassessment year of July 1, 2025 to June 30, 2026. A conversation was held with the Director and Assistant Director regarding the violations cited. Below is the rule reference for each violation. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (b) The center shall post a copy of its safe sleep policy about infant safe sleep practices in a prominent place in the infant room where parents and caregivers are able to view daily. 10A NCAC 09 .1804 DISCIPLINE POLICY FOR CHILD CARE CENTERS (b) The child care center shall obtain from each parent, legal guardian, or full-time custodian a statement that attests that a copy of the center's written discipline policies was given to and discussed with him or her. That statement shall include the following: (1) the child's name; (2) the date of enrollment; and (3) if different, from the enrollment date the date the parent, legal guardian, or full-time custodian signed the statement. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (1) emergency medical information as set forth in Rule .0802(c) of this Section; (2) the child's full name and the name the child is to be called; (3) the child's date of birth; (4) any allergies and the symptoms and type of response required for allergic reactions; (5) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (6) fears or behavior characteristics that the child has; and (7) the names of individuals to whom the center may release the child, as authorized by the person who signs the application. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (j) The operator shall notify the parent of each child enrolled in the center, in writing, of the smoking and tobacco restriction. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (g) Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. § 110-91. Mandatory standards for a license. (1) Medical Care and Sanitation. – The Commission for Public Health shall adopt rules which establish minimum sanitation standards for child care centers and their personnel. The sanitation rules adopted by the Commission for Public Health shall cover such matters as the cleanliness of floors, walls, ceilings, storage spaces, utensils, and other facilities; adequacy of ventilation; sanitation of water supply, lavatory facilities, toilet facilities, sewage disposal, food protection facilities, bactericidal treatment of eating and drinking utensils, and solid-waste storage and disposal; methods of food preparation and serving; infectious disease control; sleeping facilities; and other items and facilities as are necessary in the interest of the public health. The Commission for Public Health shall allow child care centers to use domestic kitchen equipment, provided appropriate temperature levels for heating, cooling, and storing are maintained. Child care centers that fry foods shall use commercial hoods. These rules shall be developed in consultation with the Department. The Commission shall adopt rules for child care facilities to establish minimum requirements for child and staff health assessments and medical care procedures. These rules shall be developed in consultation with the Department. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. Violations must be corrected immediately. A signed and dated letter of compliance must be mailed or emailed to me by August 31, 2023. The letter of compliance must describe how and when the violations were corrected. The letter must be mailed to Kaye Dunlap, 3109 Wyntree Court, Matthews, NC, 28104 or emailed to Kaye.Dunlap@dhhs.nc.gov. If a letter is not received by the required date another visit will be conducted to confirm the violations were corrected. 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. Thank you for your time today. If you have questions or concerns, please feel free to contact me at 704-594-0152 or by email at Kaye.Dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0801 · Violation

Name of Operation: FAIRYLAND INSTITUTE OF EARLY LEARNING, INC. PRESCH Facility ID: 60002629 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 8/17/2023 Number Present: 27 Completed Date: 8/17/2023 Age: From 0 To 3 Total Minutes: 185 Time In: 09:25 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to conduct the Annual Compliance with applicable child care rules. The facility currently has a Four Star Rated License with an effective date of January 31, 2019. The facility’s 18-month compliance history score before today’s visit was 84%. The facility license and North Carolina Summary of the Law was prominently posted. Upon arrival, I was greeted by the Assistant Director, B. Watt. I stated the reason for the visit. A walk through of the facility was conducted with the Assistant Director. During the walk through, I observed children participating in personal care routines, teacher directed activities, free choice of indoor and outdoor play. Staff were observed assisting children with routines and supervising activities. The Annual Compliance Monitoring Checklist for Child Care Centers and The Division of Child Development and Early Education’s 2022 June Items Listing was used to conduct the monitoring visit. The last approved fire inspection was conducted on July 28, 2023. The last sanitation inspection was conducted on January 5, 2023, with nineteen demerits and an Approved rating. The last fire drill was conducted on July 28, 2023. The last documented shelter-in-place or lockdown drill was conducted May 1, 2023. The outdoor safety checks were also monitored today and are occurring monthly as required. Ten percent of children’s records were monitored today. I received the Staff and Training Worksheets during the visit today. No new staff have been hired since the last visit conducted on January 19, 2023. Ten percent of staff files were monitored today. There were eleven violations cited and two corrected today. Violation Number Comment Rule 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. Food allergy information was not posted in the kitchen. .0901(g) 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. In space #5, there were no individual paper towels at three handwashing sinks. 15A NCAC 18A .2818(b) & (d) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy was not posted in the infant room. .0606(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff member did not have an annual staff evaluation and staff development plan on file. 10A NCAC 09 .0514(f) 1302 Individual applications were not on file for each child. One child did not have an application on file. 10A NCAC 09 .0801(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children did not have a medical exam on file. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child did not have an immunization record on file. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Two children did not have verification on file that the discipline policy had been received by the parent. .1804(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place or lockdown drill was conducted on May 1, 2023. .0604(u);.0302(d)(8) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File could not be located during the visit. .0607(d)(10) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One child did not have verification on file that the parent received notification of the smoking and tobacco restriction. .0604(j) Technical Assistance/General Information: The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each includes a preparation year and a reassessment year. The facility is in cohort #2 which means their preparation year will begin July 1, 2024, to June 30, 2025, with a reassessment year of July 1, 2025 to June 30, 2026. A conversation was held with the Director and Assistant Director regarding the violations cited. Below is the rule reference for each violation. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (b) The center shall post a copy of its safe sleep policy about infant safe sleep practices in a prominent place in the infant room where parents and caregivers are able to view daily. 10A NCAC 09 .1804 DISCIPLINE POLICY FOR CHILD CARE CENTERS (b) The child care center shall obtain from each parent, legal guardian, or full-time custodian a statement that attests that a copy of the center's written discipline policies was given to and discussed with him or her. That statement shall include the following: (1) the child's name; (2) the date of enrollment; and (3) if different, from the enrollment date the date the parent, legal guardian, or full-time custodian signed the statement. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (1) emergency medical information as set forth in Rule .0802(c) of this Section; (2) the child's full name and the name the child is to be called; (3) the child's date of birth; (4) any allergies and the symptoms and type of response required for allergic reactions; (5) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (6) fears or behavior characteristics that the child has; and (7) the names of individuals to whom the center may release the child, as authorized by the person who signs the application. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (j) The operator shall notify the parent of each child enrolled in the center, in writing, of the smoking and tobacco restriction. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (g) Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. § 110-91. Mandatory standards for a license. (1) Medical Care and Sanitation. – The Commission for Public Health shall adopt rules which establish minimum sanitation standards for child care centers and their personnel. The sanitation rules adopted by the Commission for Public Health shall cover such matters as the cleanliness of floors, walls, ceilings, storage spaces, utensils, and other facilities; adequacy of ventilation; sanitation of water supply, lavatory facilities, toilet facilities, sewage disposal, food protection facilities, bactericidal treatment of eating and drinking utensils, and solid-waste storage and disposal; methods of food preparation and serving; infectious disease control; sleeping facilities; and other items and facilities as are necessary in the interest of the public health. The Commission for Public Health shall allow child care centers to use domestic kitchen equipment, provided appropriate temperature levels for heating, cooling, and storing are maintained. Child care centers that fry foods shall use commercial hoods. These rules shall be developed in consultation with the Department. The Commission shall adopt rules for child care facilities to establish minimum requirements for child and staff health assessments and medical care procedures. These rules shall be developed in consultation with the Department. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. Violations must be corrected immediately. A signed and dated letter of compliance must be mailed or emailed to me by August 31, 2023. The letter of compliance must describe how and when the violations were corrected. The letter must be mailed to Kaye Dunlap, 3109 Wyntree Court, Matthews, NC, 28104 or emailed to Kaye.Dunlap@dhhs.nc.gov. If a letter is not received by the required date another visit will be conducted to confirm the violations were corrected. 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. Thank you for your time today. If you have questions or concerns, please feel free to contact me at 704-594-0152 or by email at Kaye.Dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: FAIRYLAND INSTITUTE OF EARLY LEARNING, INC. PRESCH Facility ID: 60002629 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 8/17/2023 Number Present: 27 Completed Date: 8/17/2023 Age: From 0 To 3 Total Minutes: 185 Time In: 09:25 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to conduct the Annual Compliance with applicable child care rules. The facility currently has a Four Star Rated License with an effective date of January 31, 2019. The facility’s 18-month compliance history score before today’s visit was 84%. The facility license and North Carolina Summary of the Law was prominently posted. Upon arrival, I was greeted by the Assistant Director, B. Watt. I stated the reason for the visit. A walk through of the facility was conducted with the Assistant Director. During the walk through, I observed children participating in personal care routines, teacher directed activities, free choice of indoor and outdoor play. Staff were observed assisting children with routines and supervising activities. The Annual Compliance Monitoring Checklist for Child Care Centers and The Division of Child Development and Early Education’s 2022 June Items Listing was used to conduct the monitoring visit. The last approved fire inspection was conducted on July 28, 2023. The last sanitation inspection was conducted on January 5, 2023, with nineteen demerits and an Approved rating. The last fire drill was conducted on July 28, 2023. The last documented shelter-in-place or lockdown drill was conducted May 1, 2023. The outdoor safety checks were also monitored today and are occurring monthly as required. Ten percent of children’s records were monitored today. I received the Staff and Training Worksheets during the visit today. No new staff have been hired since the last visit conducted on January 19, 2023. Ten percent of staff files were monitored today. There were eleven violations cited and two corrected today. Violation Number Comment Rule 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. Food allergy information was not posted in the kitchen. .0901(g) 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. In space #5, there were no individual paper towels at three handwashing sinks. 15A NCAC 18A .2818(b) & (d) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy was not posted in the infant room. .0606(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff member did not have an annual staff evaluation and staff development plan on file. 10A NCAC 09 .0514(f) 1302 Individual applications were not on file for each child. One child did not have an application on file. 10A NCAC 09 .0801(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children did not have a medical exam on file. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child did not have an immunization record on file. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Two children did not have verification on file that the discipline policy had been received by the parent. .1804(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place or lockdown drill was conducted on May 1, 2023. .0604(u);.0302(d)(8) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File could not be located during the visit. .0607(d)(10) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One child did not have verification on file that the parent received notification of the smoking and tobacco restriction. .0604(j) Technical Assistance/General Information: The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each includes a preparation year and a reassessment year. The facility is in cohort #2 which means their preparation year will begin July 1, 2024, to June 30, 2025, with a reassessment year of July 1, 2025 to June 30, 2026. A conversation was held with the Director and Assistant Director regarding the violations cited. Below is the rule reference for each violation. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (b) The center shall post a copy of its safe sleep policy about infant safe sleep practices in a prominent place in the infant room where parents and caregivers are able to view daily. 10A NCAC 09 .1804 DISCIPLINE POLICY FOR CHILD CARE CENTERS (b) The child care center shall obtain from each parent, legal guardian, or full-time custodian a statement that attests that a copy of the center's written discipline policies was given to and discussed with him or her. That statement shall include the following: (1) the child's name; (2) the date of enrollment; and (3) if different, from the enrollment date the date the parent, legal guardian, or full-time custodian signed the statement. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (1) emergency medical information as set forth in Rule .0802(c) of this Section; (2) the child's full name and the name the child is to be called; (3) the child's date of birth; (4) any allergies and the symptoms and type of response required for allergic reactions; (5) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (6) fears or behavior characteristics that the child has; and (7) the names of individuals to whom the center may release the child, as authorized by the person who signs the application. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (j) The operator shall notify the parent of each child enrolled in the center, in writing, of the smoking and tobacco restriction. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (g) Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. § 110-91. Mandatory standards for a license. (1) Medical Care and Sanitation. – The Commission for Public Health shall adopt rules which establish minimum sanitation standards for child care centers and their personnel. The sanitation rules adopted by the Commission for Public Health shall cover such matters as the cleanliness of floors, walls, ceilings, storage spaces, utensils, and other facilities; adequacy of ventilation; sanitation of water supply, lavatory facilities, toilet facilities, sewage disposal, food protection facilities, bactericidal treatment of eating and drinking utensils, and solid-waste storage and disposal; methods of food preparation and serving; infectious disease control; sleeping facilities; and other items and facilities as are necessary in the interest of the public health. The Commission for Public Health shall allow child care centers to use domestic kitchen equipment, provided appropriate temperature levels for heating, cooling, and storing are maintained. Child care centers that fry foods shall use commercial hoods. These rules shall be developed in consultation with the Department. The Commission shall adopt rules for child care facilities to establish minimum requirements for child and staff health assessments and medical care procedures. These rules shall be developed in consultation with the Department. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. Violations must be corrected immediately. A signed and dated letter of compliance must be mailed or emailed to me by August 31, 2023. The letter of compliance must describe how and when the violations were corrected. The letter must be mailed to Kaye Dunlap, 3109 Wyntree Court, Matthews, NC, 28104 or emailed to Kaye.Dunlap@dhhs.nc.gov. If a letter is not received by the required date another visit will be conducted to confirm the violations were corrected. 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. Thank you for your time today. If you have questions or concerns, please feel free to contact me at 704-594-0152 or by email at Kaye.Dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1804 · Violation

Name of Operation: FAIRYLAND INSTITUTE OF EARLY LEARNING, INC. PRESCH Facility ID: 60002629 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 8/17/2023 Number Present: 27 Completed Date: 8/17/2023 Age: From 0 To 3 Total Minutes: 185 Time In: 09:25 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to conduct the Annual Compliance with applicable child care rules. The facility currently has a Four Star Rated License with an effective date of January 31, 2019. The facility’s 18-month compliance history score before today’s visit was 84%. The facility license and North Carolina Summary of the Law was prominently posted. Upon arrival, I was greeted by the Assistant Director, B. Watt. I stated the reason for the visit. A walk through of the facility was conducted with the Assistant Director. During the walk through, I observed children participating in personal care routines, teacher directed activities, free choice of indoor and outdoor play. Staff were observed assisting children with routines and supervising activities. The Annual Compliance Monitoring Checklist for Child Care Centers and The Division of Child Development and Early Education’s 2022 June Items Listing was used to conduct the monitoring visit. The last approved fire inspection was conducted on July 28, 2023. The last sanitation inspection was conducted on January 5, 2023, with nineteen demerits and an Approved rating. The last fire drill was conducted on July 28, 2023. The last documented shelter-in-place or lockdown drill was conducted May 1, 2023. The outdoor safety checks were also monitored today and are occurring monthly as required. Ten percent of children’s records were monitored today. I received the Staff and Training Worksheets during the visit today. No new staff have been hired since the last visit conducted on January 19, 2023. Ten percent of staff files were monitored today. There were eleven violations cited and two corrected today. Violation Number Comment Rule 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. Food allergy information was not posted in the kitchen. .0901(g) 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. In space #5, there were no individual paper towels at three handwashing sinks. 15A NCAC 18A .2818(b) & (d) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy was not posted in the infant room. .0606(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff member did not have an annual staff evaluation and staff development plan on file. 10A NCAC 09 .0514(f) 1302 Individual applications were not on file for each child. One child did not have an application on file. 10A NCAC 09 .0801(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children did not have a medical exam on file. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child did not have an immunization record on file. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Two children did not have verification on file that the discipline policy had been received by the parent. .1804(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place or lockdown drill was conducted on May 1, 2023. .0604(u);.0302(d)(8) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File could not be located during the visit. .0607(d)(10) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One child did not have verification on file that the parent received notification of the smoking and tobacco restriction. .0604(j) Technical Assistance/General Information: The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each includes a preparation year and a reassessment year. The facility is in cohort #2 which means their preparation year will begin July 1, 2024, to June 30, 2025, with a reassessment year of July 1, 2025 to June 30, 2026. A conversation was held with the Director and Assistant Director regarding the violations cited. Below is the rule reference for each violation. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (b) The center shall post a copy of its safe sleep policy about infant safe sleep practices in a prominent place in the infant room where parents and caregivers are able to view daily. 10A NCAC 09 .1804 DISCIPLINE POLICY FOR CHILD CARE CENTERS (b) The child care center shall obtain from each parent, legal guardian, or full-time custodian a statement that attests that a copy of the center's written discipline policies was given to and discussed with him or her. That statement shall include the following: (1) the child's name; (2) the date of enrollment; and (3) if different, from the enrollment date the date the parent, legal guardian, or full-time custodian signed the statement. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (1) emergency medical information as set forth in Rule .0802(c) of this Section; (2) the child's full name and the name the child is to be called; (3) the child's date of birth; (4) any allergies and the symptoms and type of response required for allergic reactions; (5) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (6) fears or behavior characteristics that the child has; and (7) the names of individuals to whom the center may release the child, as authorized by the person who signs the application. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (j) The operator shall notify the parent of each child enrolled in the center, in writing, of the smoking and tobacco restriction. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (g) Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. § 110-91. Mandatory standards for a license. (1) Medical Care and Sanitation. – The Commission for Public Health shall adopt rules which establish minimum sanitation standards for child care centers and their personnel. The sanitation rules adopted by the Commission for Public Health shall cover such matters as the cleanliness of floors, walls, ceilings, storage spaces, utensils, and other facilities; adequacy of ventilation; sanitation of water supply, lavatory facilities, toilet facilities, sewage disposal, food protection facilities, bactericidal treatment of eating and drinking utensils, and solid-waste storage and disposal; methods of food preparation and serving; infectious disease control; sleeping facilities; and other items and facilities as are necessary in the interest of the public health. The Commission for Public Health shall allow child care centers to use domestic kitchen equipment, provided appropriate temperature levels for heating, cooling, and storing are maintained. Child care centers that fry foods shall use commercial hoods. These rules shall be developed in consultation with the Department. The Commission shall adopt rules for child care facilities to establish minimum requirements for child and staff health assessments and medical care procedures. These rules shall be developed in consultation with the Department. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. Violations must be corrected immediately. A signed and dated letter of compliance must be mailed or emailed to me by August 31, 2023. The letter of compliance must describe how and when the violations were corrected. The letter must be mailed to Kaye Dunlap, 3109 Wyntree Court, Matthews, NC, 28104 or emailed to Kaye.Dunlap@dhhs.nc.gov. If a letter is not received by the required date another visit will be conducted to confirm the violations were corrected. 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. Thank you for your time today. If you have questions or concerns, please feel free to contact me at 704-594-0152 or by email at Kaye.Dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-91 · Violation

Name of Operation: FAIRYLAND INSTITUTE OF EARLY LEARNING, INC. PRESCH Facility ID: 60002629 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 8/17/2023 Number Present: 27 Completed Date: 8/17/2023 Age: From 0 To 3 Total Minutes: 185 Time In: 09:25 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to conduct the Annual Compliance with applicable child care rules. The facility currently has a Four Star Rated License with an effective date of January 31, 2019. The facility’s 18-month compliance history score before today’s visit was 84%. The facility license and North Carolina Summary of the Law was prominently posted. Upon arrival, I was greeted by the Assistant Director, B. Watt. I stated the reason for the visit. A walk through of the facility was conducted with the Assistant Director. During the walk through, I observed children participating in personal care routines, teacher directed activities, free choice of indoor and outdoor play. Staff were observed assisting children with routines and supervising activities. The Annual Compliance Monitoring Checklist for Child Care Centers and The Division of Child Development and Early Education’s 2022 June Items Listing was used to conduct the monitoring visit. The last approved fire inspection was conducted on July 28, 2023. The last sanitation inspection was conducted on January 5, 2023, with nineteen demerits and an Approved rating. The last fire drill was conducted on July 28, 2023. The last documented shelter-in-place or lockdown drill was conducted May 1, 2023. The outdoor safety checks were also monitored today and are occurring monthly as required. Ten percent of children’s records were monitored today. I received the Staff and Training Worksheets during the visit today. No new staff have been hired since the last visit conducted on January 19, 2023. Ten percent of staff files were monitored today. There were eleven violations cited and two corrected today. Violation Number Comment Rule 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. Food allergy information was not posted in the kitchen. .0901(g) 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. In space #5, there were no individual paper towels at three handwashing sinks. 15A NCAC 18A .2818(b) & (d) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy was not posted in the infant room. .0606(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff member did not have an annual staff evaluation and staff development plan on file. 10A NCAC 09 .0514(f) 1302 Individual applications were not on file for each child. One child did not have an application on file. 10A NCAC 09 .0801(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children did not have a medical exam on file. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child did not have an immunization record on file. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Two children did not have verification on file that the discipline policy had been received by the parent. .1804(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place or lockdown drill was conducted on May 1, 2023. .0604(u);.0302(d)(8) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File could not be located during the visit. .0607(d)(10) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One child did not have verification on file that the parent received notification of the smoking and tobacco restriction. .0604(j) Technical Assistance/General Information: The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each includes a preparation year and a reassessment year. The facility is in cohort #2 which means their preparation year will begin July 1, 2024, to June 30, 2025, with a reassessment year of July 1, 2025 to June 30, 2026. A conversation was held with the Director and Assistant Director regarding the violations cited. Below is the rule reference for each violation. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (b) The center shall post a copy of its safe sleep policy about infant safe sleep practices in a prominent place in the infant room where parents and caregivers are able to view daily. 10A NCAC 09 .1804 DISCIPLINE POLICY FOR CHILD CARE CENTERS (b) The child care center shall obtain from each parent, legal guardian, or full-time custodian a statement that attests that a copy of the center's written discipline policies was given to and discussed with him or her. That statement shall include the following: (1) the child's name; (2) the date of enrollment; and (3) if different, from the enrollment date the date the parent, legal guardian, or full-time custodian signed the statement. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (1) emergency medical information as set forth in Rule .0802(c) of this Section; (2) the child's full name and the name the child is to be called; (3) the child's date of birth; (4) any allergies and the symptoms and type of response required for allergic reactions; (5) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (6) fears or behavior characteristics that the child has; and (7) the names of individuals to whom the center may release the child, as authorized by the person who signs the application. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (j) The operator shall notify the parent of each child enrolled in the center, in writing, of the smoking and tobacco restriction. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (g) Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. § 110-91. Mandatory standards for a license. (1) Medical Care and Sanitation. – The Commission for Public Health shall adopt rules which establish minimum sanitation standards for child care centers and their personnel. The sanitation rules adopted by the Commission for Public Health shall cover such matters as the cleanliness of floors, walls, ceilings, storage spaces, utensils, and other facilities; adequacy of ventilation; sanitation of water supply, lavatory facilities, toilet facilities, sewage disposal, food protection facilities, bactericidal treatment of eating and drinking utensils, and solid-waste storage and disposal; methods of food preparation and serving; infectious disease control; sleeping facilities; and other items and facilities as are necessary in the interest of the public health. The Commission for Public Health shall allow child care centers to use domestic kitchen equipment, provided appropriate temperature levels for heating, cooling, and storing are maintained. Child care centers that fry foods shall use commercial hoods. These rules shall be developed in consultation with the Department. The Commission shall adopt rules for child care facilities to establish minimum requirements for child and staff health assessments and medical care procedures. These rules shall be developed in consultation with the Department. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. Violations must be corrected immediately. A signed and dated letter of compliance must be mailed or emailed to me by August 31, 2023. The letter of compliance must describe how and when the violations were corrected. The letter must be mailed to Kaye Dunlap, 3109 Wyntree Court, Matthews, NC, 28104 or emailed to Kaye.Dunlap@dhhs.nc.gov. If a letter is not received by the required date another visit will be conducted to confirm the violations were corrected. 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. Thank you for your time today. If you have questions or concerns, please feel free to contact me at 704-594-0152 or by email at Kaye.Dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times