Graham'S DAY Care Center

10A NCAC 09 .0601 · Violation

Name of Operation: GRAHAM'S DAY CARE CENTER Facility ID: 6055026 Consultant: LASHAWNDA BERRY Operation Type: Center Case Number: Visit Date: 8/21/2025 Number Present: 3 Completed Date: 8/21/2025 Age: From 2 To 4 Total Minutes: 235 Time In: 09:05 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance during an annual compliance visit. The center operates with a Three-Star license and an 18-month compliance history score of 89%, effective April 26, 2019. The center is privately owned. The restrictions include: First and Second Shift; No more than 10 children less than 3 years old; Children must occupy rooms w/direct exits only. No more than 10 children less than 3 years old.; Meets enhanced ratios. Upon arrival, I was greeted by S. Williams and D. Graham. I discussed the Annual Compliance Monitoring guidelines with them both. I completed the walkthrough of the center alone and they assisted me with the rest of the visit. The following items were posted within the center/ classrooms: Daily schedules, activity plans, staff/child ratio worksheets, emergency numbers, emergency procedures, arrival/ departure procedures, summary of law and menus. Indoor Learning Environment: Staff/child ratio, supervision, capacity, group size and space were observed in compliance today. Children were observed during indoor free play and transitions. There were three (3) children present today. There are thirteen (13) children enrolled in the center. The center is only providing care for first shift currently. Outdoor Learning Environment: The outdoor learning environment was monitored today and not in compliance. Inspections: The outdoor inspections and fire drills were monitored. The last fire drill was conducted on 7/25/25. The centers last shelter in place/ lockdown drill was conducted on 5/28/25. The last monthly playground inspection was conducted on 7/25/25. The center last had a sanitation inspection on 2/3/25. The center received zero (0) demerits and received a superior classification. The inspection was completed by the Mecklenburg County Health Department. The center last had a fire inspection on 10/16/24. Transportation: The center does not provide transportation. Nutrition: Meals met nutritional value during today’s visit. Files: Children records were monitored today and in compliance. Staff files were monitored today and in compliance. There were two (2) violations cited during today's visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. I observed a telephone wire hanging low, within reach of children, on the Outdoor Learning Environment. 10A NCAC 09 .0601(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff member was present(DG) did not renew their criminal background check that expired on 6/29/25. G.S. 110-90.2(b) & .2703(n)&(o) Violations must be corrected immediately. A signed and dated letter of compliance must be emailed to me by 9/4/2025, stating how each violation was corrected and how compliance will be maintained in the future include the violation number, statement of compliance, license ID and your signature in the letter or e-mail. 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 and Early Education 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 state in your letter that corrections have been made when they have not, it will be considered falsification of information. Please email me a signed copy of the letter to Lashawnda.Berry@dhhs.nc.gov Technical Assistance: 1.Criminal Background Check: Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check. The provider stated that they were having trouble signing into the NCID. I informed the provider that they could've called the NCID help desk or contact their child care consultant if they were having trouble. During today's visit, I provided the provider with the help desk phone number and they were able to call and receive assistance. Rated License: Please be on the lookout for new QRIS updates! The provider was able to ask questions and did not have any at this time. If you have questions or concerns, please feel free to contact me by email at: Lashawnda.berry@dhhs.nc.gov or by phone at 704-242-0960. Thank you for your assistance! Lashawnda Berry PO Box 550424 Gastonia, NC 28054 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: GRAHAM'S DAY CARE CENTER Facility ID: 6055026 Consultant: LASHAWNDA BERRY Operation Type: Center Case Number: Visit Date: 8/21/2025 Number Present: 3 Completed Date: 8/21/2025 Age: From 2 To 4 Total Minutes: 235 Time In: 09:05 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance during an annual compliance visit. The center operates with a Three-Star license and an 18-month compliance history score of 89%, effective April 26, 2019. The center is privately owned. The restrictions include: First and Second Shift; No more than 10 children less than 3 years old; Children must occupy rooms w/direct exits only. No more than 10 children less than 3 years old.; Meets enhanced ratios. Upon arrival, I was greeted by S. Williams and D. Graham. I discussed the Annual Compliance Monitoring guidelines with them both. I completed the walkthrough of the center alone and they assisted me with the rest of the visit. The following items were posted within the center/ classrooms: Daily schedules, activity plans, staff/child ratio worksheets, emergency numbers, emergency procedures, arrival/ departure procedures, summary of law and menus. Indoor Learning Environment: Staff/child ratio, supervision, capacity, group size and space were observed in compliance today. Children were observed during indoor free play and transitions. There were three (3) children present today. There are thirteen (13) children enrolled in the center. The center is only providing care for first shift currently. Outdoor Learning Environment: The outdoor learning environment was monitored today and not in compliance. Inspections: The outdoor inspections and fire drills were monitored. The last fire drill was conducted on 7/25/25. The centers last shelter in place/ lockdown drill was conducted on 5/28/25. The last monthly playground inspection was conducted on 7/25/25. The center last had a sanitation inspection on 2/3/25. The center received zero (0) demerits and received a superior classification. The inspection was completed by the Mecklenburg County Health Department. The center last had a fire inspection on 10/16/24. Transportation: The center does not provide transportation. Nutrition: Meals met nutritional value during today’s visit. Files: Children records were monitored today and in compliance. Staff files were monitored today and in compliance. There were two (2) violations cited during today's visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. I observed a telephone wire hanging low, within reach of children, on the Outdoor Learning Environment. 10A NCAC 09 .0601(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff member was present(DG) did not renew their criminal background check that expired on 6/29/25. G.S. 110-90.2(b) & .2703(n)&(o) Violations must be corrected immediately. A signed and dated letter of compliance must be emailed to me by 9/4/2025, stating how each violation was corrected and how compliance will be maintained in the future include the violation number, statement of compliance, license ID and your signature in the letter or e-mail. 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 and Early Education 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 state in your letter that corrections have been made when they have not, it will be considered falsification of information. Please email me a signed copy of the letter to Lashawnda.Berry@dhhs.nc.gov Technical Assistance: 1.Criminal Background Check: Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check. The provider stated that they were having trouble signing into the NCID. I informed the provider that they could've called the NCID help desk or contact their child care consultant if they were having trouble. During today's visit, I provided the provider with the help desk phone number and they were able to call and receive assistance. Rated License: Please be on the lookout for new QRIS updates! The provider was able to ask questions and did not have any at this time. If you have questions or concerns, please feel free to contact me by email at: Lashawnda.berry@dhhs.nc.gov or by phone at 704-242-0960. Thank you for your assistance! Lashawnda Berry PO Box 550424 Gastonia, NC 28054 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: GRAHAM'S DAY CARE CENTER Facility ID: 6055026 Consultant: LASHAWNDA BERRY Operation Type: Center Case Number: Visit Date: 2/18/2025 Number Present: 10 Completed Date: 2/18/2025 Age: From 1 To 4 Total Minutes: 50 Time In: 12:30 PM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s routine unannounced visit was to monitor for compliance with child care requirements. The center currently has a Three-Star rated license. The center license and Summary of the Law was prominently posted. I was greeted by S. Williams, Assistant Director. I informed Ms. Williams the reason for my visit. I began the walkthrough of the center alone and Ms. Williams assisted me with the visit. Permit information-the program operates with a Three- Star license, issued April 26, 2019. The center has four (4) points for education, four (4) points for program standards and one (1) quality point. License restriction include: First and Second Shift; No more than 10 children less than three years old; Children must occupy rooms w/direct exits only. No more than 10 children less than 3 years old.; Meets enhanced ratios. The program is still located at: 2425 Morton, Charlotte, NC 28208. The phone number is: (704) 394-6954. The center had ten (10) children present during today’s visit and twenty(20) children enrolled for first shift and four (4) children enrolled for second shift. The following items were monitored: Supervision, S/C Ratio, Storage of Hazardous Substances, Storage of Medication, Adequate Approved Space, Program Records, License Posted and Permit Restrictions. The center has not hired any new staff since their last visit. The center’s last fire drill was documented on 1/14/25. The center’s last lockdown drill was on 11/5/2024. The last sanitation inspection was completed on 2/3/25 with two (2) demerits, receiving a superior rating. The center playground inspections were monitored and in compliance. There were three (3) violations cited during todays visit. Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. I observed no record of arrival and departure times for children on numerous days. 10A NCAC 09 .0302(d)(4) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #1, I observed one electrical outlet without a safety cover. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. I observed the closet door in the bathroom unlocked, this is storage for hazardous cleaning products. .2820(b) Violations must be corrected immediately. A signed and dated letter of compliance must be emailed to me by 3/4/25, stating how each violation was corrected and how compliance will be maintained in the future include the violation number, statement of compliance, license ID and your signature in the letter or e-mail. 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 and Early Education 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 state in your letter that corrections have been made when they have not, it will be considered falsification of information. Please email me a signed copy of the letter to Lashawnda.Berry@dhhs.nc.gov Rated License: Hold harmless has been extended until the new QRIS is implemented (SB 425). The provider had the opportunity to ask questions and did not have any at this time. If you have questions or concerns, please feel free to contact me by email at Lashawnda.berry@dhhs.nc.gov or by phone at 704-242-0960. Thank you for your assistance! Lashawnda Berry PO Box 550424 Gastonia, NC 28054 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: GRAHAM'S DAY CARE CENTER Facility ID: 6055026 Consultant: LASHAWNDA BERRY Operation Type: Center Case Number: Visit Date: 2/18/2025 Number Present: 10 Completed Date: 2/18/2025 Age: From 1 To 4 Total Minutes: 50 Time In: 12:30 PM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s routine unannounced visit was to monitor for compliance with child care requirements. The center currently has a Three-Star rated license. The center license and Summary of the Law was prominently posted. I was greeted by S. Williams, Assistant Director. I informed Ms. Williams the reason for my visit. I began the walkthrough of the center alone and Ms. Williams assisted me with the visit. Permit information-the program operates with a Three- Star license, issued April 26, 2019. The center has four (4) points for education, four (4) points for program standards and one (1) quality point. License restriction include: First and Second Shift; No more than 10 children less than three years old; Children must occupy rooms w/direct exits only. No more than 10 children less than 3 years old.; Meets enhanced ratios. The program is still located at: 2425 Morton, Charlotte, NC 28208. The phone number is: (704) 394-6954. The center had ten (10) children present during today’s visit and twenty(20) children enrolled for first shift and four (4) children enrolled for second shift. The following items were monitored: Supervision, S/C Ratio, Storage of Hazardous Substances, Storage of Medication, Adequate Approved Space, Program Records, License Posted and Permit Restrictions. The center has not hired any new staff since their last visit. The center’s last fire drill was documented on 1/14/25. The center’s last lockdown drill was on 11/5/2024. The last sanitation inspection was completed on 2/3/25 with two (2) demerits, receiving a superior rating. The center playground inspections were monitored and in compliance. There were three (3) violations cited during todays visit. Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. I observed no record of arrival and departure times for children on numerous days. 10A NCAC 09 .0302(d)(4) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #1, I observed one electrical outlet without a safety cover. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. I observed the closet door in the bathroom unlocked, this is storage for hazardous cleaning products. .2820(b) Violations must be corrected immediately. A signed and dated letter of compliance must be emailed to me by 3/4/25, stating how each violation was corrected and how compliance will be maintained in the future include the violation number, statement of compliance, license ID and your signature in the letter or e-mail. 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 and Early Education 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 state in your letter that corrections have been made when they have not, it will be considered falsification of information. Please email me a signed copy of the letter to Lashawnda.Berry@dhhs.nc.gov Rated License: Hold harmless has been extended until the new QRIS is implemented (SB 425). The provider had the opportunity to ask questions and did not have any at this time. If you have questions or concerns, please feel free to contact me by email at Lashawnda.berry@dhhs.nc.gov or by phone at 704-242-0960. Thank you for your assistance! Lashawnda Berry PO Box 550424 Gastonia, NC 28054 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: GRAHAM'S DAY CARE CENTER Facility ID: 6055026 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 8/27/2024 Number Present: 6 Completed Date: 8/27/2024 Age: From 1 To 4 Total Minutes: 158 Time In: 09:03 AM Time Out: 11:41 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an unannounced annual compliance visit. Upon arrival I was greeted by Ms. Graham and I shared the reason for the visit. She accompanied me throughout the walk-through of the facility and the outdoor learning environments. Your program currently operates with a Three (3) Star License. The license was posted, with restrictions to first (1st) and second (2nd) shift care, meets enhanced ratios, no more than ten (10) less than three (3) year old's, and children must occupy rooms with direct exits. Ownership: The facility owner is Dorothy Graham and is current and active. If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. I used the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable childcare requirements pertinent to this facility and the Annual Compliance Monitoring Checklist for Child Care Centers. I monitored the following items today: supervision, staff/child ratio, staff, health, safety, and program records. All three classrooms were monitored but due to lower ratios and group size the room that serves younger children was not being utilized. Program Records: We reviewed all the required records and were in compliance. It was clear that the EPR was being reviewed and updated but there were some components missing. We discussed the missing paperwork, and where to go to print updated reviewed documents. Inspections: All inspections were monitored, and inspection dates are listed below. •Fire drill was conducted on 8/12/24. •Emergency drill was conducted on 8/13/24. •The fire permit was posted and was current. •Playground inspection was completed on 8/12/23/4. •Sanitation inspection was conducted on 7/31/24 and received a Superior classification with seven (7) demerits. Incident reports were reviewed and were current and up to date. Indoor Learning Environment: I observed children in the indoor learning environment and the following items were posted in the classrooms that were monitored: Daily schedules, activity plans, staff/child ratio worksheets, emergency numbers, emergency procedures, arrival/departure procedures, summary of law and menus. Children were observed to be engaging in self-directed free play in center’s of their choice. The teachers also led music and movement time during my visit. Outdoor Learning Environment: The outdoor learning environments were monitored and it was out of compliance. The fence that separates the outdoor learning environment from the adjoining property was not securely fastened into the ground and was leaning and wobbled significantly. There was also a portion of the fence with a large gap, lowering the fence height to below four (4) feet, and there were protrusions at the top and bottom of the fence, which could be dangerous. The fence on the other side of the outdoor learning environment was also leaning and could be considered a risk for children playing in that area. During my visit, Ms. Graham explained about a new structure being brought onto the yard next door, resulting in the damage of the fence and she requested the neighbor to begin fixing the violations in the fence. Staff Records: The staff-training worksheet was completed prior to the visit. There were no new staff files to review today, and one (1) existing staff file. Please refer to the staff/training worksheet to review which files were monitored. Children’s Records: There are fifteen (15) children enrolled for first shift care and three (3) for second shift care in the center. There were six (6) in attendance today. Two (2) children’s files were reviewed today, please refer to the children’s worksheet to review which files was monitored. Please remember that all children’s files, should be updated annually or as changes occur and that all areas of the files need to be filled out completely. Medication: The facility reported that there were no emergency medications on site and therefore not monitored. Nutrition: The facility was in compliance during today’s visit with Child Care Meal Patterns Requirements. An allergy list was posted and there were no children with reported sensitivities and allergies listed, and the menu was posted. For lunch the children were having BBQ meatballs, baked beans, green beans, applesauce, bread and milk. Weapons: Your facility reported that they were in compliance during today’s visit with Child Care Requirements regarding firearms. Transportation: Ms. Graham reported at this time they were not transporting children but would as their numbers increased for school age children. She was reminded to reach out to her Child Care Consultant to make sure transportation was in compliance. She was also reminded that a current inspection would be needed if she was using the van. Three (3) violations were observed today and one (1) was corrected during the visit. The violations are as follows: Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Upon arrival a child entered the facility and did not wash their hands. 15A NCAC 18A .2803(c) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. One side of the four (4) foot fence had a large gap lowering its height to less than four (4) feet, there were also protrusions on that side of the fence which could be harmful. The fence on both sides of the facility was leaning and was not secure. GS 110-91(6); .0605((i) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. There was no first aid poster in any of the rooms or in a place for referral to be used. .0802(h) The violations not corrected during the visit must be corrected immediately. On or before 9/9/24 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Traci Meyer Carpenter Child Care Consultant PO Box 364 Matthews, NC 28105 Traci.meyer@dhhs.nc.gov. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The program’s compliance history was eight-five percent (85%) prior to today’s visit. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education 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 state in your letter that corrections have been made when they have not, it will be considered falsification of information. Rated License: •Hold Harmless has been extended until the new QRIS is implemented (SB 425). Providers in Cohort #1 (number one) are not required to go any further with a rated license assessment unless they want to, and providers in Cohort #2 (number two) do not need to start their preparation year unless they want to. Upon request, a childcare facility may be awarded a star-rated license based on accreditation from a national childhood education accreditation organization provided the facility maintains its accreditation and remains in good standing. •Use this time for staff to update their information in the WORKS database. For more information, please go to https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS. Have all staff update their education including certifications. Technical Assistance •EPR binders must be updated annually or when changes occur, please refer to the DCDEE website for guidance on what is included in the binder to remain in compliance. •All children’s forms must be filled out completely, any spaces left blank should reflect the parent has reviewed the statement and it is not applicable to their child. •Fire Inspections need to be on approved DCDEE document, a copy of the document was left with you today to share with your fire Marshall and all passing inspections must be submitted to your Child Care Consultant within seven calendar days. •Mulch in the playground area should be raked daily to prevent compaction particularly around critical height structures and swing fall zones. •Update the staff and training worksheet to reflect the most current information as changes occur or at least annually, •Rule 15A NCAC 18A .2816 requires currently operating child care centers to test water initially and every three years. Family child care homes are required to test water for lead once. o DCDEE encourages you to utilize the Clean Classrooms for Children’s program. You can take the pre-enrollment webinars which is available at www.cleanwaterforUSkids.org/carolina then enroll – At www.cleanwaterforUSkids.org/carolina completing the enrollment surveys for three program sections: 1) lead in water, 2) lead-based paint, and 3) asbestos. Keep mindful that once you evaluate potential hazards and receive results if there are recommendations and/or water mitigation support is needed they will provide direction in how to mitigate and ways to fund said mitigation. •All facilities who want to be eligible for mitigation must enroll in in Clean Water for Kids by November 1st, 2024. Please enroll as soon as possible if you have not already done so. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings and violations with you, I encouraged to ask any questions and you did not have any. If you have questions or need further assistance, please contact me at 704-594-0041 or via email at Traci.Meyer@dhhs.nc.gov. Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant Division of Child Development and Early Education If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: GRAHAM'S DAY CARE CENTER Facility ID: 6055026 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 8/27/2024 Number Present: 6 Completed Date: 8/27/2024 Age: From 1 To 4 Total Minutes: 158 Time In: 09:03 AM Time Out: 11:41 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an unannounced annual compliance visit. Upon arrival I was greeted by Ms. Graham and I shared the reason for the visit. She accompanied me throughout the walk-through of the facility and the outdoor learning environments. Your program currently operates with a Three (3) Star License. The license was posted, with restrictions to first (1st) and second (2nd) shift care, meets enhanced ratios, no more than ten (10) less than three (3) year old's, and children must occupy rooms with direct exits. Ownership: The facility owner is Dorothy Graham and is current and active. If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. I used the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable childcare requirements pertinent to this facility and the Annual Compliance Monitoring Checklist for Child Care Centers. I monitored the following items today: supervision, staff/child ratio, staff, health, safety, and program records. All three classrooms were monitored but due to lower ratios and group size the room that serves younger children was not being utilized. Program Records: We reviewed all the required records and were in compliance. It was clear that the EPR was being reviewed and updated but there were some components missing. We discussed the missing paperwork, and where to go to print updated reviewed documents. Inspections: All inspections were monitored, and inspection dates are listed below. •Fire drill was conducted on 8/12/24. •Emergency drill was conducted on 8/13/24. •The fire permit was posted and was current. •Playground inspection was completed on 8/12/23/4. •Sanitation inspection was conducted on 7/31/24 and received a Superior classification with seven (7) demerits. Incident reports were reviewed and were current and up to date. Indoor Learning Environment: I observed children in the indoor learning environment and the following items were posted in the classrooms that were monitored: Daily schedules, activity plans, staff/child ratio worksheets, emergency numbers, emergency procedures, arrival/departure procedures, summary of law and menus. Children were observed to be engaging in self-directed free play in center’s of their choice. The teachers also led music and movement time during my visit. Outdoor Learning Environment: The outdoor learning environments were monitored and it was out of compliance. The fence that separates the outdoor learning environment from the adjoining property was not securely fastened into the ground and was leaning and wobbled significantly. There was also a portion of the fence with a large gap, lowering the fence height to below four (4) feet, and there were protrusions at the top and bottom of the fence, which could be dangerous. The fence on the other side of the outdoor learning environment was also leaning and could be considered a risk for children playing in that area. During my visit, Ms. Graham explained about a new structure being brought onto the yard next door, resulting in the damage of the fence and she requested the neighbor to begin fixing the violations in the fence. Staff Records: The staff-training worksheet was completed prior to the visit. There were no new staff files to review today, and one (1) existing staff file. Please refer to the staff/training worksheet to review which files were monitored. Children’s Records: There are fifteen (15) children enrolled for first shift care and three (3) for second shift care in the center. There were six (6) in attendance today. Two (2) children’s files were reviewed today, please refer to the children’s worksheet to review which files was monitored. Please remember that all children’s files, should be updated annually or as changes occur and that all areas of the files need to be filled out completely. Medication: The facility reported that there were no emergency medications on site and therefore not monitored. Nutrition: The facility was in compliance during today’s visit with Child Care Meal Patterns Requirements. An allergy list was posted and there were no children with reported sensitivities and allergies listed, and the menu was posted. For lunch the children were having BBQ meatballs, baked beans, green beans, applesauce, bread and milk. Weapons: Your facility reported that they were in compliance during today’s visit with Child Care Requirements regarding firearms. Transportation: Ms. Graham reported at this time they were not transporting children but would as their numbers increased for school age children. She was reminded to reach out to her Child Care Consultant to make sure transportation was in compliance. She was also reminded that a current inspection would be needed if she was using the van. Three (3) violations were observed today and one (1) was corrected during the visit. The violations are as follows: Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Upon arrival a child entered the facility and did not wash their hands. 15A NCAC 18A .2803(c) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. One side of the four (4) foot fence had a large gap lowering its height to less than four (4) feet, there were also protrusions on that side of the fence which could be harmful. The fence on both sides of the facility was leaning and was not secure. GS 110-91(6); .0605((i) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. There was no first aid poster in any of the rooms or in a place for referral to be used. .0802(h) The violations not corrected during the visit must be corrected immediately. On or before 9/9/24 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Traci Meyer Carpenter Child Care Consultant PO Box 364 Matthews, NC 28105 Traci.meyer@dhhs.nc.gov. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The program’s compliance history was eight-five percent (85%) prior to today’s visit. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education 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 state in your letter that corrections have been made when they have not, it will be considered falsification of information. Rated License: •Hold Harmless has been extended until the new QRIS is implemented (SB 425). Providers in Cohort #1 (number one) are not required to go any further with a rated license assessment unless they want to, and providers in Cohort #2 (number two) do not need to start their preparation year unless they want to. Upon request, a childcare facility may be awarded a star-rated license based on accreditation from a national childhood education accreditation organization provided the facility maintains its accreditation and remains in good standing. •Use this time for staff to update their information in the WORKS database. For more information, please go to https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS. Have all staff update their education including certifications. Technical Assistance •EPR binders must be updated annually or when changes occur, please refer to the DCDEE website for guidance on what is included in the binder to remain in compliance. •All children’s forms must be filled out completely, any spaces left blank should reflect the parent has reviewed the statement and it is not applicable to their child. •Fire Inspections need to be on approved DCDEE document, a copy of the document was left with you today to share with your fire Marshall and all passing inspections must be submitted to your Child Care Consultant within seven calendar days. •Mulch in the playground area should be raked daily to prevent compaction particularly around critical height structures and swing fall zones. •Update the staff and training worksheet to reflect the most current information as changes occur or at least annually, •Rule 15A NCAC 18A .2816 requires currently operating child care centers to test water initially and every three years. Family child care homes are required to test water for lead once. o DCDEE encourages you to utilize the Clean Classrooms for Children’s program. You can take the pre-enrollment webinars which is available at www.cleanwaterforUSkids.org/carolina then enroll – At www.cleanwaterforUSkids.org/carolina completing the enrollment surveys for three program sections: 1) lead in water, 2) lead-based paint, and 3) asbestos. Keep mindful that once you evaluate potential hazards and receive results if there are recommendations and/or water mitigation support is needed they will provide direction in how to mitigate and ways to fund said mitigation. •All facilities who want to be eligible for mitigation must enroll in in Clean Water for Kids by November 1st, 2024. Please enroll as soon as possible if you have not already done so. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings and violations with you, I encouraged to ask any questions and you did not have any. If you have questions or need further assistance, please contact me at 704-594-0041 or via email at Traci.Meyer@dhhs.nc.gov. Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant Division of Child Development and Early Education If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: GRAHAM'S DAY CARE CENTER Facility ID: 6055026 Consultant: LASHAWNDA BERRY Operation Type: Center Case Number: Visit Date: 8/29/2023 Number Present: 8 Completed Date: 8/29/2023 Age: From 1 To 5 Total Minutes: 185 Time In: 08:45 AM Time Out: 11:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance during an annual compliance visit. This center has a three-star license and an 18-month compliance history score of 97%. The center’s license and NC child care law were prominently posted. I was greeted by D. Graham Owner. I discussed the Annual Compliance Monitoring guidelines and Ms. Graham assisted me with today’s visit. S. Williams, Director, soon arrived and assisted me with todays visit. Staff/child ratio, supervision, capacity, group size and space were observed in compliance today. The center’s Fire Drill Log and Report was reviewed. Fire drills were documented monthly as required; the centers last fire drill was documented on 7/24/23. Shelter-in-place and Lock-down drills were reviewed, the centers last shelter-in-place drill was documented on 5/17/2023. The playground safety inspections were reviewed and in compliance. The center last had a sanitation inspection on 8/7/2023. The center received 7 demerits and received a superior classification. The inspection was completed by the Mecklenburg County Health Department. The center last had a fire inspection on 12/6/22. There were eight (8) children present. There are eighteen (18) children enrolled in the center. The center does not provide transportation, but may reconsider in the future. I informed Ms. Graham and Ms. Williams that they will need to contact me to inspect the vehicle they want to use for transportation before they start transporting children. Children were observed during indoor free play, teacher directed activities and transitions. The playground was not monitored today due to weather conditions. Staff files and children files were monitored today and in compliance. There were twelve (12) violations cited today. Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. I observed the door of the storage room in the back opened, which is where a hazardous product was stored (compound wall repair). .2820(b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Two out of four staff members did not have documentation of reviewing the EMC plan. 10A NCAC 09 .0802(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. Two out of four staff members did not complete recertification of First Aid training. (DG, SW) .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. Two out of four staff members did not complete recertification for CPR training. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Three out of four staff members did not complete the required number of on-going training hours. (DG, TMW, ZW) .1103(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Staff member (DG) is scheduled to work in the infant/toddler classroom. Staff member SIDS training expired on 1/23/2023 .1102(f) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Three out of four staff members did not have an annual staff evaluations and staff development plan. (SW, TMW, ZW) 10A NCAC 09 .0514(f) 1314 Emergency information did not name childs health care professional. One children's file did not have the hospital preference name and phone number. .0802(c)(2) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child with a start date of 3/3/23 medical exam records were dated for 8/8/23. 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 with a start date of 3/3/23 immunization was dated for 8/8/2023. 10A NCAC 09 .0302(d)(2) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Two out of four staff members did not have documentation of reviewing the EPR plan annually. (SW, TMW) .0607(e) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Four out of four staff members did not complete the health and safety training topics. .1103(b) Violations must be corrected immediately. A signed and dated letter of compliance must be emailed to me by 9/12/2023, stating how each violation was corrected and how compliance will be maintained in the future include the violation number, statement of compliance, license ID and your signature in the letter or e-mail. 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 and Early Education 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 state in your letter that corrections have been made when they have not, it will be considered falsification of information. Please email me a signed copy of the letter to Lashawnda.Berry@dhhs.nc.gov Technical Assistance: * Friendly Reminders* - After each sanitation and fire inspection you must send a copy of the report to you Child Care consultant within one week. -I encouraged the Administrator, to stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. - Today I left a copy of the on-going training and health and safety documentation along with moodle instructions with Ms. Williams. Help with Challenging Behaviors: •Contact Heathy Social Behavioral specialists at https://www.childcarerrnc.org/special-projects/healthy-social-behaviors/ and participate in their initiative. •Helpline: Speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in your classroom. 1-888-600-1685 Option 1 Helpline: Submit your questions to a Behavior Support Advisor online- and receive a call or email in response to a Google Form that you complete at https://www.childcareresourcesinc.org/challenging-behaviors-helpline Helpline: Chat on the “Talk to the Expert” online network, Social Emotional Connections, for early childhood educators at https://www.childcareresourcesinc.org/challenging-behaviors-helpline. Having your staff become a part of this network will allow them to glean ideas and information that may assist them in providing a higher quality of care in their classroom….and its free! Rated License: The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024 and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each include a preparation year and a reassessment year. While the first reassessment year won’t begin until July 1, 2024, the preparation year for cohort one began July 1, 2023. Your facility is in cohort two. I will reach out to you prior to the beginning of the preparation year of your assigned cohort and will provide guidance to assist you as you begin the process. If you have questions or concerns, please feel free to contact me by email or by phone at 704-242-0960. Thank you for your assistance! Lashawnda Berry PO Box 236 Paw Creek, NC 28130 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: GRAHAM'S DAY CARE CENTER Facility ID: 6055026 Consultant: LASHAWNDA BERRY Operation Type: Center Case Number: Visit Date: 8/29/2023 Number Present: 8 Completed Date: 8/29/2023 Age: From 1 To 5 Total Minutes: 185 Time In: 08:45 AM Time Out: 11:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance during an annual compliance visit. This center has a three-star license and an 18-month compliance history score of 97%. The center’s license and NC child care law were prominently posted. I was greeted by D. Graham Owner. I discussed the Annual Compliance Monitoring guidelines and Ms. Graham assisted me with today’s visit. S. Williams, Director, soon arrived and assisted me with todays visit. Staff/child ratio, supervision, capacity, group size and space were observed in compliance today. The center’s Fire Drill Log and Report was reviewed. Fire drills were documented monthly as required; the centers last fire drill was documented on 7/24/23. Shelter-in-place and Lock-down drills were reviewed, the centers last shelter-in-place drill was documented on 5/17/2023. The playground safety inspections were reviewed and in compliance. The center last had a sanitation inspection on 8/7/2023. The center received 7 demerits and received a superior classification. The inspection was completed by the Mecklenburg County Health Department. The center last had a fire inspection on 12/6/22. There were eight (8) children present. There are eighteen (18) children enrolled in the center. The center does not provide transportation, but may reconsider in the future. I informed Ms. Graham and Ms. Williams that they will need to contact me to inspect the vehicle they want to use for transportation before they start transporting children. Children were observed during indoor free play, teacher directed activities and transitions. The playground was not monitored today due to weather conditions. Staff files and children files were monitored today and in compliance. There were twelve (12) violations cited today. Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. I observed the door of the storage room in the back opened, which is where a hazardous product was stored (compound wall repair). .2820(b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Two out of four staff members did not have documentation of reviewing the EMC plan. 10A NCAC 09 .0802(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. Two out of four staff members did not complete recertification of First Aid training. (DG, SW) .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. Two out of four staff members did not complete recertification for CPR training. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Three out of four staff members did not complete the required number of on-going training hours. (DG, TMW, ZW) .1103(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Staff member (DG) is scheduled to work in the infant/toddler classroom. Staff member SIDS training expired on 1/23/2023 .1102(f) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Three out of four staff members did not have an annual staff evaluations and staff development plan. (SW, TMW, ZW) 10A NCAC 09 .0514(f) 1314 Emergency information did not name childs health care professional. One children's file did not have the hospital preference name and phone number. .0802(c)(2) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child with a start date of 3/3/23 medical exam records were dated for 8/8/23. 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 with a start date of 3/3/23 immunization was dated for 8/8/2023. 10A NCAC 09 .0302(d)(2) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Two out of four staff members did not have documentation of reviewing the EPR plan annually. (SW, TMW) .0607(e) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Four out of four staff members did not complete the health and safety training topics. .1103(b) Violations must be corrected immediately. A signed and dated letter of compliance must be emailed to me by 9/12/2023, stating how each violation was corrected and how compliance will be maintained in the future include the violation number, statement of compliance, license ID and your signature in the letter or e-mail. 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 and Early Education 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 state in your letter that corrections have been made when they have not, it will be considered falsification of information. Please email me a signed copy of the letter to Lashawnda.Berry@dhhs.nc.gov Technical Assistance: * Friendly Reminders* - After each sanitation and fire inspection you must send a copy of the report to you Child Care consultant within one week. -I encouraged the Administrator, to stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. - Today I left a copy of the on-going training and health and safety documentation along with moodle instructions with Ms. Williams. Help with Challenging Behaviors: •Contact Heathy Social Behavioral specialists at https://www.childcarerrnc.org/special-projects/healthy-social-behaviors/ and participate in their initiative. •Helpline: Speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in your classroom. 1-888-600-1685 Option 1 Helpline: Submit your questions to a Behavior Support Advisor online- and receive a call or email in response to a Google Form that you complete at https://www.childcareresourcesinc.org/challenging-behaviors-helpline Helpline: Chat on the “Talk to the Expert” online network, Social Emotional Connections, for early childhood educators at https://www.childcareresourcesinc.org/challenging-behaviors-helpline. Having your staff become a part of this network will allow them to glean ideas and information that may assist them in providing a higher quality of care in their classroom….and its free! Rated License: The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024 and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each include a preparation year and a reassessment year. While the first reassessment year won’t begin until July 1, 2024, the preparation year for cohort one began July 1, 2023. Your facility is in cohort two. I will reach out to you prior to the beginning of the preparation year of your assigned cohort and will provide guidance to assist you as you begin the process. If you have questions or concerns, please feel free to contact me by email or by phone at 704-242-0960. Thank you for your assistance! Lashawnda Berry PO Box 236 Paw Creek, NC 28130 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: GRAHAM'S DAY CARE CENTER Facility ID: 6055026 Consultant: LASHAWNDA BERRY Operation Type: Center Case Number: Visit Date: 8/29/2023 Number Present: 8 Completed Date: 8/29/2023 Age: From 1 To 5 Total Minutes: 185 Time In: 08:45 AM Time Out: 11:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance during an annual compliance visit. This center has a three-star license and an 18-month compliance history score of 97%. The center’s license and NC child care law were prominently posted. I was greeted by D. Graham Owner. I discussed the Annual Compliance Monitoring guidelines and Ms. Graham assisted me with today’s visit. S. Williams, Director, soon arrived and assisted me with todays visit. Staff/child ratio, supervision, capacity, group size and space were observed in compliance today. The center’s Fire Drill Log and Report was reviewed. Fire drills were documented monthly as required; the centers last fire drill was documented on 7/24/23. Shelter-in-place and Lock-down drills were reviewed, the centers last shelter-in-place drill was documented on 5/17/2023. The playground safety inspections were reviewed and in compliance. The center last had a sanitation inspection on 8/7/2023. The center received 7 demerits and received a superior classification. The inspection was completed by the Mecklenburg County Health Department. The center last had a fire inspection on 12/6/22. There were eight (8) children present. There are eighteen (18) children enrolled in the center. The center does not provide transportation, but may reconsider in the future. I informed Ms. Graham and Ms. Williams that they will need to contact me to inspect the vehicle they want to use for transportation before they start transporting children. Children were observed during indoor free play, teacher directed activities and transitions. The playground was not monitored today due to weather conditions. Staff files and children files were monitored today and in compliance. There were twelve (12) violations cited today. Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. I observed the door of the storage room in the back opened, which is where a hazardous product was stored (compound wall repair). .2820(b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Two out of four staff members did not have documentation of reviewing the EMC plan. 10A NCAC 09 .0802(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. Two out of four staff members did not complete recertification of First Aid training. (DG, SW) .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. Two out of four staff members did not complete recertification for CPR training. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Three out of four staff members did not complete the required number of on-going training hours. (DG, TMW, ZW) .1103(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Staff member (DG) is scheduled to work in the infant/toddler classroom. Staff member SIDS training expired on 1/23/2023 .1102(f) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Three out of four staff members did not have an annual staff evaluations and staff development plan. (SW, TMW, ZW) 10A NCAC 09 .0514(f) 1314 Emergency information did not name childs health care professional. One children's file did not have the hospital preference name and phone number. .0802(c)(2) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child with a start date of 3/3/23 medical exam records were dated for 8/8/23. 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 with a start date of 3/3/23 immunization was dated for 8/8/2023. 10A NCAC 09 .0302(d)(2) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Two out of four staff members did not have documentation of reviewing the EPR plan annually. (SW, TMW) .0607(e) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Four out of four staff members did not complete the health and safety training topics. .1103(b) Violations must be corrected immediately. A signed and dated letter of compliance must be emailed to me by 9/12/2023, stating how each violation was corrected and how compliance will be maintained in the future include the violation number, statement of compliance, license ID and your signature in the letter or e-mail. 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 and Early Education 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 state in your letter that corrections have been made when they have not, it will be considered falsification of information. Please email me a signed copy of the letter to Lashawnda.Berry@dhhs.nc.gov Technical Assistance: * Friendly Reminders* - After each sanitation and fire inspection you must send a copy of the report to you Child Care consultant within one week. -I encouraged the Administrator, to stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. - Today I left a copy of the on-going training and health and safety documentation along with moodle instructions with Ms. Williams. Help with Challenging Behaviors: •Contact Heathy Social Behavioral specialists at https://www.childcarerrnc.org/special-projects/healthy-social-behaviors/ and participate in their initiative. •Helpline: Speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in your classroom. 1-888-600-1685 Option 1 Helpline: Submit your questions to a Behavior Support Advisor online- and receive a call or email in response to a Google Form that you complete at https://www.childcareresourcesinc.org/challenging-behaviors-helpline Helpline: Chat on the “Talk to the Expert” online network, Social Emotional Connections, for early childhood educators at https://www.childcareresourcesinc.org/challenging-behaviors-helpline. Having your staff become a part of this network will allow them to glean ideas and information that may assist them in providing a higher quality of care in their classroom….and its free! Rated License: The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024 and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each include a preparation year and a reassessment year. While the first reassessment year won’t begin until July 1, 2024, the preparation year for cohort one began July 1, 2023. Your facility is in cohort two. I will reach out to you prior to the beginning of the preparation year of your assigned cohort and will provide guidance to assist you as you begin the process. If you have questions or concerns, please feel free to contact me by email or by phone at 704-242-0960. Thank you for your assistance! Lashawnda Berry PO Box 236 Paw Creek, NC 28130 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: GRAHAM'S DAY CARE CENTER Facility ID: 6055026 Consultant: LASHAWNDA BERRY Operation Type: Center Case Number: Visit Date: 8/29/2023 Number Present: 8 Completed Date: 8/29/2023 Age: From 1 To 5 Total Minutes: 185 Time In: 08:45 AM Time Out: 11:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance during an annual compliance visit. This center has a three-star license and an 18-month compliance history score of 97%. The center’s license and NC child care law were prominently posted. I was greeted by D. Graham Owner. I discussed the Annual Compliance Monitoring guidelines and Ms. Graham assisted me with today’s visit. S. Williams, Director, soon arrived and assisted me with todays visit. Staff/child ratio, supervision, capacity, group size and space were observed in compliance today. The center’s Fire Drill Log and Report was reviewed. Fire drills were documented monthly as required; the centers last fire drill was documented on 7/24/23. Shelter-in-place and Lock-down drills were reviewed, the centers last shelter-in-place drill was documented on 5/17/2023. The playground safety inspections were reviewed and in compliance. The center last had a sanitation inspection on 8/7/2023. The center received 7 demerits and received a superior classification. The inspection was completed by the Mecklenburg County Health Department. The center last had a fire inspection on 12/6/22. There were eight (8) children present. There are eighteen (18) children enrolled in the center. The center does not provide transportation, but may reconsider in the future. I informed Ms. Graham and Ms. Williams that they will need to contact me to inspect the vehicle they want to use for transportation before they start transporting children. Children were observed during indoor free play, teacher directed activities and transitions. The playground was not monitored today due to weather conditions. Staff files and children files were monitored today and in compliance. There were twelve (12) violations cited today. Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. I observed the door of the storage room in the back opened, which is where a hazardous product was stored (compound wall repair). .2820(b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Two out of four staff members did not have documentation of reviewing the EMC plan. 10A NCAC 09 .0802(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. Two out of four staff members did not complete recertification of First Aid training. (DG, SW) .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. Two out of four staff members did not complete recertification for CPR training. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Three out of four staff members did not complete the required number of on-going training hours. (DG, TMW, ZW) .1103(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Staff member (DG) is scheduled to work in the infant/toddler classroom. Staff member SIDS training expired on 1/23/2023 .1102(f) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Three out of four staff members did not have an annual staff evaluations and staff development plan. (SW, TMW, ZW) 10A NCAC 09 .0514(f) 1314 Emergency information did not name childs health care professional. One children's file did not have the hospital preference name and phone number. .0802(c)(2) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child with a start date of 3/3/23 medical exam records were dated for 8/8/23. 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 with a start date of 3/3/23 immunization was dated for 8/8/2023. 10A NCAC 09 .0302(d)(2) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Two out of four staff members did not have documentation of reviewing the EPR plan annually. (SW, TMW) .0607(e) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Four out of four staff members did not complete the health and safety training topics. .1103(b) Violations must be corrected immediately. A signed and dated letter of compliance must be emailed to me by 9/12/2023, stating how each violation was corrected and how compliance will be maintained in the future include the violation number, statement of compliance, license ID and your signature in the letter or e-mail. 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 and Early Education 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 state in your letter that corrections have been made when they have not, it will be considered falsification of information. Please email me a signed copy of the letter to Lashawnda.Berry@dhhs.nc.gov Technical Assistance: * Friendly Reminders* - After each sanitation and fire inspection you must send a copy of the report to you Child Care consultant within one week. -I encouraged the Administrator, to stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. - Today I left a copy of the on-going training and health and safety documentation along with moodle instructions with Ms. Williams. Help with Challenging Behaviors: •Contact Heathy Social Behavioral specialists at https://www.childcarerrnc.org/special-projects/healthy-social-behaviors/ and participate in their initiative. •Helpline: Speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in your classroom. 1-888-600-1685 Option 1 Helpline: Submit your questions to a Behavior Support Advisor online- and receive a call or email in response to a Google Form that you complete at https://www.childcareresourcesinc.org/challenging-behaviors-helpline Helpline: Chat on the “Talk to the Expert” online network, Social Emotional Connections, for early childhood educators at https://www.childcareresourcesinc.org/challenging-behaviors-helpline. Having your staff become a part of this network will allow them to glean ideas and information that may assist them in providing a higher quality of care in their classroom….and its free! Rated License: The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024 and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each include a preparation year and a reassessment year. While the first reassessment year won’t begin until July 1, 2024, the preparation year for cohort one began July 1, 2023. Your facility is in cohort two. I will reach out to you prior to the beginning of the preparation year of your assigned cohort and will provide guidance to assist you as you begin the process. If you have questions or concerns, please feel free to contact me by email or by phone at 704-242-0960. Thank you for your assistance! Lashawnda Berry PO Box 236 Paw Creek, NC 28130 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