NC GS 110-90 · Violation

Name of Operation: KIDS R KIDS #5 NC Facility ID: 60002188 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 11/12/2025 Number Present: 185 Completed Date: 11/12/2025 Age: From 0 To 5 Total Minutes: 325 Time In: 09:50 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a routine unannounced visit. The facility had a Five Star Rated License issued June 20, 2019 and an eighteen-month compliance history of 94% prior to today’s visit. The license and NC child care law summary were posted. The following was monitored using the April 2025 Master Center Item Number Listing: supervision, staff/child ratios, CPR/ First Aid, special training, CBC qualification, emergency medical care plan, administration of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate and approved space, program records, license posted, and permit restrictions. I was greeted by K. Idacavage, Director, and I explained the purpose of the visit. Ms. Idacavage accompanied me on the walk through. All classrooms were visited today. Children were observed on the playground as well as participating in free choice center activities. Teachers were observed engaged with children in the classroom sitting on the floor with children, large group story time, singing, and Spanish activities. Nurturing conversations were heard between staff and children. Infant safe sleep charts were documented and maintained as required. Bottles were dated and labeled. Infants were observed participating in floor play activities as well as being held and fed. Each infant had an assigned crib. One (1) infants’ feeding schedule was not updated to include formula provided by the facility. The form was corrected by the parent and teacher during the visit. Allergy and food preference information was posted. Emergency medications were monitored and each met storage and documentation requirements. Two (2) children’s medical action plans were updated after the expiration date. I reminded administrators that physicians or parents were allowed to complete and update forms. Current lesson plans were posted. Menus were posted and current. Adequate supervision was provided and each classroom maintained staff/child ratio. Seven (7) new staff files were monitored and all staff information was reviewed on the staff and training worksheet completed by Ms. Idacavage. Each employee had current First Aid/CPR. SIDS training was current for staff required to have the training. CBC letters were on file and current. New staff did not have documentation of receiving orientation within the first 6 weeks of employment. Program records were reviewed and found in compliance. The last fire inspection was completed on 1/31/25. Violation Number Comment Rule 542 The written feeding plan was not modified as the child's needs changed. An infant's feeding plan was not updated to include the addition of formula provided by the facility. 10 NCAC 09 .0902(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Seven (7) new employees did not have documentation of 16 hrs. of orientation within the first 6 weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Seven (7) new employees did not have documentation of 6 clock hours of training within the two weeks of school. .1101(a)(b) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. Two (2) medical action plans were not updated annually. The action plans were updated after the expiration. .0801(b) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Wednesday, November 26, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: jennifer.stansfield@dhhs.nc.gov The emailed compliance letter must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Comments: We discussed Pathways to the Stars today. Ms. Idacavage stated the facility planned to participate in the Program Assessment Pathway. I reviewed requirements and forms for each Pathway 1. - Continue to check infant bottles are dated and labeled as children arrive as parents are responsible for labeling and dating bottles. - I recommend sending the medical action plan home one month prior to the expiration to ensure parents return the updated form before the expiration date. If the facility chooses to have both the parent and physician sign the MAP, send a copy of the updated form with the parent to take to the doctor to ensure current form remains onsite. Annual Child Care Immunization Report Due 11/15 The 2025-2026 Annual Child Care Immunization Report Reporting Portal is now open, and reports must be submitted electronically by midnight, November 15, 2025. If you have questions about the Child Care Immunization Report, please email Immunization.Reports@dhhs.nc.gov or call 919-270-1533. Thank you for your time today. Please contact me with any questions at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. 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 .0304 · Violation

Name of Operation: KIDS R KIDS #5 NC Facility ID: 60002188 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 4/11/2025 Number Present: 160 Completed Date: 4/11/2025 Age: From 0 To 5 Total Minutes: 409 Time In: 09:51 AM Time Out: 04:40 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 the facility for all applicable child care requirements during the full annual compliance visit. The facility was currently operating with a Five Star Permit issued 6/20/19. The program earned 7 points in the education component, 6 points in the program standards component, and 1 quality point for a staff’s benefits package and infrastructure of parent involvement. The facility had an eighteen (18) month compliance history score of 85% prior to today’s visit. The November 2024 Center Item Number Listing and the May 2024 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Upon arrival I was greeted by Ms. Kristen Idacavage, Director, and I explained the purpose of the visit. Ms. Idacavage accompanied me on the walkthrough. In the room for infants I observed nine (9) children present with three (3) children. Six (6) children were under 12 months of age. Teachers were engaged and met individual child needs. Age-appropriate care was provided. Safe sleep checks were monitored. The position the infant was observed sleeping was not documented consistently. Times were documented as required. Bottles were labeled and dated. Diaper creams and medications were monitored and met compliance. Children were observed participating in free play, large group activities, eating lunch, and preparing for nap. Lunch met requirements. Evidence of the current lesson plan and theme were observed in each classroom. Teachers were observed providing a nurturing environment and materials were observed in good repair. Emergency medications were monitored throughout the facility. One (1) child required medication for a diagnosed medical condition. It was reported that the permission expired and the medication was sent home. The child was present today. Emergency medication should be available at all times and follow the child throughout the building. Emergency medications were stored in red bookbags and hung five feet above the ground. Benadryl and other antihistamines should be stored behind lock and key in the office. All required documents were current and posted. Arrival and departure times were documented by teachers on the Tadpoles application as children arrived and departed the classroom. The posted menu reflected what was served. The outdoor learning environments were monitored. The Pre-K/school-age playground was being renovated. A new climbing structure, surfacing, and concrete were planned for the space. Ms. Idavacage stated the climbing structure was approved for children 4 -12 years of age. She stated she was aware to maintain the manufacturer’s information. She stated the playground schedules were adjusted to meet requirements. Work started on 4/8/25 and was tentatively scheduled to be completed by May 12, 2025. Transportation requirements were monitored. Two (2) new staff files were monitored and a sampling of veteran staff files was monitored. No violations were observed. Each child had a file available for review. A sampling of children’s files was monitored. No violations were observed. The facility used approved Creative Curriculum. The sanitation inspection was completed 4/7/25 and received a “Superior” classification. The last fire inspection was completed 1/31/24. Ms. Idacavage requested the inspection at the beginning of January 2025. The inspector who was assigned to her facility did not respond. She reached out to the old inspector and an inspection was completed on 2/21/25. Repairs were required. Ms. Idacavage completed repairs 3/14/25 and informed the inspector and requested a reinspection. She did not hear back from the inspector and requested a reinspection again today. The facility is operated by Cold Spring Alliance, Inc and was listed as “Current-Active” on the NC Secretary of State’s website. Playground inspections were completed as required. The incident log was reviewed, and incident reports were observed in children’s files. Three (3) violations were cited today. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed 1/31/24. A new inspection was completed 2/21/25 and the DCDEE form was not provided due to required repairs. Repairs were completed 3/14/25 and the facility was currently waiting for reinspection and approval. 10A NCAC 09 .0304(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. The position of the sleeping infant was not documented consistently in Space 1. .0606(g) 1315 Emergency information record did not include chronic illness and any medication taken for the illness. A child with a diagnosed chronic condition did not have the emergency medication onsite. .0802(c)(3) Corrective Action: Violations must be corrected immediately. The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter that includes the violation item number and an explanation of how each of today’s violations were corrected. Corrections must be received by me on or before Friday, April 25, 2025 to the email address listed below. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance/General Comments: - Spaces 11 and 12 share a bathroom in Space 11. We discussed maintaining ratio while handwashing and using the restroom in Space 12. - I recommend putting rug tape underneath rugs in Space 4. - Nutrition opt out requirements were reviewed. - Specific brand names of medication should be written on medication permission forms. For example instead of epinephrine, write Auvi-Q or Epi Pen Jr. Thank you for your time today. Please contact me with any questions at Jennifer.stansfield@dhhs.nc.gov or 704-956-1648. 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: ratio. Open / not marked corrected.

10A NCAC 09 .0601 · Violation

Name of Operation: KIDS R KIDS #5 NC Facility ID: 60002188 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: 0724-120L Visit Date: 7/25/2024 Number Present: 180 Completed Date: 7/25/2024 Age: From 0 To 11 Total Minutes: 235 Time In: 11:15 AM Time Out: 03:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced On July 11, 2024, the Division of Child Development and Early Education (DCDEE) received a complaint allegation regarding the following: There are concerns that: 1) Children are not adequately supervised. 2) Soiled diapers and clothing are not changed as required. 3) Teachers did not follow the center’s policy regarding playground safety checks. The purpose of today’s visit was to discuss the concerns. I met with Ms. Kristen Idacavage, Director, and discussed the three (3) concerns. Ms. Idacavage stated she was aware of an incident that occurred on 7/2/24 when four (4) toddlers between the ages of one (1) and two (2) years of age in Space 3 pulled open the gate and exited to the pre-k/school-age playground. Ms. Idacavage stated staff were unaware the children left the playground. She stated the two (2) teachers who were present when the incident occurred were no longer employed at the center. She stated she was not onsite when the incident occurred but when she interviewed the teachers on 7/3/24 the following was explained: Ten (10) children were present in Space 3 on the afternoon of 7/2/24. Children were taken outside at approximately 4:00 pm. Name to face was not documented on the Tadpole application so there was no time stamp of when children went outside. Teachers were not aware that the gate was not latched but they stated it appeared closed. One (1) teacher stated she observed two (2) toddlers standing at the gate and when she walked over to them, she observed the gate was not closed all the way. She stated she looked over the fence and saw the children but did not realize they belonged to her class. The teacher asked another staff member from Space 2 to come outside with her class. Ms. Idacavage stated the teacher went to the front desk to report the gate was not latching properly. She stated another teacher who was present on the preschool playground saw the children on the pre-k/school-age playground and brought them back to the toddler playground. I interviewed two (2) additional employees, and both confirmed that the four (4) children were on the pre-K/school-age playground unsupervised. It was also explained that two (2) toddlers were observed climbing the rock wall portion of the climbing equipment and one (1) of them was observed on the platform at the top of the wall near the slide. The teacher who discovered the children on the pre-k/school-aged playground stated she took her class outside at approximately 4:15 and immediately saw the children and returned them to the correct playground. The climbing equipment on the pre-k/school-age playground was approved for children ages 4-12 years of age per Ms. Idacavage. Ms. Idacavage and I walked the playgrounds today. The toddler playground is adjacent to the parking lot and the pre-k/school-age playground runs along the rear of the building. The preschool playground is on the opposite side of the building from the toddler playground adjacent to the parking lot. All playgrounds are separated by an aluminum fence and gates. Ms. Idacavage stated there was no video saved from 7/2/24 to review. Based on interviews and observations the concern that children are not adequately supervised was substantiated. I reviewed the center’s employee handbook and under the heading “outdoor supervision” there was not a policy specific to playground safety checks each time a classroom went outside. Based on that information the concern that teachers did not follow the center’s policy regarding playground safety checks was unsubstantiated as there was nothing outlined in the handbook for staff to follow. The program used Tadpoles to document head counts, transitions, and daily information specific to each child to include diapering and meals. Ms. Idacavage pulled up several daily sheets in the infant/toddler classrooms from Monday – Wednesday of this week. I observed diapers were changed every 2 – 2 ½ hours and the type of diaper change was also noted. Based on observations it was determined that the concern that soiled diapers and clothing were not changed as required was unsubstantiated as documentation indicated diapers were changed consistently and as needed. The following violations were cited: Violation Number Comment Rule 303 Children were not adequately supervised at all times. On 7/2/24 it was reported that four (4) toddlers ages one (1) to two (2) years old were on the Pre-K/School-Age playground unsupervised during afternoon outdoor time. .1801(a)(1-5) 807 A safe indoor and outdoor environment was not provided for the children. Four (4) toddlers ages one (1) to two (2) years old were reported climbing a rock wall and standing on top of the platform of the slide on equipment approved for children four (4) to eleven (11) years old. The children were on the equipment alone and not being supervised. 10A NCAC 09 .0601(a) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Thursday, August 8, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. General Comments/Technical Assistance: - Ms. Idacavage stated staff meetings were conducted 7/9, 7/11, and 7/17 to discuss adequate supervision. A copy of the agenda was provided during the visit. - I recommend creating a policy specific to playground supervision and safety checks to include walking the perimeter and designating areas for staff to position themselves to maximize the ability to see or hear children at all times. - We discussed reviewing the importance of conducting and documenting head counts every time children transition from space to space and throughout the day. I also recommend teachers creating the habit of communicating with each other how many children are present especially when staff come and go in the classroom. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956- 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.

NC GS 110-90 · Violation

Name of Operation: KIDS R KIDS #5 NC Facility ID: 60002188 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: 0724-120L Visit Date: 7/25/2024 Number Present: 180 Completed Date: 7/25/2024 Age: From 0 To 11 Total Minutes: 235 Time In: 11:15 AM Time Out: 03:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced On July 11, 2024, the Division of Child Development and Early Education (DCDEE) received a complaint allegation regarding the following: There are concerns that: 1) Children are not adequately supervised. 2) Soiled diapers and clothing are not changed as required. 3) Teachers did not follow the center’s policy regarding playground safety checks. The purpose of today’s visit was to discuss the concerns. I met with Ms. Kristen Idacavage, Director, and discussed the three (3) concerns. Ms. Idacavage stated she was aware of an incident that occurred on 7/2/24 when four (4) toddlers between the ages of one (1) and two (2) years of age in Space 3 pulled open the gate and exited to the pre-k/school-age playground. Ms. Idacavage stated staff were unaware the children left the playground. She stated the two (2) teachers who were present when the incident occurred were no longer employed at the center. She stated she was not onsite when the incident occurred but when she interviewed the teachers on 7/3/24 the following was explained: Ten (10) children were present in Space 3 on the afternoon of 7/2/24. Children were taken outside at approximately 4:00 pm. Name to face was not documented on the Tadpole application so there was no time stamp of when children went outside. Teachers were not aware that the gate was not latched but they stated it appeared closed. One (1) teacher stated she observed two (2) toddlers standing at the gate and when she walked over to them, she observed the gate was not closed all the way. She stated she looked over the fence and saw the children but did not realize they belonged to her class. The teacher asked another staff member from Space 2 to come outside with her class. Ms. Idacavage stated the teacher went to the front desk to report the gate was not latching properly. She stated another teacher who was present on the preschool playground saw the children on the pre-k/school-age playground and brought them back to the toddler playground. I interviewed two (2) additional employees, and both confirmed that the four (4) children were on the pre-K/school-age playground unsupervised. It was also explained that two (2) toddlers were observed climbing the rock wall portion of the climbing equipment and one (1) of them was observed on the platform at the top of the wall near the slide. The teacher who discovered the children on the pre-k/school-aged playground stated she took her class outside at approximately 4:15 and immediately saw the children and returned them to the correct playground. The climbing equipment on the pre-k/school-age playground was approved for children ages 4-12 years of age per Ms. Idacavage. Ms. Idacavage and I walked the playgrounds today. The toddler playground is adjacent to the parking lot and the pre-k/school-age playground runs along the rear of the building. The preschool playground is on the opposite side of the building from the toddler playground adjacent to the parking lot. All playgrounds are separated by an aluminum fence and gates. Ms. Idacavage stated there was no video saved from 7/2/24 to review. Based on interviews and observations the concern that children are not adequately supervised was substantiated. I reviewed the center’s employee handbook and under the heading “outdoor supervision” there was not a policy specific to playground safety checks each time a classroom went outside. Based on that information the concern that teachers did not follow the center’s policy regarding playground safety checks was unsubstantiated as there was nothing outlined in the handbook for staff to follow. The program used Tadpoles to document head counts, transitions, and daily information specific to each child to include diapering and meals. Ms. Idacavage pulled up several daily sheets in the infant/toddler classrooms from Monday – Wednesday of this week. I observed diapers were changed every 2 – 2 ½ hours and the type of diaper change was also noted. Based on observations it was determined that the concern that soiled diapers and clothing were not changed as required was unsubstantiated as documentation indicated diapers were changed consistently and as needed. The following violations were cited: Violation Number Comment Rule 303 Children were not adequately supervised at all times. On 7/2/24 it was reported that four (4) toddlers ages one (1) to two (2) years old were on the Pre-K/School-Age playground unsupervised during afternoon outdoor time. .1801(a)(1-5) 807 A safe indoor and outdoor environment was not provided for the children. Four (4) toddlers ages one (1) to two (2) years old were reported climbing a rock wall and standing on top of the platform of the slide on equipment approved for children four (4) to eleven (11) years old. The children were on the equipment alone and not being supervised. 10A NCAC 09 .0601(a) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Thursday, August 8, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. General Comments/Technical Assistance: - Ms. Idacavage stated staff meetings were conducted 7/9, 7/11, and 7/17 to discuss adequate supervision. A copy of the agenda was provided during the visit. - I recommend creating a policy specific to playground supervision and safety checks to include walking the perimeter and designating areas for staff to position themselves to maximize the ability to see or hear children at all times. - We discussed reviewing the importance of conducting and documenting head counts every time children transition from space to space and throughout the day. I also recommend teachers creating the habit of communicating with each other how many children are present especially when staff come and go in the classroom. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956- If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: KIDS R KIDS #5 NC Facility ID: 60002188 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 4/16/2024 Number Present: 164 Completed Date: 4/16/2024 Age: From 0 To 5 Total Minutes: 375 Time In: 10:00 AM Time Out: 04:15 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 the facility for all applicable child care requirements during the full annual compliance visit. The facility was currently operating with Five Star Rated License issued on June 20, 2019, and earned 7 points in the staff education component, 6 points in the program component and met the enhanced space and enhanced ratios requirement, and 1 quality point for offering a staff benefits package and an infrastructure of parent involvement. The facility had an eighteen (18) month compliance history score of 88% prior to today’s visit. The August 2023 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Upon arrival I was greeted by Ms. Kristen Idacavage, Director, and I explained the purpose of my visit. Ms. Idacavage accompanied me on the walkthrough. In the room for infants, I observed nine (9) infants present with four (4) teachers. The room was bright and organized. Individual cribs were labeled for each child. Safe sleep checks were observed completed as required. Diaper creams and permissions were monitored. One (1) child had a topical medication that was labeled for use for children two (2) years and older. There was no prescription attached to indicate dosage for a child under two (2) years of age. The medication was removed from the room and sent home. A topical cream permission indicated January 2024 to February 2024, but the cream was still being used after diaper changes. The form was updated by the parent during the visit. Materials in the classroom were observed in good repair and plentiful. Teachers were engaged with infants. Toddlers were observed on the playground. Teachers were engaged with children as they played. Preschool aged children were observed participating in free choice activities, large group story time, and teacher directed activities. Teachers provided a nurturing environment and were engaged with children. Individual needs were met. Classrooms were observed organized and materials were observed in good repair. Evidence of the posted curriculum and theme were observed posted in classrooms as well as in the activities provided to children during the visit. Lunch was observed during the visit and met nutrition requirements. Emergency medications were monitored throughout the facility. Medical action plans were completed as required. Storage of emergency medications was inconsistent throughout the building. Some emergency medications were observed behind lock and key and some were stored above five feet in the classroom. I reminded teachers the emergency medications should be stored above five feet and easily accessible in the event of an emergency. Benadryl and other antihistamines should be stored behind lock and key. All required documents were current and posted. Parents sign children in and out each day through the Tadpoles application. Attendance was maintained in each classroom. Activity plans were current. The posted menu reflected what was served. The outdoor learning environments were monitored. A bag of potting soil with multiple warnings was observed stored in an unlocked storage cabinet. The potting soil was removed during the visit. Transportation requirements were monitored. Five (5) new staff files were monitored and a sampling of veteran staff files was monitored. No violations were observed. Each child had a file available for review. A sampling of children’s files was monitored. No violations were observed. The facility used approved Creative Curriculum. The sanitation inspection was completed 3/15/24 and received a “Superior” classification. The last fire inspection was completed 1/31/24. The facility is operated by Cold Spring Alliance, Inc and was listed as “Current-Active” on the NC Secretary of State’s website. Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. A dorm refrigerator in Space 3 did not have a thermometer. 15A NCAC 18A .2806(j)(2) 807 A safe indoor and outdoor environment was not provided for the children. Emergency medications were observed stored behind lock and key. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A closet in Space 7 was left open and unlocked. There were cleaners observed inside. A bag of potting soil with multiple warnings was observed stored in a storage closet on the preschool playground. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. An infant's topical medication was indicated for use for children two (2) years and older and a doctor's authorization with dosage for an infant was not attached. 10A NCAC 09 .0803(1)(a & b) 1123 All vehicles used to transport children were not free of hazards. The tire treads on both bus buses measured below 2/32 of an inch. 10A NCAC 09 .1002(a) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A child's vaseline in Space 2 did not have a permission on file for review. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday, April 30, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Resuming Star Rated License Reassessment: 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 developed a cohort system. There are three cohorts, and each include a preparation year and a reassessment year. While the first reassessment year will not begin until July 1, 2024, the preparation year for cohort one began July 1, 2023. Your facility is in cohort 1 therefore now until June 30, 2024 is your preparation time period. I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, we will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Technical Assistance/General Comments: - The transportation permission form from the DCDEE website was emailed today for the facility to use as an example of what should be included in the permission form. For example time of departure and expected time of arrival and where the child is being transported from each day. - I recommended putting the length of time children are participating in screen time activities on the posted list to satisfy the screen time log requirement. - I recommended adding flower boxes to the playground. Contact me at Jennifer Stansfield, Child Care Consultant, jennifer.stansfield@dhhs.nc.gov or 704-956-1648 or Michele Sullivan, Licensing Supervisor, michele.sullivan@dhhs.nc.gov or 704-594-0147 if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: KIDS R KIDS #5 NC Facility ID: 60002188 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 4/16/2024 Number Present: 164 Completed Date: 4/16/2024 Age: From 0 To 5 Total Minutes: 375 Time In: 10:00 AM Time Out: 04:15 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 the facility for all applicable child care requirements during the full annual compliance visit. The facility was currently operating with Five Star Rated License issued on June 20, 2019, and earned 7 points in the staff education component, 6 points in the program component and met the enhanced space and enhanced ratios requirement, and 1 quality point for offering a staff benefits package and an infrastructure of parent involvement. The facility had an eighteen (18) month compliance history score of 88% prior to today’s visit. The August 2023 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Upon arrival I was greeted by Ms. Kristen Idacavage, Director, and I explained the purpose of my visit. Ms. Idacavage accompanied me on the walkthrough. In the room for infants, I observed nine (9) infants present with four (4) teachers. The room was bright and organized. Individual cribs were labeled for each child. Safe sleep checks were observed completed as required. Diaper creams and permissions were monitored. One (1) child had a topical medication that was labeled for use for children two (2) years and older. There was no prescription attached to indicate dosage for a child under two (2) years of age. The medication was removed from the room and sent home. A topical cream permission indicated January 2024 to February 2024, but the cream was still being used after diaper changes. The form was updated by the parent during the visit. Materials in the classroom were observed in good repair and plentiful. Teachers were engaged with infants. Toddlers were observed on the playground. Teachers were engaged with children as they played. Preschool aged children were observed participating in free choice activities, large group story time, and teacher directed activities. Teachers provided a nurturing environment and were engaged with children. Individual needs were met. Classrooms were observed organized and materials were observed in good repair. Evidence of the posted curriculum and theme were observed posted in classrooms as well as in the activities provided to children during the visit. Lunch was observed during the visit and met nutrition requirements. Emergency medications were monitored throughout the facility. Medical action plans were completed as required. Storage of emergency medications was inconsistent throughout the building. Some emergency medications were observed behind lock and key and some were stored above five feet in the classroom. I reminded teachers the emergency medications should be stored above five feet and easily accessible in the event of an emergency. Benadryl and other antihistamines should be stored behind lock and key. All required documents were current and posted. Parents sign children in and out each day through the Tadpoles application. Attendance was maintained in each classroom. Activity plans were current. The posted menu reflected what was served. The outdoor learning environments were monitored. A bag of potting soil with multiple warnings was observed stored in an unlocked storage cabinet. The potting soil was removed during the visit. Transportation requirements were monitored. Five (5) new staff files were monitored and a sampling of veteran staff files was monitored. No violations were observed. Each child had a file available for review. A sampling of children’s files was monitored. No violations were observed. The facility used approved Creative Curriculum. The sanitation inspection was completed 3/15/24 and received a “Superior” classification. The last fire inspection was completed 1/31/24. The facility is operated by Cold Spring Alliance, Inc and was listed as “Current-Active” on the NC Secretary of State’s website. Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. A dorm refrigerator in Space 3 did not have a thermometer. 15A NCAC 18A .2806(j)(2) 807 A safe indoor and outdoor environment was not provided for the children. Emergency medications were observed stored behind lock and key. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A closet in Space 7 was left open and unlocked. There were cleaners observed inside. A bag of potting soil with multiple warnings was observed stored in a storage closet on the preschool playground. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. An infant's topical medication was indicated for use for children two (2) years and older and a doctor's authorization with dosage for an infant was not attached. 10A NCAC 09 .0803(1)(a & b) 1123 All vehicles used to transport children were not free of hazards. The tire treads on both bus buses measured below 2/32 of an inch. 10A NCAC 09 .1002(a) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A child's vaseline in Space 2 did not have a permission on file for review. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday, April 30, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Resuming Star Rated License Reassessment: 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 developed a cohort system. There are three cohorts, and each include a preparation year and a reassessment year. While the first reassessment year will not begin until July 1, 2024, the preparation year for cohort one began July 1, 2023. Your facility is in cohort 1 therefore now until June 30, 2024 is your preparation time period. I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, we will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Technical Assistance/General Comments: - The transportation permission form from the DCDEE website was emailed today for the facility to use as an example of what should be included in the permission form. For example time of departure and expected time of arrival and where the child is being transported from each day. - I recommended putting the length of time children are participating in screen time activities on the posted list to satisfy the screen time log requirement. - I recommended adding flower boxes to the playground. Contact me at Jennifer Stansfield, Child Care Consultant, jennifer.stansfield@dhhs.nc.gov or 704-956-1648 or Michele Sullivan, Licensing Supervisor, michele.sullivan@dhhs.nc.gov or 704-594-0147 if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1002 · Violation

Name of Operation: KIDS R KIDS #5 NC Facility ID: 60002188 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 4/16/2024 Number Present: 164 Completed Date: 4/16/2024 Age: From 0 To 5 Total Minutes: 375 Time In: 10:00 AM Time Out: 04:15 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 the facility for all applicable child care requirements during the full annual compliance visit. The facility was currently operating with Five Star Rated License issued on June 20, 2019, and earned 7 points in the staff education component, 6 points in the program component and met the enhanced space and enhanced ratios requirement, and 1 quality point for offering a staff benefits package and an infrastructure of parent involvement. The facility had an eighteen (18) month compliance history score of 88% prior to today’s visit. The August 2023 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Upon arrival I was greeted by Ms. Kristen Idacavage, Director, and I explained the purpose of my visit. Ms. Idacavage accompanied me on the walkthrough. In the room for infants, I observed nine (9) infants present with four (4) teachers. The room was bright and organized. Individual cribs were labeled for each child. Safe sleep checks were observed completed as required. Diaper creams and permissions were monitored. One (1) child had a topical medication that was labeled for use for children two (2) years and older. There was no prescription attached to indicate dosage for a child under two (2) years of age. The medication was removed from the room and sent home. A topical cream permission indicated January 2024 to February 2024, but the cream was still being used after diaper changes. The form was updated by the parent during the visit. Materials in the classroom were observed in good repair and plentiful. Teachers were engaged with infants. Toddlers were observed on the playground. Teachers were engaged with children as they played. Preschool aged children were observed participating in free choice activities, large group story time, and teacher directed activities. Teachers provided a nurturing environment and were engaged with children. Individual needs were met. Classrooms were observed organized and materials were observed in good repair. Evidence of the posted curriculum and theme were observed posted in classrooms as well as in the activities provided to children during the visit. Lunch was observed during the visit and met nutrition requirements. Emergency medications were monitored throughout the facility. Medical action plans were completed as required. Storage of emergency medications was inconsistent throughout the building. Some emergency medications were observed behind lock and key and some were stored above five feet in the classroom. I reminded teachers the emergency medications should be stored above five feet and easily accessible in the event of an emergency. Benadryl and other antihistamines should be stored behind lock and key. All required documents were current and posted. Parents sign children in and out each day through the Tadpoles application. Attendance was maintained in each classroom. Activity plans were current. The posted menu reflected what was served. The outdoor learning environments were monitored. A bag of potting soil with multiple warnings was observed stored in an unlocked storage cabinet. The potting soil was removed during the visit. Transportation requirements were monitored. Five (5) new staff files were monitored and a sampling of veteran staff files was monitored. No violations were observed. Each child had a file available for review. A sampling of children’s files was monitored. No violations were observed. The facility used approved Creative Curriculum. The sanitation inspection was completed 3/15/24 and received a “Superior” classification. The last fire inspection was completed 1/31/24. The facility is operated by Cold Spring Alliance, Inc and was listed as “Current-Active” on the NC Secretary of State’s website. Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. A dorm refrigerator in Space 3 did not have a thermometer. 15A NCAC 18A .2806(j)(2) 807 A safe indoor and outdoor environment was not provided for the children. Emergency medications were observed stored behind lock and key. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A closet in Space 7 was left open and unlocked. There were cleaners observed inside. A bag of potting soil with multiple warnings was observed stored in a storage closet on the preschool playground. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. An infant's topical medication was indicated for use for children two (2) years and older and a doctor's authorization with dosage for an infant was not attached. 10A NCAC 09 .0803(1)(a & b) 1123 All vehicles used to transport children were not free of hazards. The tire treads on both bus buses measured below 2/32 of an inch. 10A NCAC 09 .1002(a) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A child's vaseline in Space 2 did not have a permission on file for review. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday, April 30, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Resuming Star Rated License Reassessment: 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 developed a cohort system. There are three cohorts, and each include a preparation year and a reassessment year. While the first reassessment year will not begin until July 1, 2024, the preparation year for cohort one began July 1, 2023. Your facility is in cohort 1 therefore now until June 30, 2024 is your preparation time period. I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, we will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Technical Assistance/General Comments: - The transportation permission form from the DCDEE website was emailed today for the facility to use as an example of what should be included in the permission form. For example time of departure and expected time of arrival and where the child is being transported from each day. - I recommended putting the length of time children are participating in screen time activities on the posted list to satisfy the screen time log requirement. - I recommended adding flower boxes to the playground. Contact me at Jennifer Stansfield, Child Care Consultant, jennifer.stansfield@dhhs.nc.gov or 704-956-1648 or Michele Sullivan, Licensing Supervisor, michele.sullivan@dhhs.nc.gov or 704-594-0147 if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: KIDS R KIDS #5 NC Facility ID: 60002188 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 4/16/2024 Number Present: 164 Completed Date: 4/16/2024 Age: From 0 To 5 Total Minutes: 375 Time In: 10:00 AM Time Out: 04:15 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 the facility for all applicable child care requirements during the full annual compliance visit. The facility was currently operating with Five Star Rated License issued on June 20, 2019, and earned 7 points in the staff education component, 6 points in the program component and met the enhanced space and enhanced ratios requirement, and 1 quality point for offering a staff benefits package and an infrastructure of parent involvement. The facility had an eighteen (18) month compliance history score of 88% prior to today’s visit. The August 2023 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Upon arrival I was greeted by Ms. Kristen Idacavage, Director, and I explained the purpose of my visit. Ms. Idacavage accompanied me on the walkthrough. In the room for infants, I observed nine (9) infants present with four (4) teachers. The room was bright and organized. Individual cribs were labeled for each child. Safe sleep checks were observed completed as required. Diaper creams and permissions were monitored. One (1) child had a topical medication that was labeled for use for children two (2) years and older. There was no prescription attached to indicate dosage for a child under two (2) years of age. The medication was removed from the room and sent home. A topical cream permission indicated January 2024 to February 2024, but the cream was still being used after diaper changes. The form was updated by the parent during the visit. Materials in the classroom were observed in good repair and plentiful. Teachers were engaged with infants. Toddlers were observed on the playground. Teachers were engaged with children as they played. Preschool aged children were observed participating in free choice activities, large group story time, and teacher directed activities. Teachers provided a nurturing environment and were engaged with children. Individual needs were met. Classrooms were observed organized and materials were observed in good repair. Evidence of the posted curriculum and theme were observed posted in classrooms as well as in the activities provided to children during the visit. Lunch was observed during the visit and met nutrition requirements. Emergency medications were monitored throughout the facility. Medical action plans were completed as required. Storage of emergency medications was inconsistent throughout the building. Some emergency medications were observed behind lock and key and some were stored above five feet in the classroom. I reminded teachers the emergency medications should be stored above five feet and easily accessible in the event of an emergency. Benadryl and other antihistamines should be stored behind lock and key. All required documents were current and posted. Parents sign children in and out each day through the Tadpoles application. Attendance was maintained in each classroom. Activity plans were current. The posted menu reflected what was served. The outdoor learning environments were monitored. A bag of potting soil with multiple warnings was observed stored in an unlocked storage cabinet. The potting soil was removed during the visit. Transportation requirements were monitored. Five (5) new staff files were monitored and a sampling of veteran staff files was monitored. No violations were observed. Each child had a file available for review. A sampling of children’s files was monitored. No violations were observed. The facility used approved Creative Curriculum. The sanitation inspection was completed 3/15/24 and received a “Superior” classification. The last fire inspection was completed 1/31/24. The facility is operated by Cold Spring Alliance, Inc and was listed as “Current-Active” on the NC Secretary of State’s website. Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. A dorm refrigerator in Space 3 did not have a thermometer. 15A NCAC 18A .2806(j)(2) 807 A safe indoor and outdoor environment was not provided for the children. Emergency medications were observed stored behind lock and key. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A closet in Space 7 was left open and unlocked. There were cleaners observed inside. A bag of potting soil with multiple warnings was observed stored in a storage closet on the preschool playground. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. An infant's topical medication was indicated for use for children two (2) years and older and a doctor's authorization with dosage for an infant was not attached. 10A NCAC 09 .0803(1)(a & b) 1123 All vehicles used to transport children were not free of hazards. The tire treads on both bus buses measured below 2/32 of an inch. 10A NCAC 09 .1002(a) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A child's vaseline in Space 2 did not have a permission on file for review. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday, April 30, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Resuming Star Rated License Reassessment: 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 developed a cohort system. There are three cohorts, and each include a preparation year and a reassessment year. While the first reassessment year will not begin until July 1, 2024, the preparation year for cohort one began July 1, 2023. Your facility is in cohort 1 therefore now until June 30, 2024 is your preparation time period. I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, we will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Technical Assistance/General Comments: - The transportation permission form from the DCDEE website was emailed today for the facility to use as an example of what should be included in the permission form. For example time of departure and expected time of arrival and where the child is being transported from each day. - I recommended putting the length of time children are participating in screen time activities on the posted list to satisfy the screen time log requirement. - I recommended adding flower boxes to the playground. Contact me at Jennifer Stansfield, Child Care Consultant, jennifer.stansfield@dhhs.nc.gov or 704-956-1648 or Michele Sullivan, Licensing Supervisor, michele.sullivan@dhhs.nc.gov or 704-594-0147 if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0606 · Violation

Name of Operation: KIDS R KIDS #5 NC Facility ID: 60002188 Consultant: TAMIKA POWELL Operation Type: Center Case Number: 0124-227A Visit Date: 1/25/2024 Number Present: 152 Completed Date: 1/25/2024 Age: From 0 To 11 Total Minutes: 90 Time In: 01:00 PM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Kim Sellers, owner/administrator, accompanied during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Sellers and Tiffany Forden, curriculum coordinator. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 871 Center staff did not comply with the safe sleep policy. On December 13-15, 2023, the temperature in the classroom for infants ranged between 62-65 degrees Fahrenheit. 10A NCAC 09 .0606(a) 9999 A violation was found for which there is no item number. On December 13-15, 2023, the temperature in the classroom for infant children and the classroom for toddler children ranged between 62-65 degrees Fahrenheit, a violation of Sanitation Rule 15A NCAC 18A .2826(b) regarding lighting and thermal environment, which states all rooms used by children shall be heated, cooled, and ventilated to maintain an ambient temperature between 65 degrees Fahrenheit and 85 degrees Fahrenheit. You may contact me at Tamika Powell, Investigations Consultant, (704) 330-9725, Tamika.t.powell@dhhs.nc.gov or Veronica Grant, South Central Investigations Team Supervisor, veronica.grant@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0701 · Violation

Name of Operation: KIDS R KIDS #5 NC Facility ID: 60002188 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 1/11/2024 Number Present: 175 Completed Date: 1/11/2024 Age: From 0 To 5 Total Minutes: 290 Time In: 10:10 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a routine unannounced visit. The facility currently operated with a Five Star Rated License issued June 20, 2019 and earned 7 points in the staff education component, 6 points in the program component meeting enhanced space and ratio requirements, and 1 point in the quality component for having approved enhanced policies, a staff benefits package, and an infrastructure of parent involvement. The facility had an eighteen month compliance history of 93% prior to today’s visit. The license and NC child care law summary were posted. The following was monitored using the August 2023 Master Center Item Number Listing: supervision, capacity, staff/child ratios, adequate and approved space, criminal background checks, CPR, First Aid, special training, new staff records, storage of hazardous products, and storage of medication. Upon arrival I was greeted by Ms. Kimberly Strother, Owner, and I explained the purpose of my visit. She stated Ms. Kristen Idacavage, Director, was off-site at a meeting. Ms. Tiffany Forden, Curriculum Coach, accompanied me on the walkthrough of Spaces 1-3. Ms. Idacavage arrived to the facility approximately thirty minutes after my arrival and she completed the walkthrough with me. In the room for infants, I observed four (4) teachers caring for eight (8) infants. Infants were observed sleeping, being fed, and two (2) teachers were observed sitting on the floor monitoring tummy time. All bottles were dated and labeled. Safe sleep checks were completed as required. The facility documented safe sleep checks on the iPad using the Tadpoles application. Safe sleep checks on the App captured the time a child was laid down, the child’s position, and who laid the child down. Checks were completed every 15 minutes. One (1) infant required emergency medication. Medication was stored properly, and all required forms were completed and current. One (1) infant had prescription cream. The permission form did not indicate how long the cream should be administered and the instructions per parent differed from the prescription. Staff should review permissions and prescriptions to ensure consistency. If there is a discrepancy between the permission and prescription it was recommended to send the parent and medication to Administration for clarification. Toddlers were observed on the playground. Equipment and materials were observed in good repair. Teachers were engaged with children. A milk container was observed on the playground with water stored inside. Ms. Forden explained the old containers were cleaned and used for heavy gross motor activities. It was recommended to label containers for the intended use. I observed shoes untied in both toddler classrooms. Teachers should keep shoes tied to prevent falls especially in classrooms where children are learning to walk. Children in preschool classrooms were observed participating in large group activities that included reading, a sensory activity with “snow”, and free choice center play. Classroom centers reflected the theme and activity plan. Rooms were well organized and materials were observed in good repair. Medications were monitored in all classrooms. Fourteen (14) new staff files were reviewed. The last sanitation inspection was completed on 11/2/23 and received a Superior rating. A fire inspection had not been completed since the last inspection dated 2/20/23. Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Benadryl was stored unlocked and hanging above five feet in Space 11. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. A child's permission for Nystatin did not include how long the medication should be administered. 10A NCAC 09 .0803(4)(6-9) 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 (1) employee hired 1/8/24 had a medical form on file that was stamped by the medical clinic but was not completed and signed by a doctor. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. An employee hired 8/24/23 did not have a current negative TB test on file. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Four (4) employees did not complete First Aid training within the first 90 days of employment. .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. Four (4) employees did not complete CPR training within the first 90 days of employment. .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. An employee hired 12/12/23 and an employee hired 12/25/23 did not complete required trainings within the first two weeks of employment. .1101(a)(b) Corrective Action: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Thursday, January 25, 2024 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 Jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Comments: - Children’s coats and outerwear should be hung in individual cubbies as children enter the classroom from outside play. Coats and outwear should not be piled or touching each other. - Ensure carpets are not bunched under equipment to prevent tripping. - Bathrooms should not be used for storage. - Staff should model healthy eating choices in front of children and reframe from bringing outside drinks and/or food into the classroom. - Medical Action Plans (MAP) should be reviewed fully to ensure all required information is completed. The MAP is two pages and the second page for emergency contact information is often overlooked. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, an electronic visit summary was reviewed, signed, and a copy emailed to you. At the completion of the visit, an electronic version was reviewed, signed and a copy was emailed to Ms. Idacavage. 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 .0803 · Violation

Name of Operation: KIDS R KIDS #5 NC Facility ID: 60002188 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 1/11/2024 Number Present: 175 Completed Date: 1/11/2024 Age: From 0 To 5 Total Minutes: 290 Time In: 10:10 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a routine unannounced visit. The facility currently operated with a Five Star Rated License issued June 20, 2019 and earned 7 points in the staff education component, 6 points in the program component meeting enhanced space and ratio requirements, and 1 point in the quality component for having approved enhanced policies, a staff benefits package, and an infrastructure of parent involvement. The facility had an eighteen month compliance history of 93% prior to today’s visit. The license and NC child care law summary were posted. The following was monitored using the August 2023 Master Center Item Number Listing: supervision, capacity, staff/child ratios, adequate and approved space, criminal background checks, CPR, First Aid, special training, new staff records, storage of hazardous products, and storage of medication. Upon arrival I was greeted by Ms. Kimberly Strother, Owner, and I explained the purpose of my visit. She stated Ms. Kristen Idacavage, Director, was off-site at a meeting. Ms. Tiffany Forden, Curriculum Coach, accompanied me on the walkthrough of Spaces 1-3. Ms. Idacavage arrived to the facility approximately thirty minutes after my arrival and she completed the walkthrough with me. In the room for infants, I observed four (4) teachers caring for eight (8) infants. Infants were observed sleeping, being fed, and two (2) teachers were observed sitting on the floor monitoring tummy time. All bottles were dated and labeled. Safe sleep checks were completed as required. The facility documented safe sleep checks on the iPad using the Tadpoles application. Safe sleep checks on the App captured the time a child was laid down, the child’s position, and who laid the child down. Checks were completed every 15 minutes. One (1) infant required emergency medication. Medication was stored properly, and all required forms were completed and current. One (1) infant had prescription cream. The permission form did not indicate how long the cream should be administered and the instructions per parent differed from the prescription. Staff should review permissions and prescriptions to ensure consistency. If there is a discrepancy between the permission and prescription it was recommended to send the parent and medication to Administration for clarification. Toddlers were observed on the playground. Equipment and materials were observed in good repair. Teachers were engaged with children. A milk container was observed on the playground with water stored inside. Ms. Forden explained the old containers were cleaned and used for heavy gross motor activities. It was recommended to label containers for the intended use. I observed shoes untied in both toddler classrooms. Teachers should keep shoes tied to prevent falls especially in classrooms where children are learning to walk. Children in preschool classrooms were observed participating in large group activities that included reading, a sensory activity with “snow”, and free choice center play. Classroom centers reflected the theme and activity plan. Rooms were well organized and materials were observed in good repair. Medications were monitored in all classrooms. Fourteen (14) new staff files were reviewed. The last sanitation inspection was completed on 11/2/23 and received a Superior rating. A fire inspection had not been completed since the last inspection dated 2/20/23. Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Benadryl was stored unlocked and hanging above five feet in Space 11. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. A child's permission for Nystatin did not include how long the medication should be administered. 10A NCAC 09 .0803(4)(6-9) 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 (1) employee hired 1/8/24 had a medical form on file that was stamped by the medical clinic but was not completed and signed by a doctor. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. An employee hired 8/24/23 did not have a current negative TB test on file. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Four (4) employees did not complete First Aid training within the first 90 days of employment. .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. Four (4) employees did not complete CPR training within the first 90 days of employment. .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. An employee hired 12/12/23 and an employee hired 12/25/23 did not complete required trainings within the first two weeks of employment. .1101(a)(b) Corrective Action: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Thursday, January 25, 2024 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 Jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Comments: - Children’s coats and outerwear should be hung in individual cubbies as children enter the classroom from outside play. Coats and outwear should not be piled or touching each other. - Ensure carpets are not bunched under equipment to prevent tripping. - Bathrooms should not be used for storage. - Staff should model healthy eating choices in front of children and reframe from bringing outside drinks and/or food into the classroom. - Medical Action Plans (MAP) should be reviewed fully to ensure all required information is completed. The MAP is two pages and the second page for emergency contact information is often overlooked. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, an electronic visit summary was reviewed, signed, and a copy emailed to you. At the completion of the visit, an electronic version was reviewed, signed and a copy was emailed to Ms. Idacavage. 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: KIDS R KIDS #5 NC Facility ID: 60002188 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 1/11/2024 Number Present: 175 Completed Date: 1/11/2024 Age: From 0 To 5 Total Minutes: 290 Time In: 10:10 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a routine unannounced visit. The facility currently operated with a Five Star Rated License issued June 20, 2019 and earned 7 points in the staff education component, 6 points in the program component meeting enhanced space and ratio requirements, and 1 point in the quality component for having approved enhanced policies, a staff benefits package, and an infrastructure of parent involvement. The facility had an eighteen month compliance history of 93% prior to today’s visit. The license and NC child care law summary were posted. The following was monitored using the August 2023 Master Center Item Number Listing: supervision, capacity, staff/child ratios, adequate and approved space, criminal background checks, CPR, First Aid, special training, new staff records, storage of hazardous products, and storage of medication. Upon arrival I was greeted by Ms. Kimberly Strother, Owner, and I explained the purpose of my visit. She stated Ms. Kristen Idacavage, Director, was off-site at a meeting. Ms. Tiffany Forden, Curriculum Coach, accompanied me on the walkthrough of Spaces 1-3. Ms. Idacavage arrived to the facility approximately thirty minutes after my arrival and she completed the walkthrough with me. In the room for infants, I observed four (4) teachers caring for eight (8) infants. Infants were observed sleeping, being fed, and two (2) teachers were observed sitting on the floor monitoring tummy time. All bottles were dated and labeled. Safe sleep checks were completed as required. The facility documented safe sleep checks on the iPad using the Tadpoles application. Safe sleep checks on the App captured the time a child was laid down, the child’s position, and who laid the child down. Checks were completed every 15 minutes. One (1) infant required emergency medication. Medication was stored properly, and all required forms were completed and current. One (1) infant had prescription cream. The permission form did not indicate how long the cream should be administered and the instructions per parent differed from the prescription. Staff should review permissions and prescriptions to ensure consistency. If there is a discrepancy between the permission and prescription it was recommended to send the parent and medication to Administration for clarification. Toddlers were observed on the playground. Equipment and materials were observed in good repair. Teachers were engaged with children. A milk container was observed on the playground with water stored inside. Ms. Forden explained the old containers were cleaned and used for heavy gross motor activities. It was recommended to label containers for the intended use. I observed shoes untied in both toddler classrooms. Teachers should keep shoes tied to prevent falls especially in classrooms where children are learning to walk. Children in preschool classrooms were observed participating in large group activities that included reading, a sensory activity with “snow”, and free choice center play. Classroom centers reflected the theme and activity plan. Rooms were well organized and materials were observed in good repair. Medications were monitored in all classrooms. Fourteen (14) new staff files were reviewed. The last sanitation inspection was completed on 11/2/23 and received a Superior rating. A fire inspection had not been completed since the last inspection dated 2/20/23. Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Benadryl was stored unlocked and hanging above five feet in Space 11. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. A child's permission for Nystatin did not include how long the medication should be administered. 10A NCAC 09 .0803(4)(6-9) 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 (1) employee hired 1/8/24 had a medical form on file that was stamped by the medical clinic but was not completed and signed by a doctor. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. An employee hired 8/24/23 did not have a current negative TB test on file. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Four (4) employees did not complete First Aid training within the first 90 days of employment. .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. Four (4) employees did not complete CPR training within the first 90 days of employment. .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. An employee hired 12/12/23 and an employee hired 12/25/23 did not complete required trainings within the first two weeks of employment. .1101(a)(b) Corrective Action: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Thursday, January 25, 2024 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 Jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Comments: - Children’s coats and outerwear should be hung in individual cubbies as children enter the classroom from outside play. Coats and outwear should not be piled or touching each other. - Ensure carpets are not bunched under equipment to prevent tripping. - Bathrooms should not be used for storage. - Staff should model healthy eating choices in front of children and reframe from bringing outside drinks and/or food into the classroom. - Medical Action Plans (MAP) should be reviewed fully to ensure all required information is completed. The MAP is two pages and the second page for emergency contact information is often overlooked. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, an electronic visit summary was reviewed, signed, and a copy emailed to you. At the completion of the visit, an electronic version was reviewed, signed and a copy was emailed to Ms. Idacavage. 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