10A NCAC 09 .0304 · Violation

Name of Operation: KINDERCARE LEARNING CENTER-STAFFORD Facility ID: 13000599 Consultant: BRITTANY ADAMS Operation Type: Center Case Number: Visit Date: 12/4/2024 Number Present: 79 Completed Date: 12/4/2024 Age: From 0 To 4 Total Minutes: 390 Time In: 10:15 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Regina Seegars, Director, assisted me with the walk through. The last annual compliance visit was conducted on July 10, 2024. The last sanitation inspection was completed on December 2, 2024. The last fire inspection was conducted November 9, 2023. Your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 78% prior to today’s visit. The center's three star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor environment was completed. Children were observed engaged in free choice activities indoors and outdoors, caretaking routines, staff/child interaction, meal time and rest time. Fire drills are being completed monthly as required. Emergency drills are being conducted every three months as required. Incident logs were monitored during today’s visit. Playground inspections are being conducted monthly. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. Medications, Permission to Administer forms, and medical action plans were monitored during today’s visit. All staff files were monitored for criminal background checks, First Aid/CPR, Recognizing and Responding, ITS/SIDS and BSAC during today’s visit. The following violations were documented 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. Operator's last approved fire inspection was conducted on 11/9/23. Fire inspection conducted on 10/9/24 was not approved and another inspection will need to be conducted. 10A NCAC 09 .0304(a) 847 Parent's medication authorization did not include required information. In space 1, a child under 1 year of age did not have a Medication Administration Permission Form on file for their emergency medication. 10A NCAC 09 .0803(4)(6-9) 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. A staff member hired on 6/12/24 did not have a current First Aid certificate on file and available for review. .1102(c) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member hired on 9/13/23 did not have a child maltreatment certificate on file and available for review. .1102(g) Technical Assistance was provided on the following: We discussed reaching out to the fire department to schedule another fire inspection. Once the inspection is complete, operator will submit new inspection within 7 days. We discussed the administrator reviewing the staff and training worksheets and staff files monthly to ensure all trainings are kept current. We discussed staff utilizing the DCDEE’s Staff Health Assessment/Medical Report when having a physical completed within the first 30 days of employment, to ensure all required information is reviewed and completed by a physician. Consultation was provided on the following: We discussed ensuring that a new Summary of Laws is posted and kept up to date. We discussed reviewing permission to administer forms thoroughly to ensure all information is included on the form and the document is filled out in its entirety. We discussed staff checking diaper creams monthly to ensure there are no expired creams in their classrooms. We discussed reviewing infant feeding schedules thoroughly to ensure all information is included on the form and the document is filled out in its entirety. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 18, 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: Brittany Adams, Child Care Consultant PO Box 470753 Charlotte, NC 28247 Email: brittany.j.adams@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. You may contact me by phone at (704) 594-0049 or by email at brittany.j.adams@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. 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: KINDERCARE LEARNING CENTER-STAFFORD Facility ID: 13000599 Consultant: BRITTANY ADAMS Operation Type: Center Case Number: Visit Date: 12/4/2024 Number Present: 79 Completed Date: 12/4/2024 Age: From 0 To 4 Total Minutes: 390 Time In: 10:15 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Regina Seegars, Director, assisted me with the walk through. The last annual compliance visit was conducted on July 10, 2024. The last sanitation inspection was completed on December 2, 2024. The last fire inspection was conducted November 9, 2023. Your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 78% prior to today’s visit. The center's three star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor environment was completed. Children were observed engaged in free choice activities indoors and outdoors, caretaking routines, staff/child interaction, meal time and rest time. Fire drills are being completed monthly as required. Emergency drills are being conducted every three months as required. Incident logs were monitored during today’s visit. Playground inspections are being conducted monthly. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. Medications, Permission to Administer forms, and medical action plans were monitored during today’s visit. All staff files were monitored for criminal background checks, First Aid/CPR, Recognizing and Responding, ITS/SIDS and BSAC during today’s visit. The following violations were documented 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. Operator's last approved fire inspection was conducted on 11/9/23. Fire inspection conducted on 10/9/24 was not approved and another inspection will need to be conducted. 10A NCAC 09 .0304(a) 847 Parent's medication authorization did not include required information. In space 1, a child under 1 year of age did not have a Medication Administration Permission Form on file for their emergency medication. 10A NCAC 09 .0803(4)(6-9) 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. A staff member hired on 6/12/24 did not have a current First Aid certificate on file and available for review. .1102(c) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member hired on 9/13/23 did not have a child maltreatment certificate on file and available for review. .1102(g) Technical Assistance was provided on the following: We discussed reaching out to the fire department to schedule another fire inspection. Once the inspection is complete, operator will submit new inspection within 7 days. We discussed the administrator reviewing the staff and training worksheets and staff files monthly to ensure all trainings are kept current. We discussed staff utilizing the DCDEE’s Staff Health Assessment/Medical Report when having a physical completed within the first 30 days of employment, to ensure all required information is reviewed and completed by a physician. Consultation was provided on the following: We discussed ensuring that a new Summary of Laws is posted and kept up to date. We discussed reviewing permission to administer forms thoroughly to ensure all information is included on the form and the document is filled out in its entirety. We discussed staff checking diaper creams monthly to ensure there are no expired creams in their classrooms. We discussed reviewing infant feeding schedules thoroughly to ensure all information is included on the form and the document is filled out in its entirety. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 18, 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: Brittany Adams, Child Care Consultant PO Box 470753 Charlotte, NC 28247 Email: brittany.j.adams@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. You may contact me by phone at (704) 594-0049 or by email at brittany.j.adams@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: KINDERCARE LEARNING CENTER-STAFFORD Facility ID: 13000599 Consultant: BRITTANY ADAMS Operation Type: Center Case Number: Visit Date: 12/4/2024 Number Present: 79 Completed Date: 12/4/2024 Age: From 0 To 4 Total Minutes: 390 Time In: 10:15 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Regina Seegars, Director, assisted me with the walk through. The last annual compliance visit was conducted on July 10, 2024. The last sanitation inspection was completed on December 2, 2024. The last fire inspection was conducted November 9, 2023. Your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 78% prior to today’s visit. The center's three star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor environment was completed. Children were observed engaged in free choice activities indoors and outdoors, caretaking routines, staff/child interaction, meal time and rest time. Fire drills are being completed monthly as required. Emergency drills are being conducted every three months as required. Incident logs were monitored during today’s visit. Playground inspections are being conducted monthly. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. Medications, Permission to Administer forms, and medical action plans were monitored during today’s visit. All staff files were monitored for criminal background checks, First Aid/CPR, Recognizing and Responding, ITS/SIDS and BSAC during today’s visit. The following violations were documented 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. Operator's last approved fire inspection was conducted on 11/9/23. Fire inspection conducted on 10/9/24 was not approved and another inspection will need to be conducted. 10A NCAC 09 .0304(a) 847 Parent's medication authorization did not include required information. In space 1, a child under 1 year of age did not have a Medication Administration Permission Form on file for their emergency medication. 10A NCAC 09 .0803(4)(6-9) 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. A staff member hired on 6/12/24 did not have a current First Aid certificate on file and available for review. .1102(c) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member hired on 9/13/23 did not have a child maltreatment certificate on file and available for review. .1102(g) Technical Assistance was provided on the following: We discussed reaching out to the fire department to schedule another fire inspection. Once the inspection is complete, operator will submit new inspection within 7 days. We discussed the administrator reviewing the staff and training worksheets and staff files monthly to ensure all trainings are kept current. We discussed staff utilizing the DCDEE’s Staff Health Assessment/Medical Report when having a physical completed within the first 30 days of employment, to ensure all required information is reviewed and completed by a physician. Consultation was provided on the following: We discussed ensuring that a new Summary of Laws is posted and kept up to date. We discussed reviewing permission to administer forms thoroughly to ensure all information is included on the form and the document is filled out in its entirety. We discussed staff checking diaper creams monthly to ensure there are no expired creams in their classrooms. We discussed reviewing infant feeding schedules thoroughly to ensure all information is included on the form and the document is filled out in its entirety. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 18, 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: Brittany Adams, Child Care Consultant PO Box 470753 Charlotte, NC 28247 Email: brittany.j.adams@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. You may contact me by phone at (704) 594-0049 or by email at brittany.j.adams@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. 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: KINDERCARE LEARNING CENTER-STAFFORD Facility ID: 13000599 Consultant: BRITTANY ADAMS Operation Type: Center Case Number: Visit Date: 12/4/2024 Number Present: 79 Completed Date: 12/4/2024 Age: From 0 To 4 Total Minutes: 390 Time In: 10:15 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Regina Seegars, Director, assisted me with the walk through. The last annual compliance visit was conducted on July 10, 2024. The last sanitation inspection was completed on December 2, 2024. The last fire inspection was conducted November 9, 2023. Your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 78% prior to today’s visit. The center's three star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor environment was completed. Children were observed engaged in free choice activities indoors and outdoors, caretaking routines, staff/child interaction, meal time and rest time. Fire drills are being completed monthly as required. Emergency drills are being conducted every three months as required. Incident logs were monitored during today’s visit. Playground inspections are being conducted monthly. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. Medications, Permission to Administer forms, and medical action plans were monitored during today’s visit. All staff files were monitored for criminal background checks, First Aid/CPR, Recognizing and Responding, ITS/SIDS and BSAC during today’s visit. The following violations were documented 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. Operator's last approved fire inspection was conducted on 11/9/23. Fire inspection conducted on 10/9/24 was not approved and another inspection will need to be conducted. 10A NCAC 09 .0304(a) 847 Parent's medication authorization did not include required information. In space 1, a child under 1 year of age did not have a Medication Administration Permission Form on file for their emergency medication. 10A NCAC 09 .0803(4)(6-9) 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. A staff member hired on 6/12/24 did not have a current First Aid certificate on file and available for review. .1102(c) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member hired on 9/13/23 did not have a child maltreatment certificate on file and available for review. .1102(g) Technical Assistance was provided on the following: We discussed reaching out to the fire department to schedule another fire inspection. Once the inspection is complete, operator will submit new inspection within 7 days. We discussed the administrator reviewing the staff and training worksheets and staff files monthly to ensure all trainings are kept current. We discussed staff utilizing the DCDEE’s Staff Health Assessment/Medical Report when having a physical completed within the first 30 days of employment, to ensure all required information is reviewed and completed by a physician. Consultation was provided on the following: We discussed ensuring that a new Summary of Laws is posted and kept up to date. We discussed reviewing permission to administer forms thoroughly to ensure all information is included on the form and the document is filled out in its entirety. We discussed staff checking diaper creams monthly to ensure there are no expired creams in their classrooms. We discussed reviewing infant feeding schedules thoroughly to ensure all information is included on the form and the document is filled out in its entirety. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 18, 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: Brittany Adams, Child Care Consultant PO Box 470753 Charlotte, NC 28247 Email: brittany.j.adams@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. You may contact me by phone at (704) 594-0049 or by email at brittany.j.adams@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: KINDERCARE LEARNING CENTER-STAFFORD Facility ID: 13000599 Consultant: BRITTANY ADAMS Operation Type: Center Case Number: Visit Date: 6/27/2024 Number Present: 58 Completed Date: 6/27/2024 Age: From 0 To 5 Total Minutes: 365 Time In: 09:05 AM Time Out: 03:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Toni Washington, Child Care Consultant, accompanied me on today’s visit. You, Alexa McKinney, Assistant Director, assisted me with today’s visit. The last annual compliance visit was conducted on July 7, 2023. The last sanitation inspection was completed on February 7, 2024 with a “Superior” classification and 12 demerits. The last fire inspection was conducted November 9, 2023, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 90 percent prior to today’s visit. The center's three star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free play both indoor and outdoor, teacher directed activities, care taking routines, staff/child interaction, story time and meal time. Fire drills are being completed monthly as required. Emergency drills are being conducted every three months as required. Incident logs were monitored during today’s visit. Incident reports are being filed in children’s individual files. Playground inspections are being conducted monthly. Your playground meets child care safety standards. No concerns were observed. Materials, toys, and equipment throughout the facility were in good repair. Medications and medical action plans, and permission to administer forms were monitored today. A selection of staff files and children’s files were monitored during today’s visit. The program does not provide transportation. The following violations were documented today: Violation Number Comment Rule 487 For children under three years of age, materials were not made available to children on a daily basis. In space 6 toy and book shelves were turned around, facing the wall, in the classroom. .0510(e)(2) 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. In space 6, there was not a sufficient quantity of toys in activity areas. .0510(e)(3) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Menu was not updated to reflect what was given for lunch. 10A NCAC 09 .0901(b) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). In space 7, 2 children under 15 months did not have feeding plans completed and posted in the classroom. 10A NCAC 09 .0902(a) 847 Parent's medication authorization did not include required information. In space 2, space 6, space 7, and space 10 several children's permission to administer form did not have the amount of ointment to be applied, parent signature, and the date. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 7, one child had an expired permission to administer form. .0803(12) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One staff member hired on April 10, 2024 did not update the health questionnaire. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One staff member hired on April 10, 2023 did not update the emergency information form. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff member hired on April 10, 2023 did not have a staff development plan completed. 10A NCAC 09 .0514(f) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR plan was last updated on March 2, 2020. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff member hired on April 10, 2023 did not review the EPR plan annually. .0607(f) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member hired on January 29, 2024 did not complete Child Maltreatment training. .1102(g) Technical Assistance was provided on the following: We discussed the following items: 1. Ensuring all shelves in the classroom with toys and other items for children, are made accessible to children throughout the day and not turned around facing the wall. 2. When receiving permission to administer forms from parents, thoroughly checking each form to make sure all the required information is listed. 3. Ensuring each ointment has a permission to administer form completed and kept with the ointment. 4. Ensuring each permission to administer form is current and not expired. 5. Ensuring that each child under the age of 15 months has a completed feeding schedule posted in their classroom. 6. Ensuring that each employee has an a staff development plan completed annually. 7. Ensuring that each employee completes a review of the EPR plan and the Emergency Medical Care Plan annually and documents that it has been reviewed. 8. Ensuring that each employee updates their health questionnaire and emergency information annually. 9. Ensuring that when menu items are changes, the menu posted in the lobby of the facility for parents review is also updated. Consultation was provided on the following: We discussed the following items: 1. Ensuring that each lesson plan has a date listed. 2. Ensuring that permission to administer forms have an expiration dated listed for ointments. 3. Ensuring that no plastic bags are accessible to children under the age of three years of age and are placed at least five feet up. 4. Ensuring that teachers are engaging with children while actively supervising classroom activities. 5. Ensuring fire inspections are completed annually and inspections are sent to the Child Care Consultant within 7 days. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before July 11, 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: Brittany Adams, Child Care Consultant PO Box 470753 Charlotte, NC 28247 Email: brittany.j.adams@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. You may contact me by phone at (704) 594-0049 or by email at brittany.j.adams@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. 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 .0902 · Violation

Name of Operation: KINDERCARE LEARNING CENTER-STAFFORD Facility ID: 13000599 Consultant: BRITTANY ADAMS Operation Type: Center Case Number: Visit Date: 6/27/2024 Number Present: 58 Completed Date: 6/27/2024 Age: From 0 To 5 Total Minutes: 365 Time In: 09:05 AM Time Out: 03:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Toni Washington, Child Care Consultant, accompanied me on today’s visit. You, Alexa McKinney, Assistant Director, assisted me with today’s visit. The last annual compliance visit was conducted on July 7, 2023. The last sanitation inspection was completed on February 7, 2024 with a “Superior” classification and 12 demerits. The last fire inspection was conducted November 9, 2023, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 90 percent prior to today’s visit. The center's three star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free play both indoor and outdoor, teacher directed activities, care taking routines, staff/child interaction, story time and meal time. Fire drills are being completed monthly as required. Emergency drills are being conducted every three months as required. Incident logs were monitored during today’s visit. Incident reports are being filed in children’s individual files. Playground inspections are being conducted monthly. Your playground meets child care safety standards. No concerns were observed. Materials, toys, and equipment throughout the facility were in good repair. Medications and medical action plans, and permission to administer forms were monitored today. A selection of staff files and children’s files were monitored during today’s visit. The program does not provide transportation. The following violations were documented today: Violation Number Comment Rule 487 For children under three years of age, materials were not made available to children on a daily basis. In space 6 toy and book shelves were turned around, facing the wall, in the classroom. .0510(e)(2) 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. In space 6, there was not a sufficient quantity of toys in activity areas. .0510(e)(3) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Menu was not updated to reflect what was given for lunch. 10A NCAC 09 .0901(b) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). In space 7, 2 children under 15 months did not have feeding plans completed and posted in the classroom. 10A NCAC 09 .0902(a) 847 Parent's medication authorization did not include required information. In space 2, space 6, space 7, and space 10 several children's permission to administer form did not have the amount of ointment to be applied, parent signature, and the date. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 7, one child had an expired permission to administer form. .0803(12) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One staff member hired on April 10, 2024 did not update the health questionnaire. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One staff member hired on April 10, 2023 did not update the emergency information form. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff member hired on April 10, 2023 did not have a staff development plan completed. 10A NCAC 09 .0514(f) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR plan was last updated on March 2, 2020. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff member hired on April 10, 2023 did not review the EPR plan annually. .0607(f) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member hired on January 29, 2024 did not complete Child Maltreatment training. .1102(g) Technical Assistance was provided on the following: We discussed the following items: 1. Ensuring all shelves in the classroom with toys and other items for children, are made accessible to children throughout the day and not turned around facing the wall. 2. When receiving permission to administer forms from parents, thoroughly checking each form to make sure all the required information is listed. 3. Ensuring each ointment has a permission to administer form completed and kept with the ointment. 4. Ensuring each permission to administer form is current and not expired. 5. Ensuring that each child under the age of 15 months has a completed feeding schedule posted in their classroom. 6. Ensuring that each employee has an a staff development plan completed annually. 7. Ensuring that each employee completes a review of the EPR plan and the Emergency Medical Care Plan annually and documents that it has been reviewed. 8. Ensuring that each employee updates their health questionnaire and emergency information annually. 9. Ensuring that when menu items are changes, the menu posted in the lobby of the facility for parents review is also updated. Consultation was provided on the following: We discussed the following items: 1. Ensuring that each lesson plan has a date listed. 2. Ensuring that permission to administer forms have an expiration dated listed for ointments. 3. Ensuring that no plastic bags are accessible to children under the age of three years of age and are placed at least five feet up. 4. Ensuring that teachers are engaging with children while actively supervising classroom activities. 5. Ensuring fire inspections are completed annually and inspections are sent to the Child Care Consultant within 7 days. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before July 11, 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: Brittany Adams, Child Care Consultant PO Box 470753 Charlotte, NC 28247 Email: brittany.j.adams@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. You may contact me by phone at (704) 594-0049 or by email at brittany.j.adams@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0514 · Violation

Name of Operation: KINDERCARE LEARNING CENTER-STAFFORD Facility ID: 13000599 Consultant: BRITTANY ADAMS Operation Type: Center Case Number: Visit Date: 6/27/2024 Number Present: 58 Completed Date: 6/27/2024 Age: From 0 To 5 Total Minutes: 365 Time In: 09:05 AM Time Out: 03:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Toni Washington, Child Care Consultant, accompanied me on today’s visit. You, Alexa McKinney, Assistant Director, assisted me with today’s visit. The last annual compliance visit was conducted on July 7, 2023. The last sanitation inspection was completed on February 7, 2024 with a “Superior” classification and 12 demerits. The last fire inspection was conducted November 9, 2023, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 90 percent prior to today’s visit. The center's three star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free play both indoor and outdoor, teacher directed activities, care taking routines, staff/child interaction, story time and meal time. Fire drills are being completed monthly as required. Emergency drills are being conducted every three months as required. Incident logs were monitored during today’s visit. Incident reports are being filed in children’s individual files. Playground inspections are being conducted monthly. Your playground meets child care safety standards. No concerns were observed. Materials, toys, and equipment throughout the facility were in good repair. Medications and medical action plans, and permission to administer forms were monitored today. A selection of staff files and children’s files were monitored during today’s visit. The program does not provide transportation. The following violations were documented today: Violation Number Comment Rule 487 For children under three years of age, materials were not made available to children on a daily basis. In space 6 toy and book shelves were turned around, facing the wall, in the classroom. .0510(e)(2) 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. In space 6, there was not a sufficient quantity of toys in activity areas. .0510(e)(3) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Menu was not updated to reflect what was given for lunch. 10A NCAC 09 .0901(b) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). In space 7, 2 children under 15 months did not have feeding plans completed and posted in the classroom. 10A NCAC 09 .0902(a) 847 Parent's medication authorization did not include required information. In space 2, space 6, space 7, and space 10 several children's permission to administer form did not have the amount of ointment to be applied, parent signature, and the date. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 7, one child had an expired permission to administer form. .0803(12) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One staff member hired on April 10, 2024 did not update the health questionnaire. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One staff member hired on April 10, 2023 did not update the emergency information form. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff member hired on April 10, 2023 did not have a staff development plan completed. 10A NCAC 09 .0514(f) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR plan was last updated on March 2, 2020. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff member hired on April 10, 2023 did not review the EPR plan annually. .0607(f) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member hired on January 29, 2024 did not complete Child Maltreatment training. .1102(g) Technical Assistance was provided on the following: We discussed the following items: 1. Ensuring all shelves in the classroom with toys and other items for children, are made accessible to children throughout the day and not turned around facing the wall. 2. When receiving permission to administer forms from parents, thoroughly checking each form to make sure all the required information is listed. 3. Ensuring each ointment has a permission to administer form completed and kept with the ointment. 4. Ensuring each permission to administer form is current and not expired. 5. Ensuring that each child under the age of 15 months has a completed feeding schedule posted in their classroom. 6. Ensuring that each employee has an a staff development plan completed annually. 7. Ensuring that each employee completes a review of the EPR plan and the Emergency Medical Care Plan annually and documents that it has been reviewed. 8. Ensuring that each employee updates their health questionnaire and emergency information annually. 9. Ensuring that when menu items are changes, the menu posted in the lobby of the facility for parents review is also updated. Consultation was provided on the following: We discussed the following items: 1. Ensuring that each lesson plan has a date listed. 2. Ensuring that permission to administer forms have an expiration dated listed for ointments. 3. Ensuring that no plastic bags are accessible to children under the age of three years of age and are placed at least five feet up. 4. Ensuring that teachers are engaging with children while actively supervising classroom activities. 5. Ensuring fire inspections are completed annually and inspections are sent to the Child Care Consultant within 7 days. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before July 11, 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: Brittany Adams, Child Care Consultant PO Box 470753 Charlotte, NC 28247 Email: brittany.j.adams@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. You may contact me by phone at (704) 594-0049 or by email at brittany.j.adams@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: KINDERCARE LEARNING CENTER-STAFFORD Facility ID: 13000599 Consultant: BRITTANY ADAMS Operation Type: Center Case Number: Visit Date: 6/27/2024 Number Present: 58 Completed Date: 6/27/2024 Age: From 0 To 5 Total Minutes: 365 Time In: 09:05 AM Time Out: 03:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Toni Washington, Child Care Consultant, accompanied me on today’s visit. You, Alexa McKinney, Assistant Director, assisted me with today’s visit. The last annual compliance visit was conducted on July 7, 2023. The last sanitation inspection was completed on February 7, 2024 with a “Superior” classification and 12 demerits. The last fire inspection was conducted November 9, 2023, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 90 percent prior to today’s visit. The center's three star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free play both indoor and outdoor, teacher directed activities, care taking routines, staff/child interaction, story time and meal time. Fire drills are being completed monthly as required. Emergency drills are being conducted every three months as required. Incident logs were monitored during today’s visit. Incident reports are being filed in children’s individual files. Playground inspections are being conducted monthly. Your playground meets child care safety standards. No concerns were observed. Materials, toys, and equipment throughout the facility were in good repair. Medications and medical action plans, and permission to administer forms were monitored today. A selection of staff files and children’s files were monitored during today’s visit. The program does not provide transportation. The following violations were documented today: Violation Number Comment Rule 487 For children under three years of age, materials were not made available to children on a daily basis. In space 6 toy and book shelves were turned around, facing the wall, in the classroom. .0510(e)(2) 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. In space 6, there was not a sufficient quantity of toys in activity areas. .0510(e)(3) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Menu was not updated to reflect what was given for lunch. 10A NCAC 09 .0901(b) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). In space 7, 2 children under 15 months did not have feeding plans completed and posted in the classroom. 10A NCAC 09 .0902(a) 847 Parent's medication authorization did not include required information. In space 2, space 6, space 7, and space 10 several children's permission to administer form did not have the amount of ointment to be applied, parent signature, and the date. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 7, one child had an expired permission to administer form. .0803(12) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One staff member hired on April 10, 2024 did not update the health questionnaire. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One staff member hired on April 10, 2023 did not update the emergency information form. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff member hired on April 10, 2023 did not have a staff development plan completed. 10A NCAC 09 .0514(f) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR plan was last updated on March 2, 2020. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff member hired on April 10, 2023 did not review the EPR plan annually. .0607(f) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member hired on January 29, 2024 did not complete Child Maltreatment training. .1102(g) Technical Assistance was provided on the following: We discussed the following items: 1. Ensuring all shelves in the classroom with toys and other items for children, are made accessible to children throughout the day and not turned around facing the wall. 2. When receiving permission to administer forms from parents, thoroughly checking each form to make sure all the required information is listed. 3. Ensuring each ointment has a permission to administer form completed and kept with the ointment. 4. Ensuring each permission to administer form is current and not expired. 5. Ensuring that each child under the age of 15 months has a completed feeding schedule posted in their classroom. 6. Ensuring that each employee has an a staff development plan completed annually. 7. Ensuring that each employee completes a review of the EPR plan and the Emergency Medical Care Plan annually and documents that it has been reviewed. 8. Ensuring that each employee updates their health questionnaire and emergency information annually. 9. Ensuring that when menu items are changes, the menu posted in the lobby of the facility for parents review is also updated. Consultation was provided on the following: We discussed the following items: 1. Ensuring that each lesson plan has a date listed. 2. Ensuring that permission to administer forms have an expiration dated listed for ointments. 3. Ensuring that no plastic bags are accessible to children under the age of three years of age and are placed at least five feet up. 4. Ensuring that teachers are engaging with children while actively supervising classroom activities. 5. Ensuring fire inspections are completed annually and inspections are sent to the Child Care Consultant within 7 days. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before July 11, 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: Brittany Adams, Child Care Consultant PO Box 470753 Charlotte, NC 28247 Email: brittany.j.adams@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. You may contact me by phone at (704) 594-0049 or by email at brittany.j.adams@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. 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: KINDERCARE LEARNING CENTER-STAFFORD Facility ID: 13000599 Consultant: BRITTANY ADAMS Operation Type: Center Case Number: Visit Date: 6/27/2024 Number Present: 58 Completed Date: 6/27/2024 Age: From 0 To 5 Total Minutes: 365 Time In: 09:05 AM Time Out: 03:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Toni Washington, Child Care Consultant, accompanied me on today’s visit. You, Alexa McKinney, Assistant Director, assisted me with today’s visit. The last annual compliance visit was conducted on July 7, 2023. The last sanitation inspection was completed on February 7, 2024 with a “Superior” classification and 12 demerits. The last fire inspection was conducted November 9, 2023, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 90 percent prior to today’s visit. The center's three star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free play both indoor and outdoor, teacher directed activities, care taking routines, staff/child interaction, story time and meal time. Fire drills are being completed monthly as required. Emergency drills are being conducted every three months as required. Incident logs were monitored during today’s visit. Incident reports are being filed in children’s individual files. Playground inspections are being conducted monthly. Your playground meets child care safety standards. No concerns were observed. Materials, toys, and equipment throughout the facility were in good repair. Medications and medical action plans, and permission to administer forms were monitored today. A selection of staff files and children’s files were monitored during today’s visit. The program does not provide transportation. The following violations were documented today: Violation Number Comment Rule 487 For children under three years of age, materials were not made available to children on a daily basis. In space 6 toy and book shelves were turned around, facing the wall, in the classroom. .0510(e)(2) 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. In space 6, there was not a sufficient quantity of toys in activity areas. .0510(e)(3) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Menu was not updated to reflect what was given for lunch. 10A NCAC 09 .0901(b) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). In space 7, 2 children under 15 months did not have feeding plans completed and posted in the classroom. 10A NCAC 09 .0902(a) 847 Parent's medication authorization did not include required information. In space 2, space 6, space 7, and space 10 several children's permission to administer form did not have the amount of ointment to be applied, parent signature, and the date. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 7, one child had an expired permission to administer form. .0803(12) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One staff member hired on April 10, 2024 did not update the health questionnaire. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One staff member hired on April 10, 2023 did not update the emergency information form. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff member hired on April 10, 2023 did not have a staff development plan completed. 10A NCAC 09 .0514(f) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR plan was last updated on March 2, 2020. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff member hired on April 10, 2023 did not review the EPR plan annually. .0607(f) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member hired on January 29, 2024 did not complete Child Maltreatment training. .1102(g) Technical Assistance was provided on the following: We discussed the following items: 1. Ensuring all shelves in the classroom with toys and other items for children, are made accessible to children throughout the day and not turned around facing the wall. 2. When receiving permission to administer forms from parents, thoroughly checking each form to make sure all the required information is listed. 3. Ensuring each ointment has a permission to administer form completed and kept with the ointment. 4. Ensuring each permission to administer form is current and not expired. 5. Ensuring that each child under the age of 15 months has a completed feeding schedule posted in their classroom. 6. Ensuring that each employee has an a staff development plan completed annually. 7. Ensuring that each employee completes a review of the EPR plan and the Emergency Medical Care Plan annually and documents that it has been reviewed. 8. Ensuring that each employee updates their health questionnaire and emergency information annually. 9. Ensuring that when menu items are changes, the menu posted in the lobby of the facility for parents review is also updated. Consultation was provided on the following: We discussed the following items: 1. Ensuring that each lesson plan has a date listed. 2. Ensuring that permission to administer forms have an expiration dated listed for ointments. 3. Ensuring that no plastic bags are accessible to children under the age of three years of age and are placed at least five feet up. 4. Ensuring that teachers are engaging with children while actively supervising classroom activities. 5. Ensuring fire inspections are completed annually and inspections are sent to the Child Care Consultant within 7 days. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before July 11, 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: Brittany Adams, Child Care Consultant PO Box 470753 Charlotte, NC 28247 Email: brittany.j.adams@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. You may contact me by phone at (704) 594-0049 or by email at brittany.j.adams@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. 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: KINDERCARE LEARNING CENTER-STAFFORD Facility ID: 13000599 Consultant: DANA STIKELEATHER Operation Type: Center Case Number: Visit Date: 7/10/2023 Number Present: 68 Completed Date: 7/10/2023 Age: From 0 To 5 Total Minutes: 231 Time In: 09:24 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Ms. Meria Wilder, Child Care Consultant, accompanied me on today’s visit. You, Ms. Regina Seegars, director, assisted us with today’s visit. Your program currently operates with a three-star license, issued January 19, 2023, earning 2 points in the education component, 5 points in the program standards component (meeting enhanced ratios and enhanced space) and 1 quality point. There are three new staff. New staff files and a sampling of other staff files were monitored today. CPR and First Aid training expired for one staff on June 30, 2023. One staff did not have a TB test on file. One staff should have completed health and safety trainings by September 2022. A sampling of children’s files was monitored today. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not received and explained to the parent at enrollment. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy is now on file but was missing the child’s enrollment. You included the child’s enrollment date during the visit. Two children’s application did not include the date of enrollment and the date the application was completed. You completed this information during the visit. Additional files may be monitored during other visits throughout the year. I visited each indoor and outdoor spaces. The Annual Compliance Monitoring Checklist for Child Care Centers was used during today’s visit. A copy of this document was emailed to you during today’s visit. In space 10, there is a hole in the wall near the door that leads to the outside. There were two aerosol cans in an unlocked cabinet. The aerosol cans were placed in locked storage during today’s visit. The medication form, for Banana Boat Baby Mineral Sunscreen, did not include all required information. In space 6, there is a hole in the wall on the side near the door that leads to the hallway. The medication forms, for two tubes of Desitin and Neutrogena Pure and Free Baby Sunscreen, did not include all required information. On playground 3, the fence is not flush with the ground and has sharp edges at the fence facing the parking lot and the back of the fence on the other side of playground. The gate and fence between playground 3 and playground 1 have places where the fence is not flush with the ground and has sharp edges. You stated that you have submitted work orders for the fence. Children were observed during free play activities, group time, staff/child interactions, transitions, routines, and lunch. Lunch included cheese pizza, salad, pineapple, and milk. You stated that you are not providing transportation. A sanitation inspection was completed on March 15, 2023. You received a superior classification with fifteen demerits. A fire inspection was conducted on October 3, 2022. The last fire drill was conducted on July 5, 2023. The last playground inspection was conducted on July 3, 2023. A shelter-on-place drill was conducted on April 3, 2023. A shelter-in-place or lock down drill will need to be conducted this month, July 2023. The center's compliance history was reviewed with you. The programs compliance history was at eighty-five percent as of July 10, 2023. The following violations were documented: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean and in good repair. In space 6, there is a hole in the wall on the side near the door that leads to the hallway. In space 10, there is a hole in the wall near the door that leads to the outside. 15A NCAC 18A .2825(a) 807 A safe indoor and outdoor environment was not provided for the children. On playground 3, the fence is not flush with the ground and has sharp edges at the fence facing the parking lot and the back of the fence on the other side of playground. The gate and fence between playground 3 and playground 1 have places where the fence is not flush with the ground and has sharp edges. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 10, there were two aerosol cans in an unlocked cabinet. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space 6, The medication forms, for two tubes of Desitin and Neutrogena Pure and Free Baby Sunscreen, did not include all required information. In space 10, the medication form, for Banana Boat Baby Mineral Sunscreen, did not include all required information. 10A NCAC 09 .0803(1)(a & b) 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. First Aid training expired for one staff on June 30, 2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. CPR training expired for one staff on June 30, 2023. .1102(d) 1329 Application for enrollment did not include all required information. Two children’s application did not include the date of enrollment and the date the application was completed. .0801(a)(1-7) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. One staff did not have a TB test on file. .0701(d) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One staff should have completed health and safety trainings by September 2022. .1103(b) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not received and explained to the parent at enrollment. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy is now on file but was missing the child’s enrollment. .0608(b)(1-6) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before July 24, 2023, I need to 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. While the Division allow you time to explain how you have corrected violations when violations are cited, it is expected you correct all violations immediately. When you are asked to send a compliance letter to me, it is expected and required that your compliance letter be sent to me no later than the date indicated in this documentation. Your letter must include the following: -Name of your program -ID number of your program -Date of Letter -Violation number -Explain how you corrected the violation (send supporting documentation to show compliance) -Describe your plan to make sure you will not have that same violation in the future -Name or signature of the person who wrote the letter. (If emailing the letter, your email address will be considered your digital signature.) Technical assistance was given today concerning the following: We reviewed and discussed medication requirements. We discussed having someone in the office check the medication and form when it is brought in. Make sure that all required information is complete. We discussed making sure dates are accurate, the amount and how to apply is a measurable description. We reviewed and discussed items that have be kept in locked storage and those that can be stored out of reach of children, at least five feet. We discussed that all aerosol cans have to be placed in locked storage. We discussed having staff do a routine check to make sure that aerosol cans are in locked storage. We discussed the outdoor play area. It was recommended that as soon as you see items that need to be fixed that you submit work orders for the repairs. We also discussed for you to inform staff to let you know if they see items that need to be repaired. We reviewed and discussed staff files and making sure all information is completed within the required timeframes. We discussed using the staff file checklist, orientation sheet, and staff and training worksheet to make sure information is completed. Suggestions were given concerning doing routine checks of staff files to make sure all required information is on file. We reviewed and discussed information that is required on the children’s application. We discussed checking applications as you receive them to make sure all information has been completed. For the latest information on childcare 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, this visit summary was reviewed, and a copy was emailed to you. Thank you for your time today. Contact me at 704-594-0049 or by email at dana.stikeleather@dhhs.nc.gov or Kris Updike, Supervisor, at 336-404-4133 or by email at kris.updike@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: KINDERCARE LEARNING CENTER-STAFFORD Facility ID: 13000599 Consultant: DANA STIKELEATHER Operation Type: Center Case Number: Visit Date: 7/10/2023 Number Present: 68 Completed Date: 7/10/2023 Age: From 0 To 5 Total Minutes: 231 Time In: 09:24 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Ms. Meria Wilder, Child Care Consultant, accompanied me on today’s visit. You, Ms. Regina Seegars, director, assisted us with today’s visit. Your program currently operates with a three-star license, issued January 19, 2023, earning 2 points in the education component, 5 points in the program standards component (meeting enhanced ratios and enhanced space) and 1 quality point. There are three new staff. New staff files and a sampling of other staff files were monitored today. CPR and First Aid training expired for one staff on June 30, 2023. One staff did not have a TB test on file. One staff should have completed health and safety trainings by September 2022. A sampling of children’s files was monitored today. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not received and explained to the parent at enrollment. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy is now on file but was missing the child’s enrollment. You included the child’s enrollment date during the visit. Two children’s application did not include the date of enrollment and the date the application was completed. You completed this information during the visit. Additional files may be monitored during other visits throughout the year. I visited each indoor and outdoor spaces. The Annual Compliance Monitoring Checklist for Child Care Centers was used during today’s visit. A copy of this document was emailed to you during today’s visit. In space 10, there is a hole in the wall near the door that leads to the outside. There were two aerosol cans in an unlocked cabinet. The aerosol cans were placed in locked storage during today’s visit. The medication form, for Banana Boat Baby Mineral Sunscreen, did not include all required information. In space 6, there is a hole in the wall on the side near the door that leads to the hallway. The medication forms, for two tubes of Desitin and Neutrogena Pure and Free Baby Sunscreen, did not include all required information. On playground 3, the fence is not flush with the ground and has sharp edges at the fence facing the parking lot and the back of the fence on the other side of playground. The gate and fence between playground 3 and playground 1 have places where the fence is not flush with the ground and has sharp edges. You stated that you have submitted work orders for the fence. Children were observed during free play activities, group time, staff/child interactions, transitions, routines, and lunch. Lunch included cheese pizza, salad, pineapple, and milk. You stated that you are not providing transportation. A sanitation inspection was completed on March 15, 2023. You received a superior classification with fifteen demerits. A fire inspection was conducted on October 3, 2022. The last fire drill was conducted on July 5, 2023. The last playground inspection was conducted on July 3, 2023. A shelter-on-place drill was conducted on April 3, 2023. A shelter-in-place or lock down drill will need to be conducted this month, July 2023. The center's compliance history was reviewed with you. The programs compliance history was at eighty-five percent as of July 10, 2023. The following violations were documented: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean and in good repair. In space 6, there is a hole in the wall on the side near the door that leads to the hallway. In space 10, there is a hole in the wall near the door that leads to the outside. 15A NCAC 18A .2825(a) 807 A safe indoor and outdoor environment was not provided for the children. On playground 3, the fence is not flush with the ground and has sharp edges at the fence facing the parking lot and the back of the fence on the other side of playground. The gate and fence between playground 3 and playground 1 have places where the fence is not flush with the ground and has sharp edges. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 10, there were two aerosol cans in an unlocked cabinet. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space 6, The medication forms, for two tubes of Desitin and Neutrogena Pure and Free Baby Sunscreen, did not include all required information. In space 10, the medication form, for Banana Boat Baby Mineral Sunscreen, did not include all required information. 10A NCAC 09 .0803(1)(a & b) 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. First Aid training expired for one staff on June 30, 2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. CPR training expired for one staff on June 30, 2023. .1102(d) 1329 Application for enrollment did not include all required information. Two children’s application did not include the date of enrollment and the date the application was completed. .0801(a)(1-7) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. One staff did not have a TB test on file. .0701(d) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One staff should have completed health and safety trainings by September 2022. .1103(b) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not received and explained to the parent at enrollment. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy is now on file but was missing the child’s enrollment. .0608(b)(1-6) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before July 24, 2023, I need to 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. While the Division allow you time to explain how you have corrected violations when violations are cited, it is expected you correct all violations immediately. When you are asked to send a compliance letter to me, it is expected and required that your compliance letter be sent to me no later than the date indicated in this documentation. Your letter must include the following: -Name of your program -ID number of your program -Date of Letter -Violation number -Explain how you corrected the violation (send supporting documentation to show compliance) -Describe your plan to make sure you will not have that same violation in the future -Name or signature of the person who wrote the letter. (If emailing the letter, your email address will be considered your digital signature.) Technical assistance was given today concerning the following: We reviewed and discussed medication requirements. We discussed having someone in the office check the medication and form when it is brought in. Make sure that all required information is complete. We discussed making sure dates are accurate, the amount and how to apply is a measurable description. We reviewed and discussed items that have be kept in locked storage and those that can be stored out of reach of children, at least five feet. We discussed that all aerosol cans have to be placed in locked storage. We discussed having staff do a routine check to make sure that aerosol cans are in locked storage. We discussed the outdoor play area. It was recommended that as soon as you see items that need to be fixed that you submit work orders for the repairs. We also discussed for you to inform staff to let you know if they see items that need to be repaired. We reviewed and discussed staff files and making sure all information is completed within the required timeframes. We discussed using the staff file checklist, orientation sheet, and staff and training worksheet to make sure information is completed. Suggestions were given concerning doing routine checks of staff files to make sure all required information is on file. We reviewed and discussed information that is required on the children’s application. We discussed checking applications as you receive them to make sure all information has been completed. For the latest information on childcare 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, this visit summary was reviewed, and a copy was emailed to you. Thank you for your time today. Contact me at 704-594-0049 or by email at dana.stikeleather@dhhs.nc.gov or Kris Updike, Supervisor, at 336-404-4133 or by email at kris.updike@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: KINDERCARE LEARNING CENTER-STAFFORD Facility ID: 13000599 Consultant: DANA STIKELEATHER Operation Type: Center Case Number: Visit Date: 7/10/2023 Number Present: 68 Completed Date: 7/10/2023 Age: From 0 To 5 Total Minutes: 231 Time In: 09:24 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Ms. Meria Wilder, Child Care Consultant, accompanied me on today’s visit. You, Ms. Regina Seegars, director, assisted us with today’s visit. Your program currently operates with a three-star license, issued January 19, 2023, earning 2 points in the education component, 5 points in the program standards component (meeting enhanced ratios and enhanced space) and 1 quality point. There are three new staff. New staff files and a sampling of other staff files were monitored today. CPR and First Aid training expired for one staff on June 30, 2023. One staff did not have a TB test on file. One staff should have completed health and safety trainings by September 2022. A sampling of children’s files was monitored today. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not received and explained to the parent at enrollment. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy is now on file but was missing the child’s enrollment. You included the child’s enrollment date during the visit. Two children’s application did not include the date of enrollment and the date the application was completed. You completed this information during the visit. Additional files may be monitored during other visits throughout the year. I visited each indoor and outdoor spaces. The Annual Compliance Monitoring Checklist for Child Care Centers was used during today’s visit. A copy of this document was emailed to you during today’s visit. In space 10, there is a hole in the wall near the door that leads to the outside. There were two aerosol cans in an unlocked cabinet. The aerosol cans were placed in locked storage during today’s visit. The medication form, for Banana Boat Baby Mineral Sunscreen, did not include all required information. In space 6, there is a hole in the wall on the side near the door that leads to the hallway. The medication forms, for two tubes of Desitin and Neutrogena Pure and Free Baby Sunscreen, did not include all required information. On playground 3, the fence is not flush with the ground and has sharp edges at the fence facing the parking lot and the back of the fence on the other side of playground. The gate and fence between playground 3 and playground 1 have places where the fence is not flush with the ground and has sharp edges. You stated that you have submitted work orders for the fence. Children were observed during free play activities, group time, staff/child interactions, transitions, routines, and lunch. Lunch included cheese pizza, salad, pineapple, and milk. You stated that you are not providing transportation. A sanitation inspection was completed on March 15, 2023. You received a superior classification with fifteen demerits. A fire inspection was conducted on October 3, 2022. The last fire drill was conducted on July 5, 2023. The last playground inspection was conducted on July 3, 2023. A shelter-on-place drill was conducted on April 3, 2023. A shelter-in-place or lock down drill will need to be conducted this month, July 2023. The center's compliance history was reviewed with you. The programs compliance history was at eighty-five percent as of July 10, 2023. The following violations were documented: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean and in good repair. In space 6, there is a hole in the wall on the side near the door that leads to the hallway. In space 10, there is a hole in the wall near the door that leads to the outside. 15A NCAC 18A .2825(a) 807 A safe indoor and outdoor environment was not provided for the children. On playground 3, the fence is not flush with the ground and has sharp edges at the fence facing the parking lot and the back of the fence on the other side of playground. The gate and fence between playground 3 and playground 1 have places where the fence is not flush with the ground and has sharp edges. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 10, there were two aerosol cans in an unlocked cabinet. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space 6, The medication forms, for two tubes of Desitin and Neutrogena Pure and Free Baby Sunscreen, did not include all required information. In space 10, the medication form, for Banana Boat Baby Mineral Sunscreen, did not include all required information. 10A NCAC 09 .0803(1)(a & b) 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. First Aid training expired for one staff on June 30, 2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. CPR training expired for one staff on June 30, 2023. .1102(d) 1329 Application for enrollment did not include all required information. Two children’s application did not include the date of enrollment and the date the application was completed. .0801(a)(1-7) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. One staff did not have a TB test on file. .0701(d) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One staff should have completed health and safety trainings by September 2022. .1103(b) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not received and explained to the parent at enrollment. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy is now on file but was missing the child’s enrollment. .0608(b)(1-6) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before July 24, 2023, I need to 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. While the Division allow you time to explain how you have corrected violations when violations are cited, it is expected you correct all violations immediately. When you are asked to send a compliance letter to me, it is expected and required that your compliance letter be sent to me no later than the date indicated in this documentation. Your letter must include the following: -Name of your program -ID number of your program -Date of Letter -Violation number -Explain how you corrected the violation (send supporting documentation to show compliance) -Describe your plan to make sure you will not have that same violation in the future -Name or signature of the person who wrote the letter. (If emailing the letter, your email address will be considered your digital signature.) Technical assistance was given today concerning the following: We reviewed and discussed medication requirements. We discussed having someone in the office check the medication and form when it is brought in. Make sure that all required information is complete. We discussed making sure dates are accurate, the amount and how to apply is a measurable description. We reviewed and discussed items that have be kept in locked storage and those that can be stored out of reach of children, at least five feet. We discussed that all aerosol cans have to be placed in locked storage. We discussed having staff do a routine check to make sure that aerosol cans are in locked storage. We discussed the outdoor play area. It was recommended that as soon as you see items that need to be fixed that you submit work orders for the repairs. We also discussed for you to inform staff to let you know if they see items that need to be repaired. We reviewed and discussed staff files and making sure all information is completed within the required timeframes. We discussed using the staff file checklist, orientation sheet, and staff and training worksheet to make sure information is completed. Suggestions were given concerning doing routine checks of staff files to make sure all required information is on file. We reviewed and discussed information that is required on the children’s application. We discussed checking applications as you receive them to make sure all information has been completed. For the latest information on childcare 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, this visit summary was reviewed, and a copy was emailed to you. Thank you for your time today. Contact me at 704-594-0049 or by email at dana.stikeleather@dhhs.nc.gov or Kris Updike, Supervisor, at 336-404-4133 or by email at kris.updike@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times