10A NCAC 09 .0802 · Violation

Name of Operation: MALLARD CREEK ASEP Facility ID: 6055677 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 5/12/2026 Number Present: 44 Completed Date: 5/12/2026 Age: From 5 To 11 Total Minutes: 134 Time In: 02:56 PM Time Out: 05:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced follow-up visit was to verify corrections to violations cited during the annual compliance visit conducted on 3/24/26. Upon arrival I checked in at the main office and walked unaccompanied to the cafeteria and ASEP office. The door to the ASEP office was locked and no one was present in the cafeteria. I walked back to the main office and asked what time the site coordinator arrived for after school and they stated usually around 1:00 pm. An office assistant walked to the parking lot and stated Ms. Black was not onsite yet. I told her I would wait in the cafeteria for Ms. Black’s arrival. Approximately twenty (20) minutes after my arrival Ms. J. Bell, group leader, arrived and I explained the purpose of the visit. Ms. Bell stated Ms. Black would not be onsite today. She tried to assist me with verifying corrections. Item #1791 regarding serving required beverages was corrected during the visit and verified corrected from the annual compliance visit. The juice observed in the cooler for today was a juice box of 100% juice however the serving did not meet requirements. The juice box was 6.75 ounces. Ms. Bell had juice stored in the ASEP office that met the requirements of 100% juice and the was 6 ounces or less. She changed the menu to correspond with what she served. The posted menu was from April 2026. Ms. Bell printed the May menu and after making changes to today's menu it was posted. The DCDEE notebook was unavailable for review to verify corrections to staff file violations. Ms. Bell was able to locate individual staff notebooks for review. Item #1897 regarding Child Maltreatment training was verified corrected. The training was completed 4/23/26. Two (2) ASEP children arrived to the cafeteria unaccompanied. They were in the cafeteria approximately seven minutes before the rest of the children arrived with their Group Leaders. Children were observed arriving to the program. The program was out of ratio today. A sub was not provided for Ms. Black. Group 1 had twenty-one (21) children with one (1) group leader. Group 1 had five year old children present. And Group 2 had twenty-three (23) children present with one group leader. Two (2) violations were confirmed corrected today. Seven (7) repeated violations were cited today. Failure to correct repeated violations within the timeframe will be considered willful non-compliance and an administrative action will be recommended. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The posted menu was dated April 2026. 10A NCAC 09 .0901(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. The prescription label was not attached to medication for D.G. Medication was not stored in the original container for L.K. Repeat violation .0803(2)(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff did not review the EMC plan annually. The last review was in 2024. Repeat violation 10A NCAC 09 .0802(a) 1424 School-aged children were not adequately supervised. Two (2) children arrived to the cafeteria unaccompanied. They were in the cafeteria approximately seven minutes before the rest of the children arrived with their Group Leaders. .2506(d)(1-3) 1756 Enhanced staff/child ratios and group sizes were not met. Group 1 had twenty-one (21) children present with one (1) group leader. Five year old children were present in Group 1. Group 2 had twenty-three (23) children present with one (1) group leader. 10A NCAC 09 .2818 1791 The child care provider did not provide the required beverage(s). The juice observed in the cooler for today was a juice box of 100% juice however the serving did not meet requirements. The juice box was 6.75 ounces. Repeat violation .0901(e)(1-7) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Two (2) employees, T.C. and T.N., were not listed on the ABCMS roster for the facility. Repeat violation G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Staff did not review the EPR plan annually. The last documented review was 2024. .0607(e) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One (1) child's medical action plan expired 2/10/26. Repeat violation .0801(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A medication permission expired 2/25/26 and another medication permission expired 4/3/26. Repeat violation .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1898 Staff did not complete the health and safety training within one year of employment. .1102(a) Corrective Action: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday, May 26, 2026. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Email the information to: Jennifer Stansfield, Child Care Consultant Jennifer.stansfield@dhhs.nc.gov The emailed compliance letter must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. General Comments: The following is a communication timeline for corrections from the 3/24/26 visit: - Ms. D. Black, Site Coordinator, emailed me on 4/13/26 stating she was still on leave and would be back by 4/20/26 to submit corrections. - I emailed Ms. Black and Ms. J. Tampa, Program Coordinator, on 4/22/26 stating corrections were 14 days past due and requested an update. I received no response. - On 5/1/26 I emailed Ms. Black and Ms. Tampa again and copied Ms. L. Bishop, ASEP Specialist, requesting an update. Ms. Bishop emailed back and copied Ms. Kimmi Howard, Area Supervisor, requesting Ms. Black to have corrections submitted by end of business day on 5/5/26. - I emailed Ms. Black on 5/6/26 and copied Ms. Bishop and Ms. Howard requesting corrections. Ms. Bishop emailed back stating Ms. Black was on leave for the week and Ms. Howard would submit the corrections. Technical Assistance: I recommend creating reminders on Outlook calendars for medication permission reminders. Medication should only be accepted if all requirements are met. Prescriptions must be attached to medication and medication must be stored in the original containers. This is especially important when different children require the same medication to prevent medication administration errors. Staff should maintain their training logs to ensure that they are meeting the required ongoing training for the year. Health and safety trainings should be completed by the anniversary of the hire date and every 5 years after the completion date on the certificate. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. You may also contact Amy Italiano, Licensing Supervisor, at amy.italiano@dhhs.nc.gov or 704-936-6065. 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 .0901 · Violation

Name of Operation: MALLARD CREEK ASEP Facility ID: 6055677 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 5/12/2026 Number Present: 44 Completed Date: 5/12/2026 Age: From 5 To 11 Total Minutes: 134 Time In: 02:56 PM Time Out: 05:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced follow-up visit was to verify corrections to violations cited during the annual compliance visit conducted on 3/24/26. Upon arrival I checked in at the main office and walked unaccompanied to the cafeteria and ASEP office. The door to the ASEP office was locked and no one was present in the cafeteria. I walked back to the main office and asked what time the site coordinator arrived for after school and they stated usually around 1:00 pm. An office assistant walked to the parking lot and stated Ms. Black was not onsite yet. I told her I would wait in the cafeteria for Ms. Black’s arrival. Approximately twenty (20) minutes after my arrival Ms. J. Bell, group leader, arrived and I explained the purpose of the visit. Ms. Bell stated Ms. Black would not be onsite today. She tried to assist me with verifying corrections. Item #1791 regarding serving required beverages was corrected during the visit and verified corrected from the annual compliance visit. The juice observed in the cooler for today was a juice box of 100% juice however the serving did not meet requirements. The juice box was 6.75 ounces. Ms. Bell had juice stored in the ASEP office that met the requirements of 100% juice and the was 6 ounces or less. She changed the menu to correspond with what she served. The posted menu was from April 2026. Ms. Bell printed the May menu and after making changes to today's menu it was posted. The DCDEE notebook was unavailable for review to verify corrections to staff file violations. Ms. Bell was able to locate individual staff notebooks for review. Item #1897 regarding Child Maltreatment training was verified corrected. The training was completed 4/23/26. Two (2) ASEP children arrived to the cafeteria unaccompanied. They were in the cafeteria approximately seven minutes before the rest of the children arrived with their Group Leaders. Children were observed arriving to the program. The program was out of ratio today. A sub was not provided for Ms. Black. Group 1 had twenty-one (21) children with one (1) group leader. Group 1 had five year old children present. And Group 2 had twenty-three (23) children present with one group leader. Two (2) violations were confirmed corrected today. Seven (7) repeated violations were cited today. Failure to correct repeated violations within the timeframe will be considered willful non-compliance and an administrative action will be recommended. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The posted menu was dated April 2026. 10A NCAC 09 .0901(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. The prescription label was not attached to medication for D.G. Medication was not stored in the original container for L.K. Repeat violation .0803(2)(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff did not review the EMC plan annually. The last review was in 2024. Repeat violation 10A NCAC 09 .0802(a) 1424 School-aged children were not adequately supervised. Two (2) children arrived to the cafeteria unaccompanied. They were in the cafeteria approximately seven minutes before the rest of the children arrived with their Group Leaders. .2506(d)(1-3) 1756 Enhanced staff/child ratios and group sizes were not met. Group 1 had twenty-one (21) children present with one (1) group leader. Five year old children were present in Group 1. Group 2 had twenty-three (23) children present with one (1) group leader. 10A NCAC 09 .2818 1791 The child care provider did not provide the required beverage(s). The juice observed in the cooler for today was a juice box of 100% juice however the serving did not meet requirements. The juice box was 6.75 ounces. Repeat violation .0901(e)(1-7) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Two (2) employees, T.C. and T.N., were not listed on the ABCMS roster for the facility. Repeat violation G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Staff did not review the EPR plan annually. The last documented review was 2024. .0607(e) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One (1) child's medical action plan expired 2/10/26. Repeat violation .0801(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A medication permission expired 2/25/26 and another medication permission expired 4/3/26. Repeat violation .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1898 Staff did not complete the health and safety training within one year of employment. .1102(a) Corrective Action: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday, May 26, 2026. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Email the information to: Jennifer Stansfield, Child Care Consultant Jennifer.stansfield@dhhs.nc.gov The emailed compliance letter must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. General Comments: The following is a communication timeline for corrections from the 3/24/26 visit: - Ms. D. Black, Site Coordinator, emailed me on 4/13/26 stating she was still on leave and would be back by 4/20/26 to submit corrections. - I emailed Ms. Black and Ms. J. Tampa, Program Coordinator, on 4/22/26 stating corrections were 14 days past due and requested an update. I received no response. - On 5/1/26 I emailed Ms. Black and Ms. Tampa again and copied Ms. L. Bishop, ASEP Specialist, requesting an update. Ms. Bishop emailed back and copied Ms. Kimmi Howard, Area Supervisor, requesting Ms. Black to have corrections submitted by end of business day on 5/5/26. - I emailed Ms. Black on 5/6/26 and copied Ms. Bishop and Ms. Howard requesting corrections. Ms. Bishop emailed back stating Ms. Black was on leave for the week and Ms. Howard would submit the corrections. Technical Assistance: I recommend creating reminders on Outlook calendars for medication permission reminders. Medication should only be accepted if all requirements are met. Prescriptions must be attached to medication and medication must be stored in the original containers. This is especially important when different children require the same medication to prevent medication administration errors. Staff should maintain their training logs to ensure that they are meeting the required ongoing training for the year. Health and safety trainings should be completed by the anniversary of the hire date and every 5 years after the completion date on the certificate. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. You may also contact Amy Italiano, Licensing Supervisor, at amy.italiano@dhhs.nc.gov or 704-936-6065. 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 .2818 · Violation

Name of Operation: MALLARD CREEK ASEP Facility ID: 6055677 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 5/12/2026 Number Present: 44 Completed Date: 5/12/2026 Age: From 5 To 11 Total Minutes: 134 Time In: 02:56 PM Time Out: 05:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced follow-up visit was to verify corrections to violations cited during the annual compliance visit conducted on 3/24/26. Upon arrival I checked in at the main office and walked unaccompanied to the cafeteria and ASEP office. The door to the ASEP office was locked and no one was present in the cafeteria. I walked back to the main office and asked what time the site coordinator arrived for after school and they stated usually around 1:00 pm. An office assistant walked to the parking lot and stated Ms. Black was not onsite yet. I told her I would wait in the cafeteria for Ms. Black’s arrival. Approximately twenty (20) minutes after my arrival Ms. J. Bell, group leader, arrived and I explained the purpose of the visit. Ms. Bell stated Ms. Black would not be onsite today. She tried to assist me with verifying corrections. Item #1791 regarding serving required beverages was corrected during the visit and verified corrected from the annual compliance visit. The juice observed in the cooler for today was a juice box of 100% juice however the serving did not meet requirements. The juice box was 6.75 ounces. Ms. Bell had juice stored in the ASEP office that met the requirements of 100% juice and the was 6 ounces or less. She changed the menu to correspond with what she served. The posted menu was from April 2026. Ms. Bell printed the May menu and after making changes to today's menu it was posted. The DCDEE notebook was unavailable for review to verify corrections to staff file violations. Ms. Bell was able to locate individual staff notebooks for review. Item #1897 regarding Child Maltreatment training was verified corrected. The training was completed 4/23/26. Two (2) ASEP children arrived to the cafeteria unaccompanied. They were in the cafeteria approximately seven minutes before the rest of the children arrived with their Group Leaders. Children were observed arriving to the program. The program was out of ratio today. A sub was not provided for Ms. Black. Group 1 had twenty-one (21) children with one (1) group leader. Group 1 had five year old children present. And Group 2 had twenty-three (23) children present with one group leader. Two (2) violations were confirmed corrected today. Seven (7) repeated violations were cited today. Failure to correct repeated violations within the timeframe will be considered willful non-compliance and an administrative action will be recommended. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The posted menu was dated April 2026. 10A NCAC 09 .0901(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. The prescription label was not attached to medication for D.G. Medication was not stored in the original container for L.K. Repeat violation .0803(2)(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff did not review the EMC plan annually. The last review was in 2024. Repeat violation 10A NCAC 09 .0802(a) 1424 School-aged children were not adequately supervised. Two (2) children arrived to the cafeteria unaccompanied. They were in the cafeteria approximately seven minutes before the rest of the children arrived with their Group Leaders. .2506(d)(1-3) 1756 Enhanced staff/child ratios and group sizes were not met. Group 1 had twenty-one (21) children present with one (1) group leader. Five year old children were present in Group 1. Group 2 had twenty-three (23) children present with one (1) group leader. 10A NCAC 09 .2818 1791 The child care provider did not provide the required beverage(s). The juice observed in the cooler for today was a juice box of 100% juice however the serving did not meet requirements. The juice box was 6.75 ounces. Repeat violation .0901(e)(1-7) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Two (2) employees, T.C. and T.N., were not listed on the ABCMS roster for the facility. Repeat violation G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Staff did not review the EPR plan annually. The last documented review was 2024. .0607(e) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One (1) child's medical action plan expired 2/10/26. Repeat violation .0801(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A medication permission expired 2/25/26 and another medication permission expired 4/3/26. Repeat violation .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1898 Staff did not complete the health and safety training within one year of employment. .1102(a) Corrective Action: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday, May 26, 2026. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Email the information to: Jennifer Stansfield, Child Care Consultant Jennifer.stansfield@dhhs.nc.gov The emailed compliance letter must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. General Comments: The following is a communication timeline for corrections from the 3/24/26 visit: - Ms. D. Black, Site Coordinator, emailed me on 4/13/26 stating she was still on leave and would be back by 4/20/26 to submit corrections. - I emailed Ms. Black and Ms. J. Tampa, Program Coordinator, on 4/22/26 stating corrections were 14 days past due and requested an update. I received no response. - On 5/1/26 I emailed Ms. Black and Ms. Tampa again and copied Ms. L. Bishop, ASEP Specialist, requesting an update. Ms. Bishop emailed back and copied Ms. Kimmi Howard, Area Supervisor, requesting Ms. Black to have corrections submitted by end of business day on 5/5/26. - I emailed Ms. Black on 5/6/26 and copied Ms. Bishop and Ms. Howard requesting corrections. Ms. Bishop emailed back stating Ms. Black was on leave for the week and Ms. Howard would submit the corrections. Technical Assistance: I recommend creating reminders on Outlook calendars for medication permission reminders. Medication should only be accepted if all requirements are met. Prescriptions must be attached to medication and medication must be stored in the original containers. This is especially important when different children require the same medication to prevent medication administration errors. Staff should maintain their training logs to ensure that they are meeting the required ongoing training for the year. Health and safety trainings should be completed by the anniversary of the hire date and every 5 years after the completion date on the certificate. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. You may also contact Amy Italiano, Licensing Supervisor, at amy.italiano@dhhs.nc.gov or 704-936-6065. 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: MALLARD CREEK ASEP Facility ID: 6055677 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 5/12/2026 Number Present: 44 Completed Date: 5/12/2026 Age: From 5 To 11 Total Minutes: 134 Time In: 02:56 PM Time Out: 05:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced follow-up visit was to verify corrections to violations cited during the annual compliance visit conducted on 3/24/26. Upon arrival I checked in at the main office and walked unaccompanied to the cafeteria and ASEP office. The door to the ASEP office was locked and no one was present in the cafeteria. I walked back to the main office and asked what time the site coordinator arrived for after school and they stated usually around 1:00 pm. An office assistant walked to the parking lot and stated Ms. Black was not onsite yet. I told her I would wait in the cafeteria for Ms. Black’s arrival. Approximately twenty (20) minutes after my arrival Ms. J. Bell, group leader, arrived and I explained the purpose of the visit. Ms. Bell stated Ms. Black would not be onsite today. She tried to assist me with verifying corrections. Item #1791 regarding serving required beverages was corrected during the visit and verified corrected from the annual compliance visit. The juice observed in the cooler for today was a juice box of 100% juice however the serving did not meet requirements. The juice box was 6.75 ounces. Ms. Bell had juice stored in the ASEP office that met the requirements of 100% juice and the was 6 ounces or less. She changed the menu to correspond with what she served. The posted menu was from April 2026. Ms. Bell printed the May menu and after making changes to today's menu it was posted. The DCDEE notebook was unavailable for review to verify corrections to staff file violations. Ms. Bell was able to locate individual staff notebooks for review. Item #1897 regarding Child Maltreatment training was verified corrected. The training was completed 4/23/26. Two (2) ASEP children arrived to the cafeteria unaccompanied. They were in the cafeteria approximately seven minutes before the rest of the children arrived with their Group Leaders. Children were observed arriving to the program. The program was out of ratio today. A sub was not provided for Ms. Black. Group 1 had twenty-one (21) children with one (1) group leader. Group 1 had five year old children present. And Group 2 had twenty-three (23) children present with one group leader. Two (2) violations were confirmed corrected today. Seven (7) repeated violations were cited today. Failure to correct repeated violations within the timeframe will be considered willful non-compliance and an administrative action will be recommended. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The posted menu was dated April 2026. 10A NCAC 09 .0901(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. The prescription label was not attached to medication for D.G. Medication was not stored in the original container for L.K. Repeat violation .0803(2)(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff did not review the EMC plan annually. The last review was in 2024. Repeat violation 10A NCAC 09 .0802(a) 1424 School-aged children were not adequately supervised. Two (2) children arrived to the cafeteria unaccompanied. They were in the cafeteria approximately seven minutes before the rest of the children arrived with their Group Leaders. .2506(d)(1-3) 1756 Enhanced staff/child ratios and group sizes were not met. Group 1 had twenty-one (21) children present with one (1) group leader. Five year old children were present in Group 1. Group 2 had twenty-three (23) children present with one (1) group leader. 10A NCAC 09 .2818 1791 The child care provider did not provide the required beverage(s). The juice observed in the cooler for today was a juice box of 100% juice however the serving did not meet requirements. The juice box was 6.75 ounces. Repeat violation .0901(e)(1-7) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Two (2) employees, T.C. and T.N., were not listed on the ABCMS roster for the facility. Repeat violation G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Staff did not review the EPR plan annually. The last documented review was 2024. .0607(e) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One (1) child's medical action plan expired 2/10/26. Repeat violation .0801(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A medication permission expired 2/25/26 and another medication permission expired 4/3/26. Repeat violation .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1898 Staff did not complete the health and safety training within one year of employment. .1102(a) Corrective Action: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday, May 26, 2026. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Email the information to: Jennifer Stansfield, Child Care Consultant Jennifer.stansfield@dhhs.nc.gov The emailed compliance letter must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. General Comments: The following is a communication timeline for corrections from the 3/24/26 visit: - Ms. D. Black, Site Coordinator, emailed me on 4/13/26 stating she was still on leave and would be back by 4/20/26 to submit corrections. - I emailed Ms. Black and Ms. J. Tampa, Program Coordinator, on 4/22/26 stating corrections were 14 days past due and requested an update. I received no response. - On 5/1/26 I emailed Ms. Black and Ms. Tampa again and copied Ms. L. Bishop, ASEP Specialist, requesting an update. Ms. Bishop emailed back and copied Ms. Kimmi Howard, Area Supervisor, requesting Ms. Black to have corrections submitted by end of business day on 5/5/26. - I emailed Ms. Black on 5/6/26 and copied Ms. Bishop and Ms. Howard requesting corrections. Ms. Bishop emailed back stating Ms. Black was on leave for the week and Ms. Howard would submit the corrections. Technical Assistance: I recommend creating reminders on Outlook calendars for medication permission reminders. Medication should only be accepted if all requirements are met. Prescriptions must be attached to medication and medication must be stored in the original containers. This is especially important when different children require the same medication to prevent medication administration errors. Staff should maintain their training logs to ensure that they are meeting the required ongoing training for the year. Health and safety trainings should be completed by the anniversary of the hire date and every 5 years after the completion date on the certificate. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. You may also contact Amy Italiano, Licensing Supervisor, at amy.italiano@dhhs.nc.gov or 704-936-6065. 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: MALLARD CREEK ASEP Facility ID: 6055677 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 5/12/2026 Number Present: 44 Completed Date: 5/12/2026 Age: From 5 To 11 Total Minutes: 134 Time In: 02:56 PM Time Out: 05:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced follow-up visit was to verify corrections to violations cited during the annual compliance visit conducted on 3/24/26. Upon arrival I checked in at the main office and walked unaccompanied to the cafeteria and ASEP office. The door to the ASEP office was locked and no one was present in the cafeteria. I walked back to the main office and asked what time the site coordinator arrived for after school and they stated usually around 1:00 pm. An office assistant walked to the parking lot and stated Ms. Black was not onsite yet. I told her I would wait in the cafeteria for Ms. Black’s arrival. Approximately twenty (20) minutes after my arrival Ms. J. Bell, group leader, arrived and I explained the purpose of the visit. Ms. Bell stated Ms. Black would not be onsite today. She tried to assist me with verifying corrections. Item #1791 regarding serving required beverages was corrected during the visit and verified corrected from the annual compliance visit. The juice observed in the cooler for today was a juice box of 100% juice however the serving did not meet requirements. The juice box was 6.75 ounces. Ms. Bell had juice stored in the ASEP office that met the requirements of 100% juice and the was 6 ounces or less. She changed the menu to correspond with what she served. The posted menu was from April 2026. Ms. Bell printed the May menu and after making changes to today's menu it was posted. The DCDEE notebook was unavailable for review to verify corrections to staff file violations. Ms. Bell was able to locate individual staff notebooks for review. Item #1897 regarding Child Maltreatment training was verified corrected. The training was completed 4/23/26. Two (2) ASEP children arrived to the cafeteria unaccompanied. They were in the cafeteria approximately seven minutes before the rest of the children arrived with their Group Leaders. Children were observed arriving to the program. The program was out of ratio today. A sub was not provided for Ms. Black. Group 1 had twenty-one (21) children with one (1) group leader. Group 1 had five year old children present. And Group 2 had twenty-three (23) children present with one group leader. Two (2) violations were confirmed corrected today. Seven (7) repeated violations were cited today. Failure to correct repeated violations within the timeframe will be considered willful non-compliance and an administrative action will be recommended. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The posted menu was dated April 2026. 10A NCAC 09 .0901(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. The prescription label was not attached to medication for D.G. Medication was not stored in the original container for L.K. Repeat violation .0803(2)(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff did not review the EMC plan annually. The last review was in 2024. Repeat violation 10A NCAC 09 .0802(a) 1424 School-aged children were not adequately supervised. Two (2) children arrived to the cafeteria unaccompanied. They were in the cafeteria approximately seven minutes before the rest of the children arrived with their Group Leaders. .2506(d)(1-3) 1756 Enhanced staff/child ratios and group sizes were not met. Group 1 had twenty-one (21) children present with one (1) group leader. Five year old children were present in Group 1. Group 2 had twenty-three (23) children present with one (1) group leader. 10A NCAC 09 .2818 1791 The child care provider did not provide the required beverage(s). The juice observed in the cooler for today was a juice box of 100% juice however the serving did not meet requirements. The juice box was 6.75 ounces. Repeat violation .0901(e)(1-7) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Two (2) employees, T.C. and T.N., were not listed on the ABCMS roster for the facility. Repeat violation G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Staff did not review the EPR plan annually. The last documented review was 2024. .0607(e) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One (1) child's medical action plan expired 2/10/26. Repeat violation .0801(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A medication permission expired 2/25/26 and another medication permission expired 4/3/26. Repeat violation .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1898 Staff did not complete the health and safety training within one year of employment. .1102(a) Corrective Action: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday, May 26, 2026. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Email the information to: Jennifer Stansfield, Child Care Consultant Jennifer.stansfield@dhhs.nc.gov The emailed compliance letter must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. General Comments: The following is a communication timeline for corrections from the 3/24/26 visit: - Ms. D. Black, Site Coordinator, emailed me on 4/13/26 stating she was still on leave and would be back by 4/20/26 to submit corrections. - I emailed Ms. Black and Ms. J. Tampa, Program Coordinator, on 4/22/26 stating corrections were 14 days past due and requested an update. I received no response. - On 5/1/26 I emailed Ms. Black and Ms. Tampa again and copied Ms. L. Bishop, ASEP Specialist, requesting an update. Ms. Bishop emailed back and copied Ms. Kimmi Howard, Area Supervisor, requesting Ms. Black to have corrections submitted by end of business day on 5/5/26. - I emailed Ms. Black on 5/6/26 and copied Ms. Bishop and Ms. Howard requesting corrections. Ms. Bishop emailed back stating Ms. Black was on leave for the week and Ms. Howard would submit the corrections. Technical Assistance: I recommend creating reminders on Outlook calendars for medication permission reminders. Medication should only be accepted if all requirements are met. Prescriptions must be attached to medication and medication must be stored in the original containers. This is especially important when different children require the same medication to prevent medication administration errors. Staff should maintain their training logs to ensure that they are meeting the required ongoing training for the year. Health and safety trainings should be completed by the anniversary of the hire date and every 5 years after the completion date on the certificate. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. You may also contact Amy Italiano, Licensing Supervisor, at amy.italiano@dhhs.nc.gov or 704-936-6065. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: MALLARD CREEK ASEP Facility ID: 6055677 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 3/24/2026 Number Present: 46 Completed Date: 3/24/2026 Age: From 5 To 12 Total Minutes: 185 Time In: 03:15 PM Time Out: 06:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full annual compliance visit. The facility was currently operating with a Four Star Rated License issued on December 12, 2018. The facility had an eighteen (18) month compliance history score of 89% prior to today’s visit. The April 2025 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted on the parent board inside the cafeteria. Upon arrival I signed in at the main office and walked unaccompanied to the cafeteria. A grade level celebration was taking place in the cafeteria. The program coordinator was not in her office. I waited outside her office until a group leader arrived. Ms. J. Bell arrived and stated Ms. D. Black, program coordinator, was on leave and that there was a trainee in place during her absence. Ms. Bell called the program coordinator trainee and I met her at her office. I introduced myself to Ms. T. Boyd and explained the purpose of the visit. Children had not arrived to the out of school program. I monitored the cafeteria, parent board, the DCDEE notebook, and staff notebooks. Activity plans were posted inside the cafeteria. Ms. Boyd assisted me with today’s visit. The children use the cafeteria as their primary space. The program operated three (3) groups and each group had three (3) activity areas available. The program operated less than three (3) hours. I observed children participating in arrival procedures, personal care routines, and snack. Snack consisted of whole grain strawberry Chex Mix and100% apple juice. The Mott’s juice box served contained 6.75 oz of 100% juice. Children should be served a total of 6 oz of juice/day. The facility operates before school care as well. There are a total of forty-two (42) children enrolled before school and fifty-three (53) children in after school. Shelter-in-place and lockdown drills were conducted as required. Public School Off-Site Records Verification forms for staff and children for the 2025-2026 school year were reviewed today. Emergency medications were monitored. One (1) child’s medication did not have the prescription attached to the box and the medical action plan (MAP) did not match the prescription. A different type of medication was listed on the MAP. One (1) permission form expired 2/25/26. The Staff and Training Worksheet was received today. One (1) new staff was hired since the routine unannounced visit conducted on 11/19/25. I reviewed her file and one (1) veteran staff file. The worksheet was completed by Ms. Boyd and used to verify existing staff had a current criminal background qualifying letter, BSAC training and current First Aid/ CPR training. The ABCMS roster was reviewed. Two (2) employees, T. C. and T. N., were not connected to the roster. Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One (1) child's medication did not have the prescription attached to the medication. .0803(2)(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff did not review the EMC plan annually. The last review was in 2024. 10A NCAC 09 .0802(a) 1791 The child care provider did not provide the required beverage(s). The juice served for snack was 6.75 oz. of 100% juice. Six ounces of juice is the maximum amount allowed per day for all ages in licensed care. .0901(e)(1-7) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Two (2) employees, T.C. and T.N., were not listed on the ABCMS roster for the facility. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Staff did not review the EPR plan annually. The last documented review was 2024. .0607(e) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One (1) child's medical action plan expired 2/10/26. .0801(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A child's medication permission for a chronic condition expired 2/25/26. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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. One (1) employee hired 10/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One (1) employee hired 10/2024 did not complete all of the health and safety trainings within one year of employment. She was missing medication training. .1102(a) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday, April 7, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to jennifer.stansfield@dhhs.nc.gov. Emailed compliance letters must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Information: A discussion was held with the Program Coordinator regarding section .3200 of the child care rules. The conversation template was completed and is attached to the visit summary. - Groups should be treated as individual classrooms. Group leaders should remain with their group to maintain ratio as well as group size. I recommend each group going to get snacks separately and eat at three separate tables to ensure compliance with group size requirements. When parents need to be allowed entry for pick up one group leader should take enough children from her group to maintain ratio and notify the group leader at the tables next to her group how many children she is now responsible for supervising. - Medication permission forms are valid for 6 months. Medical action plans should reflect the medication provided by the parent. I encourage you to utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/. Thank you for your time today. If you have any questions or concerns, please contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 or Amy Italiano, Lead Child Care Consultant, at amy.italiano@ddhhs.nc.gov or 704-936-6065. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-90 · Violation

Name of Operation: MALLARD CREEK ASEP Facility ID: 6055677 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 3/24/2026 Number Present: 46 Completed Date: 3/24/2026 Age: From 5 To 12 Total Minutes: 185 Time In: 03:15 PM Time Out: 06:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full annual compliance visit. The facility was currently operating with a Four Star Rated License issued on December 12, 2018. The facility had an eighteen (18) month compliance history score of 89% prior to today’s visit. The April 2025 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted on the parent board inside the cafeteria. Upon arrival I signed in at the main office and walked unaccompanied to the cafeteria. A grade level celebration was taking place in the cafeteria. The program coordinator was not in her office. I waited outside her office until a group leader arrived. Ms. J. Bell arrived and stated Ms. D. Black, program coordinator, was on leave and that there was a trainee in place during her absence. Ms. Bell called the program coordinator trainee and I met her at her office. I introduced myself to Ms. T. Boyd and explained the purpose of the visit. Children had not arrived to the out of school program. I monitored the cafeteria, parent board, the DCDEE notebook, and staff notebooks. Activity plans were posted inside the cafeteria. Ms. Boyd assisted me with today’s visit. The children use the cafeteria as their primary space. The program operated three (3) groups and each group had three (3) activity areas available. The program operated less than three (3) hours. I observed children participating in arrival procedures, personal care routines, and snack. Snack consisted of whole grain strawberry Chex Mix and100% apple juice. The Mott’s juice box served contained 6.75 oz of 100% juice. Children should be served a total of 6 oz of juice/day. The facility operates before school care as well. There are a total of forty-two (42) children enrolled before school and fifty-three (53) children in after school. Shelter-in-place and lockdown drills were conducted as required. Public School Off-Site Records Verification forms for staff and children for the 2025-2026 school year were reviewed today. Emergency medications were monitored. One (1) child’s medication did not have the prescription attached to the box and the medical action plan (MAP) did not match the prescription. A different type of medication was listed on the MAP. One (1) permission form expired 2/25/26. The Staff and Training Worksheet was received today. One (1) new staff was hired since the routine unannounced visit conducted on 11/19/25. I reviewed her file and one (1) veteran staff file. The worksheet was completed by Ms. Boyd and used to verify existing staff had a current criminal background qualifying letter, BSAC training and current First Aid/ CPR training. The ABCMS roster was reviewed. Two (2) employees, T. C. and T. N., were not connected to the roster. Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One (1) child's medication did not have the prescription attached to the medication. .0803(2)(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff did not review the EMC plan annually. The last review was in 2024. 10A NCAC 09 .0802(a) 1791 The child care provider did not provide the required beverage(s). The juice served for snack was 6.75 oz. of 100% juice. Six ounces of juice is the maximum amount allowed per day for all ages in licensed care. .0901(e)(1-7) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Two (2) employees, T.C. and T.N., were not listed on the ABCMS roster for the facility. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Staff did not review the EPR plan annually. The last documented review was 2024. .0607(e) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One (1) child's medical action plan expired 2/10/26. .0801(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A child's medication permission for a chronic condition expired 2/25/26. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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. One (1) employee hired 10/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One (1) employee hired 10/2024 did not complete all of the health and safety trainings within one year of employment. She was missing medication training. .1102(a) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday, April 7, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to jennifer.stansfield@dhhs.nc.gov. Emailed compliance letters must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Information: A discussion was held with the Program Coordinator regarding section .3200 of the child care rules. The conversation template was completed and is attached to the visit summary. - Groups should be treated as individual classrooms. Group leaders should remain with their group to maintain ratio as well as group size. I recommend each group going to get snacks separately and eat at three separate tables to ensure compliance with group size requirements. When parents need to be allowed entry for pick up one group leader should take enough children from her group to maintain ratio and notify the group leader at the tables next to her group how many children she is now responsible for supervising. - Medication permission forms are valid for 6 months. Medical action plans should reflect the medication provided by the parent. I encourage you to utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/. Thank you for your time today. If you have any questions or concerns, please contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 or Amy Italiano, Lead Child Care Consultant, at amy.italiano@ddhhs.nc.gov or 704-936-6065. 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: MALLARD CREEK ASEP Facility ID: 6055677 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 3/24/2026 Number Present: 46 Completed Date: 3/24/2026 Age: From 5 To 12 Total Minutes: 185 Time In: 03:15 PM Time Out: 06:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full annual compliance visit. The facility was currently operating with a Four Star Rated License issued on December 12, 2018. The facility had an eighteen (18) month compliance history score of 89% prior to today’s visit. The April 2025 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted on the parent board inside the cafeteria. Upon arrival I signed in at the main office and walked unaccompanied to the cafeteria. A grade level celebration was taking place in the cafeteria. The program coordinator was not in her office. I waited outside her office until a group leader arrived. Ms. J. Bell arrived and stated Ms. D. Black, program coordinator, was on leave and that there was a trainee in place during her absence. Ms. Bell called the program coordinator trainee and I met her at her office. I introduced myself to Ms. T. Boyd and explained the purpose of the visit. Children had not arrived to the out of school program. I monitored the cafeteria, parent board, the DCDEE notebook, and staff notebooks. Activity plans were posted inside the cafeteria. Ms. Boyd assisted me with today’s visit. The children use the cafeteria as their primary space. The program operated three (3) groups and each group had three (3) activity areas available. The program operated less than three (3) hours. I observed children participating in arrival procedures, personal care routines, and snack. Snack consisted of whole grain strawberry Chex Mix and100% apple juice. The Mott’s juice box served contained 6.75 oz of 100% juice. Children should be served a total of 6 oz of juice/day. The facility operates before school care as well. There are a total of forty-two (42) children enrolled before school and fifty-three (53) children in after school. Shelter-in-place and lockdown drills were conducted as required. Public School Off-Site Records Verification forms for staff and children for the 2025-2026 school year were reviewed today. Emergency medications were monitored. One (1) child’s medication did not have the prescription attached to the box and the medical action plan (MAP) did not match the prescription. A different type of medication was listed on the MAP. One (1) permission form expired 2/25/26. The Staff and Training Worksheet was received today. One (1) new staff was hired since the routine unannounced visit conducted on 11/19/25. I reviewed her file and one (1) veteran staff file. The worksheet was completed by Ms. Boyd and used to verify existing staff had a current criminal background qualifying letter, BSAC training and current First Aid/ CPR training. The ABCMS roster was reviewed. Two (2) employees, T. C. and T. N., were not connected to the roster. Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One (1) child's medication did not have the prescription attached to the medication. .0803(2)(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff did not review the EMC plan annually. The last review was in 2024. 10A NCAC 09 .0802(a) 1791 The child care provider did not provide the required beverage(s). The juice served for snack was 6.75 oz. of 100% juice. Six ounces of juice is the maximum amount allowed per day for all ages in licensed care. .0901(e)(1-7) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Two (2) employees, T.C. and T.N., were not listed on the ABCMS roster for the facility. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Staff did not review the EPR plan annually. The last documented review was 2024. .0607(e) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One (1) child's medical action plan expired 2/10/26. .0801(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A child's medication permission for a chronic condition expired 2/25/26. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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. One (1) employee hired 10/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One (1) employee hired 10/2024 did not complete all of the health and safety trainings within one year of employment. She was missing medication training. .1102(a) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday, April 7, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to jennifer.stansfield@dhhs.nc.gov. Emailed compliance letters must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Information: A discussion was held with the Program Coordinator regarding section .3200 of the child care rules. The conversation template was completed and is attached to the visit summary. - Groups should be treated as individual classrooms. Group leaders should remain with their group to maintain ratio as well as group size. I recommend each group going to get snacks separately and eat at three separate tables to ensure compliance with group size requirements. When parents need to be allowed entry for pick up one group leader should take enough children from her group to maintain ratio and notify the group leader at the tables next to her group how many children she is now responsible for supervising. - Medication permission forms are valid for 6 months. Medical action plans should reflect the medication provided by the parent. I encourage you to utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/. Thank you for your time today. If you have any questions or concerns, please contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 or Amy Italiano, Lead Child Care Consultant, at amy.italiano@ddhhs.nc.gov or 704-936-6065. 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: MALLARD CREEK ASEP Facility ID: 6055677 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 11/19/2025 Number Present: 50 Completed Date: 11/19/2025 Age: From 5 To 12 Total Minutes: 70 Time In: 01:40 PM Time Out: 02:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a routine unannounced visit. The facility had a Four Star Rated License issued 12/12/2018 and an eighteen-month compliance history of 91% prior to today’s visit. The license and NC child care law summary were posted. The following was monitored using the April 2025 Master Center Item Number Listing: supervision, staff/child ratios, CPR/ First Aid, special training, CBC qualification, emergency medical care plan, administration of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate and approved space, program records, license posted, and permit restrictions. Today was a Charlotte-Mecklenburg Schools (CMS) early release day. I was allowed entrance to the school by a CMS staff member. I walked to the cafeteria unaccompanied. The ASEP program was not in the cafeteria and it was explained that they were at the restrooms. I monitored the parent board and materials while I waited. The posted activity plans for Groups 2 and 3 were dated 10/27/25. The menu was not posted. All staff had current CPR/First Aid training and training cards were observed posted on the board. I met Ms. D. Black, Site Coordinator, at the restrooms. She was present with two (2) additional group leaders. The program operated three (3) groups. Each group met ratio requirements. When children arrived to the cafeteria group leaders played Heads up 7 up with children as they set up centers. Materials were observed in good repair and there were at least four (4) activity centers available in each group. Staff were engaged with children and provided an age appropriate environment. I monitored emergency medications. Two (2) children required seizure medication. The medication onsite did not have the prescription attached to either seizure medication. Arrival times were documented as required and I observed parents signing children out for the day. Fire drills and emergency drills were completed as required. Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. The posted activity plans for Groups 2 and 3 were dated 10/27/25. GS 110-91(12);.0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A current menu was not posted. 10A NCAC 09 .0901(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Two (2) children required diazepam for emergency medication. The prescription labels were not attached to either medication. .0803(2)(a) Corrective Action: Violations must be corrected immediately. The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter that includes the violation item number and an explanation of how each of today’s violations were corrected. Corrections must be received by me on or before Wednesday, December 3, 2025 to the email address listed below or the provider may mail corrections to me at P.O. Box 1967, Huntersville, NC 28078 understanding the letter of compliance should be delivered not submitted by the due date. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance/General Comments: - Medication permissions are valid for up to 6 months. - Label ziploc bags that store medication with child's name. - I recommend posting the menu for next month behind the current menu to ensure current menu always posted. Thank you for your time today. Please contact me with any questions at Jennifer.stansfield@dhhs.nc.gov or 704-956-1648. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

GS 110-91 · Violation

Name of Operation: MALLARD CREEK ASEP Facility ID: 6055677 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 11/19/2025 Number Present: 50 Completed Date: 11/19/2025 Age: From 5 To 12 Total Minutes: 70 Time In: 01:40 PM Time Out: 02:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a routine unannounced visit. The facility had a Four Star Rated License issued 12/12/2018 and an eighteen-month compliance history of 91% prior to today’s visit. The license and NC child care law summary were posted. The following was monitored using the April 2025 Master Center Item Number Listing: supervision, staff/child ratios, CPR/ First Aid, special training, CBC qualification, emergency medical care plan, administration of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate and approved space, program records, license posted, and permit restrictions. Today was a Charlotte-Mecklenburg Schools (CMS) early release day. I was allowed entrance to the school by a CMS staff member. I walked to the cafeteria unaccompanied. The ASEP program was not in the cafeteria and it was explained that they were at the restrooms. I monitored the parent board and materials while I waited. The posted activity plans for Groups 2 and 3 were dated 10/27/25. The menu was not posted. All staff had current CPR/First Aid training and training cards were observed posted on the board. I met Ms. D. Black, Site Coordinator, at the restrooms. She was present with two (2) additional group leaders. The program operated three (3) groups. Each group met ratio requirements. When children arrived to the cafeteria group leaders played Heads up 7 up with children as they set up centers. Materials were observed in good repair and there were at least four (4) activity centers available in each group. Staff were engaged with children and provided an age appropriate environment. I monitored emergency medications. Two (2) children required seizure medication. The medication onsite did not have the prescription attached to either seizure medication. Arrival times were documented as required and I observed parents signing children out for the day. Fire drills and emergency drills were completed as required. Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. The posted activity plans for Groups 2 and 3 were dated 10/27/25. GS 110-91(12);.0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A current menu was not posted. 10A NCAC 09 .0901(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Two (2) children required diazepam for emergency medication. The prescription labels were not attached to either medication. .0803(2)(a) Corrective Action: Violations must be corrected immediately. The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter that includes the violation item number and an explanation of how each of today’s violations were corrected. Corrections must be received by me on or before Wednesday, December 3, 2025 to the email address listed below or the provider may mail corrections to me at P.O. Box 1967, Huntersville, NC 28078 understanding the letter of compliance should be delivered not submitted by the due date. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance/General Comments: - Medication permissions are valid for up to 6 months. - Label ziploc bags that store medication with child's name. - I recommend posting the menu for next month behind the current menu to ensure current menu always posted. Thank you for your time today. Please contact me with any questions at Jennifer.stansfield@dhhs.nc.gov or 704-956-1648. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: MALLARD CREEK ASEP Facility ID: 6055677 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 5/27/2025 Number Present: 40 Completed Date: 5/27/2025 Age: From 5 To 11 Total Minutes: 80 Time In: 04:25 PM Time Out: 05:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a routine unannounced visit. The facility had a Four Star Rated License issued 12/12/2018 and an eighteen-month compliance history of 92% prior to today’s visit. The license and NC child care law summary were posted. The following was monitored using the April 2025 Master Center Item Number Listing: supervision, staff/child ratios, CPR/ First Aid, special training, CBC qualification, emergency medical care plan, administration of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate and approved space, program records, license posted, and permit restrictions. Upon arrival I was greeted by Ms. D. Black, Site Coordinator, and I explained the purpose of the visit. I observed children arrive at the cafeteria and place their belongings in baskets. Children were separated into three (3) groups at tables. A group leader led all groups in a welcome activity. Children attempted to go outdoors but it started to rain. Group 1 came back inside, washed hands, and ate snack. Groups 2 and 3 went to the gym. The program used the cafeteria as the primary space for the children. Activity areas were set up in the cafeteria. Activity areas included writing, science, math, art, career development, reading, and global world studies. A current snack menu was not posted. Cheez-Its, cheese sticks and 100% juice were served today. Group 1 and Group 3 did not have current activity plans posted. Arrival times were documented as required and I observed parents signing children out for the day. One (1) new employee was hired 4/21/25 and all required paperwork was on file. She should complete BSAC training by 7/21/25. All staff have CPR/First Aid training and current CBC qualifications. Fire and emergency drills were completed as required. A fire drill and shelter-in-place or lockdown drill was not documented yet for May. The program has until 5/30/25 to conduct a fire drill. Group leaders were observed providing an age appropriate environment and interacted with students in a positive manner. The parent board had all of the required information posted. The last fire inspection was completed 4/14/25. The last sanitation inspection was conducted 2/21/25 and received a superior rating. Two (2) violations were cited today and corrected during the visit. No corrective action was required. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Group 1 did not have a current activity plan posted. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The posted menu was for April 2025 - May 2, 2025. 10A NCAC 09 .0901(b) Technical Assistance/General Comments: I recommend posting the current menu and the menu for next month behind the current menu to change each month. I recommend posting at least two (2) weeks of activity plans in the page protector on the parent board. Thank you for your time today. Please contact me with any questions at Jennifer.stansfield@dhhs.nc.gov or 704-956-1648. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

GS 110-91 · Violation

Name of Operation: MALLARD CREEK ASEP Facility ID: 6055677 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 5/27/2025 Number Present: 40 Completed Date: 5/27/2025 Age: From 5 To 11 Total Minutes: 80 Time In: 04:25 PM Time Out: 05:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a routine unannounced visit. The facility had a Four Star Rated License issued 12/12/2018 and an eighteen-month compliance history of 92% prior to today’s visit. The license and NC child care law summary were posted. The following was monitored using the April 2025 Master Center Item Number Listing: supervision, staff/child ratios, CPR/ First Aid, special training, CBC qualification, emergency medical care plan, administration of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate and approved space, program records, license posted, and permit restrictions. Upon arrival I was greeted by Ms. D. Black, Site Coordinator, and I explained the purpose of the visit. I observed children arrive at the cafeteria and place their belongings in baskets. Children were separated into three (3) groups at tables. A group leader led all groups in a welcome activity. Children attempted to go outdoors but it started to rain. Group 1 came back inside, washed hands, and ate snack. Groups 2 and 3 went to the gym. The program used the cafeteria as the primary space for the children. Activity areas were set up in the cafeteria. Activity areas included writing, science, math, art, career development, reading, and global world studies. A current snack menu was not posted. Cheez-Its, cheese sticks and 100% juice were served today. Group 1 and Group 3 did not have current activity plans posted. Arrival times were documented as required and I observed parents signing children out for the day. One (1) new employee was hired 4/21/25 and all required paperwork was on file. She should complete BSAC training by 7/21/25. All staff have CPR/First Aid training and current CBC qualifications. Fire and emergency drills were completed as required. A fire drill and shelter-in-place or lockdown drill was not documented yet for May. The program has until 5/30/25 to conduct a fire drill. Group leaders were observed providing an age appropriate environment and interacted with students in a positive manner. The parent board had all of the required information posted. The last fire inspection was completed 4/14/25. The last sanitation inspection was conducted 2/21/25 and received a superior rating. Two (2) violations were cited today and corrected during the visit. No corrective action was required. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Group 1 did not have a current activity plan posted. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The posted menu was for April 2025 - May 2, 2025. 10A NCAC 09 .0901(b) Technical Assistance/General Comments: I recommend posting the current menu and the menu for next month behind the current menu to change each month. I recommend posting at least two (2) weeks of activity plans in the page protector on the parent board. Thank you for your time today. Please contact me with any questions at Jennifer.stansfield@dhhs.nc.gov or 704-956-1648. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: MALLARD CREEK ASEP Facility ID: 6055677 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 4/2/2025 Number Present: 44 Completed Date: 4/2/2025 Age: From 5 To 12 Total Minutes: 164 Time In: 02:06 PM Time Out: 04:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full annual compliance visit. The facility was currently operating with Four Star Rated License issued on December 12, 2018, and earned 7 points in the staff education component, 3 points in the program component and meets enhanced ratios, and 1 quality point for staff benefits package and an infrastructure of parent involvement. The facility had an eighteen (18) month compliance history score of 96% prior to today’s visit. The November 2024 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Charlotte-Mecklenburg Schools had an early release day today. Upon arrival at the cafeteria I was greeted by Ms. T. Norwood, Group Leader, and I explained the purpose of the visit. She stated Ms. D. Black, Site Coordinator, was present but speaking with cafeteria staff. I put my belongings down on a table not being used by children. I met Ms. Black and explained the purpose of the visit. She stated the cafeteria was being used for a school-wide evening event today and staff would be setting up in the space throughout the afternoon. She stated ASEP would be using the music room and she would set up centers in that space. She stated after children finished snack they would go outside and have an extended play time due to the displacement. I requested the DCDEE notebook, staff files, and medication and allergy information for children. The parent board was monitored and met compliance. I observed three (3) carts with center materials and two (2) closets with additional materials. The program operated three (3) groups. Attendance was documented as required. Ms. Black provided a lock box with child medications stored inside. Emergency medication should be stored unlocked and above 5 feet for easy access in the event of an emergency. One (1) child had a seizure action plan completed but no medication authorization completed. The seizure medication was not stored in the original container and no prescription was attached. I observed one box of Albuterol. The box did not have a prescription attached. Two (2) children (siblings) had a reported chronic condition that required albuterol. One (1) child had a medication authorization completed for albuterol but no medical action plan (MAP). One (1) child had both the MAP and medication authorization completed for albuterol. It was unclear who the medication was prescribed to. The outdoor learning environment was monitored. The program used the field and adjacent playground. The mulch underneath the monkey bars, climbing ladder, and parallel bars measured 4 inches. Ms. Black stated they sometimes used the park and rec playground across the parking lot and the greenway for after school activities. I observed off-premise permission forms completed. I observed emergency information for each child that was taken when going off-premises. It was missing identifying information for each child. I completed the staff/training worksheet today. The form was emailed to Ms. Black. All staff had current CBC qualifications, CPR/First Aid training, and all required trainings were current and completed. Children were listed on the current DPI form. Sign out notebooks were observed on a table at the entrance door. Attendance was documented as required. All staff were listed on the current DPI form. The transportation DPI form was completed. A fire drills and emergency drills were documented as required. Outdoor/playground inspections were completed as required. The sanitation inspection was completed 2/21/25 and received a “Superior” classification. The last fire inspection was completed 4/17/24. The program was operated by Charlotte-Mecklenburg School Board of Education. Violation Number Comment Rule 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The mulch underneath the monkey bars, climbing ladder, and parallel bars measured 4 inches deep. .0605(j) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A prescribed seizure medication was not stored in the original container and the prescription label was not attached. A prescribed asthma medication did not have the prescription attached to the original container. It was unclear who the medication was prescribed to. .0803(2)(a) 847 Parent's medication authorization did not include required information. One (1) child did not have medication authorization completed for seizure medication. 10A NCAC 09 .0803(4)(6-9) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. One (1) child did not have a medical action plan completed for a diagnosed chronic condition. .0801(b) Corrective Action: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Wednesday, April 16, 2025. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 Jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. General Comments/Technical Assistance: - Pictures of each child should be attached to emergency information when going off-premises in the event a supervising adult is unable to assist first responders identify children. - Medication must be stored in the original container with the prescription attached to ensure the medication is administered to the person it was prescribed to. - Medication authorizations are valid for 6 months. Medical action plans are valid for 12 months. Two (2) separate forms are recommended for each. The DCDEE medication authorization form is recommended and was emailed today. The DCDEE form clearly states the 6 month requirement. - Emergency medication should follow children everywhere they go so that they are administered quickly. I recommend storing the medication in a bookbag or fanny pack. Make sure the bag is stored above five feet and/or is always carried by a staff member when outside on the playground. - I recommended moving mulch from the playground not being used and spreading it underneath fall zones on the playground next to the field. I observed children hanging from monkey bars and the parallel bars during today’s visit. Adequate amounts of mulch will help to prevent injury when using that equipment. - The early dismissal time should be documented on the attendance sheet to show what time children arrive the program on early release days. - Keep a current staff/training worksheet completed at all times to help keep track of required training due dates and expiration dates of CBC letters. Star Rated License Reassessment Update: SB 425 extended hold harmless until the new Quality Rating Improvement System (QRIS) is revised and implemented. Facilities are not required to proceed with the rated license assessment at this time unless they voluntarily choose to proceed. Information regarding the QRIS modernization plan can be found on the DCDEE website under the “What’s New” tab. Current “Frequently Asked Questions” can be found at the bottom of the information page. – QRIS update: Get ready for the 3s Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third edition. Information regarding the transition can be found by visiting https://ncrlap.org/Resources/pages/get-ready-for-3s. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://ncrlap.org/. for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: MALLARD CREEK ASEP Facility ID: 6055677 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 4/2/2025 Number Present: 44 Completed Date: 4/2/2025 Age: From 5 To 12 Total Minutes: 164 Time In: 02:06 PM Time Out: 04:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full annual compliance visit. The facility was currently operating with Four Star Rated License issued on December 12, 2018, and earned 7 points in the staff education component, 3 points in the program component and meets enhanced ratios, and 1 quality point for staff benefits package and an infrastructure of parent involvement. The facility had an eighteen (18) month compliance history score of 96% prior to today’s visit. The November 2024 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Charlotte-Mecklenburg Schools had an early release day today. Upon arrival at the cafeteria I was greeted by Ms. T. Norwood, Group Leader, and I explained the purpose of the visit. She stated Ms. D. Black, Site Coordinator, was present but speaking with cafeteria staff. I put my belongings down on a table not being used by children. I met Ms. Black and explained the purpose of the visit. She stated the cafeteria was being used for a school-wide evening event today and staff would be setting up in the space throughout the afternoon. She stated ASEP would be using the music room and she would set up centers in that space. She stated after children finished snack they would go outside and have an extended play time due to the displacement. I requested the DCDEE notebook, staff files, and medication and allergy information for children. The parent board was monitored and met compliance. I observed three (3) carts with center materials and two (2) closets with additional materials. The program operated three (3) groups. Attendance was documented as required. Ms. Black provided a lock box with child medications stored inside. Emergency medication should be stored unlocked and above 5 feet for easy access in the event of an emergency. One (1) child had a seizure action plan completed but no medication authorization completed. The seizure medication was not stored in the original container and no prescription was attached. I observed one box of Albuterol. The box did not have a prescription attached. Two (2) children (siblings) had a reported chronic condition that required albuterol. One (1) child had a medication authorization completed for albuterol but no medical action plan (MAP). One (1) child had both the MAP and medication authorization completed for albuterol. It was unclear who the medication was prescribed to. The outdoor learning environment was monitored. The program used the field and adjacent playground. The mulch underneath the monkey bars, climbing ladder, and parallel bars measured 4 inches. Ms. Black stated they sometimes used the park and rec playground across the parking lot and the greenway for after school activities. I observed off-premise permission forms completed. I observed emergency information for each child that was taken when going off-premises. It was missing identifying information for each child. I completed the staff/training worksheet today. The form was emailed to Ms. Black. All staff had current CBC qualifications, CPR/First Aid training, and all required trainings were current and completed. Children were listed on the current DPI form. Sign out notebooks were observed on a table at the entrance door. Attendance was documented as required. All staff were listed on the current DPI form. The transportation DPI form was completed. A fire drills and emergency drills were documented as required. Outdoor/playground inspections were completed as required. The sanitation inspection was completed 2/21/25 and received a “Superior” classification. The last fire inspection was completed 4/17/24. The program was operated by Charlotte-Mecklenburg School Board of Education. Violation Number Comment Rule 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The mulch underneath the monkey bars, climbing ladder, and parallel bars measured 4 inches deep. .0605(j) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A prescribed seizure medication was not stored in the original container and the prescription label was not attached. A prescribed asthma medication did not have the prescription attached to the original container. It was unclear who the medication was prescribed to. .0803(2)(a) 847 Parent's medication authorization did not include required information. One (1) child did not have medication authorization completed for seizure medication. 10A NCAC 09 .0803(4)(6-9) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. One (1) child did not have a medical action plan completed for a diagnosed chronic condition. .0801(b) Corrective Action: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Wednesday, April 16, 2025. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 Jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. General Comments/Technical Assistance: - Pictures of each child should be attached to emergency information when going off-premises in the event a supervising adult is unable to assist first responders identify children. - Medication must be stored in the original container with the prescription attached to ensure the medication is administered to the person it was prescribed to. - Medication authorizations are valid for 6 months. Medical action plans are valid for 12 months. Two (2) separate forms are recommended for each. The DCDEE medication authorization form is recommended and was emailed today. The DCDEE form clearly states the 6 month requirement. - Emergency medication should follow children everywhere they go so that they are administered quickly. I recommend storing the medication in a bookbag or fanny pack. Make sure the bag is stored above five feet and/or is always carried by a staff member when outside on the playground. - I recommended moving mulch from the playground not being used and spreading it underneath fall zones on the playground next to the field. I observed children hanging from monkey bars and the parallel bars during today’s visit. Adequate amounts of mulch will help to prevent injury when using that equipment. - The early dismissal time should be documented on the attendance sheet to show what time children arrive the program on early release days. - Keep a current staff/training worksheet completed at all times to help keep track of required training due dates and expiration dates of CBC letters. Star Rated License Reassessment Update: SB 425 extended hold harmless until the new Quality Rating Improvement System (QRIS) is revised and implemented. Facilities are not required to proceed with the rated license assessment at this time unless they voluntarily choose to proceed. Information regarding the QRIS modernization plan can be found on the DCDEE website under the “What’s New” tab. Current “Frequently Asked Questions” can be found at the bottom of the information page. – QRIS update: Get ready for the 3s Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third edition. Information regarding the transition can be found by visiting https://ncrlap.org/Resources/pages/get-ready-for-3s. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://ncrlap.org/. for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0102 · Violation

Name of Operation: MALLARD CREEK ASEP Facility ID: 6055677 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 4/23/2024 Number Present: 23 Completed Date: 4/23/2024 Age: From 5 To 11 Total Minutes: 124 Time In: 03:41 PM Time Out: 05:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full annual compliance visit. The facility was currently operating with Four Star Rated License issued on December 12. 2018, and earned 7 points in the staff education component, 3 points in the program component and meets enhanced standards and enhanced ratios, and 1 quality point for staff benefits package and an infrastructure of parent involvement. The facility had an eighteen (18) month compliance history score of 92% prior to today’s visit. The March 2024 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Upon arrival I signed in at the school main office. I was accompanied to the cafeteria by Ms. T. Norwood, group leader where I met Ms. Dinesa Black, site coordinator and I explained the purpose of my visit. Students had not been dismissed to afterschool. I monitored the parent board, program records and staff files prior to children arriving to afterschool. Ms. Black reported after school operated two (2) groups of children. She stated some children participated in tutoring and tennis club prior to entering afterschool. She stated children did not always come to after school when participating in other school sponsored programs and were picked up directly from those programs. Ms. Black stated Ms. Z. Stephens recently began employment on 3/15/24. I observed all children listed on the children’s records DPI form. The allergy list was posted on the parent board. The list indicated whether students required medication for allergies. All staff and substitutes were listed on the staff DPI form. Each staff member present had a current CBC qualification letter on file for review. Two (2) employees had current CPR/First Aid training and Z.S. was still within her ninety (90) days of employment. At least three (3) activity areas were available for children in the cafeteria. Staff/child ratio forms were posted inside the cafeteria. The door to the kitchen was closed during the visit. Both staff received the required ongoing training hours. Each had a current CBC qualification letter on file and current CPR/First Aid training. Each had BSAC training. A current menu was posted and snack corresponded with what was listed on the menu. Fire drills were completed and documented each month. An emergency drill was documented 8/31/23 and again on 12/6/23. I reminded Ms. Black that emergency drills (shelter-in-place/lockdown) should be conducted at least every three (3) months. The violation was cited today. Playground inspections were completed. The sanitation inspection was completed 1/30/24 and received a “Superior” classification. The last fire inspection was completed 1/11/23. Fire inspections should be mailed/emailed to consultant within seven (7) days of the inspection. Violation Number Comment Rule 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. On-going training certificates were not available for review for one (1) staff member. .1103(a) 1054 Documentation of staff's on-going training was not on file and/or was not current . On going training was not documented. 10A NCAC 09 .1106(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill was documented 8/31/23 and again on 12/6/23 exceeding the three month requirement. .0604(u);.0302(d)(8) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch measured four (4) inches underneath climbing structures. .0605(k)(1-4) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday, May 7, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Resuming Star Rated License Reassessment: As previously stated in the 11/7/23 routine unannounced visit summary your facility is in Cohort 1 and your reassessment time period will begin July 1, 2024. Ideally the reassessment will coincide with your annual compliance period. As a reminder, annual compliance visits can be conducted up to sixty (60) days prior to the last annual compliance visit. This is especially important to note as your annual compliance month falls near the end of the school year. As a reminder, I encourage you to take the following steps to prepare for the reassessment: • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Technical Assistance/General Comments: Child Care Rule 10A NCAC 09 .0604(u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). - I recommend putting these drills on the Outlook calendar throughout the year and setting a reminder to ensure drills are completed within three (3) months from the last drill. - 10A NCAC 09 .0608 (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: - (1) the individual's name; - (2) the date the center's policy was given and explained to the individual; - (3) the individual's signature; and - (4) the date the individual signed the acknowledgment. - The child care center shall retain the acknowledgement in the staff member's file. If children five (5) year old children are enrolled in the program this policy must be reviewed and a signed copy placed in their file for review prior to caring for children. - I recommend purchasing child sized rakes and buckets for moving and fluffing mulch underneath climbing structures. Children cannot be made to participate in this activity but can participate if they choose to and if not staff should rake and fluff mulch underneath fall zones. Contact me at Jennifer Stansfield, Child Care Consultant, jennifer.stansfield@dhhs.nc.gov or 704-956-1648 or Michele Sullivan, Licensing Supervisor, michele.sullivan@dhhs.nc.gov or 704-594-0147 if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0302 · Violation

Name of Operation: MALLARD CREEK ASEP Facility ID: 6055677 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 4/23/2024 Number Present: 23 Completed Date: 4/23/2024 Age: From 5 To 11 Total Minutes: 124 Time In: 03:41 PM Time Out: 05:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full annual compliance visit. The facility was currently operating with Four Star Rated License issued on December 12. 2018, and earned 7 points in the staff education component, 3 points in the program component and meets enhanced standards and enhanced ratios, and 1 quality point for staff benefits package and an infrastructure of parent involvement. The facility had an eighteen (18) month compliance history score of 92% prior to today’s visit. The March 2024 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Upon arrival I signed in at the school main office. I was accompanied to the cafeteria by Ms. T. Norwood, group leader where I met Ms. Dinesa Black, site coordinator and I explained the purpose of my visit. Students had not been dismissed to afterschool. I monitored the parent board, program records and staff files prior to children arriving to afterschool. Ms. Black reported after school operated two (2) groups of children. She stated some children participated in tutoring and tennis club prior to entering afterschool. She stated children did not always come to after school when participating in other school sponsored programs and were picked up directly from those programs. Ms. Black stated Ms. Z. Stephens recently began employment on 3/15/24. I observed all children listed on the children’s records DPI form. The allergy list was posted on the parent board. The list indicated whether students required medication for allergies. All staff and substitutes were listed on the staff DPI form. Each staff member present had a current CBC qualification letter on file for review. Two (2) employees had current CPR/First Aid training and Z.S. was still within her ninety (90) days of employment. At least three (3) activity areas were available for children in the cafeteria. Staff/child ratio forms were posted inside the cafeteria. The door to the kitchen was closed during the visit. Both staff received the required ongoing training hours. Each had a current CBC qualification letter on file and current CPR/First Aid training. Each had BSAC training. A current menu was posted and snack corresponded with what was listed on the menu. Fire drills were completed and documented each month. An emergency drill was documented 8/31/23 and again on 12/6/23. I reminded Ms. Black that emergency drills (shelter-in-place/lockdown) should be conducted at least every three (3) months. The violation was cited today. Playground inspections were completed. The sanitation inspection was completed 1/30/24 and received a “Superior” classification. The last fire inspection was completed 1/11/23. Fire inspections should be mailed/emailed to consultant within seven (7) days of the inspection. Violation Number Comment Rule 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. On-going training certificates were not available for review for one (1) staff member. .1103(a) 1054 Documentation of staff's on-going training was not on file and/or was not current . On going training was not documented. 10A NCAC 09 .1106(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill was documented 8/31/23 and again on 12/6/23 exceeding the three month requirement. .0604(u);.0302(d)(8) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch measured four (4) inches underneath climbing structures. .0605(k)(1-4) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday, May 7, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Resuming Star Rated License Reassessment: As previously stated in the 11/7/23 routine unannounced visit summary your facility is in Cohort 1 and your reassessment time period will begin July 1, 2024. Ideally the reassessment will coincide with your annual compliance period. As a reminder, annual compliance visits can be conducted up to sixty (60) days prior to the last annual compliance visit. This is especially important to note as your annual compliance month falls near the end of the school year. As a reminder, I encourage you to take the following steps to prepare for the reassessment: • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Technical Assistance/General Comments: Child Care Rule 10A NCAC 09 .0604(u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). - I recommend putting these drills on the Outlook calendar throughout the year and setting a reminder to ensure drills are completed within three (3) months from the last drill. - 10A NCAC 09 .0608 (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: - (1) the individual's name; - (2) the date the center's policy was given and explained to the individual; - (3) the individual's signature; and - (4) the date the individual signed the acknowledgment. - The child care center shall retain the acknowledgement in the staff member's file. If children five (5) year old children are enrolled in the program this policy must be reviewed and a signed copy placed in their file for review prior to caring for children. - I recommend purchasing child sized rakes and buckets for moving and fluffing mulch underneath climbing structures. Children cannot be made to participate in this activity but can participate if they choose to and if not staff should rake and fluff mulch underneath fall zones. Contact me at Jennifer Stansfield, Child Care Consultant, jennifer.stansfield@dhhs.nc.gov or 704-956-1648 or Michele Sullivan, Licensing Supervisor, michele.sullivan@dhhs.nc.gov or 704-594-0147 if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: MALLARD CREEK ASEP Facility ID: 6055677 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 4/23/2024 Number Present: 23 Completed Date: 4/23/2024 Age: From 5 To 11 Total Minutes: 124 Time In: 03:41 PM Time Out: 05:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full annual compliance visit. The facility was currently operating with Four Star Rated License issued on December 12. 2018, and earned 7 points in the staff education component, 3 points in the program component and meets enhanced standards and enhanced ratios, and 1 quality point for staff benefits package and an infrastructure of parent involvement. The facility had an eighteen (18) month compliance history score of 92% prior to today’s visit. The March 2024 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Upon arrival I signed in at the school main office. I was accompanied to the cafeteria by Ms. T. Norwood, group leader where I met Ms. Dinesa Black, site coordinator and I explained the purpose of my visit. Students had not been dismissed to afterschool. I monitored the parent board, program records and staff files prior to children arriving to afterschool. Ms. Black reported after school operated two (2) groups of children. She stated some children participated in tutoring and tennis club prior to entering afterschool. She stated children did not always come to after school when participating in other school sponsored programs and were picked up directly from those programs. Ms. Black stated Ms. Z. Stephens recently began employment on 3/15/24. I observed all children listed on the children’s records DPI form. The allergy list was posted on the parent board. The list indicated whether students required medication for allergies. All staff and substitutes were listed on the staff DPI form. Each staff member present had a current CBC qualification letter on file for review. Two (2) employees had current CPR/First Aid training and Z.S. was still within her ninety (90) days of employment. At least three (3) activity areas were available for children in the cafeteria. Staff/child ratio forms were posted inside the cafeteria. The door to the kitchen was closed during the visit. Both staff received the required ongoing training hours. Each had a current CBC qualification letter on file and current CPR/First Aid training. Each had BSAC training. A current menu was posted and snack corresponded with what was listed on the menu. Fire drills were completed and documented each month. An emergency drill was documented 8/31/23 and again on 12/6/23. I reminded Ms. Black that emergency drills (shelter-in-place/lockdown) should be conducted at least every three (3) months. The violation was cited today. Playground inspections were completed. The sanitation inspection was completed 1/30/24 and received a “Superior” classification. The last fire inspection was completed 1/11/23. Fire inspections should be mailed/emailed to consultant within seven (7) days of the inspection. Violation Number Comment Rule 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. On-going training certificates were not available for review for one (1) staff member. .1103(a) 1054 Documentation of staff's on-going training was not on file and/or was not current . On going training was not documented. 10A NCAC 09 .1106(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill was documented 8/31/23 and again on 12/6/23 exceeding the three month requirement. .0604(u);.0302(d)(8) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch measured four (4) inches underneath climbing structures. .0605(k)(1-4) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday, May 7, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Resuming Star Rated License Reassessment: As previously stated in the 11/7/23 routine unannounced visit summary your facility is in Cohort 1 and your reassessment time period will begin July 1, 2024. Ideally the reassessment will coincide with your annual compliance period. As a reminder, annual compliance visits can be conducted up to sixty (60) days prior to the last annual compliance visit. This is especially important to note as your annual compliance month falls near the end of the school year. As a reminder, I encourage you to take the following steps to prepare for the reassessment: • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Technical Assistance/General Comments: Child Care Rule 10A NCAC 09 .0604(u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). - I recommend putting these drills on the Outlook calendar throughout the year and setting a reminder to ensure drills are completed within three (3) months from the last drill. - 10A NCAC 09 .0608 (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: - (1) the individual's name; - (2) the date the center's policy was given and explained to the individual; - (3) the individual's signature; and - (4) the date the individual signed the acknowledgment. - The child care center shall retain the acknowledgement in the staff member's file. If children five (5) year old children are enrolled in the program this policy must be reviewed and a signed copy placed in their file for review prior to caring for children. - I recommend purchasing child sized rakes and buckets for moving and fluffing mulch underneath climbing structures. Children cannot be made to participate in this activity but can participate if they choose to and if not staff should rake and fluff mulch underneath fall zones. Contact me at Jennifer Stansfield, Child Care Consultant, jennifer.stansfield@dhhs.nc.gov or 704-956-1648 or Michele Sullivan, Licensing Supervisor, michele.sullivan@dhhs.nc.gov or 704-594-0147 if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0608 · Violation

Name of Operation: MALLARD CREEK ASEP Facility ID: 6055677 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 4/23/2024 Number Present: 23 Completed Date: 4/23/2024 Age: From 5 To 11 Total Minutes: 124 Time In: 03:41 PM Time Out: 05:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full annual compliance visit. The facility was currently operating with Four Star Rated License issued on December 12. 2018, and earned 7 points in the staff education component, 3 points in the program component and meets enhanced standards and enhanced ratios, and 1 quality point for staff benefits package and an infrastructure of parent involvement. The facility had an eighteen (18) month compliance history score of 92% prior to today’s visit. The March 2024 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Upon arrival I signed in at the school main office. I was accompanied to the cafeteria by Ms. T. Norwood, group leader where I met Ms. Dinesa Black, site coordinator and I explained the purpose of my visit. Students had not been dismissed to afterschool. I monitored the parent board, program records and staff files prior to children arriving to afterschool. Ms. Black reported after school operated two (2) groups of children. She stated some children participated in tutoring and tennis club prior to entering afterschool. She stated children did not always come to after school when participating in other school sponsored programs and were picked up directly from those programs. Ms. Black stated Ms. Z. Stephens recently began employment on 3/15/24. I observed all children listed on the children’s records DPI form. The allergy list was posted on the parent board. The list indicated whether students required medication for allergies. All staff and substitutes were listed on the staff DPI form. Each staff member present had a current CBC qualification letter on file for review. Two (2) employees had current CPR/First Aid training and Z.S. was still within her ninety (90) days of employment. At least three (3) activity areas were available for children in the cafeteria. Staff/child ratio forms were posted inside the cafeteria. The door to the kitchen was closed during the visit. Both staff received the required ongoing training hours. Each had a current CBC qualification letter on file and current CPR/First Aid training. Each had BSAC training. A current menu was posted and snack corresponded with what was listed on the menu. Fire drills were completed and documented each month. An emergency drill was documented 8/31/23 and again on 12/6/23. I reminded Ms. Black that emergency drills (shelter-in-place/lockdown) should be conducted at least every three (3) months. The violation was cited today. Playground inspections were completed. The sanitation inspection was completed 1/30/24 and received a “Superior” classification. The last fire inspection was completed 1/11/23. Fire inspections should be mailed/emailed to consultant within seven (7) days of the inspection. Violation Number Comment Rule 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. On-going training certificates were not available for review for one (1) staff member. .1103(a) 1054 Documentation of staff's on-going training was not on file and/or was not current . On going training was not documented. 10A NCAC 09 .1106(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill was documented 8/31/23 and again on 12/6/23 exceeding the three month requirement. .0604(u);.0302(d)(8) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch measured four (4) inches underneath climbing structures. .0605(k)(1-4) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday, May 7, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Resuming Star Rated License Reassessment: As previously stated in the 11/7/23 routine unannounced visit summary your facility is in Cohort 1 and your reassessment time period will begin July 1, 2024. Ideally the reassessment will coincide with your annual compliance period. As a reminder, annual compliance visits can be conducted up to sixty (60) days prior to the last annual compliance visit. This is especially important to note as your annual compliance month falls near the end of the school year. As a reminder, I encourage you to take the following steps to prepare for the reassessment: • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Technical Assistance/General Comments: Child Care Rule 10A NCAC 09 .0604(u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). - I recommend putting these drills on the Outlook calendar throughout the year and setting a reminder to ensure drills are completed within three (3) months from the last drill. - 10A NCAC 09 .0608 (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: - (1) the individual's name; - (2) the date the center's policy was given and explained to the individual; - (3) the individual's signature; and - (4) the date the individual signed the acknowledgment. - The child care center shall retain the acknowledgement in the staff member's file. If children five (5) year old children are enrolled in the program this policy must be reviewed and a signed copy placed in their file for review prior to caring for children. - I recommend purchasing child sized rakes and buckets for moving and fluffing mulch underneath climbing structures. Children cannot be made to participate in this activity but can participate if they choose to and if not staff should rake and fluff mulch underneath fall zones. Contact me at Jennifer Stansfield, Child Care Consultant, jennifer.stansfield@dhhs.nc.gov or 704-956-1648 or Michele Sullivan, Licensing Supervisor, michele.sullivan@dhhs.nc.gov or 704-594-0147 if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1106 · Violation

Name of Operation: MALLARD CREEK ASEP Facility ID: 6055677 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 4/23/2024 Number Present: 23 Completed Date: 4/23/2024 Age: From 5 To 11 Total Minutes: 124 Time In: 03:41 PM Time Out: 05:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full annual compliance visit. The facility was currently operating with Four Star Rated License issued on December 12. 2018, and earned 7 points in the staff education component, 3 points in the program component and meets enhanced standards and enhanced ratios, and 1 quality point for staff benefits package and an infrastructure of parent involvement. The facility had an eighteen (18) month compliance history score of 92% prior to today’s visit. The March 2024 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Upon arrival I signed in at the school main office. I was accompanied to the cafeteria by Ms. T. Norwood, group leader where I met Ms. Dinesa Black, site coordinator and I explained the purpose of my visit. Students had not been dismissed to afterschool. I monitored the parent board, program records and staff files prior to children arriving to afterschool. Ms. Black reported after school operated two (2) groups of children. She stated some children participated in tutoring and tennis club prior to entering afterschool. She stated children did not always come to after school when participating in other school sponsored programs and were picked up directly from those programs. Ms. Black stated Ms. Z. Stephens recently began employment on 3/15/24. I observed all children listed on the children’s records DPI form. The allergy list was posted on the parent board. The list indicated whether students required medication for allergies. All staff and substitutes were listed on the staff DPI form. Each staff member present had a current CBC qualification letter on file for review. Two (2) employees had current CPR/First Aid training and Z.S. was still within her ninety (90) days of employment. At least three (3) activity areas were available for children in the cafeteria. Staff/child ratio forms were posted inside the cafeteria. The door to the kitchen was closed during the visit. Both staff received the required ongoing training hours. Each had a current CBC qualification letter on file and current CPR/First Aid training. Each had BSAC training. A current menu was posted and snack corresponded with what was listed on the menu. Fire drills were completed and documented each month. An emergency drill was documented 8/31/23 and again on 12/6/23. I reminded Ms. Black that emergency drills (shelter-in-place/lockdown) should be conducted at least every three (3) months. The violation was cited today. Playground inspections were completed. The sanitation inspection was completed 1/30/24 and received a “Superior” classification. The last fire inspection was completed 1/11/23. Fire inspections should be mailed/emailed to consultant within seven (7) days of the inspection. Violation Number Comment Rule 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. On-going training certificates were not available for review for one (1) staff member. .1103(a) 1054 Documentation of staff's on-going training was not on file and/or was not current . On going training was not documented. 10A NCAC 09 .1106(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill was documented 8/31/23 and again on 12/6/23 exceeding the three month requirement. .0604(u);.0302(d)(8) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch measured four (4) inches underneath climbing structures. .0605(k)(1-4) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday, May 7, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Resuming Star Rated License Reassessment: As previously stated in the 11/7/23 routine unannounced visit summary your facility is in Cohort 1 and your reassessment time period will begin July 1, 2024. Ideally the reassessment will coincide with your annual compliance period. As a reminder, annual compliance visits can be conducted up to sixty (60) days prior to the last annual compliance visit. This is especially important to note as your annual compliance month falls near the end of the school year. As a reminder, I encourage you to take the following steps to prepare for the reassessment: • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Technical Assistance/General Comments: Child Care Rule 10A NCAC 09 .0604(u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). - I recommend putting these drills on the Outlook calendar throughout the year and setting a reminder to ensure drills are completed within three (3) months from the last drill. - 10A NCAC 09 .0608 (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: - (1) the individual's name; - (2) the date the center's policy was given and explained to the individual; - (3) the individual's signature; and - (4) the date the individual signed the acknowledgment. - The child care center shall retain the acknowledgement in the staff member's file. If children five (5) year old children are enrolled in the program this policy must be reviewed and a signed copy placed in their file for review prior to caring for children. - I recommend purchasing child sized rakes and buckets for moving and fluffing mulch underneath climbing structures. Children cannot be made to participate in this activity but can participate if they choose to and if not staff should rake and fluff mulch underneath fall zones. Contact me at Jennifer Stansfield, Child Care Consultant, jennifer.stansfield@dhhs.nc.gov or 704-956-1648 or Michele Sullivan, Licensing Supervisor, michele.sullivan@dhhs.nc.gov or 704-594-0147 if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: MALLARD CREEK ASEP Facility ID: 6055677 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 4/23/2024 Number Present: 23 Completed Date: 4/23/2024 Age: From 5 To 11 Total Minutes: 124 Time In: 03:41 PM Time Out: 05:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full annual compliance visit. The facility was currently operating with Four Star Rated License issued on December 12. 2018, and earned 7 points in the staff education component, 3 points in the program component and meets enhanced standards and enhanced ratios, and 1 quality point for staff benefits package and an infrastructure of parent involvement. The facility had an eighteen (18) month compliance history score of 92% prior to today’s visit. The March 2024 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Upon arrival I signed in at the school main office. I was accompanied to the cafeteria by Ms. T. Norwood, group leader where I met Ms. Dinesa Black, site coordinator and I explained the purpose of my visit. Students had not been dismissed to afterschool. I monitored the parent board, program records and staff files prior to children arriving to afterschool. Ms. Black reported after school operated two (2) groups of children. She stated some children participated in tutoring and tennis club prior to entering afterschool. She stated children did not always come to after school when participating in other school sponsored programs and were picked up directly from those programs. Ms. Black stated Ms. Z. Stephens recently began employment on 3/15/24. I observed all children listed on the children’s records DPI form. The allergy list was posted on the parent board. The list indicated whether students required medication for allergies. All staff and substitutes were listed on the staff DPI form. Each staff member present had a current CBC qualification letter on file for review. Two (2) employees had current CPR/First Aid training and Z.S. was still within her ninety (90) days of employment. At least three (3) activity areas were available for children in the cafeteria. Staff/child ratio forms were posted inside the cafeteria. The door to the kitchen was closed during the visit. Both staff received the required ongoing training hours. Each had a current CBC qualification letter on file and current CPR/First Aid training. Each had BSAC training. A current menu was posted and snack corresponded with what was listed on the menu. Fire drills were completed and documented each month. An emergency drill was documented 8/31/23 and again on 12/6/23. I reminded Ms. Black that emergency drills (shelter-in-place/lockdown) should be conducted at least every three (3) months. The violation was cited today. Playground inspections were completed. The sanitation inspection was completed 1/30/24 and received a “Superior” classification. The last fire inspection was completed 1/11/23. Fire inspections should be mailed/emailed to consultant within seven (7) days of the inspection. Violation Number Comment Rule 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. On-going training certificates were not available for review for one (1) staff member. .1103(a) 1054 Documentation of staff's on-going training was not on file and/or was not current . On going training was not documented. 10A NCAC 09 .1106(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill was documented 8/31/23 and again on 12/6/23 exceeding the three month requirement. .0604(u);.0302(d)(8) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch measured four (4) inches underneath climbing structures. .0605(k)(1-4) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday, May 7, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Resuming Star Rated License Reassessment: As previously stated in the 11/7/23 routine unannounced visit summary your facility is in Cohort 1 and your reassessment time period will begin July 1, 2024. Ideally the reassessment will coincide with your annual compliance period. As a reminder, annual compliance visits can be conducted up to sixty (60) days prior to the last annual compliance visit. This is especially important to note as your annual compliance month falls near the end of the school year. As a reminder, I encourage you to take the following steps to prepare for the reassessment: • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Technical Assistance/General Comments: Child Care Rule 10A NCAC 09 .0604(u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). - I recommend putting these drills on the Outlook calendar throughout the year and setting a reminder to ensure drills are completed within three (3) months from the last drill. - 10A NCAC 09 .0608 (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: - (1) the individual's name; - (2) the date the center's policy was given and explained to the individual; - (3) the individual's signature; and - (4) the date the individual signed the acknowledgment. - The child care center shall retain the acknowledgement in the staff member's file. If children five (5) year old children are enrolled in the program this policy must be reviewed and a signed copy placed in their file for review prior to caring for children. - I recommend purchasing child sized rakes and buckets for moving and fluffing mulch underneath climbing structures. Children cannot be made to participate in this activity but can participate if they choose to and if not staff should rake and fluff mulch underneath fall zones. Contact me at Jennifer Stansfield, Child Care Consultant, jennifer.stansfield@dhhs.nc.gov or 704-956-1648 or Michele Sullivan, Licensing Supervisor, michele.sullivan@dhhs.nc.gov or 704-594-0147 if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: MALLARD CREEK ASEP Facility ID: 6055677 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 11/7/2023 Number Present: 30 Completed Date: 11/7/2023 Age: From 5 To 11 Total Minutes: 72 Time In: 10:08 AM Time Out: 11:20 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a routine unannounced visit. The facility had a Four Star Rated License issued 12/12/2018 and an eighteen month compliance history of 90% prior to today’s visit. The license and NC child care law summary were posted. The following was monitored using the August 2023 Master Center Item Number Listing: supervision, staff/child ratios, CPR/ First Aid, special training, CBC qualification, emergency medical care plan, administration of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate and approved space, program records, license posted, and permit restrictions. Upon arrival I was greeted by Ms. Dinesa Black, site coordinator, and I explained the purpose of my visit. Children were present in the cafeteria. Ms. Black stated they were operating two (2) groups today as today was a Charlotte Mecklenburg Schools (CMS) teacher workday. There were a total of thirty (30) children present split evenly into two (2) groups. Children were observed participating in personal care routines. The program was participating in pajama day today. Students came back to the cafeteria and participated in a large group activity. Children drew pictures of the field trip they attended on November 6, 2023 and shared about their picture to the group. Group leaders were observed, engaged and provided a nurturing environment ensuring each felt heard and respected by the group. Materials were observed plentiful and in good repair. Ms. Black stated the program used the school’s playground for outdoor play. She stated mulch was delivered in August. All required information was observed posted and current. Group leaders had current CPR/First Aid and one (1) new hire, Ms. D. Little, received BSAC training 9/9/23. Both group leaders had current CBC qualifications. Attendance was not documented. Arrival times were documented in the parent notebooks stored at the entrance. I explained that attendance should be documented as children arrived to the program to ensure each child was accounted for even though there was no cutoff time today. One (1) violation was cited and corrected during the visit therefore no corrective action letter was required. Violation Number Comment Rule 1301 Center did not maintain a record of daily attendance. Attendance was not documented today. GS 110-91(9) Technical Assistance: - Keep the attendance notebook with the associate as children arrive. Document their arrival as they come to after school and use the attendance as the name to face sheet. Attendance should be documented in real time as children arrive. Resuming Star Rated License Reassessment: The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each include a preparation year and a reassessment year. While the first reassessment year will not begin until July 1, 2024, the preparation year for cohort one begins July 1, 2023. Your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, we will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Thank you for your time today. Please contact me with questions or concerns at 704-956-1648 or jennifer.stansfield@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.