10A NCAC 09 .0302 · Violation

Name of Operation: PRIMROSE SCHOOL OF SOUTH CHARLOTTE Facility ID: 60003859 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 8/18/2025 Number Present: 125 Completed Date: 8/18/2025 Age: From 0 To 8 Total Minutes: 355 Time In: 09:20 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The facility operates with a Five Star Rated License with an effective date of July 31, 2024. The facility Operations Manager, C. Strawn, assisted me with the visit. We completed a walk-through of the facility. I observed children in both the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, teacher directed activities, free play of indoor and outdoor activities, group time, and transitions. Staff members were observed leading group time, supervising activities and assisting with personal care routines. The NC Secretary of State website was reviewed prior to today’s visit and showed the corporation status as not current. The Owner completed the annual report during the visit today and the corporation status for Bill and Yaa Enterprise is listed as current- active. A sanitation inspection was completed April 1, 2025, with a “Superior” classification. The last approved fire inspection on file was received on January 28, 2025. The Emergency Drill Log was reviewed today. A lockdown drill was conducted on July 30, 2025, and the last fire drill was conducted on July 14, 2025. Playground safety checklists were also monitored and are occurring each month as required. Files for ten percent of children enrolled were monitored. The Staff and Training Worksheets were received today. There have been seven new staff hired since a routine unannounced visit was conducted on March 18, 2025. Files for all new staff and ten percent of existing staff files were monitored. The worksheets were reviewed to ensure all staff are correct with criminal background checks, First Aid, CPR, ITS-SIDS training and BSAC training. The following violations were observed today. Violation Number Comment Rule 429 The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group of children in care.The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group of children in care. The activity plans for each classroom did not include goals from Foundations for Early Learning and Development. T This is a violation of a requirement in .0508(b)(1-5). .0508(b)(1-5) 613 Crib sheets were not changed as needed or at least daily. In space #1, a crib sheet was visibly dirty in two places. 15A NCAC 18A .2821(f) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member's First Aid training was not an approved course. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member's CPR training was not an approved course. .1102(d) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Two child did not have verification on file that emergency medical care information had been updated annually. .0802(c) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Three children did not have a completed health assessment on file. GS 110-91(1);.0302(d)(2); .0304(g) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Four children did not have a immunization record on file. 10A NCAC 09 .0302(d)(2) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child did not have verification on file that the parents received the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) The following technical assistance was provided: North Carolina Foundations for Early Learning and Development- Activity plans did not include NC Foundations. Extra books were given to the Director during the visit. The book can also be accessed on line with the link provided https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/N/NC_Foundations.pdf?ver=2017-05-16-105950-953 Pathway to the Stars- A webinar will be hosted August 20th at 6pm for centers and centers located in a residence. In September, Child Care Consultants will be hosting an in-person meeting to provide additional guidance on changes, the transition plan and timeline. A link to the webinar was sent in an email today. You will receive an email from me with information regarding the in-person meetings. I encourage you to utilize the North Carolina Rated License Project’s (NCRLAP) website for information, resources and training related to the Infant/Toddler Environment Rating Scale 3rd Edition and the Early Childhood Environment Rating Scale- 3rd Edition at www.ncrlap.org. I encourage you to also 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 questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

GS 110-91 · Violation

Name of Operation: PRIMROSE SCHOOL OF SOUTH CHARLOTTE Facility ID: 60003859 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 8/18/2025 Number Present: 125 Completed Date: 8/18/2025 Age: From 0 To 8 Total Minutes: 355 Time In: 09:20 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The facility operates with a Five Star Rated License with an effective date of July 31, 2024. The facility Operations Manager, C. Strawn, assisted me with the visit. We completed a walk-through of the facility. I observed children in both the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, teacher directed activities, free play of indoor and outdoor activities, group time, and transitions. Staff members were observed leading group time, supervising activities and assisting with personal care routines. The NC Secretary of State website was reviewed prior to today’s visit and showed the corporation status as not current. The Owner completed the annual report during the visit today and the corporation status for Bill and Yaa Enterprise is listed as current- active. A sanitation inspection was completed April 1, 2025, with a “Superior” classification. The last approved fire inspection on file was received on January 28, 2025. The Emergency Drill Log was reviewed today. A lockdown drill was conducted on July 30, 2025, and the last fire drill was conducted on July 14, 2025. Playground safety checklists were also monitored and are occurring each month as required. Files for ten percent of children enrolled were monitored. The Staff and Training Worksheets were received today. There have been seven new staff hired since a routine unannounced visit was conducted on March 18, 2025. Files for all new staff and ten percent of existing staff files were monitored. The worksheets were reviewed to ensure all staff are correct with criminal background checks, First Aid, CPR, ITS-SIDS training and BSAC training. The following violations were observed today. Violation Number Comment Rule 429 The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group of children in care.The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group of children in care. The activity plans for each classroom did not include goals from Foundations for Early Learning and Development. T This is a violation of a requirement in .0508(b)(1-5). .0508(b)(1-5) 613 Crib sheets were not changed as needed or at least daily. In space #1, a crib sheet was visibly dirty in two places. 15A NCAC 18A .2821(f) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member's First Aid training was not an approved course. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member's CPR training was not an approved course. .1102(d) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Two child did not have verification on file that emergency medical care information had been updated annually. .0802(c) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Three children did not have a completed health assessment on file. GS 110-91(1);.0302(d)(2); .0304(g) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Four children did not have a immunization record on file. 10A NCAC 09 .0302(d)(2) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child did not have verification on file that the parents received the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) The following technical assistance was provided: North Carolina Foundations for Early Learning and Development- Activity plans did not include NC Foundations. Extra books were given to the Director during the visit. The book can also be accessed on line with the link provided https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/N/NC_Foundations.pdf?ver=2017-05-16-105950-953 Pathway to the Stars- A webinar will be hosted August 20th at 6pm for centers and centers located in a residence. In September, Child Care Consultants will be hosting an in-person meeting to provide additional guidance on changes, the transition plan and timeline. A link to the webinar was sent in an email today. You will receive an email from me with information regarding the in-person meetings. I encourage you to utilize the North Carolina Rated License Project’s (NCRLAP) website for information, resources and training related to the Infant/Toddler Environment Rating Scale 3rd Edition and the Early Childhood Environment Rating Scale- 3rd Edition at www.ncrlap.org. I encourage you to also 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 questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: PRIMROSE SCHOOL OF SOUTH CHARLOTTE Facility ID: 60003859 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 8/28/2024 Number Present: 123 Completed Date: 8/28/2024 Age: From 0 To 5 Total Minutes: 315 Time In: 09:15 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance of applicable child care requirements during the annual compliance visit. The 18 month compliance history, prior to today's visit was 86%. I met with Christa Strawn, Operations Manager. I explained the purpose of today's visit and you were able to complete a walkthrough of the facility with me. During today's visit I observed infants being fed, having floor time, and resting. Classrooms serving Toddlers - 4 years olds were observed in circle time, center play, and outdoor time. Supervision and staff/child ratio was maintained throughout the facility. Interactions between staff and children were positive, at children's eye level as they spoke, and using nurturing tones. Staff were observed moving about the indoor and outdoor environment engaging children in activities. Seven of the classrooms did not have a current activity plan posted, the week of 9/9/24 - 9/13/24 were posted in anticipation of the new school year. Staff were able to reference the current activity plan in their tablets. I did not observe any discipline issues; staff redirected children if needed. While in two of your preschool classrooms I noticed the block and book areas did not have a sufficient amount of material for at least three children to play independently in the center, also one doll house only had people and no other accessories to use. I spoke with the education coach during the visit and she posted all the current activity plans and pulled material to add to the book, block and dramatic play interest centers during today's visit. The outdoor environment was monitored. The preschool playground had a lot of small torn pieces of paper, plastic cups, pom poms, and a band-aid in the turf spread out inside the fenced in play area, you had someone go outside and clean the area. The monthly playground inspections were monitored and found meeting compliance. I observed children riding bikes, playing on the stationary equipment, swinging and running around the yard while observing outdoors. Water was accessible to children indoors and outdoors throughout the observation. The current menu was reviewed and lunch served followed the day's menu. Allergies were observed posted in the kitchen and each classroom. The kitchen refrigerator read 40 degrees. The refrigerator in the infant room read 46 degrees. Medications were reviewed and found meeting compliance. Medical action plans were reviewed and found to be current and medications listed were one site with written permission and observed stored properly. Program records were reviewed. The monthly emergency drill log was reviewed and found meeting compliance. The last fire inspection was conducted on 4/5/24. The last sanitation inspection was conducted 2/15/24. The current incident log was reviewed and found meeting compliance. A first aid chart, tobacco free zone, summary of the NC Child Care Law, safe arrival and departure procedures and license were observed posted in the lobby. Current feeding schedules, visual safe sleep documentation and the ITS/SIDS policy were all observed posted and reviewed today, all were found meeting compliance. The current daily schedules were posted in each classroom. Daily arrival and departure is captured electronically and was available for review. A sample of children's records were reviewed and found meeting compliance. You provided the current staff and training worksheets, I reviewed a sample of existing staff's file and all new hired employee files. You did not have proof of completing orientation for the last 10 hires. An most staff employed more than a year have not had the annual EPR review completed since June and July 2023. You stated you are getting them done during the next teacher workday, which is this Friday. The vehicle was monitored and found meeting compliance. I reviewed the transportation notebook and observed the current registration, insurance, emergency information with photos, and attendance, all were observed meeting compliance. The following violations were observed today: Violation Number Comment Rule 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. Space 5 and 6, both serving children 3 and over did not have sufficient quantity of material accessible to children in the block and book areas, and in Space 5 a pretend doll house only had people and one chair that we could find, to use when playing with the doll house, no other accessories were found in the room. .0510(d)(1) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. I checked the infant room refrigerator thermometer two separate times during today's visit and it read 46 degrees. 15A NCAC 18A .2806(j)(2) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. The first group of the day had just gone to the preschool playground to play when I monitored the play area. I observed torn paper, plastic cups, pom pom debris and a band-aid spread around the play yard. 10A NCAC 09 .0604(p) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Six new hires do not have proof they received 16 hours of orientation on file. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 4 new hires do not have proof of obtaining six clock hours or orientation completed within the first two weeks of employment. .1101(a)(b) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Most staff, employed a year or more have not had the annual EPR review since June or July 2023. .0607(f) Compliance Letter: Childcare providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today shall be corrected immediately. Christa Strawn, Operations Manager, will email a compliance letter explaining how each violation cited today has been corrected. The compliance letter must be received by the consultant, andrea.anderson@dhhs.nc.gov, on or before 9-11-24. Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Technical Assistance was provided on the following: Staff Files: We discussed all the items you maintained based on the staff's anniversary date, and you color code the staff and training worksheet to help you with keeping track of items needed renewal. You stated that typically annual reviews of the EPR plan occur during the August teacher workday but for some reason the previous director completed them in June and July. I encourage you get them back on track as getting it done prior to their anniversary date each year. You can keep one document that states the EMC/EPR plans were reviewed with all staff on (Date), list all current staff and have each staff sign the document and keep the document on file available for review. We discussed keeping the staff orientation sheet at the very front of the staff file and fill it out as each line items is completed. Opening: We discussed checklists and how you open the center each day. Making sure each classroom and outdoor play environment is ready for use a staff must walk the rooms and playgrounds to ensure compliance. Utilize those checklists you have and add clean and in good repair to the list if it isn't on it already. With being so close to a busy street trash debris can easily blow onto the playground regularly. Also remind teachers as they are outdoors to pick up any trash they see. Other: Recognizing and Responding to Suspicions of Maltreatment: We were just notified that all new hires will complete Recognizing and Responding to Suspicions of Maltreatment from www.preventchildabusenc.org. When completing it again within the next five years of employment, as part of the health and safety requirements, staff can take that topic area from any approved trainer. If you have any questions please contact me, andrea.anderson@dhhs.nc.gov, (704)594-0039 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 .0802 · Violation

Name of Operation: PRIMROSE SCHOOL OF SOUTH CHARLOTTE Facility ID: 60003859 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 3/27/2024 Number Present: 133 Completed Date: 3/27/2024 Age: From 0 To 5 Total Minutes: 210 Time In: 12:00 PM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance of applicable child care requirements during the routine unannounced visit. Upon my arrival I was greeted by you, Christa Strawn, Operations Manager. I explained the purpose of today's visit and you were able to complete a walkthrough of the facility with me. During today's visit I observed infants being fed, having floor time, and diapers being changed. Classrooms serving Toddlers - 4 years olds were all observed during rest time. In three of the classrooms cots were not at least 18 inches apart, and I helped you and the staff situate cots in the room to allow for at least 18 inches apart. The T-K classroom was observed eating lunch, all the children in the group and the teacher were seated together, family style, and conversing and eating. Once finished the children were able to throw their plates away wash hands and transition to the next activity. Supervision and staff/child ratio was maintained throughout the facility. Interactions between staff and children were positive. Staff were on the infant and 5 year old's eye level as they spoke, using nurturing tones. In rooms were children were resting staff were observed rubbing or patting backs to help soothe children to sleep, or they were seated at tables working and monitoring children as they slept. While in Space 9, I observed a wall mounted pencil sharpener without it's cover. I asked about the cover and the staff reported it had been missing for awhile. You made it inaccessible during today's visit. I did not observed any discipline issues. As I was completing the documentation to end the visit summary I heard children awake and playing, I did not hear any crying or sounds of being upset. The daily schedule and current activity plans were posted and I could see they were following the daily schedule and observed evidence each classroom the daily activity plan is being implemented. Each group was observed in approved/adequate space. Medications were observed stored properly. I monitored permission to administer and medical action plans and found them current, with detailed information, and meeting compliance. Cleaning supplies were stored properly. Bottles warmers are on a cabinet by the refrigerator in the infant room, and it's in a holding container that is slip proof and secure. Outlets were observed posted and material was observed in good repair. I reviewed program records today. The last fire inspection was conducted on 5-1-2023. The emergency drill log was reviewed and found meeting compliance. The last sanitation inspection was conducted on 2-15-24. Information required to be posted was observed posted in the entry way and in classrooms. While in the infant room I also reviewed the current feeding schedules for all children under 15 months, visual safe sleep documentation, observed your safe sleep policy and poster posted and found all meeting compliance. The incident log and playground inspections were reviewed and found meeting compliance. I reviewed the current staff and training worksheet you provided me and found all staff have a current DCDEE qualifying letter on file. All staff employed more than 90 days have current CPR/FA certification. Administrators and infant staff, along with several other staff have current ITS/SIDS certification. The persons who have completed the playground inspections this year of playground safety training. The owner, you and your assistant have completed EPR training. Everyone employed a year have completed the required health and safety trainings, staff within the first year of hire of completed the required health and safety trainings within 90 days and are working on completing the other topic areas within their first year of employment. The following violations were cited today: Violation Number Comment Rule 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. During today's walkthrough I observed cots in three of the classrooms that were not at least 18" apart. 15A NCAC 18A .2821(e) 721 All equipment and furnishings were not in good repair. While observing in Space 9, I observed a wall mounted pencil sharpening without it's cover; I was informed the cover has been missing for awhile. G.S. 110-91(6); .0601(b) Compliance Statement: Because both violations were cited during my presence today, you are not required to submit a compliance statement to me. Technical Assistance was provided on the following: Proper spacing of cots: I encourage you to have a tool/or way to measure 18 inches between cots in each classroom. Utilize your entire classroom during rest time. You won't place cots in entryway or in front of the exit door, but you have plenty of room in the center of the classrooms where cots can be spaced out at least 18" apart. I shared that I have seen staff use a measuring tape or cut a string that is 18" that is kept in a cabinet, staff can get to quickly to check the spacing between cots easily and move them if necessary. If you cannot place them at least 18" apart you will need to have a solid barrier the full length of the cots between them. Equipment in good repair: Staff should be letting you know if they have something in poor repair. Each day staff should be making sure their room is ready for children to utilize, meeting all child care requirements. If something is broken or in poor repair it should be removed immediately and made inaccessible to children in care. I encourage you to put a process in place for staff to notify you when something breaks or has missing pieces. To be in good repair the material and equipment need to be able to be used the way it's intended with no hazards. While waiting to repair the item, if unable to remove the item, it should be made inaccessible to children in care until repairs are made. Incident Report and Log: We discussed the incident log and what is required to be on the report. Any form required for licensing can be on your own documented, unless stated in rule. However, I encourage you to make sure everything on the DCDEE forms are listed on your document to ensure compliance is maintained with required information. The rules we reviewed today were 10A NCAC 09 .0802(e-g). If you have questions please contact me: Andrea Anderson 12233 Royal Castle Ct Charlotte, NC 28277 (704)594-0039 andrea.anderson@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.

G.S. 110-91 · Violation

Name of Operation: PRIMROSE SCHOOL OF SOUTH CHARLOTTE Facility ID: 60003859 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 3/27/2024 Number Present: 133 Completed Date: 3/27/2024 Age: From 0 To 5 Total Minutes: 210 Time In: 12:00 PM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance of applicable child care requirements during the routine unannounced visit. Upon my arrival I was greeted by you, Christa Strawn, Operations Manager. I explained the purpose of today's visit and you were able to complete a walkthrough of the facility with me. During today's visit I observed infants being fed, having floor time, and diapers being changed. Classrooms serving Toddlers - 4 years olds were all observed during rest time. In three of the classrooms cots were not at least 18 inches apart, and I helped you and the staff situate cots in the room to allow for at least 18 inches apart. The T-K classroom was observed eating lunch, all the children in the group and the teacher were seated together, family style, and conversing and eating. Once finished the children were able to throw their plates away wash hands and transition to the next activity. Supervision and staff/child ratio was maintained throughout the facility. Interactions between staff and children were positive. Staff were on the infant and 5 year old's eye level as they spoke, using nurturing tones. In rooms were children were resting staff were observed rubbing or patting backs to help soothe children to sleep, or they were seated at tables working and monitoring children as they slept. While in Space 9, I observed a wall mounted pencil sharpener without it's cover. I asked about the cover and the staff reported it had been missing for awhile. You made it inaccessible during today's visit. I did not observed any discipline issues. As I was completing the documentation to end the visit summary I heard children awake and playing, I did not hear any crying or sounds of being upset. The daily schedule and current activity plans were posted and I could see they were following the daily schedule and observed evidence each classroom the daily activity plan is being implemented. Each group was observed in approved/adequate space. Medications were observed stored properly. I monitored permission to administer and medical action plans and found them current, with detailed information, and meeting compliance. Cleaning supplies were stored properly. Bottles warmers are on a cabinet by the refrigerator in the infant room, and it's in a holding container that is slip proof and secure. Outlets were observed posted and material was observed in good repair. I reviewed program records today. The last fire inspection was conducted on 5-1-2023. The emergency drill log was reviewed and found meeting compliance. The last sanitation inspection was conducted on 2-15-24. Information required to be posted was observed posted in the entry way and in classrooms. While in the infant room I also reviewed the current feeding schedules for all children under 15 months, visual safe sleep documentation, observed your safe sleep policy and poster posted and found all meeting compliance. The incident log and playground inspections were reviewed and found meeting compliance. I reviewed the current staff and training worksheet you provided me and found all staff have a current DCDEE qualifying letter on file. All staff employed more than 90 days have current CPR/FA certification. Administrators and infant staff, along with several other staff have current ITS/SIDS certification. The persons who have completed the playground inspections this year of playground safety training. The owner, you and your assistant have completed EPR training. Everyone employed a year have completed the required health and safety trainings, staff within the first year of hire of completed the required health and safety trainings within 90 days and are working on completing the other topic areas within their first year of employment. The following violations were cited today: Violation Number Comment Rule 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. During today's walkthrough I observed cots in three of the classrooms that were not at least 18" apart. 15A NCAC 18A .2821(e) 721 All equipment and furnishings were not in good repair. While observing in Space 9, I observed a wall mounted pencil sharpening without it's cover; I was informed the cover has been missing for awhile. G.S. 110-91(6); .0601(b) Compliance Statement: Because both violations were cited during my presence today, you are not required to submit a compliance statement to me. Technical Assistance was provided on the following: Proper spacing of cots: I encourage you to have a tool/or way to measure 18 inches between cots in each classroom. Utilize your entire classroom during rest time. You won't place cots in entryway or in front of the exit door, but you have plenty of room in the center of the classrooms where cots can be spaced out at least 18" apart. I shared that I have seen staff use a measuring tape or cut a string that is 18" that is kept in a cabinet, staff can get to quickly to check the spacing between cots easily and move them if necessary. If you cannot place them at least 18" apart you will need to have a solid barrier the full length of the cots between them. Equipment in good repair: Staff should be letting you know if they have something in poor repair. Each day staff should be making sure their room is ready for children to utilize, meeting all child care requirements. If something is broken or in poor repair it should be removed immediately and made inaccessible to children in care. I encourage you to put a process in place for staff to notify you when something breaks or has missing pieces. To be in good repair the material and equipment need to be able to be used the way it's intended with no hazards. While waiting to repair the item, if unable to remove the item, it should be made inaccessible to children in care until repairs are made. Incident Report and Log: We discussed the incident log and what is required to be on the report. Any form required for licensing can be on your own documented, unless stated in rule. However, I encourage you to make sure everything on the DCDEE forms are listed on your document to ensure compliance is maintained with required information. The rules we reviewed today were 10A NCAC 09 .0802(e-g). If you have questions please contact me: Andrea Anderson 12233 Royal Castle Ct Charlotte, NC 28277 (704)594-0039 andrea.anderson@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: PRIMROSE SCHOOL OF SOUTH CHARLOTTE Facility ID: 60003859 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 9/12/2023 Number Present: 113 Completed Date: 9/12/2023 Age: From 0 To 5 Total Minutes: 325 Time In: 09:35 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements. The current One Star License was issued on 10-18-19. A checklist was used to monitor the facility today. The compliance history prior to today’s visit was 86% Upon my arrival I met with Esther Duff, Operations Director. I introduced myself and explained the purpose of today’s visit. I met the owner and the administrative team prior to completing a walkthrough today. Ms. Duff accompanied me on today’s walkthrough of the facility. During the walkthrough I observed children in free choice center play, teacher directed activities, outdoor play, lunch, and rest. Supervision and staff child ratio was observed being maintained during today’s visit. While outdoors staff were observed moving about the outdoor environment to ensure they could see all the children as they played and render immediate assistance. Staff were attentive to children in their care, using nurturing tones, and comforting upset children quickly. Material and equipment were monitored in each classroom and on each playground today, all were found to be clean, in good repair and developmentally appropriate for the age range served. Each classroom had a current activity plan, daily schedule, First Aid posters, allergy lists, cot lists, and staff/child ratio information posted. In addition, the infant room had the current safe sleep policy posted, each child under 15 months of age had a current feeding schedule posted and I reviewed the visual safe sleep documentation and found them meeting compliance. While outdoors I observed water accessible to children. The fencing between playgrounds are 4 feet and are chain linked fencing with the chain link not flush at the top, which is considered a protrusion. The current menu was posted. The lunch I observed children eating was what was listed for today’s lunch. The menu has a sentence at the bottom of the current menu that states you offer a late afternoon snack at 5:00, however it doesn’t list what children will be offered at that time, this was corrected during today’s visit by adding that information to these weeks and next week’s menu. Infant bottles were labeled and dated; the refrigerator thermometer read 42 degrees. I reviewed program records. The current EPR ready to go file did not have all current staff contact information in the file. All information required to be posted was observed posted. The last fire inspection was conducted on 5-1-23. The fire and emergency drill log were reviewed and found meeting compliance. The last sanitation inspection was conducted on 7/19/23. Medications were monitored today, one diaper cream on site did not have written permission to administer. I reviewed a sample of existing staff’s files and reviewed all new staff files, for those staff that were hired since last year’s annual compliance visit, there were found meeting compliance. I counted 136 children’s files and reviewed 13 of them. Your current discipline policy did not have the child’s enrollment date on it, so you updated your form during the visit to use moving forward. Two children’s files did not have signed statements regarding parents receiving and discussing the Summary of the NC Childcare Law. Three children’s files, who have been enrolled more than 30 days, did not have a medical on file. One child’s file did not have immunization information on file. One child’s file did not have a signed discipline policy or signed Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. You provide transportation, I reviewed the vehicle and transportation notebook. The vehicle has current insurance and registration and was clean and good repair. Six children are transported daily from their elementary school, 1 of those children did not have emergency information and identifying information in the transportation notebook. 4 of the children’s emergency information did not have a photo attached, you corrected this during today’s visit. The following violations were cited during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Two children's files did not have a signed statement regarding the parent receiving the summary of the NC Child Care Law. GS 110-102 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The 4 feet chain link fencing between playgrounds is not flush at the top and the chain link above the rail is considered a protrusion. GS 110-91(6); .0605((i) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One sunscreen, in Space 9, did not have written permission to administer. 10A NCAC 09 .0803(1)(a & b) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Six children are transported daily from elementary school, one child does not have emergency and identifying information in the transportation notebook, four children's emergency information did not have photographs. 10A NCAC 09 .1003(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Three children's files did not have a medical on file; they have been enrolled more than 30 days. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child's file does not have an immunization record on file, the child has been enrolled more than 30 days. 10A NCAC 09 .0302(d)(2) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. None of the signed discipline policies have the child's enrollment date listed. .1804(b) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The current Ready to Go File did not have all current staff contact information. .0607(d)(10) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child's file did not have a signed statement the parent received and discussed the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. .0608(b)(1-6) Compliance Letter: Childcare providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today shall be corrected immediately. Ester Duff, operations director, will email a compliance letter explaining how each violation cited today has been corrected. The compliance letter must be received by the consultant, andrea.anderson@dhhs.nc.gov, on or before September 26, 2023. Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Technical Assistance was provided on the following: Screen Time: 10A NCAC 09. 0510(d)(2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. During today’s visit while in Space 9 I observed children using screen time. The teacher is using the screen time log, I explained that if the log was too much to keep up with, especially when only one staff was caring for the group, they could put the screen time activity on the current lesson plan and they wouldn’t have to keep the cumulative log. Medication: If a child no longer needs a medication for a chronic condition, you must obtain that information in writing. Return or discard any medication on premise that is no longer required to be administered within 72 hours. If you have any questions, please contact me: Andrea Anderson PO Box 49335 Charlotte, NC 28277 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: PRIMROSE SCHOOL OF SOUTH CHARLOTTE Facility ID: 60003859 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 9/12/2023 Number Present: 113 Completed Date: 9/12/2023 Age: From 0 To 5 Total Minutes: 325 Time In: 09:35 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements. The current One Star License was issued on 10-18-19. A checklist was used to monitor the facility today. The compliance history prior to today’s visit was 86% Upon my arrival I met with Esther Duff, Operations Director. I introduced myself and explained the purpose of today’s visit. I met the owner and the administrative team prior to completing a walkthrough today. Ms. Duff accompanied me on today’s walkthrough of the facility. During the walkthrough I observed children in free choice center play, teacher directed activities, outdoor play, lunch, and rest. Supervision and staff child ratio was observed being maintained during today’s visit. While outdoors staff were observed moving about the outdoor environment to ensure they could see all the children as they played and render immediate assistance. Staff were attentive to children in their care, using nurturing tones, and comforting upset children quickly. Material and equipment were monitored in each classroom and on each playground today, all were found to be clean, in good repair and developmentally appropriate for the age range served. Each classroom had a current activity plan, daily schedule, First Aid posters, allergy lists, cot lists, and staff/child ratio information posted. In addition, the infant room had the current safe sleep policy posted, each child under 15 months of age had a current feeding schedule posted and I reviewed the visual safe sleep documentation and found them meeting compliance. While outdoors I observed water accessible to children. The fencing between playgrounds are 4 feet and are chain linked fencing with the chain link not flush at the top, which is considered a protrusion. The current menu was posted. The lunch I observed children eating was what was listed for today’s lunch. The menu has a sentence at the bottom of the current menu that states you offer a late afternoon snack at 5:00, however it doesn’t list what children will be offered at that time, this was corrected during today’s visit by adding that information to these weeks and next week’s menu. Infant bottles were labeled and dated; the refrigerator thermometer read 42 degrees. I reviewed program records. The current EPR ready to go file did not have all current staff contact information in the file. All information required to be posted was observed posted. The last fire inspection was conducted on 5-1-23. The fire and emergency drill log were reviewed and found meeting compliance. The last sanitation inspection was conducted on 7/19/23. Medications were monitored today, one diaper cream on site did not have written permission to administer. I reviewed a sample of existing staff’s files and reviewed all new staff files, for those staff that were hired since last year’s annual compliance visit, there were found meeting compliance. I counted 136 children’s files and reviewed 13 of them. Your current discipline policy did not have the child’s enrollment date on it, so you updated your form during the visit to use moving forward. Two children’s files did not have signed statements regarding parents receiving and discussing the Summary of the NC Childcare Law. Three children’s files, who have been enrolled more than 30 days, did not have a medical on file. One child’s file did not have immunization information on file. One child’s file did not have a signed discipline policy or signed Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. You provide transportation, I reviewed the vehicle and transportation notebook. The vehicle has current insurance and registration and was clean and good repair. Six children are transported daily from their elementary school, 1 of those children did not have emergency information and identifying information in the transportation notebook. 4 of the children’s emergency information did not have a photo attached, you corrected this during today’s visit. The following violations were cited during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Two children's files did not have a signed statement regarding the parent receiving the summary of the NC Child Care Law. GS 110-102 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The 4 feet chain link fencing between playgrounds is not flush at the top and the chain link above the rail is considered a protrusion. GS 110-91(6); .0605((i) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One sunscreen, in Space 9, did not have written permission to administer. 10A NCAC 09 .0803(1)(a & b) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Six children are transported daily from elementary school, one child does not have emergency and identifying information in the transportation notebook, four children's emergency information did not have photographs. 10A NCAC 09 .1003(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Three children's files did not have a medical on file; they have been enrolled more than 30 days. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child's file does not have an immunization record on file, the child has been enrolled more than 30 days. 10A NCAC 09 .0302(d)(2) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. None of the signed discipline policies have the child's enrollment date listed. .1804(b) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The current Ready to Go File did not have all current staff contact information. .0607(d)(10) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child's file did not have a signed statement the parent received and discussed the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. .0608(b)(1-6) Compliance Letter: Childcare providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today shall be corrected immediately. Ester Duff, operations director, will email a compliance letter explaining how each violation cited today has been corrected. The compliance letter must be received by the consultant, andrea.anderson@dhhs.nc.gov, on or before September 26, 2023. Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Technical Assistance was provided on the following: Screen Time: 10A NCAC 09. 0510(d)(2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. During today’s visit while in Space 9 I observed children using screen time. The teacher is using the screen time log, I explained that if the log was too much to keep up with, especially when only one staff was caring for the group, they could put the screen time activity on the current lesson plan and they wouldn’t have to keep the cumulative log. Medication: If a child no longer needs a medication for a chronic condition, you must obtain that information in writing. Return or discard any medication on premise that is no longer required to be administered within 72 hours. If you have any questions, please contact me: Andrea Anderson PO Box 49335 Charlotte, NC 28277 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 .1003 · Violation

Name of Operation: PRIMROSE SCHOOL OF SOUTH CHARLOTTE Facility ID: 60003859 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 9/12/2023 Number Present: 113 Completed Date: 9/12/2023 Age: From 0 To 5 Total Minutes: 325 Time In: 09:35 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements. The current One Star License was issued on 10-18-19. A checklist was used to monitor the facility today. The compliance history prior to today’s visit was 86% Upon my arrival I met with Esther Duff, Operations Director. I introduced myself and explained the purpose of today’s visit. I met the owner and the administrative team prior to completing a walkthrough today. Ms. Duff accompanied me on today’s walkthrough of the facility. During the walkthrough I observed children in free choice center play, teacher directed activities, outdoor play, lunch, and rest. Supervision and staff child ratio was observed being maintained during today’s visit. While outdoors staff were observed moving about the outdoor environment to ensure they could see all the children as they played and render immediate assistance. Staff were attentive to children in their care, using nurturing tones, and comforting upset children quickly. Material and equipment were monitored in each classroom and on each playground today, all were found to be clean, in good repair and developmentally appropriate for the age range served. Each classroom had a current activity plan, daily schedule, First Aid posters, allergy lists, cot lists, and staff/child ratio information posted. In addition, the infant room had the current safe sleep policy posted, each child under 15 months of age had a current feeding schedule posted and I reviewed the visual safe sleep documentation and found them meeting compliance. While outdoors I observed water accessible to children. The fencing between playgrounds are 4 feet and are chain linked fencing with the chain link not flush at the top, which is considered a protrusion. The current menu was posted. The lunch I observed children eating was what was listed for today’s lunch. The menu has a sentence at the bottom of the current menu that states you offer a late afternoon snack at 5:00, however it doesn’t list what children will be offered at that time, this was corrected during today’s visit by adding that information to these weeks and next week’s menu. Infant bottles were labeled and dated; the refrigerator thermometer read 42 degrees. I reviewed program records. The current EPR ready to go file did not have all current staff contact information in the file. All information required to be posted was observed posted. The last fire inspection was conducted on 5-1-23. The fire and emergency drill log were reviewed and found meeting compliance. The last sanitation inspection was conducted on 7/19/23. Medications were monitored today, one diaper cream on site did not have written permission to administer. I reviewed a sample of existing staff’s files and reviewed all new staff files, for those staff that were hired since last year’s annual compliance visit, there were found meeting compliance. I counted 136 children’s files and reviewed 13 of them. Your current discipline policy did not have the child’s enrollment date on it, so you updated your form during the visit to use moving forward. Two children’s files did not have signed statements regarding parents receiving and discussing the Summary of the NC Childcare Law. Three children’s files, who have been enrolled more than 30 days, did not have a medical on file. One child’s file did not have immunization information on file. One child’s file did not have a signed discipline policy or signed Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. You provide transportation, I reviewed the vehicle and transportation notebook. The vehicle has current insurance and registration and was clean and good repair. Six children are transported daily from their elementary school, 1 of those children did not have emergency information and identifying information in the transportation notebook. 4 of the children’s emergency information did not have a photo attached, you corrected this during today’s visit. The following violations were cited during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Two children's files did not have a signed statement regarding the parent receiving the summary of the NC Child Care Law. GS 110-102 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The 4 feet chain link fencing between playgrounds is not flush at the top and the chain link above the rail is considered a protrusion. GS 110-91(6); .0605((i) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One sunscreen, in Space 9, did not have written permission to administer. 10A NCAC 09 .0803(1)(a & b) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Six children are transported daily from elementary school, one child does not have emergency and identifying information in the transportation notebook, four children's emergency information did not have photographs. 10A NCAC 09 .1003(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Three children's files did not have a medical on file; they have been enrolled more than 30 days. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child's file does not have an immunization record on file, the child has been enrolled more than 30 days. 10A NCAC 09 .0302(d)(2) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. None of the signed discipline policies have the child's enrollment date listed. .1804(b) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The current Ready to Go File did not have all current staff contact information. .0607(d)(10) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child's file did not have a signed statement the parent received and discussed the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. .0608(b)(1-6) Compliance Letter: Childcare providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today shall be corrected immediately. Ester Duff, operations director, will email a compliance letter explaining how each violation cited today has been corrected. The compliance letter must be received by the consultant, andrea.anderson@dhhs.nc.gov, on or before September 26, 2023. Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Technical Assistance was provided on the following: Screen Time: 10A NCAC 09. 0510(d)(2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. During today’s visit while in Space 9 I observed children using screen time. The teacher is using the screen time log, I explained that if the log was too much to keep up with, especially when only one staff was caring for the group, they could put the screen time activity on the current lesson plan and they wouldn’t have to keep the cumulative log. Medication: If a child no longer needs a medication for a chronic condition, you must obtain that information in writing. Return or discard any medication on premise that is no longer required to be administered within 72 hours. If you have any questions, please contact me: Andrea Anderson PO Box 49335 Charlotte, NC 28277 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. 0510 · Violation

Name of Operation: PRIMROSE SCHOOL OF SOUTH CHARLOTTE Facility ID: 60003859 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 9/12/2023 Number Present: 113 Completed Date: 9/12/2023 Age: From 0 To 5 Total Minutes: 325 Time In: 09:35 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements. The current One Star License was issued on 10-18-19. A checklist was used to monitor the facility today. The compliance history prior to today’s visit was 86% Upon my arrival I met with Esther Duff, Operations Director. I introduced myself and explained the purpose of today’s visit. I met the owner and the administrative team prior to completing a walkthrough today. Ms. Duff accompanied me on today’s walkthrough of the facility. During the walkthrough I observed children in free choice center play, teacher directed activities, outdoor play, lunch, and rest. Supervision and staff child ratio was observed being maintained during today’s visit. While outdoors staff were observed moving about the outdoor environment to ensure they could see all the children as they played and render immediate assistance. Staff were attentive to children in their care, using nurturing tones, and comforting upset children quickly. Material and equipment were monitored in each classroom and on each playground today, all were found to be clean, in good repair and developmentally appropriate for the age range served. Each classroom had a current activity plan, daily schedule, First Aid posters, allergy lists, cot lists, and staff/child ratio information posted. In addition, the infant room had the current safe sleep policy posted, each child under 15 months of age had a current feeding schedule posted and I reviewed the visual safe sleep documentation and found them meeting compliance. While outdoors I observed water accessible to children. The fencing between playgrounds are 4 feet and are chain linked fencing with the chain link not flush at the top, which is considered a protrusion. The current menu was posted. The lunch I observed children eating was what was listed for today’s lunch. The menu has a sentence at the bottom of the current menu that states you offer a late afternoon snack at 5:00, however it doesn’t list what children will be offered at that time, this was corrected during today’s visit by adding that information to these weeks and next week’s menu. Infant bottles were labeled and dated; the refrigerator thermometer read 42 degrees. I reviewed program records. The current EPR ready to go file did not have all current staff contact information in the file. All information required to be posted was observed posted. The last fire inspection was conducted on 5-1-23. The fire and emergency drill log were reviewed and found meeting compliance. The last sanitation inspection was conducted on 7/19/23. Medications were monitored today, one diaper cream on site did not have written permission to administer. I reviewed a sample of existing staff’s files and reviewed all new staff files, for those staff that were hired since last year’s annual compliance visit, there were found meeting compliance. I counted 136 children’s files and reviewed 13 of them. Your current discipline policy did not have the child’s enrollment date on it, so you updated your form during the visit to use moving forward. Two children’s files did not have signed statements regarding parents receiving and discussing the Summary of the NC Childcare Law. Three children’s files, who have been enrolled more than 30 days, did not have a medical on file. One child’s file did not have immunization information on file. One child’s file did not have a signed discipline policy or signed Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. You provide transportation, I reviewed the vehicle and transportation notebook. The vehicle has current insurance and registration and was clean and good repair. Six children are transported daily from their elementary school, 1 of those children did not have emergency information and identifying information in the transportation notebook. 4 of the children’s emergency information did not have a photo attached, you corrected this during today’s visit. The following violations were cited during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Two children's files did not have a signed statement regarding the parent receiving the summary of the NC Child Care Law. GS 110-102 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The 4 feet chain link fencing between playgrounds is not flush at the top and the chain link above the rail is considered a protrusion. GS 110-91(6); .0605((i) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One sunscreen, in Space 9, did not have written permission to administer. 10A NCAC 09 .0803(1)(a & b) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Six children are transported daily from elementary school, one child does not have emergency and identifying information in the transportation notebook, four children's emergency information did not have photographs. 10A NCAC 09 .1003(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Three children's files did not have a medical on file; they have been enrolled more than 30 days. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child's file does not have an immunization record on file, the child has been enrolled more than 30 days. 10A NCAC 09 .0302(d)(2) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. None of the signed discipline policies have the child's enrollment date listed. .1804(b) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The current Ready to Go File did not have all current staff contact information. .0607(d)(10) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child's file did not have a signed statement the parent received and discussed the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. .0608(b)(1-6) Compliance Letter: Childcare providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today shall be corrected immediately. Ester Duff, operations director, will email a compliance letter explaining how each violation cited today has been corrected. The compliance letter must be received by the consultant, andrea.anderson@dhhs.nc.gov, on or before September 26, 2023. Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Technical Assistance was provided on the following: Screen Time: 10A NCAC 09. 0510(d)(2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. During today’s visit while in Space 9 I observed children using screen time. The teacher is using the screen time log, I explained that if the log was too much to keep up with, especially when only one staff was caring for the group, they could put the screen time activity on the current lesson plan and they wouldn’t have to keep the cumulative log. Medication: If a child no longer needs a medication for a chronic condition, you must obtain that information in writing. Return or discard any medication on premise that is no longer required to be administered within 72 hours. If you have any questions, please contact me: Andrea Anderson PO Box 49335 Charlotte, NC 28277 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 110-102 · Violation

Name of Operation: PRIMROSE SCHOOL OF SOUTH CHARLOTTE Facility ID: 60003859 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 9/12/2023 Number Present: 113 Completed Date: 9/12/2023 Age: From 0 To 5 Total Minutes: 325 Time In: 09:35 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements. The current One Star License was issued on 10-18-19. A checklist was used to monitor the facility today. The compliance history prior to today’s visit was 86% Upon my arrival I met with Esther Duff, Operations Director. I introduced myself and explained the purpose of today’s visit. I met the owner and the administrative team prior to completing a walkthrough today. Ms. Duff accompanied me on today’s walkthrough of the facility. During the walkthrough I observed children in free choice center play, teacher directed activities, outdoor play, lunch, and rest. Supervision and staff child ratio was observed being maintained during today’s visit. While outdoors staff were observed moving about the outdoor environment to ensure they could see all the children as they played and render immediate assistance. Staff were attentive to children in their care, using nurturing tones, and comforting upset children quickly. Material and equipment were monitored in each classroom and on each playground today, all were found to be clean, in good repair and developmentally appropriate for the age range served. Each classroom had a current activity plan, daily schedule, First Aid posters, allergy lists, cot lists, and staff/child ratio information posted. In addition, the infant room had the current safe sleep policy posted, each child under 15 months of age had a current feeding schedule posted and I reviewed the visual safe sleep documentation and found them meeting compliance. While outdoors I observed water accessible to children. The fencing between playgrounds are 4 feet and are chain linked fencing with the chain link not flush at the top, which is considered a protrusion. The current menu was posted. The lunch I observed children eating was what was listed for today’s lunch. The menu has a sentence at the bottom of the current menu that states you offer a late afternoon snack at 5:00, however it doesn’t list what children will be offered at that time, this was corrected during today’s visit by adding that information to these weeks and next week’s menu. Infant bottles were labeled and dated; the refrigerator thermometer read 42 degrees. I reviewed program records. The current EPR ready to go file did not have all current staff contact information in the file. All information required to be posted was observed posted. The last fire inspection was conducted on 5-1-23. The fire and emergency drill log were reviewed and found meeting compliance. The last sanitation inspection was conducted on 7/19/23. Medications were monitored today, one diaper cream on site did not have written permission to administer. I reviewed a sample of existing staff’s files and reviewed all new staff files, for those staff that were hired since last year’s annual compliance visit, there were found meeting compliance. I counted 136 children’s files and reviewed 13 of them. Your current discipline policy did not have the child’s enrollment date on it, so you updated your form during the visit to use moving forward. Two children’s files did not have signed statements regarding parents receiving and discussing the Summary of the NC Childcare Law. Three children’s files, who have been enrolled more than 30 days, did not have a medical on file. One child’s file did not have immunization information on file. One child’s file did not have a signed discipline policy or signed Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. You provide transportation, I reviewed the vehicle and transportation notebook. The vehicle has current insurance and registration and was clean and good repair. Six children are transported daily from their elementary school, 1 of those children did not have emergency information and identifying information in the transportation notebook. 4 of the children’s emergency information did not have a photo attached, you corrected this during today’s visit. The following violations were cited during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Two children's files did not have a signed statement regarding the parent receiving the summary of the NC Child Care Law. GS 110-102 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The 4 feet chain link fencing between playgrounds is not flush at the top and the chain link above the rail is considered a protrusion. GS 110-91(6); .0605((i) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One sunscreen, in Space 9, did not have written permission to administer. 10A NCAC 09 .0803(1)(a & b) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Six children are transported daily from elementary school, one child does not have emergency and identifying information in the transportation notebook, four children's emergency information did not have photographs. 10A NCAC 09 .1003(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Three children's files did not have a medical on file; they have been enrolled more than 30 days. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child's file does not have an immunization record on file, the child has been enrolled more than 30 days. 10A NCAC 09 .0302(d)(2) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. None of the signed discipline policies have the child's enrollment date listed. .1804(b) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The current Ready to Go File did not have all current staff contact information. .0607(d)(10) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child's file did not have a signed statement the parent received and discussed the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. .0608(b)(1-6) Compliance Letter: Childcare providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today shall be corrected immediately. Ester Duff, operations director, will email a compliance letter explaining how each violation cited today has been corrected. The compliance letter must be received by the consultant, andrea.anderson@dhhs.nc.gov, on or before September 26, 2023. Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Technical Assistance was provided on the following: Screen Time: 10A NCAC 09. 0510(d)(2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. During today’s visit while in Space 9 I observed children using screen time. The teacher is using the screen time log, I explained that if the log was too much to keep up with, especially when only one staff was caring for the group, they could put the screen time activity on the current lesson plan and they wouldn’t have to keep the cumulative log. Medication: If a child no longer needs a medication for a chronic condition, you must obtain that information in writing. Return or discard any medication on premise that is no longer required to be administered within 72 hours. If you have any questions, please contact me: Andrea Anderson PO Box 49335 Charlotte, NC 28277 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: PRIMROSE SCHOOL OF SOUTH CHARLOTTE Facility ID: 60003859 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 9/12/2023 Number Present: 113 Completed Date: 9/12/2023 Age: From 0 To 5 Total Minutes: 325 Time In: 09:35 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements. The current One Star License was issued on 10-18-19. A checklist was used to monitor the facility today. The compliance history prior to today’s visit was 86% Upon my arrival I met with Esther Duff, Operations Director. I introduced myself and explained the purpose of today’s visit. I met the owner and the administrative team prior to completing a walkthrough today. Ms. Duff accompanied me on today’s walkthrough of the facility. During the walkthrough I observed children in free choice center play, teacher directed activities, outdoor play, lunch, and rest. Supervision and staff child ratio was observed being maintained during today’s visit. While outdoors staff were observed moving about the outdoor environment to ensure they could see all the children as they played and render immediate assistance. Staff were attentive to children in their care, using nurturing tones, and comforting upset children quickly. Material and equipment were monitored in each classroom and on each playground today, all were found to be clean, in good repair and developmentally appropriate for the age range served. Each classroom had a current activity plan, daily schedule, First Aid posters, allergy lists, cot lists, and staff/child ratio information posted. In addition, the infant room had the current safe sleep policy posted, each child under 15 months of age had a current feeding schedule posted and I reviewed the visual safe sleep documentation and found them meeting compliance. While outdoors I observed water accessible to children. The fencing between playgrounds are 4 feet and are chain linked fencing with the chain link not flush at the top, which is considered a protrusion. The current menu was posted. The lunch I observed children eating was what was listed for today’s lunch. The menu has a sentence at the bottom of the current menu that states you offer a late afternoon snack at 5:00, however it doesn’t list what children will be offered at that time, this was corrected during today’s visit by adding that information to these weeks and next week’s menu. Infant bottles were labeled and dated; the refrigerator thermometer read 42 degrees. I reviewed program records. The current EPR ready to go file did not have all current staff contact information in the file. All information required to be posted was observed posted. The last fire inspection was conducted on 5-1-23. The fire and emergency drill log were reviewed and found meeting compliance. The last sanitation inspection was conducted on 7/19/23. Medications were monitored today, one diaper cream on site did not have written permission to administer. I reviewed a sample of existing staff’s files and reviewed all new staff files, for those staff that were hired since last year’s annual compliance visit, there were found meeting compliance. I counted 136 children’s files and reviewed 13 of them. Your current discipline policy did not have the child’s enrollment date on it, so you updated your form during the visit to use moving forward. Two children’s files did not have signed statements regarding parents receiving and discussing the Summary of the NC Childcare Law. Three children’s files, who have been enrolled more than 30 days, did not have a medical on file. One child’s file did not have immunization information on file. One child’s file did not have a signed discipline policy or signed Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. You provide transportation, I reviewed the vehicle and transportation notebook. The vehicle has current insurance and registration and was clean and good repair. Six children are transported daily from their elementary school, 1 of those children did not have emergency information and identifying information in the transportation notebook. 4 of the children’s emergency information did not have a photo attached, you corrected this during today’s visit. The following violations were cited during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Two children's files did not have a signed statement regarding the parent receiving the summary of the NC Child Care Law. GS 110-102 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The 4 feet chain link fencing between playgrounds is not flush at the top and the chain link above the rail is considered a protrusion. GS 110-91(6); .0605((i) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One sunscreen, in Space 9, did not have written permission to administer. 10A NCAC 09 .0803(1)(a & b) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Six children are transported daily from elementary school, one child does not have emergency and identifying information in the transportation notebook, four children's emergency information did not have photographs. 10A NCAC 09 .1003(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Three children's files did not have a medical on file; they have been enrolled more than 30 days. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child's file does not have an immunization record on file, the child has been enrolled more than 30 days. 10A NCAC 09 .0302(d)(2) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. None of the signed discipline policies have the child's enrollment date listed. .1804(b) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The current Ready to Go File did not have all current staff contact information. .0607(d)(10) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child's file did not have a signed statement the parent received and discussed the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. .0608(b)(1-6) Compliance Letter: Childcare providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today shall be corrected immediately. Ester Duff, operations director, will email a compliance letter explaining how each violation cited today has been corrected. The compliance letter must be received by the consultant, andrea.anderson@dhhs.nc.gov, on or before September 26, 2023. Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Technical Assistance was provided on the following: Screen Time: 10A NCAC 09. 0510(d)(2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. During today’s visit while in Space 9 I observed children using screen time. The teacher is using the screen time log, I explained that if the log was too much to keep up with, especially when only one staff was caring for the group, they could put the screen time activity on the current lesson plan and they wouldn’t have to keep the cumulative log. Medication: If a child no longer needs a medication for a chronic condition, you must obtain that information in writing. Return or discard any medication on premise that is no longer required to be administered within 72 hours. If you have any questions, please contact me: Andrea Anderson PO Box 49335 Charlotte, NC 28277 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-91 · Violation

Name of Operation: PRIMROSE SCHOOL OF SOUTH CHARLOTTE Facility ID: 60003859 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 9/12/2023 Number Present: 113 Completed Date: 9/12/2023 Age: From 0 To 5 Total Minutes: 325 Time In: 09:35 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements. The current One Star License was issued on 10-18-19. A checklist was used to monitor the facility today. The compliance history prior to today’s visit was 86% Upon my arrival I met with Esther Duff, Operations Director. I introduced myself and explained the purpose of today’s visit. I met the owner and the administrative team prior to completing a walkthrough today. Ms. Duff accompanied me on today’s walkthrough of the facility. During the walkthrough I observed children in free choice center play, teacher directed activities, outdoor play, lunch, and rest. Supervision and staff child ratio was observed being maintained during today’s visit. While outdoors staff were observed moving about the outdoor environment to ensure they could see all the children as they played and render immediate assistance. Staff were attentive to children in their care, using nurturing tones, and comforting upset children quickly. Material and equipment were monitored in each classroom and on each playground today, all were found to be clean, in good repair and developmentally appropriate for the age range served. Each classroom had a current activity plan, daily schedule, First Aid posters, allergy lists, cot lists, and staff/child ratio information posted. In addition, the infant room had the current safe sleep policy posted, each child under 15 months of age had a current feeding schedule posted and I reviewed the visual safe sleep documentation and found them meeting compliance. While outdoors I observed water accessible to children. The fencing between playgrounds are 4 feet and are chain linked fencing with the chain link not flush at the top, which is considered a protrusion. The current menu was posted. The lunch I observed children eating was what was listed for today’s lunch. The menu has a sentence at the bottom of the current menu that states you offer a late afternoon snack at 5:00, however it doesn’t list what children will be offered at that time, this was corrected during today’s visit by adding that information to these weeks and next week’s menu. Infant bottles were labeled and dated; the refrigerator thermometer read 42 degrees. I reviewed program records. The current EPR ready to go file did not have all current staff contact information in the file. All information required to be posted was observed posted. The last fire inspection was conducted on 5-1-23. The fire and emergency drill log were reviewed and found meeting compliance. The last sanitation inspection was conducted on 7/19/23. Medications were monitored today, one diaper cream on site did not have written permission to administer. I reviewed a sample of existing staff’s files and reviewed all new staff files, for those staff that were hired since last year’s annual compliance visit, there were found meeting compliance. I counted 136 children’s files and reviewed 13 of them. Your current discipline policy did not have the child’s enrollment date on it, so you updated your form during the visit to use moving forward. Two children’s files did not have signed statements regarding parents receiving and discussing the Summary of the NC Childcare Law. Three children’s files, who have been enrolled more than 30 days, did not have a medical on file. One child’s file did not have immunization information on file. One child’s file did not have a signed discipline policy or signed Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. You provide transportation, I reviewed the vehicle and transportation notebook. The vehicle has current insurance and registration and was clean and good repair. Six children are transported daily from their elementary school, 1 of those children did not have emergency information and identifying information in the transportation notebook. 4 of the children’s emergency information did not have a photo attached, you corrected this during today’s visit. The following violations were cited during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Two children's files did not have a signed statement regarding the parent receiving the summary of the NC Child Care Law. GS 110-102 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The 4 feet chain link fencing between playgrounds is not flush at the top and the chain link above the rail is considered a protrusion. GS 110-91(6); .0605((i) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One sunscreen, in Space 9, did not have written permission to administer. 10A NCAC 09 .0803(1)(a & b) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Six children are transported daily from elementary school, one child does not have emergency and identifying information in the transportation notebook, four children's emergency information did not have photographs. 10A NCAC 09 .1003(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Three children's files did not have a medical on file; they have been enrolled more than 30 days. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child's file does not have an immunization record on file, the child has been enrolled more than 30 days. 10A NCAC 09 .0302(d)(2) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. None of the signed discipline policies have the child's enrollment date listed. .1804(b) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The current Ready to Go File did not have all current staff contact information. .0607(d)(10) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child's file did not have a signed statement the parent received and discussed the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. .0608(b)(1-6) Compliance Letter: Childcare providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today shall be corrected immediately. Ester Duff, operations director, will email a compliance letter explaining how each violation cited today has been corrected. The compliance letter must be received by the consultant, andrea.anderson@dhhs.nc.gov, on or before September 26, 2023. Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Technical Assistance was provided on the following: Screen Time: 10A NCAC 09. 0510(d)(2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. During today’s visit while in Space 9 I observed children using screen time. The teacher is using the screen time log, I explained that if the log was too much to keep up with, especially when only one staff was caring for the group, they could put the screen time activity on the current lesson plan and they wouldn’t have to keep the cumulative log. Medication: If a child no longer needs a medication for a chronic condition, you must obtain that information in writing. Return or discard any medication on premise that is no longer required to be administered within 72 hours. If you have any questions, please contact me: Andrea Anderson PO Box 49335 Charlotte, NC 28277 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