10A NCAC 09 .0803 · Violation

Name of Operation: SMARTY PANTS FULL DAY PRESCHOOL Facility ID: 60003336 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 4/2/2026 Number Present: 64 Completed Date: 4/2/2026 Age: From 0 To 5 Total Minutes: 420 Time In: 10:00 AM Time Out: 05:00 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 the facility for all applicable child care requirements during an Annual Compliance visit. The facility is currently operating with a Four Star Rated License issued on May 02, 2023. The March 2023 Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Center Item Number Listing dated April 2025 was used to document compliance with child care rules. Upon my arrival I approached the facility by walking up the stairs located at the front entrance of Building One. There I knocked twice and was greeted by Ms. J. Wright, Program Administrator, and allowed entry into the facility’s main office. Upon entry into the facility, I shared the purpose of today’s visit while observing the program’s current license and a copy of the NC Summary of Law each posted in a prominent area. After storing my personal items, we promptly headed to Building Two of the facility and began a walk-through of the program. During today’s visit six (6) licensed child care spaces, four (4) bathrooms, the facility’s kitchen, the outdoor learning environment and spaces adjacent to the classes were monitored for compliance. In Space #2, the Infant classroom, medications were monitored. It was observed that one (1) child had an over-the-counter topical ointment present for use but it had expired in October 2025. This was brought to the attention of the staff members present. They were informed that this would need to either be discarded or return to the child’s caregiver and if the child still required the medication a new container would need to be brought in and an up to date permission to administer form would need to be completed. In Space #3, the Toddler classroom, while monitoring the space an exit door located on left side of the classroom appeared to be slightly ajar as there was a visible opening along the door’s frame and sunlight was coming. Upon closer inspection the door was observed visibly locked and secured but there was still a noticeable opening where the door’s seal had been damaged in some parts and was missing in other areas. This was brought to the attention of Ms. Wright and she was informed that this would need to be repaired, as this door was not in good repair and could possibly allow entry to both insects and small rodents. It was also discussed that this opening could also potentially affect the temperature of the classroom, since it was located directly near one of the classroom’s HVAC exchanges. In Space #4, the two-year-old classroom, damaged vinyl window blinds were observed present and hanging in a window located on the back wall of the classroom. The vinyl window blinds had visible tears in some of the slats, and it was also observed that some of the slats had sections missing. This was discussed with Ms. Wright, and she was reminded that all furnishings, including window treatments in areas accessible to children, must be in good repair. The facility’s outdoor learning environment was monitored during today’s visit. It was observed that three (3) securing spikes on a wooden beam bordering an active play area had begun to protrude from the beam and the end of a metal handrail located on the ramp leading from Building One to this area had a sharp, point exposed. This was brought to Ms. Wright’s attention and she was reminded that the presence of each of these creates a potential hazard for both staff and children utilizing this area and would need to be repaired immediately. It was also observed that multiple areas of this space had overgrown foliage present and there was an active wasp’s nest visible between the wooden slats of the ramp leading from Building Two to this area. This too, was discussed with Ms. Wright and she was informed her that each of these areas would need to be made inaccessible to children until the issues present were resolved, as they each pose a hazard. In Space 5, the three-year-old classroom, medication was monitored. It was observed that one (1) child with a documented chronic medical condition had emergency medication present in the original pharmacy container but it was not labeled with all the required information. In Space 6, a preschool classroom consisting of children between the ages of three and four years old, quiet time activities were observed being conducted including children lying down on individual mats and resting. It was also observed that some mats of their mats were positioned less than the minimum eighteen inches apart when in use. Daily attendance logs were reviewed and observed to be completed, as required. Hazardous materials were observed being stored, as required. Program records were reviewed. It was observed that monthly fire drills, quarterly emergency drills and monthly outdoor inspections were being completed and documented, as required. Seven (7) children’s files were monitored today. Each was observed to compliant. Eight (8) staff members’ files , including those for six (6) new staff members were reviewed. It was observed that two (2) new staff members did not have completed medical reports on file with all the required information including the signature of health care professional and the statement that indicates that the person is emotionally and physically fit to care for children. The facility's EPR and Ready to Go file were reviewed. It was observed that neither contained all the required most current information. The facility does not provide its own transportation, but a vehicle was observed on site for emergency use. The program’s last annual Sanitation Inspection was conducted on December 18, 2025 with a rating of Superior and 12 demerits. The program’s last approved annual Fire Inspection was conducted on January 28, 2026 but a copy had not been forwarded to the assigned consultant, as required. This was provided during today’s visit and considered corrected. There were eight (8) violations cited during today’s visit. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The program’s last approved annual Fire Inspection was conducted on January 28, 2026 but a copy had not been forwarded to the assigned consultant, as required. 10A NCAC 09 .0304(a) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Some children between the ages of three and four years old, were observed lying down on individual mats positioned less than the minimum eighteen inches apart when in use and resting during quiet time on. 15A NCAC 18A .2821(e) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In Space #3, the Toddler classroom, a door was observed with a noticeable opening where the door’s seal had been damaged in some parts and was missing in other areas. In Space #4, the two-year-old classroom, damaged vinyl window blinds were observed present and hanging in a window located on the back wall of the classroom. 15A NCAC 18A .2825(a) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. The facility’s outdoor learning environment was monitored during today’s visit. It was observed that three (3) securing spikes on a wooden beam bordering an active play area had begun to protrude from the beam and the end of a metal handrail located on the ramp leading from Building One to this area had a sharp, point exposed. It was also observed that multiple areas of this space had overgrown foliage present and there was an active wasp’s nest visible between the wooden slats of the ramp leading from Building Two to this area. 15A NCAC 18A .2832(a) 843 A drug or medicine was administered after its expiration date. In Space #2, the Infant classroom, medications were monitored. It was observed that one (1) child had an over-the-counter topical ointment present for use but it had expired in October 2025. 10A NCAC 09 .0803(1)(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space 5, the three-year-old classroom, medication was monitored. It was observed that one (1) child with a documented chronic medical condition had emergency medication present in the original pharmacy container but it was not labeled with all the required information. .0803(2)(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Eight (8) staff members’ files , including those for six (6) new staff members were reviewed. It was observed that two (2) new staff members did not have completed medical reports on file with all the required information including the signature of health care professional and the statement that indicates that the person is emotionally and physically fit to care for children. 10A NCAC 09 .0701(a) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The facility's EPR and Ready to Go file were reviewed. It was observed that neither contained all the required most current information. .0607(d)(10) Corrective Action: Violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Thursday April 16, 2026 to the email listed below. Failure to correct the violation and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance Provided and General Discussion: - I remind both the Administrator and Teachers that when receiving any medication and related forms from caregivers they should be reviewed thoroughly to ensure all specific information is noted. -Ms. Wright was reminded of the importance of ensuring that staff members have the required forms and paperwork complete and readily accessible. We spoke specifically about the expectation that all staff always have completed medical forms on file. -We discussed the importance of ensuring that the playgrounds are checked daily for hazards by staff and shared with the administrator immediately to ensure that repairs are documented and corrected. -It was highly recommended to maintain your staff and training worksheets to always keep them current and maintain DCDEE WORKS status letters for each lead teacher, teacher, and administrator. If you have any questions, please contact Resha K. Washington at 704-910-7947 or email resha.washington@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: ratio. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: SMARTY PANTS FULL DAY PRESCHOOL Facility ID: 60003336 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 4/2/2026 Number Present: 64 Completed Date: 4/2/2026 Age: From 0 To 5 Total Minutes: 420 Time In: 10:00 AM Time Out: 05:00 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 the facility for all applicable child care requirements during an Annual Compliance visit. The facility is currently operating with a Four Star Rated License issued on May 02, 2023. The March 2023 Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Center Item Number Listing dated April 2025 was used to document compliance with child care rules. Upon my arrival I approached the facility by walking up the stairs located at the front entrance of Building One. There I knocked twice and was greeted by Ms. J. Wright, Program Administrator, and allowed entry into the facility’s main office. Upon entry into the facility, I shared the purpose of today’s visit while observing the program’s current license and a copy of the NC Summary of Law each posted in a prominent area. After storing my personal items, we promptly headed to Building Two of the facility and began a walk-through of the program. During today’s visit six (6) licensed child care spaces, four (4) bathrooms, the facility’s kitchen, the outdoor learning environment and spaces adjacent to the classes were monitored for compliance. In Space #2, the Infant classroom, medications were monitored. It was observed that one (1) child had an over-the-counter topical ointment present for use but it had expired in October 2025. This was brought to the attention of the staff members present. They were informed that this would need to either be discarded or return to the child’s caregiver and if the child still required the medication a new container would need to be brought in and an up to date permission to administer form would need to be completed. In Space #3, the Toddler classroom, while monitoring the space an exit door located on left side of the classroom appeared to be slightly ajar as there was a visible opening along the door’s frame and sunlight was coming. Upon closer inspection the door was observed visibly locked and secured but there was still a noticeable opening where the door’s seal had been damaged in some parts and was missing in other areas. This was brought to the attention of Ms. Wright and she was informed that this would need to be repaired, as this door was not in good repair and could possibly allow entry to both insects and small rodents. It was also discussed that this opening could also potentially affect the temperature of the classroom, since it was located directly near one of the classroom’s HVAC exchanges. In Space #4, the two-year-old classroom, damaged vinyl window blinds were observed present and hanging in a window located on the back wall of the classroom. The vinyl window blinds had visible tears in some of the slats, and it was also observed that some of the slats had sections missing. This was discussed with Ms. Wright, and she was reminded that all furnishings, including window treatments in areas accessible to children, must be in good repair. The facility’s outdoor learning environment was monitored during today’s visit. It was observed that three (3) securing spikes on a wooden beam bordering an active play area had begun to protrude from the beam and the end of a metal handrail located on the ramp leading from Building One to this area had a sharp, point exposed. This was brought to Ms. Wright’s attention and she was reminded that the presence of each of these creates a potential hazard for both staff and children utilizing this area and would need to be repaired immediately. It was also observed that multiple areas of this space had overgrown foliage present and there was an active wasp’s nest visible between the wooden slats of the ramp leading from Building Two to this area. This too, was discussed with Ms. Wright and she was informed her that each of these areas would need to be made inaccessible to children until the issues present were resolved, as they each pose a hazard. In Space 5, the three-year-old classroom, medication was monitored. It was observed that one (1) child with a documented chronic medical condition had emergency medication present in the original pharmacy container but it was not labeled with all the required information. In Space 6, a preschool classroom consisting of children between the ages of three and four years old, quiet time activities were observed being conducted including children lying down on individual mats and resting. It was also observed that some mats of their mats were positioned less than the minimum eighteen inches apart when in use. Daily attendance logs were reviewed and observed to be completed, as required. Hazardous materials were observed being stored, as required. Program records were reviewed. It was observed that monthly fire drills, quarterly emergency drills and monthly outdoor inspections were being completed and documented, as required. Seven (7) children’s files were monitored today. Each was observed to compliant. Eight (8) staff members’ files , including those for six (6) new staff members were reviewed. It was observed that two (2) new staff members did not have completed medical reports on file with all the required information including the signature of health care professional and the statement that indicates that the person is emotionally and physically fit to care for children. The facility's EPR and Ready to Go file were reviewed. It was observed that neither contained all the required most current information. The facility does not provide its own transportation, but a vehicle was observed on site for emergency use. The program’s last annual Sanitation Inspection was conducted on December 18, 2025 with a rating of Superior and 12 demerits. The program’s last approved annual Fire Inspection was conducted on January 28, 2026 but a copy had not been forwarded to the assigned consultant, as required. This was provided during today’s visit and considered corrected. There were eight (8) violations cited during today’s visit. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The program’s last approved annual Fire Inspection was conducted on January 28, 2026 but a copy had not been forwarded to the assigned consultant, as required. 10A NCAC 09 .0304(a) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Some children between the ages of three and four years old, were observed lying down on individual mats positioned less than the minimum eighteen inches apart when in use and resting during quiet time on. 15A NCAC 18A .2821(e) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In Space #3, the Toddler classroom, a door was observed with a noticeable opening where the door’s seal had been damaged in some parts and was missing in other areas. In Space #4, the two-year-old classroom, damaged vinyl window blinds were observed present and hanging in a window located on the back wall of the classroom. 15A NCAC 18A .2825(a) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. The facility’s outdoor learning environment was monitored during today’s visit. It was observed that three (3) securing spikes on a wooden beam bordering an active play area had begun to protrude from the beam and the end of a metal handrail located on the ramp leading from Building One to this area had a sharp, point exposed. It was also observed that multiple areas of this space had overgrown foliage present and there was an active wasp’s nest visible between the wooden slats of the ramp leading from Building Two to this area. 15A NCAC 18A .2832(a) 843 A drug or medicine was administered after its expiration date. In Space #2, the Infant classroom, medications were monitored. It was observed that one (1) child had an over-the-counter topical ointment present for use but it had expired in October 2025. 10A NCAC 09 .0803(1)(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space 5, the three-year-old classroom, medication was monitored. It was observed that one (1) child with a documented chronic medical condition had emergency medication present in the original pharmacy container but it was not labeled with all the required information. .0803(2)(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Eight (8) staff members’ files , including those for six (6) new staff members were reviewed. It was observed that two (2) new staff members did not have completed medical reports on file with all the required information including the signature of health care professional and the statement that indicates that the person is emotionally and physically fit to care for children. 10A NCAC 09 .0701(a) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The facility's EPR and Ready to Go file were reviewed. It was observed that neither contained all the required most current information. .0607(d)(10) Corrective Action: Violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Thursday April 16, 2026 to the email listed below. Failure to correct the violation and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance Provided and General Discussion: - I remind both the Administrator and Teachers that when receiving any medication and related forms from caregivers they should be reviewed thoroughly to ensure all specific information is noted. -Ms. Wright was reminded of the importance of ensuring that staff members have the required forms and paperwork complete and readily accessible. We spoke specifically about the expectation that all staff always have completed medical forms on file. -We discussed the importance of ensuring that the playgrounds are checked daily for hazards by staff and shared with the administrator immediately to ensure that repairs are documented and corrected. -It was highly recommended to maintain your staff and training worksheets to always keep them current and maintain DCDEE WORKS status letters for each lead teacher, teacher, and administrator. If you have any questions, please contact Resha K. Washington at 704-910-7947 or email resha.washington@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 .0701 · Violation

Name of Operation: SMARTY PANTS FULL DAY PRESCHOOL Facility ID: 60003336 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 4/2/2026 Number Present: 64 Completed Date: 4/2/2026 Age: From 0 To 5 Total Minutes: 420 Time In: 10:00 AM Time Out: 05:00 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 the facility for all applicable child care requirements during an Annual Compliance visit. The facility is currently operating with a Four Star Rated License issued on May 02, 2023. The March 2023 Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Center Item Number Listing dated April 2025 was used to document compliance with child care rules. Upon my arrival I approached the facility by walking up the stairs located at the front entrance of Building One. There I knocked twice and was greeted by Ms. J. Wright, Program Administrator, and allowed entry into the facility’s main office. Upon entry into the facility, I shared the purpose of today’s visit while observing the program’s current license and a copy of the NC Summary of Law each posted in a prominent area. After storing my personal items, we promptly headed to Building Two of the facility and began a walk-through of the program. During today’s visit six (6) licensed child care spaces, four (4) bathrooms, the facility’s kitchen, the outdoor learning environment and spaces adjacent to the classes were monitored for compliance. In Space #2, the Infant classroom, medications were monitored. It was observed that one (1) child had an over-the-counter topical ointment present for use but it had expired in October 2025. This was brought to the attention of the staff members present. They were informed that this would need to either be discarded or return to the child’s caregiver and if the child still required the medication a new container would need to be brought in and an up to date permission to administer form would need to be completed. In Space #3, the Toddler classroom, while monitoring the space an exit door located on left side of the classroom appeared to be slightly ajar as there was a visible opening along the door’s frame and sunlight was coming. Upon closer inspection the door was observed visibly locked and secured but there was still a noticeable opening where the door’s seal had been damaged in some parts and was missing in other areas. This was brought to the attention of Ms. Wright and she was informed that this would need to be repaired, as this door was not in good repair and could possibly allow entry to both insects and small rodents. It was also discussed that this opening could also potentially affect the temperature of the classroom, since it was located directly near one of the classroom’s HVAC exchanges. In Space #4, the two-year-old classroom, damaged vinyl window blinds were observed present and hanging in a window located on the back wall of the classroom. The vinyl window blinds had visible tears in some of the slats, and it was also observed that some of the slats had sections missing. This was discussed with Ms. Wright, and she was reminded that all furnishings, including window treatments in areas accessible to children, must be in good repair. The facility’s outdoor learning environment was monitored during today’s visit. It was observed that three (3) securing spikes on a wooden beam bordering an active play area had begun to protrude from the beam and the end of a metal handrail located on the ramp leading from Building One to this area had a sharp, point exposed. This was brought to Ms. Wright’s attention and she was reminded that the presence of each of these creates a potential hazard for both staff and children utilizing this area and would need to be repaired immediately. It was also observed that multiple areas of this space had overgrown foliage present and there was an active wasp’s nest visible between the wooden slats of the ramp leading from Building Two to this area. This too, was discussed with Ms. Wright and she was informed her that each of these areas would need to be made inaccessible to children until the issues present were resolved, as they each pose a hazard. In Space 5, the three-year-old classroom, medication was monitored. It was observed that one (1) child with a documented chronic medical condition had emergency medication present in the original pharmacy container but it was not labeled with all the required information. In Space 6, a preschool classroom consisting of children between the ages of three and four years old, quiet time activities were observed being conducted including children lying down on individual mats and resting. It was also observed that some mats of their mats were positioned less than the minimum eighteen inches apart when in use. Daily attendance logs were reviewed and observed to be completed, as required. Hazardous materials were observed being stored, as required. Program records were reviewed. It was observed that monthly fire drills, quarterly emergency drills and monthly outdoor inspections were being completed and documented, as required. Seven (7) children’s files were monitored today. Each was observed to compliant. Eight (8) staff members’ files , including those for six (6) new staff members were reviewed. It was observed that two (2) new staff members did not have completed medical reports on file with all the required information including the signature of health care professional and the statement that indicates that the person is emotionally and physically fit to care for children. The facility's EPR and Ready to Go file were reviewed. It was observed that neither contained all the required most current information. The facility does not provide its own transportation, but a vehicle was observed on site for emergency use. The program’s last annual Sanitation Inspection was conducted on December 18, 2025 with a rating of Superior and 12 demerits. The program’s last approved annual Fire Inspection was conducted on January 28, 2026 but a copy had not been forwarded to the assigned consultant, as required. This was provided during today’s visit and considered corrected. There were eight (8) violations cited during today’s visit. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The program’s last approved annual Fire Inspection was conducted on January 28, 2026 but a copy had not been forwarded to the assigned consultant, as required. 10A NCAC 09 .0304(a) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Some children between the ages of three and four years old, were observed lying down on individual mats positioned less than the minimum eighteen inches apart when in use and resting during quiet time on. 15A NCAC 18A .2821(e) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In Space #3, the Toddler classroom, a door was observed with a noticeable opening where the door’s seal had been damaged in some parts and was missing in other areas. In Space #4, the two-year-old classroom, damaged vinyl window blinds were observed present and hanging in a window located on the back wall of the classroom. 15A NCAC 18A .2825(a) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. The facility’s outdoor learning environment was monitored during today’s visit. It was observed that three (3) securing spikes on a wooden beam bordering an active play area had begun to protrude from the beam and the end of a metal handrail located on the ramp leading from Building One to this area had a sharp, point exposed. It was also observed that multiple areas of this space had overgrown foliage present and there was an active wasp’s nest visible between the wooden slats of the ramp leading from Building Two to this area. 15A NCAC 18A .2832(a) 843 A drug or medicine was administered after its expiration date. In Space #2, the Infant classroom, medications were monitored. It was observed that one (1) child had an over-the-counter topical ointment present for use but it had expired in October 2025. 10A NCAC 09 .0803(1)(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space 5, the three-year-old classroom, medication was monitored. It was observed that one (1) child with a documented chronic medical condition had emergency medication present in the original pharmacy container but it was not labeled with all the required information. .0803(2)(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Eight (8) staff members’ files , including those for six (6) new staff members were reviewed. It was observed that two (2) new staff members did not have completed medical reports on file with all the required information including the signature of health care professional and the statement that indicates that the person is emotionally and physically fit to care for children. 10A NCAC 09 .0701(a) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The facility's EPR and Ready to Go file were reviewed. It was observed that neither contained all the required most current information. .0607(d)(10) Corrective Action: Violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Thursday April 16, 2026 to the email listed below. Failure to correct the violation and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance Provided and General Discussion: - I remind both the Administrator and Teachers that when receiving any medication and related forms from caregivers they should be reviewed thoroughly to ensure all specific information is noted. -Ms. Wright was reminded of the importance of ensuring that staff members have the required forms and paperwork complete and readily accessible. We spoke specifically about the expectation that all staff always have completed medical forms on file. -We discussed the importance of ensuring that the playgrounds are checked daily for hazards by staff and shared with the administrator immediately to ensure that repairs are documented and corrected. -It was highly recommended to maintain your staff and training worksheets to always keep them current and maintain DCDEE WORKS status letters for each lead teacher, teacher, and administrator. If you have any questions, please contact Resha K. Washington at 704-910-7947 or email resha.washington@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 .0601 · Violation

Name of Operation: SMARTY PANTS FULL DAY PRESCHOOL Facility ID: 60003336 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 4/8/2025 Number Present: 60 Completed Date: 4/8/2025 Age: From 0 To 5 Total Minutes: 420 Time In: 09:30 AM Time Out: 04:30 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 the facility for all applicable child care requirements during an Annual Compliance visit. The facility is currently operating with a Four Star Rated License issued on May 02, 2023. The March 2023 Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Center Item Number Listing dated November 2024 was used to document compliance with child care rules. Upon my arrival I approached the facility by walking up the stairs located at the front entrance of Building One. There I knocked twice and was greeted by an unknown female that was accompanied by another unknown female in the facility’s main office. I was allowed entry. Upon entry into the facility, the program’s current license and NC Summary of Law were observed posted in a visible area. There, I introduced myself and inquired if Ms. J. Wright, Program Administrator was available. The unknown females then introduced themselves as a Meck Pre-K teacher and a Meck Pre-K Site Liaison. I was, then, informed that Ms. Wright was onsite, but they were not sure exactly were. It was at that point I found a place to store my personal items prior to heading to Space #6, an adjacent classroom, and speaking with the teachers present to inquire about Ms. Wright’s whereabouts. I was informed that she, Ms. Wright, was currently in Building Two in the Toddler classroom. I then headed that way and joined her. Upon arrival in Building Two, Ms. Wright was observed in the Toddler Classroom with six (6) children present. There I shared the purpose of today’s visit and inquired if she was currently in ratio covering a class. Ms. Wright stated that she was in ratio providing coverage due to the Toddler teacher assisting in the Meck Pre-K classroom, as that teacher was in a meeting. Ms. Wright also shared that she should be available shortly. I then inquired if she would like for me to begin the walk-through of the facility without her or wait for her coverage to be in place. Ms. Wright stated that she would prefer to accompany me on all aspects of the visit. I told her that I could begin the walkthrough in this Space and then I would retrieve any additional visit documentation/forms from the facility’s office prior to us completing the rest of the walk-through. It was at that point I began the walk-through of the space prior to returning to the office to retrieve additional writing materials and forms. Shortly after returning to the space both Ms. N. Long, owner/operator, and Ms. L. Johnson, Toddler teacher, joined us and Ms. Wright was able to accompany me on the remainder of the walk-through. During today’s visit six (6) licensed child care spaces, four (4) bathrooms, the facility’s kitchen, the outdoor learning environment and spaces adjacent to the classes were monitored for compliance. Children were observed engaged in teacher directed activities, large group activities, small group activities, mealtime routines, transitional activities, personal care routines and napping. The facility was found in compliance with supervision, staff/child ratio, capacity and group size. In Space #1 thirteen (13) children were observed present but the posted attendance had not been completed for the day to reflect this. This information was shared with both staff members present and corrected during the walk-through. Emergency medication was also monitored in Space #1 and it was observed that one (1) child with a chronic medical condition did not have the required life-saving medication onsite for use. In Space #2 five (5) children were observed present but the posted attendance only reflected that three (3) children were in attendance for the day. This information was shared both staff members present and corrected during the walk-through. In Space #3 two (2) bottles of hand sanitizer each labeled with the warning Keep Out of the Reach of children accompanied by other warnings were observed being stored in the classroom’s outdoor bag on a shelf. I reminded both the staff member and administrator present that any hazardous material labeled with multiple warnings has to stored under lock and key. The bottles of hand sanitizer were removed from the classroom during today’s visit and placed in a secured location. The program’s kitchen was monitored during today’s visit. It was observed that the posted allergy list in the kitchen only identifies two (2) children currently enrolled in the facility with known food allergies. However, while monitoring the classroom it was observed that there are currently three (3) additional children enrolled with known allergies that are not included on this list. This information was brought to the attention of the Program Administrator and she was reminded of the importance of ensuring that all chronic medical conditions including those pertaining to food allergens are posted in the required areas. The outdoor learning environment was monitored. It was observed that two (2) sticks with sharp edges were protruding from beneath the mulch in the direct play area and accessible to children. It was also observed that two (2) wooden slats were missing from a gate located near the path of transition for children creating an entrapment concern. I brought each of these concerns to Ms. Wright’s attention and informed her that each of these areas would need to be made inaccessible to children until repairs could be made, as they each pose a hazard. While measuring the wooden mulch on the playground it was observed that it was measuring three (3) to four (4) inches in various areas instead of the required six (6) inches. This information was shared with the provider, and she was advised to spread the mulch present to observe if it met the required depth of the loose surfacing material for the critical height of the stationary equipment present and if it did not then she would need to purchase additional loose surfacing material to become compliant. Program records were monitored. Fire drills and emergency drills were monitored and found to be compliant. Monthly outdoor inspections were monitored for the past twelve months. They were observed to have been completed and documented, as required. The facility is currently utilizing the Creative Curriculum. Current lesson plans were observed posted for the age groups present. The facility’s incident log was reviewed during today’s visit. It was observed to be completed and maintained, as required. The facility’s business status was monitored on the NC Secretary of State’s website. It was listed as ACTIVE. Seven (7) children’s files were monitored today. It was observed that one did not have a medical assessment on file containing all the required information. Six (6) staff members’ files were reviewed, and it was observed that three (3) staff members did not have completed medical reports on file including a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. It was also observed that one staff member hired on 09/09/24 had verification on file for last completing the required Recognizing and Responding to Suspicions of Child Maltreatment training on 08/28/20 instead of within 90 days of employment, as required. The facility's EPR and Ready to Go file were reviewed and found to have been updated as required. The facility does not provide its own transportation, but a vehicle was observed on site for emergency use. The last annual Sanitation Inspection was conducted on 12/06/24 with a rating of Superior and 6 demerits. The last approved annual Fire Inspection the facility has on file was conducted on May 15, 2024. There were eight (8) violations cited during today’s visit. The following violations were cited during today’s visit: Violation Number Comment Rule 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. The program’s kitchen was monitored during today’s visit. It was observed that the posted allergy list in the kitchen only identifies two (2) children currently enrolled in the facility with known food allergies. However, while monitoring the classroom it was observed that there are currently three (3) additional children enrolled with known allergies that are not included on this list. .0901(g) 807 A safe indoor and outdoor environment was not provided for the children. The outdoor learning environment was monitored. It was observed that two (2) sticks with sharp edges were protruding from beneath the mulch in the direct play area and accessible to children. It was also observed that two (2) wooden slats were missing from a gate located near the path of transition for children creating an entrapment concern. While measuring the wooden mulch on the playground it was observed that it was measuring three (3) to four (4) inches in various areas instead of the required six (6) inches. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #3 two (2) bottles of hand sanitizer each labeled with the warning Keep Out of the Reach of children accompanied by other warnings were observed being stored in the classroom’s outdoor bag on a shelf. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Six (6) staff members’ files were reviewed, and it was observed that three (3) staff members did not have completed medical reports on file including a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. 10A NCAC 09 .0701(a) 1301 Center did not maintain a record of daily attendance. In Space #1 thirteen (13) children were observed present but the posted attendance had not been completed for the day to reflect this. It was also observed in Space #2 five (5) children were present but the posted attendance only reflected that three (3) children were in attendance for the day. GS 110-91(9) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Seven (7) children’s files were monitored today. It was observed that one did not have a medical assessment on file containing all the required information. GS110-91(1) 1836 Center administrators and staff did not use the information provided in the application to ensure that each individual child's needs are met. Emergency medication was monitored in Space #1 and it was observed that one (1) child with a chronic medical condition did not have the required life-saving medication onsite for use. .0801 (e) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Six (6) staff members’ files were reviewed, and it was observed that one staff member hired on 09/09/24 had verification on file for last completing the required Recognizing and Responding to Suspicions of Child Maltreatment training on 08/28/20 instead of within 90 days of employment, as required. .1102(g) Corrective Action: Violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Wednesday April 22, 2025 to the email listed below. Failure to correct the violation and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance Provided and General Discussion: -I reminded both the Administrator and teachers of the importance of ensuring all required documentation is posted and completed in its entirety. We spoke specifically about attendance and allergy lists. -I remind both the Administrator and Teachers that when receiving any required paperwork from a parent or other caregiver including but not limited to a child’s medication forms and specific enrollment forms they should be thoroughly reviewed to ensure that all sections are completed and there no areas omitted, overlooked, or left blank. -Ms. Wright was reminded of the importance of ensuring that staff members have the required forms, trainings and paperwork complete and readily accessible. We spoke specifically about the expectation that all staff always stay current on all required specialized training and have completed medical forms on file. -We discussed the importance of ensuring that the playgrounds are checked daily for hazards by staff and shared with the administrator immediately to ensure that repairs are documented and corrected. -It was highly recommended to maintain your staff and training worksheets to always keep them current and maintain DCDEE WORKS status letters for each lead teacher, teacher, and administrator. If you have any questions, please contact Resha K. Washington at 704-910-7947 or email resha.washington@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.

10A NCAC 09 .0701 · Violation

Name of Operation: SMARTY PANTS FULL DAY PRESCHOOL Facility ID: 60003336 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 4/8/2025 Number Present: 60 Completed Date: 4/8/2025 Age: From 0 To 5 Total Minutes: 420 Time In: 09:30 AM Time Out: 04:30 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 the facility for all applicable child care requirements during an Annual Compliance visit. The facility is currently operating with a Four Star Rated License issued on May 02, 2023. The March 2023 Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Center Item Number Listing dated November 2024 was used to document compliance with child care rules. Upon my arrival I approached the facility by walking up the stairs located at the front entrance of Building One. There I knocked twice and was greeted by an unknown female that was accompanied by another unknown female in the facility’s main office. I was allowed entry. Upon entry into the facility, the program’s current license and NC Summary of Law were observed posted in a visible area. There, I introduced myself and inquired if Ms. J. Wright, Program Administrator was available. The unknown females then introduced themselves as a Meck Pre-K teacher and a Meck Pre-K Site Liaison. I was, then, informed that Ms. Wright was onsite, but they were not sure exactly were. It was at that point I found a place to store my personal items prior to heading to Space #6, an adjacent classroom, and speaking with the teachers present to inquire about Ms. Wright’s whereabouts. I was informed that she, Ms. Wright, was currently in Building Two in the Toddler classroom. I then headed that way and joined her. Upon arrival in Building Two, Ms. Wright was observed in the Toddler Classroom with six (6) children present. There I shared the purpose of today’s visit and inquired if she was currently in ratio covering a class. Ms. Wright stated that she was in ratio providing coverage due to the Toddler teacher assisting in the Meck Pre-K classroom, as that teacher was in a meeting. Ms. Wright also shared that she should be available shortly. I then inquired if she would like for me to begin the walk-through of the facility without her or wait for her coverage to be in place. Ms. Wright stated that she would prefer to accompany me on all aspects of the visit. I told her that I could begin the walkthrough in this Space and then I would retrieve any additional visit documentation/forms from the facility’s office prior to us completing the rest of the walk-through. It was at that point I began the walk-through of the space prior to returning to the office to retrieve additional writing materials and forms. Shortly after returning to the space both Ms. N. Long, owner/operator, and Ms. L. Johnson, Toddler teacher, joined us and Ms. Wright was able to accompany me on the remainder of the walk-through. During today’s visit six (6) licensed child care spaces, four (4) bathrooms, the facility’s kitchen, the outdoor learning environment and spaces adjacent to the classes were monitored for compliance. Children were observed engaged in teacher directed activities, large group activities, small group activities, mealtime routines, transitional activities, personal care routines and napping. The facility was found in compliance with supervision, staff/child ratio, capacity and group size. In Space #1 thirteen (13) children were observed present but the posted attendance had not been completed for the day to reflect this. This information was shared with both staff members present and corrected during the walk-through. Emergency medication was also monitored in Space #1 and it was observed that one (1) child with a chronic medical condition did not have the required life-saving medication onsite for use. In Space #2 five (5) children were observed present but the posted attendance only reflected that three (3) children were in attendance for the day. This information was shared both staff members present and corrected during the walk-through. In Space #3 two (2) bottles of hand sanitizer each labeled with the warning Keep Out of the Reach of children accompanied by other warnings were observed being stored in the classroom’s outdoor bag on a shelf. I reminded both the staff member and administrator present that any hazardous material labeled with multiple warnings has to stored under lock and key. The bottles of hand sanitizer were removed from the classroom during today’s visit and placed in a secured location. The program’s kitchen was monitored during today’s visit. It was observed that the posted allergy list in the kitchen only identifies two (2) children currently enrolled in the facility with known food allergies. However, while monitoring the classroom it was observed that there are currently three (3) additional children enrolled with known allergies that are not included on this list. This information was brought to the attention of the Program Administrator and she was reminded of the importance of ensuring that all chronic medical conditions including those pertaining to food allergens are posted in the required areas. The outdoor learning environment was monitored. It was observed that two (2) sticks with sharp edges were protruding from beneath the mulch in the direct play area and accessible to children. It was also observed that two (2) wooden slats were missing from a gate located near the path of transition for children creating an entrapment concern. I brought each of these concerns to Ms. Wright’s attention and informed her that each of these areas would need to be made inaccessible to children until repairs could be made, as they each pose a hazard. While measuring the wooden mulch on the playground it was observed that it was measuring three (3) to four (4) inches in various areas instead of the required six (6) inches. This information was shared with the provider, and she was advised to spread the mulch present to observe if it met the required depth of the loose surfacing material for the critical height of the stationary equipment present and if it did not then she would need to purchase additional loose surfacing material to become compliant. Program records were monitored. Fire drills and emergency drills were monitored and found to be compliant. Monthly outdoor inspections were monitored for the past twelve months. They were observed to have been completed and documented, as required. The facility is currently utilizing the Creative Curriculum. Current lesson plans were observed posted for the age groups present. The facility’s incident log was reviewed during today’s visit. It was observed to be completed and maintained, as required. The facility’s business status was monitored on the NC Secretary of State’s website. It was listed as ACTIVE. Seven (7) children’s files were monitored today. It was observed that one did not have a medical assessment on file containing all the required information. Six (6) staff members’ files were reviewed, and it was observed that three (3) staff members did not have completed medical reports on file including a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. It was also observed that one staff member hired on 09/09/24 had verification on file for last completing the required Recognizing and Responding to Suspicions of Child Maltreatment training on 08/28/20 instead of within 90 days of employment, as required. The facility's EPR and Ready to Go file were reviewed and found to have been updated as required. The facility does not provide its own transportation, but a vehicle was observed on site for emergency use. The last annual Sanitation Inspection was conducted on 12/06/24 with a rating of Superior and 6 demerits. The last approved annual Fire Inspection the facility has on file was conducted on May 15, 2024. There were eight (8) violations cited during today’s visit. The following violations were cited during today’s visit: Violation Number Comment Rule 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. The program’s kitchen was monitored during today’s visit. It was observed that the posted allergy list in the kitchen only identifies two (2) children currently enrolled in the facility with known food allergies. However, while monitoring the classroom it was observed that there are currently three (3) additional children enrolled with known allergies that are not included on this list. .0901(g) 807 A safe indoor and outdoor environment was not provided for the children. The outdoor learning environment was monitored. It was observed that two (2) sticks with sharp edges were protruding from beneath the mulch in the direct play area and accessible to children. It was also observed that two (2) wooden slats were missing from a gate located near the path of transition for children creating an entrapment concern. While measuring the wooden mulch on the playground it was observed that it was measuring three (3) to four (4) inches in various areas instead of the required six (6) inches. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #3 two (2) bottles of hand sanitizer each labeled with the warning Keep Out of the Reach of children accompanied by other warnings were observed being stored in the classroom’s outdoor bag on a shelf. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Six (6) staff members’ files were reviewed, and it was observed that three (3) staff members did not have completed medical reports on file including a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. 10A NCAC 09 .0701(a) 1301 Center did not maintain a record of daily attendance. In Space #1 thirteen (13) children were observed present but the posted attendance had not been completed for the day to reflect this. It was also observed in Space #2 five (5) children were present but the posted attendance only reflected that three (3) children were in attendance for the day. GS 110-91(9) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Seven (7) children’s files were monitored today. It was observed that one did not have a medical assessment on file containing all the required information. GS110-91(1) 1836 Center administrators and staff did not use the information provided in the application to ensure that each individual child's needs are met. Emergency medication was monitored in Space #1 and it was observed that one (1) child with a chronic medical condition did not have the required life-saving medication onsite for use. .0801 (e) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Six (6) staff members’ files were reviewed, and it was observed that one staff member hired on 09/09/24 had verification on file for last completing the required Recognizing and Responding to Suspicions of Child Maltreatment training on 08/28/20 instead of within 90 days of employment, as required. .1102(g) Corrective Action: Violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Wednesday April 22, 2025 to the email listed below. Failure to correct the violation and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance Provided and General Discussion: -I reminded both the Administrator and teachers of the importance of ensuring all required documentation is posted and completed in its entirety. We spoke specifically about attendance and allergy lists. -I remind both the Administrator and Teachers that when receiving any required paperwork from a parent or other caregiver including but not limited to a child’s medication forms and specific enrollment forms they should be thoroughly reviewed to ensure that all sections are completed and there no areas omitted, overlooked, or left blank. -Ms. Wright was reminded of the importance of ensuring that staff members have the required forms, trainings and paperwork complete and readily accessible. We spoke specifically about the expectation that all staff always stay current on all required specialized training and have completed medical forms on file. -We discussed the importance of ensuring that the playgrounds are checked daily for hazards by staff and shared with the administrator immediately to ensure that repairs are documented and corrected. -It was highly recommended to maintain your staff and training worksheets to always keep them current and maintain DCDEE WORKS status letters for each lead teacher, teacher, and administrator. If you have any questions, please contact Resha K. Washington at 704-910-7947 or email resha.washington@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

GS 110-91 · Violation

Name of Operation: SMARTY PANTS FULL DAY PRESCHOOL Facility ID: 60003336 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 4/8/2025 Number Present: 60 Completed Date: 4/8/2025 Age: From 0 To 5 Total Minutes: 420 Time In: 09:30 AM Time Out: 04:30 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 the facility for all applicable child care requirements during an Annual Compliance visit. The facility is currently operating with a Four Star Rated License issued on May 02, 2023. The March 2023 Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Center Item Number Listing dated November 2024 was used to document compliance with child care rules. Upon my arrival I approached the facility by walking up the stairs located at the front entrance of Building One. There I knocked twice and was greeted by an unknown female that was accompanied by another unknown female in the facility’s main office. I was allowed entry. Upon entry into the facility, the program’s current license and NC Summary of Law were observed posted in a visible area. There, I introduced myself and inquired if Ms. J. Wright, Program Administrator was available. The unknown females then introduced themselves as a Meck Pre-K teacher and a Meck Pre-K Site Liaison. I was, then, informed that Ms. Wright was onsite, but they were not sure exactly were. It was at that point I found a place to store my personal items prior to heading to Space #6, an adjacent classroom, and speaking with the teachers present to inquire about Ms. Wright’s whereabouts. I was informed that she, Ms. Wright, was currently in Building Two in the Toddler classroom. I then headed that way and joined her. Upon arrival in Building Two, Ms. Wright was observed in the Toddler Classroom with six (6) children present. There I shared the purpose of today’s visit and inquired if she was currently in ratio covering a class. Ms. Wright stated that she was in ratio providing coverage due to the Toddler teacher assisting in the Meck Pre-K classroom, as that teacher was in a meeting. Ms. Wright also shared that she should be available shortly. I then inquired if she would like for me to begin the walk-through of the facility without her or wait for her coverage to be in place. Ms. Wright stated that she would prefer to accompany me on all aspects of the visit. I told her that I could begin the walkthrough in this Space and then I would retrieve any additional visit documentation/forms from the facility’s office prior to us completing the rest of the walk-through. It was at that point I began the walk-through of the space prior to returning to the office to retrieve additional writing materials and forms. Shortly after returning to the space both Ms. N. Long, owner/operator, and Ms. L. Johnson, Toddler teacher, joined us and Ms. Wright was able to accompany me on the remainder of the walk-through. During today’s visit six (6) licensed child care spaces, four (4) bathrooms, the facility’s kitchen, the outdoor learning environment and spaces adjacent to the classes were monitored for compliance. Children were observed engaged in teacher directed activities, large group activities, small group activities, mealtime routines, transitional activities, personal care routines and napping. The facility was found in compliance with supervision, staff/child ratio, capacity and group size. In Space #1 thirteen (13) children were observed present but the posted attendance had not been completed for the day to reflect this. This information was shared with both staff members present and corrected during the walk-through. Emergency medication was also monitored in Space #1 and it was observed that one (1) child with a chronic medical condition did not have the required life-saving medication onsite for use. In Space #2 five (5) children were observed present but the posted attendance only reflected that three (3) children were in attendance for the day. This information was shared both staff members present and corrected during the walk-through. In Space #3 two (2) bottles of hand sanitizer each labeled with the warning Keep Out of the Reach of children accompanied by other warnings were observed being stored in the classroom’s outdoor bag on a shelf. I reminded both the staff member and administrator present that any hazardous material labeled with multiple warnings has to stored under lock and key. The bottles of hand sanitizer were removed from the classroom during today’s visit and placed in a secured location. The program’s kitchen was monitored during today’s visit. It was observed that the posted allergy list in the kitchen only identifies two (2) children currently enrolled in the facility with known food allergies. However, while monitoring the classroom it was observed that there are currently three (3) additional children enrolled with known allergies that are not included on this list. This information was brought to the attention of the Program Administrator and she was reminded of the importance of ensuring that all chronic medical conditions including those pertaining to food allergens are posted in the required areas. The outdoor learning environment was monitored. It was observed that two (2) sticks with sharp edges were protruding from beneath the mulch in the direct play area and accessible to children. It was also observed that two (2) wooden slats were missing from a gate located near the path of transition for children creating an entrapment concern. I brought each of these concerns to Ms. Wright’s attention and informed her that each of these areas would need to be made inaccessible to children until repairs could be made, as they each pose a hazard. While measuring the wooden mulch on the playground it was observed that it was measuring three (3) to four (4) inches in various areas instead of the required six (6) inches. This information was shared with the provider, and she was advised to spread the mulch present to observe if it met the required depth of the loose surfacing material for the critical height of the stationary equipment present and if it did not then she would need to purchase additional loose surfacing material to become compliant. Program records were monitored. Fire drills and emergency drills were monitored and found to be compliant. Monthly outdoor inspections were monitored for the past twelve months. They were observed to have been completed and documented, as required. The facility is currently utilizing the Creative Curriculum. Current lesson plans were observed posted for the age groups present. The facility’s incident log was reviewed during today’s visit. It was observed to be completed and maintained, as required. The facility’s business status was monitored on the NC Secretary of State’s website. It was listed as ACTIVE. Seven (7) children’s files were monitored today. It was observed that one did not have a medical assessment on file containing all the required information. Six (6) staff members’ files were reviewed, and it was observed that three (3) staff members did not have completed medical reports on file including a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. It was also observed that one staff member hired on 09/09/24 had verification on file for last completing the required Recognizing and Responding to Suspicions of Child Maltreatment training on 08/28/20 instead of within 90 days of employment, as required. The facility's EPR and Ready to Go file were reviewed and found to have been updated as required. The facility does not provide its own transportation, but a vehicle was observed on site for emergency use. The last annual Sanitation Inspection was conducted on 12/06/24 with a rating of Superior and 6 demerits. The last approved annual Fire Inspection the facility has on file was conducted on May 15, 2024. There were eight (8) violations cited during today’s visit. The following violations were cited during today’s visit: Violation Number Comment Rule 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. The program’s kitchen was monitored during today’s visit. It was observed that the posted allergy list in the kitchen only identifies two (2) children currently enrolled in the facility with known food allergies. However, while monitoring the classroom it was observed that there are currently three (3) additional children enrolled with known allergies that are not included on this list. .0901(g) 807 A safe indoor and outdoor environment was not provided for the children. The outdoor learning environment was monitored. It was observed that two (2) sticks with sharp edges were protruding from beneath the mulch in the direct play area and accessible to children. It was also observed that two (2) wooden slats were missing from a gate located near the path of transition for children creating an entrapment concern. While measuring the wooden mulch on the playground it was observed that it was measuring three (3) to four (4) inches in various areas instead of the required six (6) inches. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #3 two (2) bottles of hand sanitizer each labeled with the warning Keep Out of the Reach of children accompanied by other warnings were observed being stored in the classroom’s outdoor bag on a shelf. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Six (6) staff members’ files were reviewed, and it was observed that three (3) staff members did not have completed medical reports on file including a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. 10A NCAC 09 .0701(a) 1301 Center did not maintain a record of daily attendance. In Space #1 thirteen (13) children were observed present but the posted attendance had not been completed for the day to reflect this. It was also observed in Space #2 five (5) children were present but the posted attendance only reflected that three (3) children were in attendance for the day. GS 110-91(9) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Seven (7) children’s files were monitored today. It was observed that one did not have a medical assessment on file containing all the required information. GS110-91(1) 1836 Center administrators and staff did not use the information provided in the application to ensure that each individual child's needs are met. Emergency medication was monitored in Space #1 and it was observed that one (1) child with a chronic medical condition did not have the required life-saving medication onsite for use. .0801 (e) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Six (6) staff members’ files were reviewed, and it was observed that one staff member hired on 09/09/24 had verification on file for last completing the required Recognizing and Responding to Suspicions of Child Maltreatment training on 08/28/20 instead of within 90 days of employment, as required. .1102(g) Corrective Action: Violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Wednesday April 22, 2025 to the email listed below. Failure to correct the violation and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance Provided and General Discussion: -I reminded both the Administrator and teachers of the importance of ensuring all required documentation is posted and completed in its entirety. We spoke specifically about attendance and allergy lists. -I remind both the Administrator and Teachers that when receiving any required paperwork from a parent or other caregiver including but not limited to a child’s medication forms and specific enrollment forms they should be thoroughly reviewed to ensure that all sections are completed and there no areas omitted, overlooked, or left blank. -Ms. Wright was reminded of the importance of ensuring that staff members have the required forms, trainings and paperwork complete and readily accessible. We spoke specifically about the expectation that all staff always stay current on all required specialized training and have completed medical forms on file. -We discussed the importance of ensuring that the playgrounds are checked daily for hazards by staff and shared with the administrator immediately to ensure that repairs are documented and corrected. -It was highly recommended to maintain your staff and training worksheets to always keep them current and maintain DCDEE WORKS status letters for each lead teacher, teacher, and administrator. If you have any questions, please contact Resha K. Washington at 704-910-7947 or email resha.washington@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

GS110-91 · Violation

Name of Operation: SMARTY PANTS FULL DAY PRESCHOOL Facility ID: 60003336 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 4/8/2025 Number Present: 60 Completed Date: 4/8/2025 Age: From 0 To 5 Total Minutes: 420 Time In: 09:30 AM Time Out: 04:30 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 the facility for all applicable child care requirements during an Annual Compliance visit. The facility is currently operating with a Four Star Rated License issued on May 02, 2023. The March 2023 Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Center Item Number Listing dated November 2024 was used to document compliance with child care rules. Upon my arrival I approached the facility by walking up the stairs located at the front entrance of Building One. There I knocked twice and was greeted by an unknown female that was accompanied by another unknown female in the facility’s main office. I was allowed entry. Upon entry into the facility, the program’s current license and NC Summary of Law were observed posted in a visible area. There, I introduced myself and inquired if Ms. J. Wright, Program Administrator was available. The unknown females then introduced themselves as a Meck Pre-K teacher and a Meck Pre-K Site Liaison. I was, then, informed that Ms. Wright was onsite, but they were not sure exactly were. It was at that point I found a place to store my personal items prior to heading to Space #6, an adjacent classroom, and speaking with the teachers present to inquire about Ms. Wright’s whereabouts. I was informed that she, Ms. Wright, was currently in Building Two in the Toddler classroom. I then headed that way and joined her. Upon arrival in Building Two, Ms. Wright was observed in the Toddler Classroom with six (6) children present. There I shared the purpose of today’s visit and inquired if she was currently in ratio covering a class. Ms. Wright stated that she was in ratio providing coverage due to the Toddler teacher assisting in the Meck Pre-K classroom, as that teacher was in a meeting. Ms. Wright also shared that she should be available shortly. I then inquired if she would like for me to begin the walk-through of the facility without her or wait for her coverage to be in place. Ms. Wright stated that she would prefer to accompany me on all aspects of the visit. I told her that I could begin the walkthrough in this Space and then I would retrieve any additional visit documentation/forms from the facility’s office prior to us completing the rest of the walk-through. It was at that point I began the walk-through of the space prior to returning to the office to retrieve additional writing materials and forms. Shortly after returning to the space both Ms. N. Long, owner/operator, and Ms. L. Johnson, Toddler teacher, joined us and Ms. Wright was able to accompany me on the remainder of the walk-through. During today’s visit six (6) licensed child care spaces, four (4) bathrooms, the facility’s kitchen, the outdoor learning environment and spaces adjacent to the classes were monitored for compliance. Children were observed engaged in teacher directed activities, large group activities, small group activities, mealtime routines, transitional activities, personal care routines and napping. The facility was found in compliance with supervision, staff/child ratio, capacity and group size. In Space #1 thirteen (13) children were observed present but the posted attendance had not been completed for the day to reflect this. This information was shared with both staff members present and corrected during the walk-through. Emergency medication was also monitored in Space #1 and it was observed that one (1) child with a chronic medical condition did not have the required life-saving medication onsite for use. In Space #2 five (5) children were observed present but the posted attendance only reflected that three (3) children were in attendance for the day. This information was shared both staff members present and corrected during the walk-through. In Space #3 two (2) bottles of hand sanitizer each labeled with the warning Keep Out of the Reach of children accompanied by other warnings were observed being stored in the classroom’s outdoor bag on a shelf. I reminded both the staff member and administrator present that any hazardous material labeled with multiple warnings has to stored under lock and key. The bottles of hand sanitizer were removed from the classroom during today’s visit and placed in a secured location. The program’s kitchen was monitored during today’s visit. It was observed that the posted allergy list in the kitchen only identifies two (2) children currently enrolled in the facility with known food allergies. However, while monitoring the classroom it was observed that there are currently three (3) additional children enrolled with known allergies that are not included on this list. This information was brought to the attention of the Program Administrator and she was reminded of the importance of ensuring that all chronic medical conditions including those pertaining to food allergens are posted in the required areas. The outdoor learning environment was monitored. It was observed that two (2) sticks with sharp edges were protruding from beneath the mulch in the direct play area and accessible to children. It was also observed that two (2) wooden slats were missing from a gate located near the path of transition for children creating an entrapment concern. I brought each of these concerns to Ms. Wright’s attention and informed her that each of these areas would need to be made inaccessible to children until repairs could be made, as they each pose a hazard. While measuring the wooden mulch on the playground it was observed that it was measuring three (3) to four (4) inches in various areas instead of the required six (6) inches. This information was shared with the provider, and she was advised to spread the mulch present to observe if it met the required depth of the loose surfacing material for the critical height of the stationary equipment present and if it did not then she would need to purchase additional loose surfacing material to become compliant. Program records were monitored. Fire drills and emergency drills were monitored and found to be compliant. Monthly outdoor inspections were monitored for the past twelve months. They were observed to have been completed and documented, as required. The facility is currently utilizing the Creative Curriculum. Current lesson plans were observed posted for the age groups present. The facility’s incident log was reviewed during today’s visit. It was observed to be completed and maintained, as required. The facility’s business status was monitored on the NC Secretary of State’s website. It was listed as ACTIVE. Seven (7) children’s files were monitored today. It was observed that one did not have a medical assessment on file containing all the required information. Six (6) staff members’ files were reviewed, and it was observed that three (3) staff members did not have completed medical reports on file including a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. It was also observed that one staff member hired on 09/09/24 had verification on file for last completing the required Recognizing and Responding to Suspicions of Child Maltreatment training on 08/28/20 instead of within 90 days of employment, as required. The facility's EPR and Ready to Go file were reviewed and found to have been updated as required. The facility does not provide its own transportation, but a vehicle was observed on site for emergency use. The last annual Sanitation Inspection was conducted on 12/06/24 with a rating of Superior and 6 demerits. The last approved annual Fire Inspection the facility has on file was conducted on May 15, 2024. There were eight (8) violations cited during today’s visit. The following violations were cited during today’s visit: Violation Number Comment Rule 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. The program’s kitchen was monitored during today’s visit. It was observed that the posted allergy list in the kitchen only identifies two (2) children currently enrolled in the facility with known food allergies. However, while monitoring the classroom it was observed that there are currently three (3) additional children enrolled with known allergies that are not included on this list. .0901(g) 807 A safe indoor and outdoor environment was not provided for the children. The outdoor learning environment was monitored. It was observed that two (2) sticks with sharp edges were protruding from beneath the mulch in the direct play area and accessible to children. It was also observed that two (2) wooden slats were missing from a gate located near the path of transition for children creating an entrapment concern. While measuring the wooden mulch on the playground it was observed that it was measuring three (3) to four (4) inches in various areas instead of the required six (6) inches. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #3 two (2) bottles of hand sanitizer each labeled with the warning Keep Out of the Reach of children accompanied by other warnings were observed being stored in the classroom’s outdoor bag on a shelf. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Six (6) staff members’ files were reviewed, and it was observed that three (3) staff members did not have completed medical reports on file including a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. 10A NCAC 09 .0701(a) 1301 Center did not maintain a record of daily attendance. In Space #1 thirteen (13) children were observed present but the posted attendance had not been completed for the day to reflect this. It was also observed in Space #2 five (5) children were present but the posted attendance only reflected that three (3) children were in attendance for the day. GS 110-91(9) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Seven (7) children’s files were monitored today. It was observed that one did not have a medical assessment on file containing all the required information. GS110-91(1) 1836 Center administrators and staff did not use the information provided in the application to ensure that each individual child's needs are met. Emergency medication was monitored in Space #1 and it was observed that one (1) child with a chronic medical condition did not have the required life-saving medication onsite for use. .0801 (e) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Six (6) staff members’ files were reviewed, and it was observed that one staff member hired on 09/09/24 had verification on file for last completing the required Recognizing and Responding to Suspicions of Child Maltreatment training on 08/28/20 instead of within 90 days of employment, as required. .1102(g) Corrective Action: Violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Wednesday April 22, 2025 to the email listed below. Failure to correct the violation and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance Provided and General Discussion: -I reminded both the Administrator and teachers of the importance of ensuring all required documentation is posted and completed in its entirety. We spoke specifically about attendance and allergy lists. -I remind both the Administrator and Teachers that when receiving any required paperwork from a parent or other caregiver including but not limited to a child’s medication forms and specific enrollment forms they should be thoroughly reviewed to ensure that all sections are completed and there no areas omitted, overlooked, or left blank. -Ms. Wright was reminded of the importance of ensuring that staff members have the required forms, trainings and paperwork complete and readily accessible. We spoke specifically about the expectation that all staff always stay current on all required specialized training and have completed medical forms on file. -We discussed the importance of ensuring that the playgrounds are checked daily for hazards by staff and shared with the administrator immediately to ensure that repairs are documented and corrected. -It was highly recommended to maintain your staff and training worksheets to always keep them current and maintain DCDEE WORKS status letters for each lead teacher, teacher, and administrator. If you have any questions, please contact Resha K. Washington at 704-910-7947 or email resha.washington@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 .2805 · Violation

Name of Operation: SMARTY PANTS FULL DAY PRESCHOOL Facility ID: 60003336 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: 0325-220L Visit Date: 3/31/2025 Number Present: 25 Completed Date: 3/31/2025 Age: From 0 To 3 Total Minutes: 240 Time In: 01:30 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced On March 17, 2025 the Division of Child Development and Early Education (DCDEE) received a complaint allegation regarding the following: There are allegations of violations of child care requirements. The purpose of today’s visit was to discuss these allegations with administration. The 18-month compliance history was 92% prior to today’s visit. Upon arrival I approached the front entrance of the facility’s office located in Building One and knocked twice with no answer. I then placed a call to Ms. J. Wright, Program Administrator. She informed me that she was currently in ratio in the classroom adjacent to the facility’s office and could see me through the door’s glass panel. She then provided me code for the door to allow me entry. Upon entering the facility I placed my personal items in the office and headed to the classroom where Ms. Wright was observed present with children during naptime. I shared the purpose of today’s visit and inquired if she would be able to find coverage so we could speak privately. She informed me that it would be about five minutes before a teacher would return and she could exit the classroom to then join me in the office. Shortly thereafter Ms. Wright joined me. She then placed a call to Ms. N. Long, Owner/Operator to share that I was onsite and the purpose of today’s visit. Ms. Long joined our discussion by phone for no more than fifteen (15) minutes before arriving onsite to join us in person. It was during this call the complaint allegation statement was read aloud to both Ms. Wright and Ms. Long. Ms. Long inquired what specifically were the allegations that had been made and I shared with both, Ms. Wright and Ms. Long, additional details about an alleged situation that had taken place at the facility on or about February 20th, 2025 involving a child falling and receiving a black eye. I inquired if they had any knowledge of a similar situation. They both stated that they were aware of a like incident that had taken place in the Toddler classroom around that same time with a child but it had only resulted in the child receiving a small scratch on her face, near her eye. It was also during this discussion that it was shared that there had been previous discussions with the child’s parents about concerns of the child being exposed to marijuana smoke while being transported to school and that could be the reason why the child had fallen because her equilibrium had been affected, resulting in poor balance. After this information was shared I inquired how these concerns had been addressed. It was stated that both in-person conversations had taken place with the parents while the child was enrolled, and a text message had been sent approximately three weeks after the child disenrolled to share this concern. Following this discussion two (2) text messages and program documentation including but not limited to the facility’s Parent Handbook, the facility’s Employee Handbook, the facility’s Emergency Medical Care Plan, the facility’s Incident Log, incident reports, a staff member’s file and a child’s file were reviewed. I, then, inquired if there were any additional staff members onsite today that had any knowledge of this incident. I was informed that there were two staff members present today that had also been present when the incident had occurred by Ms. Wright. I told her that I would need to speak with each of them individually. It was at that time two (2) additional interviews were conducted. During today’s visit four (4) staff members including the Owner/Operator, the Program’s Administrator and two (2) members of the teaching staff were interviewed. Documentation including but not limited to text messages, the facility’s Parent Handbook, the facility’s Employee Handbook, the facility’s Emergency Medical Care Plan, the facility’s Incident Log, incident reports, a staff member’s file and a child’s file were reviewed. It was during the interviews it was shared by three (3) staff members there were concerns of the child possibly being exposed to marijuana smoke while in the parents’ care but neither of the staff members followed the procedures for reporting suspected child abuse and neglect. It was also discussed during these interviews that when the incident took place resulting in the child falling and hitting any component of their head the facility’s Emergency Medical Care Plan was not followed, as neither the person responsible for choosing and carrying out the plan of action to obtain appropriate medical care, or at least one alternate person listed as being able to fulfill these duties, had not been informed of the injury. It was shared that the incident had taken place at approximately 10:15am and an initial report was completed at that time. It was also shared that at the time of the incident there was a small, red bump visible under the child’s eye but after naptime at approximately 2:30pm there was visible greenish, blue discoloration on the child’s face in the same area. However, both the child’s parent and a member of the Administration staff were not informed about the incident until after 3:30pm at pick-up. Also, while reviewing the document completed for the incident it was observed the form was completed in both Magic Marker and Ink. I inquired about the difference in the writing instruments that were utilized and I was informed that the initial report provided to the child’s parents did not included all the required information, so it had been later updated to include the additional information. Based on staff interviews and a review of the above-mentioned documentation there is evidence that violations of childcare requirements related to following program policies/procedures, following the facility’s Emergency Medical Care Plan, the completion of Incident Reports and mandated reporting. Therefore, these allegations have been SUBSTANTIATED. There were four (4) violations cited today related to the complaint allegations. Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. While reviewing the document completed for the incident it was observed the form was completed in both Magic Marker and Ink. When asked about the difference in the writing instruments that were utilized it was shared that the initial report provided to the child’s parents did not included all the required information and it had been later updated to include the additional information. .0802 (e) 873 Center staff did not follow the EMC plan. It was shared during the interviews conducted the facility’s Emergency Medical Care Plan was not followed, as neither the person responsible for choosing and carrying out the plan of action to obtain appropriate medical care, or at least one alternate person listed as being able to fulfill these duties, had not been informed of the injury. It was shared that the incident had taken place at approximately 10:15am and a member of the Administration staff were not informed about the incident until after 3:30pm at the child's pick-up. 10A NCAC 09.0802(a) 1200 Facility did not follow written operational policies. While reviewing the facility's parent handbook it was observed that it was stated in the Child Illness Policy, Health and Safety section under the subheading Injuries that "In the event of a serious accident, we will promptly contact you (the parent) for further instructions." However, it was shared during the interviews conducted today that the incident involving a child hitting their head thus resulting in an injury near their eye occurred at approximately 10:15am and the child’s parent was not informed about the incident until after 3:30pm at the child's pick-up. 10A NCAC 09 .2805(a) 1949 The center did not report a suspected case of child abuse or neglect as required by the mandatory duty prescribed in G.S. 7B-301. During the interviews conducted today it was shared by three (3) staff members there were concerns of the child possibly being exposed to marijuana smoke while in the parents’ care but neither of the staff members followed the procedures for reporting suspected child abuse and neglect. G.S. 110-91 Corrective Action: All violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Monday April 14, 2025 to the email listed below. Failure to correct the violation and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance Provided and General Discussion: During today’s visit the Administrator and I discussed the importance of ensuring that all staff members are trained and aware of policies relating to being court-mandated reporters, procedures to follow in the event of an emergency as outlined in the facility’s Emergency Medical Care Plan, ways to identify the varying levels of care during incidents as well as, the importance of both notifying parents of an incident and thoroughly completing an incident report to reflect all details accurately. If you have any questions, please contact Resha K. Washington at 704-910-7947 or email resha.washington@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: ratio. Open / not marked corrected.

10A NCAC 09.0802 · Violation

Name of Operation: SMARTY PANTS FULL DAY PRESCHOOL Facility ID: 60003336 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: 0325-220L Visit Date: 3/31/2025 Number Present: 25 Completed Date: 3/31/2025 Age: From 0 To 3 Total Minutes: 240 Time In: 01:30 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced On March 17, 2025 the Division of Child Development and Early Education (DCDEE) received a complaint allegation regarding the following: There are allegations of violations of child care requirements. The purpose of today’s visit was to discuss these allegations with administration. The 18-month compliance history was 92% prior to today’s visit. Upon arrival I approached the front entrance of the facility’s office located in Building One and knocked twice with no answer. I then placed a call to Ms. J. Wright, Program Administrator. She informed me that she was currently in ratio in the classroom adjacent to the facility’s office and could see me through the door’s glass panel. She then provided me code for the door to allow me entry. Upon entering the facility I placed my personal items in the office and headed to the classroom where Ms. Wright was observed present with children during naptime. I shared the purpose of today’s visit and inquired if she would be able to find coverage so we could speak privately. She informed me that it would be about five minutes before a teacher would return and she could exit the classroom to then join me in the office. Shortly thereafter Ms. Wright joined me. She then placed a call to Ms. N. Long, Owner/Operator to share that I was onsite and the purpose of today’s visit. Ms. Long joined our discussion by phone for no more than fifteen (15) minutes before arriving onsite to join us in person. It was during this call the complaint allegation statement was read aloud to both Ms. Wright and Ms. Long. Ms. Long inquired what specifically were the allegations that had been made and I shared with both, Ms. Wright and Ms. Long, additional details about an alleged situation that had taken place at the facility on or about February 20th, 2025 involving a child falling and receiving a black eye. I inquired if they had any knowledge of a similar situation. They both stated that they were aware of a like incident that had taken place in the Toddler classroom around that same time with a child but it had only resulted in the child receiving a small scratch on her face, near her eye. It was also during this discussion that it was shared that there had been previous discussions with the child’s parents about concerns of the child being exposed to marijuana smoke while being transported to school and that could be the reason why the child had fallen because her equilibrium had been affected, resulting in poor balance. After this information was shared I inquired how these concerns had been addressed. It was stated that both in-person conversations had taken place with the parents while the child was enrolled, and a text message had been sent approximately three weeks after the child disenrolled to share this concern. Following this discussion two (2) text messages and program documentation including but not limited to the facility’s Parent Handbook, the facility’s Employee Handbook, the facility’s Emergency Medical Care Plan, the facility’s Incident Log, incident reports, a staff member’s file and a child’s file were reviewed. I, then, inquired if there were any additional staff members onsite today that had any knowledge of this incident. I was informed that there were two staff members present today that had also been present when the incident had occurred by Ms. Wright. I told her that I would need to speak with each of them individually. It was at that time two (2) additional interviews were conducted. During today’s visit four (4) staff members including the Owner/Operator, the Program’s Administrator and two (2) members of the teaching staff were interviewed. Documentation including but not limited to text messages, the facility’s Parent Handbook, the facility’s Employee Handbook, the facility’s Emergency Medical Care Plan, the facility’s Incident Log, incident reports, a staff member’s file and a child’s file were reviewed. It was during the interviews it was shared by three (3) staff members there were concerns of the child possibly being exposed to marijuana smoke while in the parents’ care but neither of the staff members followed the procedures for reporting suspected child abuse and neglect. It was also discussed during these interviews that when the incident took place resulting in the child falling and hitting any component of their head the facility’s Emergency Medical Care Plan was not followed, as neither the person responsible for choosing and carrying out the plan of action to obtain appropriate medical care, or at least one alternate person listed as being able to fulfill these duties, had not been informed of the injury. It was shared that the incident had taken place at approximately 10:15am and an initial report was completed at that time. It was also shared that at the time of the incident there was a small, red bump visible under the child’s eye but after naptime at approximately 2:30pm there was visible greenish, blue discoloration on the child’s face in the same area. However, both the child’s parent and a member of the Administration staff were not informed about the incident until after 3:30pm at pick-up. Also, while reviewing the document completed for the incident it was observed the form was completed in both Magic Marker and Ink. I inquired about the difference in the writing instruments that were utilized and I was informed that the initial report provided to the child’s parents did not included all the required information, so it had been later updated to include the additional information. Based on staff interviews and a review of the above-mentioned documentation there is evidence that violations of childcare requirements related to following program policies/procedures, following the facility’s Emergency Medical Care Plan, the completion of Incident Reports and mandated reporting. Therefore, these allegations have been SUBSTANTIATED. There were four (4) violations cited today related to the complaint allegations. Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. While reviewing the document completed for the incident it was observed the form was completed in both Magic Marker and Ink. When asked about the difference in the writing instruments that were utilized it was shared that the initial report provided to the child’s parents did not included all the required information and it had been later updated to include the additional information. .0802 (e) 873 Center staff did not follow the EMC plan. It was shared during the interviews conducted the facility’s Emergency Medical Care Plan was not followed, as neither the person responsible for choosing and carrying out the plan of action to obtain appropriate medical care, or at least one alternate person listed as being able to fulfill these duties, had not been informed of the injury. It was shared that the incident had taken place at approximately 10:15am and a member of the Administration staff were not informed about the incident until after 3:30pm at the child's pick-up. 10A NCAC 09.0802(a) 1200 Facility did not follow written operational policies. While reviewing the facility's parent handbook it was observed that it was stated in the Child Illness Policy, Health and Safety section under the subheading Injuries that "In the event of a serious accident, we will promptly contact you (the parent) for further instructions." However, it was shared during the interviews conducted today that the incident involving a child hitting their head thus resulting in an injury near their eye occurred at approximately 10:15am and the child’s parent was not informed about the incident until after 3:30pm at the child's pick-up. 10A NCAC 09 .2805(a) 1949 The center did not report a suspected case of child abuse or neglect as required by the mandatory duty prescribed in G.S. 7B-301. During the interviews conducted today it was shared by three (3) staff members there were concerns of the child possibly being exposed to marijuana smoke while in the parents’ care but neither of the staff members followed the procedures for reporting suspected child abuse and neglect. G.S. 110-91 Corrective Action: All violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Monday April 14, 2025 to the email listed below. Failure to correct the violation and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance Provided and General Discussion: During today’s visit the Administrator and I discussed the importance of ensuring that all staff members are trained and aware of policies relating to being court-mandated reporters, procedures to follow in the event of an emergency as outlined in the facility’s Emergency Medical Care Plan, ways to identify the varying levels of care during incidents as well as, the importance of both notifying parents of an incident and thoroughly completing an incident report to reflect all details accurately. If you have any questions, please contact Resha K. Washington at 704-910-7947 or email resha.washington@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

G.S. 110-91 · Violation

Name of Operation: SMARTY PANTS FULL DAY PRESCHOOL Facility ID: 60003336 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: 0325-220L Visit Date: 3/31/2025 Number Present: 25 Completed Date: 3/31/2025 Age: From 0 To 3 Total Minutes: 240 Time In: 01:30 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced On March 17, 2025 the Division of Child Development and Early Education (DCDEE) received a complaint allegation regarding the following: There are allegations of violations of child care requirements. The purpose of today’s visit was to discuss these allegations with administration. The 18-month compliance history was 92% prior to today’s visit. Upon arrival I approached the front entrance of the facility’s office located in Building One and knocked twice with no answer. I then placed a call to Ms. J. Wright, Program Administrator. She informed me that she was currently in ratio in the classroom adjacent to the facility’s office and could see me through the door’s glass panel. She then provided me code for the door to allow me entry. Upon entering the facility I placed my personal items in the office and headed to the classroom where Ms. Wright was observed present with children during naptime. I shared the purpose of today’s visit and inquired if she would be able to find coverage so we could speak privately. She informed me that it would be about five minutes before a teacher would return and she could exit the classroom to then join me in the office. Shortly thereafter Ms. Wright joined me. She then placed a call to Ms. N. Long, Owner/Operator to share that I was onsite and the purpose of today’s visit. Ms. Long joined our discussion by phone for no more than fifteen (15) minutes before arriving onsite to join us in person. It was during this call the complaint allegation statement was read aloud to both Ms. Wright and Ms. Long. Ms. Long inquired what specifically were the allegations that had been made and I shared with both, Ms. Wright and Ms. Long, additional details about an alleged situation that had taken place at the facility on or about February 20th, 2025 involving a child falling and receiving a black eye. I inquired if they had any knowledge of a similar situation. They both stated that they were aware of a like incident that had taken place in the Toddler classroom around that same time with a child but it had only resulted in the child receiving a small scratch on her face, near her eye. It was also during this discussion that it was shared that there had been previous discussions with the child’s parents about concerns of the child being exposed to marijuana smoke while being transported to school and that could be the reason why the child had fallen because her equilibrium had been affected, resulting in poor balance. After this information was shared I inquired how these concerns had been addressed. It was stated that both in-person conversations had taken place with the parents while the child was enrolled, and a text message had been sent approximately three weeks after the child disenrolled to share this concern. Following this discussion two (2) text messages and program documentation including but not limited to the facility’s Parent Handbook, the facility’s Employee Handbook, the facility’s Emergency Medical Care Plan, the facility’s Incident Log, incident reports, a staff member’s file and a child’s file were reviewed. I, then, inquired if there were any additional staff members onsite today that had any knowledge of this incident. I was informed that there were two staff members present today that had also been present when the incident had occurred by Ms. Wright. I told her that I would need to speak with each of them individually. It was at that time two (2) additional interviews were conducted. During today’s visit four (4) staff members including the Owner/Operator, the Program’s Administrator and two (2) members of the teaching staff were interviewed. Documentation including but not limited to text messages, the facility’s Parent Handbook, the facility’s Employee Handbook, the facility’s Emergency Medical Care Plan, the facility’s Incident Log, incident reports, a staff member’s file and a child’s file were reviewed. It was during the interviews it was shared by three (3) staff members there were concerns of the child possibly being exposed to marijuana smoke while in the parents’ care but neither of the staff members followed the procedures for reporting suspected child abuse and neglect. It was also discussed during these interviews that when the incident took place resulting in the child falling and hitting any component of their head the facility’s Emergency Medical Care Plan was not followed, as neither the person responsible for choosing and carrying out the plan of action to obtain appropriate medical care, or at least one alternate person listed as being able to fulfill these duties, had not been informed of the injury. It was shared that the incident had taken place at approximately 10:15am and an initial report was completed at that time. It was also shared that at the time of the incident there was a small, red bump visible under the child’s eye but after naptime at approximately 2:30pm there was visible greenish, blue discoloration on the child’s face in the same area. However, both the child’s parent and a member of the Administration staff were not informed about the incident until after 3:30pm at pick-up. Also, while reviewing the document completed for the incident it was observed the form was completed in both Magic Marker and Ink. I inquired about the difference in the writing instruments that were utilized and I was informed that the initial report provided to the child’s parents did not included all the required information, so it had been later updated to include the additional information. Based on staff interviews and a review of the above-mentioned documentation there is evidence that violations of childcare requirements related to following program policies/procedures, following the facility’s Emergency Medical Care Plan, the completion of Incident Reports and mandated reporting. Therefore, these allegations have been SUBSTANTIATED. There were four (4) violations cited today related to the complaint allegations. Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. While reviewing the document completed for the incident it was observed the form was completed in both Magic Marker and Ink. When asked about the difference in the writing instruments that were utilized it was shared that the initial report provided to the child’s parents did not included all the required information and it had been later updated to include the additional information. .0802 (e) 873 Center staff did not follow the EMC plan. It was shared during the interviews conducted the facility’s Emergency Medical Care Plan was not followed, as neither the person responsible for choosing and carrying out the plan of action to obtain appropriate medical care, or at least one alternate person listed as being able to fulfill these duties, had not been informed of the injury. It was shared that the incident had taken place at approximately 10:15am and a member of the Administration staff were not informed about the incident until after 3:30pm at the child's pick-up. 10A NCAC 09.0802(a) 1200 Facility did not follow written operational policies. While reviewing the facility's parent handbook it was observed that it was stated in the Child Illness Policy, Health and Safety section under the subheading Injuries that "In the event of a serious accident, we will promptly contact you (the parent) for further instructions." However, it was shared during the interviews conducted today that the incident involving a child hitting their head thus resulting in an injury near their eye occurred at approximately 10:15am and the child’s parent was not informed about the incident until after 3:30pm at the child's pick-up. 10A NCAC 09 .2805(a) 1949 The center did not report a suspected case of child abuse or neglect as required by the mandatory duty prescribed in G.S. 7B-301. During the interviews conducted today it was shared by three (3) staff members there were concerns of the child possibly being exposed to marijuana smoke while in the parents’ care but neither of the staff members followed the procedures for reporting suspected child abuse and neglect. G.S. 110-91 Corrective Action: All violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Monday April 14, 2025 to the email listed below. Failure to correct the violation and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance Provided and General Discussion: During today’s visit the Administrator and I discussed the importance of ensuring that all staff members are trained and aware of policies relating to being court-mandated reporters, procedures to follow in the event of an emergency as outlined in the facility’s Emergency Medical Care Plan, ways to identify the varying levels of care during incidents as well as, the importance of both notifying parents of an incident and thoroughly completing an incident report to reflect all details accurately. If you have any questions, please contact Resha K. Washington at 704-910-7947 or email resha.washington@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 .0601 · Violation

Name of Operation: SMARTY PANTS FULL DAY PRESCHOOL Facility ID: 60003336 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 4/10/2024 Number Present: 67 Completed Date: 4/10/2024 Age: From 0 To 5 Total Minutes: 495 Time In: 09:45 AM Time Out: 06:00 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 the facility for all applicable child care requirements during an Annual Compliance visit. The facility is currently operating with a Four Star Rated License issued on May 02, 2023. The May 2023 Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Center Item Number Listing dated August 2023 was used to document compliance with child care rules. Michele Sullivan, Licensing Supervisor, joined me on today’s visit. Upon arrival we were greeted at the front entrance of the facility by Ms. N. Long, Owner. We introduced ourselves and shared the purpose of today’s visit. Ms. Long allowed us entrance into the office, where we stored our personal items, and we discussed additional details of today’s visit prior to conducting a walk-through of the facility. Upon entry into the facility, the program’s current license and NC Summary of Law were observed posted in a visible area. During our brief discussion Ms. Long informed us that she would be stepping into to the Infant program to relieve Ms. J. Wright, the program’s current administrator, as she would be assisting us during today’s visit. Ms. Wright joined us shortly after. Upon her, Ms. Wright’s, arrival we re-introduced ourselves and shared the purpose of today’s visit. We discussed the facility’s current enrollment, staffing and expectations for the day. I then asked if she had any questions and she stated that she did not. Ms. Sullivan remained in the office where she reviewed staff files and Ms. Wright joined me on a walk-through of the facility. Six (6) licensed child care spaces, four (4) bathrooms, the facility’s kitchen, the outdoor learning environment and spaces adjacent to the classes were monitored for compliance. During the visit children were observed engaged in teacher directed activities, large group activities, small group activities, mealtime routines, transitional activities, personal care routines and napping. The facility was found in compliance with supervision, staff/child ratio, capacity and group size. In Space #2 a radio was observed being stored on a shelf with the attached electrical power cord hanging down and accessible to children in the crib area. This was brought to the staff members’ attention and corrected during the visit. Seven (7) infant Feeding Schedules were reviewed and it was observed that three (3) children under fifteen months of age had feeding schedules posted that had not been updated to reflect that they are currently eating solid foods. Children were observed transitioning from mealtime routines to independent play activities but the caregiver was not observed washing the children’s hands during these transitions. In Space #3 a radio was observed being stored on a shelf with the attached electrical power cord hanging down and accessible to children in that area. This was brought to the staff members’ attention and corrected during the visit. The outdoor learning environment was monitored. It was observed that a rug, a tarp and other debris were present and accessible to children. A carpeted ramp runner was observed on the ramp leading from the two-year-old classroom to the outdoor learning environment. It was visibly worn and there were rips present. I reminded Ms. Wright that each poses tripping hazards and they need to be either removed or replaced. There were also four (4) areas in the wooden rail located on the perimeter of the ramp and stairs that pieces are either beginning to separate or are missing and need to be repaired. I shared this information with Ms. Wright that this presents a safety hazard and that area needs to be made inaccessible to children until it is corrected. Emergency medication and topical ointment was monitored and it was observed that four (4) children had diaper creams present that did not have the completed paperwork on file, five (5) children with documented chronic medical conditions did not have the medication listed on their medical action plan present with all required completed paperwork on file, seven (7) children did not have completed permissions to administer medication forms on file and three (3) children had medication present that was not stored in its original container. This information was shared with both the classroom staff and Ms. Wright. Monthly outdoor inspections were monitored for the past twelve months. It was observed that an inspection was not on file for March 2024. The kitchen was monitored and found to be in compliance. Seven (7) children’s files were monitored today. It was observed that one child’s emergency medical care information was not updated as changes occurred or at least annually, as required. It was also observed that another child that enrolled on 09/05/23 did not get the required acknowledgement statements or documentation for the receipt of the NC Summary of the Law, receipt and discussion of the facility’s operational policies, discussion of the facility’s parent participation plan, receipt of the facility’s discipline policy as well as receipt and discussion of the facility’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy completed either before the child is enrolled in the child care facility or at enrollment until 09/13/23. It was also observed that the same child did not have completed medical authorization information and emergency medical information on file or present on their first day. Four (4) staff members’ files were reviewed, and it was observed that one staff member hired on 04/08/24 had both a medical report and results indicating she was free of active TB on file completed prior to employment that was older than 12 months. It was also observed that one staff member hired on 08/23/23 did not have receive a medical assessment or TB test prior to the first day of employment, as required. The same staff member hired on 08/23/23 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment, as required, or have a signed acknowledgement on file for review of the facility’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. The facility does not provide its own transportation, but a vehicle was observed on site for emergency use. The facility's EPR and Ready to Go file were reviewed and found to not have been updated as required. The last annual Sanitation Inspection was conducted on 07/06/23 with a rating of Superior and 8 demerits. The last approved annual Fire Inspection the facility has on file was conducted on March 17, 2023. This was due on or before March 16, 2024. There were twenty (20) violations cited during today’s visit. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last approved annual Fire Inspection the facility has on file was conducted on March 17, 2023. This was due on or before March 16, 2024. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Seven (7) children’s files were monitored today. It was observed that one child enrolled on 09/05/23 did not get the required acknowledgement statement or documentation for the receipt of the NC Summary of the Law completed until 09/13/23. GS 110-102 807 A safe indoor and outdoor environment was not provided for the children. The outdoor learning environment was monitored. It was observed that a rug, a tarp and other debris were present and accessible to children. A carpeted ramp runner was observed on the ramp leading from the two-year-old classroom to the outdoor learning environment. It was visibly worn and there were rips present. There were also four (4) areas in the wooden rail located on the perimeter of the ramp and stairs that pieces are either beginning to separate or are missing and need to be repaired. 10A NCAC 09 .0601(a) 815 Electrical cords were accessible to infants and toddlers. In Space #2 and Space #3 radios were observed being stored shelves with the attached electrical power cords hanging down and accessible to children. This was brought to the staff members’ attention and corrected during the visit. 10A NCAC 09 .0604(f) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Emergency medication was monitored and it was observed that three (3) children had medication present that was not stored in its original container. .0803(2)(a) 847 Parent's medication authorization did not include required information. Emergency medication and topical ointment was monitored and it was observed that seven (7) children did not have completed permissions to administer medication forms on file. 10A NCAC 09 .0803(4)(6-9) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Monthly outdoor inspections were monitored for the past twelve months. It was observed that an inspection was not on file for March 2024. .0605(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. .0701(a) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Seven (7) children’s files were monitored today. It was observed that one child enrolled on 09/05/23 did not get the required acknowledgement statement or documentation for the receipt and discussion of the facility’s operational policies completed until 09/13/23. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Seven (7) children’s files were monitored today. It was observed that one child that enrolled on 09/05/23 did not get the required acknowledgement statement or documentation for the discussion of the facility’s parent participation plan completed until 09/13/23. 10A NCAC 09 .0515(a) 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. Seven (7) children’s files were monitored today. It was observed that two children did not have completed emergency medical care information 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, as required. .0802(c) 1318 Medical authorization was not present on child's first day. It was observed that one child that enrolled on 09/05/23 did not have the required completed medical authorization information present on their first day. .0802(d) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Seven (7) children’s files were monitored today. It was observed that one child that enrolled on 09/05/23 did not get the required acknowledgement statements or documentation for receipt of the facility’s discipline policy completed until 09/13/23. .1804(c) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The facility's Emergency Preparedness Response plan and Ready to Go File was reviewed and found to not have been updated as required. .0607(e) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. Emergency medication was monitored and it was observed that five (5) children with documented chronic medical conditions did not have the medication listed on their medical action plan present with all required information completed on the paperwork on file. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. It was observed that one staff member hired on 08/23/23 did not have a signed acknowledgement on file for review of the facility’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Emergency medication and topical ointment was monitored and it was observed that four (4) children had diaper creams present that did not have the completed medication authorization on file, giving the caregiver standing authorization and meeting the specifications in rule. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It was observed one staff member hired on 08/23/23 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment, as required. .1102(g) 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. Seven (7) children’s files were monitored today. It was observed that one child that enrolled on 09/05/23 did not get the required acknowledgement statement or documentation for the receipt and discussion of the facility’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy completed until 09/13/23. .0608(b)(1-6) Corrective Action: Violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Wednesday April 24, 2024 to the email listed below. Failure to correct the violation and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance Provided and General Discussion: -I reminded both the Administrator and teachers of the importance of ensuring all required documentation is posted and completed in its entirety. -It was discussed that administrators update the children's file acknowledgement form to include the date policies are received and reviewed, as well as a signature line for parents or caregivers completing the documentation. -Ms. Wright and I discussed the importance of ensuring all required posted documentation is filled out correctly and reflects the most up to date information. We spoke specifically about the Staff/Child Ratio sheet, the Emergency Medical Care Plan, Allergy list and Menus. -The administrator was reminded to utilize the On-Going Training Documentation form to record annual training hours for all staff, as required. -Toxic plant information was shared with both the administrator and staff members as a reminder of the importance of reviewing this information before placing any plants or flowers in either the child care space or outdoor learning area to ensure they are not on the toxic plant list. It is the best practice to review this information on a regular basis as the list updates and to ensure that any plants or flowers that are harmful to children or either out of reach or placed under lock and key when children are present. -The Administrator was reminded of the requirement to keep all children's records, except ones regarding administration of medications as referenced in rule .0803(13), on file for as long as the child was enrolled, and/or for at least one year from the date the child was no longer enrolled in the facility. - I reminded both the Administrator and Teachers that when receiving any required paperwork from a parent or other caregiver including a child’s application for enrollment, program records, medication forms and specific acknowledge forms they should be thoroughly reviewed to ensure that all sections are completed and there no areas omitted, overlooked, or left blank. I also mentioned that if something does not apply to a child then either not applicable or n/a should be noted to ensure this item was reviewed and acknowledged. -Ms. Wright was reminded of the importance of ensuring that staff members have the required forms, trainings and paperwork complete and readily accessible. We spoke specifically about the expectation that all staff always stay current on all required specialized training. -We discussed the importance of ensuring that the playgrounds are checked daily for hazards by staff and shared with the administrator immediately to ensure that repairs are documented and corrected. -It was highly recommended to maintain your staff and training worksheets to always keep them current and maintain DCDEE WORKS status letters for each lead teacher, teacher, and administrator. If you have any questions, please contact Resha K. Washington at 704-910-7947 or email resha.washington@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.

10A NCAC 09 .0604 · Violation

Name of Operation: SMARTY PANTS FULL DAY PRESCHOOL Facility ID: 60003336 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 4/10/2024 Number Present: 67 Completed Date: 4/10/2024 Age: From 0 To 5 Total Minutes: 495 Time In: 09:45 AM Time Out: 06:00 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 the facility for all applicable child care requirements during an Annual Compliance visit. The facility is currently operating with a Four Star Rated License issued on May 02, 2023. The May 2023 Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Center Item Number Listing dated August 2023 was used to document compliance with child care rules. Michele Sullivan, Licensing Supervisor, joined me on today’s visit. Upon arrival we were greeted at the front entrance of the facility by Ms. N. Long, Owner. We introduced ourselves and shared the purpose of today’s visit. Ms. Long allowed us entrance into the office, where we stored our personal items, and we discussed additional details of today’s visit prior to conducting a walk-through of the facility. Upon entry into the facility, the program’s current license and NC Summary of Law were observed posted in a visible area. During our brief discussion Ms. Long informed us that she would be stepping into to the Infant program to relieve Ms. J. Wright, the program’s current administrator, as she would be assisting us during today’s visit. Ms. Wright joined us shortly after. Upon her, Ms. Wright’s, arrival we re-introduced ourselves and shared the purpose of today’s visit. We discussed the facility’s current enrollment, staffing and expectations for the day. I then asked if she had any questions and she stated that she did not. Ms. Sullivan remained in the office where she reviewed staff files and Ms. Wright joined me on a walk-through of the facility. Six (6) licensed child care spaces, four (4) bathrooms, the facility’s kitchen, the outdoor learning environment and spaces adjacent to the classes were monitored for compliance. During the visit children were observed engaged in teacher directed activities, large group activities, small group activities, mealtime routines, transitional activities, personal care routines and napping. The facility was found in compliance with supervision, staff/child ratio, capacity and group size. In Space #2 a radio was observed being stored on a shelf with the attached electrical power cord hanging down and accessible to children in the crib area. This was brought to the staff members’ attention and corrected during the visit. Seven (7) infant Feeding Schedules were reviewed and it was observed that three (3) children under fifteen months of age had feeding schedules posted that had not been updated to reflect that they are currently eating solid foods. Children were observed transitioning from mealtime routines to independent play activities but the caregiver was not observed washing the children’s hands during these transitions. In Space #3 a radio was observed being stored on a shelf with the attached electrical power cord hanging down and accessible to children in that area. This was brought to the staff members’ attention and corrected during the visit. The outdoor learning environment was monitored. It was observed that a rug, a tarp and other debris were present and accessible to children. A carpeted ramp runner was observed on the ramp leading from the two-year-old classroom to the outdoor learning environment. It was visibly worn and there were rips present. I reminded Ms. Wright that each poses tripping hazards and they need to be either removed or replaced. There were also four (4) areas in the wooden rail located on the perimeter of the ramp and stairs that pieces are either beginning to separate or are missing and need to be repaired. I shared this information with Ms. Wright that this presents a safety hazard and that area needs to be made inaccessible to children until it is corrected. Emergency medication and topical ointment was monitored and it was observed that four (4) children had diaper creams present that did not have the completed paperwork on file, five (5) children with documented chronic medical conditions did not have the medication listed on their medical action plan present with all required completed paperwork on file, seven (7) children did not have completed permissions to administer medication forms on file and three (3) children had medication present that was not stored in its original container. This information was shared with both the classroom staff and Ms. Wright. Monthly outdoor inspections were monitored for the past twelve months. It was observed that an inspection was not on file for March 2024. The kitchen was monitored and found to be in compliance. Seven (7) children’s files were monitored today. It was observed that one child’s emergency medical care information was not updated as changes occurred or at least annually, as required. It was also observed that another child that enrolled on 09/05/23 did not get the required acknowledgement statements or documentation for the receipt of the NC Summary of the Law, receipt and discussion of the facility’s operational policies, discussion of the facility’s parent participation plan, receipt of the facility’s discipline policy as well as receipt and discussion of the facility’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy completed either before the child is enrolled in the child care facility or at enrollment until 09/13/23. It was also observed that the same child did not have completed medical authorization information and emergency medical information on file or present on their first day. Four (4) staff members’ files were reviewed, and it was observed that one staff member hired on 04/08/24 had both a medical report and results indicating she was free of active TB on file completed prior to employment that was older than 12 months. It was also observed that one staff member hired on 08/23/23 did not have receive a medical assessment or TB test prior to the first day of employment, as required. The same staff member hired on 08/23/23 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment, as required, or have a signed acknowledgement on file for review of the facility’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. The facility does not provide its own transportation, but a vehicle was observed on site for emergency use. The facility's EPR and Ready to Go file were reviewed and found to not have been updated as required. The last annual Sanitation Inspection was conducted on 07/06/23 with a rating of Superior and 8 demerits. The last approved annual Fire Inspection the facility has on file was conducted on March 17, 2023. This was due on or before March 16, 2024. There were twenty (20) violations cited during today’s visit. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last approved annual Fire Inspection the facility has on file was conducted on March 17, 2023. This was due on or before March 16, 2024. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Seven (7) children’s files were monitored today. It was observed that one child enrolled on 09/05/23 did not get the required acknowledgement statement or documentation for the receipt of the NC Summary of the Law completed until 09/13/23. GS 110-102 807 A safe indoor and outdoor environment was not provided for the children. The outdoor learning environment was monitored. It was observed that a rug, a tarp and other debris were present and accessible to children. A carpeted ramp runner was observed on the ramp leading from the two-year-old classroom to the outdoor learning environment. It was visibly worn and there were rips present. There were also four (4) areas in the wooden rail located on the perimeter of the ramp and stairs that pieces are either beginning to separate or are missing and need to be repaired. 10A NCAC 09 .0601(a) 815 Electrical cords were accessible to infants and toddlers. In Space #2 and Space #3 radios were observed being stored shelves with the attached electrical power cords hanging down and accessible to children. This was brought to the staff members’ attention and corrected during the visit. 10A NCAC 09 .0604(f) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Emergency medication was monitored and it was observed that three (3) children had medication present that was not stored in its original container. .0803(2)(a) 847 Parent's medication authorization did not include required information. Emergency medication and topical ointment was monitored and it was observed that seven (7) children did not have completed permissions to administer medication forms on file. 10A NCAC 09 .0803(4)(6-9) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Monthly outdoor inspections were monitored for the past twelve months. It was observed that an inspection was not on file for March 2024. .0605(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. .0701(a) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Seven (7) children’s files were monitored today. It was observed that one child enrolled on 09/05/23 did not get the required acknowledgement statement or documentation for the receipt and discussion of the facility’s operational policies completed until 09/13/23. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Seven (7) children’s files were monitored today. It was observed that one child that enrolled on 09/05/23 did not get the required acknowledgement statement or documentation for the discussion of the facility’s parent participation plan completed until 09/13/23. 10A NCAC 09 .0515(a) 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. Seven (7) children’s files were monitored today. It was observed that two children did not have completed emergency medical care information 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, as required. .0802(c) 1318 Medical authorization was not present on child's first day. It was observed that one child that enrolled on 09/05/23 did not have the required completed medical authorization information present on their first day. .0802(d) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Seven (7) children’s files were monitored today. It was observed that one child that enrolled on 09/05/23 did not get the required acknowledgement statements or documentation for receipt of the facility’s discipline policy completed until 09/13/23. .1804(c) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The facility's Emergency Preparedness Response plan and Ready to Go File was reviewed and found to not have been updated as required. .0607(e) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. Emergency medication was monitored and it was observed that five (5) children with documented chronic medical conditions did not have the medication listed on their medical action plan present with all required information completed on the paperwork on file. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. It was observed that one staff member hired on 08/23/23 did not have a signed acknowledgement on file for review of the facility’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Emergency medication and topical ointment was monitored and it was observed that four (4) children had diaper creams present that did not have the completed medication authorization on file, giving the caregiver standing authorization and meeting the specifications in rule. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It was observed one staff member hired on 08/23/23 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment, as required. .1102(g) 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. Seven (7) children’s files were monitored today. It was observed that one child that enrolled on 09/05/23 did not get the required acknowledgement statement or documentation for the receipt and discussion of the facility’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy completed until 09/13/23. .0608(b)(1-6) Corrective Action: Violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Wednesday April 24, 2024 to the email listed below. Failure to correct the violation and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance Provided and General Discussion: -I reminded both the Administrator and teachers of the importance of ensuring all required documentation is posted and completed in its entirety. -It was discussed that administrators update the children's file acknowledgement form to include the date policies are received and reviewed, as well as a signature line for parents or caregivers completing the documentation. -Ms. Wright and I discussed the importance of ensuring all required posted documentation is filled out correctly and reflects the most up to date information. We spoke specifically about the Staff/Child Ratio sheet, the Emergency Medical Care Plan, Allergy list and Menus. -The administrator was reminded to utilize the On-Going Training Documentation form to record annual training hours for all staff, as required. -Toxic plant information was shared with both the administrator and staff members as a reminder of the importance of reviewing this information before placing any plants or flowers in either the child care space or outdoor learning area to ensure they are not on the toxic plant list. It is the best practice to review this information on a regular basis as the list updates and to ensure that any plants or flowers that are harmful to children or either out of reach or placed under lock and key when children are present. -The Administrator was reminded of the requirement to keep all children's records, except ones regarding administration of medications as referenced in rule .0803(13), on file for as long as the child was enrolled, and/or for at least one year from the date the child was no longer enrolled in the facility. - I reminded both the Administrator and Teachers that when receiving any required paperwork from a parent or other caregiver including a child’s application for enrollment, program records, medication forms and specific acknowledge forms they should be thoroughly reviewed to ensure that all sections are completed and there no areas omitted, overlooked, or left blank. I also mentioned that if something does not apply to a child then either not applicable or n/a should be noted to ensure this item was reviewed and acknowledged. -Ms. Wright was reminded of the importance of ensuring that staff members have the required forms, trainings and paperwork complete and readily accessible. We spoke specifically about the expectation that all staff always stay current on all required specialized training. -We discussed the importance of ensuring that the playgrounds are checked daily for hazards by staff and shared with the administrator immediately to ensure that repairs are documented and corrected. -It was highly recommended to maintain your staff and training worksheets to always keep them current and maintain DCDEE WORKS status letters for each lead teacher, teacher, and administrator. If you have any questions, please contact Resha K. Washington at 704-910-7947 or email resha.washington@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 .0304 · Violation

Name of Operation: SMARTY PANTS FULL DAY PRESCHOOL Facility ID: 60003336 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 4/10/2024 Number Present: 67 Completed Date: 4/10/2024 Age: From 0 To 5 Total Minutes: 495 Time In: 09:45 AM Time Out: 06:00 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 the facility for all applicable child care requirements during an Annual Compliance visit. The facility is currently operating with a Four Star Rated License issued on May 02, 2023. The May 2023 Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Center Item Number Listing dated August 2023 was used to document compliance with child care rules. Michele Sullivan, Licensing Supervisor, joined me on today’s visit. Upon arrival we were greeted at the front entrance of the facility by Ms. N. Long, Owner. We introduced ourselves and shared the purpose of today’s visit. Ms. Long allowed us entrance into the office, where we stored our personal items, and we discussed additional details of today’s visit prior to conducting a walk-through of the facility. Upon entry into the facility, the program’s current license and NC Summary of Law were observed posted in a visible area. During our brief discussion Ms. Long informed us that she would be stepping into to the Infant program to relieve Ms. J. Wright, the program’s current administrator, as she would be assisting us during today’s visit. Ms. Wright joined us shortly after. Upon her, Ms. Wright’s, arrival we re-introduced ourselves and shared the purpose of today’s visit. We discussed the facility’s current enrollment, staffing and expectations for the day. I then asked if she had any questions and she stated that she did not. Ms. Sullivan remained in the office where she reviewed staff files and Ms. Wright joined me on a walk-through of the facility. Six (6) licensed child care spaces, four (4) bathrooms, the facility’s kitchen, the outdoor learning environment and spaces adjacent to the classes were monitored for compliance. During the visit children were observed engaged in teacher directed activities, large group activities, small group activities, mealtime routines, transitional activities, personal care routines and napping. The facility was found in compliance with supervision, staff/child ratio, capacity and group size. In Space #2 a radio was observed being stored on a shelf with the attached electrical power cord hanging down and accessible to children in the crib area. This was brought to the staff members’ attention and corrected during the visit. Seven (7) infant Feeding Schedules were reviewed and it was observed that three (3) children under fifteen months of age had feeding schedules posted that had not been updated to reflect that they are currently eating solid foods. Children were observed transitioning from mealtime routines to independent play activities but the caregiver was not observed washing the children’s hands during these transitions. In Space #3 a radio was observed being stored on a shelf with the attached electrical power cord hanging down and accessible to children in that area. This was brought to the staff members’ attention and corrected during the visit. The outdoor learning environment was monitored. It was observed that a rug, a tarp and other debris were present and accessible to children. A carpeted ramp runner was observed on the ramp leading from the two-year-old classroom to the outdoor learning environment. It was visibly worn and there were rips present. I reminded Ms. Wright that each poses tripping hazards and they need to be either removed or replaced. There were also four (4) areas in the wooden rail located on the perimeter of the ramp and stairs that pieces are either beginning to separate or are missing and need to be repaired. I shared this information with Ms. Wright that this presents a safety hazard and that area needs to be made inaccessible to children until it is corrected. Emergency medication and topical ointment was monitored and it was observed that four (4) children had diaper creams present that did not have the completed paperwork on file, five (5) children with documented chronic medical conditions did not have the medication listed on their medical action plan present with all required completed paperwork on file, seven (7) children did not have completed permissions to administer medication forms on file and three (3) children had medication present that was not stored in its original container. This information was shared with both the classroom staff and Ms. Wright. Monthly outdoor inspections were monitored for the past twelve months. It was observed that an inspection was not on file for March 2024. The kitchen was monitored and found to be in compliance. Seven (7) children’s files were monitored today. It was observed that one child’s emergency medical care information was not updated as changes occurred or at least annually, as required. It was also observed that another child that enrolled on 09/05/23 did not get the required acknowledgement statements or documentation for the receipt of the NC Summary of the Law, receipt and discussion of the facility’s operational policies, discussion of the facility’s parent participation plan, receipt of the facility’s discipline policy as well as receipt and discussion of the facility’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy completed either before the child is enrolled in the child care facility or at enrollment until 09/13/23. It was also observed that the same child did not have completed medical authorization information and emergency medical information on file or present on their first day. Four (4) staff members’ files were reviewed, and it was observed that one staff member hired on 04/08/24 had both a medical report and results indicating she was free of active TB on file completed prior to employment that was older than 12 months. It was also observed that one staff member hired on 08/23/23 did not have receive a medical assessment or TB test prior to the first day of employment, as required. The same staff member hired on 08/23/23 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment, as required, or have a signed acknowledgement on file for review of the facility’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. The facility does not provide its own transportation, but a vehicle was observed on site for emergency use. The facility's EPR and Ready to Go file were reviewed and found to not have been updated as required. The last annual Sanitation Inspection was conducted on 07/06/23 with a rating of Superior and 8 demerits. The last approved annual Fire Inspection the facility has on file was conducted on March 17, 2023. This was due on or before March 16, 2024. There were twenty (20) violations cited during today’s visit. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last approved annual Fire Inspection the facility has on file was conducted on March 17, 2023. This was due on or before March 16, 2024. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Seven (7) children’s files were monitored today. It was observed that one child enrolled on 09/05/23 did not get the required acknowledgement statement or documentation for the receipt of the NC Summary of the Law completed until 09/13/23. GS 110-102 807 A safe indoor and outdoor environment was not provided for the children. The outdoor learning environment was monitored. It was observed that a rug, a tarp and other debris were present and accessible to children. A carpeted ramp runner was observed on the ramp leading from the two-year-old classroom to the outdoor learning environment. It was visibly worn and there were rips present. There were also four (4) areas in the wooden rail located on the perimeter of the ramp and stairs that pieces are either beginning to separate or are missing and need to be repaired. 10A NCAC 09 .0601(a) 815 Electrical cords were accessible to infants and toddlers. In Space #2 and Space #3 radios were observed being stored shelves with the attached electrical power cords hanging down and accessible to children. This was brought to the staff members’ attention and corrected during the visit. 10A NCAC 09 .0604(f) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Emergency medication was monitored and it was observed that three (3) children had medication present that was not stored in its original container. .0803(2)(a) 847 Parent's medication authorization did not include required information. Emergency medication and topical ointment was monitored and it was observed that seven (7) children did not have completed permissions to administer medication forms on file. 10A NCAC 09 .0803(4)(6-9) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Monthly outdoor inspections were monitored for the past twelve months. It was observed that an inspection was not on file for March 2024. .0605(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. .0701(a) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Seven (7) children’s files were monitored today. It was observed that one child enrolled on 09/05/23 did not get the required acknowledgement statement or documentation for the receipt and discussion of the facility’s operational policies completed until 09/13/23. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Seven (7) children’s files were monitored today. It was observed that one child that enrolled on 09/05/23 did not get the required acknowledgement statement or documentation for the discussion of the facility’s parent participation plan completed until 09/13/23. 10A NCAC 09 .0515(a) 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. Seven (7) children’s files were monitored today. It was observed that two children did not have completed emergency medical care information 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, as required. .0802(c) 1318 Medical authorization was not present on child's first day. It was observed that one child that enrolled on 09/05/23 did not have the required completed medical authorization information present on their first day. .0802(d) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Seven (7) children’s files were monitored today. It was observed that one child that enrolled on 09/05/23 did not get the required acknowledgement statements or documentation for receipt of the facility’s discipline policy completed until 09/13/23. .1804(c) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The facility's Emergency Preparedness Response plan and Ready to Go File was reviewed and found to not have been updated as required. .0607(e) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. Emergency medication was monitored and it was observed that five (5) children with documented chronic medical conditions did not have the medication listed on their medical action plan present with all required information completed on the paperwork on file. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. It was observed that one staff member hired on 08/23/23 did not have a signed acknowledgement on file for review of the facility’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Emergency medication and topical ointment was monitored and it was observed that four (4) children had diaper creams present that did not have the completed medication authorization on file, giving the caregiver standing authorization and meeting the specifications in rule. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It was observed one staff member hired on 08/23/23 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment, as required. .1102(g) 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. Seven (7) children’s files were monitored today. It was observed that one child that enrolled on 09/05/23 did not get the required acknowledgement statement or documentation for the receipt and discussion of the facility’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy completed until 09/13/23. .0608(b)(1-6) Corrective Action: Violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Wednesday April 24, 2024 to the email listed below. Failure to correct the violation and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance Provided and General Discussion: -I reminded both the Administrator and teachers of the importance of ensuring all required documentation is posted and completed in its entirety. -It was discussed that administrators update the children's file acknowledgement form to include the date policies are received and reviewed, as well as a signature line for parents or caregivers completing the documentation. -Ms. Wright and I discussed the importance of ensuring all required posted documentation is filled out correctly and reflects the most up to date information. We spoke specifically about the Staff/Child Ratio sheet, the Emergency Medical Care Plan, Allergy list and Menus. -The administrator was reminded to utilize the On-Going Training Documentation form to record annual training hours for all staff, as required. -Toxic plant information was shared with both the administrator and staff members as a reminder of the importance of reviewing this information before placing any plants or flowers in either the child care space or outdoor learning area to ensure they are not on the toxic plant list. It is the best practice to review this information on a regular basis as the list updates and to ensure that any plants or flowers that are harmful to children or either out of reach or placed under lock and key when children are present. -The Administrator was reminded of the requirement to keep all children's records, except ones regarding administration of medications as referenced in rule .0803(13), on file for as long as the child was enrolled, and/or for at least one year from the date the child was no longer enrolled in the facility. - I reminded both the Administrator and Teachers that when receiving any required paperwork from a parent or other caregiver including a child’s application for enrollment, program records, medication forms and specific acknowledge forms they should be thoroughly reviewed to ensure that all sections are completed and there no areas omitted, overlooked, or left blank. I also mentioned that if something does not apply to a child then either not applicable or n/a should be noted to ensure this item was reviewed and acknowledged. -Ms. Wright was reminded of the importance of ensuring that staff members have the required forms, trainings and paperwork complete and readily accessible. We spoke specifically about the expectation that all staff always stay current on all required specialized training. -We discussed the importance of ensuring that the playgrounds are checked daily for hazards by staff and shared with the administrator immediately to ensure that repairs are documented and corrected. -It was highly recommended to maintain your staff and training worksheets to always keep them current and maintain DCDEE WORKS status letters for each lead teacher, teacher, and administrator. If you have any questions, please contact Resha K. Washington at 704-910-7947 or email resha.washington@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 .0514 · Violation

Name of Operation: SMARTY PANTS FULL DAY PRESCHOOL Facility ID: 60003336 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 4/10/2024 Number Present: 67 Completed Date: 4/10/2024 Age: From 0 To 5 Total Minutes: 495 Time In: 09:45 AM Time Out: 06:00 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 the facility for all applicable child care requirements during an Annual Compliance visit. The facility is currently operating with a Four Star Rated License issued on May 02, 2023. The May 2023 Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Center Item Number Listing dated August 2023 was used to document compliance with child care rules. Michele Sullivan, Licensing Supervisor, joined me on today’s visit. Upon arrival we were greeted at the front entrance of the facility by Ms. N. Long, Owner. We introduced ourselves and shared the purpose of today’s visit. Ms. Long allowed us entrance into the office, where we stored our personal items, and we discussed additional details of today’s visit prior to conducting a walk-through of the facility. Upon entry into the facility, the program’s current license and NC Summary of Law were observed posted in a visible area. During our brief discussion Ms. Long informed us that she would be stepping into to the Infant program to relieve Ms. J. Wright, the program’s current administrator, as she would be assisting us during today’s visit. Ms. Wright joined us shortly after. Upon her, Ms. Wright’s, arrival we re-introduced ourselves and shared the purpose of today’s visit. We discussed the facility’s current enrollment, staffing and expectations for the day. I then asked if she had any questions and she stated that she did not. Ms. Sullivan remained in the office where she reviewed staff files and Ms. Wright joined me on a walk-through of the facility. Six (6) licensed child care spaces, four (4) bathrooms, the facility’s kitchen, the outdoor learning environment and spaces adjacent to the classes were monitored for compliance. During the visit children were observed engaged in teacher directed activities, large group activities, small group activities, mealtime routines, transitional activities, personal care routines and napping. The facility was found in compliance with supervision, staff/child ratio, capacity and group size. In Space #2 a radio was observed being stored on a shelf with the attached electrical power cord hanging down and accessible to children in the crib area. This was brought to the staff members’ attention and corrected during the visit. Seven (7) infant Feeding Schedules were reviewed and it was observed that three (3) children under fifteen months of age had feeding schedules posted that had not been updated to reflect that they are currently eating solid foods. Children were observed transitioning from mealtime routines to independent play activities but the caregiver was not observed washing the children’s hands during these transitions. In Space #3 a radio was observed being stored on a shelf with the attached electrical power cord hanging down and accessible to children in that area. This was brought to the staff members’ attention and corrected during the visit. The outdoor learning environment was monitored. It was observed that a rug, a tarp and other debris were present and accessible to children. A carpeted ramp runner was observed on the ramp leading from the two-year-old classroom to the outdoor learning environment. It was visibly worn and there were rips present. I reminded Ms. Wright that each poses tripping hazards and they need to be either removed or replaced. There were also four (4) areas in the wooden rail located on the perimeter of the ramp and stairs that pieces are either beginning to separate or are missing and need to be repaired. I shared this information with Ms. Wright that this presents a safety hazard and that area needs to be made inaccessible to children until it is corrected. Emergency medication and topical ointment was monitored and it was observed that four (4) children had diaper creams present that did not have the completed paperwork on file, five (5) children with documented chronic medical conditions did not have the medication listed on their medical action plan present with all required completed paperwork on file, seven (7) children did not have completed permissions to administer medication forms on file and three (3) children had medication present that was not stored in its original container. This information was shared with both the classroom staff and Ms. Wright. Monthly outdoor inspections were monitored for the past twelve months. It was observed that an inspection was not on file for March 2024. The kitchen was monitored and found to be in compliance. Seven (7) children’s files were monitored today. It was observed that one child’s emergency medical care information was not updated as changes occurred or at least annually, as required. It was also observed that another child that enrolled on 09/05/23 did not get the required acknowledgement statements or documentation for the receipt of the NC Summary of the Law, receipt and discussion of the facility’s operational policies, discussion of the facility’s parent participation plan, receipt of the facility’s discipline policy as well as receipt and discussion of the facility’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy completed either before the child is enrolled in the child care facility or at enrollment until 09/13/23. It was also observed that the same child did not have completed medical authorization information and emergency medical information on file or present on their first day. Four (4) staff members’ files were reviewed, and it was observed that one staff member hired on 04/08/24 had both a medical report and results indicating she was free of active TB on file completed prior to employment that was older than 12 months. It was also observed that one staff member hired on 08/23/23 did not have receive a medical assessment or TB test prior to the first day of employment, as required. The same staff member hired on 08/23/23 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment, as required, or have a signed acknowledgement on file for review of the facility’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. The facility does not provide its own transportation, but a vehicle was observed on site for emergency use. The facility's EPR and Ready to Go file were reviewed and found to not have been updated as required. The last annual Sanitation Inspection was conducted on 07/06/23 with a rating of Superior and 8 demerits. The last approved annual Fire Inspection the facility has on file was conducted on March 17, 2023. This was due on or before March 16, 2024. There were twenty (20) violations cited during today’s visit. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last approved annual Fire Inspection the facility has on file was conducted on March 17, 2023. This was due on or before March 16, 2024. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Seven (7) children’s files were monitored today. It was observed that one child enrolled on 09/05/23 did not get the required acknowledgement statement or documentation for the receipt of the NC Summary of the Law completed until 09/13/23. GS 110-102 807 A safe indoor and outdoor environment was not provided for the children. The outdoor learning environment was monitored. It was observed that a rug, a tarp and other debris were present and accessible to children. A carpeted ramp runner was observed on the ramp leading from the two-year-old classroom to the outdoor learning environment. It was visibly worn and there were rips present. There were also four (4) areas in the wooden rail located on the perimeter of the ramp and stairs that pieces are either beginning to separate or are missing and need to be repaired. 10A NCAC 09 .0601(a) 815 Electrical cords were accessible to infants and toddlers. In Space #2 and Space #3 radios were observed being stored shelves with the attached electrical power cords hanging down and accessible to children. This was brought to the staff members’ attention and corrected during the visit. 10A NCAC 09 .0604(f) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Emergency medication was monitored and it was observed that three (3) children had medication present that was not stored in its original container. .0803(2)(a) 847 Parent's medication authorization did not include required information. Emergency medication and topical ointment was monitored and it was observed that seven (7) children did not have completed permissions to administer medication forms on file. 10A NCAC 09 .0803(4)(6-9) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Monthly outdoor inspections were monitored for the past twelve months. It was observed that an inspection was not on file for March 2024. .0605(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. .0701(a) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Seven (7) children’s files were monitored today. It was observed that one child enrolled on 09/05/23 did not get the required acknowledgement statement or documentation for the receipt and discussion of the facility’s operational policies completed until 09/13/23. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Seven (7) children’s files were monitored today. It was observed that one child that enrolled on 09/05/23 did not get the required acknowledgement statement or documentation for the discussion of the facility’s parent participation plan completed until 09/13/23. 10A NCAC 09 .0515(a) 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. Seven (7) children’s files were monitored today. It was observed that two children did not have completed emergency medical care information 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, as required. .0802(c) 1318 Medical authorization was not present on child's first day. It was observed that one child that enrolled on 09/05/23 did not have the required completed medical authorization information present on their first day. .0802(d) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Seven (7) children’s files were monitored today. It was observed that one child that enrolled on 09/05/23 did not get the required acknowledgement statements or documentation for receipt of the facility’s discipline policy completed until 09/13/23. .1804(c) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The facility's Emergency Preparedness Response plan and Ready to Go File was reviewed and found to not have been updated as required. .0607(e) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. Emergency medication was monitored and it was observed that five (5) children with documented chronic medical conditions did not have the medication listed on their medical action plan present with all required information completed on the paperwork on file. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. It was observed that one staff member hired on 08/23/23 did not have a signed acknowledgement on file for review of the facility’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Emergency medication and topical ointment was monitored and it was observed that four (4) children had diaper creams present that did not have the completed medication authorization on file, giving the caregiver standing authorization and meeting the specifications in rule. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It was observed one staff member hired on 08/23/23 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment, as required. .1102(g) 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. Seven (7) children’s files were monitored today. It was observed that one child that enrolled on 09/05/23 did not get the required acknowledgement statement or documentation for the receipt and discussion of the facility’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy completed until 09/13/23. .0608(b)(1-6) Corrective Action: Violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Wednesday April 24, 2024 to the email listed below. Failure to correct the violation and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance Provided and General Discussion: -I reminded both the Administrator and teachers of the importance of ensuring all required documentation is posted and completed in its entirety. -It was discussed that administrators update the children's file acknowledgement form to include the date policies are received and reviewed, as well as a signature line for parents or caregivers completing the documentation. -Ms. Wright and I discussed the importance of ensuring all required posted documentation is filled out correctly and reflects the most up to date information. We spoke specifically about the Staff/Child Ratio sheet, the Emergency Medical Care Plan, Allergy list and Menus. -The administrator was reminded to utilize the On-Going Training Documentation form to record annual training hours for all staff, as required. -Toxic plant information was shared with both the administrator and staff members as a reminder of the importance of reviewing this information before placing any plants or flowers in either the child care space or outdoor learning area to ensure they are not on the toxic plant list. It is the best practice to review this information on a regular basis as the list updates and to ensure that any plants or flowers that are harmful to children or either out of reach or placed under lock and key when children are present. -The Administrator was reminded of the requirement to keep all children's records, except ones regarding administration of medications as referenced in rule .0803(13), on file for as long as the child was enrolled, and/or for at least one year from the date the child was no longer enrolled in the facility. - I reminded both the Administrator and Teachers that when receiving any required paperwork from a parent or other caregiver including a child’s application for enrollment, program records, medication forms and specific acknowledge forms they should be thoroughly reviewed to ensure that all sections are completed and there no areas omitted, overlooked, or left blank. I also mentioned that if something does not apply to a child then either not applicable or n/a should be noted to ensure this item was reviewed and acknowledged. -Ms. Wright was reminded of the importance of ensuring that staff members have the required forms, trainings and paperwork complete and readily accessible. We spoke specifically about the expectation that all staff always stay current on all required specialized training. -We discussed the importance of ensuring that the playgrounds are checked daily for hazards by staff and shared with the administrator immediately to ensure that repairs are documented and corrected. -It was highly recommended to maintain your staff and training worksheets to always keep them current and maintain DCDEE WORKS status letters for each lead teacher, teacher, and administrator. If you have any questions, please contact Resha K. Washington at 704-910-7947 or email resha.washington@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 .0515 · Violation

Name of Operation: SMARTY PANTS FULL DAY PRESCHOOL Facility ID: 60003336 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 4/10/2024 Number Present: 67 Completed Date: 4/10/2024 Age: From 0 To 5 Total Minutes: 495 Time In: 09:45 AM Time Out: 06:00 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 the facility for all applicable child care requirements during an Annual Compliance visit. The facility is currently operating with a Four Star Rated License issued on May 02, 2023. The May 2023 Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Center Item Number Listing dated August 2023 was used to document compliance with child care rules. Michele Sullivan, Licensing Supervisor, joined me on today’s visit. Upon arrival we were greeted at the front entrance of the facility by Ms. N. Long, Owner. We introduced ourselves and shared the purpose of today’s visit. Ms. Long allowed us entrance into the office, where we stored our personal items, and we discussed additional details of today’s visit prior to conducting a walk-through of the facility. Upon entry into the facility, the program’s current license and NC Summary of Law were observed posted in a visible area. During our brief discussion Ms. Long informed us that she would be stepping into to the Infant program to relieve Ms. J. Wright, the program’s current administrator, as she would be assisting us during today’s visit. Ms. Wright joined us shortly after. Upon her, Ms. Wright’s, arrival we re-introduced ourselves and shared the purpose of today’s visit. We discussed the facility’s current enrollment, staffing and expectations for the day. I then asked if she had any questions and she stated that she did not. Ms. Sullivan remained in the office where she reviewed staff files and Ms. Wright joined me on a walk-through of the facility. Six (6) licensed child care spaces, four (4) bathrooms, the facility’s kitchen, the outdoor learning environment and spaces adjacent to the classes were monitored for compliance. During the visit children were observed engaged in teacher directed activities, large group activities, small group activities, mealtime routines, transitional activities, personal care routines and napping. The facility was found in compliance with supervision, staff/child ratio, capacity and group size. In Space #2 a radio was observed being stored on a shelf with the attached electrical power cord hanging down and accessible to children in the crib area. This was brought to the staff members’ attention and corrected during the visit. Seven (7) infant Feeding Schedules were reviewed and it was observed that three (3) children under fifteen months of age had feeding schedules posted that had not been updated to reflect that they are currently eating solid foods. Children were observed transitioning from mealtime routines to independent play activities but the caregiver was not observed washing the children’s hands during these transitions. In Space #3 a radio was observed being stored on a shelf with the attached electrical power cord hanging down and accessible to children in that area. This was brought to the staff members’ attention and corrected during the visit. The outdoor learning environment was monitored. It was observed that a rug, a tarp and other debris were present and accessible to children. A carpeted ramp runner was observed on the ramp leading from the two-year-old classroom to the outdoor learning environment. It was visibly worn and there were rips present. I reminded Ms. Wright that each poses tripping hazards and they need to be either removed or replaced. There were also four (4) areas in the wooden rail located on the perimeter of the ramp and stairs that pieces are either beginning to separate or are missing and need to be repaired. I shared this information with Ms. Wright that this presents a safety hazard and that area needs to be made inaccessible to children until it is corrected. Emergency medication and topical ointment was monitored and it was observed that four (4) children had diaper creams present that did not have the completed paperwork on file, five (5) children with documented chronic medical conditions did not have the medication listed on their medical action plan present with all required completed paperwork on file, seven (7) children did not have completed permissions to administer medication forms on file and three (3) children had medication present that was not stored in its original container. This information was shared with both the classroom staff and Ms. Wright. Monthly outdoor inspections were monitored for the past twelve months. It was observed that an inspection was not on file for March 2024. The kitchen was monitored and found to be in compliance. Seven (7) children’s files were monitored today. It was observed that one child’s emergency medical care information was not updated as changes occurred or at least annually, as required. It was also observed that another child that enrolled on 09/05/23 did not get the required acknowledgement statements or documentation for the receipt of the NC Summary of the Law, receipt and discussion of the facility’s operational policies, discussion of the facility’s parent participation plan, receipt of the facility’s discipline policy as well as receipt and discussion of the facility’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy completed either before the child is enrolled in the child care facility or at enrollment until 09/13/23. It was also observed that the same child did not have completed medical authorization information and emergency medical information on file or present on their first day. Four (4) staff members’ files were reviewed, and it was observed that one staff member hired on 04/08/24 had both a medical report and results indicating she was free of active TB on file completed prior to employment that was older than 12 months. It was also observed that one staff member hired on 08/23/23 did not have receive a medical assessment or TB test prior to the first day of employment, as required. The same staff member hired on 08/23/23 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment, as required, or have a signed acknowledgement on file for review of the facility’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. The facility does not provide its own transportation, but a vehicle was observed on site for emergency use. The facility's EPR and Ready to Go file were reviewed and found to not have been updated as required. The last annual Sanitation Inspection was conducted on 07/06/23 with a rating of Superior and 8 demerits. The last approved annual Fire Inspection the facility has on file was conducted on March 17, 2023. This was due on or before March 16, 2024. There were twenty (20) violations cited during today’s visit. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last approved annual Fire Inspection the facility has on file was conducted on March 17, 2023. This was due on or before March 16, 2024. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Seven (7) children’s files were monitored today. It was observed that one child enrolled on 09/05/23 did not get the required acknowledgement statement or documentation for the receipt of the NC Summary of the Law completed until 09/13/23. GS 110-102 807 A safe indoor and outdoor environment was not provided for the children. The outdoor learning environment was monitored. It was observed that a rug, a tarp and other debris were present and accessible to children. A carpeted ramp runner was observed on the ramp leading from the two-year-old classroom to the outdoor learning environment. It was visibly worn and there were rips present. There were also four (4) areas in the wooden rail located on the perimeter of the ramp and stairs that pieces are either beginning to separate or are missing and need to be repaired. 10A NCAC 09 .0601(a) 815 Electrical cords were accessible to infants and toddlers. In Space #2 and Space #3 radios were observed being stored shelves with the attached electrical power cords hanging down and accessible to children. This was brought to the staff members’ attention and corrected during the visit. 10A NCAC 09 .0604(f) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Emergency medication was monitored and it was observed that three (3) children had medication present that was not stored in its original container. .0803(2)(a) 847 Parent's medication authorization did not include required information. Emergency medication and topical ointment was monitored and it was observed that seven (7) children did not have completed permissions to administer medication forms on file. 10A NCAC 09 .0803(4)(6-9) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Monthly outdoor inspections were monitored for the past twelve months. It was observed that an inspection was not on file for March 2024. .0605(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. .0701(a) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Seven (7) children’s files were monitored today. It was observed that one child enrolled on 09/05/23 did not get the required acknowledgement statement or documentation for the receipt and discussion of the facility’s operational policies completed until 09/13/23. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Seven (7) children’s files were monitored today. It was observed that one child that enrolled on 09/05/23 did not get the required acknowledgement statement or documentation for the discussion of the facility’s parent participation plan completed until 09/13/23. 10A NCAC 09 .0515(a) 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. Seven (7) children’s files were monitored today. It was observed that two children did not have completed emergency medical care information 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, as required. .0802(c) 1318 Medical authorization was not present on child's first day. It was observed that one child that enrolled on 09/05/23 did not have the required completed medical authorization information present on their first day. .0802(d) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Seven (7) children’s files were monitored today. It was observed that one child that enrolled on 09/05/23 did not get the required acknowledgement statements or documentation for receipt of the facility’s discipline policy completed until 09/13/23. .1804(c) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The facility's Emergency Preparedness Response plan and Ready to Go File was reviewed and found to not have been updated as required. .0607(e) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. Emergency medication was monitored and it was observed that five (5) children with documented chronic medical conditions did not have the medication listed on their medical action plan present with all required information completed on the paperwork on file. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. It was observed that one staff member hired on 08/23/23 did not have a signed acknowledgement on file for review of the facility’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Emergency medication and topical ointment was monitored and it was observed that four (4) children had diaper creams present that did not have the completed medication authorization on file, giving the caregiver standing authorization and meeting the specifications in rule. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It was observed one staff member hired on 08/23/23 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment, as required. .1102(g) 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. Seven (7) children’s files were monitored today. It was observed that one child that enrolled on 09/05/23 did not get the required acknowledgement statement or documentation for the receipt and discussion of the facility’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy completed until 09/13/23. .0608(b)(1-6) Corrective Action: Violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Wednesday April 24, 2024 to the email listed below. Failure to correct the violation and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance Provided and General Discussion: -I reminded both the Administrator and teachers of the importance of ensuring all required documentation is posted and completed in its entirety. -It was discussed that administrators update the children's file acknowledgement form to include the date policies are received and reviewed, as well as a signature line for parents or caregivers completing the documentation. -Ms. Wright and I discussed the importance of ensuring all required posted documentation is filled out correctly and reflects the most up to date information. We spoke specifically about the Staff/Child Ratio sheet, the Emergency Medical Care Plan, Allergy list and Menus. -The administrator was reminded to utilize the On-Going Training Documentation form to record annual training hours for all staff, as required. -Toxic plant information was shared with both the administrator and staff members as a reminder of the importance of reviewing this information before placing any plants or flowers in either the child care space or outdoor learning area to ensure they are not on the toxic plant list. It is the best practice to review this information on a regular basis as the list updates and to ensure that any plants or flowers that are harmful to children or either out of reach or placed under lock and key when children are present. -The Administrator was reminded of the requirement to keep all children's records, except ones regarding administration of medications as referenced in rule .0803(13), on file for as long as the child was enrolled, and/or for at least one year from the date the child was no longer enrolled in the facility. - I reminded both the Administrator and Teachers that when receiving any required paperwork from a parent or other caregiver including a child’s application for enrollment, program records, medication forms and specific acknowledge forms they should be thoroughly reviewed to ensure that all sections are completed and there no areas omitted, overlooked, or left blank. I also mentioned that if something does not apply to a child then either not applicable or n/a should be noted to ensure this item was reviewed and acknowledged. -Ms. Wright was reminded of the importance of ensuring that staff members have the required forms, trainings and paperwork complete and readily accessible. We spoke specifically about the expectation that all staff always stay current on all required specialized training. -We discussed the importance of ensuring that the playgrounds are checked daily for hazards by staff and shared with the administrator immediately to ensure that repairs are documented and corrected. -It was highly recommended to maintain your staff and training worksheets to always keep them current and maintain DCDEE WORKS status letters for each lead teacher, teacher, and administrator. If you have any questions, please contact Resha K. Washington at 704-910-7947 or email resha.washington@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 .0701 · Violation

Name of Operation: SMARTY PANTS FULL DAY PRESCHOOL Facility ID: 60003336 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 4/10/2024 Number Present: 67 Completed Date: 4/10/2024 Age: From 0 To 5 Total Minutes: 495 Time In: 09:45 AM Time Out: 06:00 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 the facility for all applicable child care requirements during an Annual Compliance visit. The facility is currently operating with a Four Star Rated License issued on May 02, 2023. The May 2023 Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Center Item Number Listing dated August 2023 was used to document compliance with child care rules. Michele Sullivan, Licensing Supervisor, joined me on today’s visit. Upon arrival we were greeted at the front entrance of the facility by Ms. N. Long, Owner. We introduced ourselves and shared the purpose of today’s visit. Ms. Long allowed us entrance into the office, where we stored our personal items, and we discussed additional details of today’s visit prior to conducting a walk-through of the facility. Upon entry into the facility, the program’s current license and NC Summary of Law were observed posted in a visible area. During our brief discussion Ms. Long informed us that she would be stepping into to the Infant program to relieve Ms. J. Wright, the program’s current administrator, as she would be assisting us during today’s visit. Ms. Wright joined us shortly after. Upon her, Ms. Wright’s, arrival we re-introduced ourselves and shared the purpose of today’s visit. We discussed the facility’s current enrollment, staffing and expectations for the day. I then asked if she had any questions and she stated that she did not. Ms. Sullivan remained in the office where she reviewed staff files and Ms. Wright joined me on a walk-through of the facility. Six (6) licensed child care spaces, four (4) bathrooms, the facility’s kitchen, the outdoor learning environment and spaces adjacent to the classes were monitored for compliance. During the visit children were observed engaged in teacher directed activities, large group activities, small group activities, mealtime routines, transitional activities, personal care routines and napping. The facility was found in compliance with supervision, staff/child ratio, capacity and group size. In Space #2 a radio was observed being stored on a shelf with the attached electrical power cord hanging down and accessible to children in the crib area. This was brought to the staff members’ attention and corrected during the visit. Seven (7) infant Feeding Schedules were reviewed and it was observed that three (3) children under fifteen months of age had feeding schedules posted that had not been updated to reflect that they are currently eating solid foods. Children were observed transitioning from mealtime routines to independent play activities but the caregiver was not observed washing the children’s hands during these transitions. In Space #3 a radio was observed being stored on a shelf with the attached electrical power cord hanging down and accessible to children in that area. This was brought to the staff members’ attention and corrected during the visit. The outdoor learning environment was monitored. It was observed that a rug, a tarp and other debris were present and accessible to children. A carpeted ramp runner was observed on the ramp leading from the two-year-old classroom to the outdoor learning environment. It was visibly worn and there were rips present. I reminded Ms. Wright that each poses tripping hazards and they need to be either removed or replaced. There were also four (4) areas in the wooden rail located on the perimeter of the ramp and stairs that pieces are either beginning to separate or are missing and need to be repaired. I shared this information with Ms. Wright that this presents a safety hazard and that area needs to be made inaccessible to children until it is corrected. Emergency medication and topical ointment was monitored and it was observed that four (4) children had diaper creams present that did not have the completed paperwork on file, five (5) children with documented chronic medical conditions did not have the medication listed on their medical action plan present with all required completed paperwork on file, seven (7) children did not have completed permissions to administer medication forms on file and three (3) children had medication present that was not stored in its original container. This information was shared with both the classroom staff and Ms. Wright. Monthly outdoor inspections were monitored for the past twelve months. It was observed that an inspection was not on file for March 2024. The kitchen was monitored and found to be in compliance. Seven (7) children’s files were monitored today. It was observed that one child’s emergency medical care information was not updated as changes occurred or at least annually, as required. It was also observed that another child that enrolled on 09/05/23 did not get the required acknowledgement statements or documentation for the receipt of the NC Summary of the Law, receipt and discussion of the facility’s operational policies, discussion of the facility’s parent participation plan, receipt of the facility’s discipline policy as well as receipt and discussion of the facility’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy completed either before the child is enrolled in the child care facility or at enrollment until 09/13/23. It was also observed that the same child did not have completed medical authorization information and emergency medical information on file or present on their first day. Four (4) staff members’ files were reviewed, and it was observed that one staff member hired on 04/08/24 had both a medical report and results indicating she was free of active TB on file completed prior to employment that was older than 12 months. It was also observed that one staff member hired on 08/23/23 did not have receive a medical assessment or TB test prior to the first day of employment, as required. The same staff member hired on 08/23/23 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment, as required, or have a signed acknowledgement on file for review of the facility’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. The facility does not provide its own transportation, but a vehicle was observed on site for emergency use. The facility's EPR and Ready to Go file were reviewed and found to not have been updated as required. The last annual Sanitation Inspection was conducted on 07/06/23 with a rating of Superior and 8 demerits. The last approved annual Fire Inspection the facility has on file was conducted on March 17, 2023. This was due on or before March 16, 2024. There were twenty (20) violations cited during today’s visit. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last approved annual Fire Inspection the facility has on file was conducted on March 17, 2023. This was due on or before March 16, 2024. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Seven (7) children’s files were monitored today. It was observed that one child enrolled on 09/05/23 did not get the required acknowledgement statement or documentation for the receipt of the NC Summary of the Law completed until 09/13/23. GS 110-102 807 A safe indoor and outdoor environment was not provided for the children. The outdoor learning environment was monitored. It was observed that a rug, a tarp and other debris were present and accessible to children. A carpeted ramp runner was observed on the ramp leading from the two-year-old classroom to the outdoor learning environment. It was visibly worn and there were rips present. There were also four (4) areas in the wooden rail located on the perimeter of the ramp and stairs that pieces are either beginning to separate or are missing and need to be repaired. 10A NCAC 09 .0601(a) 815 Electrical cords were accessible to infants and toddlers. In Space #2 and Space #3 radios were observed being stored shelves with the attached electrical power cords hanging down and accessible to children. This was brought to the staff members’ attention and corrected during the visit. 10A NCAC 09 .0604(f) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Emergency medication was monitored and it was observed that three (3) children had medication present that was not stored in its original container. .0803(2)(a) 847 Parent's medication authorization did not include required information. Emergency medication and topical ointment was monitored and it was observed that seven (7) children did not have completed permissions to administer medication forms on file. 10A NCAC 09 .0803(4)(6-9) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Monthly outdoor inspections were monitored for the past twelve months. It was observed that an inspection was not on file for March 2024. .0605(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. .0701(a) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Seven (7) children’s files were monitored today. It was observed that one child enrolled on 09/05/23 did not get the required acknowledgement statement or documentation for the receipt and discussion of the facility’s operational policies completed until 09/13/23. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Seven (7) children’s files were monitored today. It was observed that one child that enrolled on 09/05/23 did not get the required acknowledgement statement or documentation for the discussion of the facility’s parent participation plan completed until 09/13/23. 10A NCAC 09 .0515(a) 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. Seven (7) children’s files were monitored today. It was observed that two children did not have completed emergency medical care information 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, as required. .0802(c) 1318 Medical authorization was not present on child's first day. It was observed that one child that enrolled on 09/05/23 did not have the required completed medical authorization information present on their first day. .0802(d) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Seven (7) children’s files were monitored today. It was observed that one child that enrolled on 09/05/23 did not get the required acknowledgement statements or documentation for receipt of the facility’s discipline policy completed until 09/13/23. .1804(c) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The facility's Emergency Preparedness Response plan and Ready to Go File was reviewed and found to not have been updated as required. .0607(e) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. Emergency medication was monitored and it was observed that five (5) children with documented chronic medical conditions did not have the medication listed on their medical action plan present with all required information completed on the paperwork on file. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. It was observed that one staff member hired on 08/23/23 did not have a signed acknowledgement on file for review of the facility’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Emergency medication and topical ointment was monitored and it was observed that four (4) children had diaper creams present that did not have the completed medication authorization on file, giving the caregiver standing authorization and meeting the specifications in rule. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It was observed one staff member hired on 08/23/23 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment, as required. .1102(g) 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. Seven (7) children’s files were monitored today. It was observed that one child that enrolled on 09/05/23 did not get the required acknowledgement statement or documentation for the receipt and discussion of the facility’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy completed until 09/13/23. .0608(b)(1-6) Corrective Action: Violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Wednesday April 24, 2024 to the email listed below. Failure to correct the violation and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance Provided and General Discussion: -I reminded both the Administrator and teachers of the importance of ensuring all required documentation is posted and completed in its entirety. -It was discussed that administrators update the children's file acknowledgement form to include the date policies are received and reviewed, as well as a signature line for parents or caregivers completing the documentation. -Ms. Wright and I discussed the importance of ensuring all required posted documentation is filled out correctly and reflects the most up to date information. We spoke specifically about the Staff/Child Ratio sheet, the Emergency Medical Care Plan, Allergy list and Menus. -The administrator was reminded to utilize the On-Going Training Documentation form to record annual training hours for all staff, as required. -Toxic plant information was shared with both the administrator and staff members as a reminder of the importance of reviewing this information before placing any plants or flowers in either the child care space or outdoor learning area to ensure they are not on the toxic plant list. It is the best practice to review this information on a regular basis as the list updates and to ensure that any plants or flowers that are harmful to children or either out of reach or placed under lock and key when children are present. -The Administrator was reminded of the requirement to keep all children's records, except ones regarding administration of medications as referenced in rule .0803(13), on file for as long as the child was enrolled, and/or for at least one year from the date the child was no longer enrolled in the facility. - I reminded both the Administrator and Teachers that when receiving any required paperwork from a parent or other caregiver including a child’s application for enrollment, program records, medication forms and specific acknowledge forms they should be thoroughly reviewed to ensure that all sections are completed and there no areas omitted, overlooked, or left blank. I also mentioned that if something does not apply to a child then either not applicable or n/a should be noted to ensure this item was reviewed and acknowledged. -Ms. Wright was reminded of the importance of ensuring that staff members have the required forms, trainings and paperwork complete and readily accessible. We spoke specifically about the expectation that all staff always stay current on all required specialized training. -We discussed the importance of ensuring that the playgrounds are checked daily for hazards by staff and shared with the administrator immediately to ensure that repairs are documented and corrected. -It was highly recommended to maintain your staff and training worksheets to always keep them current and maintain DCDEE WORKS status letters for each lead teacher, teacher, and administrator. If you have any questions, please contact Resha K. Washington at 704-910-7947 or email resha.washington@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 .0803 · Violation

Name of Operation: SMARTY PANTS FULL DAY PRESCHOOL Facility ID: 60003336 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 4/10/2024 Number Present: 67 Completed Date: 4/10/2024 Age: From 0 To 5 Total Minutes: 495 Time In: 09:45 AM Time Out: 06:00 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 the facility for all applicable child care requirements during an Annual Compliance visit. The facility is currently operating with a Four Star Rated License issued on May 02, 2023. The May 2023 Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Center Item Number Listing dated August 2023 was used to document compliance with child care rules. Michele Sullivan, Licensing Supervisor, joined me on today’s visit. Upon arrival we were greeted at the front entrance of the facility by Ms. N. Long, Owner. We introduced ourselves and shared the purpose of today’s visit. Ms. Long allowed us entrance into the office, where we stored our personal items, and we discussed additional details of today’s visit prior to conducting a walk-through of the facility. Upon entry into the facility, the program’s current license and NC Summary of Law were observed posted in a visible area. During our brief discussion Ms. Long informed us that she would be stepping into to the Infant program to relieve Ms. J. Wright, the program’s current administrator, as she would be assisting us during today’s visit. Ms. Wright joined us shortly after. Upon her, Ms. Wright’s, arrival we re-introduced ourselves and shared the purpose of today’s visit. We discussed the facility’s current enrollment, staffing and expectations for the day. I then asked if she had any questions and she stated that she did not. Ms. Sullivan remained in the office where she reviewed staff files and Ms. Wright joined me on a walk-through of the facility. Six (6) licensed child care spaces, four (4) bathrooms, the facility’s kitchen, the outdoor learning environment and spaces adjacent to the classes were monitored for compliance. During the visit children were observed engaged in teacher directed activities, large group activities, small group activities, mealtime routines, transitional activities, personal care routines and napping. The facility was found in compliance with supervision, staff/child ratio, capacity and group size. In Space #2 a radio was observed being stored on a shelf with the attached electrical power cord hanging down and accessible to children in the crib area. This was brought to the staff members’ attention and corrected during the visit. Seven (7) infant Feeding Schedules were reviewed and it was observed that three (3) children under fifteen months of age had feeding schedules posted that had not been updated to reflect that they are currently eating solid foods. Children were observed transitioning from mealtime routines to independent play activities but the caregiver was not observed washing the children’s hands during these transitions. In Space #3 a radio was observed being stored on a shelf with the attached electrical power cord hanging down and accessible to children in that area. This was brought to the staff members’ attention and corrected during the visit. The outdoor learning environment was monitored. It was observed that a rug, a tarp and other debris were present and accessible to children. A carpeted ramp runner was observed on the ramp leading from the two-year-old classroom to the outdoor learning environment. It was visibly worn and there were rips present. I reminded Ms. Wright that each poses tripping hazards and they need to be either removed or replaced. There were also four (4) areas in the wooden rail located on the perimeter of the ramp and stairs that pieces are either beginning to separate or are missing and need to be repaired. I shared this information with Ms. Wright that this presents a safety hazard and that area needs to be made inaccessible to children until it is corrected. Emergency medication and topical ointment was monitored and it was observed that four (4) children had diaper creams present that did not have the completed paperwork on file, five (5) children with documented chronic medical conditions did not have the medication listed on their medical action plan present with all required completed paperwork on file, seven (7) children did not have completed permissions to administer medication forms on file and three (3) children had medication present that was not stored in its original container. This information was shared with both the classroom staff and Ms. Wright. Monthly outdoor inspections were monitored for the past twelve months. It was observed that an inspection was not on file for March 2024. The kitchen was monitored and found to be in compliance. Seven (7) children’s files were monitored today. It was observed that one child’s emergency medical care information was not updated as changes occurred or at least annually, as required. It was also observed that another child that enrolled on 09/05/23 did not get the required acknowledgement statements or documentation for the receipt of the NC Summary of the Law, receipt and discussion of the facility’s operational policies, discussion of the facility’s parent participation plan, receipt of the facility’s discipline policy as well as receipt and discussion of the facility’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy completed either before the child is enrolled in the child care facility or at enrollment until 09/13/23. It was also observed that the same child did not have completed medical authorization information and emergency medical information on file or present on their first day. Four (4) staff members’ files were reviewed, and it was observed that one staff member hired on 04/08/24 had both a medical report and results indicating she was free of active TB on file completed prior to employment that was older than 12 months. It was also observed that one staff member hired on 08/23/23 did not have receive a medical assessment or TB test prior to the first day of employment, as required. The same staff member hired on 08/23/23 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment, as required, or have a signed acknowledgement on file for review of the facility’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. The facility does not provide its own transportation, but a vehicle was observed on site for emergency use. The facility's EPR and Ready to Go file were reviewed and found to not have been updated as required. The last annual Sanitation Inspection was conducted on 07/06/23 with a rating of Superior and 8 demerits. The last approved annual Fire Inspection the facility has on file was conducted on March 17, 2023. This was due on or before March 16, 2024. There were twenty (20) violations cited during today’s visit. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last approved annual Fire Inspection the facility has on file was conducted on March 17, 2023. This was due on or before March 16, 2024. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Seven (7) children’s files were monitored today. It was observed that one child enrolled on 09/05/23 did not get the required acknowledgement statement or documentation for the receipt of the NC Summary of the Law completed until 09/13/23. GS 110-102 807 A safe indoor and outdoor environment was not provided for the children. The outdoor learning environment was monitored. It was observed that a rug, a tarp and other debris were present and accessible to children. A carpeted ramp runner was observed on the ramp leading from the two-year-old classroom to the outdoor learning environment. It was visibly worn and there were rips present. There were also four (4) areas in the wooden rail located on the perimeter of the ramp and stairs that pieces are either beginning to separate or are missing and need to be repaired. 10A NCAC 09 .0601(a) 815 Electrical cords were accessible to infants and toddlers. In Space #2 and Space #3 radios were observed being stored shelves with the attached electrical power cords hanging down and accessible to children. This was brought to the staff members’ attention and corrected during the visit. 10A NCAC 09 .0604(f) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Emergency medication was monitored and it was observed that three (3) children had medication present that was not stored in its original container. .0803(2)(a) 847 Parent's medication authorization did not include required information. Emergency medication and topical ointment was monitored and it was observed that seven (7) children did not have completed permissions to administer medication forms on file. 10A NCAC 09 .0803(4)(6-9) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Monthly outdoor inspections were monitored for the past twelve months. It was observed that an inspection was not on file for March 2024. .0605(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. .0701(a) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Seven (7) children’s files were monitored today. It was observed that one child enrolled on 09/05/23 did not get the required acknowledgement statement or documentation for the receipt and discussion of the facility’s operational policies completed until 09/13/23. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Seven (7) children’s files were monitored today. It was observed that one child that enrolled on 09/05/23 did not get the required acknowledgement statement or documentation for the discussion of the facility’s parent participation plan completed until 09/13/23. 10A NCAC 09 .0515(a) 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. Seven (7) children’s files were monitored today. It was observed that two children did not have completed emergency medical care information 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, as required. .0802(c) 1318 Medical authorization was not present on child's first day. It was observed that one child that enrolled on 09/05/23 did not have the required completed medical authorization information present on their first day. .0802(d) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Seven (7) children’s files were monitored today. It was observed that one child that enrolled on 09/05/23 did not get the required acknowledgement statements or documentation for receipt of the facility’s discipline policy completed until 09/13/23. .1804(c) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The facility's Emergency Preparedness Response plan and Ready to Go File was reviewed and found to not have been updated as required. .0607(e) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. Emergency medication was monitored and it was observed that five (5) children with documented chronic medical conditions did not have the medication listed on their medical action plan present with all required information completed on the paperwork on file. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. It was observed that one staff member hired on 08/23/23 did not have a signed acknowledgement on file for review of the facility’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Emergency medication and topical ointment was monitored and it was observed that four (4) children had diaper creams present that did not have the completed medication authorization on file, giving the caregiver standing authorization and meeting the specifications in rule. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It was observed one staff member hired on 08/23/23 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment, as required. .1102(g) 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. Seven (7) children’s files were monitored today. It was observed that one child that enrolled on 09/05/23 did not get the required acknowledgement statement or documentation for the receipt and discussion of the facility’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy completed until 09/13/23. .0608(b)(1-6) Corrective Action: Violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Wednesday April 24, 2024 to the email listed below. Failure to correct the violation and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance Provided and General Discussion: -I reminded both the Administrator and teachers of the importance of ensuring all required documentation is posted and completed in its entirety. -It was discussed that administrators update the children's file acknowledgement form to include the date policies are received and reviewed, as well as a signature line for parents or caregivers completing the documentation. -Ms. Wright and I discussed the importance of ensuring all required posted documentation is filled out correctly and reflects the most up to date information. We spoke specifically about the Staff/Child Ratio sheet, the Emergency Medical Care Plan, Allergy list and Menus. -The administrator was reminded to utilize the On-Going Training Documentation form to record annual training hours for all staff, as required. -Toxic plant information was shared with both the administrator and staff members as a reminder of the importance of reviewing this information before placing any plants or flowers in either the child care space or outdoor learning area to ensure they are not on the toxic plant list. It is the best practice to review this information on a regular basis as the list updates and to ensure that any plants or flowers that are harmful to children or either out of reach or placed under lock and key when children are present. -The Administrator was reminded of the requirement to keep all children's records, except ones regarding administration of medications as referenced in rule .0803(13), on file for as long as the child was enrolled, and/or for at least one year from the date the child was no longer enrolled in the facility. - I reminded both the Administrator and Teachers that when receiving any required paperwork from a parent or other caregiver including a child’s application for enrollment, program records, medication forms and specific acknowledge forms they should be thoroughly reviewed to ensure that all sections are completed and there no areas omitted, overlooked, or left blank. I also mentioned that if something does not apply to a child then either not applicable or n/a should be noted to ensure this item was reviewed and acknowledged. -Ms. Wright was reminded of the importance of ensuring that staff members have the required forms, trainings and paperwork complete and readily accessible. We spoke specifically about the expectation that all staff always stay current on all required specialized training. -We discussed the importance of ensuring that the playgrounds are checked daily for hazards by staff and shared with the administrator immediately to ensure that repairs are documented and corrected. -It was highly recommended to maintain your staff and training worksheets to always keep them current and maintain DCDEE WORKS status letters for each lead teacher, teacher, and administrator. If you have any questions, please contact Resha K. Washington at 704-910-7947 or email resha.washington@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

GS 110-102 · Violation

Name of Operation: SMARTY PANTS FULL DAY PRESCHOOL Facility ID: 60003336 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 4/10/2024 Number Present: 67 Completed Date: 4/10/2024 Age: From 0 To 5 Total Minutes: 495 Time In: 09:45 AM Time Out: 06:00 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 the facility for all applicable child care requirements during an Annual Compliance visit. The facility is currently operating with a Four Star Rated License issued on May 02, 2023. The May 2023 Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Center Item Number Listing dated August 2023 was used to document compliance with child care rules. Michele Sullivan, Licensing Supervisor, joined me on today’s visit. Upon arrival we were greeted at the front entrance of the facility by Ms. N. Long, Owner. We introduced ourselves and shared the purpose of today’s visit. Ms. Long allowed us entrance into the office, where we stored our personal items, and we discussed additional details of today’s visit prior to conducting a walk-through of the facility. Upon entry into the facility, the program’s current license and NC Summary of Law were observed posted in a visible area. During our brief discussion Ms. Long informed us that she would be stepping into to the Infant program to relieve Ms. J. Wright, the program’s current administrator, as she would be assisting us during today’s visit. Ms. Wright joined us shortly after. Upon her, Ms. Wright’s, arrival we re-introduced ourselves and shared the purpose of today’s visit. We discussed the facility’s current enrollment, staffing and expectations for the day. I then asked if she had any questions and she stated that she did not. Ms. Sullivan remained in the office where she reviewed staff files and Ms. Wright joined me on a walk-through of the facility. Six (6) licensed child care spaces, four (4) bathrooms, the facility’s kitchen, the outdoor learning environment and spaces adjacent to the classes were monitored for compliance. During the visit children were observed engaged in teacher directed activities, large group activities, small group activities, mealtime routines, transitional activities, personal care routines and napping. The facility was found in compliance with supervision, staff/child ratio, capacity and group size. In Space #2 a radio was observed being stored on a shelf with the attached electrical power cord hanging down and accessible to children in the crib area. This was brought to the staff members’ attention and corrected during the visit. Seven (7) infant Feeding Schedules were reviewed and it was observed that three (3) children under fifteen months of age had feeding schedules posted that had not been updated to reflect that they are currently eating solid foods. Children were observed transitioning from mealtime routines to independent play activities but the caregiver was not observed washing the children’s hands during these transitions. In Space #3 a radio was observed being stored on a shelf with the attached electrical power cord hanging down and accessible to children in that area. This was brought to the staff members’ attention and corrected during the visit. The outdoor learning environment was monitored. It was observed that a rug, a tarp and other debris were present and accessible to children. A carpeted ramp runner was observed on the ramp leading from the two-year-old classroom to the outdoor learning environment. It was visibly worn and there were rips present. I reminded Ms. Wright that each poses tripping hazards and they need to be either removed or replaced. There were also four (4) areas in the wooden rail located on the perimeter of the ramp and stairs that pieces are either beginning to separate or are missing and need to be repaired. I shared this information with Ms. Wright that this presents a safety hazard and that area needs to be made inaccessible to children until it is corrected. Emergency medication and topical ointment was monitored and it was observed that four (4) children had diaper creams present that did not have the completed paperwork on file, five (5) children with documented chronic medical conditions did not have the medication listed on their medical action plan present with all required completed paperwork on file, seven (7) children did not have completed permissions to administer medication forms on file and three (3) children had medication present that was not stored in its original container. This information was shared with both the classroom staff and Ms. Wright. Monthly outdoor inspections were monitored for the past twelve months. It was observed that an inspection was not on file for March 2024. The kitchen was monitored and found to be in compliance. Seven (7) children’s files were monitored today. It was observed that one child’s emergency medical care information was not updated as changes occurred or at least annually, as required. It was also observed that another child that enrolled on 09/05/23 did not get the required acknowledgement statements or documentation for the receipt of the NC Summary of the Law, receipt and discussion of the facility’s operational policies, discussion of the facility’s parent participation plan, receipt of the facility’s discipline policy as well as receipt and discussion of the facility’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy completed either before the child is enrolled in the child care facility or at enrollment until 09/13/23. It was also observed that the same child did not have completed medical authorization information and emergency medical information on file or present on their first day. Four (4) staff members’ files were reviewed, and it was observed that one staff member hired on 04/08/24 had both a medical report and results indicating she was free of active TB on file completed prior to employment that was older than 12 months. It was also observed that one staff member hired on 08/23/23 did not have receive a medical assessment or TB test prior to the first day of employment, as required. The same staff member hired on 08/23/23 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment, as required, or have a signed acknowledgement on file for review of the facility’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. The facility does not provide its own transportation, but a vehicle was observed on site for emergency use. The facility's EPR and Ready to Go file were reviewed and found to not have been updated as required. The last annual Sanitation Inspection was conducted on 07/06/23 with a rating of Superior and 8 demerits. The last approved annual Fire Inspection the facility has on file was conducted on March 17, 2023. This was due on or before March 16, 2024. There were twenty (20) violations cited during today’s visit. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last approved annual Fire Inspection the facility has on file was conducted on March 17, 2023. This was due on or before March 16, 2024. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Seven (7) children’s files were monitored today. It was observed that one child enrolled on 09/05/23 did not get the required acknowledgement statement or documentation for the receipt of the NC Summary of the Law completed until 09/13/23. GS 110-102 807 A safe indoor and outdoor environment was not provided for the children. The outdoor learning environment was monitored. It was observed that a rug, a tarp and other debris were present and accessible to children. A carpeted ramp runner was observed on the ramp leading from the two-year-old classroom to the outdoor learning environment. It was visibly worn and there were rips present. There were also four (4) areas in the wooden rail located on the perimeter of the ramp and stairs that pieces are either beginning to separate or are missing and need to be repaired. 10A NCAC 09 .0601(a) 815 Electrical cords were accessible to infants and toddlers. In Space #2 and Space #3 radios were observed being stored shelves with the attached electrical power cords hanging down and accessible to children. This was brought to the staff members’ attention and corrected during the visit. 10A NCAC 09 .0604(f) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Emergency medication was monitored and it was observed that three (3) children had medication present that was not stored in its original container. .0803(2)(a) 847 Parent's medication authorization did not include required information. Emergency medication and topical ointment was monitored and it was observed that seven (7) children did not have completed permissions to administer medication forms on file. 10A NCAC 09 .0803(4)(6-9) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Monthly outdoor inspections were monitored for the past twelve months. It was observed that an inspection was not on file for March 2024. .0605(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. .0701(a) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Seven (7) children’s files were monitored today. It was observed that one child enrolled on 09/05/23 did not get the required acknowledgement statement or documentation for the receipt and discussion of the facility’s operational policies completed until 09/13/23. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Seven (7) children’s files were monitored today. It was observed that one child that enrolled on 09/05/23 did not get the required acknowledgement statement or documentation for the discussion of the facility’s parent participation plan completed until 09/13/23. 10A NCAC 09 .0515(a) 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. Seven (7) children’s files were monitored today. It was observed that two children did not have completed emergency medical care information 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, as required. .0802(c) 1318 Medical authorization was not present on child's first day. It was observed that one child that enrolled on 09/05/23 did not have the required completed medical authorization information present on their first day. .0802(d) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Seven (7) children’s files were monitored today. It was observed that one child that enrolled on 09/05/23 did not get the required acknowledgement statements or documentation for receipt of the facility’s discipline policy completed until 09/13/23. .1804(c) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The facility's Emergency Preparedness Response plan and Ready to Go File was reviewed and found to not have been updated as required. .0607(e) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. Emergency medication was monitored and it was observed that five (5) children with documented chronic medical conditions did not have the medication listed on their medical action plan present with all required information completed on the paperwork on file. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. It was observed that one staff member hired on 08/23/23 did not have a signed acknowledgement on file for review of the facility’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Emergency medication and topical ointment was monitored and it was observed that four (4) children had diaper creams present that did not have the completed medication authorization on file, giving the caregiver standing authorization and meeting the specifications in rule. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It was observed one staff member hired on 08/23/23 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment, as required. .1102(g) 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. Seven (7) children’s files were monitored today. It was observed that one child that enrolled on 09/05/23 did not get the required acknowledgement statement or documentation for the receipt and discussion of the facility’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy completed until 09/13/23. .0608(b)(1-6) Corrective Action: Violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Wednesday April 24, 2024 to the email listed below. Failure to correct the violation and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance Provided and General Discussion: -I reminded both the Administrator and teachers of the importance of ensuring all required documentation is posted and completed in its entirety. -It was discussed that administrators update the children's file acknowledgement form to include the date policies are received and reviewed, as well as a signature line for parents or caregivers completing the documentation. -Ms. Wright and I discussed the importance of ensuring all required posted documentation is filled out correctly and reflects the most up to date information. We spoke specifically about the Staff/Child Ratio sheet, the Emergency Medical Care Plan, Allergy list and Menus. -The administrator was reminded to utilize the On-Going Training Documentation form to record annual training hours for all staff, as required. -Toxic plant information was shared with both the administrator and staff members as a reminder of the importance of reviewing this information before placing any plants or flowers in either the child care space or outdoor learning area to ensure they are not on the toxic plant list. It is the best practice to review this information on a regular basis as the list updates and to ensure that any plants or flowers that are harmful to children or either out of reach or placed under lock and key when children are present. -The Administrator was reminded of the requirement to keep all children's records, except ones regarding administration of medications as referenced in rule .0803(13), on file for as long as the child was enrolled, and/or for at least one year from the date the child was no longer enrolled in the facility. - I reminded both the Administrator and Teachers that when receiving any required paperwork from a parent or other caregiver including a child’s application for enrollment, program records, medication forms and specific acknowledge forms they should be thoroughly reviewed to ensure that all sections are completed and there no areas omitted, overlooked, or left blank. I also mentioned that if something does not apply to a child then either not applicable or n/a should be noted to ensure this item was reviewed and acknowledged. -Ms. Wright was reminded of the importance of ensuring that staff members have the required forms, trainings and paperwork complete and readily accessible. We spoke specifically about the expectation that all staff always stay current on all required specialized training. -We discussed the importance of ensuring that the playgrounds are checked daily for hazards by staff and shared with the administrator immediately to ensure that repairs are documented and corrected. -It was highly recommended to maintain your staff and training worksheets to always keep them current and maintain DCDEE WORKS status letters for each lead teacher, teacher, and administrator. If you have any questions, please contact Resha K. Washington at 704-910-7947 or email resha.washington@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