G.S. 110-90 · Violation

Name of Operation: THE CENTER FOR CHILDREN COTTAGE Facility ID: 60003487 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 2/17/2026 Number Present: 40 Completed Date: 2/17/2026 Age: From 0 To 5 Total Minutes: 480 Time In: 10:00 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 compliance with applicable child care requirements during the Annual Compliance Visit. The five-star licensed child care center continued to meet voluntary enhanced ratios and space requirements. Upon arrival at the center, Ms. Satonya Williams, center administrator, was contacted by a staff member and arrived from the other building/licensed center. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated April 2025 were used to document compliance. Spaces #1-5, and outdoor learning environments were monitored for compliance. Infant and toddler rooms were observed with dirty toy bins. A weekly cleaning checklist was provided and recommended to post in the applicable classrooms to help staff with accountability of cleaning. Space #1 was monitored with current safe sleep checks, posted/current infant feeding schedules, and cribs labeled. Developmentally appropriate materials and activities were observed. Infants were observed with two caregivers on the floor and engaged in tummy time and interactive play. Mouthed toys were observed removed from the environment and placed in the “dirty toy bin”. In space #2 it was observed that the staff member had several toddler puzzles stacked on top of each other. It was highly recommended to add an additional shelf for the puzzles to be stored on two shelves instead of just one. The outdoor learning environment was monitored for compliance. The wooden ramp was monitored with chipped paint. The ramp recently was painted in the summer. However, with recent snow and shoveling paint was chipped off. It was recommended to stain the wooden ramp vs. painting the ramp. There were metal pegs protruding upwards on the black protective borders. There were two strollers observed under an overhead outdoor storage area that were observed with some dust on them. It was recommended to purchase plastic covering or a tarp to better protect the equipment. Medications were monitored for compliance. One child with a life altering chronic medical condition was on site without the life altering prescribed medication or current medical action plan. Ms. Williams stated the parents were in process of obtaining the updated information and the parents emailed the front page of the medical action plan. Ms. Williams will need to follow up with the parents who sent the emailed information. It was recommended to not permit the child to care until the medication and current medical action plan is on site. Children were monitored engaged in daily group time, daily outdoor time, eating lunch and naptime. The center implemented Teaching Strategies with the four-year-old children. One quarterly assessment has been completed since the program year began in September 2025. The second assessment of the year is scheduled to be completed by the end of February 2026. Staff and Training worksheets were not updated prior to the visit, and there were six new staff and one substitute employee hired since June 12, 2025 (last RU) (A. Poston-sub; C. Jackson, F. Johnson, B. Thompson, K. Bush, T. Massenburg and R. Williams). There were three existing staff. One existing staff member’s file was monitored for compliance. (A. Scoggins) The ABCMS roster report was run during the visit and verified by reviewing the staff and training worksheets with S. Willliams. There were forty-four (44) children enrolled. Five (5) children’s files were monitored for compliance. The children's records were maintained in the other licensed building and must be maintained in the child's building, so staff may have access to the child's records if warranted or needed. Documentation for quarterly safety drills, monthly fire drills, playground inspections and center incident log were monitored for compliance and found to meet child care requirements. The center’s EPR plan and Ready to Go File were monitored current. Lesson plans were monitored, posted, current and developmentally appropriate. The center does not provide transportation to children. The last sanitation inspection completed was dated August 1, 2025, with five (5) demerits cited and a Superior classification issued. The last annual fire inspection was completed May 22, 2025. It was highly recommended to begin your annual inspection process four to six weeks prior to expiration. Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. Six metal pegs were monitored protruding upwards throughout the black protective surfacing borders outdoors. .0601(c) 1006 One or more persons who met the qualifications for administrator were not on site for number of hours per week required by capacity of center. The former administrator left her position in June of 2025, and a qualified replacement has not been hired. .0714(a) 1309 The information contained in the application was not accessible to caregiving staff during the time children were in care. Children's records/files were maintained in the other licensed facility and not accessible to the caregiving staff during the time children were in care. .0801 (d) Technical Assistance Provided and General Discussion: 1. The two choices of pathways for a star rating were reviewed with Ms. Williams. There are several resources available on the NCRLAP website at www.NCRLAP.org. It was recommended to take advantage of the training/resources available. We discussed the center self-study (NCRLAP) and the CQI quality improvement plan for the center and individuals. Staff education requirements for the five-star rating were reviewed with the administration. Pathway #1 and the Pathway to the Stars document were completed to document the discussion. The three-month self-study QR code was provided in email prior to the visit. The center is currently working with “Quality Every Day” and has requested a community assessment via NCRLAP. 2. The center administrators have and know how to link employees and print the roster report from the ABCMS. The administrative staff are still working to link the staff applicants within the ABCMS. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 3. One staff member, B. Thompson, was monitored linked in the ABCMS for the other center next door. All other existing staff were monitored linked to the correct facility in the system during the visit. 4. It was recommended to add something live to each classroom like a plant or fish. It was also recommended to add pictures of ages, stages, abilities and careers. Ms. Williams stated the interior walls had just been painted and the ages, stages and abilities and career photographs had not yet been returned to the wall. 5. There were infant strollers monitored in an open/covered storage outdoors. It was recommended to purchase plastic covers to better protect them from dust, leaves and dirt. 6. The former administrator left her position in June 2025. The organization had six months to hire another qualified administrator. One staff member in space #4 was observed with an opened can of soda maintained on a table. Children were observed sleeping on cots with linen. Therefore, the staff member did not consume the drink in front of children a violation will not be cited. The staff member was new and did not attend the last staff meeting where the topic and rule were discussed. (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the- counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Tuesday, March 3, 2026. You may email me with your letter of correction. Mail documentation to Mara Brinton, 3687 Stallings Road, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov. You may also contact my supervisor, Michele Sullivan at 704-594-0147 or by email at michele.sullivan@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-90 · Violation

Name of Operation: THE CENTER FOR CHILDREN COTTAGE Facility ID: 60003487 Consultant: MARA BRINTON Operation Type: Center Case Number: 0126-178L Visit Date: 1/22/2026 Number Present: 41 Completed Date: 1/22/2026 Age: From 0 To 5 Total Minutes: 240 Time In: 11:45 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations of violations of child care requirements during a Complaint visit. Upon arrival a staff member escorted me inside. The staff member was asked to contact Satonya Williams who was working in the other building/center. Once Ms. Williams arrived in the building the allegations were read to her as follows: According to the report, infants are put to sleep and kept in boppy’ s and bouncers during sleep. Staff have fed babies (table) food who were not yet eating table food. Parents did not sign off or have knowledge of this. There are concerns about potential allergies, choking, and communication and unsafe sleep. A walk through of spaces #1-5 was completed. Additional time was spent in space #1(infants) for interviews and monitoring. There were two staff present in space #1 with eight children present: 7 children were infants and 1 child was one year of age. An infant was observed being fed in a highchair with one caregiver. Another infant was on the changing table being changed by the substitute caregiver. Two children were monitored sleeping in their assigned crib. The infant cribs were monitored labeled. The sheets were monitored and sized appropriately. Infant safe sleep documentation was monitored and maintained current. Three children were on the floor either in a bouncer, infant chair or sitting upright in a bobby pillow with finger toys accessible and within reach. Eight infant feeding schedules were monitored posted in space #1, completed and initialized by parent and caregiver. Ms. Satonya stated there was only one child (a four-year-old) who had allergies in the building. The posted allergy list reflected only one child in the building with a known allergy. The administrator and four staff who interface with the infant room were interviewed. No staff stated being aware of any incident where a child was given table food before speaking with the child’s parents first. Staff were able to verbalize the center’s process and procedures regarding transitioning an infant from the bottle to table food. Staff interviewed stated the posted infant feeding schedules are discussed with parents and initialized by both parent and caregiver. Based on my observations and discussions with five staff the allegation that infants are put to sleep and kept in boppy’ s and bouncers during sleep was NOT CONFIRMED. Staff stated the proper procedures of what should occur when an infant falls asleep in a boppy or bouncer. No infant was observed sleeping in any common area apparatus during the visit. Based on my observations and discussions with five staff the allegation that babies are fed table food who were not yet eating table food was NOT CONFIRMED. No staff reported any concerns or issues raised by parents and the eight enrolled infants posted feeding schedules were monitored with both required initials (parent and caregiver). Based on my observations and discussions with five staff, the allegation of concerns related to potential allergies, choking, communication and unsafe sleep were NOT CONFIRMED. The posted allergy list was current with one child listed. Staff communicate with parents and wait for the parents to introduce foods or new foods before they update the feeding schedule. There were not any concerns regarding choking because infants are either held for bottle feeding or placed in highchairs where the staff member remains within arm’s reach of a feeding infant. Staff communicate with parents via the ProCare system or in person. Safe sleep practices were monitored and in compliance with child care requirements. Safe sleep checks were documented. Infants were placed in their assigned crib. Crib sheets were secure and fitted. The church pastor was hired July 1, 2025. The center administrator informed the new minister of the preservice requirements of a DCDEE CBC qualification. Ms. C. Camp did not obtain a CBC qualification prior to employment, was instructed by the administrator more than once that it was required by DCDEE. The ABCM system verified that as of today, Ms. C. Camp has not obtained a DCDEE CBC qualification nor was the current CBC letter maintained on file. Failure to comply could result in administrative action being taken against the ownership of the child care center. Ms. Camp has fifteen (15) days to obtain the required qualification, has the CBC letter printed and maintained on file. Violation Number Comment Rule 1041 Prior to employment a Criminal Background Check was not completed. C. Camp was hired July 1,2025. A CBC was not completed prior to employment. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. A valid CBC letter was not on file for C. Camp, operator. G.S. 110-90.2(b) & (d) & .2703(e) Technical Assistance Provided and General Discussion: 1. It was recommended to develop and email a survey to the enrolled infant parents. 2. It was recommended to work on further development of infant transitions in the classroom, parent input, required paperwork and timeframe. 3. It was recommended to install a room thermometer to space #1. The room appeared a little warm, but the thermostat maintained in space #3 stated the room temperature was 70f. Infant caregivers must be able to discern the actual temperature in the infant room. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Thursday, February 5, 2026. You may email me with your letter of correction. Mail documentation to Mara Brinton, 3687 Stallings Road, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@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.

G.S. 110-90 · Violation

Name of Operation: THE CENTER FOR CHILDREN COTTAGE Facility ID: 60003487 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 6/16/2025 Number Present: 32 Completed Date: 6/16/2025 Age: From 0 To 5 Total Minutes: 240 Time In: 09:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for compliance with applicable child care requirements during a Routine Unannounced Visit. The licensed five-star center continued to operate with meeting enhanced space and ratios. Ms. Cari Morrell, on site administrator was present and working in the office. The child care item number listing dated November 2024 was used to identify and determine non-compliance. The following sections were monitored for compliance: A1, B1, C4, C5, C6, E1, E2, F3, G1, G3, G4 and G5. A walk through of spaces # 1-5, the outdoor learning environment was monitored for compliance. Children were monitored engaged in outdoor play, eating lunch and napping on cots with linen. We discussed the ABCMS portal and the required process. A DCDEE roster report was run prior to the visit. The roster report was compared to the center’s staff and training worksheets. There were staff no longer employed, listed in the report, one new lead teacher not linked, and three substitute providers not linked. Today, there was a floater from the other center who was working but was not listed on the report. The staff member was linked to the other site. We discussed the requirement of maintaining the portal system current with each employee who works at the site. As staff members are terminated, they must be unlinked as a new employee is hired, they must be linked to the facility. Monthly outdoor inspections, incident log, monthly fire drills and quarterly safety drills were monitored. The incident log was not updated. Multiple reports were completed but not logged or filed in each applicable child’s file. The center’s printed EPR plan and Ready to Go File were monitored. The plan was reviewed and updated annually. Page twenty-eight was printed and filed with the report during the visit. The staff and training worksheet were monitored for compliance. The worksheet will need to be updated and emailed to the consultant after the review. The previous staff and training worksheet were used to monitor for compliance. T. Wise and two substitute folders (L. Jackson and J. Flemister) were monitored for compliance. Ms. Cari and Ms. Satonya were asked to maintain the staff and training worksheets current. The following existing staff were monitored with current CPR and FA (R. Johnson, C. Morrell and C. Dicker). The following staff were monitored with a current annual staff evaluation: C. Peeples and A. Scoggins. The following staff were monitored with the current annual health questionnaire and emergency contact. The last sanitation inspection was completed March 19, 2025, with three (3) demerits cited and a Superior classification issued. The last annual fire inspection was completed on May 22, 2025. Violation Number Comment Rule 853 Incident logs were not completed and maintained as required. There were multiple completed incident reports that were not filed on the center's incident log nor filed in the applicable child's file. .0802(g)(1-6) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. An ABCMS DCDEE Roster Report was run prior to the visit. There were three substitutes, one new lead teacher, no administrator and one floater form the other center who was working in the building but not listed on the report. There were former employees who were listed and remained linked to the center. G.S. 110-90.2 & .2703(r) Technical Assistance Provided and General Discussion: 1. It was recommended to purchase the third edition of the ERS. It was also recommended to review all available resources at the NCRLAP website. www.NCLRAP.org. 2. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 3. We discussed the use of the NC Foundations when developing lesson plan activities. NC FELD goals were monitored listed on the posted plan. 4. It was recommended to leave all applicable records in the cottage. A desk with lockable file cabinets may be required. 5. We discussed ensuring the double gates remain closed. The administrator was not sure if staff or possibly parents were leaving the gates open. The gates must remain closed/secured when children are in care and especially when children are playing outside. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Monday, June 30, 2025. You may email me with your letter of correction. Mail written documentation to Mara Brinton, 3687 Stallings Road, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@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 .0803 · Violation

Name of Operation: THE CENTER FOR CHILDREN COTTAGE Facility ID: 60003487 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 32 Completed Date: 4/15/2025 Age: From 0 To 5 Total Minutes: 315 Time In: 10:30 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during the Annual Compliance Visit. Upon arrival at the center, I was greeted at the front door by the on-site administrator, Ms. Cari Morrell. The center maintained a five-star rated license and continued to meet enhanced ratios and space. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated November 2024 were used to document compliance. Spaces #1-5, and outdoor learning environment were monitored for compliance. No transportation is not provided for children. Children were monitored, engaged in eating, napping, and playing outside. Forty-five children were monitored enrolled. Five children’s records were selected and monitored for compliance. The administrator stated the approved and implemented curriculum was The Creative Curriculum. In the all classrooms including the four-year-old classroom needs to continue to work towards implementing the curriculum fully. In the four-year-old classroom, there was no charting of children’s responses or quarterly assessments completed. It was recommended to work with each lead teacher and develop a quarterly schedule for assessments. Today, a posted lesson plan was monitored with the date altered in space #3. The planned activities and what was reflected in the classroom were not aligned. It was highly recommended to have staff obtain additional training and support to ensure full implementation of the approved curriculum. Staff and Training worksheets were requested to be emailed to me prior to the visit. The worksheets were received. One new staff member hired in October of 2024 did not obtain CPR and FA within the first ninety (90) days of employment. Ms. Williams The center’s EPR plan was monitored for compliance. The printed EPR plan was dated March 2024 and was not reviewed/updated annually. It was recommended to place annual reminders on an electronic calendar for friendly reminders. It was recommended to contact the assigned community health nurse, Ms. Juanita Brown, to come and conduct a review of each medication form, medication, and center process. A permission slip was monitored without specific symptoms or circumstances listed. Documentation for quarterly safety drills and monthly fire drills were discussed and monitored. The daily attendance with children’s arrival and departure times were monitored, documented and current for the week thus far. The outdoor learning environment was monitored for compliance. Monthly inspections were monitored current and completed. The artificial grass was monitored with tears in it on the toddler playground. The wooden ramp and handles were monitored with splinters and exposed hardware-like nails. The railings were monitored loose and not secured well. The fence/gate in-between the toddler and preschool playground was monitored with missing fencing at the top. The last sanitation inspection was conducted on March 19, 2025, (3) three demerits cited, and a Superior Classification issued. The last annual fire inspection was completed on June 4, 2024. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Artificial grass was monitored torn in two places on the toddler playground. The fence/date in-between the toddler and preschool playground was monitored with missing fence and a large opening between the top bar. The wooden ramp and wooden hand railings were monitored worn with splinters and exposed hardware. G.S. 110-91(6); .0601(b) 847 Parent's medication authorization did not include required information. One permission slip in space #2 did not list specific symptoms or circumstances that would require the medication to be given. 10A NCAC 09 .0803(4)(6-9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member hired in October of 2024 did not obtain FA within the first ninety (90) days of employment. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member hired October 2024 did not obtain CPR training within the first ninety (90) days of employment. .1102(d) 1794 A Four- or Five- Star program serving four-year-old children was not implementing an approved curriculum. The creative curriculum was not implemented. Quarterly assessments were not completed or charting of children's responses were listed. .2802(d) 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 center's EPR plan was last reviewed/updated March of 2024. .0607(e) Technical Assistance Provided and General Discussion: 1. It was recommended to purchase the third edition of ITERS and ECERS and begin training staff. There are several resources available on the NCRLAP website at www.NCRLAP.org. It was recommended to take advantage of the training available. The other center completed a mock assessment this morning. 2. The center administrators have and know how to link employees and print the roster report from the ABCMS. The administrative staff are still working to link the staff applicants within the ABCMS. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 3. We discussed maintaining two ABCMS roster reports for both facilities and Ms. Cari needs to take the training and learn how to link and run the roster reports. Currently, Ms. Williams is the only administrator to know how to complete the required process. 4. We discussed submitting CBC requalification’s in six-month increments (June and January). CBC renewals may be submitted six months prior to expiration. 5. We discussed ensuring infants and toddlers have appropriate/secured devices to transition to and from the outside. The toddlers utilize a wagon. Transitioning equipment that secures infants and toddlers is needed. Examples were strollers and bye-bye buggies. 6. It was recommended to contact Ms. Juanita Brown with the community health nurses to obtain support, review and training related to medications and required forms. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Tuesday, April 29, 2025. You may email me with your letter of correction. Mail documentation to Mara Brinton, 3687 Stallings Road, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@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.

G.S. 110-90 · Violation

Name of Operation: THE CENTER FOR CHILDREN COTTAGE Facility ID: 60003487 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 32 Completed Date: 4/15/2025 Age: From 0 To 5 Total Minutes: 315 Time In: 10:30 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during the Annual Compliance Visit. Upon arrival at the center, I was greeted at the front door by the on-site administrator, Ms. Cari Morrell. The center maintained a five-star rated license and continued to meet enhanced ratios and space. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated November 2024 were used to document compliance. Spaces #1-5, and outdoor learning environment were monitored for compliance. No transportation is not provided for children. Children were monitored, engaged in eating, napping, and playing outside. Forty-five children were monitored enrolled. Five children’s records were selected and monitored for compliance. The administrator stated the approved and implemented curriculum was The Creative Curriculum. In the all classrooms including the four-year-old classroom needs to continue to work towards implementing the curriculum fully. In the four-year-old classroom, there was no charting of children’s responses or quarterly assessments completed. It was recommended to work with each lead teacher and develop a quarterly schedule for assessments. Today, a posted lesson plan was monitored with the date altered in space #3. The planned activities and what was reflected in the classroom were not aligned. It was highly recommended to have staff obtain additional training and support to ensure full implementation of the approved curriculum. Staff and Training worksheets were requested to be emailed to me prior to the visit. The worksheets were received. One new staff member hired in October of 2024 did not obtain CPR and FA within the first ninety (90) days of employment. Ms. Williams The center’s EPR plan was monitored for compliance. The printed EPR plan was dated March 2024 and was not reviewed/updated annually. It was recommended to place annual reminders on an electronic calendar for friendly reminders. It was recommended to contact the assigned community health nurse, Ms. Juanita Brown, to come and conduct a review of each medication form, medication, and center process. A permission slip was monitored without specific symptoms or circumstances listed. Documentation for quarterly safety drills and monthly fire drills were discussed and monitored. The daily attendance with children’s arrival and departure times were monitored, documented and current for the week thus far. The outdoor learning environment was monitored for compliance. Monthly inspections were monitored current and completed. The artificial grass was monitored with tears in it on the toddler playground. The wooden ramp and handles were monitored with splinters and exposed hardware-like nails. The railings were monitored loose and not secured well. The fence/gate in-between the toddler and preschool playground was monitored with missing fencing at the top. The last sanitation inspection was conducted on March 19, 2025, (3) three demerits cited, and a Superior Classification issued. The last annual fire inspection was completed on June 4, 2024. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Artificial grass was monitored torn in two places on the toddler playground. The fence/date in-between the toddler and preschool playground was monitored with missing fence and a large opening between the top bar. The wooden ramp and wooden hand railings were monitored worn with splinters and exposed hardware. G.S. 110-91(6); .0601(b) 847 Parent's medication authorization did not include required information. One permission slip in space #2 did not list specific symptoms or circumstances that would require the medication to be given. 10A NCAC 09 .0803(4)(6-9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member hired in October of 2024 did not obtain FA within the first ninety (90) days of employment. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member hired October 2024 did not obtain CPR training within the first ninety (90) days of employment. .1102(d) 1794 A Four- or Five- Star program serving four-year-old children was not implementing an approved curriculum. The creative curriculum was not implemented. Quarterly assessments were not completed or charting of children's responses were listed. .2802(d) 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 center's EPR plan was last reviewed/updated March of 2024. .0607(e) Technical Assistance Provided and General Discussion: 1. It was recommended to purchase the third edition of ITERS and ECERS and begin training staff. There are several resources available on the NCRLAP website at www.NCRLAP.org. It was recommended to take advantage of the training available. The other center completed a mock assessment this morning. 2. The center administrators have and know how to link employees and print the roster report from the ABCMS. The administrative staff are still working to link the staff applicants within the ABCMS. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 3. We discussed maintaining two ABCMS roster reports for both facilities and Ms. Cari needs to take the training and learn how to link and run the roster reports. Currently, Ms. Williams is the only administrator to know how to complete the required process. 4. We discussed submitting CBC requalification’s in six-month increments (June and January). CBC renewals may be submitted six months prior to expiration. 5. We discussed ensuring infants and toddlers have appropriate/secured devices to transition to and from the outside. The toddlers utilize a wagon. Transitioning equipment that secures infants and toddlers is needed. Examples were strollers and bye-bye buggies. 6. It was recommended to contact Ms. Juanita Brown with the community health nurses to obtain support, review and training related to medications and required forms. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Tuesday, April 29, 2025. You may email me with your letter of correction. Mail documentation to Mara Brinton, 3687 Stallings Road, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@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: THE CENTER FOR CHILDREN COTTAGE Facility ID: 60003487 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 32 Completed Date: 4/15/2025 Age: From 0 To 5 Total Minutes: 315 Time In: 10:30 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during the Annual Compliance Visit. Upon arrival at the center, I was greeted at the front door by the on-site administrator, Ms. Cari Morrell. The center maintained a five-star rated license and continued to meet enhanced ratios and space. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated November 2024 were used to document compliance. Spaces #1-5, and outdoor learning environment were monitored for compliance. No transportation is not provided for children. Children were monitored, engaged in eating, napping, and playing outside. Forty-five children were monitored enrolled. Five children’s records were selected and monitored for compliance. The administrator stated the approved and implemented curriculum was The Creative Curriculum. In the all classrooms including the four-year-old classroom needs to continue to work towards implementing the curriculum fully. In the four-year-old classroom, there was no charting of children’s responses or quarterly assessments completed. It was recommended to work with each lead teacher and develop a quarterly schedule for assessments. Today, a posted lesson plan was monitored with the date altered in space #3. The planned activities and what was reflected in the classroom were not aligned. It was highly recommended to have staff obtain additional training and support to ensure full implementation of the approved curriculum. Staff and Training worksheets were requested to be emailed to me prior to the visit. The worksheets were received. One new staff member hired in October of 2024 did not obtain CPR and FA within the first ninety (90) days of employment. Ms. Williams The center’s EPR plan was monitored for compliance. The printed EPR plan was dated March 2024 and was not reviewed/updated annually. It was recommended to place annual reminders on an electronic calendar for friendly reminders. It was recommended to contact the assigned community health nurse, Ms. Juanita Brown, to come and conduct a review of each medication form, medication, and center process. A permission slip was monitored without specific symptoms or circumstances listed. Documentation for quarterly safety drills and monthly fire drills were discussed and monitored. The daily attendance with children’s arrival and departure times were monitored, documented and current for the week thus far. The outdoor learning environment was monitored for compliance. Monthly inspections were monitored current and completed. The artificial grass was monitored with tears in it on the toddler playground. The wooden ramp and handles were monitored with splinters and exposed hardware-like nails. The railings were monitored loose and not secured well. The fence/gate in-between the toddler and preschool playground was monitored with missing fencing at the top. The last sanitation inspection was conducted on March 19, 2025, (3) three demerits cited, and a Superior Classification issued. The last annual fire inspection was completed on June 4, 2024. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Artificial grass was monitored torn in two places on the toddler playground. The fence/date in-between the toddler and preschool playground was monitored with missing fence and a large opening between the top bar. The wooden ramp and wooden hand railings were monitored worn with splinters and exposed hardware. G.S. 110-91(6); .0601(b) 847 Parent's medication authorization did not include required information. One permission slip in space #2 did not list specific symptoms or circumstances that would require the medication to be given. 10A NCAC 09 .0803(4)(6-9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member hired in October of 2024 did not obtain FA within the first ninety (90) days of employment. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member hired October 2024 did not obtain CPR training within the first ninety (90) days of employment. .1102(d) 1794 A Four- or Five- Star program serving four-year-old children was not implementing an approved curriculum. The creative curriculum was not implemented. Quarterly assessments were not completed or charting of children's responses were listed. .2802(d) 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 center's EPR plan was last reviewed/updated March of 2024. .0607(e) Technical Assistance Provided and General Discussion: 1. It was recommended to purchase the third edition of ITERS and ECERS and begin training staff. There are several resources available on the NCRLAP website at www.NCRLAP.org. It was recommended to take advantage of the training available. The other center completed a mock assessment this morning. 2. The center administrators have and know how to link employees and print the roster report from the ABCMS. The administrative staff are still working to link the staff applicants within the ABCMS. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 3. We discussed maintaining two ABCMS roster reports for both facilities and Ms. Cari needs to take the training and learn how to link and run the roster reports. Currently, Ms. Williams is the only administrator to know how to complete the required process. 4. We discussed submitting CBC requalification’s in six-month increments (June and January). CBC renewals may be submitted six months prior to expiration. 5. We discussed ensuring infants and toddlers have appropriate/secured devices to transition to and from the outside. The toddlers utilize a wagon. Transitioning equipment that secures infants and toddlers is needed. Examples were strollers and bye-bye buggies. 6. It was recommended to contact Ms. Juanita Brown with the community health nurses to obtain support, review and training related to medications and required forms. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Tuesday, April 29, 2025. You may email me with your letter of correction. Mail documentation to Mara Brinton, 3687 Stallings Road, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@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: THE CENTER FOR CHILDREN COTTAGE Facility ID: 60003487 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 5/14/2024 Number Present: 35 Completed Date: 5/14/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 01:45 PM 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 compliance of applicable childcare requirements during the annual compliance visit. Lisa Eddins-Smith, Childcare Consultant accompanied me today. The facility has a Five Star Rated License with an effective date of July 26, 2022. The facility’s 18-month compliance history score before today’s visit was 86%. Upon arrival, we were greeted by Cheri Peebles, Toddler Teacher and we spoke with Interim Director Satonya Williams who was in another building. We stated the reason for the visit. We let her know that we would start the walk through of the facility with Ms. Peebles. The Annual Compliance Monitoring Checklist for Child Care Centers and The Division of Child Development and Early Education’s 2024 March Items Listing was used to conduct the monitoring visit. During the walk through we observed children participating in personal care routines, rest time and transitions. Staff members were observed supervising rest time and personal care routines. Enhanced staff/child ratios were observed meeting compliance. We did not observe any discipline issues. Infants were observed having tummy time with staff engaging them in activities. Nurturing tones were heard as staff spoke to children as they began to rest or were waking up. The last approved fire inspection was conducted June 2, 2023. The last sanitation inspection was conducted on April 28,2024, with six demerits and a Superior rating. The last fire drill was conducted on April 30, 2024. A shelter-in-place drill was conducted on March 7, 2024. Outdoor safety inspections were monitored today and are occurring monthly as required. Incident logs were reviewed and found meeting compliance. Ten percent of the children’s records were reviewed today. Children’s files were found to be in compliance. I received a copy of the Staff and Training Worksheets today. All staff files were monitored. There were no new hires since the Routine Unannounced visit conducted on March 7, 2024. There was one substitute here today, we reviewed the file and it was found in compliance. The Head Pastor has a CBC Qualifying Letter on file. Medications were reviewed, please see violation section and technical assistance portion of today's document. The following violations were cited today: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In Space 4, the current activity plan did not provide all required information. The second page that lists activities for the interest centers was missing. GS 110-91(12); .0508(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. On the toddler playground I observed red bricks around the base of a tree. One brick was observed with a sharp edge. .0601(c) 721 All equipment and furnishings were not in good repair. A red tire on the toddler playground was observed to have a hole in the rubber that was sharp. The playhouse on the shutter is missing a brace to hold the shutter in place, leaving a sharp hole exposed. Indoors we observed a three drawer cabinet in the bathroom between Space 3 and 4 that did not close properly, drawers were off track and could pinch fingers. In Space two a cabinet door on the diaper changing station did not latch properly and was causing a pinch point. In Space 5 the pretend refrigerator in the dramatic play area had a broken door handle. G.S. 110-91(6); .0601(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Two diaper creams (one in Space 1 and one in Space 3) did not have written permission to administer. Bug repellent in Space 2 did not have written permission to administer. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. One diaper cream in Space in Space 3 expired in April 2024. 10A NCAC 09 .0803(1)(d) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. While in Space 3, which serves 2 year olds, we observed foam blocks on the shelf in the block center, several had bites on them, also in the art area on the shelf accessible to children we observed soft foam sponges accessible. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. The staff in the infant room did not accurate document the visual safe sleep checks. They begin stating a child was placed on their side to sleep. The staff stated she placed the child on their back in the crib but the infant immediately rolled to their side. She did not start the document noting she placed the child on their back to rest. .0606(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One staff hired 6-5-2017 completed Recognizing and Responding to Suspicions of maltreatment on 6/16/18 and did not complete it again by 6/16/23. She completed it on 3/4/24. .1103(b) Compliance Letter Childcare providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today shall be corrected immediately. Satonya Williams, interim administrator, will email a compliance letter explaining how each violation cited today has been corrected. The compliance letter must be received by the consultant, andrea.anderson@dhhs.nc.gov, on or before May 28, 2024. Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Technical Assistance was provided on the following: Health and Safety Trainings: I discussed keeping the Health and Safety Training logs current, it will help you maintain compliance with the trainings. I also reminded you that Recognizing and Responding to Suspicions of Maltreatment is a required health and safety topic that must be completed within 90 days of hire and within the every five years the staff member is employed with you. Items in Poor Repair - I encourage you to implement a classroom opening checklist and add items in good repair on the list, this will help staff check their material and equipment each morning to ensure the room is ready for children to use. If you can not repair/replace/remove the item immediately then you need to make it inaccessible until it can be repaired/removed or replaced. Medications: I encourage you to implement a system where all medications come through the administrators prior to accepting any medication on site. Teachers have a lot to do to greet children, engage them in play and supervise them; it can be difficult for them to talk to the parent, accept medication and make sure all required medication requirements have been completed in order to allow the medication to stay on premise. Once you ensure all information is accurate and you accept the medication, add the information to a master list you keep in the office and take the medication and permission to administer to the classroom and review instructions with them. They can check them monthly to ensure medication or their permission do not expire. Visual Safe Sleep: I spoke with your infant staff. Once the staff places the infant in the crib for rest, she must place them on their back and start the visual safe sleep documentation at that time. If they immediately roll, you will still note the position you placed them in and you can make a notation that they immediately rolled or at the next check within 15 minutes you will document the position you see them in at that time. Unless you have a waiver on file all infants must be placed on their back to rest. The visual safe sleep documents begin the moment you place the infant in the crib for rest. If you have any questions please contact me: Andrea Anderson 12233 Royal Castle Ct Charlotte, NC 28277 andrea.anderson@dhhs.nc.gov (704)594-0039 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: THE CENTER FOR CHILDREN COTTAGE Facility ID: 60003487 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 5/14/2024 Number Present: 35 Completed Date: 5/14/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 01:45 PM 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 compliance of applicable childcare requirements during the annual compliance visit. Lisa Eddins-Smith, Childcare Consultant accompanied me today. The facility has a Five Star Rated License with an effective date of July 26, 2022. The facility’s 18-month compliance history score before today’s visit was 86%. Upon arrival, we were greeted by Cheri Peebles, Toddler Teacher and we spoke with Interim Director Satonya Williams who was in another building. We stated the reason for the visit. We let her know that we would start the walk through of the facility with Ms. Peebles. The Annual Compliance Monitoring Checklist for Child Care Centers and The Division of Child Development and Early Education’s 2024 March Items Listing was used to conduct the monitoring visit. During the walk through we observed children participating in personal care routines, rest time and transitions. Staff members were observed supervising rest time and personal care routines. Enhanced staff/child ratios were observed meeting compliance. We did not observe any discipline issues. Infants were observed having tummy time with staff engaging them in activities. Nurturing tones were heard as staff spoke to children as they began to rest or were waking up. The last approved fire inspection was conducted June 2, 2023. The last sanitation inspection was conducted on April 28,2024, with six demerits and a Superior rating. The last fire drill was conducted on April 30, 2024. A shelter-in-place drill was conducted on March 7, 2024. Outdoor safety inspections were monitored today and are occurring monthly as required. Incident logs were reviewed and found meeting compliance. Ten percent of the children’s records were reviewed today. Children’s files were found to be in compliance. I received a copy of the Staff and Training Worksheets today. All staff files were monitored. There were no new hires since the Routine Unannounced visit conducted on March 7, 2024. There was one substitute here today, we reviewed the file and it was found in compliance. The Head Pastor has a CBC Qualifying Letter on file. Medications were reviewed, please see violation section and technical assistance portion of today's document. The following violations were cited today: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In Space 4, the current activity plan did not provide all required information. The second page that lists activities for the interest centers was missing. GS 110-91(12); .0508(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. On the toddler playground I observed red bricks around the base of a tree. One brick was observed with a sharp edge. .0601(c) 721 All equipment and furnishings were not in good repair. A red tire on the toddler playground was observed to have a hole in the rubber that was sharp. The playhouse on the shutter is missing a brace to hold the shutter in place, leaving a sharp hole exposed. Indoors we observed a three drawer cabinet in the bathroom between Space 3 and 4 that did not close properly, drawers were off track and could pinch fingers. In Space two a cabinet door on the diaper changing station did not latch properly and was causing a pinch point. In Space 5 the pretend refrigerator in the dramatic play area had a broken door handle. G.S. 110-91(6); .0601(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Two diaper creams (one in Space 1 and one in Space 3) did not have written permission to administer. Bug repellent in Space 2 did not have written permission to administer. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. One diaper cream in Space in Space 3 expired in April 2024. 10A NCAC 09 .0803(1)(d) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. While in Space 3, which serves 2 year olds, we observed foam blocks on the shelf in the block center, several had bites on them, also in the art area on the shelf accessible to children we observed soft foam sponges accessible. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. The staff in the infant room did not accurate document the visual safe sleep checks. They begin stating a child was placed on their side to sleep. The staff stated she placed the child on their back in the crib but the infant immediately rolled to their side. She did not start the document noting she placed the child on their back to rest. .0606(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One staff hired 6-5-2017 completed Recognizing and Responding to Suspicions of maltreatment on 6/16/18 and did not complete it again by 6/16/23. She completed it on 3/4/24. .1103(b) Compliance Letter Childcare providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today shall be corrected immediately. Satonya Williams, interim administrator, will email a compliance letter explaining how each violation cited today has been corrected. The compliance letter must be received by the consultant, andrea.anderson@dhhs.nc.gov, on or before May 28, 2024. Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Technical Assistance was provided on the following: Health and Safety Trainings: I discussed keeping the Health and Safety Training logs current, it will help you maintain compliance with the trainings. I also reminded you that Recognizing and Responding to Suspicions of Maltreatment is a required health and safety topic that must be completed within 90 days of hire and within the every five years the staff member is employed with you. Items in Poor Repair - I encourage you to implement a classroom opening checklist and add items in good repair on the list, this will help staff check their material and equipment each morning to ensure the room is ready for children to use. If you can not repair/replace/remove the item immediately then you need to make it inaccessible until it can be repaired/removed or replaced. Medications: I encourage you to implement a system where all medications come through the administrators prior to accepting any medication on site. Teachers have a lot to do to greet children, engage them in play and supervise them; it can be difficult for them to talk to the parent, accept medication and make sure all required medication requirements have been completed in order to allow the medication to stay on premise. Once you ensure all information is accurate and you accept the medication, add the information to a master list you keep in the office and take the medication and permission to administer to the classroom and review instructions with them. They can check them monthly to ensure medication or their permission do not expire. Visual Safe Sleep: I spoke with your infant staff. Once the staff places the infant in the crib for rest, she must place them on their back and start the visual safe sleep documentation at that time. If they immediately roll, you will still note the position you placed them in and you can make a notation that they immediately rolled or at the next check within 15 minutes you will document the position you see them in at that time. Unless you have a waiver on file all infants must be placed on their back to rest. The visual safe sleep documents begin the moment you place the infant in the crib for rest. If you have any questions please contact me: Andrea Anderson 12233 Royal Castle Ct Charlotte, NC 28277 andrea.anderson@dhhs.nc.gov (704)594-0039 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: THE CENTER FOR CHILDREN COTTAGE Facility ID: 60003487 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 5/14/2024 Number Present: 35 Completed Date: 5/14/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 01:45 PM 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 compliance of applicable childcare requirements during the annual compliance visit. Lisa Eddins-Smith, Childcare Consultant accompanied me today. The facility has a Five Star Rated License with an effective date of July 26, 2022. The facility’s 18-month compliance history score before today’s visit was 86%. Upon arrival, we were greeted by Cheri Peebles, Toddler Teacher and we spoke with Interim Director Satonya Williams who was in another building. We stated the reason for the visit. We let her know that we would start the walk through of the facility with Ms. Peebles. The Annual Compliance Monitoring Checklist for Child Care Centers and The Division of Child Development and Early Education’s 2024 March Items Listing was used to conduct the monitoring visit. During the walk through we observed children participating in personal care routines, rest time and transitions. Staff members were observed supervising rest time and personal care routines. Enhanced staff/child ratios were observed meeting compliance. We did not observe any discipline issues. Infants were observed having tummy time with staff engaging them in activities. Nurturing tones were heard as staff spoke to children as they began to rest or were waking up. The last approved fire inspection was conducted June 2, 2023. The last sanitation inspection was conducted on April 28,2024, with six demerits and a Superior rating. The last fire drill was conducted on April 30, 2024. A shelter-in-place drill was conducted on March 7, 2024. Outdoor safety inspections were monitored today and are occurring monthly as required. Incident logs were reviewed and found meeting compliance. Ten percent of the children’s records were reviewed today. Children’s files were found to be in compliance. I received a copy of the Staff and Training Worksheets today. All staff files were monitored. There were no new hires since the Routine Unannounced visit conducted on March 7, 2024. There was one substitute here today, we reviewed the file and it was found in compliance. The Head Pastor has a CBC Qualifying Letter on file. Medications were reviewed, please see violation section and technical assistance portion of today's document. The following violations were cited today: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In Space 4, the current activity plan did not provide all required information. The second page that lists activities for the interest centers was missing. GS 110-91(12); .0508(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. On the toddler playground I observed red bricks around the base of a tree. One brick was observed with a sharp edge. .0601(c) 721 All equipment and furnishings were not in good repair. A red tire on the toddler playground was observed to have a hole in the rubber that was sharp. The playhouse on the shutter is missing a brace to hold the shutter in place, leaving a sharp hole exposed. Indoors we observed a three drawer cabinet in the bathroom between Space 3 and 4 that did not close properly, drawers were off track and could pinch fingers. In Space two a cabinet door on the diaper changing station did not latch properly and was causing a pinch point. In Space 5 the pretend refrigerator in the dramatic play area had a broken door handle. G.S. 110-91(6); .0601(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Two diaper creams (one in Space 1 and one in Space 3) did not have written permission to administer. Bug repellent in Space 2 did not have written permission to administer. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. One diaper cream in Space in Space 3 expired in April 2024. 10A NCAC 09 .0803(1)(d) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. While in Space 3, which serves 2 year olds, we observed foam blocks on the shelf in the block center, several had bites on them, also in the art area on the shelf accessible to children we observed soft foam sponges accessible. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. The staff in the infant room did not accurate document the visual safe sleep checks. They begin stating a child was placed on their side to sleep. The staff stated she placed the child on their back in the crib but the infant immediately rolled to their side. She did not start the document noting she placed the child on their back to rest. .0606(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One staff hired 6-5-2017 completed Recognizing and Responding to Suspicions of maltreatment on 6/16/18 and did not complete it again by 6/16/23. She completed it on 3/4/24. .1103(b) Compliance Letter Childcare providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today shall be corrected immediately. Satonya Williams, interim administrator, will email a compliance letter explaining how each violation cited today has been corrected. The compliance letter must be received by the consultant, andrea.anderson@dhhs.nc.gov, on or before May 28, 2024. Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Technical Assistance was provided on the following: Health and Safety Trainings: I discussed keeping the Health and Safety Training logs current, it will help you maintain compliance with the trainings. I also reminded you that Recognizing and Responding to Suspicions of Maltreatment is a required health and safety topic that must be completed within 90 days of hire and within the every five years the staff member is employed with you. Items in Poor Repair - I encourage you to implement a classroom opening checklist and add items in good repair on the list, this will help staff check their material and equipment each morning to ensure the room is ready for children to use. If you can not repair/replace/remove the item immediately then you need to make it inaccessible until it can be repaired/removed or replaced. Medications: I encourage you to implement a system where all medications come through the administrators prior to accepting any medication on site. Teachers have a lot to do to greet children, engage them in play and supervise them; it can be difficult for them to talk to the parent, accept medication and make sure all required medication requirements have been completed in order to allow the medication to stay on premise. Once you ensure all information is accurate and you accept the medication, add the information to a master list you keep in the office and take the medication and permission to administer to the classroom and review instructions with them. They can check them monthly to ensure medication or their permission do not expire. Visual Safe Sleep: I spoke with your infant staff. Once the staff places the infant in the crib for rest, she must place them on their back and start the visual safe sleep documentation at that time. If they immediately roll, you will still note the position you placed them in and you can make a notation that they immediately rolled or at the next check within 15 minutes you will document the position you see them in at that time. Unless you have a waiver on file all infants must be placed on their back to rest. The visual safe sleep documents begin the moment you place the infant in the crib for rest. If you have any questions please contact me: Andrea Anderson 12233 Royal Castle Ct Charlotte, NC 28277 andrea.anderson@dhhs.nc.gov (704)594-0039 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: THE CENTER FOR CHILDREN COTTAGE Facility ID: 60003487 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 5/14/2024 Number Present: 35 Completed Date: 5/14/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 01:45 PM 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 compliance of applicable childcare requirements during the annual compliance visit. Lisa Eddins-Smith, Childcare Consultant accompanied me today. The facility has a Five Star Rated License with an effective date of July 26, 2022. The facility’s 18-month compliance history score before today’s visit was 86%. Upon arrival, we were greeted by Cheri Peebles, Toddler Teacher and we spoke with Interim Director Satonya Williams who was in another building. We stated the reason for the visit. We let her know that we would start the walk through of the facility with Ms. Peebles. The Annual Compliance Monitoring Checklist for Child Care Centers and The Division of Child Development and Early Education’s 2024 March Items Listing was used to conduct the monitoring visit. During the walk through we observed children participating in personal care routines, rest time and transitions. Staff members were observed supervising rest time and personal care routines. Enhanced staff/child ratios were observed meeting compliance. We did not observe any discipline issues. Infants were observed having tummy time with staff engaging them in activities. Nurturing tones were heard as staff spoke to children as they began to rest or were waking up. The last approved fire inspection was conducted June 2, 2023. The last sanitation inspection was conducted on April 28,2024, with six demerits and a Superior rating. The last fire drill was conducted on April 30, 2024. A shelter-in-place drill was conducted on March 7, 2024. Outdoor safety inspections were monitored today and are occurring monthly as required. Incident logs were reviewed and found meeting compliance. Ten percent of the children’s records were reviewed today. Children’s files were found to be in compliance. I received a copy of the Staff and Training Worksheets today. All staff files were monitored. There were no new hires since the Routine Unannounced visit conducted on March 7, 2024. There was one substitute here today, we reviewed the file and it was found in compliance. The Head Pastor has a CBC Qualifying Letter on file. Medications were reviewed, please see violation section and technical assistance portion of today's document. The following violations were cited today: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In Space 4, the current activity plan did not provide all required information. The second page that lists activities for the interest centers was missing. GS 110-91(12); .0508(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. On the toddler playground I observed red bricks around the base of a tree. One brick was observed with a sharp edge. .0601(c) 721 All equipment and furnishings were not in good repair. A red tire on the toddler playground was observed to have a hole in the rubber that was sharp. The playhouse on the shutter is missing a brace to hold the shutter in place, leaving a sharp hole exposed. Indoors we observed a three drawer cabinet in the bathroom between Space 3 and 4 that did not close properly, drawers were off track and could pinch fingers. In Space two a cabinet door on the diaper changing station did not latch properly and was causing a pinch point. In Space 5 the pretend refrigerator in the dramatic play area had a broken door handle. G.S. 110-91(6); .0601(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Two diaper creams (one in Space 1 and one in Space 3) did not have written permission to administer. Bug repellent in Space 2 did not have written permission to administer. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. One diaper cream in Space in Space 3 expired in April 2024. 10A NCAC 09 .0803(1)(d) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. While in Space 3, which serves 2 year olds, we observed foam blocks on the shelf in the block center, several had bites on them, also in the art area on the shelf accessible to children we observed soft foam sponges accessible. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. The staff in the infant room did not accurate document the visual safe sleep checks. They begin stating a child was placed on their side to sleep. The staff stated she placed the child on their back in the crib but the infant immediately rolled to their side. She did not start the document noting she placed the child on their back to rest. .0606(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One staff hired 6-5-2017 completed Recognizing and Responding to Suspicions of maltreatment on 6/16/18 and did not complete it again by 6/16/23. She completed it on 3/4/24. .1103(b) Compliance Letter Childcare providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today shall be corrected immediately. Satonya Williams, interim administrator, will email a compliance letter explaining how each violation cited today has been corrected. The compliance letter must be received by the consultant, andrea.anderson@dhhs.nc.gov, on or before May 28, 2024. Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Technical Assistance was provided on the following: Health and Safety Trainings: I discussed keeping the Health and Safety Training logs current, it will help you maintain compliance with the trainings. I also reminded you that Recognizing and Responding to Suspicions of Maltreatment is a required health and safety topic that must be completed within 90 days of hire and within the every five years the staff member is employed with you. Items in Poor Repair - I encourage you to implement a classroom opening checklist and add items in good repair on the list, this will help staff check their material and equipment each morning to ensure the room is ready for children to use. If you can not repair/replace/remove the item immediately then you need to make it inaccessible until it can be repaired/removed or replaced. Medications: I encourage you to implement a system where all medications come through the administrators prior to accepting any medication on site. Teachers have a lot to do to greet children, engage them in play and supervise them; it can be difficult for them to talk to the parent, accept medication and make sure all required medication requirements have been completed in order to allow the medication to stay on premise. Once you ensure all information is accurate and you accept the medication, add the information to a master list you keep in the office and take the medication and permission to administer to the classroom and review instructions with them. They can check them monthly to ensure medication or their permission do not expire. Visual Safe Sleep: I spoke with your infant staff. Once the staff places the infant in the crib for rest, she must place them on their back and start the visual safe sleep documentation at that time. If they immediately roll, you will still note the position you placed them in and you can make a notation that they immediately rolled or at the next check within 15 minutes you will document the position you see them in at that time. Unless you have a waiver on file all infants must be placed on their back to rest. The visual safe sleep documents begin the moment you place the infant in the crib for rest. If you have any questions please contact me: Andrea Anderson 12233 Royal Castle Ct Charlotte, NC 28277 andrea.anderson@dhhs.nc.gov (704)594-0039 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times