10A NCAC 09 .0902 · Violation

Name of Operation: THE GODDARD SCHOOL AT MALLARD CREEK Facility ID: 60003867 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: 0526-161L Visit Date: 5/14/2026 Number Present: 112 Completed Date: 5/14/2026 Age: From 0 To 5 Total Minutes: 170 Time In: 03:00 PM Time Out: 05:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced A handwritten visit summary was left today due to the center closing at 6:00 pm and the visit summary was unable to be completed prior the 6:00 pm The director had an appointment and left the center at 5:30 pm. I explained to Ms. Threadgill that I would return tomorrow to review the entire visit summary. I reviewed the item numbers of violations cited today with the assistant director. Violations are noted in the violation listing of this summary. The following was completed in the office: The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements specific to nutrition/ infant feeding. Upon arrival I was greeted by Ms. Jennifer Threadgill, Director, and I explained the purpose of the visit. The following was discussed: On 5/11/26 a report was received stating that infants were served the wrong bottles throughout the year. Infants were served the wrong breastmilk, and an infant was served the wrong formula. Dates of the incidents were not provided in the report. Ms. Threadgill stated there was an incident that occurred on 2/20/26 when an infant was given another child’s breastmilk. She stated the parent provided a bottle of breastmilk with a lid instead of a nipple. The bottle was not labeled and placed in another child’s container in the refrigerator. She stated the teacher took the bottle out of the container and poured the breastmilk into an empty bottle labeled with the child’s name on the container and fed the child the 4 oz. She stated when the error was discovered it was reported to administration and both parents were informed. She stated she called the Mecklenburg County Health Department, and she was provided with instructions for both parents. She stated there was no documentation of the error in the form of an incident report. Ms. Threadgill also stated that on 5/4/26 a parent reported her child was fed another child’s bottle because she was sent home with two (2) empty bottles and two (2) full bottles. The mother believed the infant would be crying for a bottle at pick up if she had only eaten two (2) bottles that day. Ms. Threadgill stated she asked staff if they fed the infant the wrong bottle and staff reported they did not. She said staff reported the child slept through her feeding time and they did not wake her for a bottle. She stated she confirmed all bottles had been given to the correct child by looking at the Goddard Family Hub used for daily communication with parents. I reviewed the child’s infant feeding plan, and the instructions stated the child should receive a 4 oz. bottle every 2.5 to 3 hours. I reviewed safe sleep checks from 5/4/26 and it was noted the child was awake at 1:00 pm and did not sleep again the rest of the day. I reviewed the Goddard Family Hub and it showed the child received her second bottle at 10:37 am and no additional bottles were given. The child was signed out of care at 4:04 pm. Ms. Threadgill stated staffing changes were made in the infant room after the 2/20/26 incident. She stated there was an additional staffing change that occurred on 5/11/26 in that room and she was currently hiring for a replacement. She stated the classroom was in ratio with one (1) teacher this week and that she had one (1) floater assigned to the classroom to cover breaks and that the infant feeding procedure was reviewed with the floater. I observed a bottle being warmed and given today. The bottle contained breastmilk and was heated in the designated bottle warmer for breastmilk. The employee called out the name on the bottle to the other teacher and the name of the infant she planned to feed. The employee wore gloves as she fed the infant. It was reported that the Goddard Family Hub had a place for staff to input reminders for diapering and feeding. I observed the name of the child being fed highlighted in red indicating it was time for a bottle. Based on interviews and observations it was determined the concern that nutrition/infant feeding requirements were not being met was confirmed. I conducted a walkthrough of the facility unaccompanied. Children were observed eating snack, preparing to go outside, and participating in free choice play. All classrooms met staff/child ratio requirements. I sat in the conference room to complete the visit summary. Space 10 shared a wall with the conference room. I heard a child crying and a teacher say to the child “I'm going to call your daddy if you don't stop crying." Her tone was harsh and her voice was raised. I requested for Ms. E. Lewis, Assistant Director, to come and sit in the conference room and listen to the teacher’s tone and volume. She agreed it was inappropriate and she addressed the concern with the teacher. I also informed Ms. Threadgill of the inappropriate interaction. While entering violations I heard Ms. Threadgill speaking to an individual at the front of the center. I heard her say she would review camera footage from yesterday. I was unable to make out what the other individual said. I asked Ms. Threadgill if everything was ok and she stated an individual from the community reported seeing a teacher push a child down on the playground yesterday afternoon at around 4:30 pm as he drove past the center. She asked why he didn’t report it yesterday and he stated his co-worker made him come to the center today to report it after he told her what he saw. The co-worker was with him today. Ms. Threadgill stated the individual wanted to come into the center and point out the teacher. Ms. Threadgill refused him entry as he did not have a child enrolled at the center but assured him, she would review the footage. She said he described the individual. The woman who was with the reporter provided her name and phone number as he would not provide his information. Both left the premises. Ms. Threadgill stated she would review the footage and that there was not an employee with the hairstyle he described at the center. I returned to the conference room and called Amy Italiano, Licensing Supervisor, to inform her of the new report. She asked for additional information and requested I review the footage with Ms. Threadgill. I went to find Ms. Threadgill and as I walked to each classroom I observed a teacher with the described hairstyle. I informed Ms. Threadgill of my observation. She stated she forgot that the teacher had that hairstyle and was thinking of another employee who recently changed her hair. We reviewed the footage together in the office and observed the following: Video footage was reviewed of the toddler playground beginning at 4:27 pm. One (1) classroom was on the playground when the review began. At 4:37 pm children from Space 5 were observed entering the playground. The teacher was observed conducting name-to-face headcounts as children entered the playground. The teacher walked to the covered part of the playground where she was observed standing across from the other teacher underneath the awning. Children were observed playing throughout the playground. The teacher from Space 5 briefly walked to the corner of the playground and then returned to the covered section. A small group of children was observed playing next to and on top of a small table located near the camera. Two (2) children were observed standing on top of the table. The teacher from Space 5 walked towards the children carrying her shoe in one hand as they got down from the table. She grabbed one (1) of the children by the arm and pulled the child to the sidewalk. She pushed the child to the ground to sit against the wall of the building. She then walked to the second child and grabbed him by the arm as she turned him back towards the sidewalk. She then pulled him to the sidewalk and pushed him down to sit against the wall of the building. This occurred at 4:41 pm. There was no volume on the video footage. She walked away from the children and back towards the covered area where she was observed talking to the other teacher and clapped her hands three (3) times as she spoke. She returned to the covered area where another child was observed using a chair as a push toy. Ms. Threadgill stated the child was visually impaired. The child pushed the chair next to where the teacher from Space 5 was standing. She pulled the chair away from the child which resulted in the child falling forward to the ground. The teacher then put her foot on the chair and leaned down to tie her shoe. After tying her shoe, she turned away from the child who then reached for the chair and began using it as a push toy again. The children who sat against the wall remained at the wall for five (5) minutes before they got up on their own and began playing again. The teacher never came back to talk to the children after putting them in what appeared to be “time out.” Based on what was observed five (5) additional violations unrelated to the initial complaint report were cited. An additional violation related to the initial complaint was added regarding labeling infant bottles. Ms. Threadgill reported she showed the teacher the camera footage after we reviewed it and the teacher stated she did not think what she did was inappropriate. Ms. Threadgill stated the employee was terminated. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Camera footage of the toddler playground from 5/13/26 was reviewed. Two (2) teachers were observed standing together under the covered play equipment talking. One and two year old children were present on the playground. Two children were observed standing on top of tables opposite of where the teachers were grouped together. Teachers did not supervise children in the assigned positions on the playground and did not actively supervise children as they played. .1801(a)(1-5) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. It was reported that on 2/20/26 a bottle of breastmilk given to the wrong infant due to the container not being labeled with the child's name and date. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence. On 5/4/26 an infant did not receive a bottle every 2.5 - 3 hours as instructed on the feeding plan. The last bottle provided to the infant was at 10:37 am and the child was signed out at 4:04 pm that day. 10A NCAC 09 .0902(a) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. Camera footage of the toddler playground from 5/13/26 was reviewed. A child who was visually impaired was observed using a chair as a push toy. The teacher from Space 5 pulled the chair away from the child which resulted in the child falling forward to the ground. The teacher then put her foot on the chair and leaned down to tie her shoe. After tying her shoe she turned away from the child who reached for the chair and began using it again as a push toy. G.S. 110-91(10) 904 A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. Camera footage from 5/13/26 showed a teacher from Space 5 grab a child by the arm and pull the child to the sidewalk. She pushed the child to the ground to sit against the wall of the building. The same teacher grabbed a second child by the arm and turn him back to the sidewalk. She pulled him to the sidewalk and pushed him down to sit against the wall of the building. .1803(a)(1) 908 Discipline was not appropriate for the child's age and development. Camera footage of the toddler playground from 5/13/26 was reviewed. A teacher from Space 5 placed two (2) children aged two years old against the wall for "time out" at 4:41 pm. The children sat for five (5) minutes before getting up on their own. The teacher never came back to talk to the children after sitting them against the wall. .1803(b) 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. A teacher in Space 10 was heard threatening a child using a raised voice saying "I'm going to call your daddy if you don't stop crying." .1803(a)(9) 1887 Each infant was not served only bottles labeled with their individual name. On 2/20/26 an infant was given 4 oz. of another infant's breast milk. .0902(d) Corrective Action: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Thursday, May 28, 2026. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Email the information to: Jennifer Stansfield, Child Care Consultant Jennifer.stansfield@dhhs.nc.gov The emailed compliance letter must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct repeated violations within the timeframe could be considered willful non-compliance and an additional administrative action may be recommended. An unannounced follow-up visit will be conducted to verify compliance with discipline. Technical Assistance/General Comments: - I recommend reaching out to the Mecklenburg County Health Consultants and request a technical assistance visit regarding infant feeding. - I recommend searching for training regarding classroom management, conscious discipline, or positive guidance. I also recommend spending time walking throughout the building and listening to staff interactions with children to address inappropriate tones. Staff may not threaten to call a child’s parent to “make” them behave. 10A NCAC 09 .1803 PROHIBITED DISCIPLINE IN CHILD CARE CENTERS (a) No child shall be subjected to any form of corporal punishment by the owner, operator, director, or staff of any child care center. For purposes of this Rule, "staff" shall mean any regular or substitute caregiver, any volunteer, and any auxiliary personnel, including cooks, secretaries, janitors, maids, or vehicle drivers. The following shall apply at all child care centers: (1) no child shall be handled roughly in any way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking; (2) no child shall be placed in a locked room, closet, or box or be left alone in a room separated from staff; (3) no discipline shall be delegated to another child; (4) no food shall be withheld as punishment or given as a means of reward; (5) no child shall be disciplined for toileting accidents; (6) no child shall be disciplined for not sleeping during rest period; (7) no child shall be disciplined by assigning chores that require contact with or use of hazardous materials, such as cleaning bathrooms, floors, or emptying diaper pails; (8) physical activity, such as running laps and doing push-ups, shall not be withheld as punishment or required as punishment; (9) no child shall be yelled at, shamed, humiliated, frightened, threatened, or bullied; and (10) no child shall be restrained as a form of discipline unless the child's safety or the safety of others is at risk. For purposes of this Rule, "restraining" shall mean that a caregiver physically holds a child in a manner that restricts the child's movement, for a minimum amount of time necessary to ensure a safe environment. Notwithstanding any other provision of this Rule, no child shall be restrained through the use of heavy objects, including a caregiver's body, or any device such as straps, blankets, car seats, or cribs. (b) Discipline practices shall be age and developmentally appropriate. - Adequate supervision means actively supervising children by walking around the classroom or play area while interacting with children. I recommend for administration to conduct walk throughs when children are on the playground to ensure staff are positioned where children can be seen or heard at all times and render immediate assistance if needed. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. You may also contact Amy Italiano, Licensing Supervisor, at amy.italiano@dhhs.nc.gov or 704-936-6065. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1801 · Violation

Name of Operation: THE GODDARD SCHOOL AT MALLARD CREEK Facility ID: 60003867 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: 0526-161L Visit Date: 5/14/2026 Number Present: 112 Completed Date: 5/14/2026 Age: From 0 To 5 Total Minutes: 170 Time In: 03:00 PM Time Out: 05:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced A handwritten visit summary was left today due to the center closing at 6:00 pm and the visit summary was unable to be completed prior the 6:00 pm The director had an appointment and left the center at 5:30 pm. I explained to Ms. Threadgill that I would return tomorrow to review the entire visit summary. I reviewed the item numbers of violations cited today with the assistant director. Violations are noted in the violation listing of this summary. The following was completed in the office: The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements specific to nutrition/ infant feeding. Upon arrival I was greeted by Ms. Jennifer Threadgill, Director, and I explained the purpose of the visit. The following was discussed: On 5/11/26 a report was received stating that infants were served the wrong bottles throughout the year. Infants were served the wrong breastmilk, and an infant was served the wrong formula. Dates of the incidents were not provided in the report. Ms. Threadgill stated there was an incident that occurred on 2/20/26 when an infant was given another child’s breastmilk. She stated the parent provided a bottle of breastmilk with a lid instead of a nipple. The bottle was not labeled and placed in another child’s container in the refrigerator. She stated the teacher took the bottle out of the container and poured the breastmilk into an empty bottle labeled with the child’s name on the container and fed the child the 4 oz. She stated when the error was discovered it was reported to administration and both parents were informed. She stated she called the Mecklenburg County Health Department, and she was provided with instructions for both parents. She stated there was no documentation of the error in the form of an incident report. Ms. Threadgill also stated that on 5/4/26 a parent reported her child was fed another child’s bottle because she was sent home with two (2) empty bottles and two (2) full bottles. The mother believed the infant would be crying for a bottle at pick up if she had only eaten two (2) bottles that day. Ms. Threadgill stated she asked staff if they fed the infant the wrong bottle and staff reported they did not. She said staff reported the child slept through her feeding time and they did not wake her for a bottle. She stated she confirmed all bottles had been given to the correct child by looking at the Goddard Family Hub used for daily communication with parents. I reviewed the child’s infant feeding plan, and the instructions stated the child should receive a 4 oz. bottle every 2.5 to 3 hours. I reviewed safe sleep checks from 5/4/26 and it was noted the child was awake at 1:00 pm and did not sleep again the rest of the day. I reviewed the Goddard Family Hub and it showed the child received her second bottle at 10:37 am and no additional bottles were given. The child was signed out of care at 4:04 pm. Ms. Threadgill stated staffing changes were made in the infant room after the 2/20/26 incident. She stated there was an additional staffing change that occurred on 5/11/26 in that room and she was currently hiring for a replacement. She stated the classroom was in ratio with one (1) teacher this week and that she had one (1) floater assigned to the classroom to cover breaks and that the infant feeding procedure was reviewed with the floater. I observed a bottle being warmed and given today. The bottle contained breastmilk and was heated in the designated bottle warmer for breastmilk. The employee called out the name on the bottle to the other teacher and the name of the infant she planned to feed. The employee wore gloves as she fed the infant. It was reported that the Goddard Family Hub had a place for staff to input reminders for diapering and feeding. I observed the name of the child being fed highlighted in red indicating it was time for a bottle. Based on interviews and observations it was determined the concern that nutrition/infant feeding requirements were not being met was confirmed. I conducted a walkthrough of the facility unaccompanied. Children were observed eating snack, preparing to go outside, and participating in free choice play. All classrooms met staff/child ratio requirements. I sat in the conference room to complete the visit summary. Space 10 shared a wall with the conference room. I heard a child crying and a teacher say to the child “I'm going to call your daddy if you don't stop crying." Her tone was harsh and her voice was raised. I requested for Ms. E. Lewis, Assistant Director, to come and sit in the conference room and listen to the teacher’s tone and volume. She agreed it was inappropriate and she addressed the concern with the teacher. I also informed Ms. Threadgill of the inappropriate interaction. While entering violations I heard Ms. Threadgill speaking to an individual at the front of the center. I heard her say she would review camera footage from yesterday. I was unable to make out what the other individual said. I asked Ms. Threadgill if everything was ok and she stated an individual from the community reported seeing a teacher push a child down on the playground yesterday afternoon at around 4:30 pm as he drove past the center. She asked why he didn’t report it yesterday and he stated his co-worker made him come to the center today to report it after he told her what he saw. The co-worker was with him today. Ms. Threadgill stated the individual wanted to come into the center and point out the teacher. Ms. Threadgill refused him entry as he did not have a child enrolled at the center but assured him, she would review the footage. She said he described the individual. The woman who was with the reporter provided her name and phone number as he would not provide his information. Both left the premises. Ms. Threadgill stated she would review the footage and that there was not an employee with the hairstyle he described at the center. I returned to the conference room and called Amy Italiano, Licensing Supervisor, to inform her of the new report. She asked for additional information and requested I review the footage with Ms. Threadgill. I went to find Ms. Threadgill and as I walked to each classroom I observed a teacher with the described hairstyle. I informed Ms. Threadgill of my observation. She stated she forgot that the teacher had that hairstyle and was thinking of another employee who recently changed her hair. We reviewed the footage together in the office and observed the following: Video footage was reviewed of the toddler playground beginning at 4:27 pm. One (1) classroom was on the playground when the review began. At 4:37 pm children from Space 5 were observed entering the playground. The teacher was observed conducting name-to-face headcounts as children entered the playground. The teacher walked to the covered part of the playground where she was observed standing across from the other teacher underneath the awning. Children were observed playing throughout the playground. The teacher from Space 5 briefly walked to the corner of the playground and then returned to the covered section. A small group of children was observed playing next to and on top of a small table located near the camera. Two (2) children were observed standing on top of the table. The teacher from Space 5 walked towards the children carrying her shoe in one hand as they got down from the table. She grabbed one (1) of the children by the arm and pulled the child to the sidewalk. She pushed the child to the ground to sit against the wall of the building. She then walked to the second child and grabbed him by the arm as she turned him back towards the sidewalk. She then pulled him to the sidewalk and pushed him down to sit against the wall of the building. This occurred at 4:41 pm. There was no volume on the video footage. She walked away from the children and back towards the covered area where she was observed talking to the other teacher and clapped her hands three (3) times as she spoke. She returned to the covered area where another child was observed using a chair as a push toy. Ms. Threadgill stated the child was visually impaired. The child pushed the chair next to where the teacher from Space 5 was standing. She pulled the chair away from the child which resulted in the child falling forward to the ground. The teacher then put her foot on the chair and leaned down to tie her shoe. After tying her shoe, she turned away from the child who then reached for the chair and began using it as a push toy again. The children who sat against the wall remained at the wall for five (5) minutes before they got up on their own and began playing again. The teacher never came back to talk to the children after putting them in what appeared to be “time out.” Based on what was observed five (5) additional violations unrelated to the initial complaint report were cited. An additional violation related to the initial complaint was added regarding labeling infant bottles. Ms. Threadgill reported she showed the teacher the camera footage after we reviewed it and the teacher stated she did not think what she did was inappropriate. Ms. Threadgill stated the employee was terminated. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Camera footage of the toddler playground from 5/13/26 was reviewed. Two (2) teachers were observed standing together under the covered play equipment talking. One and two year old children were present on the playground. Two children were observed standing on top of tables opposite of where the teachers were grouped together. Teachers did not supervise children in the assigned positions on the playground and did not actively supervise children as they played. .1801(a)(1-5) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. It was reported that on 2/20/26 a bottle of breastmilk given to the wrong infant due to the container not being labeled with the child's name and date. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence. On 5/4/26 an infant did not receive a bottle every 2.5 - 3 hours as instructed on the feeding plan. The last bottle provided to the infant was at 10:37 am and the child was signed out at 4:04 pm that day. 10A NCAC 09 .0902(a) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. Camera footage of the toddler playground from 5/13/26 was reviewed. A child who was visually impaired was observed using a chair as a push toy. The teacher from Space 5 pulled the chair away from the child which resulted in the child falling forward to the ground. The teacher then put her foot on the chair and leaned down to tie her shoe. After tying her shoe she turned away from the child who reached for the chair and began using it again as a push toy. G.S. 110-91(10) 904 A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. Camera footage from 5/13/26 showed a teacher from Space 5 grab a child by the arm and pull the child to the sidewalk. She pushed the child to the ground to sit against the wall of the building. The same teacher grabbed a second child by the arm and turn him back to the sidewalk. She pulled him to the sidewalk and pushed him down to sit against the wall of the building. .1803(a)(1) 908 Discipline was not appropriate for the child's age and development. Camera footage of the toddler playground from 5/13/26 was reviewed. A teacher from Space 5 placed two (2) children aged two years old against the wall for "time out" at 4:41 pm. The children sat for five (5) minutes before getting up on their own. The teacher never came back to talk to the children after sitting them against the wall. .1803(b) 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. A teacher in Space 10 was heard threatening a child using a raised voice saying "I'm going to call your daddy if you don't stop crying." .1803(a)(9) 1887 Each infant was not served only bottles labeled with their individual name. On 2/20/26 an infant was given 4 oz. of another infant's breast milk. .0902(d) Corrective Action: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Thursday, May 28, 2026. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Email the information to: Jennifer Stansfield, Child Care Consultant Jennifer.stansfield@dhhs.nc.gov The emailed compliance letter must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct repeated violations within the timeframe could be considered willful non-compliance and an additional administrative action may be recommended. An unannounced follow-up visit will be conducted to verify compliance with discipline. Technical Assistance/General Comments: - I recommend reaching out to the Mecklenburg County Health Consultants and request a technical assistance visit regarding infant feeding. - I recommend searching for training regarding classroom management, conscious discipline, or positive guidance. I also recommend spending time walking throughout the building and listening to staff interactions with children to address inappropriate tones. Staff may not threaten to call a child’s parent to “make” them behave. 10A NCAC 09 .1803 PROHIBITED DISCIPLINE IN CHILD CARE CENTERS (a) No child shall be subjected to any form of corporal punishment by the owner, operator, director, or staff of any child care center. For purposes of this Rule, "staff" shall mean any regular or substitute caregiver, any volunteer, and any auxiliary personnel, including cooks, secretaries, janitors, maids, or vehicle drivers. The following shall apply at all child care centers: (1) no child shall be handled roughly in any way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking; (2) no child shall be placed in a locked room, closet, or box or be left alone in a room separated from staff; (3) no discipline shall be delegated to another child; (4) no food shall be withheld as punishment or given as a means of reward; (5) no child shall be disciplined for toileting accidents; (6) no child shall be disciplined for not sleeping during rest period; (7) no child shall be disciplined by assigning chores that require contact with or use of hazardous materials, such as cleaning bathrooms, floors, or emptying diaper pails; (8) physical activity, such as running laps and doing push-ups, shall not be withheld as punishment or required as punishment; (9) no child shall be yelled at, shamed, humiliated, frightened, threatened, or bullied; and (10) no child shall be restrained as a form of discipline unless the child's safety or the safety of others is at risk. For purposes of this Rule, "restraining" shall mean that a caregiver physically holds a child in a manner that restricts the child's movement, for a minimum amount of time necessary to ensure a safe environment. Notwithstanding any other provision of this Rule, no child shall be restrained through the use of heavy objects, including a caregiver's body, or any device such as straps, blankets, car seats, or cribs. (b) Discipline practices shall be age and developmentally appropriate. - Adequate supervision means actively supervising children by walking around the classroom or play area while interacting with children. I recommend for administration to conduct walk throughs when children are on the playground to ensure staff are positioned where children can be seen or heard at all times and render immediate assistance if needed. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. You may also contact Amy Italiano, Licensing Supervisor, at amy.italiano@dhhs.nc.gov or 704-936-6065. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1803 · Violation

Name of Operation: THE GODDARD SCHOOL AT MALLARD CREEK Facility ID: 60003867 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: 0526-161L Visit Date: 5/14/2026 Number Present: 112 Completed Date: 5/14/2026 Age: From 0 To 5 Total Minutes: 170 Time In: 03:00 PM Time Out: 05:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced A handwritten visit summary was left today due to the center closing at 6:00 pm and the visit summary was unable to be completed prior the 6:00 pm The director had an appointment and left the center at 5:30 pm. I explained to Ms. Threadgill that I would return tomorrow to review the entire visit summary. I reviewed the item numbers of violations cited today with the assistant director. Violations are noted in the violation listing of this summary. The following was completed in the office: The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements specific to nutrition/ infant feeding. Upon arrival I was greeted by Ms. Jennifer Threadgill, Director, and I explained the purpose of the visit. The following was discussed: On 5/11/26 a report was received stating that infants were served the wrong bottles throughout the year. Infants were served the wrong breastmilk, and an infant was served the wrong formula. Dates of the incidents were not provided in the report. Ms. Threadgill stated there was an incident that occurred on 2/20/26 when an infant was given another child’s breastmilk. She stated the parent provided a bottle of breastmilk with a lid instead of a nipple. The bottle was not labeled and placed in another child’s container in the refrigerator. She stated the teacher took the bottle out of the container and poured the breastmilk into an empty bottle labeled with the child’s name on the container and fed the child the 4 oz. She stated when the error was discovered it was reported to administration and both parents were informed. She stated she called the Mecklenburg County Health Department, and she was provided with instructions for both parents. She stated there was no documentation of the error in the form of an incident report. Ms. Threadgill also stated that on 5/4/26 a parent reported her child was fed another child’s bottle because she was sent home with two (2) empty bottles and two (2) full bottles. The mother believed the infant would be crying for a bottle at pick up if she had only eaten two (2) bottles that day. Ms. Threadgill stated she asked staff if they fed the infant the wrong bottle and staff reported they did not. She said staff reported the child slept through her feeding time and they did not wake her for a bottle. She stated she confirmed all bottles had been given to the correct child by looking at the Goddard Family Hub used for daily communication with parents. I reviewed the child’s infant feeding plan, and the instructions stated the child should receive a 4 oz. bottle every 2.5 to 3 hours. I reviewed safe sleep checks from 5/4/26 and it was noted the child was awake at 1:00 pm and did not sleep again the rest of the day. I reviewed the Goddard Family Hub and it showed the child received her second bottle at 10:37 am and no additional bottles were given. The child was signed out of care at 4:04 pm. Ms. Threadgill stated staffing changes were made in the infant room after the 2/20/26 incident. She stated there was an additional staffing change that occurred on 5/11/26 in that room and she was currently hiring for a replacement. She stated the classroom was in ratio with one (1) teacher this week and that she had one (1) floater assigned to the classroom to cover breaks and that the infant feeding procedure was reviewed with the floater. I observed a bottle being warmed and given today. The bottle contained breastmilk and was heated in the designated bottle warmer for breastmilk. The employee called out the name on the bottle to the other teacher and the name of the infant she planned to feed. The employee wore gloves as she fed the infant. It was reported that the Goddard Family Hub had a place for staff to input reminders for diapering and feeding. I observed the name of the child being fed highlighted in red indicating it was time for a bottle. Based on interviews and observations it was determined the concern that nutrition/infant feeding requirements were not being met was confirmed. I conducted a walkthrough of the facility unaccompanied. Children were observed eating snack, preparing to go outside, and participating in free choice play. All classrooms met staff/child ratio requirements. I sat in the conference room to complete the visit summary. Space 10 shared a wall with the conference room. I heard a child crying and a teacher say to the child “I'm going to call your daddy if you don't stop crying." Her tone was harsh and her voice was raised. I requested for Ms. E. Lewis, Assistant Director, to come and sit in the conference room and listen to the teacher’s tone and volume. She agreed it was inappropriate and she addressed the concern with the teacher. I also informed Ms. Threadgill of the inappropriate interaction. While entering violations I heard Ms. Threadgill speaking to an individual at the front of the center. I heard her say she would review camera footage from yesterday. I was unable to make out what the other individual said. I asked Ms. Threadgill if everything was ok and she stated an individual from the community reported seeing a teacher push a child down on the playground yesterday afternoon at around 4:30 pm as he drove past the center. She asked why he didn’t report it yesterday and he stated his co-worker made him come to the center today to report it after he told her what he saw. The co-worker was with him today. Ms. Threadgill stated the individual wanted to come into the center and point out the teacher. Ms. Threadgill refused him entry as he did not have a child enrolled at the center but assured him, she would review the footage. She said he described the individual. The woman who was with the reporter provided her name and phone number as he would not provide his information. Both left the premises. Ms. Threadgill stated she would review the footage and that there was not an employee with the hairstyle he described at the center. I returned to the conference room and called Amy Italiano, Licensing Supervisor, to inform her of the new report. She asked for additional information and requested I review the footage with Ms. Threadgill. I went to find Ms. Threadgill and as I walked to each classroom I observed a teacher with the described hairstyle. I informed Ms. Threadgill of my observation. She stated she forgot that the teacher had that hairstyle and was thinking of another employee who recently changed her hair. We reviewed the footage together in the office and observed the following: Video footage was reviewed of the toddler playground beginning at 4:27 pm. One (1) classroom was on the playground when the review began. At 4:37 pm children from Space 5 were observed entering the playground. The teacher was observed conducting name-to-face headcounts as children entered the playground. The teacher walked to the covered part of the playground where she was observed standing across from the other teacher underneath the awning. Children were observed playing throughout the playground. The teacher from Space 5 briefly walked to the corner of the playground and then returned to the covered section. A small group of children was observed playing next to and on top of a small table located near the camera. Two (2) children were observed standing on top of the table. The teacher from Space 5 walked towards the children carrying her shoe in one hand as they got down from the table. She grabbed one (1) of the children by the arm and pulled the child to the sidewalk. She pushed the child to the ground to sit against the wall of the building. She then walked to the second child and grabbed him by the arm as she turned him back towards the sidewalk. She then pulled him to the sidewalk and pushed him down to sit against the wall of the building. This occurred at 4:41 pm. There was no volume on the video footage. She walked away from the children and back towards the covered area where she was observed talking to the other teacher and clapped her hands three (3) times as she spoke. She returned to the covered area where another child was observed using a chair as a push toy. Ms. Threadgill stated the child was visually impaired. The child pushed the chair next to where the teacher from Space 5 was standing. She pulled the chair away from the child which resulted in the child falling forward to the ground. The teacher then put her foot on the chair and leaned down to tie her shoe. After tying her shoe, she turned away from the child who then reached for the chair and began using it as a push toy again. The children who sat against the wall remained at the wall for five (5) minutes before they got up on their own and began playing again. The teacher never came back to talk to the children after putting them in what appeared to be “time out.” Based on what was observed five (5) additional violations unrelated to the initial complaint report were cited. An additional violation related to the initial complaint was added regarding labeling infant bottles. Ms. Threadgill reported she showed the teacher the camera footage after we reviewed it and the teacher stated she did not think what she did was inappropriate. Ms. Threadgill stated the employee was terminated. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Camera footage of the toddler playground from 5/13/26 was reviewed. Two (2) teachers were observed standing together under the covered play equipment talking. One and two year old children were present on the playground. Two children were observed standing on top of tables opposite of where the teachers were grouped together. Teachers did not supervise children in the assigned positions on the playground and did not actively supervise children as they played. .1801(a)(1-5) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. It was reported that on 2/20/26 a bottle of breastmilk given to the wrong infant due to the container not being labeled with the child's name and date. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence. On 5/4/26 an infant did not receive a bottle every 2.5 - 3 hours as instructed on the feeding plan. The last bottle provided to the infant was at 10:37 am and the child was signed out at 4:04 pm that day. 10A NCAC 09 .0902(a) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. Camera footage of the toddler playground from 5/13/26 was reviewed. A child who was visually impaired was observed using a chair as a push toy. The teacher from Space 5 pulled the chair away from the child which resulted in the child falling forward to the ground. The teacher then put her foot on the chair and leaned down to tie her shoe. After tying her shoe she turned away from the child who reached for the chair and began using it again as a push toy. G.S. 110-91(10) 904 A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. Camera footage from 5/13/26 showed a teacher from Space 5 grab a child by the arm and pull the child to the sidewalk. She pushed the child to the ground to sit against the wall of the building. The same teacher grabbed a second child by the arm and turn him back to the sidewalk. She pulled him to the sidewalk and pushed him down to sit against the wall of the building. .1803(a)(1) 908 Discipline was not appropriate for the child's age and development. Camera footage of the toddler playground from 5/13/26 was reviewed. A teacher from Space 5 placed two (2) children aged two years old against the wall for "time out" at 4:41 pm. The children sat for five (5) minutes before getting up on their own. The teacher never came back to talk to the children after sitting them against the wall. .1803(b) 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. A teacher in Space 10 was heard threatening a child using a raised voice saying "I'm going to call your daddy if you don't stop crying." .1803(a)(9) 1887 Each infant was not served only bottles labeled with their individual name. On 2/20/26 an infant was given 4 oz. of another infant's breast milk. .0902(d) Corrective Action: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Thursday, May 28, 2026. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Email the information to: Jennifer Stansfield, Child Care Consultant Jennifer.stansfield@dhhs.nc.gov The emailed compliance letter must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct repeated violations within the timeframe could be considered willful non-compliance and an additional administrative action may be recommended. An unannounced follow-up visit will be conducted to verify compliance with discipline. Technical Assistance/General Comments: - I recommend reaching out to the Mecklenburg County Health Consultants and request a technical assistance visit regarding infant feeding. - I recommend searching for training regarding classroom management, conscious discipline, or positive guidance. I also recommend spending time walking throughout the building and listening to staff interactions with children to address inappropriate tones. Staff may not threaten to call a child’s parent to “make” them behave. 10A NCAC 09 .1803 PROHIBITED DISCIPLINE IN CHILD CARE CENTERS (a) No child shall be subjected to any form of corporal punishment by the owner, operator, director, or staff of any child care center. For purposes of this Rule, "staff" shall mean any regular or substitute caregiver, any volunteer, and any auxiliary personnel, including cooks, secretaries, janitors, maids, or vehicle drivers. The following shall apply at all child care centers: (1) no child shall be handled roughly in any way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking; (2) no child shall be placed in a locked room, closet, or box or be left alone in a room separated from staff; (3) no discipline shall be delegated to another child; (4) no food shall be withheld as punishment or given as a means of reward; (5) no child shall be disciplined for toileting accidents; (6) no child shall be disciplined for not sleeping during rest period; (7) no child shall be disciplined by assigning chores that require contact with or use of hazardous materials, such as cleaning bathrooms, floors, or emptying diaper pails; (8) physical activity, such as running laps and doing push-ups, shall not be withheld as punishment or required as punishment; (9) no child shall be yelled at, shamed, humiliated, frightened, threatened, or bullied; and (10) no child shall be restrained as a form of discipline unless the child's safety or the safety of others is at risk. For purposes of this Rule, "restraining" shall mean that a caregiver physically holds a child in a manner that restricts the child's movement, for a minimum amount of time necessary to ensure a safe environment. Notwithstanding any other provision of this Rule, no child shall be restrained through the use of heavy objects, including a caregiver's body, or any device such as straps, blankets, car seats, or cribs. (b) Discipline practices shall be age and developmentally appropriate. - Adequate supervision means actively supervising children by walking around the classroom or play area while interacting with children. I recommend for administration to conduct walk throughs when children are on the playground to ensure staff are positioned where children can be seen or heard at all times and render immediate assistance if needed. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. You may also contact Amy Italiano, Licensing Supervisor, at amy.italiano@dhhs.nc.gov or 704-936-6065. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: THE GODDARD SCHOOL AT MALLARD CREEK Facility ID: 60003867 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: 0526-161L Visit Date: 5/14/2026 Number Present: 112 Completed Date: 5/14/2026 Age: From 0 To 5 Total Minutes: 170 Time In: 03:00 PM Time Out: 05:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced A handwritten visit summary was left today due to the center closing at 6:00 pm and the visit summary was unable to be completed prior the 6:00 pm The director had an appointment and left the center at 5:30 pm. I explained to Ms. Threadgill that I would return tomorrow to review the entire visit summary. I reviewed the item numbers of violations cited today with the assistant director. Violations are noted in the violation listing of this summary. The following was completed in the office: The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements specific to nutrition/ infant feeding. Upon arrival I was greeted by Ms. Jennifer Threadgill, Director, and I explained the purpose of the visit. The following was discussed: On 5/11/26 a report was received stating that infants were served the wrong bottles throughout the year. Infants were served the wrong breastmilk, and an infant was served the wrong formula. Dates of the incidents were not provided in the report. Ms. Threadgill stated there was an incident that occurred on 2/20/26 when an infant was given another child’s breastmilk. She stated the parent provided a bottle of breastmilk with a lid instead of a nipple. The bottle was not labeled and placed in another child’s container in the refrigerator. She stated the teacher took the bottle out of the container and poured the breastmilk into an empty bottle labeled with the child’s name on the container and fed the child the 4 oz. She stated when the error was discovered it was reported to administration and both parents were informed. She stated she called the Mecklenburg County Health Department, and she was provided with instructions for both parents. She stated there was no documentation of the error in the form of an incident report. Ms. Threadgill also stated that on 5/4/26 a parent reported her child was fed another child’s bottle because she was sent home with two (2) empty bottles and two (2) full bottles. The mother believed the infant would be crying for a bottle at pick up if she had only eaten two (2) bottles that day. Ms. Threadgill stated she asked staff if they fed the infant the wrong bottle and staff reported they did not. She said staff reported the child slept through her feeding time and they did not wake her for a bottle. She stated she confirmed all bottles had been given to the correct child by looking at the Goddard Family Hub used for daily communication with parents. I reviewed the child’s infant feeding plan, and the instructions stated the child should receive a 4 oz. bottle every 2.5 to 3 hours. I reviewed safe sleep checks from 5/4/26 and it was noted the child was awake at 1:00 pm and did not sleep again the rest of the day. I reviewed the Goddard Family Hub and it showed the child received her second bottle at 10:37 am and no additional bottles were given. The child was signed out of care at 4:04 pm. Ms. Threadgill stated staffing changes were made in the infant room after the 2/20/26 incident. She stated there was an additional staffing change that occurred on 5/11/26 in that room and she was currently hiring for a replacement. She stated the classroom was in ratio with one (1) teacher this week and that she had one (1) floater assigned to the classroom to cover breaks and that the infant feeding procedure was reviewed with the floater. I observed a bottle being warmed and given today. The bottle contained breastmilk and was heated in the designated bottle warmer for breastmilk. The employee called out the name on the bottle to the other teacher and the name of the infant she planned to feed. The employee wore gloves as she fed the infant. It was reported that the Goddard Family Hub had a place for staff to input reminders for diapering and feeding. I observed the name of the child being fed highlighted in red indicating it was time for a bottle. Based on interviews and observations it was determined the concern that nutrition/infant feeding requirements were not being met was confirmed. I conducted a walkthrough of the facility unaccompanied. Children were observed eating snack, preparing to go outside, and participating in free choice play. All classrooms met staff/child ratio requirements. I sat in the conference room to complete the visit summary. Space 10 shared a wall with the conference room. I heard a child crying and a teacher say to the child “I'm going to call your daddy if you don't stop crying." Her tone was harsh and her voice was raised. I requested for Ms. E. Lewis, Assistant Director, to come and sit in the conference room and listen to the teacher’s tone and volume. She agreed it was inappropriate and she addressed the concern with the teacher. I also informed Ms. Threadgill of the inappropriate interaction. While entering violations I heard Ms. Threadgill speaking to an individual at the front of the center. I heard her say she would review camera footage from yesterday. I was unable to make out what the other individual said. I asked Ms. Threadgill if everything was ok and she stated an individual from the community reported seeing a teacher push a child down on the playground yesterday afternoon at around 4:30 pm as he drove past the center. She asked why he didn’t report it yesterday and he stated his co-worker made him come to the center today to report it after he told her what he saw. The co-worker was with him today. Ms. Threadgill stated the individual wanted to come into the center and point out the teacher. Ms. Threadgill refused him entry as he did not have a child enrolled at the center but assured him, she would review the footage. She said he described the individual. The woman who was with the reporter provided her name and phone number as he would not provide his information. Both left the premises. Ms. Threadgill stated she would review the footage and that there was not an employee with the hairstyle he described at the center. I returned to the conference room and called Amy Italiano, Licensing Supervisor, to inform her of the new report. She asked for additional information and requested I review the footage with Ms. Threadgill. I went to find Ms. Threadgill and as I walked to each classroom I observed a teacher with the described hairstyle. I informed Ms. Threadgill of my observation. She stated she forgot that the teacher had that hairstyle and was thinking of another employee who recently changed her hair. We reviewed the footage together in the office and observed the following: Video footage was reviewed of the toddler playground beginning at 4:27 pm. One (1) classroom was on the playground when the review began. At 4:37 pm children from Space 5 were observed entering the playground. The teacher was observed conducting name-to-face headcounts as children entered the playground. The teacher walked to the covered part of the playground where she was observed standing across from the other teacher underneath the awning. Children were observed playing throughout the playground. The teacher from Space 5 briefly walked to the corner of the playground and then returned to the covered section. A small group of children was observed playing next to and on top of a small table located near the camera. Two (2) children were observed standing on top of the table. The teacher from Space 5 walked towards the children carrying her shoe in one hand as they got down from the table. She grabbed one (1) of the children by the arm and pulled the child to the sidewalk. She pushed the child to the ground to sit against the wall of the building. She then walked to the second child and grabbed him by the arm as she turned him back towards the sidewalk. She then pulled him to the sidewalk and pushed him down to sit against the wall of the building. This occurred at 4:41 pm. There was no volume on the video footage. She walked away from the children and back towards the covered area where she was observed talking to the other teacher and clapped her hands three (3) times as she spoke. She returned to the covered area where another child was observed using a chair as a push toy. Ms. Threadgill stated the child was visually impaired. The child pushed the chair next to where the teacher from Space 5 was standing. She pulled the chair away from the child which resulted in the child falling forward to the ground. The teacher then put her foot on the chair and leaned down to tie her shoe. After tying her shoe, she turned away from the child who then reached for the chair and began using it as a push toy again. The children who sat against the wall remained at the wall for five (5) minutes before they got up on their own and began playing again. The teacher never came back to talk to the children after putting them in what appeared to be “time out.” Based on what was observed five (5) additional violations unrelated to the initial complaint report were cited. An additional violation related to the initial complaint was added regarding labeling infant bottles. Ms. Threadgill reported she showed the teacher the camera footage after we reviewed it and the teacher stated she did not think what she did was inappropriate. Ms. Threadgill stated the employee was terminated. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Camera footage of the toddler playground from 5/13/26 was reviewed. Two (2) teachers were observed standing together under the covered play equipment talking. One and two year old children were present on the playground. Two children were observed standing on top of tables opposite of where the teachers were grouped together. Teachers did not supervise children in the assigned positions on the playground and did not actively supervise children as they played. .1801(a)(1-5) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. It was reported that on 2/20/26 a bottle of breastmilk given to the wrong infant due to the container not being labeled with the child's name and date. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence. On 5/4/26 an infant did not receive a bottle every 2.5 - 3 hours as instructed on the feeding plan. The last bottle provided to the infant was at 10:37 am and the child was signed out at 4:04 pm that day. 10A NCAC 09 .0902(a) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. Camera footage of the toddler playground from 5/13/26 was reviewed. A child who was visually impaired was observed using a chair as a push toy. The teacher from Space 5 pulled the chair away from the child which resulted in the child falling forward to the ground. The teacher then put her foot on the chair and leaned down to tie her shoe. After tying her shoe she turned away from the child who reached for the chair and began using it again as a push toy. G.S. 110-91(10) 904 A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. Camera footage from 5/13/26 showed a teacher from Space 5 grab a child by the arm and pull the child to the sidewalk. She pushed the child to the ground to sit against the wall of the building. The same teacher grabbed a second child by the arm and turn him back to the sidewalk. She pulled him to the sidewalk and pushed him down to sit against the wall of the building. .1803(a)(1) 908 Discipline was not appropriate for the child's age and development. Camera footage of the toddler playground from 5/13/26 was reviewed. A teacher from Space 5 placed two (2) children aged two years old against the wall for "time out" at 4:41 pm. The children sat for five (5) minutes before getting up on their own. The teacher never came back to talk to the children after sitting them against the wall. .1803(b) 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. A teacher in Space 10 was heard threatening a child using a raised voice saying "I'm going to call your daddy if you don't stop crying." .1803(a)(9) 1887 Each infant was not served only bottles labeled with their individual name. On 2/20/26 an infant was given 4 oz. of another infant's breast milk. .0902(d) Corrective Action: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Thursday, May 28, 2026. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Email the information to: Jennifer Stansfield, Child Care Consultant Jennifer.stansfield@dhhs.nc.gov The emailed compliance letter must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct repeated violations within the timeframe could be considered willful non-compliance and an additional administrative action may be recommended. An unannounced follow-up visit will be conducted to verify compliance with discipline. Technical Assistance/General Comments: - I recommend reaching out to the Mecklenburg County Health Consultants and request a technical assistance visit regarding infant feeding. - I recommend searching for training regarding classroom management, conscious discipline, or positive guidance. I also recommend spending time walking throughout the building and listening to staff interactions with children to address inappropriate tones. Staff may not threaten to call a child’s parent to “make” them behave. 10A NCAC 09 .1803 PROHIBITED DISCIPLINE IN CHILD CARE CENTERS (a) No child shall be subjected to any form of corporal punishment by the owner, operator, director, or staff of any child care center. For purposes of this Rule, "staff" shall mean any regular or substitute caregiver, any volunteer, and any auxiliary personnel, including cooks, secretaries, janitors, maids, or vehicle drivers. The following shall apply at all child care centers: (1) no child shall be handled roughly in any way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking; (2) no child shall be placed in a locked room, closet, or box or be left alone in a room separated from staff; (3) no discipline shall be delegated to another child; (4) no food shall be withheld as punishment or given as a means of reward; (5) no child shall be disciplined for toileting accidents; (6) no child shall be disciplined for not sleeping during rest period; (7) no child shall be disciplined by assigning chores that require contact with or use of hazardous materials, such as cleaning bathrooms, floors, or emptying diaper pails; (8) physical activity, such as running laps and doing push-ups, shall not be withheld as punishment or required as punishment; (9) no child shall be yelled at, shamed, humiliated, frightened, threatened, or bullied; and (10) no child shall be restrained as a form of discipline unless the child's safety or the safety of others is at risk. For purposes of this Rule, "restraining" shall mean that a caregiver physically holds a child in a manner that restricts the child's movement, for a minimum amount of time necessary to ensure a safe environment. Notwithstanding any other provision of this Rule, no child shall be restrained through the use of heavy objects, including a caregiver's body, or any device such as straps, blankets, car seats, or cribs. (b) Discipline practices shall be age and developmentally appropriate. - Adequate supervision means actively supervising children by walking around the classroom or play area while interacting with children. I recommend for administration to conduct walk throughs when children are on the playground to ensure staff are positioned where children can be seen or heard at all times and render immediate assistance if needed. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. You may also contact Amy Italiano, Licensing Supervisor, at amy.italiano@dhhs.nc.gov or 704-936-6065. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: THE GODDARD SCHOOL AT MALLARD CREEK Facility ID: 60003867 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: 0526-161L Visit Date: 5/14/2026 Number Present: 112 Completed Date: 5/14/2026 Age: From 0 To 5 Total Minutes: 170 Time In: 03:00 PM Time Out: 05:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced A handwritten visit summary was left today due to the center closing at 6:00 pm and the visit summary was unable to be completed prior the 6:00 pm The director had an appointment and left the center at 5:30 pm. I explained to Ms. Threadgill that I would return tomorrow to review the entire visit summary. I reviewed the item numbers of violations cited today with the assistant director. Violations are noted in the violation listing of this summary. The following was completed in the office: The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements specific to nutrition/ infant feeding. Upon arrival I was greeted by Ms. Jennifer Threadgill, Director, and I explained the purpose of the visit. The following was discussed: On 5/11/26 a report was received stating that infants were served the wrong bottles throughout the year. Infants were served the wrong breastmilk, and an infant was served the wrong formula. Dates of the incidents were not provided in the report. Ms. Threadgill stated there was an incident that occurred on 2/20/26 when an infant was given another child’s breastmilk. She stated the parent provided a bottle of breastmilk with a lid instead of a nipple. The bottle was not labeled and placed in another child’s container in the refrigerator. She stated the teacher took the bottle out of the container and poured the breastmilk into an empty bottle labeled with the child’s name on the container and fed the child the 4 oz. She stated when the error was discovered it was reported to administration and both parents were informed. She stated she called the Mecklenburg County Health Department, and she was provided with instructions for both parents. She stated there was no documentation of the error in the form of an incident report. Ms. Threadgill also stated that on 5/4/26 a parent reported her child was fed another child’s bottle because she was sent home with two (2) empty bottles and two (2) full bottles. The mother believed the infant would be crying for a bottle at pick up if she had only eaten two (2) bottles that day. Ms. Threadgill stated she asked staff if they fed the infant the wrong bottle and staff reported they did not. She said staff reported the child slept through her feeding time and they did not wake her for a bottle. She stated she confirmed all bottles had been given to the correct child by looking at the Goddard Family Hub used for daily communication with parents. I reviewed the child’s infant feeding plan, and the instructions stated the child should receive a 4 oz. bottle every 2.5 to 3 hours. I reviewed safe sleep checks from 5/4/26 and it was noted the child was awake at 1:00 pm and did not sleep again the rest of the day. I reviewed the Goddard Family Hub and it showed the child received her second bottle at 10:37 am and no additional bottles were given. The child was signed out of care at 4:04 pm. Ms. Threadgill stated staffing changes were made in the infant room after the 2/20/26 incident. She stated there was an additional staffing change that occurred on 5/11/26 in that room and she was currently hiring for a replacement. She stated the classroom was in ratio with one (1) teacher this week and that she had one (1) floater assigned to the classroom to cover breaks and that the infant feeding procedure was reviewed with the floater. I observed a bottle being warmed and given today. The bottle contained breastmilk and was heated in the designated bottle warmer for breastmilk. The employee called out the name on the bottle to the other teacher and the name of the infant she planned to feed. The employee wore gloves as she fed the infant. It was reported that the Goddard Family Hub had a place for staff to input reminders for diapering and feeding. I observed the name of the child being fed highlighted in red indicating it was time for a bottle. Based on interviews and observations it was determined the concern that nutrition/infant feeding requirements were not being met was confirmed. I conducted a walkthrough of the facility unaccompanied. Children were observed eating snack, preparing to go outside, and participating in free choice play. All classrooms met staff/child ratio requirements. I sat in the conference room to complete the visit summary. Space 10 shared a wall with the conference room. I heard a child crying and a teacher say to the child “I'm going to call your daddy if you don't stop crying." Her tone was harsh and her voice was raised. I requested for Ms. E. Lewis, Assistant Director, to come and sit in the conference room and listen to the teacher’s tone and volume. She agreed it was inappropriate and she addressed the concern with the teacher. I also informed Ms. Threadgill of the inappropriate interaction. While entering violations I heard Ms. Threadgill speaking to an individual at the front of the center. I heard her say she would review camera footage from yesterday. I was unable to make out what the other individual said. I asked Ms. Threadgill if everything was ok and she stated an individual from the community reported seeing a teacher push a child down on the playground yesterday afternoon at around 4:30 pm as he drove past the center. She asked why he didn’t report it yesterday and he stated his co-worker made him come to the center today to report it after he told her what he saw. The co-worker was with him today. Ms. Threadgill stated the individual wanted to come into the center and point out the teacher. Ms. Threadgill refused him entry as he did not have a child enrolled at the center but assured him, she would review the footage. She said he described the individual. The woman who was with the reporter provided her name and phone number as he would not provide his information. Both left the premises. Ms. Threadgill stated she would review the footage and that there was not an employee with the hairstyle he described at the center. I returned to the conference room and called Amy Italiano, Licensing Supervisor, to inform her of the new report. She asked for additional information and requested I review the footage with Ms. Threadgill. I went to find Ms. Threadgill and as I walked to each classroom I observed a teacher with the described hairstyle. I informed Ms. Threadgill of my observation. She stated she forgot that the teacher had that hairstyle and was thinking of another employee who recently changed her hair. We reviewed the footage together in the office and observed the following: Video footage was reviewed of the toddler playground beginning at 4:27 pm. One (1) classroom was on the playground when the review began. At 4:37 pm children from Space 5 were observed entering the playground. The teacher was observed conducting name-to-face headcounts as children entered the playground. The teacher walked to the covered part of the playground where she was observed standing across from the other teacher underneath the awning. Children were observed playing throughout the playground. The teacher from Space 5 briefly walked to the corner of the playground and then returned to the covered section. A small group of children was observed playing next to and on top of a small table located near the camera. Two (2) children were observed standing on top of the table. The teacher from Space 5 walked towards the children carrying her shoe in one hand as they got down from the table. She grabbed one (1) of the children by the arm and pulled the child to the sidewalk. She pushed the child to the ground to sit against the wall of the building. She then walked to the second child and grabbed him by the arm as she turned him back towards the sidewalk. She then pulled him to the sidewalk and pushed him down to sit against the wall of the building. This occurred at 4:41 pm. There was no volume on the video footage. She walked away from the children and back towards the covered area where she was observed talking to the other teacher and clapped her hands three (3) times as she spoke. She returned to the covered area where another child was observed using a chair as a push toy. Ms. Threadgill stated the child was visually impaired. The child pushed the chair next to where the teacher from Space 5 was standing. She pulled the chair away from the child which resulted in the child falling forward to the ground. The teacher then put her foot on the chair and leaned down to tie her shoe. After tying her shoe, she turned away from the child who then reached for the chair and began using it as a push toy again. The children who sat against the wall remained at the wall for five (5) minutes before they got up on their own and began playing again. The teacher never came back to talk to the children after putting them in what appeared to be “time out.” Based on what was observed five (5) additional violations unrelated to the initial complaint report were cited. An additional violation related to the initial complaint was added regarding labeling infant bottles. Ms. Threadgill reported she showed the teacher the camera footage after we reviewed it and the teacher stated she did not think what she did was inappropriate. Ms. Threadgill stated the employee was terminated. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Camera footage of the toddler playground from 5/13/26 was reviewed. Two (2) teachers were observed standing together under the covered play equipment talking. One and two year old children were present on the playground. Two children were observed standing on top of tables opposite of where the teachers were grouped together. Teachers did not supervise children in the assigned positions on the playground and did not actively supervise children as they played. .1801(a)(1-5) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. It was reported that on 2/20/26 a bottle of breastmilk given to the wrong infant due to the container not being labeled with the child's name and date. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence. On 5/4/26 an infant did not receive a bottle every 2.5 - 3 hours as instructed on the feeding plan. The last bottle provided to the infant was at 10:37 am and the child was signed out at 4:04 pm that day. 10A NCAC 09 .0902(a) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. Camera footage of the toddler playground from 5/13/26 was reviewed. A child who was visually impaired was observed using a chair as a push toy. The teacher from Space 5 pulled the chair away from the child which resulted in the child falling forward to the ground. The teacher then put her foot on the chair and leaned down to tie her shoe. After tying her shoe she turned away from the child who reached for the chair and began using it again as a push toy. G.S. 110-91(10) 904 A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. Camera footage from 5/13/26 showed a teacher from Space 5 grab a child by the arm and pull the child to the sidewalk. She pushed the child to the ground to sit against the wall of the building. The same teacher grabbed a second child by the arm and turn him back to the sidewalk. She pulled him to the sidewalk and pushed him down to sit against the wall of the building. .1803(a)(1) 908 Discipline was not appropriate for the child's age and development. Camera footage of the toddler playground from 5/13/26 was reviewed. A teacher from Space 5 placed two (2) children aged two years old against the wall for "time out" at 4:41 pm. The children sat for five (5) minutes before getting up on their own. The teacher never came back to talk to the children after sitting them against the wall. .1803(b) 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. A teacher in Space 10 was heard threatening a child using a raised voice saying "I'm going to call your daddy if you don't stop crying." .1803(a)(9) 1887 Each infant was not served only bottles labeled with their individual name. On 2/20/26 an infant was given 4 oz. of another infant's breast milk. .0902(d) Corrective Action: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Thursday, May 28, 2026. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Email the information to: Jennifer Stansfield, Child Care Consultant Jennifer.stansfield@dhhs.nc.gov The emailed compliance letter must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct repeated violations within the timeframe could be considered willful non-compliance and an additional administrative action may be recommended. An unannounced follow-up visit will be conducted to verify compliance with discipline. Technical Assistance/General Comments: - I recommend reaching out to the Mecklenburg County Health Consultants and request a technical assistance visit regarding infant feeding. - I recommend searching for training regarding classroom management, conscious discipline, or positive guidance. I also recommend spending time walking throughout the building and listening to staff interactions with children to address inappropriate tones. Staff may not threaten to call a child’s parent to “make” them behave. 10A NCAC 09 .1803 PROHIBITED DISCIPLINE IN CHILD CARE CENTERS (a) No child shall be subjected to any form of corporal punishment by the owner, operator, director, or staff of any child care center. For purposes of this Rule, "staff" shall mean any regular or substitute caregiver, any volunteer, and any auxiliary personnel, including cooks, secretaries, janitors, maids, or vehicle drivers. The following shall apply at all child care centers: (1) no child shall be handled roughly in any way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking; (2) no child shall be placed in a locked room, closet, or box or be left alone in a room separated from staff; (3) no discipline shall be delegated to another child; (4) no food shall be withheld as punishment or given as a means of reward; (5) no child shall be disciplined for toileting accidents; (6) no child shall be disciplined for not sleeping during rest period; (7) no child shall be disciplined by assigning chores that require contact with or use of hazardous materials, such as cleaning bathrooms, floors, or emptying diaper pails; (8) physical activity, such as running laps and doing push-ups, shall not be withheld as punishment or required as punishment; (9) no child shall be yelled at, shamed, humiliated, frightened, threatened, or bullied; and (10) no child shall be restrained as a form of discipline unless the child's safety or the safety of others is at risk. For purposes of this Rule, "restraining" shall mean that a caregiver physically holds a child in a manner that restricts the child's movement, for a minimum amount of time necessary to ensure a safe environment. Notwithstanding any other provision of this Rule, no child shall be restrained through the use of heavy objects, including a caregiver's body, or any device such as straps, blankets, car seats, or cribs. (b) Discipline practices shall be age and developmentally appropriate. - Adequate supervision means actively supervising children by walking around the classroom or play area while interacting with children. I recommend for administration to conduct walk throughs when children are on the playground to ensure staff are positioned where children can be seen or heard at all times and render immediate assistance if needed. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. You may also contact Amy Italiano, Licensing Supervisor, at amy.italiano@dhhs.nc.gov or 704-936-6065. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: THE GODDARD SCHOOL AT MALLARD CREEK Facility ID: 60003867 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 12/4/2025 Number Present: 108 Completed Date: 12/4/2025 Age: From 0 To 5 Total Minutes: 145 Time In: 10:05 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during an Administrative Action Follow-Up Visit. The last annual compliance visit was conducted on September 18, 2025. The center had a compliance history of 84% prior to today’s visit. The following was monitored using the April 2025 Center Item Number Listing: supervision of children; discipline, nurture, or care of children, staff/child ratio, group size, licensed capacity, permit restriction, CPR training, First Aid training, medications and criminal record check requirements regarding pre-service and five-year reassessments in accordance with G.S. 110-90.2(b). The Written Warning administrative action was observed posted by the front door. Upon arrival I was greeted by Ms. S. White, Assistant Director, and I explained the purpose of the visit. Ms. White stated Ms. J. Threadgill, Director, was conducting a tour. Ms. White accompanied me on the walk through. All classrooms were visited, and I observed daily and weekly cleaning checklists completed for the week and for this morning. I observed Ms. Threadgill’s verification of routine checks of cleaning checklists. All classrooms had observations completed for November. Classrooms were observed clean and materials were observed in good repair. Counters were clean and materials were not stored on counters. Teachers were observed engaged with children as they participated in free choice play and a large group music activity. One (1) child was observed in the gym working with a therapist. I verified the therapist had a current CBC qualification on file. In Space 10 I observed a large group activity with an iPad. Children were watching the screen and guessing the sound they heard. There was one (1) two year old child present. I explained that children under three years of age could not participate in screen time activities. The teacher turned the screen around and the children continued to guess the sounds they heard. A screen time log was not completed. Ms. White provided the classroom with a log during the visit. Four (4) new staff files were reviewed today. I completed the staff and training worksheet to be submitted with the visit. The facility implemented approved policies and procedures according to the administrative action corrective action plan. I will send paperwork to close the action. The written warning should remain posted until the closure letter is received. Two (2) violations were cited today and corrected during the visit. No corrective action was required. Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Screen time was not documented on a screen time log in Space 10. .0510(d)(2)(A-C) 544 Screen time was offered to children under three years of age. Children in Space 10 were observed participating in a large group screen time activity. There was one (1) child under three years of age present. .0510(f) Technical Assistance: - Children under three years of age are not allowed screen time. Tablet should be turned face down in classrooms with children under three years of age. - Screen time can be documented on the activity plan if used as a large group time activity. The length of time screens are used should be noted on the activity plan. If children use tablets individually the screen time log should be completed for each child. Thank you for your time today. Please contact me with any questions at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0902 · Violation

Name of Operation: THE GODDARD SCHOOL AT MALLARD CREEK Facility ID: 60003867 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 9/18/2025 Number Present: 93 Completed Date: 9/18/2025 Age: From 0 To 5 Total Minutes: 332 Time In: 09:43 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full Annual Compliance visit. The facility was currently operating with a Five Star License issued on November 14, 2019 and had an eighteen (18) month compliance history score of 85% prior to today’s visit. The last annual compliance visit was conducted on September 24, 2024. The April 2025 Center Item Number Listing and March 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Upon arrival I was greeted by Ms. Erica Lewis, Assistant Director, and I explained the purpose of the visit. She stated Ms. Jennifer Threadgill, Director, was not onsite today. Ms. Lewis accompanied me on the walkthrough. Eleven (11) classrooms were monitored. Space 6 was used as the gym. Children were observed participating in a variety of activities to include independent play, large group time, and playing outdoors. Arrival times were documented as required. Teachers were observed engaged and actively supervising children. Each classroom met staff/child ratios. Infants were observed playing and exploring on the floor. Safe sleep checks were completed as required in Space 1. Two (2) children under 12 months of age were enrolled in Space 2 and safe sleep checks were not completed for 9/17/25. It was reported that both children were present on 9/17/25. Bottles were observed dated and labeled. One (1) feeding plan was not posted in Space 1. Topical creams were monitored and each had a current permission forms. One (1) child’s parent in Space 3 sent 100% juice for the child to drink during lunch and snack. The child did not have a nutrition opt out form on file and teachers reported serving the juice in a cup that measured greater than 6 oz. Another child in Space 7 was observed drinking juice while waiting in line to go outside. The juice was not 100% juice and there was not a completed nutrition opt out form. Schedules and current lesson plans were posted. Playgrounds were monitored and met compliance. Emergency medications were monitored. The kitchen was monitored. The temperature measured 54 degrees in the refrigerator that stored lunches brought from home. The facility did not provide transportation. A sampling of staff files were monitored including twelve (12) new employees. All staff had CPR and First Aid certificates on file for review and each had current CBC qualification letters. A sampling of children’s files were monitored. Fire Drill logs and emergency drills were completed as required. Playground inspections were completed as required. The last sanitation inspection was conducted on 6/26/25 and received a superior rating. The last fire inspection was conducted on 12/6/24. The EPR plan was last updated 9/24/24. The ABCMS roster had been started. Ms. Threadgill was working with staff to enter information and complete the roster. The facility was owned and operated by Wyoak Corporation and was current and active with the Secretary of State. Administrative Action information: The administrative action written warning was posted in the foyer. Policies and procedures created to address stipulations in the action were approved today. The facility should begin implementing the approved policies and procedures. A final administrative action follow-up visit will be conducted in the next 4-6 weeks to monitor for compliance with new policies and procedures. Violation Number Comment Rule 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. There were insufficient amounts of materials available for children in Space 11 in the following centers: blocks, home living, science, and art. Two year old children were cared for in Space 11. .0510(e)(3) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). One (1) infant's feeding plan was not posted in Space 1. 10A NCAC 09 .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator temperature in the kitchen measured 54 degrees. 15A NCAC 18A .2806(j)(2) 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. An aerosol can of room deodorizer was stored in an unlocked cabinet in Space 1. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Diapers were stored in plastic bags accessible to children inside individual cubbies in Space 5. Children in Space 5 were two years old. .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. Two (2) children under 12 months of age did not have safe sleep checks documented for 9/17/25 in Space 2. Both children were present on 9/17/25. .0606(g) 897 An infant with a waiver of the requirement that all infants be placed on their backs for sleeping did not have a notice containing the required information posted for quick reference near the infant sleep space and/or confidential medical information was shown on the notice. The notice of an infant's sleep waiver was not posted above the child's crib. .0606(f)(1-3) 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. Three (3) children did not have emergency medical care (EMC) information listed on their application and one (1) child's EMC information expired 1/2/24. .0802(c) 1791 The child care provider did not provide the required beverage(s). A child was observed drinking juice while waiting in line to go outdoors in Space 8. The juice was not 100% juice. A child in Space 3 did not have a signed nutrition opt out form and the facility provided the child with 100% juice for meals and snacks in a cup that measured greater than 6 oz. .0901(e)(1-7) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Thursday, October 2, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to jennifer.stansfield@dhhs.nc.gov. Emailed compliance letters must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Comments: The Division of Child Development and Early Education will be hosting community meetings to provide an update on the modernization of North Carolina’s Quality Rating Improvement System (QRIS) which began in February 2023. Meetings will be held at the following four locations across the state from 6:30pm – 7:30pm. • 9/23/25 – Charlotte – Leaf Spring School at Matthews – 3420 Pleasant Plains Road Stallings, NC 28104 - Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within 12 months based on the pathway chosen. - I encourage you to visit the DCDEE website for information regarding the new QRIS system, Pathway to the Stars. A Moodle training will be available soon to review the section .3200 regarding the new standards for a two through five star license. - Centers may serve 6 oz of 100% juice/day unless a nutrition opt out form is completed. If the form is completed parents must provide all meals, snacks and beverages for their child. The DCDEE nutrition opt out form was shared today. - Emergency medical care information must be provided on the child application and reviewed/updated annually. If parents do not have family physician they may indicate the hospital of their choice for the medical care information but either a physician or hospital must be indicated. - All staff medical information including doctor’s notes should be stored in their medical file separate from the personnel file. - I discussed ensuring adequate amounts of materials were available for children in Space 11. A teacher stated that children did not play well with materials and only dumped them out. I explained that dumping toys was developmentally appropriate and that children can learn how to play with materials and clean up but they should be allowed the opportunity to use materials. Active supervision of play by teachers can assist with teaching children how to use and play with materials in the classroom. Contact me at Jennifer Stansfield, Child Care Consultant, jennifer.stansfield@dhhs.nc.gov or 704-956-1648 or Michele Sullivan, Licensing Supervisor, michele.sullivan@dhhs.nc.gov or 704-594-0147 if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: THE GODDARD SCHOOL AT MALLARD CREEK Facility ID: 60003867 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 9/18/2025 Number Present: 93 Completed Date: 9/18/2025 Age: From 0 To 5 Total Minutes: 332 Time In: 09:43 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full Annual Compliance visit. The facility was currently operating with a Five Star License issued on November 14, 2019 and had an eighteen (18) month compliance history score of 85% prior to today’s visit. The last annual compliance visit was conducted on September 24, 2024. The April 2025 Center Item Number Listing and March 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Upon arrival I was greeted by Ms. Erica Lewis, Assistant Director, and I explained the purpose of the visit. She stated Ms. Jennifer Threadgill, Director, was not onsite today. Ms. Lewis accompanied me on the walkthrough. Eleven (11) classrooms were monitored. Space 6 was used as the gym. Children were observed participating in a variety of activities to include independent play, large group time, and playing outdoors. Arrival times were documented as required. Teachers were observed engaged and actively supervising children. Each classroom met staff/child ratios. Infants were observed playing and exploring on the floor. Safe sleep checks were completed as required in Space 1. Two (2) children under 12 months of age were enrolled in Space 2 and safe sleep checks were not completed for 9/17/25. It was reported that both children were present on 9/17/25. Bottles were observed dated and labeled. One (1) feeding plan was not posted in Space 1. Topical creams were monitored and each had a current permission forms. One (1) child’s parent in Space 3 sent 100% juice for the child to drink during lunch and snack. The child did not have a nutrition opt out form on file and teachers reported serving the juice in a cup that measured greater than 6 oz. Another child in Space 7 was observed drinking juice while waiting in line to go outside. The juice was not 100% juice and there was not a completed nutrition opt out form. Schedules and current lesson plans were posted. Playgrounds were monitored and met compliance. Emergency medications were monitored. The kitchen was monitored. The temperature measured 54 degrees in the refrigerator that stored lunches brought from home. The facility did not provide transportation. A sampling of staff files were monitored including twelve (12) new employees. All staff had CPR and First Aid certificates on file for review and each had current CBC qualification letters. A sampling of children’s files were monitored. Fire Drill logs and emergency drills were completed as required. Playground inspections were completed as required. The last sanitation inspection was conducted on 6/26/25 and received a superior rating. The last fire inspection was conducted on 12/6/24. The EPR plan was last updated 9/24/24. The ABCMS roster had been started. Ms. Threadgill was working with staff to enter information and complete the roster. The facility was owned and operated by Wyoak Corporation and was current and active with the Secretary of State. Administrative Action information: The administrative action written warning was posted in the foyer. Policies and procedures created to address stipulations in the action were approved today. The facility should begin implementing the approved policies and procedures. A final administrative action follow-up visit will be conducted in the next 4-6 weeks to monitor for compliance with new policies and procedures. Violation Number Comment Rule 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. There were insufficient amounts of materials available for children in Space 11 in the following centers: blocks, home living, science, and art. Two year old children were cared for in Space 11. .0510(e)(3) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). One (1) infant's feeding plan was not posted in Space 1. 10A NCAC 09 .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator temperature in the kitchen measured 54 degrees. 15A NCAC 18A .2806(j)(2) 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. An aerosol can of room deodorizer was stored in an unlocked cabinet in Space 1. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Diapers were stored in plastic bags accessible to children inside individual cubbies in Space 5. Children in Space 5 were two years old. .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. Two (2) children under 12 months of age did not have safe sleep checks documented for 9/17/25 in Space 2. Both children were present on 9/17/25. .0606(g) 897 An infant with a waiver of the requirement that all infants be placed on their backs for sleeping did not have a notice containing the required information posted for quick reference near the infant sleep space and/or confidential medical information was shown on the notice. The notice of an infant's sleep waiver was not posted above the child's crib. .0606(f)(1-3) 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. Three (3) children did not have emergency medical care (EMC) information listed on their application and one (1) child's EMC information expired 1/2/24. .0802(c) 1791 The child care provider did not provide the required beverage(s). A child was observed drinking juice while waiting in line to go outdoors in Space 8. The juice was not 100% juice. A child in Space 3 did not have a signed nutrition opt out form and the facility provided the child with 100% juice for meals and snacks in a cup that measured greater than 6 oz. .0901(e)(1-7) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Thursday, October 2, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to jennifer.stansfield@dhhs.nc.gov. Emailed compliance letters must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Comments: The Division of Child Development and Early Education will be hosting community meetings to provide an update on the modernization of North Carolina’s Quality Rating Improvement System (QRIS) which began in February 2023. Meetings will be held at the following four locations across the state from 6:30pm – 7:30pm. • 9/23/25 – Charlotte – Leaf Spring School at Matthews – 3420 Pleasant Plains Road Stallings, NC 28104 - Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within 12 months based on the pathway chosen. - I encourage you to visit the DCDEE website for information regarding the new QRIS system, Pathway to the Stars. A Moodle training will be available soon to review the section .3200 regarding the new standards for a two through five star license. - Centers may serve 6 oz of 100% juice/day unless a nutrition opt out form is completed. If the form is completed parents must provide all meals, snacks and beverages for their child. The DCDEE nutrition opt out form was shared today. - Emergency medical care information must be provided on the child application and reviewed/updated annually. If parents do not have family physician they may indicate the hospital of their choice for the medical care information but either a physician or hospital must be indicated. - All staff medical information including doctor’s notes should be stored in their medical file separate from the personnel file. - I discussed ensuring adequate amounts of materials were available for children in Space 11. A teacher stated that children did not play well with materials and only dumped them out. I explained that dumping toys was developmentally appropriate and that children can learn how to play with materials and clean up but they should be allowed the opportunity to use materials. Active supervision of play by teachers can assist with teaching children how to use and play with materials in the classroom. Contact me at Jennifer Stansfield, Child Care Consultant, jennifer.stansfield@dhhs.nc.gov or 704-956-1648 or Michele Sullivan, Licensing Supervisor, michele.sullivan@dhhs.nc.gov or 704-594-0147 if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: THE GODDARD SCHOOL AT MALLARD CREEK Facility ID: 60003867 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 8/6/2025 Number Present: 112 Completed Date: 8/6/2025 Age: From 0 To 5 Total Minutes: 128 Time In: 01:22 PM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during a Administrative Action Follow-Up Visit. The last annual compliance visit was conducted on September 24, 2024. The center had a compliance history of 81% prior to today’s visit. The following was monitored using the April 2025 Center Item Number Listing: supervision of children; discipline, nurture, or care of children, staff/child ratio, group size, licensed capacity, permit restriction, CPR training, First Aid training, medications and criminal record check requirements regarding pre-service and five-year reassessments in accordance with G.S. 110-90.2(b). The Written Warning administrative action was observed posted by the front door. Upon arrival I was greeted by Ms. Erica Lewis, Assistant Director, and I explained the purpose of the visit. She stated Ms. Jennifer Threadgill, Director, was off-site. Ms. Lewis accompanied me on the walk through. Infants were observed playing on the floor. Materials were observed in good repair. Teachers were engaged with infants as they played. Safe sleep checks were documented as required. Bottles were dated and labeled. Children were observed resting in Spaces 2-11. Space 6 was not currently used as a classroom. The space was used as an indoor gross motor space. Each child had an individual cot and linens were provided. Classrooms were clean and organized. Adequate supervision was provided and staff/child ratio was maintained. During the walk through I observed the kitchen door open and there were no staff were present. I also observed the laundry room unlocked. The can wash was located in the laundry room as well as cleaning and aerosol products. Emergency medications were monitored and met requirements. Four (4) new staff file were monitored and met requirements. One (1) violation was cited today and corrected during the visit. No corrective action was required. Violation Number Comment Rule 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. The kitchen and laundry room were observed opened and unlocked. Hazardous cleaning and aerosol products were observed stored inside. .2820(b) Technical Assistance/General Comments: The following was discussed during the visit: - Staff should use tape to write the date for bottles in the infant room if the dry erase markers are coming off of the silicone wraps on the bottles. - The kitchen and laundry room should remain locked at all times. The water temperature in both of those spaces is 120 degrees or higher and hazardous products are stored inside posing a hazard to children. Ms. Threadgill should email me the roster from the required training once the class is completed. After that I will review and approved new policies and procedures per the corrective action plan. Once policies and procedures are approved a staff meeting should be conducted and new policies and procedures implemented. Another visit will be made to ensure approved policies and procedures are followed. The administrative action should remain posted until the closure letter is received. Thank you for your time today. If you have any questions please feel free to contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0701 · Violation

Name of Operation: THE GODDARD SCHOOL AT MALLARD CREEK Facility ID: 60003867 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 6/17/2025 Number Present: 117 Completed Date: 6/17/2025 Age: From 0 To 5 Total Minutes: 227 Time In: 09:43 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 applicable child care rules and laws during a routine unannounced visit. The facility had a Five Star Rated License issued November 14, 2019 and an eighteen-month compliance history of 78% prior to today’s visit. The license and NC child care law summary were posted. The following was monitored using the April 2025 Master Center Item Number Listing: supervision, staff/child ratios, CPR/ First Aid, special training, CBC qualification, emergency medical care plan, administration of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate and approved space, program records, license posted, and permit restrictions. I was greeted by Jennifer Threadgill, Director, and I explained the purpose of the visit. Ms. Threadgill accompanied me on the walk through. Ten (10) classrooms were monitored. Infants were observed sleeping and playing on the floor with teachers. Materials were observed in good repair and each infant had a labeled crib. Three (3) infant cribs did not indicate the child could roll over. I observed an infant in each crib sleeping on their stomach. The safe sleep chart indicated each was laid in the crib on their backs. The teachers stated the infants were newly enrolled and the signage had not been placed on the cribs. Safe sleep checks were completed as required in Space 1. Topical ointments were monitored. One (1) infant’s sunscreen permission was expired in April 2025. The teacher stated the parent must have misprinted the year as the child was not born when the permission stated it was completed. Teachers or administration should review all paperwork prior to putting in the classroom to ensure accuracy and completion. Toddlers were observed participating in free choice activities. In Space 2 there were two (2) children under 12 months of age. Safe sleep checks were not completed for one (1) child who was reported as being present on 6/16/25 and the teacher stated that the other child under 12 months did not sleep as they were picked up early on 6/16/25. Staff were reminded that safe sleep checks were required for all children under 12 months of age. I recommended adding materials to centers that reflected the theme or “question of the day” to expand learning opportunities and independent exploration of the theme. The wall behind children’s tables was observed in poor repair. Ms. Threadgill stated children kept removing the pictures placed over the chipped drywall and that the facility was working towards a repair. She stated they would continue to replace the pictures until a permanent repair was completed. Preschool aged children were observed participating in outdoor play and independent indoor play. Sensory tables were available and teachers stated children washed hands before and after playing at sensory tables. Emergency medications were monitored and each met storage and documentation requirements. Adequate supervision was provided and each classroom maintained staff/child ratio. Arrival and departure times were documented as required. Six (6) new staff files were monitored. Each had current CBC qualifications. One (1) employee who began work on 2/18/25 and did not have a CPR/First Aid certification card on file. She had a certificate indicating she took the course on 5/18/25. The card should be placed in the file as a certificate is only used as a placeholder. One (1) employee hired 4/14/25 had a CPR/First Aid certificate on file from an unapproved online course. She will need to take the training from an approved trainer by 7/14/25. Program records were reviewed and found in compliance. The last fire inspection was completed on 12/6/24. The last sanitation inspection was completed on 12/19/24 and received a Superior rating. Violation Number Comment Rule 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. There were not enough blocks, manipulatives, or puzzles available for children in Space 4. .0510(e)(3) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The wall behind children's tables was observed chipped. 15A NCAC 18A .2825(a) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. Books were observed in poor repair in Space 9. A metal muffin pan used for sorting and a metal cookie sheet used for magnets were observed rusted. .0601(d) 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. An 11 month old in Space 2 did not have safe sleep checks documented. The child was transitioned to Space 2 on 6/16/25 and no safe sleep checks were documented for that day. .0606(g) 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. One (1) employee hired 2/18/25 did not have a medical statement on file. 10A NCAC 09 .0701(a) Corrective Action: Violations must be corrected immediately. The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter that includes the violation item number and an explanation of how each of today’s violations were corrected. Corrections must be received by me on or before Tuesday, July 1, 2025 to the email address listed below. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance/General Comments: - I recommend assigning positions on the playground to prevent staff from congregating and encourage active supervision. I also recommend encouraging staff to walk around the playground and not sitting down while supervising children on the playground. - Teachers or administrators should review all paperwork to ensure all required fields are completed and dated as required before putting documents in classrooms or files. - All child information required to be posted in classrooms should be delivered to teachers prior to or on the child’s first day of attendance. - All classrooms with children under 12 months of age should follow the safe sleep policy. This includes but is not limited to documenting safe sleep checks and information regarding what can be placed on the child’s cot/crib for rest. The safe sleep policy should be posted in all classrooms where children under 12 months of age are enrolled. Even when children are transitioning to the next room. - Opportunities for math and literacy should be indicated on the posted lesson plans for parents to review. - I recommended teachers incorporate math, literacy, and sorting during transition times. - Screen time can be logged on lesson plans when the screen time occurs as a large group activity. The time and activity should be listed on the lesson plan and would serve as the screen time log. If the facility offered independent screen time then those times and activities should be entered on the screen time log. - I recommended creating communication cards or que cards to help children with transitions and routines. - I recommended silicone muffins pans for sorting instead of metal pans to prevent rust. - More materials should be added and/or available for children in Space 4. Blocks should be added as there was only one (1) type of blocks for children to play with. Puzzles should be removed when in poor condition. The pieces that are still in good repair can be added to the art center as stencils. Art materials should be available for children to use independently. - New employee orientation should be documented as the orientation occurs to avoid incomplete documentation. - Star Rated License Reassessment Update: - SB 425 extended hold harmless until the new Quality Rating Improvement System (QRIS) is revised and implemented. Facilities are not required to proceed with the rated license assessment at this time unless they voluntarily choose to proceed. - Information regarding the QRIS modernization plan can be found on the DCDEE website under the “What’s New” tab. Current “Frequently Asked Questions” can be found at the bottom of the information page. - QRIS update: Get ready for the 3s Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third edition. Information regarding the transition can be found by visiting https://ncrlap.org/Resources/pages/get-ready-for-3s. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://ncrlap.org/. for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. - New staff should submit all official transcripts to WORKS for evaluation in preparation for the new QRIS assessments expected to roll out this summer. Thank you for your time today. Please contact me with any questions at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: THE GODDARD SCHOOL AT MALLARD CREEK Facility ID: 60003867 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 9/24/2024 Number Present: 107 Completed Date: 9/24/2024 Age: From 0 To 5 Total Minutes: 355 Time In: 09:50 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 the facility for all applicable child care requirements during the full Annual Compliance visit. The facility was currently operating with a Five Star License issued on November 14, 2019 and had an eighteen (18) month compliance history score of 82% prior to today’s visit. The last annual compliance visit was conducted on October 11, 2023. The March 2024 Center Item Number Listing and March 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Upon arrival I was greeted by Ms. Jennifer Threadgill, administrator, and I explained the purpose of the visit. Ms. Threadgill accompanied me on the walkthrough. Eleven (11) classrooms were monitored. Space 6 was used as the gym and Space 9 was not currently being used. Children were observed participating in a variety of activities to include independent play, large group time, and playing outdoors. Arrival times were documented as required. Teachers were observed engaged and actively supervising children. Each classroom met staff/child ratios. Infants were observed participating in supervised tummy time and being fed. Safe sleep checks were completed as required in Space 1. A child under 12 months of age was enrolled in Space 2 and safe sleep checks were not completed for that child. Bottles were observed dated and labeled. Each child 15 months and younger had a posted feeding schedule. One (1) child in Space 2 did not have an updated feeding plan to indicate table foods brought from home. Topical creams were monitored and each had a current permission form. Schedules and current lesson plans were posted. Playgrounds were monitored and met compliance. Emergency medications were monitored. The kitchen was monitored. The temperature measured 48 degrees in the refrigerator that stored lunches brought from home. The facility did not provide transportation. A sampling of staff files were monitored including four (4) new employees. All staff had CPR and First Aid certificates on file for review. Training cards were not available for twenty-one (21) employees. I have been working with Administration regarding CPR/First Aid requirements. Administration was informed on 9/19/24 by Michele Sullivan, Licensing Supervisor that the training certificates were a place holder until cards from the approved organization were received. Ms. Threadgill contacted the trainer during the visit today requesting the training cards. Ms. Threadgill stated she would scan all cards once received. A sampling of children’s files were monitored. Fire Drill logs and emergency drills were completed as required. Playground inspections were completed as required. The last sanitation inspection was conducted on 6/7/24 and received an approved rating. The last fire inspection was conducted on 12/5/23. The EPR plan was last updated in 2022. Ms. Lauren McGrath, Administrator, updated the plan today. Violation Number Comment Rule 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. There were not enough materials offered in Spaces 2, 3, and 4 to allow for a range of choices. Materials were stored in closets and out of reach of children. .0510(e)(3) 542 The written feeding plan was not modified as the child's needs changed. An infant feeding plan for a child under 15 months of age in Space 2 indicated infants bottles only. No bottles were observed in the classroom refrigerator and the teacher stated the child brought meals from home. 10 NCAC 09 .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The kitchen refrigerator with children's lunch bags was 48 degrees F. 15A NCAC 18A .2806(j)(2) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. Cardboard box blocks were observed in poor repair in Spaces 3, 4, and 8. Books were observed in poor repair in Spaces 4 and 8. .0601(d) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A child's water bottle with a prescribed additive was stored in a cubby, unlocked and below five (5) feet. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. Authorization to provide water with a prescribed additive was not completed. 10A NCAC 09 .0803(4)(6-9) 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. Safe sleep checks were not documented for a child under 12 months of age in Space 2. .0606(g) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR plan was last updated in 2022. .0607(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A child with a specialized health need did not have a medical action plan completed to ensure emergency medication was administered when required. .0801(b) 9997 A violation was found for which there is no item number. Sanitation requirement 15A NCAC 18A .2804 (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. A child was observed carrying a cup of milk mid morning in Space 11. The teacher stated the milk was provided in the morning at drop off and was not refrigerated. Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday, October 8, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Comments: Star Rated License Reassessment Update: SB 425 extended hold harmless until the new Quality Rating Improvement System (QRIS) is revised and implemented. Facilities are not required to proceed with the rated license assessment at this time unless they voluntarily choose to proceed. – QRIS update: Get ready for the 3s Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third edition. Information regarding the transition can be found by visiting https://ncrlap.org/Resources/pages/get-ready-for-3s. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://ncrlap.org/. for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. - A child with a specialized health need had medication that was required to be administered daily. I recommend contacting Mecklenburg County Health Nurses to request a technical assistance visit to review the medical action plan and medication administration requirements. I also recommend requesting a sharps disposal container. - Electronic signatures are acceptable when parents have the ability to sign, not type, their acknowledgment. - All emergency contact information should include name, address, phone number, and relationship to the child. Ms. Threadgill requested the permit age range change from 0 – 5 years to 0 -12 years of age to include children who may turn six (6) over the summer and/or if the facility decided to offer school-age care. Thank you for your time today. Please contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 with questions or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: THE GODDARD SCHOOL AT MALLARD CREEK Facility ID: 60003867 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 9/24/2024 Number Present: 107 Completed Date: 9/24/2024 Age: From 0 To 5 Total Minutes: 355 Time In: 09:50 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 the facility for all applicable child care requirements during the full Annual Compliance visit. The facility was currently operating with a Five Star License issued on November 14, 2019 and had an eighteen (18) month compliance history score of 82% prior to today’s visit. The last annual compliance visit was conducted on October 11, 2023. The March 2024 Center Item Number Listing and March 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Upon arrival I was greeted by Ms. Jennifer Threadgill, administrator, and I explained the purpose of the visit. Ms. Threadgill accompanied me on the walkthrough. Eleven (11) classrooms were monitored. Space 6 was used as the gym and Space 9 was not currently being used. Children were observed participating in a variety of activities to include independent play, large group time, and playing outdoors. Arrival times were documented as required. Teachers were observed engaged and actively supervising children. Each classroom met staff/child ratios. Infants were observed participating in supervised tummy time and being fed. Safe sleep checks were completed as required in Space 1. A child under 12 months of age was enrolled in Space 2 and safe sleep checks were not completed for that child. Bottles were observed dated and labeled. Each child 15 months and younger had a posted feeding schedule. One (1) child in Space 2 did not have an updated feeding plan to indicate table foods brought from home. Topical creams were monitored and each had a current permission form. Schedules and current lesson plans were posted. Playgrounds were monitored and met compliance. Emergency medications were monitored. The kitchen was monitored. The temperature measured 48 degrees in the refrigerator that stored lunches brought from home. The facility did not provide transportation. A sampling of staff files were monitored including four (4) new employees. All staff had CPR and First Aid certificates on file for review. Training cards were not available for twenty-one (21) employees. I have been working with Administration regarding CPR/First Aid requirements. Administration was informed on 9/19/24 by Michele Sullivan, Licensing Supervisor that the training certificates were a place holder until cards from the approved organization were received. Ms. Threadgill contacted the trainer during the visit today requesting the training cards. Ms. Threadgill stated she would scan all cards once received. A sampling of children’s files were monitored. Fire Drill logs and emergency drills were completed as required. Playground inspections were completed as required. The last sanitation inspection was conducted on 6/7/24 and received an approved rating. The last fire inspection was conducted on 12/5/23. The EPR plan was last updated in 2022. Ms. Lauren McGrath, Administrator, updated the plan today. Violation Number Comment Rule 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. There were not enough materials offered in Spaces 2, 3, and 4 to allow for a range of choices. Materials were stored in closets and out of reach of children. .0510(e)(3) 542 The written feeding plan was not modified as the child's needs changed. An infant feeding plan for a child under 15 months of age in Space 2 indicated infants bottles only. No bottles were observed in the classroom refrigerator and the teacher stated the child brought meals from home. 10 NCAC 09 .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The kitchen refrigerator with children's lunch bags was 48 degrees F. 15A NCAC 18A .2806(j)(2) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. Cardboard box blocks were observed in poor repair in Spaces 3, 4, and 8. Books were observed in poor repair in Spaces 4 and 8. .0601(d) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A child's water bottle with a prescribed additive was stored in a cubby, unlocked and below five (5) feet. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. Authorization to provide water with a prescribed additive was not completed. 10A NCAC 09 .0803(4)(6-9) 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. Safe sleep checks were not documented for a child under 12 months of age in Space 2. .0606(g) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR plan was last updated in 2022. .0607(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A child with a specialized health need did not have a medical action plan completed to ensure emergency medication was administered when required. .0801(b) 9997 A violation was found for which there is no item number. Sanitation requirement 15A NCAC 18A .2804 (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. A child was observed carrying a cup of milk mid morning in Space 11. The teacher stated the milk was provided in the morning at drop off and was not refrigerated. Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday, October 8, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Comments: Star Rated License Reassessment Update: SB 425 extended hold harmless until the new Quality Rating Improvement System (QRIS) is revised and implemented. Facilities are not required to proceed with the rated license assessment at this time unless they voluntarily choose to proceed. – QRIS update: Get ready for the 3s Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third edition. Information regarding the transition can be found by visiting https://ncrlap.org/Resources/pages/get-ready-for-3s. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://ncrlap.org/. for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. - A child with a specialized health need had medication that was required to be administered daily. I recommend contacting Mecklenburg County Health Nurses to request a technical assistance visit to review the medical action plan and medication administration requirements. I also recommend requesting a sharps disposal container. - Electronic signatures are acceptable when parents have the ability to sign, not type, their acknowledgment. - All emergency contact information should include name, address, phone number, and relationship to the child. Ms. Threadgill requested the permit age range change from 0 – 5 years to 0 -12 years of age to include children who may turn six (6) over the summer and/or if the facility decided to offer school-age care. Thank you for your time today. Please contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 with questions or concerns. 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 GODDARD SCHOOL AT MALLARD CREEK Facility ID: 60003867 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 6/14/2024 Number Present: 114 Completed Date: 6/14/2024 Age: From 0 To 5 Total Minutes: 225 Time In: 09:45 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 applicable child care rules and laws during a routine unannounced visit. The facility currently operated with a Five Star Rated License issued November 14, 2019. The facility had an eighteen-month compliance history of 88% prior to today’s visit. The following was monitored using the March 2024 Master Center Item Number Listing: supervision, staff/child ratios, CBC qualification, CPR, First Aid, special training, ITS-SIDS, emergency medical care plan, administration of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, posted license, and permit restrictions. Ms. Lisa Eddins-Smith, Child Care Consultant, accompanied me today. Upon arrival we were greeted by Sarah Lafon, Assistant Director, and explained the purpose of the visit. Ms. Jennifer Threadgill, Executive Director, and Ms. Lauren McGrath, Director, accompanied us on the walkthrough. Ms. Eddins-Smith and I both monitored the infant classroom. Infants were observed sleeping, participating in supervised play, and being fed. Safe sleep checks were documented on the iPad as well as on a hard copy. Teachers initialed the hard copy checks. Bottles were observed dated and labeled. Each infant had an assigned crib. Ms. Eddins-Smith monitored diaper creams and sunscreens for required paperwork and permissions. One (1) child did not have permission completed for the Aquafor. After monitoring the infant room together, Ms. Eddins-Smith completed the walk through with Ms. Threadgill to obtain staff/child ratio information for each space. I monitored and observed in Space 3 for toddler care with Ms. McGrath. I observed children in Space 3 participating in free choice play. Two (2) teachers were present with ten (10) children. Adequate supervision and staff/child ratio met requirements. Teachers asked about room arrangement and age appropriate materials. It was recommended to create defined centers using shelves and/or rugs. I recommended moving the kitchen out from the wall, adding a clothes tree to hang dress up materials, and moving tables to create a “T” shape to prevent children from running from one side of the room to the other. I also recommended adding a shelving unit to the cozy area to separate it from the exterior door exit path. I explained that glitter was not age appropriate for toddlers and recommended pom poms, feathers, and strips/scraps of construction or tissue paper for free choice art activities. I observed cords, tablets, and trifolds stored in the food prep area. I explained that the food prep area should only be used for food items and should be cleaned and sanitized the same way tables were before eating. Water bottles brought from home were not labeled and dated. I reminded staff that bottles should be labeled to ensure children were not sharing. I observed preschool aged children on the playground participating in an ancillary music activity. Children were observed playing musical instruments and singing with the teacher. Adequate supervision and staff/child ratio met requirements. The playground met requirements. I recommended adding riding toys to include tricycles. Ms. Threadgill asked if helmets were required for tricycles and I explained helmets were not required. The only time helmets were required were for school aged children who are riding outside of the fenced area. Ms. Eddins-Smith reviewed new staff files. Six (6) files were reviewed. It was observed that CPR/First Aid training cards listed American Heart Association BLS training for all staff except two (2) teachers. The training certificate noted infant, child, adult CPR/First Aid, however the American Heart Association issued card with the QR code did not indicate training included all modules. Therefore, training did not meet requirements. During the annual compliance visit it was noted in the visit summary “The DCDEE CPR/FA training document on the DCDEE web site was reviewed to determine if the filed documentation showed what was required for the American Heart Association BLS training. The document states the specific training only meets CPR requirements. The optional modules pertaining to the age groups of children served were not listed on the presented training card/document. First Aid certificates were filed in a binder for each staff person. We explained, DCDEE cannot accept CPR and FA training certificates like in the past when we gave annual in-service training hours for obtaining the training. We must have copies of the issued cards (front and back) or the QR code on the issued document to be able to verify the required training was obtained. The director contacted the trainer and we spoke to her on the phone to explain. The staff did obtain all of the required modules when the training was conducted in August. The documentation will need to be reissued by the trainer. The director will be required to email the revised issued documents for final review.” The violations will be cited today. All pre-employment paperwork met requirements. All staff who worked with infants had current SIDS training. While typing the visit summary in the conference room I heard a teacher in an adjacent classroom using a raised voice and inappropriate tone while directing children to “get down and stop.” I walked to the classroom and observed through the window the teacher maintaining the inappropriate tone while pointing her finger at the child she was addressing. I walked into the room and explained the volume and tone was inappropriate. Emergency medications were monitored and all required documents were current. One (1) child no longer attended the facility and the emergency medication was not returned to the family or discarded. It was reported the child had not been in attendance for at least a week. The requirement is to discarded or returned with 72 hours. Violation Number Comment Rule 325 Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children. A teacher in Space 10 was observed using an inappropriate tone and raised voice while pointing her finger at the child while redirecting the child in large group time. .1802 428 A current activity plan was not posted for each group of children for reference. Activity plans were stored on iPads. Copies of the plans were not posted in the classroom. GS 110-91(12); .0508(a) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Classroom walls were observed with peeling paint and exposed drywall. 15A NCAC 18A .2825(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A child's emergency medication was not returned to parents after the child disenrolled. It was reported the child had not been in attendance for a week. .0803(12) 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. It was observed that First Aid training cards listed American Heart Association BLS training for all staff except two (2) teachers. The training certificate noted infant, child, adult First Aid, however the American Heart Association issued card with the QR code did not indicate training included all modules. Therefore, training did not meet requirements .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. It was observed that CPR training cards listed American Heart Association BLS training for all staff except two (2) teachers. The training certificate noted infant, child, adult CPR, however the American Heart Association issued card with the QR code did not indicate training included all modules. Therefore, training did not meet requirements .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place or lockdown drill was 1/9/24. Another drill should have been conducted in April. .0604(u);.0302(d)(8) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Permission for an infant's Aquafor was not completed and available for review. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Corrective Action: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Friday, June 28, 2024 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 Jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Comments: Please visit the DCDEE website, https://ncchildcare.ncdhhs.gov/, and register to receive updates if you have not done so already. - Safe sleep checks should be begin as soon as children are placed in the crib even if they are awake. Documentation should include how staff lay children in the crib, always on their backs, even if they turn immediately on their side or tummy. - I recommend adding soft climbing toys to toddler classrooms. - Walls were observed with crayon and marker marks as well as with chipped paint. It was explained that painting had been scheduled. During the annual compliance visit the violation was cited and corrected by placing pictures and art over peeling areas. The areas were not covered today. - Abbreviated versions of the activity plans should be posted in the classroom for parents to reference. Extended plans may be stored on the iPads for teacher reference. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: THE GODDARD SCHOOL AT MALLARD CREEK Facility ID: 60003867 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 6/14/2024 Number Present: 114 Completed Date: 6/14/2024 Age: From 0 To 5 Total Minutes: 225 Time In: 09:45 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 applicable child care rules and laws during a routine unannounced visit. The facility currently operated with a Five Star Rated License issued November 14, 2019. The facility had an eighteen-month compliance history of 88% prior to today’s visit. The following was monitored using the March 2024 Master Center Item Number Listing: supervision, staff/child ratios, CBC qualification, CPR, First Aid, special training, ITS-SIDS, emergency medical care plan, administration of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, posted license, and permit restrictions. Ms. Lisa Eddins-Smith, Child Care Consultant, accompanied me today. Upon arrival we were greeted by Sarah Lafon, Assistant Director, and explained the purpose of the visit. Ms. Jennifer Threadgill, Executive Director, and Ms. Lauren McGrath, Director, accompanied us on the walkthrough. Ms. Eddins-Smith and I both monitored the infant classroom. Infants were observed sleeping, participating in supervised play, and being fed. Safe sleep checks were documented on the iPad as well as on a hard copy. Teachers initialed the hard copy checks. Bottles were observed dated and labeled. Each infant had an assigned crib. Ms. Eddins-Smith monitored diaper creams and sunscreens for required paperwork and permissions. One (1) child did not have permission completed for the Aquafor. After monitoring the infant room together, Ms. Eddins-Smith completed the walk through with Ms. Threadgill to obtain staff/child ratio information for each space. I monitored and observed in Space 3 for toddler care with Ms. McGrath. I observed children in Space 3 participating in free choice play. Two (2) teachers were present with ten (10) children. Adequate supervision and staff/child ratio met requirements. Teachers asked about room arrangement and age appropriate materials. It was recommended to create defined centers using shelves and/or rugs. I recommended moving the kitchen out from the wall, adding a clothes tree to hang dress up materials, and moving tables to create a “T” shape to prevent children from running from one side of the room to the other. I also recommended adding a shelving unit to the cozy area to separate it from the exterior door exit path. I explained that glitter was not age appropriate for toddlers and recommended pom poms, feathers, and strips/scraps of construction or tissue paper for free choice art activities. I observed cords, tablets, and trifolds stored in the food prep area. I explained that the food prep area should only be used for food items and should be cleaned and sanitized the same way tables were before eating. Water bottles brought from home were not labeled and dated. I reminded staff that bottles should be labeled to ensure children were not sharing. I observed preschool aged children on the playground participating in an ancillary music activity. Children were observed playing musical instruments and singing with the teacher. Adequate supervision and staff/child ratio met requirements. The playground met requirements. I recommended adding riding toys to include tricycles. Ms. Threadgill asked if helmets were required for tricycles and I explained helmets were not required. The only time helmets were required were for school aged children who are riding outside of the fenced area. Ms. Eddins-Smith reviewed new staff files. Six (6) files were reviewed. It was observed that CPR/First Aid training cards listed American Heart Association BLS training for all staff except two (2) teachers. The training certificate noted infant, child, adult CPR/First Aid, however the American Heart Association issued card with the QR code did not indicate training included all modules. Therefore, training did not meet requirements. During the annual compliance visit it was noted in the visit summary “The DCDEE CPR/FA training document on the DCDEE web site was reviewed to determine if the filed documentation showed what was required for the American Heart Association BLS training. The document states the specific training only meets CPR requirements. The optional modules pertaining to the age groups of children served were not listed on the presented training card/document. First Aid certificates were filed in a binder for each staff person. We explained, DCDEE cannot accept CPR and FA training certificates like in the past when we gave annual in-service training hours for obtaining the training. We must have copies of the issued cards (front and back) or the QR code on the issued document to be able to verify the required training was obtained. The director contacted the trainer and we spoke to her on the phone to explain. The staff did obtain all of the required modules when the training was conducted in August. The documentation will need to be reissued by the trainer. The director will be required to email the revised issued documents for final review.” The violations will be cited today. All pre-employment paperwork met requirements. All staff who worked with infants had current SIDS training. While typing the visit summary in the conference room I heard a teacher in an adjacent classroom using a raised voice and inappropriate tone while directing children to “get down and stop.” I walked to the classroom and observed through the window the teacher maintaining the inappropriate tone while pointing her finger at the child she was addressing. I walked into the room and explained the volume and tone was inappropriate. Emergency medications were monitored and all required documents were current. One (1) child no longer attended the facility and the emergency medication was not returned to the family or discarded. It was reported the child had not been in attendance for at least a week. The requirement is to discarded or returned with 72 hours. Violation Number Comment Rule 325 Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children. A teacher in Space 10 was observed using an inappropriate tone and raised voice while pointing her finger at the child while redirecting the child in large group time. .1802 428 A current activity plan was not posted for each group of children for reference. Activity plans were stored on iPads. Copies of the plans were not posted in the classroom. GS 110-91(12); .0508(a) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Classroom walls were observed with peeling paint and exposed drywall. 15A NCAC 18A .2825(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A child's emergency medication was not returned to parents after the child disenrolled. It was reported the child had not been in attendance for a week. .0803(12) 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. It was observed that First Aid training cards listed American Heart Association BLS training for all staff except two (2) teachers. The training certificate noted infant, child, adult First Aid, however the American Heart Association issued card with the QR code did not indicate training included all modules. Therefore, training did not meet requirements .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. It was observed that CPR training cards listed American Heart Association BLS training for all staff except two (2) teachers. The training certificate noted infant, child, adult CPR, however the American Heart Association issued card with the QR code did not indicate training included all modules. Therefore, training did not meet requirements .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place or lockdown drill was 1/9/24. Another drill should have been conducted in April. .0604(u);.0302(d)(8) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Permission for an infant's Aquafor was not completed and available for review. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Corrective Action: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Friday, June 28, 2024 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 Jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Comments: Please visit the DCDEE website, https://ncchildcare.ncdhhs.gov/, and register to receive updates if you have not done so already. - Safe sleep checks should be begin as soon as children are placed in the crib even if they are awake. Documentation should include how staff lay children in the crib, always on their backs, even if they turn immediately on their side or tummy. - I recommend adding soft climbing toys to toddler classrooms. - Walls were observed with crayon and marker marks as well as with chipped paint. It was explained that painting had been scheduled. During the annual compliance visit the violation was cited and corrected by placing pictures and art over peeling areas. The areas were not covered today. - Abbreviated versions of the activity plans should be posted in the classroom for parents to reference. Extended plans may be stored on the iPads for teacher reference. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0902 · Violation

Name of Operation: THE GODDARD SCHOOL AT MALLARD CREEK Facility ID: 60003867 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 10/11/2023 Number Present: 112 Completed Date: 10/12/2023 Age: From 0 To 5 Total Minutes: 360 Time In: 12:00 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 for compliance with applicable child care requirements during the Annual Compliance Visit. Child Care Consultant, Jennifer Stansfield accompanied me during the visit. Prior to conducting the AC visit, a complaint investigation was completed. The center continues to operate a five-star rated facility and continues to meet enhanced space and ratios. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated August 2023 were used to document compliance. Spaces #1-11, prep-kitchen and two outdoor learning environments were monitored for compliance. The program continues not to provide transportation or lunch. Parents complete the DCDEE “Opt Out” forms during the enrollment period. Lunch is provided by parents, sent from home, and refrigerated in full size refrigerators at the center until served at mealtime. Children were monitored, engaged in tummy time, group activity related to DNA, outdoor play, and contracted vendor services. In spaces #2-5 additional materials and multiples of three for the same materials were noted as lacking in each space. Children’s use of screen time was not tracked as required by child care rule. The administrator stated staff were given the log to use to document children’s weekly use. Two children were missing their infant feeding schedules posted. The missing documents were posted during the visit. Cots were stored underneath the cubbies in each applicable classroom. No covers or barrier separated the top of the cots from children stepping on the cot to place their water bottles in their cubbies. There were ceiling tiles monitored stained and chipped paint on walls in spaces #3 and #5. Several books were monitored in poor repair. The books in poor repair were removed from the children’s environments during the visit. A child’s medical action plan for two children was not completed in full. The second page was incomplete. Twelve children’s files were monitored for compliance. Five children were missing annual renewal of permission to play outside of the fenced area. Four children were identified as missing EMC information on their applications. We discussed when annual paperwork is updated with enrolled families. It was recommended to possibly update the enrollment application at the beginning of the school year and when children are moved up to their next classrooms. It was recommended to develop one parents’ acknowledgements page instead of several different pages. The center utilizes the following implemented curriculum, “The Wonder of Learning” and is provided through Goddard. They use the Cor Advantage/Kaymbu system for the assessment portion, where the lesson plans are entered, and how the daily notes are recorded. Staff and Training worksheets were presented to Ms. Stansfield and one new hires file that began working today were monitored for compliance. Six new staff files were monitored for compliance. Three existing staff files were monitored for compliance. The existing staff obtained CPR and FA training from a partnership nurse trainer in August of 2023. The DCDEE CPR/FA training document on the DCDEE web site was reviewed to determine if the filed documentation showed what was required for the American Heart Association BLS training. The document states the specific training only meets CPR requirements. The optional modules pertaining to the age groups of children served were not listed on the presented training card/document. First Aid certificates were filed in a binder for each staff person. We explained, DCDEE cannot accept CPR and FA training certificates like in the past when we gave annual in-service training hours for obtaining the training. We must have copies of the issued cards (front and back) or the QR code on the issued document to be able to verify the required training was obtained. The director contacted the training and we spoke to her on the phone to explain. The staff did obtain all of the required modules when the training was conducted in August. The documentation will need to be reissued by the trainer. The director will be required to email the revised issued documents for final review., The outdoor learning environment was monitored for compliance. An outdoor storage unit was left unlocked with two bags of soil stored on the shelf inside of the unit. The storage unit was locked when noticed. Documentation for quarterly safety drills and monthly fire drills were monitored for compliance and found to meet child care requirements. It was recommended to conduct a monthly fire drill in the light rain and at the end of nap time. The center’s EPR plan and Ready to Go File were not monitored for compliance. The plans were asked for by the administrator but never presented for review during the visit. The kitchen was monitored for compliance with prepackaged snack foods stored properly and a posted current snack menu. A current posted allergy list was monitored in each classroom and kitchen. The last sanitation inspection was conducted June 13, 2023, with eighteen (18) demerits cited, and an Approved Classification issued. The last annual fire inspection was completed November 14, 2022. It is highly recommended to begin your annual inspection process four to six weeks prior to expiration. Based on the DCDEE Cohort Model Plan the center would be due to complete a rated license reassessment in the second cohort plan year (June 30, 2025, until June 30, 2026). The last RLA was processed in November 2019. There was an error in determining when the facility would be required to be reassessed based on the remodel plan. The preparation year for the facility would be 2024 year. Violation Number Comment Rule 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. In Spaces 2 - 5 for toddlers there was not enough materials accessible and/or quantity for the number of children in care. .0510(e)(3) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. A screen time log was not completed for classrooms that use technology as part of the lesson plan. .0510(d)(2)(A-C) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). Two (2) children in Space 2 did not have a posted feeding plan. 10A NCAC 09 .0902(a) 615 Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users. Cots were stored underneath children's cubbies where personal bookbags and jackets were hung. The cots did not have a protective barrier from the personal belongings and children were observed stepping on the cots to place water bottles in cubbies. 15A NCAC 18A .2821(a) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. The ceiling tiles were stained in Space 5. The walls were chipped in Space 3. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. The books in Spaces 4 and 9 were observed torn and in poor repair. G.S. 110-91(6); .0601(b) 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. The shed on the preschool playground was observed unlocked and potting soil with fertilizer was observed inside. .2820(b) 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. Six (6) children did not have emergency medical care information updated annually. .0802(c) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. Six (6) children did not have the off-premise permission updated annually. .1005(b)(4) 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. The medical action plan for two (2) children was not completed in full. The second page was incomplete. .0801(b) Technical Assistance Provided and General Discussion: 1. The visit summary was not finalized until the following morning. The cited violations were reviewed with Ms. Threadgill prior to our departure. Ms. Threadgill was informed ten (10) violations were cited. 2. The center’s last administrative action approved three forms to document quarterly staff observations/performance. The center administrators did not complete the first round of quarterly performance observations as approved on April 11, 2023. The administrator provided three new forms of documentation developed by the Goddard School and asked if the forms could be used instead of what was previously approved on April 11, 2023. The titles of the new forms were the following: Classroom Observation, Classroom Observation Feedback Meeting Form and Classroom Observation Feeback Meeting Form. The forms were reviewed and approved for use. A return visit will be conducted to monitor implementation of the staff performance observations and documentation. A closure letter cannot be issued until implementation has been verified. 3. A review of approved CPR/FA vendors and required documentation was completed with the administrator. Due diligence is necessary to ensure the proper documentation is maintained on file and available for future review. An email sent to licensed providers in the 28262-zip code area was re-sent to the administrators during the visit. The emailed information was originally sent in February of 2023. 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 Wednesday, October 25, 2023. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, 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. 110-91 · Violation

Name of Operation: THE GODDARD SCHOOL AT MALLARD CREEK Facility ID: 60003867 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 10/11/2023 Number Present: 112 Completed Date: 10/12/2023 Age: From 0 To 5 Total Minutes: 360 Time In: 12:00 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 for compliance with applicable child care requirements during the Annual Compliance Visit. Child Care Consultant, Jennifer Stansfield accompanied me during the visit. Prior to conducting the AC visit, a complaint investigation was completed. The center continues to operate a five-star rated facility and continues to meet enhanced space and ratios. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated August 2023 were used to document compliance. Spaces #1-11, prep-kitchen and two outdoor learning environments were monitored for compliance. The program continues not to provide transportation or lunch. Parents complete the DCDEE “Opt Out” forms during the enrollment period. Lunch is provided by parents, sent from home, and refrigerated in full size refrigerators at the center until served at mealtime. Children were monitored, engaged in tummy time, group activity related to DNA, outdoor play, and contracted vendor services. In spaces #2-5 additional materials and multiples of three for the same materials were noted as lacking in each space. Children’s use of screen time was not tracked as required by child care rule. The administrator stated staff were given the log to use to document children’s weekly use. Two children were missing their infant feeding schedules posted. The missing documents were posted during the visit. Cots were stored underneath the cubbies in each applicable classroom. No covers or barrier separated the top of the cots from children stepping on the cot to place their water bottles in their cubbies. There were ceiling tiles monitored stained and chipped paint on walls in spaces #3 and #5. Several books were monitored in poor repair. The books in poor repair were removed from the children’s environments during the visit. A child’s medical action plan for two children was not completed in full. The second page was incomplete. Twelve children’s files were monitored for compliance. Five children were missing annual renewal of permission to play outside of the fenced area. Four children were identified as missing EMC information on their applications. We discussed when annual paperwork is updated with enrolled families. It was recommended to possibly update the enrollment application at the beginning of the school year and when children are moved up to their next classrooms. It was recommended to develop one parents’ acknowledgements page instead of several different pages. The center utilizes the following implemented curriculum, “The Wonder of Learning” and is provided through Goddard. They use the Cor Advantage/Kaymbu system for the assessment portion, where the lesson plans are entered, and how the daily notes are recorded. Staff and Training worksheets were presented to Ms. Stansfield and one new hires file that began working today were monitored for compliance. Six new staff files were monitored for compliance. Three existing staff files were monitored for compliance. The existing staff obtained CPR and FA training from a partnership nurse trainer in August of 2023. The DCDEE CPR/FA training document on the DCDEE web site was reviewed to determine if the filed documentation showed what was required for the American Heart Association BLS training. The document states the specific training only meets CPR requirements. The optional modules pertaining to the age groups of children served were not listed on the presented training card/document. First Aid certificates were filed in a binder for each staff person. We explained, DCDEE cannot accept CPR and FA training certificates like in the past when we gave annual in-service training hours for obtaining the training. We must have copies of the issued cards (front and back) or the QR code on the issued document to be able to verify the required training was obtained. The director contacted the training and we spoke to her on the phone to explain. The staff did obtain all of the required modules when the training was conducted in August. The documentation will need to be reissued by the trainer. The director will be required to email the revised issued documents for final review., The outdoor learning environment was monitored for compliance. An outdoor storage unit was left unlocked with two bags of soil stored on the shelf inside of the unit. The storage unit was locked when noticed. Documentation for quarterly safety drills and monthly fire drills were monitored for compliance and found to meet child care requirements. It was recommended to conduct a monthly fire drill in the light rain and at the end of nap time. The center’s EPR plan and Ready to Go File were not monitored for compliance. The plans were asked for by the administrator but never presented for review during the visit. The kitchen was monitored for compliance with prepackaged snack foods stored properly and a posted current snack menu. A current posted allergy list was monitored in each classroom and kitchen. The last sanitation inspection was conducted June 13, 2023, with eighteen (18) demerits cited, and an Approved Classification issued. The last annual fire inspection was completed November 14, 2022. It is highly recommended to begin your annual inspection process four to six weeks prior to expiration. Based on the DCDEE Cohort Model Plan the center would be due to complete a rated license reassessment in the second cohort plan year (June 30, 2025, until June 30, 2026). The last RLA was processed in November 2019. There was an error in determining when the facility would be required to be reassessed based on the remodel plan. The preparation year for the facility would be 2024 year. Violation Number Comment Rule 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. In Spaces 2 - 5 for toddlers there was not enough materials accessible and/or quantity for the number of children in care. .0510(e)(3) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. A screen time log was not completed for classrooms that use technology as part of the lesson plan. .0510(d)(2)(A-C) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). Two (2) children in Space 2 did not have a posted feeding plan. 10A NCAC 09 .0902(a) 615 Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users. Cots were stored underneath children's cubbies where personal bookbags and jackets were hung. The cots did not have a protective barrier from the personal belongings and children were observed stepping on the cots to place water bottles in cubbies. 15A NCAC 18A .2821(a) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. The ceiling tiles were stained in Space 5. The walls were chipped in Space 3. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. The books in Spaces 4 and 9 were observed torn and in poor repair. G.S. 110-91(6); .0601(b) 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. The shed on the preschool playground was observed unlocked and potting soil with fertilizer was observed inside. .2820(b) 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. Six (6) children did not have emergency medical care information updated annually. .0802(c) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. Six (6) children did not have the off-premise permission updated annually. .1005(b)(4) 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. The medical action plan for two (2) children was not completed in full. The second page was incomplete. .0801(b) Technical Assistance Provided and General Discussion: 1. The visit summary was not finalized until the following morning. The cited violations were reviewed with Ms. Threadgill prior to our departure. Ms. Threadgill was informed ten (10) violations were cited. 2. The center’s last administrative action approved three forms to document quarterly staff observations/performance. The center administrators did not complete the first round of quarterly performance observations as approved on April 11, 2023. The administrator provided three new forms of documentation developed by the Goddard School and asked if the forms could be used instead of what was previously approved on April 11, 2023. The titles of the new forms were the following: Classroom Observation, Classroom Observation Feedback Meeting Form and Classroom Observation Feeback Meeting Form. The forms were reviewed and approved for use. A return visit will be conducted to monitor implementation of the staff performance observations and documentation. A closure letter cannot be issued until implementation has been verified. 3. A review of approved CPR/FA vendors and required documentation was completed with the administrator. Due diligence is necessary to ensure the proper documentation is maintained on file and available for future review. An email sent to licensed providers in the 28262-zip code area was re-sent to the administrators during the visit. The emailed information was originally sent in February of 2023. 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 Wednesday, October 25, 2023. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, 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