10A NCAC 09 .0514 · Violation

Name of Operation: UNIVERSITY CHILD DEVELOPMENT CENTER/HIGHLAND CREEK Facility ID: 60001832 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 1/20/2026 Number Present: 130 Completed Date: 1/20/2026 Age: From 0 To 5 Total Minutes: 380 Time In: 09:30 AM Time Out: 01:05 PM Time In: 02:05 PM Time Out: 04:50 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Administrator, Ms. Sadiyyah Davis, and I explained the purpose of the visit. The Director, Ms. Leeann Barnette arrived during the beginning of the visit. Shortly after arriving to the center, a fire drill was conducted. I observed all classroom spaces exiting the building. I observed each classroom attendance verified and confirmed before children and staff were allowed to re-enter the building. I completed an indoor and outdoor walkthrough of the facility with Ms. Barnette. Your program currently operates with a five-star license, issued May 1, 2018 earning six (6) points in the education component, six (6) points in the program standards component (meeting enhanced reduced ratios; meets enhanced space) and one (1) quality point for enhanced policies. The program uses a developmentally appropriate curriculum Teaching Strategies Gold and Creative Curriculum that addresses the five (5) domains of development. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted January 24, 2025. The sanitation inspection was completed August 11, 2025, with a “Superior” classification and thirteen (13) demerits. The last fire inspection was conducted May 21, 2025, and your facility was approved for daytime care only. The Emergency Preparedness and Response Plan (EPR) was updated February 25, 2025; compliance was met. The center's compliance history was reviewed with the operator. The program’s compliance history was seventy-nine (79) percent as of January 19, 2026 (Visit Dates-From July 20, 2024 to January 19, 2026). The NC Secretary of State website was reviewed on January 20, 2026, and Ramsey Peele Corporation, was listed as current-active. In space 1, a Meck. Pre-K classroom, I observed the children transitioning to outdoor play. The children in space 2 were observed having supervised outdoor play. I observed the children in space 3 children under twelve (12) months old receiving care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Diapering creams and diapering forms were reviewed and met compliance. The children in space 4 were observed having supervised independent play. In space 5, a classroom for three (3) year-old children, were observed having supervised free independent play. I observed children in space 6, a classroom for three (3) year-old children, participating in supervised independent play. The children in space 7 (NC Pre-K classroom) was observed having supervised outdoor play. In space 8, (NC Pre-K classroom) was observed having circle time. I observed children in space 9 (NC Pre-K classroom) having supervised outdoor play. The children in space 10 (NC Pre-K classroom) and children in space 11 (Meck. Pre-K classroom) were observed having supervised independent play. A CMS Speech Therapist, J. Diaz, was present working with two (2) children, one (1) child from space 10 and one (1) child from space 7. Ms. Diaz has a current Criminal Background Check and Ms. Diaz has a current criminal qualifying letter on file at the center. I observed the children in space 12 (Meck. Pre-K classroom) preparing for lunch. I observed the following lunch items served: chicken nuggets, tater-tots, peaches, and milk. The lunch items served were noted on the menu. The Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. The following programs requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Menu, Daily Schedules and Activity Plans, North Carolina Summary of the Law, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspection Forms, and the Emergency Medical Care Plan; compliance was met. Emergency medications and diapering creams were reviewed, and compliance was met for emergency medications and diapering creams. There were no hazardous materials observed. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. The current NC Pre-K staff are lead teachers Ms. T. Johnson, B. Baldwin, S. Self, and G. Chandrasekaran. P.A.S.T. (Phonological Awareness Skills Test), Brigance, and Teaching Strategies Gold were used to complete screenings; the completed PEDS assessment are on file at the center. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The checkpoint assessments are conducted three (3) times per year: at the beginning, middle and end of the school year. The first day of school was September 3, 2025. The classroom operates from 8:00 am to 2:30 pm. Parent conferences are held three (3) a year and as needed. You stated that you use the Teaching Strategies app and a newsletter to communicate with parents. Communication is sent home to the parents which includes any information about the child’s day and any reminders. Ten (10) percent of children's files were reviewed and compliance was met. The outdoor area and the outdoor play equipment were clean and in good repair; compliance was met. The center provides transportation and the following was monitored: Safe Pick-up and Delivery Statement (Posted), Child Safety Restraints and Seat Belts, Vehicle Safety Inspection(completed September 2025-2026) and Liability Insurance (January 7, 2026 to January 7, 2027), First Aid Kit in Vehicle, and Emergency Information on Children. Staff/Child Ratios Maintained During Transportation. No violations were cited. Violation Number Comment Rule 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. New staff did not have First Aid training within ninety (90) days (B.B.), (D.C.), (S.S.) and (T.T.); and veteran staff (A.S.) have First Aid training expired. .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. New staff did not have CPR training within ninety (90) days (B.B.), (D.C.), (S.S.) and (T.T.); and veteran staff (A.S.) have CPR training expired. .1102(d) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Veteran staff members did not have annual staff evaluation and a staff development plan. 10A NCAC 09 .0514(f) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff (D.C.) did not have certificate verifying completion for Responding to Suspicions of Child Maltreatment training within (ninety) 90 days of employment .1102(g) -Staff files were not reviewed during the visit, and the staff files will be reviewed within in five (5) days. -A copy of the Annual Compliance Monitoring Checklist will be provided after staff files are monitored. -Technical Assistance (TA) will be provided on the QRIS System during the next visit. 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 February 3, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -The roster was complete in the Automated Background Check System (ABCMS). Make sure that the employee status is completed in ABCMS, such as ensuring that staff are coded as hired. New staff must be updated in the system within five (5) days, and the change of information form is no longer needed (Child Care Rule 10A NCAC 09 .2703(e)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .2703 · Violation

Name of Operation: UNIVERSITY CHILD DEVELOPMENT CENTER/HIGHLAND CREEK Facility ID: 60001832 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 1/20/2026 Number Present: 130 Completed Date: 1/20/2026 Age: From 0 To 5 Total Minutes: 380 Time In: 09:30 AM Time Out: 01:05 PM Time In: 02:05 PM Time Out: 04:50 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Administrator, Ms. Sadiyyah Davis, and I explained the purpose of the visit. The Director, Ms. Leeann Barnette arrived during the beginning of the visit. Shortly after arriving to the center, a fire drill was conducted. I observed all classroom spaces exiting the building. I observed each classroom attendance verified and confirmed before children and staff were allowed to re-enter the building. I completed an indoor and outdoor walkthrough of the facility with Ms. Barnette. Your program currently operates with a five-star license, issued May 1, 2018 earning six (6) points in the education component, six (6) points in the program standards component (meeting enhanced reduced ratios; meets enhanced space) and one (1) quality point for enhanced policies. The program uses a developmentally appropriate curriculum Teaching Strategies Gold and Creative Curriculum that addresses the five (5) domains of development. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted January 24, 2025. The sanitation inspection was completed August 11, 2025, with a “Superior” classification and thirteen (13) demerits. The last fire inspection was conducted May 21, 2025, and your facility was approved for daytime care only. The Emergency Preparedness and Response Plan (EPR) was updated February 25, 2025; compliance was met. The center's compliance history was reviewed with the operator. The program’s compliance history was seventy-nine (79) percent as of January 19, 2026 (Visit Dates-From July 20, 2024 to January 19, 2026). The NC Secretary of State website was reviewed on January 20, 2026, and Ramsey Peele Corporation, was listed as current-active. In space 1, a Meck. Pre-K classroom, I observed the children transitioning to outdoor play. The children in space 2 were observed having supervised outdoor play. I observed the children in space 3 children under twelve (12) months old receiving care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Diapering creams and diapering forms were reviewed and met compliance. The children in space 4 were observed having supervised independent play. In space 5, a classroom for three (3) year-old children, were observed having supervised free independent play. I observed children in space 6, a classroom for three (3) year-old children, participating in supervised independent play. The children in space 7 (NC Pre-K classroom) was observed having supervised outdoor play. In space 8, (NC Pre-K classroom) was observed having circle time. I observed children in space 9 (NC Pre-K classroom) having supervised outdoor play. The children in space 10 (NC Pre-K classroom) and children in space 11 (Meck. Pre-K classroom) were observed having supervised independent play. A CMS Speech Therapist, J. Diaz, was present working with two (2) children, one (1) child from space 10 and one (1) child from space 7. Ms. Diaz has a current Criminal Background Check and Ms. Diaz has a current criminal qualifying letter on file at the center. I observed the children in space 12 (Meck. Pre-K classroom) preparing for lunch. I observed the following lunch items served: chicken nuggets, tater-tots, peaches, and milk. The lunch items served were noted on the menu. The Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. The following programs requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Menu, Daily Schedules and Activity Plans, North Carolina Summary of the Law, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspection Forms, and the Emergency Medical Care Plan; compliance was met. Emergency medications and diapering creams were reviewed, and compliance was met for emergency medications and diapering creams. There were no hazardous materials observed. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. The current NC Pre-K staff are lead teachers Ms. T. Johnson, B. Baldwin, S. Self, and G. Chandrasekaran. P.A.S.T. (Phonological Awareness Skills Test), Brigance, and Teaching Strategies Gold were used to complete screenings; the completed PEDS assessment are on file at the center. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The checkpoint assessments are conducted three (3) times per year: at the beginning, middle and end of the school year. The first day of school was September 3, 2025. The classroom operates from 8:00 am to 2:30 pm. Parent conferences are held three (3) a year and as needed. You stated that you use the Teaching Strategies app and a newsletter to communicate with parents. Communication is sent home to the parents which includes any information about the child’s day and any reminders. Ten (10) percent of children's files were reviewed and compliance was met. The outdoor area and the outdoor play equipment were clean and in good repair; compliance was met. The center provides transportation and the following was monitored: Safe Pick-up and Delivery Statement (Posted), Child Safety Restraints and Seat Belts, Vehicle Safety Inspection(completed September 2025-2026) and Liability Insurance (January 7, 2026 to January 7, 2027), First Aid Kit in Vehicle, and Emergency Information on Children. Staff/Child Ratios Maintained During Transportation. No violations were cited. Violation Number Comment Rule 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. New staff did not have First Aid training within ninety (90) days (B.B.), (D.C.), (S.S.) and (T.T.); and veteran staff (A.S.) have First Aid training expired. .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. New staff did not have CPR training within ninety (90) days (B.B.), (D.C.), (S.S.) and (T.T.); and veteran staff (A.S.) have CPR training expired. .1102(d) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Veteran staff members did not have annual staff evaluation and a staff development plan. 10A NCAC 09 .0514(f) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff (D.C.) did not have certificate verifying completion for Responding to Suspicions of Child Maltreatment training within (ninety) 90 days of employment .1102(g) -Staff files were not reviewed during the visit, and the staff files will be reviewed within in five (5) days. -A copy of the Annual Compliance Monitoring Checklist will be provided after staff files are monitored. -Technical Assistance (TA) will be provided on the QRIS System during the next visit. 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 February 3, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -The roster was complete in the Automated Background Check System (ABCMS). Make sure that the employee status is completed in ABCMS, such as ensuring that staff are coded as hired. New staff must be updated in the system within five (5) days, and the change of information form is no longer needed (Child Care Rule 10A NCAC 09 .2703(e)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: UNIVERSITY CHILD DEVELOPMENT CENTER/HIGHLAND CREEK Facility ID: 60001832 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 1/20/2026 Number Present: 130 Completed Date: 1/20/2026 Age: From 0 To 5 Total Minutes: 380 Time In: 09:30 AM Time Out: 01:05 PM Time In: 02:05 PM Time Out: 04:50 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Administrator, Ms. Sadiyyah Davis, and I explained the purpose of the visit. The Director, Ms. Leeann Barnette arrived during the beginning of the visit. Shortly after arriving to the center, a fire drill was conducted. I observed all classroom spaces exiting the building. I observed each classroom attendance verified and confirmed before children and staff were allowed to re-enter the building. I completed an indoor and outdoor walkthrough of the facility with Ms. Barnette. Your program currently operates with a five-star license, issued May 1, 2018 earning six (6) points in the education component, six (6) points in the program standards component (meeting enhanced reduced ratios; meets enhanced space) and one (1) quality point for enhanced policies. The program uses a developmentally appropriate curriculum Teaching Strategies Gold and Creative Curriculum that addresses the five (5) domains of development. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted January 24, 2025. The sanitation inspection was completed August 11, 2025, with a “Superior” classification and thirteen (13) demerits. The last fire inspection was conducted May 21, 2025, and your facility was approved for daytime care only. The Emergency Preparedness and Response Plan (EPR) was updated February 25, 2025; compliance was met. The center's compliance history was reviewed with the operator. The program’s compliance history was seventy-nine (79) percent as of January 19, 2026 (Visit Dates-From July 20, 2024 to January 19, 2026). The NC Secretary of State website was reviewed on January 20, 2026, and Ramsey Peele Corporation, was listed as current-active. In space 1, a Meck. Pre-K classroom, I observed the children transitioning to outdoor play. The children in space 2 were observed having supervised outdoor play. I observed the children in space 3 children under twelve (12) months old receiving care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Diapering creams and diapering forms were reviewed and met compliance. The children in space 4 were observed having supervised independent play. In space 5, a classroom for three (3) year-old children, were observed having supervised free independent play. I observed children in space 6, a classroom for three (3) year-old children, participating in supervised independent play. The children in space 7 (NC Pre-K classroom) was observed having supervised outdoor play. In space 8, (NC Pre-K classroom) was observed having circle time. I observed children in space 9 (NC Pre-K classroom) having supervised outdoor play. The children in space 10 (NC Pre-K classroom) and children in space 11 (Meck. Pre-K classroom) were observed having supervised independent play. A CMS Speech Therapist, J. Diaz, was present working with two (2) children, one (1) child from space 10 and one (1) child from space 7. Ms. Diaz has a current Criminal Background Check and Ms. Diaz has a current criminal qualifying letter on file at the center. I observed the children in space 12 (Meck. Pre-K classroom) preparing for lunch. I observed the following lunch items served: chicken nuggets, tater-tots, peaches, and milk. The lunch items served were noted on the menu. The Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. The following programs requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Menu, Daily Schedules and Activity Plans, North Carolina Summary of the Law, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspection Forms, and the Emergency Medical Care Plan; compliance was met. Emergency medications and diapering creams were reviewed, and compliance was met for emergency medications and diapering creams. There were no hazardous materials observed. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. The current NC Pre-K staff are lead teachers Ms. T. Johnson, B. Baldwin, S. Self, and G. Chandrasekaran. P.A.S.T. (Phonological Awareness Skills Test), Brigance, and Teaching Strategies Gold were used to complete screenings; the completed PEDS assessment are on file at the center. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The checkpoint assessments are conducted three (3) times per year: at the beginning, middle and end of the school year. The first day of school was September 3, 2025. The classroom operates from 8:00 am to 2:30 pm. Parent conferences are held three (3) a year and as needed. You stated that you use the Teaching Strategies app and a newsletter to communicate with parents. Communication is sent home to the parents which includes any information about the child’s day and any reminders. Ten (10) percent of children's files were reviewed and compliance was met. The outdoor area and the outdoor play equipment were clean and in good repair; compliance was met. The center provides transportation and the following was monitored: Safe Pick-up and Delivery Statement (Posted), Child Safety Restraints and Seat Belts, Vehicle Safety Inspection(completed September 2025-2026) and Liability Insurance (January 7, 2026 to January 7, 2027), First Aid Kit in Vehicle, and Emergency Information on Children. Staff/Child Ratios Maintained During Transportation. No violations were cited. Violation Number Comment Rule 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. New staff did not have First Aid training within ninety (90) days (B.B.), (D.C.), (S.S.) and (T.T.); and veteran staff (A.S.) have First Aid training expired. .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. New staff did not have CPR training within ninety (90) days (B.B.), (D.C.), (S.S.) and (T.T.); and veteran staff (A.S.) have CPR training expired. .1102(d) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Veteran staff members did not have annual staff evaluation and a staff development plan. 10A NCAC 09 .0514(f) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff (D.C.) did not have certificate verifying completion for Responding to Suspicions of Child Maltreatment training within (ninety) 90 days of employment .1102(g) -Staff files were not reviewed during the visit, and the staff files will be reviewed within in five (5) days. -A copy of the Annual Compliance Monitoring Checklist will be provided after staff files are monitored. -Technical Assistance (TA) will be provided on the QRIS System during the next visit. 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 February 3, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -The roster was complete in the Automated Background Check System (ABCMS). Make sure that the employee status is completed in ABCMS, such as ensuring that staff are coded as hired. New staff must be updated in the system within five (5) days, and the change of information form is no longer needed (Child Care Rule 10A NCAC 09 .2703(e)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: UNIVERSITY CHILD DEVELOPMENT CENTER/HIGHLAND CREEK Facility ID: 60001832 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 7/24/2025 Number Present: 41 Completed Date: 7/24/2025 Age: From 0 To 12 Total Minutes: 420 Time In: 09:30 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s routine unannounced visit was to monitor applicable child care rules and laws during a routine unannounced visit. I was greeted by Floater, Ms. Sadiyah Davis, and I explained the purpose of the visit. The Director, Ms. Leeann Barnette was not present during the visit. I completed a walkthrough of the center with Ms. Davis. The facility had a Five-Star License issued on May 21, 2018, and had a compliance history score of eighty (80) percent prior to today's visit. The last annual compliance was conducted on January 24, 2025. I observed the following spaces not in use: space 2, space 7, space 8, space 9, space 10 and space 12. In space 12, I observed musicians, G. Wilson and E. Norman, with B Music Youth participating in music group sessions with children from space 1 and from space 11. The children were not left alone with the musicians; staff from space 1 and space 11 attended the music session with the children. In space 1, I observed school-age children participating in supervised free play. I observed the children in space 3 (classroom for infants) receiving care according to their individual needs. Two (2) infants were observed napping; supervision was provided. Children were observed having supervised "tummy-time." The children in space 4 and in space 5 were observed having supervised outdoor play. I observed the children in space 6 preparing for outdoor play. The children in space 11 were observed having supervised independent play. The following child care requirements were monitored and observed today using the Child Care Center Checklist and the 2025 Master Child Care Center Item Number Listing: Supervision: The children was adequately supervised. Nurturing tones were heard when staff spoke with the children. Staff/Child Ratio: The ratio was maintained during today’s visit. CPR: Staff is current with CPR. First Aid: Staff is current with First Aid. Special Training: Staff is continuing to complete ongoing training. Three (3) staff has been hired. Staff files were reviewed using the staff and training worksheet. A violation was cited for child maltreatment training that was not completed within ninety (90) days. CBC Qualification: Staff were not current with CBC qualification. A staff member B. Warden-Daniel did not have a Criminal Background Check (CBC) completed; a violation was cited. A current qualification letter was not on file for staff member B. Warden-Daniel, and a violation was cited. A violation was cited for the center's roster that was incomplete in ABCMS. ITS-SIDS: Staff is current with ITS-SIDS training. The safe sleep policy and the safe sleep poster were posted. The safe sleep charts were reviewed, and compliance was met. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: There are no children enrolled with emergency medication. Children with creams/ointments were reviewed and compliance was met; children with allergies were posted. Storage of Hazardous Substances: I did not observe any hazardous substances that were accessible, they were observed stored properly during the visit. Storage of Medication: Over-the-counter ointments (creams/ointments) were stored properly. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: The children present during the visit were observed in licensed approved space. Program Records: I reviewed all information required to be posted and found meeting compliance. The monthly fire drills were complete and up to date. The quarterly drills (shelter-in-place) were up to date. The playground inspections were complete and up to date. License Posted: The license was observed posted. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was conducted January 8, 2025, with an "Approved" status and twenty-three (23) demerits. The center's water was last tested November 27, 2024. The Fire Inspection was conducted on May 21, 2025 and approved for daytime care; a violation was cited for the fire inspection. The Emergency Preparedness and Response Plan (EPR) was reviewed; updated February 25, 2025. Five (5) violations were cited. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was conducted on May 21, 2025, and the fire inspection report was not mailed within one (1) week of the inspection. 10A NCAC 09 .0304(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Staff (B.W.D) did not obtain a Criminal Background Check. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file for staff (B.W.D.). G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The center's roster was not complete in ABCMS. G.S. 110-90.2 & .2703(r) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff (S.P.) did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within ninety (90). days .1102(g) 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 August 7, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. - Scales are voluntary at this time. The following Technical Assistance (TA) was provided: -Staff must obtain a CBC prior to employment and every five (5) years. Prior to the expiration date of a qualification letter, the child care staff must complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years from the date of issuance). Staff B. Warden-Daniel began the process of applying for a new qualification letter on July 8, 2025. (Child Care Rule 10A NCAC 09 .2703 (n)&(o). (G.S. 110-90.2(b)). -A valid qualification letter must be on file for staff B. Warden-Daniel; staff cannot return to the center until a CBC has been completed, and a valid qualification letter must be on file. A copy of the qualification letter must be submitted to the child care consultant by August 8, 2025 (Child Care Rule 10A NCAC 09 .2703(e)); (G.S. 110-90.2(b)). -The roster in ABCMS had staff on the roster that were no longer employed at the child care center; current staff were not listed on the roster. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. •Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. • Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. -You must submit the Fire Inspection Report to the consultant within seven (7) days. Also, you must contact your fire inspector at least four (4) to six (6) weeks prior to the due date of the previous fire inspection report. Refer to Child Care Rule 10A NCAC 09 .0304(a). -The child care administrator and all staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within ninety (90) days of employment (Child Care Rule 10A NCAC 09 .1102(g)). -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 editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website 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. -On June 26th, the North Carolina Rules Review Commission (RRC) approved the QRIS Modernization rules adopted by the NC Child Care Commission during their April meeting. The Division of Child Development and Early Education is preparing a summary of the rules, an online training module for Moodle, and an implementation plan. A webinar will be scheduled later this month to share the implementation plan and will also provide resources that can assist you with understanding the new rules. The implementation plan will allow time for administrators/operators to learn and understand the different pathways and the changes within our system. We encourage you to visit the QRIS Modernization page on the DCDEE website to learn more now, and, if you have not already completed the QRIS survey, we’d love to hear from you. The information you provide will help us know how we can best serve you in preparing for this transition. -Ms. Davis stated that there are plans for the center to be repainted this summer. All walls and ceilings, including doors and windows, must be kept clean, free of visible fungal growth, and in good repair (Sanitation 15A NCAC 18A.2825(a)). -Space 5 has planted an outdoor garden, peppers and tomato plants were planted outside of the classroom. Staff were informed that the tomato leaves are toxic to children if the leaves are consumed. The staff in space 5 removed the tomato plants. A copy of toxic/non-toxic and poisonous plants resource guides were emailed to the director during the visit. -The facility's email address noted in Regulatory was verified as was updated. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: UNIVERSITY CHILD DEVELOPMENT CENTER/HIGHLAND CREEK Facility ID: 60001832 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 7/24/2025 Number Present: 41 Completed Date: 7/24/2025 Age: From 0 To 12 Total Minutes: 420 Time In: 09:30 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s routine unannounced visit was to monitor applicable child care rules and laws during a routine unannounced visit. I was greeted by Floater, Ms. Sadiyah Davis, and I explained the purpose of the visit. The Director, Ms. Leeann Barnette was not present during the visit. I completed a walkthrough of the center with Ms. Davis. The facility had a Five-Star License issued on May 21, 2018, and had a compliance history score of eighty (80) percent prior to today's visit. The last annual compliance was conducted on January 24, 2025. I observed the following spaces not in use: space 2, space 7, space 8, space 9, space 10 and space 12. In space 12, I observed musicians, G. Wilson and E. Norman, with B Music Youth participating in music group sessions with children from space 1 and from space 11. The children were not left alone with the musicians; staff from space 1 and space 11 attended the music session with the children. In space 1, I observed school-age children participating in supervised free play. I observed the children in space 3 (classroom for infants) receiving care according to their individual needs. Two (2) infants were observed napping; supervision was provided. Children were observed having supervised "tummy-time." The children in space 4 and in space 5 were observed having supervised outdoor play. I observed the children in space 6 preparing for outdoor play. The children in space 11 were observed having supervised independent play. The following child care requirements were monitored and observed today using the Child Care Center Checklist and the 2025 Master Child Care Center Item Number Listing: Supervision: The children was adequately supervised. Nurturing tones were heard when staff spoke with the children. Staff/Child Ratio: The ratio was maintained during today’s visit. CPR: Staff is current with CPR. First Aid: Staff is current with First Aid. Special Training: Staff is continuing to complete ongoing training. Three (3) staff has been hired. Staff files were reviewed using the staff and training worksheet. A violation was cited for child maltreatment training that was not completed within ninety (90) days. CBC Qualification: Staff were not current with CBC qualification. A staff member B. Warden-Daniel did not have a Criminal Background Check (CBC) completed; a violation was cited. A current qualification letter was not on file for staff member B. Warden-Daniel, and a violation was cited. A violation was cited for the center's roster that was incomplete in ABCMS. ITS-SIDS: Staff is current with ITS-SIDS training. The safe sleep policy and the safe sleep poster were posted. The safe sleep charts were reviewed, and compliance was met. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: There are no children enrolled with emergency medication. Children with creams/ointments were reviewed and compliance was met; children with allergies were posted. Storage of Hazardous Substances: I did not observe any hazardous substances that were accessible, they were observed stored properly during the visit. Storage of Medication: Over-the-counter ointments (creams/ointments) were stored properly. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: The children present during the visit were observed in licensed approved space. Program Records: I reviewed all information required to be posted and found meeting compliance. The monthly fire drills were complete and up to date. The quarterly drills (shelter-in-place) were up to date. The playground inspections were complete and up to date. License Posted: The license was observed posted. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was conducted January 8, 2025, with an "Approved" status and twenty-three (23) demerits. The center's water was last tested November 27, 2024. The Fire Inspection was conducted on May 21, 2025 and approved for daytime care; a violation was cited for the fire inspection. The Emergency Preparedness and Response Plan (EPR) was reviewed; updated February 25, 2025. Five (5) violations were cited. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was conducted on May 21, 2025, and the fire inspection report was not mailed within one (1) week of the inspection. 10A NCAC 09 .0304(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Staff (B.W.D) did not obtain a Criminal Background Check. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file for staff (B.W.D.). G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The center's roster was not complete in ABCMS. G.S. 110-90.2 & .2703(r) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff (S.P.) did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within ninety (90). days .1102(g) 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 August 7, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. - Scales are voluntary at this time. The following Technical Assistance (TA) was provided: -Staff must obtain a CBC prior to employment and every five (5) years. Prior to the expiration date of a qualification letter, the child care staff must complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years from the date of issuance). Staff B. Warden-Daniel began the process of applying for a new qualification letter on July 8, 2025. (Child Care Rule 10A NCAC 09 .2703 (n)&(o). (G.S. 110-90.2(b)). -A valid qualification letter must be on file for staff B. Warden-Daniel; staff cannot return to the center until a CBC has been completed, and a valid qualification letter must be on file. A copy of the qualification letter must be submitted to the child care consultant by August 8, 2025 (Child Care Rule 10A NCAC 09 .2703(e)); (G.S. 110-90.2(b)). -The roster in ABCMS had staff on the roster that were no longer employed at the child care center; current staff were not listed on the roster. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. •Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. • Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. -You must submit the Fire Inspection Report to the consultant within seven (7) days. Also, you must contact your fire inspector at least four (4) to six (6) weeks prior to the due date of the previous fire inspection report. Refer to Child Care Rule 10A NCAC 09 .0304(a). -The child care administrator and all staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within ninety (90) days of employment (Child Care Rule 10A NCAC 09 .1102(g)). -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 editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website 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. -On June 26th, the North Carolina Rules Review Commission (RRC) approved the QRIS Modernization rules adopted by the NC Child Care Commission during their April meeting. The Division of Child Development and Early Education is preparing a summary of the rules, an online training module for Moodle, and an implementation plan. A webinar will be scheduled later this month to share the implementation plan and will also provide resources that can assist you with understanding the new rules. The implementation plan will allow time for administrators/operators to learn and understand the different pathways and the changes within our system. We encourage you to visit the QRIS Modernization page on the DCDEE website to learn more now, and, if you have not already completed the QRIS survey, we’d love to hear from you. The information you provide will help us know how we can best serve you in preparing for this transition. -Ms. Davis stated that there are plans for the center to be repainted this summer. All walls and ceilings, including doors and windows, must be kept clean, free of visible fungal growth, and in good repair (Sanitation 15A NCAC 18A.2825(a)). -Space 5 has planted an outdoor garden, peppers and tomato plants were planted outside of the classroom. Staff were informed that the tomato leaves are toxic to children if the leaves are consumed. The staff in space 5 removed the tomato plants. A copy of toxic/non-toxic and poisonous plants resource guides were emailed to the director during the visit. -The facility's email address noted in Regulatory was verified as was updated. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2703 · Violation

Name of Operation: UNIVERSITY CHILD DEVELOPMENT CENTER/HIGHLAND CREEK Facility ID: 60001832 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 7/24/2025 Number Present: 41 Completed Date: 7/24/2025 Age: From 0 To 12 Total Minutes: 420 Time In: 09:30 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s routine unannounced visit was to monitor applicable child care rules and laws during a routine unannounced visit. I was greeted by Floater, Ms. Sadiyah Davis, and I explained the purpose of the visit. The Director, Ms. Leeann Barnette was not present during the visit. I completed a walkthrough of the center with Ms. Davis. The facility had a Five-Star License issued on May 21, 2018, and had a compliance history score of eighty (80) percent prior to today's visit. The last annual compliance was conducted on January 24, 2025. I observed the following spaces not in use: space 2, space 7, space 8, space 9, space 10 and space 12. In space 12, I observed musicians, G. Wilson and E. Norman, with B Music Youth participating in music group sessions with children from space 1 and from space 11. The children were not left alone with the musicians; staff from space 1 and space 11 attended the music session with the children. In space 1, I observed school-age children participating in supervised free play. I observed the children in space 3 (classroom for infants) receiving care according to their individual needs. Two (2) infants were observed napping; supervision was provided. Children were observed having supervised "tummy-time." The children in space 4 and in space 5 were observed having supervised outdoor play. I observed the children in space 6 preparing for outdoor play. The children in space 11 were observed having supervised independent play. The following child care requirements were monitored and observed today using the Child Care Center Checklist and the 2025 Master Child Care Center Item Number Listing: Supervision: The children was adequately supervised. Nurturing tones were heard when staff spoke with the children. Staff/Child Ratio: The ratio was maintained during today’s visit. CPR: Staff is current with CPR. First Aid: Staff is current with First Aid. Special Training: Staff is continuing to complete ongoing training. Three (3) staff has been hired. Staff files were reviewed using the staff and training worksheet. A violation was cited for child maltreatment training that was not completed within ninety (90) days. CBC Qualification: Staff were not current with CBC qualification. A staff member B. Warden-Daniel did not have a Criminal Background Check (CBC) completed; a violation was cited. A current qualification letter was not on file for staff member B. Warden-Daniel, and a violation was cited. A violation was cited for the center's roster that was incomplete in ABCMS. ITS-SIDS: Staff is current with ITS-SIDS training. The safe sleep policy and the safe sleep poster were posted. The safe sleep charts were reviewed, and compliance was met. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: There are no children enrolled with emergency medication. Children with creams/ointments were reviewed and compliance was met; children with allergies were posted. Storage of Hazardous Substances: I did not observe any hazardous substances that were accessible, they were observed stored properly during the visit. Storage of Medication: Over-the-counter ointments (creams/ointments) were stored properly. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: The children present during the visit were observed in licensed approved space. Program Records: I reviewed all information required to be posted and found meeting compliance. The monthly fire drills were complete and up to date. The quarterly drills (shelter-in-place) were up to date. The playground inspections were complete and up to date. License Posted: The license was observed posted. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was conducted January 8, 2025, with an "Approved" status and twenty-three (23) demerits. The center's water was last tested November 27, 2024. The Fire Inspection was conducted on May 21, 2025 and approved for daytime care; a violation was cited for the fire inspection. The Emergency Preparedness and Response Plan (EPR) was reviewed; updated February 25, 2025. Five (5) violations were cited. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was conducted on May 21, 2025, and the fire inspection report was not mailed within one (1) week of the inspection. 10A NCAC 09 .0304(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Staff (B.W.D) did not obtain a Criminal Background Check. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file for staff (B.W.D.). G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The center's roster was not complete in ABCMS. G.S. 110-90.2 & .2703(r) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff (S.P.) did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within ninety (90). days .1102(g) 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 August 7, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. - Scales are voluntary at this time. The following Technical Assistance (TA) was provided: -Staff must obtain a CBC prior to employment and every five (5) years. Prior to the expiration date of a qualification letter, the child care staff must complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years from the date of issuance). Staff B. Warden-Daniel began the process of applying for a new qualification letter on July 8, 2025. (Child Care Rule 10A NCAC 09 .2703 (n)&(o). (G.S. 110-90.2(b)). -A valid qualification letter must be on file for staff B. Warden-Daniel; staff cannot return to the center until a CBC has been completed, and a valid qualification letter must be on file. A copy of the qualification letter must be submitted to the child care consultant by August 8, 2025 (Child Care Rule 10A NCAC 09 .2703(e)); (G.S. 110-90.2(b)). -The roster in ABCMS had staff on the roster that were no longer employed at the child care center; current staff were not listed on the roster. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. •Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. • Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. -You must submit the Fire Inspection Report to the consultant within seven (7) days. Also, you must contact your fire inspector at least four (4) to six (6) weeks prior to the due date of the previous fire inspection report. Refer to Child Care Rule 10A NCAC 09 .0304(a). -The child care administrator and all staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within ninety (90) days of employment (Child Care Rule 10A NCAC 09 .1102(g)). -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 editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website 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. -On June 26th, the North Carolina Rules Review Commission (RRC) approved the QRIS Modernization rules adopted by the NC Child Care Commission during their April meeting. The Division of Child Development and Early Education is preparing a summary of the rules, an online training module for Moodle, and an implementation plan. A webinar will be scheduled later this month to share the implementation plan and will also provide resources that can assist you with understanding the new rules. The implementation plan will allow time for administrators/operators to learn and understand the different pathways and the changes within our system. We encourage you to visit the QRIS Modernization page on the DCDEE website to learn more now, and, if you have not already completed the QRIS survey, we’d love to hear from you. The information you provide will help us know how we can best serve you in preparing for this transition. -Ms. Davis stated that there are plans for the center to be repainted this summer. All walls and ceilings, including doors and windows, must be kept clean, free of visible fungal growth, and in good repair (Sanitation 15A NCAC 18A.2825(a)). -Space 5 has planted an outdoor garden, peppers and tomato plants were planted outside of the classroom. Staff were informed that the tomato leaves are toxic to children if the leaves are consumed. The staff in space 5 removed the tomato plants. A copy of toxic/non-toxic and poisonous plants resource guides were emailed to the director during the visit. -The facility's email address noted in Regulatory was verified as was updated. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: UNIVERSITY CHILD DEVELOPMENT CENTER/HIGHLAND CREEK Facility ID: 60001832 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 7/24/2025 Number Present: 41 Completed Date: 7/24/2025 Age: From 0 To 12 Total Minutes: 420 Time In: 09:30 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s routine unannounced visit was to monitor applicable child care rules and laws during a routine unannounced visit. I was greeted by Floater, Ms. Sadiyah Davis, and I explained the purpose of the visit. The Director, Ms. Leeann Barnette was not present during the visit. I completed a walkthrough of the center with Ms. Davis. The facility had a Five-Star License issued on May 21, 2018, and had a compliance history score of eighty (80) percent prior to today's visit. The last annual compliance was conducted on January 24, 2025. I observed the following spaces not in use: space 2, space 7, space 8, space 9, space 10 and space 12. In space 12, I observed musicians, G. Wilson and E. Norman, with B Music Youth participating in music group sessions with children from space 1 and from space 11. The children were not left alone with the musicians; staff from space 1 and space 11 attended the music session with the children. In space 1, I observed school-age children participating in supervised free play. I observed the children in space 3 (classroom for infants) receiving care according to their individual needs. Two (2) infants were observed napping; supervision was provided. Children were observed having supervised "tummy-time." The children in space 4 and in space 5 were observed having supervised outdoor play. I observed the children in space 6 preparing for outdoor play. The children in space 11 were observed having supervised independent play. The following child care requirements were monitored and observed today using the Child Care Center Checklist and the 2025 Master Child Care Center Item Number Listing: Supervision: The children was adequately supervised. Nurturing tones were heard when staff spoke with the children. Staff/Child Ratio: The ratio was maintained during today’s visit. CPR: Staff is current with CPR. First Aid: Staff is current with First Aid. Special Training: Staff is continuing to complete ongoing training. Three (3) staff has been hired. Staff files were reviewed using the staff and training worksheet. A violation was cited for child maltreatment training that was not completed within ninety (90) days. CBC Qualification: Staff were not current with CBC qualification. A staff member B. Warden-Daniel did not have a Criminal Background Check (CBC) completed; a violation was cited. A current qualification letter was not on file for staff member B. Warden-Daniel, and a violation was cited. A violation was cited for the center's roster that was incomplete in ABCMS. ITS-SIDS: Staff is current with ITS-SIDS training. The safe sleep policy and the safe sleep poster were posted. The safe sleep charts were reviewed, and compliance was met. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: There are no children enrolled with emergency medication. Children with creams/ointments were reviewed and compliance was met; children with allergies were posted. Storage of Hazardous Substances: I did not observe any hazardous substances that were accessible, they were observed stored properly during the visit. Storage of Medication: Over-the-counter ointments (creams/ointments) were stored properly. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: The children present during the visit were observed in licensed approved space. Program Records: I reviewed all information required to be posted and found meeting compliance. The monthly fire drills were complete and up to date. The quarterly drills (shelter-in-place) were up to date. The playground inspections were complete and up to date. License Posted: The license was observed posted. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was conducted January 8, 2025, with an "Approved" status and twenty-three (23) demerits. The center's water was last tested November 27, 2024. The Fire Inspection was conducted on May 21, 2025 and approved for daytime care; a violation was cited for the fire inspection. The Emergency Preparedness and Response Plan (EPR) was reviewed; updated February 25, 2025. Five (5) violations were cited. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was conducted on May 21, 2025, and the fire inspection report was not mailed within one (1) week of the inspection. 10A NCAC 09 .0304(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Staff (B.W.D) did not obtain a Criminal Background Check. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file for staff (B.W.D.). G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The center's roster was not complete in ABCMS. G.S. 110-90.2 & .2703(r) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff (S.P.) did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within ninety (90). days .1102(g) 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 August 7, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. - Scales are voluntary at this time. The following Technical Assistance (TA) was provided: -Staff must obtain a CBC prior to employment and every five (5) years. Prior to the expiration date of a qualification letter, the child care staff must complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years from the date of issuance). Staff B. Warden-Daniel began the process of applying for a new qualification letter on July 8, 2025. (Child Care Rule 10A NCAC 09 .2703 (n)&(o). (G.S. 110-90.2(b)). -A valid qualification letter must be on file for staff B. Warden-Daniel; staff cannot return to the center until a CBC has been completed, and a valid qualification letter must be on file. A copy of the qualification letter must be submitted to the child care consultant by August 8, 2025 (Child Care Rule 10A NCAC 09 .2703(e)); (G.S. 110-90.2(b)). -The roster in ABCMS had staff on the roster that were no longer employed at the child care center; current staff were not listed on the roster. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. •Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. • Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. -You must submit the Fire Inspection Report to the consultant within seven (7) days. Also, you must contact your fire inspector at least four (4) to six (6) weeks prior to the due date of the previous fire inspection report. Refer to Child Care Rule 10A NCAC 09 .0304(a). -The child care administrator and all staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within ninety (90) days of employment (Child Care Rule 10A NCAC 09 .1102(g)). -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 editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website 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. -On June 26th, the North Carolina Rules Review Commission (RRC) approved the QRIS Modernization rules adopted by the NC Child Care Commission during their April meeting. The Division of Child Development and Early Education is preparing a summary of the rules, an online training module for Moodle, and an implementation plan. A webinar will be scheduled later this month to share the implementation plan and will also provide resources that can assist you with understanding the new rules. The implementation plan will allow time for administrators/operators to learn and understand the different pathways and the changes within our system. We encourage you to visit the QRIS Modernization page on the DCDEE website to learn more now, and, if you have not already completed the QRIS survey, we’d love to hear from you. The information you provide will help us know how we can best serve you in preparing for this transition. -Ms. Davis stated that there are plans for the center to be repainted this summer. All walls and ceilings, including doors and windows, must be kept clean, free of visible fungal growth, and in good repair (Sanitation 15A NCAC 18A.2825(a)). -Space 5 has planted an outdoor garden, peppers and tomato plants were planted outside of the classroom. Staff were informed that the tomato leaves are toxic to children if the leaves are consumed. The staff in space 5 removed the tomato plants. A copy of toxic/non-toxic and poisonous plants resource guides were emailed to the director during the visit. -The facility's email address noted in Regulatory was verified as was updated. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: UNIVERSITY CHILD DEVELOPMENT CENTER/HIGHLAND CREEK Facility ID: 60001832 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 7/24/2025 Number Present: 41 Completed Date: 7/24/2025 Age: From 0 To 12 Total Minutes: 420 Time In: 09:30 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s routine unannounced visit was to monitor applicable child care rules and laws during a routine unannounced visit. I was greeted by Floater, Ms. Sadiyah Davis, and I explained the purpose of the visit. The Director, Ms. Leeann Barnette was not present during the visit. I completed a walkthrough of the center with Ms. Davis. The facility had a Five-Star License issued on May 21, 2018, and had a compliance history score of eighty (80) percent prior to today's visit. The last annual compliance was conducted on January 24, 2025. I observed the following spaces not in use: space 2, space 7, space 8, space 9, space 10 and space 12. In space 12, I observed musicians, G. Wilson and E. Norman, with B Music Youth participating in music group sessions with children from space 1 and from space 11. The children were not left alone with the musicians; staff from space 1 and space 11 attended the music session with the children. In space 1, I observed school-age children participating in supervised free play. I observed the children in space 3 (classroom for infants) receiving care according to their individual needs. Two (2) infants were observed napping; supervision was provided. Children were observed having supervised "tummy-time." The children in space 4 and in space 5 were observed having supervised outdoor play. I observed the children in space 6 preparing for outdoor play. The children in space 11 were observed having supervised independent play. The following child care requirements were monitored and observed today using the Child Care Center Checklist and the 2025 Master Child Care Center Item Number Listing: Supervision: The children was adequately supervised. Nurturing tones were heard when staff spoke with the children. Staff/Child Ratio: The ratio was maintained during today’s visit. CPR: Staff is current with CPR. First Aid: Staff is current with First Aid. Special Training: Staff is continuing to complete ongoing training. Three (3) staff has been hired. Staff files were reviewed using the staff and training worksheet. A violation was cited for child maltreatment training that was not completed within ninety (90) days. CBC Qualification: Staff were not current with CBC qualification. A staff member B. Warden-Daniel did not have a Criminal Background Check (CBC) completed; a violation was cited. A current qualification letter was not on file for staff member B. Warden-Daniel, and a violation was cited. A violation was cited for the center's roster that was incomplete in ABCMS. ITS-SIDS: Staff is current with ITS-SIDS training. The safe sleep policy and the safe sleep poster were posted. The safe sleep charts were reviewed, and compliance was met. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: There are no children enrolled with emergency medication. Children with creams/ointments were reviewed and compliance was met; children with allergies were posted. Storage of Hazardous Substances: I did not observe any hazardous substances that were accessible, they were observed stored properly during the visit. Storage of Medication: Over-the-counter ointments (creams/ointments) were stored properly. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: The children present during the visit were observed in licensed approved space. Program Records: I reviewed all information required to be posted and found meeting compliance. The monthly fire drills were complete and up to date. The quarterly drills (shelter-in-place) were up to date. The playground inspections were complete and up to date. License Posted: The license was observed posted. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was conducted January 8, 2025, with an "Approved" status and twenty-three (23) demerits. The center's water was last tested November 27, 2024. The Fire Inspection was conducted on May 21, 2025 and approved for daytime care; a violation was cited for the fire inspection. The Emergency Preparedness and Response Plan (EPR) was reviewed; updated February 25, 2025. Five (5) violations were cited. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was conducted on May 21, 2025, and the fire inspection report was not mailed within one (1) week of the inspection. 10A NCAC 09 .0304(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Staff (B.W.D) did not obtain a Criminal Background Check. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file for staff (B.W.D.). G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The center's roster was not complete in ABCMS. G.S. 110-90.2 & .2703(r) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff (S.P.) did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within ninety (90). days .1102(g) 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 August 7, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. - Scales are voluntary at this time. The following Technical Assistance (TA) was provided: -Staff must obtain a CBC prior to employment and every five (5) years. Prior to the expiration date of a qualification letter, the child care staff must complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years from the date of issuance). Staff B. Warden-Daniel began the process of applying for a new qualification letter on July 8, 2025. (Child Care Rule 10A NCAC 09 .2703 (n)&(o). (G.S. 110-90.2(b)). -A valid qualification letter must be on file for staff B. Warden-Daniel; staff cannot return to the center until a CBC has been completed, and a valid qualification letter must be on file. A copy of the qualification letter must be submitted to the child care consultant by August 8, 2025 (Child Care Rule 10A NCAC 09 .2703(e)); (G.S. 110-90.2(b)). -The roster in ABCMS had staff on the roster that were no longer employed at the child care center; current staff were not listed on the roster. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. •Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. • Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. -You must submit the Fire Inspection Report to the consultant within seven (7) days. Also, you must contact your fire inspector at least four (4) to six (6) weeks prior to the due date of the previous fire inspection report. Refer to Child Care Rule 10A NCAC 09 .0304(a). -The child care administrator and all staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within ninety (90) days of employment (Child Care Rule 10A NCAC 09 .1102(g)). -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 editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website 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. -On June 26th, the North Carolina Rules Review Commission (RRC) approved the QRIS Modernization rules adopted by the NC Child Care Commission during their April meeting. The Division of Child Development and Early Education is preparing a summary of the rules, an online training module for Moodle, and an implementation plan. A webinar will be scheduled later this month to share the implementation plan and will also provide resources that can assist you with understanding the new rules. The implementation plan will allow time for administrators/operators to learn and understand the different pathways and the changes within our system. We encourage you to visit the QRIS Modernization page on the DCDEE website to learn more now, and, if you have not already completed the QRIS survey, we’d love to hear from you. The information you provide will help us know how we can best serve you in preparing for this transition. -Ms. Davis stated that there are plans for the center to be repainted this summer. All walls and ceilings, including doors and windows, must be kept clean, free of visible fungal growth, and in good repair (Sanitation 15A NCAC 18A.2825(a)). -Space 5 has planted an outdoor garden, peppers and tomato plants were planted outside of the classroom. Staff were informed that the tomato leaves are toxic to children if the leaves are consumed. The staff in space 5 removed the tomato plants. A copy of toxic/non-toxic and poisonous plants resource guides were emailed to the director during the visit. -The facility's email address noted in Regulatory was verified as was updated. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: UNIVERSITY CHILD DEVELOPMENT CENTER/HIGHLAND CREEK Facility ID: 60001832 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 1/24/2025 Number Present: 21 Completed Date: 1/24/2025 Age: From 0 To 5 Total Minutes: 420 Time In: 09:15 AM Time Out: 01:06 PM Time In: 02:06 PM Time Out: 05:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Director Ms. Leeann Barnette. I completed an indoor and outdoor walkthrough of the facility with Ms. Barnette. Your program currently operates with a five-star license, issued May 1, 2018 earning six (6) points in the education component, six (6) points in the program standards component (meeting enhanced reduced ratios; meets enhanced space) and one (1) quality point for enhanced policies. The program uses a developmentally appropriate curriculum Teaching Strategies Gold and Creative Curriculum that addresses the five (5) domains of development. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted January 29, 2024. The sanitation inspection was completed January 8, 2025, with an “Approved” classification and twenty-three (23) demerits. The last fire inspection was conducted June 20, 2024, and your facility was approved for daytime care only. The Emergency Preparedness and Response Plan (EPR) was updated February, 2024; compliance was met. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent as of January 23, 2025. The NC Secretary of State website was reviewed on January 24, 2025, and Ramsey Peele Corporation, was listed as current-active. In space 1, a Meck. Pre-K classroom, I observed no children present. Space 2 is not in use, and space 4 was observed closed. I observed the children in space 3 children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Diapering creams and diapering forms were reviewed and met compliance. A violation was cited for the Safe Sleep Policy. In space 5, a classroom for three (3) year-old children, were observed having supervised free independent play. I observed children in space 6, a classroom for two (2) year old children, participating in play with Playdough; adequate supervision was provided. Space 7, 8, 9, and 10, classrooms for NC Pre-K, were observed and there were no children present. In space 11 and space 12, Meck. Pre-K classrooms, were observed and there were no children present. Cots were observed available for each child enrolled in the program for the scheduled "Rest Period." A violation was cited for floors walls and ceilings, and a violation was cited for pest. The Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers will be provided after the visit. The following programs requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Menu, Daily Schedules and Activity Plans, North Carolina Summary of the Law, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspection Forms, and the Emergency Medical Care Plan; compliance was met. An emergency medication was reviewed, and a violation was cited for Permission to Administer. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. The current NC Pre-K staff are lead teachers, Ms. K. Smith, Ms. B. Wagnor, Ms. N. Minaya, and Ms. T. Johnson. P.A.S.T. (Phonological Awareness Skills Test), Brigants, and Teaching Strategies Gold were used to complete screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The checkpoint assessments are conducted three (3) times per year: at the beginning, middle and end of the school year. The first day of school was August 29, 2024. The classroom operates from 8:00 am to 2:30 pm. Parent conferences are held twice a year and as needed. You stated that you use the Class Dojo app and a newsletter to communicate with parents. In addition, a daily report is sent home to the parents which includes any information about the child’s day and any reminders. New staff files were reviewed. A violation was cited for a Medical Report, CPR, First Aid, and Child Maltreatment Training. The outdoor area and equipment were clean. A violation was cited for needed mulch in the outdoor play area, and broken equipment. The center provides transportation and the following was monitored: Safe Pick-up and Delivery Statement (Posted), Child Safety Restraints and Seat Belts, Vehicle Safety Inspection(completed September 2024-2025) and Liability Insurance (January 5, 2025-January 5, 2026), First Aid Kit in Vehicle, and Emergency Information on Children. Staff/Child Ratios Maintained During Transportation. A violation was cited for expired booster seats. Twelve (12) violations were cited. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The molding along the wall in the bathroom in space 1 needs repair, the walls in space 6 needs repair (chipped paint); the floor in space 6 was not clean. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. There was a broken swings in the play area for three (3) year old children, and there were two (2) broken swings (cracked seats) on the playground for two year old children. 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. Lysol and Clorox wipes were stored in unlocked cabinet in space 7. .2820(b) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The Safe Sleep Poster was not posted in space 2. .0606(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff (T.B.) and (A.S.) did not have a medical report on file. 10A NCAC 09 .0701(a) 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. Staff T.J., J.S. R.S., L.W., and T.B. did not complete First Aid training. .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. Staff T.J., J.S. R.S., L.W., and T.B. did not complete CPR training. .1102(d) 1106 Each adult and child was not restrained by appropriate individual belt/device. There were seven (7) expired (expired May 2021) booster seats that were in the vehicle used to transport children. GS 110-91(13) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch is needed in the outdoor play area. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Permission to administer medication for a child is space 12 expired December 18, 2024. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff Staff T.J., J.S. R.S., and L.W., did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment .1102(g) 9999 A violation was found for which there is no item number. violation of Rules .2831 or .2832 of this Section related to pest control and the child care center premises being free of conditions that harbor or attract pests. There were pest (rodent) droppings under the sink in space 1, space 5, space 9, space 11, and space 12. January 24, 2025, is a Teacher Workday for Meck. Pre-K and NC Pre-K programs, and there were no children present. A visit will be completed in five (5) days to observe children in the programs, to complete veteran staff records review, and to review children records. 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 February 7, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -On June 12, 2023 Governor Cooper signed Session Law 2023-40; Senate Bill 291. This law extends the hold harmless status for facilities operating with a star rated license until June 30, 2024. Additionally, it extends the reduced percentage of lead teachers that must meet the point levels from 75% to 50% until June 30, 2026. Scales are voluntary at this time. The following Technical Assistance (TA) was provided: -The depth of the loose surfacing must be based on critical height of the equipment. Ms. Barnette stated that mulch is on order for the outdoor play areas (Child Care Rule 10A NCAC 09 .0605(k)(1-4)). -All walls and ceilings, including doors and windows, must be kept clean, free of visible fungal growth, and in good repair (Sanitation 15A NCAC 18A.2825(a)). -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 must be in a locked room or cabinet (Sanitation 15A NCAC 18A.2820(b)). -Child care centers must maintain premises being free of conditions that harbor or attract pests (Sanitation .2831 or .2832). -All equipment and furnishings must be kept in good repair (G.S. 110-91(6); .0601(b)). -Each adult and child must be restrained with an individual seat belt or child safety seat appropriate to the child's age and weight in accordance with the state seat belt law (G.S. 110-91(13);.1001(a)). Expired booster seats were removed and new booster seats were placed in the vehicle during the visit. -Children younger than age eight (8) and who weigh less than 80 pounds must be properly secured in a child restraint or booster seat, according to transportation regulations (https://connect.ncdot.gov/municipalities/Law-Enforcement/GHSPCampaignDataDocs/BuckleUpNC.pdf). -The center's safe sleep policy must be posted in a prominent place in the infant room where parents and caregivers are able to view daily (Child Care Rule 10A NCAC 09 .0606(b)). -Permission to Administer Medication forms for chronic conditions must be completed every six (6) months (Child Care Rule 10A NCAC 09 .0803 (a-i.). -Staff must have a medical report on file prior to employment (Child Care Rule 10A NCAC 09 . 0701). -All staff must 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 must be in the staff file.(Child Care Rule 10A NCAC 09 .1102(c)). -All staff must 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 must be in the staff file. Child Care Rule 10A NCAC .1102(d)). -The child care administrator and all staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within ninety (90) days of employment (Child Care Rule 10A NCAC 09 .1102(g)). -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. •Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. • Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once; water was tested November 27, 2024. -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 editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website 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. -The facility's email address noted in Regulatory was verified as correct; provider confirmed that she is receiving emails. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 . 0701 · Violation

Name of Operation: UNIVERSITY CHILD DEVELOPMENT CENTER/HIGHLAND CREEK Facility ID: 60001832 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 1/24/2025 Number Present: 21 Completed Date: 1/24/2025 Age: From 0 To 5 Total Minutes: 420 Time In: 09:15 AM Time Out: 01:06 PM Time In: 02:06 PM Time Out: 05:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Director Ms. Leeann Barnette. I completed an indoor and outdoor walkthrough of the facility with Ms. Barnette. Your program currently operates with a five-star license, issued May 1, 2018 earning six (6) points in the education component, six (6) points in the program standards component (meeting enhanced reduced ratios; meets enhanced space) and one (1) quality point for enhanced policies. The program uses a developmentally appropriate curriculum Teaching Strategies Gold and Creative Curriculum that addresses the five (5) domains of development. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted January 29, 2024. The sanitation inspection was completed January 8, 2025, with an “Approved” classification and twenty-three (23) demerits. The last fire inspection was conducted June 20, 2024, and your facility was approved for daytime care only. The Emergency Preparedness and Response Plan (EPR) was updated February, 2024; compliance was met. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent as of January 23, 2025. The NC Secretary of State website was reviewed on January 24, 2025, and Ramsey Peele Corporation, was listed as current-active. In space 1, a Meck. Pre-K classroom, I observed no children present. Space 2 is not in use, and space 4 was observed closed. I observed the children in space 3 children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Diapering creams and diapering forms were reviewed and met compliance. A violation was cited for the Safe Sleep Policy. In space 5, a classroom for three (3) year-old children, were observed having supervised free independent play. I observed children in space 6, a classroom for two (2) year old children, participating in play with Playdough; adequate supervision was provided. Space 7, 8, 9, and 10, classrooms for NC Pre-K, were observed and there were no children present. In space 11 and space 12, Meck. Pre-K classrooms, were observed and there were no children present. Cots were observed available for each child enrolled in the program for the scheduled "Rest Period." A violation was cited for floors walls and ceilings, and a violation was cited for pest. The Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers will be provided after the visit. The following programs requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Menu, Daily Schedules and Activity Plans, North Carolina Summary of the Law, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspection Forms, and the Emergency Medical Care Plan; compliance was met. An emergency medication was reviewed, and a violation was cited for Permission to Administer. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. The current NC Pre-K staff are lead teachers, Ms. K. Smith, Ms. B. Wagnor, Ms. N. Minaya, and Ms. T. Johnson. P.A.S.T. (Phonological Awareness Skills Test), Brigants, and Teaching Strategies Gold were used to complete screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The checkpoint assessments are conducted three (3) times per year: at the beginning, middle and end of the school year. The first day of school was August 29, 2024. The classroom operates from 8:00 am to 2:30 pm. Parent conferences are held twice a year and as needed. You stated that you use the Class Dojo app and a newsletter to communicate with parents. In addition, a daily report is sent home to the parents which includes any information about the child’s day and any reminders. New staff files were reviewed. A violation was cited for a Medical Report, CPR, First Aid, and Child Maltreatment Training. The outdoor area and equipment were clean. A violation was cited for needed mulch in the outdoor play area, and broken equipment. The center provides transportation and the following was monitored: Safe Pick-up and Delivery Statement (Posted), Child Safety Restraints and Seat Belts, Vehicle Safety Inspection(completed September 2024-2025) and Liability Insurance (January 5, 2025-January 5, 2026), First Aid Kit in Vehicle, and Emergency Information on Children. Staff/Child Ratios Maintained During Transportation. A violation was cited for expired booster seats. Twelve (12) violations were cited. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The molding along the wall in the bathroom in space 1 needs repair, the walls in space 6 needs repair (chipped paint); the floor in space 6 was not clean. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. There was a broken swings in the play area for three (3) year old children, and there were two (2) broken swings (cracked seats) on the playground for two year old children. 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. Lysol and Clorox wipes were stored in unlocked cabinet in space 7. .2820(b) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The Safe Sleep Poster was not posted in space 2. .0606(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff (T.B.) and (A.S.) did not have a medical report on file. 10A NCAC 09 .0701(a) 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. Staff T.J., J.S. R.S., L.W., and T.B. did not complete First Aid training. .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. Staff T.J., J.S. R.S., L.W., and T.B. did not complete CPR training. .1102(d) 1106 Each adult and child was not restrained by appropriate individual belt/device. There were seven (7) expired (expired May 2021) booster seats that were in the vehicle used to transport children. GS 110-91(13) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch is needed in the outdoor play area. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Permission to administer medication for a child is space 12 expired December 18, 2024. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff Staff T.J., J.S. R.S., and L.W., did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment .1102(g) 9999 A violation was found for which there is no item number. violation of Rules .2831 or .2832 of this Section related to pest control and the child care center premises being free of conditions that harbor or attract pests. There were pest (rodent) droppings under the sink in space 1, space 5, space 9, space 11, and space 12. January 24, 2025, is a Teacher Workday for Meck. Pre-K and NC Pre-K programs, and there were no children present. A visit will be completed in five (5) days to observe children in the programs, to complete veteran staff records review, and to review children records. 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 February 7, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -On June 12, 2023 Governor Cooper signed Session Law 2023-40; Senate Bill 291. This law extends the hold harmless status for facilities operating with a star rated license until June 30, 2024. Additionally, it extends the reduced percentage of lead teachers that must meet the point levels from 75% to 50% until June 30, 2026. Scales are voluntary at this time. The following Technical Assistance (TA) was provided: -The depth of the loose surfacing must be based on critical height of the equipment. Ms. Barnette stated that mulch is on order for the outdoor play areas (Child Care Rule 10A NCAC 09 .0605(k)(1-4)). -All walls and ceilings, including doors and windows, must be kept clean, free of visible fungal growth, and in good repair (Sanitation 15A NCAC 18A.2825(a)). -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 must be in a locked room or cabinet (Sanitation 15A NCAC 18A.2820(b)). -Child care centers must maintain premises being free of conditions that harbor or attract pests (Sanitation .2831 or .2832). -All equipment and furnishings must be kept in good repair (G.S. 110-91(6); .0601(b)). -Each adult and child must be restrained with an individual seat belt or child safety seat appropriate to the child's age and weight in accordance with the state seat belt law (G.S. 110-91(13);.1001(a)). Expired booster seats were removed and new booster seats were placed in the vehicle during the visit. -Children younger than age eight (8) and who weigh less than 80 pounds must be properly secured in a child restraint or booster seat, according to transportation regulations (https://connect.ncdot.gov/municipalities/Law-Enforcement/GHSPCampaignDataDocs/BuckleUpNC.pdf). -The center's safe sleep policy must be posted in a prominent place in the infant room where parents and caregivers are able to view daily (Child Care Rule 10A NCAC 09 .0606(b)). -Permission to Administer Medication forms for chronic conditions must be completed every six (6) months (Child Care Rule 10A NCAC 09 .0803 (a-i.). -Staff must have a medical report on file prior to employment (Child Care Rule 10A NCAC 09 . 0701). -All staff must 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 must be in the staff file.(Child Care Rule 10A NCAC 09 .1102(c)). -All staff must 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 must be in the staff file. Child Care Rule 10A NCAC .1102(d)). -The child care administrator and all staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within ninety (90) days of employment (Child Care Rule 10A NCAC 09 .1102(g)). -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. •Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. • Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once; water was tested November 27, 2024. -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 editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website 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. -The facility's email address noted in Regulatory was verified as correct; provider confirmed that she is receiving emails. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0605 · Violation

Name of Operation: UNIVERSITY CHILD DEVELOPMENT CENTER/HIGHLAND CREEK Facility ID: 60001832 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 1/24/2025 Number Present: 21 Completed Date: 1/24/2025 Age: From 0 To 5 Total Minutes: 420 Time In: 09:15 AM Time Out: 01:06 PM Time In: 02:06 PM Time Out: 05:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Director Ms. Leeann Barnette. I completed an indoor and outdoor walkthrough of the facility with Ms. Barnette. Your program currently operates with a five-star license, issued May 1, 2018 earning six (6) points in the education component, six (6) points in the program standards component (meeting enhanced reduced ratios; meets enhanced space) and one (1) quality point for enhanced policies. The program uses a developmentally appropriate curriculum Teaching Strategies Gold and Creative Curriculum that addresses the five (5) domains of development. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted January 29, 2024. The sanitation inspection was completed January 8, 2025, with an “Approved” classification and twenty-three (23) demerits. The last fire inspection was conducted June 20, 2024, and your facility was approved for daytime care only. The Emergency Preparedness and Response Plan (EPR) was updated February, 2024; compliance was met. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent as of January 23, 2025. The NC Secretary of State website was reviewed on January 24, 2025, and Ramsey Peele Corporation, was listed as current-active. In space 1, a Meck. Pre-K classroom, I observed no children present. Space 2 is not in use, and space 4 was observed closed. I observed the children in space 3 children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Diapering creams and diapering forms were reviewed and met compliance. A violation was cited for the Safe Sleep Policy. In space 5, a classroom for three (3) year-old children, were observed having supervised free independent play. I observed children in space 6, a classroom for two (2) year old children, participating in play with Playdough; adequate supervision was provided. Space 7, 8, 9, and 10, classrooms for NC Pre-K, were observed and there were no children present. In space 11 and space 12, Meck. Pre-K classrooms, were observed and there were no children present. Cots were observed available for each child enrolled in the program for the scheduled "Rest Period." A violation was cited for floors walls and ceilings, and a violation was cited for pest. The Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers will be provided after the visit. The following programs requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Menu, Daily Schedules and Activity Plans, North Carolina Summary of the Law, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspection Forms, and the Emergency Medical Care Plan; compliance was met. An emergency medication was reviewed, and a violation was cited for Permission to Administer. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. The current NC Pre-K staff are lead teachers, Ms. K. Smith, Ms. B. Wagnor, Ms. N. Minaya, and Ms. T. Johnson. P.A.S.T. (Phonological Awareness Skills Test), Brigants, and Teaching Strategies Gold were used to complete screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The checkpoint assessments are conducted three (3) times per year: at the beginning, middle and end of the school year. The first day of school was August 29, 2024. The classroom operates from 8:00 am to 2:30 pm. Parent conferences are held twice a year and as needed. You stated that you use the Class Dojo app and a newsletter to communicate with parents. In addition, a daily report is sent home to the parents which includes any information about the child’s day and any reminders. New staff files were reviewed. A violation was cited for a Medical Report, CPR, First Aid, and Child Maltreatment Training. The outdoor area and equipment were clean. A violation was cited for needed mulch in the outdoor play area, and broken equipment. The center provides transportation and the following was monitored: Safe Pick-up and Delivery Statement (Posted), Child Safety Restraints and Seat Belts, Vehicle Safety Inspection(completed September 2024-2025) and Liability Insurance (January 5, 2025-January 5, 2026), First Aid Kit in Vehicle, and Emergency Information on Children. Staff/Child Ratios Maintained During Transportation. A violation was cited for expired booster seats. Twelve (12) violations were cited. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The molding along the wall in the bathroom in space 1 needs repair, the walls in space 6 needs repair (chipped paint); the floor in space 6 was not clean. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. There was a broken swings in the play area for three (3) year old children, and there were two (2) broken swings (cracked seats) on the playground for two year old children. 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. Lysol and Clorox wipes were stored in unlocked cabinet in space 7. .2820(b) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The Safe Sleep Poster was not posted in space 2. .0606(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff (T.B.) and (A.S.) did not have a medical report on file. 10A NCAC 09 .0701(a) 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. Staff T.J., J.S. R.S., L.W., and T.B. did not complete First Aid training. .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. Staff T.J., J.S. R.S., L.W., and T.B. did not complete CPR training. .1102(d) 1106 Each adult and child was not restrained by appropriate individual belt/device. There were seven (7) expired (expired May 2021) booster seats that were in the vehicle used to transport children. GS 110-91(13) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch is needed in the outdoor play area. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Permission to administer medication for a child is space 12 expired December 18, 2024. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff Staff T.J., J.S. R.S., and L.W., did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment .1102(g) 9999 A violation was found for which there is no item number. violation of Rules .2831 or .2832 of this Section related to pest control and the child care center premises being free of conditions that harbor or attract pests. There were pest (rodent) droppings under the sink in space 1, space 5, space 9, space 11, and space 12. January 24, 2025, is a Teacher Workday for Meck. Pre-K and NC Pre-K programs, and there were no children present. A visit will be completed in five (5) days to observe children in the programs, to complete veteran staff records review, and to review children records. 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 February 7, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -On June 12, 2023 Governor Cooper signed Session Law 2023-40; Senate Bill 291. This law extends the hold harmless status for facilities operating with a star rated license until June 30, 2024. Additionally, it extends the reduced percentage of lead teachers that must meet the point levels from 75% to 50% until June 30, 2026. Scales are voluntary at this time. The following Technical Assistance (TA) was provided: -The depth of the loose surfacing must be based on critical height of the equipment. Ms. Barnette stated that mulch is on order for the outdoor play areas (Child Care Rule 10A NCAC 09 .0605(k)(1-4)). -All walls and ceilings, including doors and windows, must be kept clean, free of visible fungal growth, and in good repair (Sanitation 15A NCAC 18A.2825(a)). -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 must be in a locked room or cabinet (Sanitation 15A NCAC 18A.2820(b)). -Child care centers must maintain premises being free of conditions that harbor or attract pests (Sanitation .2831 or .2832). -All equipment and furnishings must be kept in good repair (G.S. 110-91(6); .0601(b)). -Each adult and child must be restrained with an individual seat belt or child safety seat appropriate to the child's age and weight in accordance with the state seat belt law (G.S. 110-91(13);.1001(a)). Expired booster seats were removed and new booster seats were placed in the vehicle during the visit. -Children younger than age eight (8) and who weigh less than 80 pounds must be properly secured in a child restraint or booster seat, according to transportation regulations (https://connect.ncdot.gov/municipalities/Law-Enforcement/GHSPCampaignDataDocs/BuckleUpNC.pdf). -The center's safe sleep policy must be posted in a prominent place in the infant room where parents and caregivers are able to view daily (Child Care Rule 10A NCAC 09 .0606(b)). -Permission to Administer Medication forms for chronic conditions must be completed every six (6) months (Child Care Rule 10A NCAC 09 .0803 (a-i.). -Staff must have a medical report on file prior to employment (Child Care Rule 10A NCAC 09 . 0701). -All staff must 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 must be in the staff file.(Child Care Rule 10A NCAC 09 .1102(c)). -All staff must 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 must be in the staff file. Child Care Rule 10A NCAC .1102(d)). -The child care administrator and all staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within ninety (90) days of employment (Child Care Rule 10A NCAC 09 .1102(g)). -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. •Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. • Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once; water was tested November 27, 2024. -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 editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website 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. -The facility's email address noted in Regulatory was verified as correct; provider confirmed that she is receiving emails. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0606 · Violation

Name of Operation: UNIVERSITY CHILD DEVELOPMENT CENTER/HIGHLAND CREEK Facility ID: 60001832 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 1/24/2025 Number Present: 21 Completed Date: 1/24/2025 Age: From 0 To 5 Total Minutes: 420 Time In: 09:15 AM Time Out: 01:06 PM Time In: 02:06 PM Time Out: 05:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Director Ms. Leeann Barnette. I completed an indoor and outdoor walkthrough of the facility with Ms. Barnette. Your program currently operates with a five-star license, issued May 1, 2018 earning six (6) points in the education component, six (6) points in the program standards component (meeting enhanced reduced ratios; meets enhanced space) and one (1) quality point for enhanced policies. The program uses a developmentally appropriate curriculum Teaching Strategies Gold and Creative Curriculum that addresses the five (5) domains of development. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted January 29, 2024. The sanitation inspection was completed January 8, 2025, with an “Approved” classification and twenty-three (23) demerits. The last fire inspection was conducted June 20, 2024, and your facility was approved for daytime care only. The Emergency Preparedness and Response Plan (EPR) was updated February, 2024; compliance was met. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent as of January 23, 2025. The NC Secretary of State website was reviewed on January 24, 2025, and Ramsey Peele Corporation, was listed as current-active. In space 1, a Meck. Pre-K classroom, I observed no children present. Space 2 is not in use, and space 4 was observed closed. I observed the children in space 3 children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Diapering creams and diapering forms were reviewed and met compliance. A violation was cited for the Safe Sleep Policy. In space 5, a classroom for three (3) year-old children, were observed having supervised free independent play. I observed children in space 6, a classroom for two (2) year old children, participating in play with Playdough; adequate supervision was provided. Space 7, 8, 9, and 10, classrooms for NC Pre-K, were observed and there were no children present. In space 11 and space 12, Meck. Pre-K classrooms, were observed and there were no children present. Cots were observed available for each child enrolled in the program for the scheduled "Rest Period." A violation was cited for floors walls and ceilings, and a violation was cited for pest. The Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers will be provided after the visit. The following programs requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Menu, Daily Schedules and Activity Plans, North Carolina Summary of the Law, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspection Forms, and the Emergency Medical Care Plan; compliance was met. An emergency medication was reviewed, and a violation was cited for Permission to Administer. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. The current NC Pre-K staff are lead teachers, Ms. K. Smith, Ms. B. Wagnor, Ms. N. Minaya, and Ms. T. Johnson. P.A.S.T. (Phonological Awareness Skills Test), Brigants, and Teaching Strategies Gold were used to complete screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The checkpoint assessments are conducted three (3) times per year: at the beginning, middle and end of the school year. The first day of school was August 29, 2024. The classroom operates from 8:00 am to 2:30 pm. Parent conferences are held twice a year and as needed. You stated that you use the Class Dojo app and a newsletter to communicate with parents. In addition, a daily report is sent home to the parents which includes any information about the child’s day and any reminders. New staff files were reviewed. A violation was cited for a Medical Report, CPR, First Aid, and Child Maltreatment Training. The outdoor area and equipment were clean. A violation was cited for needed mulch in the outdoor play area, and broken equipment. The center provides transportation and the following was monitored: Safe Pick-up and Delivery Statement (Posted), Child Safety Restraints and Seat Belts, Vehicle Safety Inspection(completed September 2024-2025) and Liability Insurance (January 5, 2025-January 5, 2026), First Aid Kit in Vehicle, and Emergency Information on Children. Staff/Child Ratios Maintained During Transportation. A violation was cited for expired booster seats. Twelve (12) violations were cited. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The molding along the wall in the bathroom in space 1 needs repair, the walls in space 6 needs repair (chipped paint); the floor in space 6 was not clean. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. There was a broken swings in the play area for three (3) year old children, and there were two (2) broken swings (cracked seats) on the playground for two year old children. 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. Lysol and Clorox wipes were stored in unlocked cabinet in space 7. .2820(b) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The Safe Sleep Poster was not posted in space 2. .0606(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff (T.B.) and (A.S.) did not have a medical report on file. 10A NCAC 09 .0701(a) 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. Staff T.J., J.S. R.S., L.W., and T.B. did not complete First Aid training. .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. Staff T.J., J.S. R.S., L.W., and T.B. did not complete CPR training. .1102(d) 1106 Each adult and child was not restrained by appropriate individual belt/device. There were seven (7) expired (expired May 2021) booster seats that were in the vehicle used to transport children. GS 110-91(13) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch is needed in the outdoor play area. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Permission to administer medication for a child is space 12 expired December 18, 2024. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff Staff T.J., J.S. R.S., and L.W., did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment .1102(g) 9999 A violation was found for which there is no item number. violation of Rules .2831 or .2832 of this Section related to pest control and the child care center premises being free of conditions that harbor or attract pests. There were pest (rodent) droppings under the sink in space 1, space 5, space 9, space 11, and space 12. January 24, 2025, is a Teacher Workday for Meck. Pre-K and NC Pre-K programs, and there were no children present. A visit will be completed in five (5) days to observe children in the programs, to complete veteran staff records review, and to review children records. 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 February 7, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -On June 12, 2023 Governor Cooper signed Session Law 2023-40; Senate Bill 291. This law extends the hold harmless status for facilities operating with a star rated license until June 30, 2024. Additionally, it extends the reduced percentage of lead teachers that must meet the point levels from 75% to 50% until June 30, 2026. Scales are voluntary at this time. The following Technical Assistance (TA) was provided: -The depth of the loose surfacing must be based on critical height of the equipment. Ms. Barnette stated that mulch is on order for the outdoor play areas (Child Care Rule 10A NCAC 09 .0605(k)(1-4)). -All walls and ceilings, including doors and windows, must be kept clean, free of visible fungal growth, and in good repair (Sanitation 15A NCAC 18A.2825(a)). -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 must be in a locked room or cabinet (Sanitation 15A NCAC 18A.2820(b)). -Child care centers must maintain premises being free of conditions that harbor or attract pests (Sanitation .2831 or .2832). -All equipment and furnishings must be kept in good repair (G.S. 110-91(6); .0601(b)). -Each adult and child must be restrained with an individual seat belt or child safety seat appropriate to the child's age and weight in accordance with the state seat belt law (G.S. 110-91(13);.1001(a)). Expired booster seats were removed and new booster seats were placed in the vehicle during the visit. -Children younger than age eight (8) and who weigh less than 80 pounds must be properly secured in a child restraint or booster seat, according to transportation regulations (https://connect.ncdot.gov/municipalities/Law-Enforcement/GHSPCampaignDataDocs/BuckleUpNC.pdf). -The center's safe sleep policy must be posted in a prominent place in the infant room where parents and caregivers are able to view daily (Child Care Rule 10A NCAC 09 .0606(b)). -Permission to Administer Medication forms for chronic conditions must be completed every six (6) months (Child Care Rule 10A NCAC 09 .0803 (a-i.). -Staff must have a medical report on file prior to employment (Child Care Rule 10A NCAC 09 . 0701). -All staff must 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 must be in the staff file.(Child Care Rule 10A NCAC 09 .1102(c)). -All staff must 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 must be in the staff file. Child Care Rule 10A NCAC .1102(d)). -The child care administrator and all staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within ninety (90) days of employment (Child Care Rule 10A NCAC 09 .1102(g)). -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. •Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. • Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once; water was tested November 27, 2024. -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 editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website 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. -The facility's email address noted in Regulatory was verified as correct; provider confirmed that she is receiving emails. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: UNIVERSITY CHILD DEVELOPMENT CENTER/HIGHLAND CREEK Facility ID: 60001832 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 1/24/2025 Number Present: 21 Completed Date: 1/24/2025 Age: From 0 To 5 Total Minutes: 420 Time In: 09:15 AM Time Out: 01:06 PM Time In: 02:06 PM Time Out: 05:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Director Ms. Leeann Barnette. I completed an indoor and outdoor walkthrough of the facility with Ms. Barnette. Your program currently operates with a five-star license, issued May 1, 2018 earning six (6) points in the education component, six (6) points in the program standards component (meeting enhanced reduced ratios; meets enhanced space) and one (1) quality point for enhanced policies. The program uses a developmentally appropriate curriculum Teaching Strategies Gold and Creative Curriculum that addresses the five (5) domains of development. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted January 29, 2024. The sanitation inspection was completed January 8, 2025, with an “Approved” classification and twenty-three (23) demerits. The last fire inspection was conducted June 20, 2024, and your facility was approved for daytime care only. The Emergency Preparedness and Response Plan (EPR) was updated February, 2024; compliance was met. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent as of January 23, 2025. The NC Secretary of State website was reviewed on January 24, 2025, and Ramsey Peele Corporation, was listed as current-active. In space 1, a Meck. Pre-K classroom, I observed no children present. Space 2 is not in use, and space 4 was observed closed. I observed the children in space 3 children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Diapering creams and diapering forms were reviewed and met compliance. A violation was cited for the Safe Sleep Policy. In space 5, a classroom for three (3) year-old children, were observed having supervised free independent play. I observed children in space 6, a classroom for two (2) year old children, participating in play with Playdough; adequate supervision was provided. Space 7, 8, 9, and 10, classrooms for NC Pre-K, were observed and there were no children present. In space 11 and space 12, Meck. Pre-K classrooms, were observed and there were no children present. Cots were observed available for each child enrolled in the program for the scheduled "Rest Period." A violation was cited for floors walls and ceilings, and a violation was cited for pest. The Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers will be provided after the visit. The following programs requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Menu, Daily Schedules and Activity Plans, North Carolina Summary of the Law, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspection Forms, and the Emergency Medical Care Plan; compliance was met. An emergency medication was reviewed, and a violation was cited for Permission to Administer. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. The current NC Pre-K staff are lead teachers, Ms. K. Smith, Ms. B. Wagnor, Ms. N. Minaya, and Ms. T. Johnson. P.A.S.T. (Phonological Awareness Skills Test), Brigants, and Teaching Strategies Gold were used to complete screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The checkpoint assessments are conducted three (3) times per year: at the beginning, middle and end of the school year. The first day of school was August 29, 2024. The classroom operates from 8:00 am to 2:30 pm. Parent conferences are held twice a year and as needed. You stated that you use the Class Dojo app and a newsletter to communicate with parents. In addition, a daily report is sent home to the parents which includes any information about the child’s day and any reminders. New staff files were reviewed. A violation was cited for a Medical Report, CPR, First Aid, and Child Maltreatment Training. The outdoor area and equipment were clean. A violation was cited for needed mulch in the outdoor play area, and broken equipment. The center provides transportation and the following was monitored: Safe Pick-up and Delivery Statement (Posted), Child Safety Restraints and Seat Belts, Vehicle Safety Inspection(completed September 2024-2025) and Liability Insurance (January 5, 2025-January 5, 2026), First Aid Kit in Vehicle, and Emergency Information on Children. Staff/Child Ratios Maintained During Transportation. A violation was cited for expired booster seats. Twelve (12) violations were cited. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The molding along the wall in the bathroom in space 1 needs repair, the walls in space 6 needs repair (chipped paint); the floor in space 6 was not clean. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. There was a broken swings in the play area for three (3) year old children, and there were two (2) broken swings (cracked seats) on the playground for two year old children. 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. Lysol and Clorox wipes were stored in unlocked cabinet in space 7. .2820(b) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The Safe Sleep Poster was not posted in space 2. .0606(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff (T.B.) and (A.S.) did not have a medical report on file. 10A NCAC 09 .0701(a) 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. Staff T.J., J.S. R.S., L.W., and T.B. did not complete First Aid training. .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. Staff T.J., J.S. R.S., L.W., and T.B. did not complete CPR training. .1102(d) 1106 Each adult and child was not restrained by appropriate individual belt/device. There were seven (7) expired (expired May 2021) booster seats that were in the vehicle used to transport children. GS 110-91(13) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch is needed in the outdoor play area. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Permission to administer medication for a child is space 12 expired December 18, 2024. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff Staff T.J., J.S. R.S., and L.W., did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment .1102(g) 9999 A violation was found for which there is no item number. violation of Rules .2831 or .2832 of this Section related to pest control and the child care center premises being free of conditions that harbor or attract pests. There were pest (rodent) droppings under the sink in space 1, space 5, space 9, space 11, and space 12. January 24, 2025, is a Teacher Workday for Meck. Pre-K and NC Pre-K programs, and there were no children present. A visit will be completed in five (5) days to observe children in the programs, to complete veteran staff records review, and to review children records. 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 February 7, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -On June 12, 2023 Governor Cooper signed Session Law 2023-40; Senate Bill 291. This law extends the hold harmless status for facilities operating with a star rated license until June 30, 2024. Additionally, it extends the reduced percentage of lead teachers that must meet the point levels from 75% to 50% until June 30, 2026. Scales are voluntary at this time. The following Technical Assistance (TA) was provided: -The depth of the loose surfacing must be based on critical height of the equipment. Ms. Barnette stated that mulch is on order for the outdoor play areas (Child Care Rule 10A NCAC 09 .0605(k)(1-4)). -All walls and ceilings, including doors and windows, must be kept clean, free of visible fungal growth, and in good repair (Sanitation 15A NCAC 18A.2825(a)). -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 must be in a locked room or cabinet (Sanitation 15A NCAC 18A.2820(b)). -Child care centers must maintain premises being free of conditions that harbor or attract pests (Sanitation .2831 or .2832). -All equipment and furnishings must be kept in good repair (G.S. 110-91(6); .0601(b)). -Each adult and child must be restrained with an individual seat belt or child safety seat appropriate to the child's age and weight in accordance with the state seat belt law (G.S. 110-91(13);.1001(a)). Expired booster seats were removed and new booster seats were placed in the vehicle during the visit. -Children younger than age eight (8) and who weigh less than 80 pounds must be properly secured in a child restraint or booster seat, according to transportation regulations (https://connect.ncdot.gov/municipalities/Law-Enforcement/GHSPCampaignDataDocs/BuckleUpNC.pdf). -The center's safe sleep policy must be posted in a prominent place in the infant room where parents and caregivers are able to view daily (Child Care Rule 10A NCAC 09 .0606(b)). -Permission to Administer Medication forms for chronic conditions must be completed every six (6) months (Child Care Rule 10A NCAC 09 .0803 (a-i.). -Staff must have a medical report on file prior to employment (Child Care Rule 10A NCAC 09 . 0701). -All staff must 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 must be in the staff file.(Child Care Rule 10A NCAC 09 .1102(c)). -All staff must 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 must be in the staff file. Child Care Rule 10A NCAC .1102(d)). -The child care administrator and all staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within ninety (90) days of employment (Child Care Rule 10A NCAC 09 .1102(g)). -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. •Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. • Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once; water was tested November 27, 2024. -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 editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website 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. -The facility's email address noted in Regulatory was verified as correct; provider confirmed that she is receiving emails. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: UNIVERSITY CHILD DEVELOPMENT CENTER/HIGHLAND CREEK Facility ID: 60001832 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 1/24/2025 Number Present: 21 Completed Date: 1/24/2025 Age: From 0 To 5 Total Minutes: 420 Time In: 09:15 AM Time Out: 01:06 PM Time In: 02:06 PM Time Out: 05:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Director Ms. Leeann Barnette. I completed an indoor and outdoor walkthrough of the facility with Ms. Barnette. Your program currently operates with a five-star license, issued May 1, 2018 earning six (6) points in the education component, six (6) points in the program standards component (meeting enhanced reduced ratios; meets enhanced space) and one (1) quality point for enhanced policies. The program uses a developmentally appropriate curriculum Teaching Strategies Gold and Creative Curriculum that addresses the five (5) domains of development. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted January 29, 2024. The sanitation inspection was completed January 8, 2025, with an “Approved” classification and twenty-three (23) demerits. The last fire inspection was conducted June 20, 2024, and your facility was approved for daytime care only. The Emergency Preparedness and Response Plan (EPR) was updated February, 2024; compliance was met. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent as of January 23, 2025. The NC Secretary of State website was reviewed on January 24, 2025, and Ramsey Peele Corporation, was listed as current-active. In space 1, a Meck. Pre-K classroom, I observed no children present. Space 2 is not in use, and space 4 was observed closed. I observed the children in space 3 children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Diapering creams and diapering forms were reviewed and met compliance. A violation was cited for the Safe Sleep Policy. In space 5, a classroom for three (3) year-old children, were observed having supervised free independent play. I observed children in space 6, a classroom for two (2) year old children, participating in play with Playdough; adequate supervision was provided. Space 7, 8, 9, and 10, classrooms for NC Pre-K, were observed and there were no children present. In space 11 and space 12, Meck. Pre-K classrooms, were observed and there were no children present. Cots were observed available for each child enrolled in the program for the scheduled "Rest Period." A violation was cited for floors walls and ceilings, and a violation was cited for pest. The Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers will be provided after the visit. The following programs requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Menu, Daily Schedules and Activity Plans, North Carolina Summary of the Law, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspection Forms, and the Emergency Medical Care Plan; compliance was met. An emergency medication was reviewed, and a violation was cited for Permission to Administer. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. The current NC Pre-K staff are lead teachers, Ms. K. Smith, Ms. B. Wagnor, Ms. N. Minaya, and Ms. T. Johnson. P.A.S.T. (Phonological Awareness Skills Test), Brigants, and Teaching Strategies Gold were used to complete screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The checkpoint assessments are conducted three (3) times per year: at the beginning, middle and end of the school year. The first day of school was August 29, 2024. The classroom operates from 8:00 am to 2:30 pm. Parent conferences are held twice a year and as needed. You stated that you use the Class Dojo app and a newsletter to communicate with parents. In addition, a daily report is sent home to the parents which includes any information about the child’s day and any reminders. New staff files were reviewed. A violation was cited for a Medical Report, CPR, First Aid, and Child Maltreatment Training. The outdoor area and equipment were clean. A violation was cited for needed mulch in the outdoor play area, and broken equipment. The center provides transportation and the following was monitored: Safe Pick-up and Delivery Statement (Posted), Child Safety Restraints and Seat Belts, Vehicle Safety Inspection(completed September 2024-2025) and Liability Insurance (January 5, 2025-January 5, 2026), First Aid Kit in Vehicle, and Emergency Information on Children. Staff/Child Ratios Maintained During Transportation. A violation was cited for expired booster seats. Twelve (12) violations were cited. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The molding along the wall in the bathroom in space 1 needs repair, the walls in space 6 needs repair (chipped paint); the floor in space 6 was not clean. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. There was a broken swings in the play area for three (3) year old children, and there were two (2) broken swings (cracked seats) on the playground for two year old children. 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. Lysol and Clorox wipes were stored in unlocked cabinet in space 7. .2820(b) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The Safe Sleep Poster was not posted in space 2. .0606(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff (T.B.) and (A.S.) did not have a medical report on file. 10A NCAC 09 .0701(a) 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. Staff T.J., J.S. R.S., L.W., and T.B. did not complete First Aid training. .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. Staff T.J., J.S. R.S., L.W., and T.B. did not complete CPR training. .1102(d) 1106 Each adult and child was not restrained by appropriate individual belt/device. There were seven (7) expired (expired May 2021) booster seats that were in the vehicle used to transport children. GS 110-91(13) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch is needed in the outdoor play area. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Permission to administer medication for a child is space 12 expired December 18, 2024. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff Staff T.J., J.S. R.S., and L.W., did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment .1102(g) 9999 A violation was found for which there is no item number. violation of Rules .2831 or .2832 of this Section related to pest control and the child care center premises being free of conditions that harbor or attract pests. There were pest (rodent) droppings under the sink in space 1, space 5, space 9, space 11, and space 12. January 24, 2025, is a Teacher Workday for Meck. Pre-K and NC Pre-K programs, and there were no children present. A visit will be completed in five (5) days to observe children in the programs, to complete veteran staff records review, and to review children records. 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 February 7, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -On June 12, 2023 Governor Cooper signed Session Law 2023-40; Senate Bill 291. This law extends the hold harmless status for facilities operating with a star rated license until June 30, 2024. Additionally, it extends the reduced percentage of lead teachers that must meet the point levels from 75% to 50% until June 30, 2026. Scales are voluntary at this time. The following Technical Assistance (TA) was provided: -The depth of the loose surfacing must be based on critical height of the equipment. Ms. Barnette stated that mulch is on order for the outdoor play areas (Child Care Rule 10A NCAC 09 .0605(k)(1-4)). -All walls and ceilings, including doors and windows, must be kept clean, free of visible fungal growth, and in good repair (Sanitation 15A NCAC 18A.2825(a)). -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 must be in a locked room or cabinet (Sanitation 15A NCAC 18A.2820(b)). -Child care centers must maintain premises being free of conditions that harbor or attract pests (Sanitation .2831 or .2832). -All equipment and furnishings must be kept in good repair (G.S. 110-91(6); .0601(b)). -Each adult and child must be restrained with an individual seat belt or child safety seat appropriate to the child's age and weight in accordance with the state seat belt law (G.S. 110-91(13);.1001(a)). Expired booster seats were removed and new booster seats were placed in the vehicle during the visit. -Children younger than age eight (8) and who weigh less than 80 pounds must be properly secured in a child restraint or booster seat, according to transportation regulations (https://connect.ncdot.gov/municipalities/Law-Enforcement/GHSPCampaignDataDocs/BuckleUpNC.pdf). -The center's safe sleep policy must be posted in a prominent place in the infant room where parents and caregivers are able to view daily (Child Care Rule 10A NCAC 09 .0606(b)). -Permission to Administer Medication forms for chronic conditions must be completed every six (6) months (Child Care Rule 10A NCAC 09 .0803 (a-i.). -Staff must have a medical report on file prior to employment (Child Care Rule 10A NCAC 09 . 0701). -All staff must 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 must be in the staff file.(Child Care Rule 10A NCAC 09 .1102(c)). -All staff must 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 must be in the staff file. Child Care Rule 10A NCAC .1102(d)). -The child care administrator and all staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within ninety (90) days of employment (Child Care Rule 10A NCAC 09 .1102(g)). -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. •Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. • Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once; water was tested November 27, 2024. -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 editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website 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. -The facility's email address noted in Regulatory was verified as correct; provider confirmed that she is receiving emails. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: UNIVERSITY CHILD DEVELOPMENT CENTER/HIGHLAND CREEK Facility ID: 60001832 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 1/24/2025 Number Present: 21 Completed Date: 1/24/2025 Age: From 0 To 5 Total Minutes: 420 Time In: 09:15 AM Time Out: 01:06 PM Time In: 02:06 PM Time Out: 05:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Director Ms. Leeann Barnette. I completed an indoor and outdoor walkthrough of the facility with Ms. Barnette. Your program currently operates with a five-star license, issued May 1, 2018 earning six (6) points in the education component, six (6) points in the program standards component (meeting enhanced reduced ratios; meets enhanced space) and one (1) quality point for enhanced policies. The program uses a developmentally appropriate curriculum Teaching Strategies Gold and Creative Curriculum that addresses the five (5) domains of development. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted January 29, 2024. The sanitation inspection was completed January 8, 2025, with an “Approved” classification and twenty-three (23) demerits. The last fire inspection was conducted June 20, 2024, and your facility was approved for daytime care only. The Emergency Preparedness and Response Plan (EPR) was updated February, 2024; compliance was met. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent as of January 23, 2025. The NC Secretary of State website was reviewed on January 24, 2025, and Ramsey Peele Corporation, was listed as current-active. In space 1, a Meck. Pre-K classroom, I observed no children present. Space 2 is not in use, and space 4 was observed closed. I observed the children in space 3 children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Diapering creams and diapering forms were reviewed and met compliance. A violation was cited for the Safe Sleep Policy. In space 5, a classroom for three (3) year-old children, were observed having supervised free independent play. I observed children in space 6, a classroom for two (2) year old children, participating in play with Playdough; adequate supervision was provided. Space 7, 8, 9, and 10, classrooms for NC Pre-K, were observed and there were no children present. In space 11 and space 12, Meck. Pre-K classrooms, were observed and there were no children present. Cots were observed available for each child enrolled in the program for the scheduled "Rest Period." A violation was cited for floors walls and ceilings, and a violation was cited for pest. The Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers will be provided after the visit. The following programs requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Menu, Daily Schedules and Activity Plans, North Carolina Summary of the Law, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspection Forms, and the Emergency Medical Care Plan; compliance was met. An emergency medication was reviewed, and a violation was cited for Permission to Administer. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. The current NC Pre-K staff are lead teachers, Ms. K. Smith, Ms. B. Wagnor, Ms. N. Minaya, and Ms. T. Johnson. P.A.S.T. (Phonological Awareness Skills Test), Brigants, and Teaching Strategies Gold were used to complete screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The checkpoint assessments are conducted three (3) times per year: at the beginning, middle and end of the school year. The first day of school was August 29, 2024. The classroom operates from 8:00 am to 2:30 pm. Parent conferences are held twice a year and as needed. You stated that you use the Class Dojo app and a newsletter to communicate with parents. In addition, a daily report is sent home to the parents which includes any information about the child’s day and any reminders. New staff files were reviewed. A violation was cited for a Medical Report, CPR, First Aid, and Child Maltreatment Training. The outdoor area and equipment were clean. A violation was cited for needed mulch in the outdoor play area, and broken equipment. The center provides transportation and the following was monitored: Safe Pick-up and Delivery Statement (Posted), Child Safety Restraints and Seat Belts, Vehicle Safety Inspection(completed September 2024-2025) and Liability Insurance (January 5, 2025-January 5, 2026), First Aid Kit in Vehicle, and Emergency Information on Children. Staff/Child Ratios Maintained During Transportation. A violation was cited for expired booster seats. Twelve (12) violations were cited. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The molding along the wall in the bathroom in space 1 needs repair, the walls in space 6 needs repair (chipped paint); the floor in space 6 was not clean. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. There was a broken swings in the play area for three (3) year old children, and there were two (2) broken swings (cracked seats) on the playground for two year old children. 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. Lysol and Clorox wipes were stored in unlocked cabinet in space 7. .2820(b) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The Safe Sleep Poster was not posted in space 2. .0606(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff (T.B.) and (A.S.) did not have a medical report on file. 10A NCAC 09 .0701(a) 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. Staff T.J., J.S. R.S., L.W., and T.B. did not complete First Aid training. .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. Staff T.J., J.S. R.S., L.W., and T.B. did not complete CPR training. .1102(d) 1106 Each adult and child was not restrained by appropriate individual belt/device. There were seven (7) expired (expired May 2021) booster seats that were in the vehicle used to transport children. GS 110-91(13) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch is needed in the outdoor play area. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Permission to administer medication for a child is space 12 expired December 18, 2024. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff Staff T.J., J.S. R.S., and L.W., did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment .1102(g) 9999 A violation was found for which there is no item number. violation of Rules .2831 or .2832 of this Section related to pest control and the child care center premises being free of conditions that harbor or attract pests. There were pest (rodent) droppings under the sink in space 1, space 5, space 9, space 11, and space 12. January 24, 2025, is a Teacher Workday for Meck. Pre-K and NC Pre-K programs, and there were no children present. A visit will be completed in five (5) days to observe children in the programs, to complete veteran staff records review, and to review children records. 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 February 7, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -On June 12, 2023 Governor Cooper signed Session Law 2023-40; Senate Bill 291. This law extends the hold harmless status for facilities operating with a star rated license until June 30, 2024. Additionally, it extends the reduced percentage of lead teachers that must meet the point levels from 75% to 50% until June 30, 2026. Scales are voluntary at this time. The following Technical Assistance (TA) was provided: -The depth of the loose surfacing must be based on critical height of the equipment. Ms. Barnette stated that mulch is on order for the outdoor play areas (Child Care Rule 10A NCAC 09 .0605(k)(1-4)). -All walls and ceilings, including doors and windows, must be kept clean, free of visible fungal growth, and in good repair (Sanitation 15A NCAC 18A.2825(a)). -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 must be in a locked room or cabinet (Sanitation 15A NCAC 18A.2820(b)). -Child care centers must maintain premises being free of conditions that harbor or attract pests (Sanitation .2831 or .2832). -All equipment and furnishings must be kept in good repair (G.S. 110-91(6); .0601(b)). -Each adult and child must be restrained with an individual seat belt or child safety seat appropriate to the child's age and weight in accordance with the state seat belt law (G.S. 110-91(13);.1001(a)). Expired booster seats were removed and new booster seats were placed in the vehicle during the visit. -Children younger than age eight (8) and who weigh less than 80 pounds must be properly secured in a child restraint or booster seat, according to transportation regulations (https://connect.ncdot.gov/municipalities/Law-Enforcement/GHSPCampaignDataDocs/BuckleUpNC.pdf). -The center's safe sleep policy must be posted in a prominent place in the infant room where parents and caregivers are able to view daily (Child Care Rule 10A NCAC 09 .0606(b)). -Permission to Administer Medication forms for chronic conditions must be completed every six (6) months (Child Care Rule 10A NCAC 09 .0803 (a-i.). -Staff must have a medical report on file prior to employment (Child Care Rule 10A NCAC 09 . 0701). -All staff must 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 must be in the staff file.(Child Care Rule 10A NCAC 09 .1102(c)). -All staff must 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 must be in the staff file. Child Care Rule 10A NCAC .1102(d)). -The child care administrator and all staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within ninety (90) days of employment (Child Care Rule 10A NCAC 09 .1102(g)). -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. •Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. • Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once; water was tested November 27, 2024. -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 editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website 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. -The facility's email address noted in Regulatory was verified as correct; provider confirmed that she is receiving emails. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1725 · Violation

Name of Operation: UNIVERSITY CHILD DEVELOPMENT CENTER/HIGHLAND CREEK Facility ID: 60001832 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 1/24/2025 Number Present: 21 Completed Date: 1/24/2025 Age: From 0 To 5 Total Minutes: 420 Time In: 09:15 AM Time Out: 01:06 PM Time In: 02:06 PM Time Out: 05:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Director Ms. Leeann Barnette. I completed an indoor and outdoor walkthrough of the facility with Ms. Barnette. Your program currently operates with a five-star license, issued May 1, 2018 earning six (6) points in the education component, six (6) points in the program standards component (meeting enhanced reduced ratios; meets enhanced space) and one (1) quality point for enhanced policies. The program uses a developmentally appropriate curriculum Teaching Strategies Gold and Creative Curriculum that addresses the five (5) domains of development. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted January 29, 2024. The sanitation inspection was completed January 8, 2025, with an “Approved” classification and twenty-three (23) demerits. The last fire inspection was conducted June 20, 2024, and your facility was approved for daytime care only. The Emergency Preparedness and Response Plan (EPR) was updated February, 2024; compliance was met. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent as of January 23, 2025. The NC Secretary of State website was reviewed on January 24, 2025, and Ramsey Peele Corporation, was listed as current-active. In space 1, a Meck. Pre-K classroom, I observed no children present. Space 2 is not in use, and space 4 was observed closed. I observed the children in space 3 children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Diapering creams and diapering forms were reviewed and met compliance. A violation was cited for the Safe Sleep Policy. In space 5, a classroom for three (3) year-old children, were observed having supervised free independent play. I observed children in space 6, a classroom for two (2) year old children, participating in play with Playdough; adequate supervision was provided. Space 7, 8, 9, and 10, classrooms for NC Pre-K, were observed and there were no children present. In space 11 and space 12, Meck. Pre-K classrooms, were observed and there were no children present. Cots were observed available for each child enrolled in the program for the scheduled "Rest Period." A violation was cited for floors walls and ceilings, and a violation was cited for pest. The Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers will be provided after the visit. The following programs requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Menu, Daily Schedules and Activity Plans, North Carolina Summary of the Law, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspection Forms, and the Emergency Medical Care Plan; compliance was met. An emergency medication was reviewed, and a violation was cited for Permission to Administer. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. The current NC Pre-K staff are lead teachers, Ms. K. Smith, Ms. B. Wagnor, Ms. N. Minaya, and Ms. T. Johnson. P.A.S.T. (Phonological Awareness Skills Test), Brigants, and Teaching Strategies Gold were used to complete screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The checkpoint assessments are conducted three (3) times per year: at the beginning, middle and end of the school year. The first day of school was August 29, 2024. The classroom operates from 8:00 am to 2:30 pm. Parent conferences are held twice a year and as needed. You stated that you use the Class Dojo app and a newsletter to communicate with parents. In addition, a daily report is sent home to the parents which includes any information about the child’s day and any reminders. New staff files were reviewed. A violation was cited for a Medical Report, CPR, First Aid, and Child Maltreatment Training. The outdoor area and equipment were clean. A violation was cited for needed mulch in the outdoor play area, and broken equipment. The center provides transportation and the following was monitored: Safe Pick-up and Delivery Statement (Posted), Child Safety Restraints and Seat Belts, Vehicle Safety Inspection(completed September 2024-2025) and Liability Insurance (January 5, 2025-January 5, 2026), First Aid Kit in Vehicle, and Emergency Information on Children. Staff/Child Ratios Maintained During Transportation. A violation was cited for expired booster seats. Twelve (12) violations were cited. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The molding along the wall in the bathroom in space 1 needs repair, the walls in space 6 needs repair (chipped paint); the floor in space 6 was not clean. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. There was a broken swings in the play area for three (3) year old children, and there were two (2) broken swings (cracked seats) on the playground for two year old children. 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. Lysol and Clorox wipes were stored in unlocked cabinet in space 7. .2820(b) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The Safe Sleep Poster was not posted in space 2. .0606(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff (T.B.) and (A.S.) did not have a medical report on file. 10A NCAC 09 .0701(a) 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. Staff T.J., J.S. R.S., L.W., and T.B. did not complete First Aid training. .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. Staff T.J., J.S. R.S., L.W., and T.B. did not complete CPR training. .1102(d) 1106 Each adult and child was not restrained by appropriate individual belt/device. There were seven (7) expired (expired May 2021) booster seats that were in the vehicle used to transport children. GS 110-91(13) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch is needed in the outdoor play area. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Permission to administer medication for a child is space 12 expired December 18, 2024. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff Staff T.J., J.S. R.S., and L.W., did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment .1102(g) 9999 A violation was found for which there is no item number. violation of Rules .2831 or .2832 of this Section related to pest control and the child care center premises being free of conditions that harbor or attract pests. There were pest (rodent) droppings under the sink in space 1, space 5, space 9, space 11, and space 12. January 24, 2025, is a Teacher Workday for Meck. Pre-K and NC Pre-K programs, and there were no children present. A visit will be completed in five (5) days to observe children in the programs, to complete veteran staff records review, and to review children records. 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 February 7, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -On June 12, 2023 Governor Cooper signed Session Law 2023-40; Senate Bill 291. This law extends the hold harmless status for facilities operating with a star rated license until June 30, 2024. Additionally, it extends the reduced percentage of lead teachers that must meet the point levels from 75% to 50% until June 30, 2026. Scales are voluntary at this time. The following Technical Assistance (TA) was provided: -The depth of the loose surfacing must be based on critical height of the equipment. Ms. Barnette stated that mulch is on order for the outdoor play areas (Child Care Rule 10A NCAC 09 .0605(k)(1-4)). -All walls and ceilings, including doors and windows, must be kept clean, free of visible fungal growth, and in good repair (Sanitation 15A NCAC 18A.2825(a)). -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 must be in a locked room or cabinet (Sanitation 15A NCAC 18A.2820(b)). -Child care centers must maintain premises being free of conditions that harbor or attract pests (Sanitation .2831 or .2832). -All equipment and furnishings must be kept in good repair (G.S. 110-91(6); .0601(b)). -Each adult and child must be restrained with an individual seat belt or child safety seat appropriate to the child's age and weight in accordance with the state seat belt law (G.S. 110-91(13);.1001(a)). Expired booster seats were removed and new booster seats were placed in the vehicle during the visit. -Children younger than age eight (8) and who weigh less than 80 pounds must be properly secured in a child restraint or booster seat, according to transportation regulations (https://connect.ncdot.gov/municipalities/Law-Enforcement/GHSPCampaignDataDocs/BuckleUpNC.pdf). -The center's safe sleep policy must be posted in a prominent place in the infant room where parents and caregivers are able to view daily (Child Care Rule 10A NCAC 09 .0606(b)). -Permission to Administer Medication forms for chronic conditions must be completed every six (6) months (Child Care Rule 10A NCAC 09 .0803 (a-i.). -Staff must have a medical report on file prior to employment (Child Care Rule 10A NCAC 09 . 0701). -All staff must 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 must be in the staff file.(Child Care Rule 10A NCAC 09 .1102(c)). -All staff must 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 must be in the staff file. Child Care Rule 10A NCAC .1102(d)). -The child care administrator and all staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within ninety (90) days of employment (Child Care Rule 10A NCAC 09 .1102(g)). -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. •Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. • Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once; water was tested November 27, 2024. -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 editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website 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. -The facility's email address noted in Regulatory was verified as correct; provider confirmed that she is receiving emails. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: UNIVERSITY CHILD DEVELOPMENT CENTER/HIGHLAND CREEK Facility ID: 60001832 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 1/24/2025 Number Present: 21 Completed Date: 1/24/2025 Age: From 0 To 5 Total Minutes: 420 Time In: 09:15 AM Time Out: 01:06 PM Time In: 02:06 PM Time Out: 05:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Director Ms. Leeann Barnette. I completed an indoor and outdoor walkthrough of the facility with Ms. Barnette. Your program currently operates with a five-star license, issued May 1, 2018 earning six (6) points in the education component, six (6) points in the program standards component (meeting enhanced reduced ratios; meets enhanced space) and one (1) quality point for enhanced policies. The program uses a developmentally appropriate curriculum Teaching Strategies Gold and Creative Curriculum that addresses the five (5) domains of development. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted January 29, 2024. The sanitation inspection was completed January 8, 2025, with an “Approved” classification and twenty-three (23) demerits. The last fire inspection was conducted June 20, 2024, and your facility was approved for daytime care only. The Emergency Preparedness and Response Plan (EPR) was updated February, 2024; compliance was met. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent as of January 23, 2025. The NC Secretary of State website was reviewed on January 24, 2025, and Ramsey Peele Corporation, was listed as current-active. In space 1, a Meck. Pre-K classroom, I observed no children present. Space 2 is not in use, and space 4 was observed closed. I observed the children in space 3 children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Diapering creams and diapering forms were reviewed and met compliance. A violation was cited for the Safe Sleep Policy. In space 5, a classroom for three (3) year-old children, were observed having supervised free independent play. I observed children in space 6, a classroom for two (2) year old children, participating in play with Playdough; adequate supervision was provided. Space 7, 8, 9, and 10, classrooms for NC Pre-K, were observed and there were no children present. In space 11 and space 12, Meck. Pre-K classrooms, were observed and there were no children present. Cots were observed available for each child enrolled in the program for the scheduled "Rest Period." A violation was cited for floors walls and ceilings, and a violation was cited for pest. The Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers will be provided after the visit. The following programs requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Menu, Daily Schedules and Activity Plans, North Carolina Summary of the Law, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspection Forms, and the Emergency Medical Care Plan; compliance was met. An emergency medication was reviewed, and a violation was cited for Permission to Administer. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. The current NC Pre-K staff are lead teachers, Ms. K. Smith, Ms. B. Wagnor, Ms. N. Minaya, and Ms. T. Johnson. P.A.S.T. (Phonological Awareness Skills Test), Brigants, and Teaching Strategies Gold were used to complete screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The checkpoint assessments are conducted three (3) times per year: at the beginning, middle and end of the school year. The first day of school was August 29, 2024. The classroom operates from 8:00 am to 2:30 pm. Parent conferences are held twice a year and as needed. You stated that you use the Class Dojo app and a newsletter to communicate with parents. In addition, a daily report is sent home to the parents which includes any information about the child’s day and any reminders. New staff files were reviewed. A violation was cited for a Medical Report, CPR, First Aid, and Child Maltreatment Training. The outdoor area and equipment were clean. A violation was cited for needed mulch in the outdoor play area, and broken equipment. The center provides transportation and the following was monitored: Safe Pick-up and Delivery Statement (Posted), Child Safety Restraints and Seat Belts, Vehicle Safety Inspection(completed September 2024-2025) and Liability Insurance (January 5, 2025-January 5, 2026), First Aid Kit in Vehicle, and Emergency Information on Children. Staff/Child Ratios Maintained During Transportation. A violation was cited for expired booster seats. Twelve (12) violations were cited. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The molding along the wall in the bathroom in space 1 needs repair, the walls in space 6 needs repair (chipped paint); the floor in space 6 was not clean. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. There was a broken swings in the play area for three (3) year old children, and there were two (2) broken swings (cracked seats) on the playground for two year old children. 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. Lysol and Clorox wipes were stored in unlocked cabinet in space 7. .2820(b) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The Safe Sleep Poster was not posted in space 2. .0606(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff (T.B.) and (A.S.) did not have a medical report on file. 10A NCAC 09 .0701(a) 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. Staff T.J., J.S. R.S., L.W., and T.B. did not complete First Aid training. .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. Staff T.J., J.S. R.S., L.W., and T.B. did not complete CPR training. .1102(d) 1106 Each adult and child was not restrained by appropriate individual belt/device. There were seven (7) expired (expired May 2021) booster seats that were in the vehicle used to transport children. GS 110-91(13) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch is needed in the outdoor play area. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Permission to administer medication for a child is space 12 expired December 18, 2024. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff Staff T.J., J.S. R.S., and L.W., did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment .1102(g) 9999 A violation was found for which there is no item number. violation of Rules .2831 or .2832 of this Section related to pest control and the child care center premises being free of conditions that harbor or attract pests. There were pest (rodent) droppings under the sink in space 1, space 5, space 9, space 11, and space 12. January 24, 2025, is a Teacher Workday for Meck. Pre-K and NC Pre-K programs, and there were no children present. A visit will be completed in five (5) days to observe children in the programs, to complete veteran staff records review, and to review children records. 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 February 7, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -On June 12, 2023 Governor Cooper signed Session Law 2023-40; Senate Bill 291. This law extends the hold harmless status for facilities operating with a star rated license until June 30, 2024. Additionally, it extends the reduced percentage of lead teachers that must meet the point levels from 75% to 50% until June 30, 2026. Scales are voluntary at this time. The following Technical Assistance (TA) was provided: -The depth of the loose surfacing must be based on critical height of the equipment. Ms. Barnette stated that mulch is on order for the outdoor play areas (Child Care Rule 10A NCAC 09 .0605(k)(1-4)). -All walls and ceilings, including doors and windows, must be kept clean, free of visible fungal growth, and in good repair (Sanitation 15A NCAC 18A.2825(a)). -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 must be in a locked room or cabinet (Sanitation 15A NCAC 18A.2820(b)). -Child care centers must maintain premises being free of conditions that harbor or attract pests (Sanitation .2831 or .2832). -All equipment and furnishings must be kept in good repair (G.S. 110-91(6); .0601(b)). -Each adult and child must be restrained with an individual seat belt or child safety seat appropriate to the child's age and weight in accordance with the state seat belt law (G.S. 110-91(13);.1001(a)). Expired booster seats were removed and new booster seats were placed in the vehicle during the visit. -Children younger than age eight (8) and who weigh less than 80 pounds must be properly secured in a child restraint or booster seat, according to transportation regulations (https://connect.ncdot.gov/municipalities/Law-Enforcement/GHSPCampaignDataDocs/BuckleUpNC.pdf). -The center's safe sleep policy must be posted in a prominent place in the infant room where parents and caregivers are able to view daily (Child Care Rule 10A NCAC 09 .0606(b)). -Permission to Administer Medication forms for chronic conditions must be completed every six (6) months (Child Care Rule 10A NCAC 09 .0803 (a-i.). -Staff must have a medical report on file prior to employment (Child Care Rule 10A NCAC 09 . 0701). -All staff must 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 must be in the staff file.(Child Care Rule 10A NCAC 09 .1102(c)). -All staff must 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 must be in the staff file. Child Care Rule 10A NCAC .1102(d)). -The child care administrator and all staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within ninety (90) days of employment (Child Care Rule 10A NCAC 09 .1102(g)). -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. •Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. • Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once; water was tested November 27, 2024. -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 editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website 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. -The facility's email address noted in Regulatory was verified as correct; provider confirmed that she is receiving emails. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: UNIVERSITY CHILD DEVELOPMENT CENTER/HIGHLAND CREEK Facility ID: 60001832 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 1/24/2025 Number Present: 21 Completed Date: 1/24/2025 Age: From 0 To 5 Total Minutes: 420 Time In: 09:15 AM Time Out: 01:06 PM Time In: 02:06 PM Time Out: 05:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Director Ms. Leeann Barnette. I completed an indoor and outdoor walkthrough of the facility with Ms. Barnette. Your program currently operates with a five-star license, issued May 1, 2018 earning six (6) points in the education component, six (6) points in the program standards component (meeting enhanced reduced ratios; meets enhanced space) and one (1) quality point for enhanced policies. The program uses a developmentally appropriate curriculum Teaching Strategies Gold and Creative Curriculum that addresses the five (5) domains of development. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted January 29, 2024. The sanitation inspection was completed January 8, 2025, with an “Approved” classification and twenty-three (23) demerits. The last fire inspection was conducted June 20, 2024, and your facility was approved for daytime care only. The Emergency Preparedness and Response Plan (EPR) was updated February, 2024; compliance was met. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent as of January 23, 2025. The NC Secretary of State website was reviewed on January 24, 2025, and Ramsey Peele Corporation, was listed as current-active. In space 1, a Meck. Pre-K classroom, I observed no children present. Space 2 is not in use, and space 4 was observed closed. I observed the children in space 3 children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Diapering creams and diapering forms were reviewed and met compliance. A violation was cited for the Safe Sleep Policy. In space 5, a classroom for three (3) year-old children, were observed having supervised free independent play. I observed children in space 6, a classroom for two (2) year old children, participating in play with Playdough; adequate supervision was provided. Space 7, 8, 9, and 10, classrooms for NC Pre-K, were observed and there were no children present. In space 11 and space 12, Meck. Pre-K classrooms, were observed and there were no children present. Cots were observed available for each child enrolled in the program for the scheduled "Rest Period." A violation was cited for floors walls and ceilings, and a violation was cited for pest. The Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers will be provided after the visit. The following programs requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Menu, Daily Schedules and Activity Plans, North Carolina Summary of the Law, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspection Forms, and the Emergency Medical Care Plan; compliance was met. An emergency medication was reviewed, and a violation was cited for Permission to Administer. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. The current NC Pre-K staff are lead teachers, Ms. K. Smith, Ms. B. Wagnor, Ms. N. Minaya, and Ms. T. Johnson. P.A.S.T. (Phonological Awareness Skills Test), Brigants, and Teaching Strategies Gold were used to complete screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The checkpoint assessments are conducted three (3) times per year: at the beginning, middle and end of the school year. The first day of school was August 29, 2024. The classroom operates from 8:00 am to 2:30 pm. Parent conferences are held twice a year and as needed. You stated that you use the Class Dojo app and a newsletter to communicate with parents. In addition, a daily report is sent home to the parents which includes any information about the child’s day and any reminders. New staff files were reviewed. A violation was cited for a Medical Report, CPR, First Aid, and Child Maltreatment Training. The outdoor area and equipment were clean. A violation was cited for needed mulch in the outdoor play area, and broken equipment. The center provides transportation and the following was monitored: Safe Pick-up and Delivery Statement (Posted), Child Safety Restraints and Seat Belts, Vehicle Safety Inspection(completed September 2024-2025) and Liability Insurance (January 5, 2025-January 5, 2026), First Aid Kit in Vehicle, and Emergency Information on Children. Staff/Child Ratios Maintained During Transportation. A violation was cited for expired booster seats. Twelve (12) violations were cited. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The molding along the wall in the bathroom in space 1 needs repair, the walls in space 6 needs repair (chipped paint); the floor in space 6 was not clean. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. There was a broken swings in the play area for three (3) year old children, and there were two (2) broken swings (cracked seats) on the playground for two year old children. 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. Lysol and Clorox wipes were stored in unlocked cabinet in space 7. .2820(b) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The Safe Sleep Poster was not posted in space 2. .0606(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff (T.B.) and (A.S.) did not have a medical report on file. 10A NCAC 09 .0701(a) 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. Staff T.J., J.S. R.S., L.W., and T.B. did not complete First Aid training. .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. Staff T.J., J.S. R.S., L.W., and T.B. did not complete CPR training. .1102(d) 1106 Each adult and child was not restrained by appropriate individual belt/device. There were seven (7) expired (expired May 2021) booster seats that were in the vehicle used to transport children. GS 110-91(13) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch is needed in the outdoor play area. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Permission to administer medication for a child is space 12 expired December 18, 2024. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff Staff T.J., J.S. R.S., and L.W., did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment .1102(g) 9999 A violation was found for which there is no item number. violation of Rules .2831 or .2832 of this Section related to pest control and the child care center premises being free of conditions that harbor or attract pests. There were pest (rodent) droppings under the sink in space 1, space 5, space 9, space 11, and space 12. January 24, 2025, is a Teacher Workday for Meck. Pre-K and NC Pre-K programs, and there were no children present. A visit will be completed in five (5) days to observe children in the programs, to complete veteran staff records review, and to review children records. 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 February 7, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -On June 12, 2023 Governor Cooper signed Session Law 2023-40; Senate Bill 291. This law extends the hold harmless status for facilities operating with a star rated license until June 30, 2024. Additionally, it extends the reduced percentage of lead teachers that must meet the point levels from 75% to 50% until June 30, 2026. Scales are voluntary at this time. The following Technical Assistance (TA) was provided: -The depth of the loose surfacing must be based on critical height of the equipment. Ms. Barnette stated that mulch is on order for the outdoor play areas (Child Care Rule 10A NCAC 09 .0605(k)(1-4)). -All walls and ceilings, including doors and windows, must be kept clean, free of visible fungal growth, and in good repair (Sanitation 15A NCAC 18A.2825(a)). -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 must be in a locked room or cabinet (Sanitation 15A NCAC 18A.2820(b)). -Child care centers must maintain premises being free of conditions that harbor or attract pests (Sanitation .2831 or .2832). -All equipment and furnishings must be kept in good repair (G.S. 110-91(6); .0601(b)). -Each adult and child must be restrained with an individual seat belt or child safety seat appropriate to the child's age and weight in accordance with the state seat belt law (G.S. 110-91(13);.1001(a)). Expired booster seats were removed and new booster seats were placed in the vehicle during the visit. -Children younger than age eight (8) and who weigh less than 80 pounds must be properly secured in a child restraint or booster seat, according to transportation regulations (https://connect.ncdot.gov/municipalities/Law-Enforcement/GHSPCampaignDataDocs/BuckleUpNC.pdf). -The center's safe sleep policy must be posted in a prominent place in the infant room where parents and caregivers are able to view daily (Child Care Rule 10A NCAC 09 .0606(b)). -Permission to Administer Medication forms for chronic conditions must be completed every six (6) months (Child Care Rule 10A NCAC 09 .0803 (a-i.). -Staff must have a medical report on file prior to employment (Child Care Rule 10A NCAC 09 . 0701). -All staff must 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 must be in the staff file.(Child Care Rule 10A NCAC 09 .1102(c)). -All staff must 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 must be in the staff file. Child Care Rule 10A NCAC .1102(d)). -The child care administrator and all staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within ninety (90) days of employment (Child Care Rule 10A NCAC 09 .1102(g)). -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. •Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. • Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once; water was tested November 27, 2024. -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 editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website 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. -The facility's email address noted in Regulatory was verified as correct; provider confirmed that she is receiving emails. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: UNIVERSITY CHILD DEVELOPMENT CENTER/HIGHLAND CREEK Facility ID: 60001832 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 1/24/2025 Number Present: 21 Completed Date: 1/24/2025 Age: From 0 To 5 Total Minutes: 420 Time In: 09:15 AM Time Out: 01:06 PM Time In: 02:06 PM Time Out: 05:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Director Ms. Leeann Barnette. I completed an indoor and outdoor walkthrough of the facility with Ms. Barnette. Your program currently operates with a five-star license, issued May 1, 2018 earning six (6) points in the education component, six (6) points in the program standards component (meeting enhanced reduced ratios; meets enhanced space) and one (1) quality point for enhanced policies. The program uses a developmentally appropriate curriculum Teaching Strategies Gold and Creative Curriculum that addresses the five (5) domains of development. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted January 29, 2024. The sanitation inspection was completed January 8, 2025, with an “Approved” classification and twenty-three (23) demerits. The last fire inspection was conducted June 20, 2024, and your facility was approved for daytime care only. The Emergency Preparedness and Response Plan (EPR) was updated February, 2024; compliance was met. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent as of January 23, 2025. The NC Secretary of State website was reviewed on January 24, 2025, and Ramsey Peele Corporation, was listed as current-active. In space 1, a Meck. Pre-K classroom, I observed no children present. Space 2 is not in use, and space 4 was observed closed. I observed the children in space 3 children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Diapering creams and diapering forms were reviewed and met compliance. A violation was cited for the Safe Sleep Policy. In space 5, a classroom for three (3) year-old children, were observed having supervised free independent play. I observed children in space 6, a classroom for two (2) year old children, participating in play with Playdough; adequate supervision was provided. Space 7, 8, 9, and 10, classrooms for NC Pre-K, were observed and there were no children present. In space 11 and space 12, Meck. Pre-K classrooms, were observed and there were no children present. Cots were observed available for each child enrolled in the program for the scheduled "Rest Period." A violation was cited for floors walls and ceilings, and a violation was cited for pest. The Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers will be provided after the visit. The following programs requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Menu, Daily Schedules and Activity Plans, North Carolina Summary of the Law, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspection Forms, and the Emergency Medical Care Plan; compliance was met. An emergency medication was reviewed, and a violation was cited for Permission to Administer. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. The current NC Pre-K staff are lead teachers, Ms. K. Smith, Ms. B. Wagnor, Ms. N. Minaya, and Ms. T. Johnson. P.A.S.T. (Phonological Awareness Skills Test), Brigants, and Teaching Strategies Gold were used to complete screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The checkpoint assessments are conducted three (3) times per year: at the beginning, middle and end of the school year. The first day of school was August 29, 2024. The classroom operates from 8:00 am to 2:30 pm. Parent conferences are held twice a year and as needed. You stated that you use the Class Dojo app and a newsletter to communicate with parents. In addition, a daily report is sent home to the parents which includes any information about the child’s day and any reminders. New staff files were reviewed. A violation was cited for a Medical Report, CPR, First Aid, and Child Maltreatment Training. The outdoor area and equipment were clean. A violation was cited for needed mulch in the outdoor play area, and broken equipment. The center provides transportation and the following was monitored: Safe Pick-up and Delivery Statement (Posted), Child Safety Restraints and Seat Belts, Vehicle Safety Inspection(completed September 2024-2025) and Liability Insurance (January 5, 2025-January 5, 2026), First Aid Kit in Vehicle, and Emergency Information on Children. Staff/Child Ratios Maintained During Transportation. A violation was cited for expired booster seats. Twelve (12) violations were cited. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The molding along the wall in the bathroom in space 1 needs repair, the walls in space 6 needs repair (chipped paint); the floor in space 6 was not clean. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. There was a broken swings in the play area for three (3) year old children, and there were two (2) broken swings (cracked seats) on the playground for two year old children. 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. Lysol and Clorox wipes were stored in unlocked cabinet in space 7. .2820(b) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The Safe Sleep Poster was not posted in space 2. .0606(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff (T.B.) and (A.S.) did not have a medical report on file. 10A NCAC 09 .0701(a) 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. Staff T.J., J.S. R.S., L.W., and T.B. did not complete First Aid training. .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. Staff T.J., J.S. R.S., L.W., and T.B. did not complete CPR training. .1102(d) 1106 Each adult and child was not restrained by appropriate individual belt/device. There were seven (7) expired (expired May 2021) booster seats that were in the vehicle used to transport children. GS 110-91(13) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch is needed in the outdoor play area. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Permission to administer medication for a child is space 12 expired December 18, 2024. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff Staff T.J., J.S. R.S., and L.W., did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment .1102(g) 9999 A violation was found for which there is no item number. violation of Rules .2831 or .2832 of this Section related to pest control and the child care center premises being free of conditions that harbor or attract pests. There were pest (rodent) droppings under the sink in space 1, space 5, space 9, space 11, and space 12. January 24, 2025, is a Teacher Workday for Meck. Pre-K and NC Pre-K programs, and there were no children present. A visit will be completed in five (5) days to observe children in the programs, to complete veteran staff records review, and to review children records. 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 February 7, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -On June 12, 2023 Governor Cooper signed Session Law 2023-40; Senate Bill 291. This law extends the hold harmless status for facilities operating with a star rated license until June 30, 2024. Additionally, it extends the reduced percentage of lead teachers that must meet the point levels from 75% to 50% until June 30, 2026. Scales are voluntary at this time. The following Technical Assistance (TA) was provided: -The depth of the loose surfacing must be based on critical height of the equipment. Ms. Barnette stated that mulch is on order for the outdoor play areas (Child Care Rule 10A NCAC 09 .0605(k)(1-4)). -All walls and ceilings, including doors and windows, must be kept clean, free of visible fungal growth, and in good repair (Sanitation 15A NCAC 18A.2825(a)). -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 must be in a locked room or cabinet (Sanitation 15A NCAC 18A.2820(b)). -Child care centers must maintain premises being free of conditions that harbor or attract pests (Sanitation .2831 or .2832). -All equipment and furnishings must be kept in good repair (G.S. 110-91(6); .0601(b)). -Each adult and child must be restrained with an individual seat belt or child safety seat appropriate to the child's age and weight in accordance with the state seat belt law (G.S. 110-91(13);.1001(a)). Expired booster seats were removed and new booster seats were placed in the vehicle during the visit. -Children younger than age eight (8) and who weigh less than 80 pounds must be properly secured in a child restraint or booster seat, according to transportation regulations (https://connect.ncdot.gov/municipalities/Law-Enforcement/GHSPCampaignDataDocs/BuckleUpNC.pdf). -The center's safe sleep policy must be posted in a prominent place in the infant room where parents and caregivers are able to view daily (Child Care Rule 10A NCAC 09 .0606(b)). -Permission to Administer Medication forms for chronic conditions must be completed every six (6) months (Child Care Rule 10A NCAC 09 .0803 (a-i.). -Staff must have a medical report on file prior to employment (Child Care Rule 10A NCAC 09 . 0701). -All staff must 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 must be in the staff file.(Child Care Rule 10A NCAC 09 .1102(c)). -All staff must 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 must be in the staff file. Child Care Rule 10A NCAC .1102(d)). -The child care administrator and all staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within ninety (90) days of employment (Child Care Rule 10A NCAC 09 .1102(g)). -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. •Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. • Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once; water was tested November 27, 2024. -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 editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website 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. -The facility's email address noted in Regulatory was verified as correct; provider confirmed that she is receiving emails. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: UNIVERSITY CHILD DEVELOPMENT CENTER/HIGHLAND CREEK Facility ID: 60001832 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 1/24/2025 Number Present: 21 Completed Date: 1/24/2025 Age: From 0 To 5 Total Minutes: 420 Time In: 09:15 AM Time Out: 01:06 PM Time In: 02:06 PM Time Out: 05:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Director Ms. Leeann Barnette. I completed an indoor and outdoor walkthrough of the facility with Ms. Barnette. Your program currently operates with a five-star license, issued May 1, 2018 earning six (6) points in the education component, six (6) points in the program standards component (meeting enhanced reduced ratios; meets enhanced space) and one (1) quality point for enhanced policies. The program uses a developmentally appropriate curriculum Teaching Strategies Gold and Creative Curriculum that addresses the five (5) domains of development. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted January 29, 2024. The sanitation inspection was completed January 8, 2025, with an “Approved” classification and twenty-three (23) demerits. The last fire inspection was conducted June 20, 2024, and your facility was approved for daytime care only. The Emergency Preparedness and Response Plan (EPR) was updated February, 2024; compliance was met. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent as of January 23, 2025. The NC Secretary of State website was reviewed on January 24, 2025, and Ramsey Peele Corporation, was listed as current-active. In space 1, a Meck. Pre-K classroom, I observed no children present. Space 2 is not in use, and space 4 was observed closed. I observed the children in space 3 children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Diapering creams and diapering forms were reviewed and met compliance. A violation was cited for the Safe Sleep Policy. In space 5, a classroom for three (3) year-old children, were observed having supervised free independent play. I observed children in space 6, a classroom for two (2) year old children, participating in play with Playdough; adequate supervision was provided. Space 7, 8, 9, and 10, classrooms for NC Pre-K, were observed and there were no children present. In space 11 and space 12, Meck. Pre-K classrooms, were observed and there were no children present. Cots were observed available for each child enrolled in the program for the scheduled "Rest Period." A violation was cited for floors walls and ceilings, and a violation was cited for pest. The Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers will be provided after the visit. The following programs requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Menu, Daily Schedules and Activity Plans, North Carolina Summary of the Law, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspection Forms, and the Emergency Medical Care Plan; compliance was met. An emergency medication was reviewed, and a violation was cited for Permission to Administer. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. The current NC Pre-K staff are lead teachers, Ms. K. Smith, Ms. B. Wagnor, Ms. N. Minaya, and Ms. T. Johnson. P.A.S.T. (Phonological Awareness Skills Test), Brigants, and Teaching Strategies Gold were used to complete screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The checkpoint assessments are conducted three (3) times per year: at the beginning, middle and end of the school year. The first day of school was August 29, 2024. The classroom operates from 8:00 am to 2:30 pm. Parent conferences are held twice a year and as needed. You stated that you use the Class Dojo app and a newsletter to communicate with parents. In addition, a daily report is sent home to the parents which includes any information about the child’s day and any reminders. New staff files were reviewed. A violation was cited for a Medical Report, CPR, First Aid, and Child Maltreatment Training. The outdoor area and equipment were clean. A violation was cited for needed mulch in the outdoor play area, and broken equipment. The center provides transportation and the following was monitored: Safe Pick-up and Delivery Statement (Posted), Child Safety Restraints and Seat Belts, Vehicle Safety Inspection(completed September 2024-2025) and Liability Insurance (January 5, 2025-January 5, 2026), First Aid Kit in Vehicle, and Emergency Information on Children. Staff/Child Ratios Maintained During Transportation. A violation was cited for expired booster seats. Twelve (12) violations were cited. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The molding along the wall in the bathroom in space 1 needs repair, the walls in space 6 needs repair (chipped paint); the floor in space 6 was not clean. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. There was a broken swings in the play area for three (3) year old children, and there were two (2) broken swings (cracked seats) on the playground for two year old children. 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. Lysol and Clorox wipes were stored in unlocked cabinet in space 7. .2820(b) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The Safe Sleep Poster was not posted in space 2. .0606(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff (T.B.) and (A.S.) did not have a medical report on file. 10A NCAC 09 .0701(a) 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. Staff T.J., J.S. R.S., L.W., and T.B. did not complete First Aid training. .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. Staff T.J., J.S. R.S., L.W., and T.B. did not complete CPR training. .1102(d) 1106 Each adult and child was not restrained by appropriate individual belt/device. There were seven (7) expired (expired May 2021) booster seats that were in the vehicle used to transport children. GS 110-91(13) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch is needed in the outdoor play area. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Permission to administer medication for a child is space 12 expired December 18, 2024. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff Staff T.J., J.S. R.S., and L.W., did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment .1102(g) 9999 A violation was found for which there is no item number. violation of Rules .2831 or .2832 of this Section related to pest control and the child care center premises being free of conditions that harbor or attract pests. There were pest (rodent) droppings under the sink in space 1, space 5, space 9, space 11, and space 12. January 24, 2025, is a Teacher Workday for Meck. Pre-K and NC Pre-K programs, and there were no children present. A visit will be completed in five (5) days to observe children in the programs, to complete veteran staff records review, and to review children records. 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 February 7, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -On June 12, 2023 Governor Cooper signed Session Law 2023-40; Senate Bill 291. This law extends the hold harmless status for facilities operating with a star rated license until June 30, 2024. Additionally, it extends the reduced percentage of lead teachers that must meet the point levels from 75% to 50% until June 30, 2026. Scales are voluntary at this time. The following Technical Assistance (TA) was provided: -The depth of the loose surfacing must be based on critical height of the equipment. Ms. Barnette stated that mulch is on order for the outdoor play areas (Child Care Rule 10A NCAC 09 .0605(k)(1-4)). -All walls and ceilings, including doors and windows, must be kept clean, free of visible fungal growth, and in good repair (Sanitation 15A NCAC 18A.2825(a)). -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 must be in a locked room or cabinet (Sanitation 15A NCAC 18A.2820(b)). -Child care centers must maintain premises being free of conditions that harbor or attract pests (Sanitation .2831 or .2832). -All equipment and furnishings must be kept in good repair (G.S. 110-91(6); .0601(b)). -Each adult and child must be restrained with an individual seat belt or child safety seat appropriate to the child's age and weight in accordance with the state seat belt law (G.S. 110-91(13);.1001(a)). Expired booster seats were removed and new booster seats were placed in the vehicle during the visit. -Children younger than age eight (8) and who weigh less than 80 pounds must be properly secured in a child restraint or booster seat, according to transportation regulations (https://connect.ncdot.gov/municipalities/Law-Enforcement/GHSPCampaignDataDocs/BuckleUpNC.pdf). -The center's safe sleep policy must be posted in a prominent place in the infant room where parents and caregivers are able to view daily (Child Care Rule 10A NCAC 09 .0606(b)). -Permission to Administer Medication forms for chronic conditions must be completed every six (6) months (Child Care Rule 10A NCAC 09 .0803 (a-i.). -Staff must have a medical report on file prior to employment (Child Care Rule 10A NCAC 09 . 0701). -All staff must 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 must be in the staff file.(Child Care Rule 10A NCAC 09 .1102(c)). -All staff must 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 must be in the staff file. Child Care Rule 10A NCAC .1102(d)). -The child care administrator and all staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within ninety (90) days of employment (Child Care Rule 10A NCAC 09 .1102(g)). -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. •Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. • Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once; water was tested November 27, 2024. -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 editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website 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. -The facility's email address noted in Regulatory was verified as correct; provider confirmed that she is receiving emails. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: UNIVERSITY CHILD DEVELOPMENT CENTER/HIGHLAND CREEK Facility ID: 60001832 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 8/7/2024 Number Present: 37 Completed Date: 8/7/2024 Age: From 1 To 11 Total Minutes: 200 Time In: 09:30 AM Time Out: 12:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s routine unannounced visit was to monitor applicable child care rules and laws during a routine unannounced visit. I was greeted by Assistant Director, Ms. Sheba Wagner, and I explained the purpose of the visit. The Director, arrived during the visit. I completed a walkthrough of the center with the Director, Ms. Leeann Barnette. The facility had a Five-Star License issued on May 21, 2018, and had a compliance history score of eight-five (85) percent prior to today's visit. The last annual compliance was conducted on January 29, 2024. No new staff has been hired. Staff files were reviewed (staff and training worksheet) and compliance was met. I observed the following spaces not in use: space 2, space 7, space 8, space 9, space 11 and space 12. In space 1, I observed school-age children participating in supervised free play. I observed the children in space 3, space 5, and space 10 having supervised indoor play. The children in space 6 were observed preparing for outdoor play. The following child care requirements were monitored and observed today using the Child Care Center Checklist and the Master Child Care Center Item Number Listing: Supervision: The children was adequately supervised. Nurturing tones were heard when staff spoke with the children. Staff/Child Ratio: The ratio was maintained during today’s visit. CPR: Staff is current with CPR. First Aid: Staff is current with First Aid. Special Training: Staff is continuing to complete ongoing training and participating Quality Every Day (QED). CBC Qualification: Staff are current with CBC qualification ITS-SIDS: Staff is current with ITS-SIDS training. The infant room is not currently open. The safe sleep policy and the safe sleep poster were posted. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: Emergency medications were reviewed and compliance was met. Children with allergies were posted. Over-the-counter ointments and creams were reviewed. One (1) violation was cited for an expired medication (ointment). Storage of Hazardous Substances: I did not observe any hazardous substances that were accessible, they were observed stored properly during the visit. Storage of Medication: Medications and over-the-counter ointments were stored properly. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: The children present during the visit was observed in the licensed approved space. Program Records: I reviewed all information required to be posted and found meeting compliance. The monthly fire drill was not complete and up to date, and a violation was cited. The quarterly drill (shelter-in-place) was up to date. The playground inspections were not complete and up to date, and a violation was cited. License Posted: The license was observed posted. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was conducted February 28, 2024, with an "Approved" status and twenty (20) demerits. The Fire Inspection was conducted on June 20, 2024. Four (4) violations were cited: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The walls (chipped paint) and floor (dirty) in space 1 were not in good repair, the walls (chipped/peeled paint) in space 2 were not in good repair, and the walls (chipped paint) in space 5 and in space 6 were not in good repair. 15A NCAC 18A .2825(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on May 31, 2024; incomplete for June 2024 and July 2024. .0604(t); .0302(d)(5) 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 (B.S.) in space 3 had an expired ointment. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was completed on May 15, 2024; incomplete for June 2024 and July 2024. .0605(q) 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 August 21, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. The following Technical Assistance (TA) was provided: -Monthly playground inspections must be completed monthly, the inspections must be completed by an individual trained in playground safety requirements. Refer to Child Care Rule 10A NCAC 09 .0605(q). -Fire Drills must be completed monthly and the Fire Drills must be documented. Refer to Child Care Rule 10A NCAC 09 .0604(t) .0302(d)(f). -Expired medications/ointments must be returned to the parent within seventy-two (72) hours. Refer to Child Care Rule 10A NCAC 09 .0803(12). -All floors, walls, and ceilings must be clean and good repair. Refer to Sanitation Rule 15A NCAC 18A .2825(a). -The director inquired about the prerequisite for a center director, and she was referred to Child Care Rule 10A NCAC 09 .0704; submit additional coursework to Works. -The last ERS Assessment was conducted May 11, 2022; the scores are valid for three (3) years. Ms. Barnett stated that she would like to have the program re-evaluated based on education in September 2024. The visit summary was reviewed, signed, and a copy was provided to you. Contact Child Care Consultant, Deanna Matthews, at Deanna.Matthews@dhhs.nc.gov, 704-962-7854, or you may contact Licensing Supervisor Michele Sullivan, at Michele.Sullivan@dhhs.nc.gov; 704-594-0147. 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 .0605 · Violation

Name of Operation: UNIVERSITY CHILD DEVELOPMENT CENTER/HIGHLAND CREEK Facility ID: 60001832 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 8/7/2024 Number Present: 37 Completed Date: 8/7/2024 Age: From 1 To 11 Total Minutes: 200 Time In: 09:30 AM Time Out: 12:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s routine unannounced visit was to monitor applicable child care rules and laws during a routine unannounced visit. I was greeted by Assistant Director, Ms. Sheba Wagner, and I explained the purpose of the visit. The Director, arrived during the visit. I completed a walkthrough of the center with the Director, Ms. Leeann Barnette. The facility had a Five-Star License issued on May 21, 2018, and had a compliance history score of eight-five (85) percent prior to today's visit. The last annual compliance was conducted on January 29, 2024. No new staff has been hired. Staff files were reviewed (staff and training worksheet) and compliance was met. I observed the following spaces not in use: space 2, space 7, space 8, space 9, space 11 and space 12. In space 1, I observed school-age children participating in supervised free play. I observed the children in space 3, space 5, and space 10 having supervised indoor play. The children in space 6 were observed preparing for outdoor play. The following child care requirements were monitored and observed today using the Child Care Center Checklist and the Master Child Care Center Item Number Listing: Supervision: The children was adequately supervised. Nurturing tones were heard when staff spoke with the children. Staff/Child Ratio: The ratio was maintained during today’s visit. CPR: Staff is current with CPR. First Aid: Staff is current with First Aid. Special Training: Staff is continuing to complete ongoing training and participating Quality Every Day (QED). CBC Qualification: Staff are current with CBC qualification ITS-SIDS: Staff is current with ITS-SIDS training. The infant room is not currently open. The safe sleep policy and the safe sleep poster were posted. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: Emergency medications were reviewed and compliance was met. Children with allergies were posted. Over-the-counter ointments and creams were reviewed. One (1) violation was cited for an expired medication (ointment). Storage of Hazardous Substances: I did not observe any hazardous substances that were accessible, they were observed stored properly during the visit. Storage of Medication: Medications and over-the-counter ointments were stored properly. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: The children present during the visit was observed in the licensed approved space. Program Records: I reviewed all information required to be posted and found meeting compliance. The monthly fire drill was not complete and up to date, and a violation was cited. The quarterly drill (shelter-in-place) was up to date. The playground inspections were not complete and up to date, and a violation was cited. License Posted: The license was observed posted. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was conducted February 28, 2024, with an "Approved" status and twenty (20) demerits. The Fire Inspection was conducted on June 20, 2024. Four (4) violations were cited: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The walls (chipped paint) and floor (dirty) in space 1 were not in good repair, the walls (chipped/peeled paint) in space 2 were not in good repair, and the walls (chipped paint) in space 5 and in space 6 were not in good repair. 15A NCAC 18A .2825(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on May 31, 2024; incomplete for June 2024 and July 2024. .0604(t); .0302(d)(5) 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 (B.S.) in space 3 had an expired ointment. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was completed on May 15, 2024; incomplete for June 2024 and July 2024. .0605(q) 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 August 21, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. The following Technical Assistance (TA) was provided: -Monthly playground inspections must be completed monthly, the inspections must be completed by an individual trained in playground safety requirements. Refer to Child Care Rule 10A NCAC 09 .0605(q). -Fire Drills must be completed monthly and the Fire Drills must be documented. Refer to Child Care Rule 10A NCAC 09 .0604(t) .0302(d)(f). -Expired medications/ointments must be returned to the parent within seventy-two (72) hours. Refer to Child Care Rule 10A NCAC 09 .0803(12). -All floors, walls, and ceilings must be clean and good repair. Refer to Sanitation Rule 15A NCAC 18A .2825(a). -The director inquired about the prerequisite for a center director, and she was referred to Child Care Rule 10A NCAC 09 .0704; submit additional coursework to Works. -The last ERS Assessment was conducted May 11, 2022; the scores are valid for three (3) years. Ms. Barnett stated that she would like to have the program re-evaluated based on education in September 2024. The visit summary was reviewed, signed, and a copy was provided to you. Contact Child Care Consultant, Deanna Matthews, at Deanna.Matthews@dhhs.nc.gov, 704-962-7854, or you may contact Licensing Supervisor Michele Sullivan, at Michele.Sullivan@dhhs.nc.gov; 704-594-0147. 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 .0704 · Violation

Name of Operation: UNIVERSITY CHILD DEVELOPMENT CENTER/HIGHLAND CREEK Facility ID: 60001832 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 8/7/2024 Number Present: 37 Completed Date: 8/7/2024 Age: From 1 To 11 Total Minutes: 200 Time In: 09:30 AM Time Out: 12:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s routine unannounced visit was to monitor applicable child care rules and laws during a routine unannounced visit. I was greeted by Assistant Director, Ms. Sheba Wagner, and I explained the purpose of the visit. The Director, arrived during the visit. I completed a walkthrough of the center with the Director, Ms. Leeann Barnette. The facility had a Five-Star License issued on May 21, 2018, and had a compliance history score of eight-five (85) percent prior to today's visit. The last annual compliance was conducted on January 29, 2024. No new staff has been hired. Staff files were reviewed (staff and training worksheet) and compliance was met. I observed the following spaces not in use: space 2, space 7, space 8, space 9, space 11 and space 12. In space 1, I observed school-age children participating in supervised free play. I observed the children in space 3, space 5, and space 10 having supervised indoor play. The children in space 6 were observed preparing for outdoor play. The following child care requirements were monitored and observed today using the Child Care Center Checklist and the Master Child Care Center Item Number Listing: Supervision: The children was adequately supervised. Nurturing tones were heard when staff spoke with the children. Staff/Child Ratio: The ratio was maintained during today’s visit. CPR: Staff is current with CPR. First Aid: Staff is current with First Aid. Special Training: Staff is continuing to complete ongoing training and participating Quality Every Day (QED). CBC Qualification: Staff are current with CBC qualification ITS-SIDS: Staff is current with ITS-SIDS training. The infant room is not currently open. The safe sleep policy and the safe sleep poster were posted. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: Emergency medications were reviewed and compliance was met. Children with allergies were posted. Over-the-counter ointments and creams were reviewed. One (1) violation was cited for an expired medication (ointment). Storage of Hazardous Substances: I did not observe any hazardous substances that were accessible, they were observed stored properly during the visit. Storage of Medication: Medications and over-the-counter ointments were stored properly. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: The children present during the visit was observed in the licensed approved space. Program Records: I reviewed all information required to be posted and found meeting compliance. The monthly fire drill was not complete and up to date, and a violation was cited. The quarterly drill (shelter-in-place) was up to date. The playground inspections were not complete and up to date, and a violation was cited. License Posted: The license was observed posted. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was conducted February 28, 2024, with an "Approved" status and twenty (20) demerits. The Fire Inspection was conducted on June 20, 2024. Four (4) violations were cited: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The walls (chipped paint) and floor (dirty) in space 1 were not in good repair, the walls (chipped/peeled paint) in space 2 were not in good repair, and the walls (chipped paint) in space 5 and in space 6 were not in good repair. 15A NCAC 18A .2825(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on May 31, 2024; incomplete for June 2024 and July 2024. .0604(t); .0302(d)(5) 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 (B.S.) in space 3 had an expired ointment. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was completed on May 15, 2024; incomplete for June 2024 and July 2024. .0605(q) 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 August 21, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. The following Technical Assistance (TA) was provided: -Monthly playground inspections must be completed monthly, the inspections must be completed by an individual trained in playground safety requirements. Refer to Child Care Rule 10A NCAC 09 .0605(q). -Fire Drills must be completed monthly and the Fire Drills must be documented. Refer to Child Care Rule 10A NCAC 09 .0604(t) .0302(d)(f). -Expired medications/ointments must be returned to the parent within seventy-two (72) hours. Refer to Child Care Rule 10A NCAC 09 .0803(12). -All floors, walls, and ceilings must be clean and good repair. Refer to Sanitation Rule 15A NCAC 18A .2825(a). -The director inquired about the prerequisite for a center director, and she was referred to Child Care Rule 10A NCAC 09 .0704; submit additional coursework to Works. -The last ERS Assessment was conducted May 11, 2022; the scores are valid for three (3) years. Ms. Barnett stated that she would like to have the program re-evaluated based on education in September 2024. The visit summary was reviewed, signed, and a copy was provided to you. Contact Child Care Consultant, Deanna Matthews, at Deanna.Matthews@dhhs.nc.gov, 704-962-7854, or you may contact Licensing Supervisor Michele Sullivan, at Michele.Sullivan@dhhs.nc.gov; 704-594-0147. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: UNIVERSITY CHILD DEVELOPMENT CENTER/HIGHLAND CREEK Facility ID: 60001832 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 8/7/2024 Number Present: 37 Completed Date: 8/7/2024 Age: From 1 To 11 Total Minutes: 200 Time In: 09:30 AM Time Out: 12:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s routine unannounced visit was to monitor applicable child care rules and laws during a routine unannounced visit. I was greeted by Assistant Director, Ms. Sheba Wagner, and I explained the purpose of the visit. The Director, arrived during the visit. I completed a walkthrough of the center with the Director, Ms. Leeann Barnette. The facility had a Five-Star License issued on May 21, 2018, and had a compliance history score of eight-five (85) percent prior to today's visit. The last annual compliance was conducted on January 29, 2024. No new staff has been hired. Staff files were reviewed (staff and training worksheet) and compliance was met. I observed the following spaces not in use: space 2, space 7, space 8, space 9, space 11 and space 12. In space 1, I observed school-age children participating in supervised free play. I observed the children in space 3, space 5, and space 10 having supervised indoor play. The children in space 6 were observed preparing for outdoor play. The following child care requirements were monitored and observed today using the Child Care Center Checklist and the Master Child Care Center Item Number Listing: Supervision: The children was adequately supervised. Nurturing tones were heard when staff spoke with the children. Staff/Child Ratio: The ratio was maintained during today’s visit. CPR: Staff is current with CPR. First Aid: Staff is current with First Aid. Special Training: Staff is continuing to complete ongoing training and participating Quality Every Day (QED). CBC Qualification: Staff are current with CBC qualification ITS-SIDS: Staff is current with ITS-SIDS training. The infant room is not currently open. The safe sleep policy and the safe sleep poster were posted. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: Emergency medications were reviewed and compliance was met. Children with allergies were posted. Over-the-counter ointments and creams were reviewed. One (1) violation was cited for an expired medication (ointment). Storage of Hazardous Substances: I did not observe any hazardous substances that were accessible, they were observed stored properly during the visit. Storage of Medication: Medications and over-the-counter ointments were stored properly. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: The children present during the visit was observed in the licensed approved space. Program Records: I reviewed all information required to be posted and found meeting compliance. The monthly fire drill was not complete and up to date, and a violation was cited. The quarterly drill (shelter-in-place) was up to date. The playground inspections were not complete and up to date, and a violation was cited. License Posted: The license was observed posted. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was conducted February 28, 2024, with an "Approved" status and twenty (20) demerits. The Fire Inspection was conducted on June 20, 2024. Four (4) violations were cited: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The walls (chipped paint) and floor (dirty) in space 1 were not in good repair, the walls (chipped/peeled paint) in space 2 were not in good repair, and the walls (chipped paint) in space 5 and in space 6 were not in good repair. 15A NCAC 18A .2825(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on May 31, 2024; incomplete for June 2024 and July 2024. .0604(t); .0302(d)(5) 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 (B.S.) in space 3 had an expired ointment. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was completed on May 15, 2024; incomplete for June 2024 and July 2024. .0605(q) 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 August 21, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. The following Technical Assistance (TA) was provided: -Monthly playground inspections must be completed monthly, the inspections must be completed by an individual trained in playground safety requirements. Refer to Child Care Rule 10A NCAC 09 .0605(q). -Fire Drills must be completed monthly and the Fire Drills must be documented. Refer to Child Care Rule 10A NCAC 09 .0604(t) .0302(d)(f). -Expired medications/ointments must be returned to the parent within seventy-two (72) hours. Refer to Child Care Rule 10A NCAC 09 .0803(12). -All floors, walls, and ceilings must be clean and good repair. Refer to Sanitation Rule 15A NCAC 18A .2825(a). -The director inquired about the prerequisite for a center director, and she was referred to Child Care Rule 10A NCAC 09 .0704; submit additional coursework to Works. -The last ERS Assessment was conducted May 11, 2022; the scores are valid for three (3) years. Ms. Barnett stated that she would like to have the program re-evaluated based on education in September 2024. The visit summary was reviewed, signed, and a copy was provided to you. Contact Child Care Consultant, Deanna Matthews, at Deanna.Matthews@dhhs.nc.gov, 704-962-7854, or you may contact Licensing Supervisor Michele Sullivan, at Michele.Sullivan@dhhs.nc.gov; 704-594-0147. 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: UNIVERSITY CHILD DEVELOPMENT CENTER/HIGHLAND CREEK Facility ID: 60001832 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 8/7/2024 Number Present: 37 Completed Date: 8/7/2024 Age: From 1 To 11 Total Minutes: 200 Time In: 09:30 AM Time Out: 12:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s routine unannounced visit was to monitor applicable child care rules and laws during a routine unannounced visit. I was greeted by Assistant Director, Ms. Sheba Wagner, and I explained the purpose of the visit. The Director, arrived during the visit. I completed a walkthrough of the center with the Director, Ms. Leeann Barnette. The facility had a Five-Star License issued on May 21, 2018, and had a compliance history score of eight-five (85) percent prior to today's visit. The last annual compliance was conducted on January 29, 2024. No new staff has been hired. Staff files were reviewed (staff and training worksheet) and compliance was met. I observed the following spaces not in use: space 2, space 7, space 8, space 9, space 11 and space 12. In space 1, I observed school-age children participating in supervised free play. I observed the children in space 3, space 5, and space 10 having supervised indoor play. The children in space 6 were observed preparing for outdoor play. The following child care requirements were monitored and observed today using the Child Care Center Checklist and the Master Child Care Center Item Number Listing: Supervision: The children was adequately supervised. Nurturing tones were heard when staff spoke with the children. Staff/Child Ratio: The ratio was maintained during today’s visit. CPR: Staff is current with CPR. First Aid: Staff is current with First Aid. Special Training: Staff is continuing to complete ongoing training and participating Quality Every Day (QED). CBC Qualification: Staff are current with CBC qualification ITS-SIDS: Staff is current with ITS-SIDS training. The infant room is not currently open. The safe sleep policy and the safe sleep poster were posted. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: Emergency medications were reviewed and compliance was met. Children with allergies were posted. Over-the-counter ointments and creams were reviewed. One (1) violation was cited for an expired medication (ointment). Storage of Hazardous Substances: I did not observe any hazardous substances that were accessible, they were observed stored properly during the visit. Storage of Medication: Medications and over-the-counter ointments were stored properly. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: The children present during the visit was observed in the licensed approved space. Program Records: I reviewed all information required to be posted and found meeting compliance. The monthly fire drill was not complete and up to date, and a violation was cited. The quarterly drill (shelter-in-place) was up to date. The playground inspections were not complete and up to date, and a violation was cited. License Posted: The license was observed posted. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was conducted February 28, 2024, with an "Approved" status and twenty (20) demerits. The Fire Inspection was conducted on June 20, 2024. Four (4) violations were cited: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The walls (chipped paint) and floor (dirty) in space 1 were not in good repair, the walls (chipped/peeled paint) in space 2 were not in good repair, and the walls (chipped paint) in space 5 and in space 6 were not in good repair. 15A NCAC 18A .2825(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on May 31, 2024; incomplete for June 2024 and July 2024. .0604(t); .0302(d)(5) 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 (B.S.) in space 3 had an expired ointment. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was completed on May 15, 2024; incomplete for June 2024 and July 2024. .0605(q) 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 August 21, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. The following Technical Assistance (TA) was provided: -Monthly playground inspections must be completed monthly, the inspections must be completed by an individual trained in playground safety requirements. Refer to Child Care Rule 10A NCAC 09 .0605(q). -Fire Drills must be completed monthly and the Fire Drills must be documented. Refer to Child Care Rule 10A NCAC 09 .0604(t) .0302(d)(f). -Expired medications/ointments must be returned to the parent within seventy-two (72) hours. Refer to Child Care Rule 10A NCAC 09 .0803(12). -All floors, walls, and ceilings must be clean and good repair. Refer to Sanitation Rule 15A NCAC 18A .2825(a). -The director inquired about the prerequisite for a center director, and she was referred to Child Care Rule 10A NCAC 09 .0704; submit additional coursework to Works. -The last ERS Assessment was conducted May 11, 2022; the scores are valid for three (3) years. Ms. Barnett stated that she would like to have the program re-evaluated based on education in September 2024. The visit summary was reviewed, signed, and a copy was provided to you. Contact Child Care Consultant, Deanna Matthews, at Deanna.Matthews@dhhs.nc.gov, 704-962-7854, or you may contact Licensing Supervisor Michele Sullivan, at Michele.Sullivan@dhhs.nc.gov; 704-594-0147. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: UNIVERSITY CHILD DEVELOPMENT CENTER/HIGHLAND CREEK Facility ID: 60001832 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 6/17/2024 Number Present: 30 Completed Date: 6/17/2024 Age: From 1 To 10 Total Minutes: 200 Time In: 11:20 AM Time Out: 02:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s routine unannounced visit was to monitor applicable child care rules and laws during a routine unannounced visit. I was greeted by Assistant Director, Ms. Sheba Wagner, and I explained the purpose of the visit. I completed a walkthrough of the center with the Director, Ms. Leeann Barnette. The facility had a Five-Star License issued on May 21, 2018, and had a compliance history score of seventy-six (76) percent prior to today's visit. The last annual compliance was conducted on January 29, 2024. One (1) new staff has been hired since the last annual compliance visit. The staff's file was reviewed and compliance was met. In space 1., I observed school-age children having supervised free play. Space 2., and space 3., were not in used. In space 4., I observed children having supervised independent play. The children in space 5., were observed having supervised outdoor play, and the children in space 6., were observed having supervised independent play. Space 7., through space 12., were closed. The following child care requirements were monitored and observed today using the Child Care Center Checklist and the Master Child Care Home Item Number Listing: Supervision: The children was adequately supervised. Nurturing tones were heard when staff spoke with the children. Staff/Child Ratio: The ratio was maintained during today’s visit. CPR: Staff is current with CPR. First Aid: Staff is current with First Aid. Special Training: Staff is continuing to complete ongoing training. CBC Qualification: Staff are current with CBC qualification ITS-SIDS: Staff is current with ITS-SIDS training. The infant room is not currently open. The safe sleep policy and the safe sleep poster were posted. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: There are no children with medication, and there are no children with allergies. Over-the-counter ointments and creams were reviewed, and compliance was met. Storage of Hazardous Substances: I did not observe any hazardous substances that were accessible, they were observed stored properly during the visit. Storage of Medication: Not applicable; over-the-counter ointments and creams were properly stored. General Safety: There were no safety concerns. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: The children present during the visit was observed in the licensed approved space. Program Records: I reviewed all information required to be posted and found meeting compliance. The monthly fire drill and emergency drill was complete and up to date, and the quarterly drill (shelter-in-place) was up to date. The playground inspections were complete and up to date. License Posted: The license was observed posted. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was conducted February 28, 2024, with an "Approved" status and twenty (20) demerits. The Fire Inspection was conducted on December 22, 2023. One (1) violation was cited: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection report (December 22, 2023, was not submitted within one (1) week to consultant. 10A NCAC 09 .0304(a) The following Technical Assistance (TA) was provided: -You must submit the Fire Inspection Report to the consultant within seven (7) days. Also, you must contact your fire inspector at least four (4) to six (6) weeks prior to the due date of the previous fire inspection report. Refer to Child Care Rule 10A NCAC 09 .0304(a). Ms. Barnette provided a copy of the fire inspection report dated December 22, 2023, and March 3, 2022 (DCDEE Inspection Report Form. Ms. Barnette stated that a fire inspector conducted a visit on May 6, 2024, and that a reinspection was to be conducted on June 13, 2024. Ms. Barnette contacted the fire inspector on June 17, 2024, and left a message for the inspector, due to the reinspection did not take place on June 13, 2024. -A handwritten visit summary was provided during the visit, and a computer-generated visit summary (detailed) will be emailed after the visit. Contact Child Care Consultant, Deanna Matthews, at Deanna.Matthews@dhhs.nc.gov, 704-962-7854, or you may contact Licensing Supervisor Michele Sullivan, at Michele.Sullivan@dhhs.nc.gov; 704-594-0147. 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 .0304 · Violation

Name of Operation: UNIVERSITY CHILD DEVELOPMENT CENTER/HIGHLAND CREEK Facility ID: 60001832 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 6/17/2024 Number Present: 30 Completed Date: 6/17/2024 Age: From 1 To 10 Total Minutes: 200 Time In: 11:20 AM Time Out: 02:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s routine unannounced visit was to monitor applicable child care rules and laws during a routine unannounced visit. I was greeted by Assistant Director, Ms. Sheba Wagner, and I explained the purpose of the visit. I completed a walkthrough of the center with the Director, Ms. Leeann Barnette. The facility had a Five-Star License issued on May 21, 2018, and had a compliance history score of seventy-six (76) percent prior to today's visit. The last annual compliance was conducted on January 29, 2024. One (1) new staff has been hired since the last annual compliance visit. The staff's file was reviewed and compliance was met. In space 1., I observed school-age children having supervised free play. Space 2., and space 3., were not in used. In space 4., I observed children having supervised independent play. The children in space 5., were observed having supervised outdoor play, and the children in space 6., were observed having supervised independent play. Space 7., through space 12., were closed. The following child care requirements were monitored and observed today using the Child Care Center Checklist and the Master Child Care Home Item Number Listing: Supervision: The children was adequately supervised. Nurturing tones were heard when staff spoke with the children. Staff/Child Ratio: The ratio was maintained during today’s visit. CPR: Staff is current with CPR. First Aid: Staff is current with First Aid. Special Training: Staff is continuing to complete ongoing training. CBC Qualification: Staff are current with CBC qualification ITS-SIDS: Staff is current with ITS-SIDS training. The infant room is not currently open. The safe sleep policy and the safe sleep poster were posted. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: There are no children with medication, and there are no children with allergies. Over-the-counter ointments and creams were reviewed, and compliance was met. Storage of Hazardous Substances: I did not observe any hazardous substances that were accessible, they were observed stored properly during the visit. Storage of Medication: Not applicable; over-the-counter ointments and creams were properly stored. General Safety: There were no safety concerns. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: The children present during the visit was observed in the licensed approved space. Program Records: I reviewed all information required to be posted and found meeting compliance. The monthly fire drill and emergency drill was complete and up to date, and the quarterly drill (shelter-in-place) was up to date. The playground inspections were complete and up to date. License Posted: The license was observed posted. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was conducted February 28, 2024, with an "Approved" status and twenty (20) demerits. The Fire Inspection was conducted on December 22, 2023. One (1) violation was cited: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection report (December 22, 2023, was not submitted within one (1) week to consultant. 10A NCAC 09 .0304(a) The following Technical Assistance (TA) was provided: -You must submit the Fire Inspection Report to the consultant within seven (7) days. Also, you must contact your fire inspector at least four (4) to six (6) weeks prior to the due date of the previous fire inspection report. Refer to Child Care Rule 10A NCAC 09 .0304(a). Ms. Barnette provided a copy of the fire inspection report dated December 22, 2023, and March 3, 2022 (DCDEE Inspection Report Form. Ms. Barnette stated that a fire inspector conducted a visit on May 6, 2024, and that a reinspection was to be conducted on June 13, 2024. Ms. Barnette contacted the fire inspector on June 17, 2024, and left a message for the inspector, due to the reinspection did not take place on June 13, 2024. -A handwritten visit summary was provided during the visit, and a computer-generated visit summary (detailed) will be emailed after the visit. Contact Child Care Consultant, Deanna Matthews, at Deanna.Matthews@dhhs.nc.gov, 704-962-7854, or you may contact Licensing Supervisor Michele Sullivan, at Michele.Sullivan@dhhs.nc.gov; 704-594-0147. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: UNIVERSITY CHILD DEVELOPMENT CENTER/HIGHLAND CREEK Facility ID: 60001832 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 1/29/2024 Number Present: 106 Completed Date: 1/29/2024 Age: From 1 To 5 Total Minutes: 1091 Time In: 09:19 AM Time Out: 12:05 PM Time In: 01:05 AM Time Out: 04:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Administrative Assistant, Ms. Bria Daniel, and Assistant Director, Ms. Sheba Wagner, and I explained the purpose of the visit. The Director, Ms. Leeann Barnette, was not present during the visit. I completed an indoor and outdoor walk through of the facility with Ms. Wagner. The last annual compliance visit was conducted January 31, 2023. The sanitation inspection was completed December 8, 2023 with a “Superior” classification and ten (10) demerits. The last fire inspection was approved April 14, 2023 to May 1, 2024. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty four (84%) percent as of January 28, 2024. The Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers will be provided after the visit. Space 1., space 3., and space 6., were not in use. In space 2., I observed an Occupational Therapist, M. Powell, with Learning Charms, working independently with a child. The therapist has a valid Criminal Background Check (CBC) on file with the facility. I observed children having free choice in space. 4, space 5., space 7., and in space 9., and I observed staff interacting with children, and providing adequate supervision. In space 4., Infant Feeding plans were posted for children up to fifteen (15) months old. In space 10., I observed children returning fr0m outdoor play, and I observed the children washing their hands. Once the children washed their hands, the children participated in Music and Movement. I observed the children in space 11., participating in small group. In space 12., I observed the children preparing for lunch. The children were served items listed on the menu: mini potato tots, baked beans, pineapple and milk. There was one (1) outlet cover in space 1., two (2) outlets in space 2., were not covered and a violation was cited. The following programs requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, January 2024 Menu, Daily Schedules and current Activity Plans, North Carolina Summary of the Law, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspection Forms, and Emergency Medical Care Plan. The Safe Sleep Policy and Safe Sleep Poster were posted in space 3; not in use. The center uses approved curriculums, Creative Curriculum and Teaching Strategies. Ten (10) percent of children's files were reviewed, which included toddler children, NC Pre-K, and Mecklenburg Pre-K (Meck. Pre-K); compliance was met. Cots were observed for each individual child for Rest Time for children enrolled in the Meck. Pre-K Program in space 10., space 11., and space 12. The outdoor play area was observed. I observed chipping paint on the play tunnel in the play area for toddler children, and a violation was cited. Children with food preference and allergies were posted, and children with medications were reviewed (Medical Action Plans and Medical Permission to Administer forms); compliance was met. A child with medication was not returned, and a violation was cited. The center provides transportation and the following was monitored: Safe Pick-up and Delivery Statement (Posted), Child Safety Restraints and Seat Belts, Vehicle Safety Inspection(completed September 2023-2024) and Liability Insurance (January 5, 2024-January 5, 2025), First Aid Kit in Vehicle, and Emergency Information on Children. Staff/Child Ratios Maintained During Transportation. I observed two (2) preschool age children transported, and the children were in child safety restraints; compliance met. The Emergency Preparedness Plan (EPR) was last updated August 2023. Seven (7) violations were cited. Violation Number Comment Rule 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. There were not any paper towels in space 1. 15A NCAC 18A .2818(b) & (d) 705 Equipment and furnishings were not sturdy, stable and free of hazards. There was chipping paint on the play tunnel on the toddler playground. .0601(c) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An outlet cover in space 1., and two (2) outlets in space 2., were not covered. 10A NCAC 09 .0604(c) 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 medication (Q.A.) in space 4., was not returned after use. .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. Staff (L.B.) did not complete First Aid training with 90 days of employment. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Staff (L.B.) did not complete CPR training with 90 days of employment. .1102(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff (J.T.) did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 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 February 12, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -Your facility has been assigned to Cohort 1: Prep year 7/1/23-6/30/24, Reassessment year 7/1/24-6/30/25. Please refer to the link for additional information: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. -On June 12th, Governor Cooper signed Senate Bill 291, extending the Child Care Hold Harmless legislation until June 30, 2024, and requiring the North Carolina Child Care Commission to make recommendations for modernizing the state’s Quality Rating and Improvement System. The following Technical Assistance (TA) was provided: -Running water, soap and individual sanitary towels, or other approved hand-drying devices must be supplied at each lavatory. Refer to Sanitation Rule 15A NCAC 18A .2818(b) and (d). -During review of the vehicle used to transport children, a nail was in the back right passenger tire of the vehicle. An appointment was made to have the repair made to the tire. -Rake the mulch often in the outdoor play area. I reviewed a service request that was submitted previously for the repairs to the swing; continue to not allow children to swing on the broken swing until the repair is made; the swing is inaccessible to children. -Provide a copy of the Fire Inspection Report within seven (7) days. A copy of an approved fire inspection report was observed. Ms. Barnette provided a copy of an email that was sent to the fire inspector on September 1, 2023 requesting a copy of the fire inspection report (DCDEE template); a copy has not been received. Refer to Child Care Rule 10A NCAC 09 .0309 (a). -The Infant Room is closed and the center is planning to reopen February 2024. Child care administrators must complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Refer to Child Care Rule 10A NCAC 09 .1102(f). The child care administrator ITS-SIDS training expired 2021. 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 .0309 · Violation

Name of Operation: UNIVERSITY CHILD DEVELOPMENT CENTER/HIGHLAND CREEK Facility ID: 60001832 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 1/29/2024 Number Present: 106 Completed Date: 1/29/2024 Age: From 1 To 5 Total Minutes: 1091 Time In: 09:19 AM Time Out: 12:05 PM Time In: 01:05 AM Time Out: 04:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Administrative Assistant, Ms. Bria Daniel, and Assistant Director, Ms. Sheba Wagner, and I explained the purpose of the visit. The Director, Ms. Leeann Barnette, was not present during the visit. I completed an indoor and outdoor walk through of the facility with Ms. Wagner. The last annual compliance visit was conducted January 31, 2023. The sanitation inspection was completed December 8, 2023 with a “Superior” classification and ten (10) demerits. The last fire inspection was approved April 14, 2023 to May 1, 2024. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty four (84%) percent as of January 28, 2024. The Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers will be provided after the visit. Space 1., space 3., and space 6., were not in use. In space 2., I observed an Occupational Therapist, M. Powell, with Learning Charms, working independently with a child. The therapist has a valid Criminal Background Check (CBC) on file with the facility. I observed children having free choice in space. 4, space 5., space 7., and in space 9., and I observed staff interacting with children, and providing adequate supervision. In space 4., Infant Feeding plans were posted for children up to fifteen (15) months old. In space 10., I observed children returning fr0m outdoor play, and I observed the children washing their hands. Once the children washed their hands, the children participated in Music and Movement. I observed the children in space 11., participating in small group. In space 12., I observed the children preparing for lunch. The children were served items listed on the menu: mini potato tots, baked beans, pineapple and milk. There was one (1) outlet cover in space 1., two (2) outlets in space 2., were not covered and a violation was cited. The following programs requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, January 2024 Menu, Daily Schedules and current Activity Plans, North Carolina Summary of the Law, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspection Forms, and Emergency Medical Care Plan. The Safe Sleep Policy and Safe Sleep Poster were posted in space 3; not in use. The center uses approved curriculums, Creative Curriculum and Teaching Strategies. Ten (10) percent of children's files were reviewed, which included toddler children, NC Pre-K, and Mecklenburg Pre-K (Meck. Pre-K); compliance was met. Cots were observed for each individual child for Rest Time for children enrolled in the Meck. Pre-K Program in space 10., space 11., and space 12. The outdoor play area was observed. I observed chipping paint on the play tunnel in the play area for toddler children, and a violation was cited. Children with food preference and allergies were posted, and children with medications were reviewed (Medical Action Plans and Medical Permission to Administer forms); compliance was met. A child with medication was not returned, and a violation was cited. The center provides transportation and the following was monitored: Safe Pick-up and Delivery Statement (Posted), Child Safety Restraints and Seat Belts, Vehicle Safety Inspection(completed September 2023-2024) and Liability Insurance (January 5, 2024-January 5, 2025), First Aid Kit in Vehicle, and Emergency Information on Children. Staff/Child Ratios Maintained During Transportation. I observed two (2) preschool age children transported, and the children were in child safety restraints; compliance met. The Emergency Preparedness Plan (EPR) was last updated August 2023. Seven (7) violations were cited. Violation Number Comment Rule 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. There were not any paper towels in space 1. 15A NCAC 18A .2818(b) & (d) 705 Equipment and furnishings were not sturdy, stable and free of hazards. There was chipping paint on the play tunnel on the toddler playground. .0601(c) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An outlet cover in space 1., and two (2) outlets in space 2., were not covered. 10A NCAC 09 .0604(c) 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 medication (Q.A.) in space 4., was not returned after use. .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. Staff (L.B.) did not complete First Aid training with 90 days of employment. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Staff (L.B.) did not complete CPR training with 90 days of employment. .1102(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff (J.T.) did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 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 February 12, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -Your facility has been assigned to Cohort 1: Prep year 7/1/23-6/30/24, Reassessment year 7/1/24-6/30/25. Please refer to the link for additional information: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. -On June 12th, Governor Cooper signed Senate Bill 291, extending the Child Care Hold Harmless legislation until June 30, 2024, and requiring the North Carolina Child Care Commission to make recommendations for modernizing the state’s Quality Rating and Improvement System. The following Technical Assistance (TA) was provided: -Running water, soap and individual sanitary towels, or other approved hand-drying devices must be supplied at each lavatory. Refer to Sanitation Rule 15A NCAC 18A .2818(b) and (d). -During review of the vehicle used to transport children, a nail was in the back right passenger tire of the vehicle. An appointment was made to have the repair made to the tire. -Rake the mulch often in the outdoor play area. I reviewed a service request that was submitted previously for the repairs to the swing; continue to not allow children to swing on the broken swing until the repair is made; the swing is inaccessible to children. -Provide a copy of the Fire Inspection Report within seven (7) days. A copy of an approved fire inspection report was observed. Ms. Barnette provided a copy of an email that was sent to the fire inspector on September 1, 2023 requesting a copy of the fire inspection report (DCDEE template); a copy has not been received. Refer to Child Care Rule 10A NCAC 09 .0309 (a). -The Infant Room is closed and the center is planning to reopen February 2024. Child care administrators must complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Refer to Child Care Rule 10A NCAC 09 .1102(f). The child care administrator ITS-SIDS training expired 2021. 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 .1102 · Violation

Name of Operation: UNIVERSITY CHILD DEVELOPMENT CENTER/HIGHLAND CREEK Facility ID: 60001832 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 1/29/2024 Number Present: 106 Completed Date: 1/29/2024 Age: From 1 To 5 Total Minutes: 1091 Time In: 09:19 AM Time Out: 12:05 PM Time In: 01:05 AM Time Out: 04:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Administrative Assistant, Ms. Bria Daniel, and Assistant Director, Ms. Sheba Wagner, and I explained the purpose of the visit. The Director, Ms. Leeann Barnette, was not present during the visit. I completed an indoor and outdoor walk through of the facility with Ms. Wagner. The last annual compliance visit was conducted January 31, 2023. The sanitation inspection was completed December 8, 2023 with a “Superior” classification and ten (10) demerits. The last fire inspection was approved April 14, 2023 to May 1, 2024. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty four (84%) percent as of January 28, 2024. The Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers will be provided after the visit. Space 1., space 3., and space 6., were not in use. In space 2., I observed an Occupational Therapist, M. Powell, with Learning Charms, working independently with a child. The therapist has a valid Criminal Background Check (CBC) on file with the facility. I observed children having free choice in space. 4, space 5., space 7., and in space 9., and I observed staff interacting with children, and providing adequate supervision. In space 4., Infant Feeding plans were posted for children up to fifteen (15) months old. In space 10., I observed children returning fr0m outdoor play, and I observed the children washing their hands. Once the children washed their hands, the children participated in Music and Movement. I observed the children in space 11., participating in small group. In space 12., I observed the children preparing for lunch. The children were served items listed on the menu: mini potato tots, baked beans, pineapple and milk. There was one (1) outlet cover in space 1., two (2) outlets in space 2., were not covered and a violation was cited. The following programs requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, January 2024 Menu, Daily Schedules and current Activity Plans, North Carolina Summary of the Law, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspection Forms, and Emergency Medical Care Plan. The Safe Sleep Policy and Safe Sleep Poster were posted in space 3; not in use. The center uses approved curriculums, Creative Curriculum and Teaching Strategies. Ten (10) percent of children's files were reviewed, which included toddler children, NC Pre-K, and Mecklenburg Pre-K (Meck. Pre-K); compliance was met. Cots were observed for each individual child for Rest Time for children enrolled in the Meck. Pre-K Program in space 10., space 11., and space 12. The outdoor play area was observed. I observed chipping paint on the play tunnel in the play area for toddler children, and a violation was cited. Children with food preference and allergies were posted, and children with medications were reviewed (Medical Action Plans and Medical Permission to Administer forms); compliance was met. A child with medication was not returned, and a violation was cited. The center provides transportation and the following was monitored: Safe Pick-up and Delivery Statement (Posted), Child Safety Restraints and Seat Belts, Vehicle Safety Inspection(completed September 2023-2024) and Liability Insurance (January 5, 2024-January 5, 2025), First Aid Kit in Vehicle, and Emergency Information on Children. Staff/Child Ratios Maintained During Transportation. I observed two (2) preschool age children transported, and the children were in child safety restraints; compliance met. The Emergency Preparedness Plan (EPR) was last updated August 2023. Seven (7) violations were cited. Violation Number Comment Rule 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. There were not any paper towels in space 1. 15A NCAC 18A .2818(b) & (d) 705 Equipment and furnishings were not sturdy, stable and free of hazards. There was chipping paint on the play tunnel on the toddler playground. .0601(c) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An outlet cover in space 1., and two (2) outlets in space 2., were not covered. 10A NCAC 09 .0604(c) 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 medication (Q.A.) in space 4., was not returned after use. .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. Staff (L.B.) did not complete First Aid training with 90 days of employment. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Staff (L.B.) did not complete CPR training with 90 days of employment. .1102(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff (J.T.) did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 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 February 12, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -Your facility has been assigned to Cohort 1: Prep year 7/1/23-6/30/24, Reassessment year 7/1/24-6/30/25. Please refer to the link for additional information: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. -On June 12th, Governor Cooper signed Senate Bill 291, extending the Child Care Hold Harmless legislation until June 30, 2024, and requiring the North Carolina Child Care Commission to make recommendations for modernizing the state’s Quality Rating and Improvement System. The following Technical Assistance (TA) was provided: -Running water, soap and individual sanitary towels, or other approved hand-drying devices must be supplied at each lavatory. Refer to Sanitation Rule 15A NCAC 18A .2818(b) and (d). -During review of the vehicle used to transport children, a nail was in the back right passenger tire of the vehicle. An appointment was made to have the repair made to the tire. -Rake the mulch often in the outdoor play area. I reviewed a service request that was submitted previously for the repairs to the swing; continue to not allow children to swing on the broken swing until the repair is made; the swing is inaccessible to children. -Provide a copy of the Fire Inspection Report within seven (7) days. A copy of an approved fire inspection report was observed. Ms. Barnette provided a copy of an email that was sent to the fire inspector on September 1, 2023 requesting a copy of the fire inspection report (DCDEE template); a copy has not been received. Refer to Child Care Rule 10A NCAC 09 .0309 (a). -The Infant Room is closed and the center is planning to reopen February 2024. Child care administrators must complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Refer to Child Care Rule 10A NCAC 09 .1102(f). The child care administrator ITS-SIDS training expired 2021. 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: UNIVERSITY CHILD DEVELOPMENT CENTER/HIGHLAND CREEK Facility ID: 60001832 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 1/29/2024 Number Present: 106 Completed Date: 1/29/2024 Age: From 1 To 5 Total Minutes: 1091 Time In: 09:19 AM Time Out: 12:05 PM Time In: 01:05 AM Time Out: 04:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Administrative Assistant, Ms. Bria Daniel, and Assistant Director, Ms. Sheba Wagner, and I explained the purpose of the visit. The Director, Ms. Leeann Barnette, was not present during the visit. I completed an indoor and outdoor walk through of the facility with Ms. Wagner. The last annual compliance visit was conducted January 31, 2023. The sanitation inspection was completed December 8, 2023 with a “Superior” classification and ten (10) demerits. The last fire inspection was approved April 14, 2023 to May 1, 2024. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty four (84%) percent as of January 28, 2024. The Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers will be provided after the visit. Space 1., space 3., and space 6., were not in use. In space 2., I observed an Occupational Therapist, M. Powell, with Learning Charms, working independently with a child. The therapist has a valid Criminal Background Check (CBC) on file with the facility. I observed children having free choice in space. 4, space 5., space 7., and in space 9., and I observed staff interacting with children, and providing adequate supervision. In space 4., Infant Feeding plans were posted for children up to fifteen (15) months old. In space 10., I observed children returning fr0m outdoor play, and I observed the children washing their hands. Once the children washed their hands, the children participated in Music and Movement. I observed the children in space 11., participating in small group. In space 12., I observed the children preparing for lunch. The children were served items listed on the menu: mini potato tots, baked beans, pineapple and milk. There was one (1) outlet cover in space 1., two (2) outlets in space 2., were not covered and a violation was cited. The following programs requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, January 2024 Menu, Daily Schedules and current Activity Plans, North Carolina Summary of the Law, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspection Forms, and Emergency Medical Care Plan. The Safe Sleep Policy and Safe Sleep Poster were posted in space 3; not in use. The center uses approved curriculums, Creative Curriculum and Teaching Strategies. Ten (10) percent of children's files were reviewed, which included toddler children, NC Pre-K, and Mecklenburg Pre-K (Meck. Pre-K); compliance was met. Cots were observed for each individual child for Rest Time for children enrolled in the Meck. Pre-K Program in space 10., space 11., and space 12. The outdoor play area was observed. I observed chipping paint on the play tunnel in the play area for toddler children, and a violation was cited. Children with food preference and allergies were posted, and children with medications were reviewed (Medical Action Plans and Medical Permission to Administer forms); compliance was met. A child with medication was not returned, and a violation was cited. The center provides transportation and the following was monitored: Safe Pick-up and Delivery Statement (Posted), Child Safety Restraints and Seat Belts, Vehicle Safety Inspection(completed September 2023-2024) and Liability Insurance (January 5, 2024-January 5, 2025), First Aid Kit in Vehicle, and Emergency Information on Children. Staff/Child Ratios Maintained During Transportation. I observed two (2) preschool age children transported, and the children were in child safety restraints; compliance met. The Emergency Preparedness Plan (EPR) was last updated August 2023. Seven (7) violations were cited. Violation Number Comment Rule 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. There were not any paper towels in space 1. 15A NCAC 18A .2818(b) & (d) 705 Equipment and furnishings were not sturdy, stable and free of hazards. There was chipping paint on the play tunnel on the toddler playground. .0601(c) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An outlet cover in space 1., and two (2) outlets in space 2., were not covered. 10A NCAC 09 .0604(c) 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 medication (Q.A.) in space 4., was not returned after use. .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. Staff (L.B.) did not complete First Aid training with 90 days of employment. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Staff (L.B.) did not complete CPR training with 90 days of employment. .1102(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff (J.T.) did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 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 February 12, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -Your facility has been assigned to Cohort 1: Prep year 7/1/23-6/30/24, Reassessment year 7/1/24-6/30/25. Please refer to the link for additional information: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. -On June 12th, Governor Cooper signed Senate Bill 291, extending the Child Care Hold Harmless legislation until June 30, 2024, and requiring the North Carolina Child Care Commission to make recommendations for modernizing the state’s Quality Rating and Improvement System. The following Technical Assistance (TA) was provided: -Running water, soap and individual sanitary towels, or other approved hand-drying devices must be supplied at each lavatory. Refer to Sanitation Rule 15A NCAC 18A .2818(b) and (d). -During review of the vehicle used to transport children, a nail was in the back right passenger tire of the vehicle. An appointment was made to have the repair made to the tire. -Rake the mulch often in the outdoor play area. I reviewed a service request that was submitted previously for the repairs to the swing; continue to not allow children to swing on the broken swing until the repair is made; the swing is inaccessible to children. -Provide a copy of the Fire Inspection Report within seven (7) days. A copy of an approved fire inspection report was observed. Ms. Barnette provided a copy of an email that was sent to the fire inspector on September 1, 2023 requesting a copy of the fire inspection report (DCDEE template); a copy has not been received. Refer to Child Care Rule 10A NCAC 09 .0309 (a). -The Infant Room is closed and the center is planning to reopen February 2024. Child care administrators must complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Refer to Child Care Rule 10A NCAC 09 .1102(f). The child care administrator ITS-SIDS training expired 2021. 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