NC GS 110-90 · Violation

Name of Operation: A CHILD'S WORLD LEARNING CENTER CLEMMONS Facility ID: 34000740 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 11/19/2025 Number Present: 120 Completed Date: 11/19/2025 Age: From 0 To 5 Total Minutes: 340 Time In: 08:20 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted with Kristina Smith, Director. Your program currently operates with a four-star license. Restrictions include 1st shift care, meets enhanced ratios, meets enhanced space, and children under 2 ½-years-old in rooms with direct exits only. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 10/20/2025 and ACWLC, II Inc. was listed as current and active. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in free play, routine activities, and group time. I observed materials and activities that were available to the children in the classrooms. 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. Your facility uses the Creative Curriculum. The last annual compliance visit was conducted on 12/10/2024. A sanitation inspection was completed 11/12/2025 with an approved classification. The last fire inspection was conducted on 03/03/2025. Program records and required postings were monitored. A fire drill was conducted on 10/31/2025. A shelter in place drill was documented on 10/01/2025. An outdoor inspection was documented on 11/18/2025. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Hazardous items were stored in locked closets and locked cabinets. Storage and administration of medication were monitored. Medication authorization was monitored. You stated that you do routine transportation during the school year for school-age children and field trips during the summer for school-age children and pre-kindergarten children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed a first aid kit and fire extinguisher on the vehicles. I monitored one vehicle today. I monitored two vehicles today. I observed a 2004 Ford E-250 Van, ZVS-9216, and a 2019 Chevrolet Thomas 041MS Minibus, HCM-8564. Both vehicles were clean, in good repair, had working seatbelts, had adequate tire tread, and were current on inspections and insurance. Your next inspection date on the Ford is due 07/31/2026 and the Chevrolet inspection is due 06/30/2026. The insurance is valid on both vehicles through 03/01/2026. The following violations were cited during today’s visit: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. During the visit, I observed one (1) tricycle with a missing wheel which exposed broken and cracked plastic on the playground designated for toddlers. .0601(c) 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. During the visit, I observed one (1) employee that did not have verification of completing 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. During the visit, I observed one (1) employee that did not have verification of completing CPR training. .1102(d) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 12/03/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • We discussed that all employees must have CPR and First Aid training within ninety (90) days of hire. You stated the employee missing CPR and First Aid is a seasonal employee that worked this summer and would return the week of Thanksgiving. This employee needs CPR and First Aid and you stated you would have her sign up. • We discussed that broken toys with cracked plastic can cause harm to children if accessible. The broken tricycle was removed during the visit. Information discussed today related to the QRIS modernization plan: • During the visit, we discussed the QRIS modernization plan. I completed a template documenting the pathway you plan to pursue, identifying needs, documenting a timeline for completion, resources, next steps, etc. Over the next few months, I’ll be checking in with you, ahead of your next visit to check on progress and determine if additional assistance is needed with WORKS, NCRLAP/ERS, accreditation, etc. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Make sure you keep checking the Chevrolet Minibus tires, specifically the back driver tire and the front passenger tire. The tires are beginning to show signs of wear and need replacing soon. • I recommend adding more blocks and books to space 2A. During the visit, the classroom was at ratio. However, if more children are present in this space, more materials in these two areas will need to be added. • Make sure all employees have updated WORKS letters on file available for review. When evaluating education, we can only use the WORKS letters to determine each employee’s star rating. • On your staff and training worksheet, line number seven (7) should be the date you notified DCDEE that the employee began working for the company. This can be the date they originally were updated. If they do not have a date on your worksheet, it can be the date you started your ABCMS Provider Portal roster. For future new hires, this date will be the date you add them to the ABCMS Provider Portal. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: A CHILD'S WORLD LEARNING CENTER CLEMMONS Facility ID: 34000740 Consultant: WHITNEY PARKER Operation Type: Center Case Number: 0925-010L Visit Date: 9/10/2025 Number Present: 112 Completed Date: 9/10/2025 Age: From 0 To 5 Total Minutes: 115 Time In: 08:45 AM Time Out: 10:40 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of childcare requirements. This visit was conducted with Latarsha Holiday, Assistant Director, and Kristina Smith, Director. The allegations are as follows: There are allegations of violations of childcare requirements regarding program records and general safety. During today’s visit, the allegations were discussed with you. You had the opportunity to respond. Information shared during this visit is documented in this visit summary. Your program currently operates with a four-star license. Restrictions include 1st shift care, meets enhanced ratios, meets enhanced space, and children under 2 ½-years-old in rooms with direct exits only. The NC Secretary of State website was reviewed on 09/03/2025 and ACWLC, II Inc. was listed as current and active. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. During the visit, a walkthrough of the facility was conducted. Today, the following items were monitored: • Supervision • Staff / Child Ratio • Adequate / Approved Space • License Posted • Permit Restrictions Allegation #1: There are allegations of violations of childcare requirements regarding program records. Observation #1: During the visit, I interviewed 26 employees including the Director, Assistant Director, and 24 teachers. Employees were able to describe how fire drills and emergency drills are conducted. Employees were able to tell me about their designated spaces they are required to go during all drills. During the visit, Ms. Holiday contacted the alarm company to determine if the facility had been placed in practice mode. The alarm company sent a record of all activities showing each time the system had any alert made. Conclusion #1: Based on the above information and observations during today’s visit, there was not enough information to support the allegation. This allegation was unsubstantiated. Allegation #2: There are allegations of violations of childcare requirements regarding general safety. Observation #2: During today’s visit, I observed the fire drill/emergency drill log. A fire drill was recorded on 06/11/2025. A shelter-in-place drill was recorded on 03/05/2025. During the visit, Ms. Smith stated that she only records drills that have been completed so they must have missed these drills due to the vacation season and an oversight on conducting drills. Conclusion #2: Based on the above information and observations during today’s visit, there was enough information to support the allegation. This allegation was substantiated. The following violations were cited during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. During the visit, I observed a fire drill log with the last drill being recorded on 06/11/2025. A fire drill was not recorded for July 2025 or August 2025. .0604(t); .0302(d)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. During the visit, I observed an emergency drill log documenting the last emergency drill on 03/05/2025. There was not an emergency drill conducted in June 2025. .0604(u);.0302(d)(8) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 09/24/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • We discussed that fire drills must be conducted monthly. We also discussed that emergency drills must be conducted every three (3) months. These drills must be documented on the log. We discussed that a plan should be put in place to ensure that drills are conducted on time and how they will be documented. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: A CHILD'S WORLD LEARNING CENTER CLEMMONS Facility ID: 34000740 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 6/26/2025 Number Present: 143 Completed Date: 6/26/2025 Age: From 0 To 12 Total Minutes: 175 Time In: 09:25 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted with Kristina Smith, Director. Your program currently operates with a four-star license. Restrictions include 1st shift care, meets enhanced ratios, meets enhanced space, and children under 2 ½-years-old in rooms with direct exits only. The NC Secretary of State website was reviewed on 05/08/2025 and ACWLC, II Inc. was listed as current and active. The program’s compliance history was 92% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in free play, routine activities and group time. Ten new staff were reported at this program. Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. Storage and administration of medication were monitored. Medication authorization was monitored. Storage of hazardous items was monitored today. A playground inspection was recorded 06/09/2025. A fire drill was recorded 06/11/2025. A shelter in place drill for the facility was recorded 03/05/2025. The most recent fire inspection was on 03/03/2025. A copy of this inspection was received during the visit. I observed a sanitation inspection was last conducted on 11/13/2024 earning a superior classification. You stated that you do routine transportation during the school year for school-age children and field trips during the summer for school-age children and pre-kindergarten children. During today’s visit, I observed a first aid kit and fire extinguisher on the vehicle. I monitored one vehicle today. I observed a 2019 Chevrolet Thomas 041MS Minibus, HCM-8564. Your next inspection is due 06/30/2025 and the insurance is valid on both vehicles through 03/01/2026. The following violation was cited during today’s visit: Violation Number Comment Rule 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. During the visit, I observed a diaper cream in space two (2) and space five (5) that did not have a medication authorization form. I also observed one (1) medication form that had expired in space seven (7) and two (2) medication forms that had expired in space thirteen (13). .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 07/10/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • We discussed that all medications, including diaper creams and sunscreens must have a current permission form on file. You stated you would have the expired and/or missing forms updated immediately. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • We discussed that the CPR and First Aid training certificate and/or card must document that infants are included in the certification. The lifeguard training does not notate an age that is covered in the training. • Employees who are enrolled in college courses can receive on-going training hours for EDU classes. EDU college courses that are three (3) credit hours can count for forty-eight (48) on-going hours. EDU college courses that are four (4) credit hours can count for sixty-four (64) on-going hours. In order for employees to receive on-going hours for the EDU college courses, they must have completed and passed the course. Employees can carry over half of what their required hours are. For example, if an employee is required to have ten (10) on-going hours and they receive twenty on-going hours, they can carry over five (5) hours to the next training year. Training years go by the employee's hire date. For example, if a person was hired on 9/1/2022, the training year for this year that I will monitor on your AC visit will be from 9/1/2024-9/1/2025. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0601 · Violation

Name of Operation: A CHILD'S WORLD LEARNING CENTER CLEMMONS Facility ID: 34000740 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 12/10/2024 Number Present: 134 Completed Date: 12/10/2024 Age: From 0 To 5 Total Minutes: 320 Time In: 09:10 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Whitney Parker, Childcare Consultant with LaTarsha Holiday, Assistant Director. Your program currently operates with a four-star license. Restrictions include 1st shift care, meets enhanced ratios, meets enhanced space, and children under 2 ½-years-old in rooms with direct exits only. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 11/12/2024 and ACWLC, II Inc. was listed as current and active. The program’s compliance history was 94% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in free play, routine activities, group time, and eating lunch. I observed materials and activities that were available to the children in the classrooms. 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. Your facility uses the Creative Curriculum. The last annual compliance visit was conducted on 01/03/2024. A sanitation inspection was completed 11/13/24 with a superior classification. The last fire inspection was conducted 02/06/2024. Program records and required postings were monitored. A fire drill was conducted on 11/27/2024. A shelter in place drill was documented on 09/27/2024. An outdoor inspection was documented on 11/26/2024. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. You stated that you do routine transportation during the school year for school-age children and field trips during the summer for school-age children and pre-kindergarten children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed first aid kits and fire extinguishers on both vehicle. I monitored two vehicles today. I monitored two vehicles today. I observed a 2004 Ford E-250 Van, ZVS-9216, and a 2019 Chevrolet Thomas 041MS Minibus, HCM-8564. Both vehicles were clean, in good repair, had working seatbelts, had adequate tire tread, and were current on inspections and insurance. Your next inspection date on both vehicles is due 07/2025 and the insurance is valid on both vehicles through 03/01/2025. The following violations were cited during today’s visit: Violation Number Comment Rule 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. In Space TodC, the literacy center did not contain sufficient materials to allow all children to use them at some time during the day and to allow for a range of choices; only books were available in this activity center. .0510(e)(3) 807 A safe indoor and outdoor environment was not provided for the children. During the visit, I did not observe any safety concerns indoors. I observed exposed stakes on the landscaping orders on the playgrounds designated for preschool and school aged children. 10A NCAC 09 .0601(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. During the visit, I did not observe a playground inspection for January 2024 or February 2024. .0605(q) 1123 All vehicles used to transport children were not free of hazards. During the visit, I observed disinfecting wipes on both vehicles and a bottle of hand sanitizer on the van that were not in locked storage and were all accessible to children. 10A NCAC 09 .1002(a) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 12/24/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • We discussed that playground inspections must be completed monthly. You stated you had taken playground safety to assist in this process. We discussed that a reminder could be used to ensure all inspections are completed each month. • We discussed that hazardous items must be inaccessible to children including on the bus. You removed the disinfectant wipes and hand sanitizer from the bus during the visit. • We discussed that the landscaping border stakes were exposed. You stated a work order is in place to have this removed. These will need to be pushed back down or removed immediately. • We discussed that space TodC needs more materials in the book area. There are not materials were not provided in a sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. We discussed adding puppets, stuffed toys, felt boards with felt pieces, or other materials to this space to ensure this area is in compliance. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The hold harmless was extended until the QRIS modernization has been completed. The previous cohort model is no longer in effect. 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. You can find more information at this link: https://ncrlap.org/Resources/pages/get-ready-for-3s/ • The process of notifying the Division of new employees 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 childcare providers working who were hired or moved into the childcare 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. • We discussed that in space 4A the teachers need to rearrange the materials to make sure there are enough materials in the book area. The materials needed in this area are available (puppets, white boards, a felt board) but located in different areas of the classroom. Make sure there are enough materials in each space to allow at least three children to use the area. • Keep a check on the steps of the large structure on the school-age playground. Rust is beginning to show on the steps. We discussed possibly sanding the steps and repainting them to prevent further rust from occurring. • We discussed saving a copy of the childcare rules as a PDF. Once this document is saved, you can open the document and hold down Ctrl and F. A search bar will appear in the upper right corner of the screen. You can type in key words to search the rules to make it easier to navigate the rule book. For example, you can type .2318 or Record Retention into the search bar and you will be able to access a chart showing exactly how long all childcare records have to be maintained. • We discussed that one employee used a distance learning training for CPR and First Aid. The employee will need to complete an in-person training by 12/23/2024. • We discussed that one employee has one training due on 01/08/2025. The employee has completed all health and safety trainings except the EPR training. At the completion of the visit, this visit summary was reviewed with and provided to you. I left three copies of the visit summary first page and three copies of the completed staff and training worksheets with you during the visit. Please have Kristina Smith review these documents as soon as possible. If she has any questions, please have her reach out to me. Once she has reviewed these documents, please have her sign all required lines and mail me the original staff and training worksheet, a copy of the staff and training worksheet, and two copies of the first page of the visit summary. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1002 · Violation

Name of Operation: A CHILD'S WORLD LEARNING CENTER CLEMMONS Facility ID: 34000740 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 12/10/2024 Number Present: 134 Completed Date: 12/10/2024 Age: From 0 To 5 Total Minutes: 320 Time In: 09:10 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Whitney Parker, Childcare Consultant with LaTarsha Holiday, Assistant Director. Your program currently operates with a four-star license. Restrictions include 1st shift care, meets enhanced ratios, meets enhanced space, and children under 2 ½-years-old in rooms with direct exits only. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 11/12/2024 and ACWLC, II Inc. was listed as current and active. The program’s compliance history was 94% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in free play, routine activities, group time, and eating lunch. I observed materials and activities that were available to the children in the classrooms. 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. Your facility uses the Creative Curriculum. The last annual compliance visit was conducted on 01/03/2024. A sanitation inspection was completed 11/13/24 with a superior classification. The last fire inspection was conducted 02/06/2024. Program records and required postings were monitored. A fire drill was conducted on 11/27/2024. A shelter in place drill was documented on 09/27/2024. An outdoor inspection was documented on 11/26/2024. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. You stated that you do routine transportation during the school year for school-age children and field trips during the summer for school-age children and pre-kindergarten children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed first aid kits and fire extinguishers on both vehicle. I monitored two vehicles today. I monitored two vehicles today. I observed a 2004 Ford E-250 Van, ZVS-9216, and a 2019 Chevrolet Thomas 041MS Minibus, HCM-8564. Both vehicles were clean, in good repair, had working seatbelts, had adequate tire tread, and were current on inspections and insurance. Your next inspection date on both vehicles is due 07/2025 and the insurance is valid on both vehicles through 03/01/2025. The following violations were cited during today’s visit: Violation Number Comment Rule 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. In Space TodC, the literacy center did not contain sufficient materials to allow all children to use them at some time during the day and to allow for a range of choices; only books were available in this activity center. .0510(e)(3) 807 A safe indoor and outdoor environment was not provided for the children. During the visit, I did not observe any safety concerns indoors. I observed exposed stakes on the landscaping orders on the playgrounds designated for preschool and school aged children. 10A NCAC 09 .0601(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. During the visit, I did not observe a playground inspection for January 2024 or February 2024. .0605(q) 1123 All vehicles used to transport children were not free of hazards. During the visit, I observed disinfecting wipes on both vehicles and a bottle of hand sanitizer on the van that were not in locked storage and were all accessible to children. 10A NCAC 09 .1002(a) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 12/24/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • We discussed that playground inspections must be completed monthly. You stated you had taken playground safety to assist in this process. We discussed that a reminder could be used to ensure all inspections are completed each month. • We discussed that hazardous items must be inaccessible to children including on the bus. You removed the disinfectant wipes and hand sanitizer from the bus during the visit. • We discussed that the landscaping border stakes were exposed. You stated a work order is in place to have this removed. These will need to be pushed back down or removed immediately. • We discussed that space TodC needs more materials in the book area. There are not materials were not provided in a sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. We discussed adding puppets, stuffed toys, felt boards with felt pieces, or other materials to this space to ensure this area is in compliance. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The hold harmless was extended until the QRIS modernization has been completed. The previous cohort model is no longer in effect. 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. You can find more information at this link: https://ncrlap.org/Resources/pages/get-ready-for-3s/ • The process of notifying the Division of new employees 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 childcare providers working who were hired or moved into the childcare 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. • We discussed that in space 4A the teachers need to rearrange the materials to make sure there are enough materials in the book area. The materials needed in this area are available (puppets, white boards, a felt board) but located in different areas of the classroom. Make sure there are enough materials in each space to allow at least three children to use the area. • Keep a check on the steps of the large structure on the school-age playground. Rust is beginning to show on the steps. We discussed possibly sanding the steps and repainting them to prevent further rust from occurring. • We discussed saving a copy of the childcare rules as a PDF. Once this document is saved, you can open the document and hold down Ctrl and F. A search bar will appear in the upper right corner of the screen. You can type in key words to search the rules to make it easier to navigate the rule book. For example, you can type .2318 or Record Retention into the search bar and you will be able to access a chart showing exactly how long all childcare records have to be maintained. • We discussed that one employee used a distance learning training for CPR and First Aid. The employee will need to complete an in-person training by 12/23/2024. • We discussed that one employee has one training due on 01/08/2025. The employee has completed all health and safety trainings except the EPR training. At the completion of the visit, this visit summary was reviewed with and provided to you. I left three copies of the visit summary first page and three copies of the completed staff and training worksheets with you during the visit. Please have Kristina Smith review these documents as soon as possible. If she has any questions, please have her reach out to me. Once she has reviewed these documents, please have her sign all required lines and mail me the original staff and training worksheet, a copy of the staff and training worksheet, and two copies of the first page of the visit summary. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: A CHILD'S WORLD LEARNING CENTER CLEMMONS Facility ID: 34000740 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 12/10/2024 Number Present: 134 Completed Date: 12/10/2024 Age: From 0 To 5 Total Minutes: 320 Time In: 09:10 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Whitney Parker, Childcare Consultant with LaTarsha Holiday, Assistant Director. Your program currently operates with a four-star license. Restrictions include 1st shift care, meets enhanced ratios, meets enhanced space, and children under 2 ½-years-old in rooms with direct exits only. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 11/12/2024 and ACWLC, II Inc. was listed as current and active. The program’s compliance history was 94% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in free play, routine activities, group time, and eating lunch. I observed materials and activities that were available to the children in the classrooms. 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. Your facility uses the Creative Curriculum. The last annual compliance visit was conducted on 01/03/2024. A sanitation inspection was completed 11/13/24 with a superior classification. The last fire inspection was conducted 02/06/2024. Program records and required postings were monitored. A fire drill was conducted on 11/27/2024. A shelter in place drill was documented on 09/27/2024. An outdoor inspection was documented on 11/26/2024. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. You stated that you do routine transportation during the school year for school-age children and field trips during the summer for school-age children and pre-kindergarten children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed first aid kits and fire extinguishers on both vehicle. I monitored two vehicles today. I monitored two vehicles today. I observed a 2004 Ford E-250 Van, ZVS-9216, and a 2019 Chevrolet Thomas 041MS Minibus, HCM-8564. Both vehicles were clean, in good repair, had working seatbelts, had adequate tire tread, and were current on inspections and insurance. Your next inspection date on both vehicles is due 07/2025 and the insurance is valid on both vehicles through 03/01/2025. The following violations were cited during today’s visit: Violation Number Comment Rule 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. In Space TodC, the literacy center did not contain sufficient materials to allow all children to use them at some time during the day and to allow for a range of choices; only books were available in this activity center. .0510(e)(3) 807 A safe indoor and outdoor environment was not provided for the children. During the visit, I did not observe any safety concerns indoors. I observed exposed stakes on the landscaping orders on the playgrounds designated for preschool and school aged children. 10A NCAC 09 .0601(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. During the visit, I did not observe a playground inspection for January 2024 or February 2024. .0605(q) 1123 All vehicles used to transport children were not free of hazards. During the visit, I observed disinfecting wipes on both vehicles and a bottle of hand sanitizer on the van that were not in locked storage and were all accessible to children. 10A NCAC 09 .1002(a) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 12/24/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • We discussed that playground inspections must be completed monthly. You stated you had taken playground safety to assist in this process. We discussed that a reminder could be used to ensure all inspections are completed each month. • We discussed that hazardous items must be inaccessible to children including on the bus. You removed the disinfectant wipes and hand sanitizer from the bus during the visit. • We discussed that the landscaping border stakes were exposed. You stated a work order is in place to have this removed. These will need to be pushed back down or removed immediately. • We discussed that space TodC needs more materials in the book area. There are not materials were not provided in a sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. We discussed adding puppets, stuffed toys, felt boards with felt pieces, or other materials to this space to ensure this area is in compliance. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The hold harmless was extended until the QRIS modernization has been completed. The previous cohort model is no longer in effect. 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. You can find more information at this link: https://ncrlap.org/Resources/pages/get-ready-for-3s/ • The process of notifying the Division of new employees 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 childcare providers working who were hired or moved into the childcare 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. • We discussed that in space 4A the teachers need to rearrange the materials to make sure there are enough materials in the book area. The materials needed in this area are available (puppets, white boards, a felt board) but located in different areas of the classroom. Make sure there are enough materials in each space to allow at least three children to use the area. • Keep a check on the steps of the large structure on the school-age playground. Rust is beginning to show on the steps. We discussed possibly sanding the steps and repainting them to prevent further rust from occurring. • We discussed saving a copy of the childcare rules as a PDF. Once this document is saved, you can open the document and hold down Ctrl and F. A search bar will appear in the upper right corner of the screen. You can type in key words to search the rules to make it easier to navigate the rule book. For example, you can type .2318 or Record Retention into the search bar and you will be able to access a chart showing exactly how long all childcare records have to be maintained. • We discussed that one employee used a distance learning training for CPR and First Aid. The employee will need to complete an in-person training by 12/23/2024. • We discussed that one employee has one training due on 01/08/2025. The employee has completed all health and safety trainings except the EPR training. At the completion of the visit, this visit summary was reviewed with and provided to you. I left three copies of the visit summary first page and three copies of the completed staff and training worksheets with you during the visit. Please have Kristina Smith review these documents as soon as possible. If she has any questions, please have her reach out to me. Once she has reviewed these documents, please have her sign all required lines and mail me the original staff and training worksheet, a copy of the staff and training worksheet, and two copies of the first page of the visit summary. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: A CHILD'S WORLD LEARNING CENTER CLEMMONS Facility ID: 34000740 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 1/3/2024 Number Present: 122 Completed Date: 1/3/2024 Age: From 0 To 5 Total Minutes: 315 Time In: 08:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Whitney Parker, Childcare Consultant, with Kristina Smith, Director. Your program currently operates with a four-star license. Restrictions include 1st shift care, meets enhanced ratios, meets enhanced space, and children under 2 ½-years-old in rooms with direct exits only. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 01/02/2024 and ACWLC, II Inc. was listed as current and active. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children eating breakfast, engaging in free play, routine activities, and group time. I observed materials and activities that were available to the children in the classrooms. 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. Your facility uses the Creative Curriculum. The last annual compliance visit was conducted on 01/31/2023. A sanitation inspection was completed 12/29/2023 with a superior classification. A copy of this inspection was received during the visit. The last fire inspection was conducted 02/14/2023. Program records and required postings were monitored. A fire drill was conducted on 12/07/2023. A lockdown drill was documented on 12/22/2023. An outdoor inspection was documented on 12/06/2023. I did not observe a playground inspection for August 2023 or October 2023. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Hazardous items were stored in the locked kitchen. Storage and administration of medication were monitored. Medication authorization was monitored. You stated that you do routine transportation during the school year for school-age children and field trips during the summer for school-age children and pre-kindergarten children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed a first aid kit and fire extinguisher on the vehicle. I monitored one vehicle today. I observed a 2004 Ford E-250 Van, ZVS-9216. The vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspections and insurance. Your next inspection date on the Ford Van is due 07/31/2024 and the insurance is valid through 03/01/2024. The following violations were cited during today’s visit: Violation Number Comment Rule 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. I did not observe a monthly playground inspection for August 2023 or October 2023. .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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 01/17/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • Playground inspections must be completed monthly. We discussed setting a reminder to ensure these are completed each month. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Make sure you get a fire inspection in February 2024. Please email me a copy of the inspection when you have it completed. • During today’s visit, I took measurements on spaces three and six to reflect the changes made to the layout of the room. I will use these measurements to update your floor plan and space calculation worksheet to determine the capacity in each space. I will reach out to you regarding these calculations once they have been entered on the new floor plan and space calculation worksheets. • We discussed that one employee had received a CPR and First Aid Training in Missouri. I have sent in a request to determine if this training would be accepted or not. Once I receive confirmation, I will reach out to you. If the training is not approved, the employee will need to register for the training that will be conducted on your staff workday in January and you will need to send me confirmation of the individual completing that course. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: A CHILD'S WORLD LEARNING CENTER CLEMMONS Facility ID: 34000740 Consultant: WHITNEY PARKER Operation Type: Center Case Number: 1023-182L Visit Date: 10/20/2023 Number Present: 86 Completed Date: 10/20/2023 Age: From 0 To 5 Total Minutes: 150 Time In: 08:15 AM Time Out: 10:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of childcare requirements. This visit was conducted by Whitney Parker, Childcare Consultant, with Kristina Smith, Director. The allegations are as follows: There is a concern related to nutrition and the posted menu for meals/snacks. There is a concern that toys are not available for the children to play with in the early morning and late afternoon hours. There is a concern of inadequate supervision in the classroom for one-year-old children. During today’s visit, the allegations were discussed with you. You had the opportunity to respond. Information shared during this visit is documented in this visit summary. Your program currently operates with a four-star license. Restrictions include 1st shift care, meets enhanced ratios, meets enhanced space, and children under 2 ½-years-old in rooms with direct exits only. The NC Secretary of State website was reviewed on 10/17/2023 and ACWLC, II Inc. was listed as current and active. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • Adequate / Approved Space • License Posted • Permit Restrictions Allegation #1: There is a concern related to nutrition and the posted menu for meals/snacks. Observation #1: During today’s visit, I observed a menu posted at the facility. The menu stated children would be served French toast, applesauce, and milk for breakfast. The children were served French toast, applesauce, and milk for breakfast. I interviewed four employees and all employees stated they almost always have what is listed on the menu and when items on the menu are changed or substituted, they change the menu. Ms. Smith stated the menu is sent out to the parents weekly. Ms. Smith stated that when the menu is changed the teacher can go into the ProCare app that the facility uses and update the menu as needed. Ms. Smith also showed me examples of how teachers document what each child eats for each meal in the ProCare app that the parents have access to. Ms. Smith stated that they are on the Food Program and follow all USDA nutrition guidelines with types and amounts of food served to each child based on their age. Conclusion #1: Based on the above information and observations during today’s visit, there was not enough information to support the allegation. This allegation was unsubstantiated. Allegation #2: There is a concern that toys are not available for the children to play with in the early morning and late afternoon hours. Observation #2: During today’s visit, I visited three spaces designated for toddler aged children. I observed these three spaces, and the children in each space were engaging in free play, routine activities, and eating breakfast. In space TodA and TobB, I observed various materials accessible to children and all learning centers were open for the children. In space TodC, I observed few materials accessible to children. In space TodC, the book center and block centers were open and accessible to children. I observed several books available to children in the book center. In the block center, I observed some blocks, some cars, and a few small people toys available for children’s use. All other areas of the classroom were closed off and not accessible to the children. I observed materials that are stored on shelves but were made inaccessible by the shelving units being turned around so the children could not access the materials. I observed daily schedules of the three spaces designated for toddler aged children. Each schedule documented that during the morning hours between 7:00 a.m. and 8:30 a.m. the children should be engaging in Breakfast/Clean up/Routines**/Child directed activities*. The schedules in these spaces documented that during the evening hours between 4:00 p.m. and 6:30 p.m. the children should be engaging in Routines/Child Directed Activities/Departure. At the bottom of the schedule, I observed a section with clarification for what child directed activities means. The schedule stated that child directed activities are when “Children participate in activities of their choice. Staff supervises these activities, providing guidance that will lead to a successful experience. All centers are open for play.” I interviewed four employees, including the three lead teachers that work in spaces TodA, TodB, and TodC and the Director. The teachers in all spaces described their typical day to me stating they engage in the events listed on their daily schedule. The teachers in spaces TodA and TodB stated that all materials are open at all times of the day and that learning centers are always open and accessible to the children. The teacher in space TodC stated that the learning centers in that space are closed between 4:30 p.m. and 4:45 p.m. daily. After this time, the teacher from this space stated she reads books with the children and does art with the children at the table. The teacher stated the centers are closed so that cleaning and sanitizing can take place. The teacher stated that she sometimes she turns the shelves back around prior to leaving and something the opener will turn the shelves around the next morning. Conclusion #2: Based on the above information and observations during today’s visit, there was enough information to support the allegation. This allegation was substantiated. Allegation #3: There is a concern of inadequate supervision in the classroom for one-year-old children. Observation #3: During today’s visit, I observed interactions in spaces TodA, TodB, and TodC. I observed children engaging in free play, eating breakfast, and routine activities. The teachers were interacting with the children. I observed teachers reading to the children, engaging in group time with the children, feeding the children breakfast, and completing routine tasks with the children. Supervision was adequate during the visit. Conclusion #3: Based on the above information and observations during today’s visit, there was not enough information to support the allegation. This allegation was unsubstantiated. The following violation was cited during today’s visit: Violation Number Comment Rule 487 For children under three years of age, materials were not made available to children on a daily basis. In space TodC, I observed several shelves turned around with materials inaccessible to children. I only observed two spaces available for children to interact in. .0510(e)(2) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 11/03/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. During today's visit, we discussed previous measurements from the routine unannounced visit and the plans that will be taking place. You stated that you will contact me when the gates have been moved to come back out and remeasure. Technical assistance provided during today’s visit: •You must notify your consultant 30 days prior to changing the ownership status of your facility. •Children should have access to materials daily. The materials should be accessible and in the reach of the children. The daily schedule in each classroom should be followed including areas of time labeled as free choice with all centers being open as documented on the schedule. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: A CHILD'S WORLD LEARNING CENTER CLEMMONS Facility ID: 34000740 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 7/27/2023 Number Present: 102 Completed Date: 7/27/2023 Age: From 0 To 11 Total Minutes: 255 Time In: 08:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Whitney Parker, Childcare Consultant with Latarsha Holiday, Assistant Director. Your program currently operates with a four-star license. Restrictions include 1st shift care, meets enhanced ratios, meets enhanced space, and children under 2 ½-years-old in rooms with direct exits only. The NC Secretary of State website was reviewed on 07/26/2023 and ACWLC, II Inc. was listed as current and active. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children engaging in free play, routine activities, and group time. Twelve new staff were reported at this program. Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. Storage and administration of medication were monitored. Medication authorization was monitored. In space TodA, I observed one expired medication. In space TodC, I observed one medication without a medication authorization form. Storage hazardous items was monitored today. A playground inspection was recorded 07/19/2023. A fire drill was recorded 07/17/2023. A lock down drill for the facility was recorded 06/16/2023. The most recent fire inspection was on 02/14/2023. I observed a sanitation inspection was last conducted on 01/04/2023 earning a superior classification. You stated that you do routine transportation during the school year for school-age children and field trips during the summer for school-age children and pre-kindergarten children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed first aid kits and fire extinguishers on the vehicles. I monitored two vehicles today. I observed a 2004 Ford E-250 Van, ZVS-9216, and a 2019 Chevrolet Thomas 041MS Minibus, HCM-8564. Both vehicles were clean, in good repair, had working seatbelts, had adequate tire tread, and were current on inspections and insurance. Your next inspection date on the Ford Van is due 07/31/2024 and the insurance is valid through 03/01/2024. Your next inspection date on the Chevrolet Minibus is due 06/30/2024 and the insurance is valid through 03/01/2024. The following violations were cited during today’s visit: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space TodC, I observed one tube of Nystatin cream that did not have a medication authorization form completed. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. In space TodA, I observed one tube of diaper cream that expired in 07/2021. 10A NCAC 09 .0803(1)(d) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 8/10/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. During today’s visit, measurements of all spaces that were previously divided using furniture and gates were taken. After spaces were divided, there was no documentation that the new spaces were remeasured. This included space one (InfA, InfB, and InfC) and space two (TodA, TodB, and TodC). I will use these measurements to update your floor plan and space calculation worksheet to determine the capacity in each space. I will reach out to you regarding these calculations once they have been entered on the new floor plan and space calculation worksheets. Children under the age of 2 ½ must have a direct exit. I have reached out to Mark Johnson, Winston-Salem Fire Inspector, to verify that you can continue to use the current setup in spaces one and two. He stated that after looking into the fire code in 2002, which is the code that was in effect at the time that the building was built, since the building sprinklered, classrooms are only required to maintain one exit. It is allowed for the gates to remain as well. Technical assistance provided during today’s visit: •You must notify your consultant 30 days prior to changing the ownership status of your facility. •On staff orientation, remember to only use your specific policies and not Moodle trainings. Staff orientation should be documented on the dates the training occurs. All sixteen clock hours should not be reported on the same day. •The large play structure on the school age playground has some wear and beginning stages of rust on the steps and platform. Check on this and ensure the steps and platform are maintained to prevent further cracking and rusting. •Make sure to send home all expired medications and medications of children no longer enrolled. In addition, make sure all medications on site have medical authorizations and that the medication authorization forms are filled out completely. •Make sure all lesson plans that are posted are current. •Remove any interlocking blocks, such as large Lego or stacking blocks, from block centers. These are considered manipulatives. •If you plan to pursue the ERS, I encourage you to visit NCRLAP’s website and use the ITERS, ECERS, and SACERS, books and materials checklists to determine what supplies are needed in each space. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: A CHILD'S WORLD LEARNING CENTER CLEMMONS Facility ID: 34000740 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 7/27/2023 Number Present: 102 Completed Date: 7/27/2023 Age: From 0 To 11 Total Minutes: 255 Time In: 08:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Whitney Parker, Childcare Consultant with Latarsha Holiday, Assistant Director. Your program currently operates with a four-star license. Restrictions include 1st shift care, meets enhanced ratios, meets enhanced space, and children under 2 ½-years-old in rooms with direct exits only. The NC Secretary of State website was reviewed on 07/26/2023 and ACWLC, II Inc. was listed as current and active. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children engaging in free play, routine activities, and group time. Twelve new staff were reported at this program. Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. Storage and administration of medication were monitored. Medication authorization was monitored. In space TodA, I observed one expired medication. In space TodC, I observed one medication without a medication authorization form. Storage hazardous items was monitored today. A playground inspection was recorded 07/19/2023. A fire drill was recorded 07/17/2023. A lock down drill for the facility was recorded 06/16/2023. The most recent fire inspection was on 02/14/2023. I observed a sanitation inspection was last conducted on 01/04/2023 earning a superior classification. You stated that you do routine transportation during the school year for school-age children and field trips during the summer for school-age children and pre-kindergarten children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed first aid kits and fire extinguishers on the vehicles. I monitored two vehicles today. I observed a 2004 Ford E-250 Van, ZVS-9216, and a 2019 Chevrolet Thomas 041MS Minibus, HCM-8564. Both vehicles were clean, in good repair, had working seatbelts, had adequate tire tread, and were current on inspections and insurance. Your next inspection date on the Ford Van is due 07/31/2024 and the insurance is valid through 03/01/2024. Your next inspection date on the Chevrolet Minibus is due 06/30/2024 and the insurance is valid through 03/01/2024. The following violations were cited during today’s visit: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space TodC, I observed one tube of Nystatin cream that did not have a medication authorization form completed. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. In space TodA, I observed one tube of diaper cream that expired in 07/2021. 10A NCAC 09 .0803(1)(d) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 8/10/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. During today’s visit, measurements of all spaces that were previously divided using furniture and gates were taken. After spaces were divided, there was no documentation that the new spaces were remeasured. This included space one (InfA, InfB, and InfC) and space two (TodA, TodB, and TodC). I will use these measurements to update your floor plan and space calculation worksheet to determine the capacity in each space. I will reach out to you regarding these calculations once they have been entered on the new floor plan and space calculation worksheets. Children under the age of 2 ½ must have a direct exit. I have reached out to Mark Johnson, Winston-Salem Fire Inspector, to verify that you can continue to use the current setup in spaces one and two. He stated that after looking into the fire code in 2002, which is the code that was in effect at the time that the building was built, since the building sprinklered, classrooms are only required to maintain one exit. It is allowed for the gates to remain as well. Technical assistance provided during today’s visit: •You must notify your consultant 30 days prior to changing the ownership status of your facility. •On staff orientation, remember to only use your specific policies and not Moodle trainings. Staff orientation should be documented on the dates the training occurs. All sixteen clock hours should not be reported on the same day. •The large play structure on the school age playground has some wear and beginning stages of rust on the steps and platform. Check on this and ensure the steps and platform are maintained to prevent further cracking and rusting. •Make sure to send home all expired medications and medications of children no longer enrolled. In addition, make sure all medications on site have medical authorizations and that the medication authorization forms are filled out completely. •Make sure all lesson plans that are posted are current. •Remove any interlocking blocks, such as large Lego or stacking blocks, from block centers. These are considered manipulatives. •If you plan to pursue the ERS, I encourage you to visit NCRLAP’s website and use the ITERS, ECERS, and SACERS, books and materials checklists to determine what supplies are needed in each space. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: A CHILD'S WORLD LEARNING CENTER CLEMMONS Facility ID: 34000740 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 7/27/2023 Number Present: 102 Completed Date: 7/27/2023 Age: From 0 To 11 Total Minutes: 255 Time In: 08:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Whitney Parker, Childcare Consultant with Latarsha Holiday, Assistant Director. Your program currently operates with a four-star license. Restrictions include 1st shift care, meets enhanced ratios, meets enhanced space, and children under 2 ½-years-old in rooms with direct exits only. The NC Secretary of State website was reviewed on 07/26/2023 and ACWLC, II Inc. was listed as current and active. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children engaging in free play, routine activities, and group time. Twelve new staff were reported at this program. Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. Storage and administration of medication were monitored. Medication authorization was monitored. In space TodA, I observed one expired medication. In space TodC, I observed one medication without a medication authorization form. Storage hazardous items was monitored today. A playground inspection was recorded 07/19/2023. A fire drill was recorded 07/17/2023. A lock down drill for the facility was recorded 06/16/2023. The most recent fire inspection was on 02/14/2023. I observed a sanitation inspection was last conducted on 01/04/2023 earning a superior classification. You stated that you do routine transportation during the school year for school-age children and field trips during the summer for school-age children and pre-kindergarten children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed first aid kits and fire extinguishers on the vehicles. I monitored two vehicles today. I observed a 2004 Ford E-250 Van, ZVS-9216, and a 2019 Chevrolet Thomas 041MS Minibus, HCM-8564. Both vehicles were clean, in good repair, had working seatbelts, had adequate tire tread, and were current on inspections and insurance. Your next inspection date on the Ford Van is due 07/31/2024 and the insurance is valid through 03/01/2024. Your next inspection date on the Chevrolet Minibus is due 06/30/2024 and the insurance is valid through 03/01/2024. The following violations were cited during today’s visit: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space TodC, I observed one tube of Nystatin cream that did not have a medication authorization form completed. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. In space TodA, I observed one tube of diaper cream that expired in 07/2021. 10A NCAC 09 .0803(1)(d) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 8/10/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. During today’s visit, measurements of all spaces that were previously divided using furniture and gates were taken. After spaces were divided, there was no documentation that the new spaces were remeasured. This included space one (InfA, InfB, and InfC) and space two (TodA, TodB, and TodC). I will use these measurements to update your floor plan and space calculation worksheet to determine the capacity in each space. I will reach out to you regarding these calculations once they have been entered on the new floor plan and space calculation worksheets. Children under the age of 2 ½ must have a direct exit. I have reached out to Mark Johnson, Winston-Salem Fire Inspector, to verify that you can continue to use the current setup in spaces one and two. He stated that after looking into the fire code in 2002, which is the code that was in effect at the time that the building was built, since the building sprinklered, classrooms are only required to maintain one exit. It is allowed for the gates to remain as well. Technical assistance provided during today’s visit: •You must notify your consultant 30 days prior to changing the ownership status of your facility. •On staff orientation, remember to only use your specific policies and not Moodle trainings. Staff orientation should be documented on the dates the training occurs. All sixteen clock hours should not be reported on the same day. •The large play structure on the school age playground has some wear and beginning stages of rust on the steps and platform. Check on this and ensure the steps and platform are maintained to prevent further cracking and rusting. •Make sure to send home all expired medications and medications of children no longer enrolled. In addition, make sure all medications on site have medical authorizations and that the medication authorization forms are filled out completely. •Make sure all lesson plans that are posted are current. •Remove any interlocking blocks, such as large Lego or stacking blocks, from block centers. These are considered manipulatives. •If you plan to pursue the ERS, I encourage you to visit NCRLAP’s website and use the ITERS, ECERS, and SACERS, books and materials checklists to determine what supplies are needed in each space. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times