Kids 'R' Kids NC #13

10A NCAC 09 .3224 · Violation

Name of Operation: KIDS 'R' KIDS NC #13 Facility ID: 13000547 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 6/18/2026 Number Present: 139 Completed Date: 6/18/2026 Age: From 0 To 10 Total Minutes: 352 Time In: 10:53 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Rated License Assessment Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable childcare requirements during a Rated License visit. Your last ACV was conducted on December 16, 2025. Your facility’s compliance history score prior to today’s visit was 90%. You, Jaclyn Greene, Director, assisted us with today’s visit. Ashlynn Vaughan, Child Care Consultant, accompanied me on today’s visit. The facility owned by Creative Darlings, INC. is current and active on the NC Secretary of State website as required. Ms. Vaughan monitored files while I conducted the walkthrough of the facility. I observed your Five-Star License, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, tobacco free facility signage, CPR/FA posters, and evacuation plans, posted as required. Today, children were adequately supervised, adequate approved space was used, and permit restrictions were maintained during the visit. Children were actively engaged in eating lunch, transitions, routine toileting practices, and washing hands. I observed activity areas including books, blocks, manipulatives, dramatic play, art, and science. I observed toys and equipment to be of sufficient quantity. I observed toys and equipment to be developmentally appropriate in all spaces. All over-the-counter medications/topical ointments were monitored. All prescription medications were monitored. All bathrooms were stocked with necessary supplies. Inspections/Drills/Logs Fire Inspection- September 8, 2025 Sanitation Inspection- October 14, 2025, with a Superior classification and 15 demerits. Playground Inspection- June 12, 2026 Fire Drill- May 19, 2026 Emergency Drill- April 3, 2026 Incident Log- Completed as required. Water Testing- November 27, 2023 Lead Paint and Asbestos Test- Exempt During today’s visit, nine files of employees who were hired since the ACV on December 16, 2025, were monitored. All staff were verified in the ABCM System for current Criminal Background Checks. All staff files were monitored for current CPR/FA, ITS-SIDS (if applicable), BSAC (if applicable), and Recognizing and Responding to Suspicions of Child Maltreatment. Rated License Assessment for Pathway 3 NAEYC Accreditation 1. On June 18, 2026, I received the Application for Assessment for a Rated License for Centers form. You have chosen NAEYC Accreditation Pathway (Pathway 3). 2. On June 18, 2026, I received the Classroom Staff/Child Ratio Worksheet indicating NAEYC ratios. 3. On June 18, 2026, I received documentation that the NAEYC Recognition Application was submitted by your facility on March 13, 2026. You stated you are currently in your NAEYC self-study window. Please submit the following outstanding required documentation needed for verification to me no later than July 2, 2026. 1. Verification that all classrooms are observing the NAEYC Staff/Child Ratios. Per child care rule 10A NCAC 09 .3224 (a & b) Recognition Of Quality Initiatives, a child care operator may choose to request one or more areas of recognition to accompany the issuance of a two through five-star rated license earned through compliance with any licensure pathway requirement of this Section. Quality initiatives will not be used to earn a star rating. Verification of requirements for each recognition shall be reassessed at least every three years, at the time of reassessment for a two through five-star rated license. Upon verification of the requirements, the Division will issue recognition of the following quality initiatives: • Education • Professional Development • Longevity and Experience • Staff Supports and Benefits • Health and Wellness Opportunities • Language Concentration • Culinary Emphasis • Ratio, Group Size, Enrollment Practices • Supplemental Environment • NC Breastfeeding – Friendly Child Care Designation Program • Military Child Care in Your Neighborhood – PLUS Recognition If you are interested in earning a Recognition Of Quality Initiatives send me verification of meeting them according to 10A NCAC 09 .3224 (a & b). Please continue to communicate NAEYC Accreditation updates to me. If you have not become accredited before the end of 2026 your facility may choose to move forward with Pathway 1-Program Assessment, or Pathway 2-Classroom and Instructional Quality to complete the Rated License process. Your signature on all forms served and will serve as verification that the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space Gym 1 there was shaving cream stored in an unlocked cabinet, in Space 12, toilet bowl cleaner was stored in an unlocked cabinet. In the Cafe area, the laundry room was not locked. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One employee with a hire date of 1/30/26, did not have a complete medical report with all of the requirements. 10A NCAC 09 .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One employee (DOH: 3/5/26, 1/30/26) did not have a health care professional listed. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Six employees (DOH: 3/23/26, 4/27/26, 3/23/26, 4/13/26 and two on 3/30/26) did not complete the required number of orientation hours during the first six weeks of employment. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Five staff members (DOH: 11/19/2025, 9/22/23, 3/5/2026, 12/8/23, 1/2/24) did not have an approved certification in First Aid. .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. Two staff members (DOH: 3/5/2026, 9/22/23) did not have an approved CPR certification on file. .1102(d) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Two employees (DOH: 1/30/26 and 3/23/26) did not have documentation of the required ITS SIDS training. .1102(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One employee (DOH: 1/30/26) did not have a copy of the Shaken Baby and Abusive Head Trauma Policy in their file. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Five staff members (DOH: 10/24/2025, 11/17/2025, 11/19/2025, 1/30/26, and 3/5/2026) did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) We provided technical assistance regarding the following topics: 1. Consider developing a tracking tool to monitor time sensitive trainings so that trainings can be completed within the required timeframe. 2. Remind staff of items which are considered hazardous and required to be stored under lock and key, vs. five feet off the floor. Ensure all areas with hazardous materials always remain locked. The key may NOT be stored in the lock. 3. All staff are required to be linked to ABCMS, once staff are hired ensure that they are linked as part of their onboarding requirements. 4. BLS is Basic Life Saving Skills and does not include the required First Aid Training. Review closely to ensure that staff have Infant/Child/Adult CPR and First Aid from an approved agency. 5. When reviewing medical reports for staff, monitor for a physician’s signature and a statement regarding the employee candidate’s ability to care for children. 6. All staff working with children 0-5 years of age are required to sign the policy for Shaken Baby and Abusive Head Trauma, prior to working with children. Include this form in the new hire packet to ensure it is signed before working with children. 7. All employees are required to have Recognizing and Responding to Child Maltreatment within 90 days of hire. This will be one of those time sensitive trainings which can be used on a tracking tool. 8. All center Administrators are required to have ITS-SIDS within 2 months of employment as well as staff working in the classroom for infants. This is another time sensitive training which can be included on a tracking tool when new staff are hired. 9. Orientation for newly hired staff should include the required number of hours during the first two weeks and then the first six weeks of employment to equate to 16 hours of total orientation hours. 10. Consultation was provided on the following: 1. We discussed the staff/child ratio changes that would need to take place in the various classrooms and the timeline in which they will need to be implemented. RESOURCES Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them to clarify or verify compliance. For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than July 2, 2026. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you should contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: You are required to maintain compliance with all applicable childcare rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all childcare facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. If you have any questions, feel free to contact me by phone at (704) 798-5220 or by email at Deborah.k.howell@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: KIDS 'R' KIDS NC #13 Facility ID: 13000547 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 6/18/2026 Number Present: 139 Completed Date: 6/18/2026 Age: From 0 To 10 Total Minutes: 352 Time In: 10:53 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Rated License Assessment Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable childcare requirements during a Rated License visit. Your last ACV was conducted on December 16, 2025. Your facility’s compliance history score prior to today’s visit was 90%. You, Jaclyn Greene, Director, assisted us with today’s visit. Ashlynn Vaughan, Child Care Consultant, accompanied me on today’s visit. The facility owned by Creative Darlings, INC. is current and active on the NC Secretary of State website as required. Ms. Vaughan monitored files while I conducted the walkthrough of the facility. I observed your Five-Star License, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, tobacco free facility signage, CPR/FA posters, and evacuation plans, posted as required. Today, children were adequately supervised, adequate approved space was used, and permit restrictions were maintained during the visit. Children were actively engaged in eating lunch, transitions, routine toileting practices, and washing hands. I observed activity areas including books, blocks, manipulatives, dramatic play, art, and science. I observed toys and equipment to be of sufficient quantity. I observed toys and equipment to be developmentally appropriate in all spaces. All over-the-counter medications/topical ointments were monitored. All prescription medications were monitored. All bathrooms were stocked with necessary supplies. Inspections/Drills/Logs Fire Inspection- September 8, 2025 Sanitation Inspection- October 14, 2025, with a Superior classification and 15 demerits. Playground Inspection- June 12, 2026 Fire Drill- May 19, 2026 Emergency Drill- April 3, 2026 Incident Log- Completed as required. Water Testing- November 27, 2023 Lead Paint and Asbestos Test- Exempt During today’s visit, nine files of employees who were hired since the ACV on December 16, 2025, were monitored. All staff were verified in the ABCM System for current Criminal Background Checks. All staff files were monitored for current CPR/FA, ITS-SIDS (if applicable), BSAC (if applicable), and Recognizing and Responding to Suspicions of Child Maltreatment. Rated License Assessment for Pathway 3 NAEYC Accreditation 1. On June 18, 2026, I received the Application for Assessment for a Rated License for Centers form. You have chosen NAEYC Accreditation Pathway (Pathway 3). 2. On June 18, 2026, I received the Classroom Staff/Child Ratio Worksheet indicating NAEYC ratios. 3. On June 18, 2026, I received documentation that the NAEYC Recognition Application was submitted by your facility on March 13, 2026. You stated you are currently in your NAEYC self-study window. Please submit the following outstanding required documentation needed for verification to me no later than July 2, 2026. 1. Verification that all classrooms are observing the NAEYC Staff/Child Ratios. Per child care rule 10A NCAC 09 .3224 (a & b) Recognition Of Quality Initiatives, a child care operator may choose to request one or more areas of recognition to accompany the issuance of a two through five-star rated license earned through compliance with any licensure pathway requirement of this Section. Quality initiatives will not be used to earn a star rating. Verification of requirements for each recognition shall be reassessed at least every three years, at the time of reassessment for a two through five-star rated license. Upon verification of the requirements, the Division will issue recognition of the following quality initiatives: • Education • Professional Development • Longevity and Experience • Staff Supports and Benefits • Health and Wellness Opportunities • Language Concentration • Culinary Emphasis • Ratio, Group Size, Enrollment Practices • Supplemental Environment • NC Breastfeeding – Friendly Child Care Designation Program • Military Child Care in Your Neighborhood – PLUS Recognition If you are interested in earning a Recognition Of Quality Initiatives send me verification of meeting them according to 10A NCAC 09 .3224 (a & b). Please continue to communicate NAEYC Accreditation updates to me. If you have not become accredited before the end of 2026 your facility may choose to move forward with Pathway 1-Program Assessment, or Pathway 2-Classroom and Instructional Quality to complete the Rated License process. Your signature on all forms served and will serve as verification that the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space Gym 1 there was shaving cream stored in an unlocked cabinet, in Space 12, toilet bowl cleaner was stored in an unlocked cabinet. In the Cafe area, the laundry room was not locked. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One employee with a hire date of 1/30/26, did not have a complete medical report with all of the requirements. 10A NCAC 09 .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One employee (DOH: 3/5/26, 1/30/26) did not have a health care professional listed. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Six employees (DOH: 3/23/26, 4/27/26, 3/23/26, 4/13/26 and two on 3/30/26) did not complete the required number of orientation hours during the first six weeks of employment. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Five staff members (DOH: 11/19/2025, 9/22/23, 3/5/2026, 12/8/23, 1/2/24) did not have an approved certification in First Aid. .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. Two staff members (DOH: 3/5/2026, 9/22/23) did not have an approved CPR certification on file. .1102(d) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Two employees (DOH: 1/30/26 and 3/23/26) did not have documentation of the required ITS SIDS training. .1102(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One employee (DOH: 1/30/26) did not have a copy of the Shaken Baby and Abusive Head Trauma Policy in their file. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Five staff members (DOH: 10/24/2025, 11/17/2025, 11/19/2025, 1/30/26, and 3/5/2026) did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) We provided technical assistance regarding the following topics: 1. Consider developing a tracking tool to monitor time sensitive trainings so that trainings can be completed within the required timeframe. 2. Remind staff of items which are considered hazardous and required to be stored under lock and key, vs. five feet off the floor. Ensure all areas with hazardous materials always remain locked. The key may NOT be stored in the lock. 3. All staff are required to be linked to ABCMS, once staff are hired ensure that they are linked as part of their onboarding requirements. 4. BLS is Basic Life Saving Skills and does not include the required First Aid Training. Review closely to ensure that staff have Infant/Child/Adult CPR and First Aid from an approved agency. 5. When reviewing medical reports for staff, monitor for a physician’s signature and a statement regarding the employee candidate’s ability to care for children. 6. All staff working with children 0-5 years of age are required to sign the policy for Shaken Baby and Abusive Head Trauma, prior to working with children. Include this form in the new hire packet to ensure it is signed before working with children. 7. All employees are required to have Recognizing and Responding to Child Maltreatment within 90 days of hire. This will be one of those time sensitive trainings which can be used on a tracking tool. 8. All center Administrators are required to have ITS-SIDS within 2 months of employment as well as staff working in the classroom for infants. This is another time sensitive training which can be included on a tracking tool when new staff are hired. 9. Orientation for newly hired staff should include the required number of hours during the first two weeks and then the first six weeks of employment to equate to 16 hours of total orientation hours. 10. Consultation was provided on the following: 1. We discussed the staff/child ratio changes that would need to take place in the various classrooms and the timeline in which they will need to be implemented. RESOURCES Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them to clarify or verify compliance. For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than July 2, 2026. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you should contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: You are required to maintain compliance with all applicable childcare rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all childcare facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. If you have any questions, feel free to contact me by phone at (704) 798-5220 or by email at Deborah.k.howell@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: KIDS 'R' KIDS NC #13 Facility ID: 13000547 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 12/16/2025 Number Present: 136 Completed Date: 12/16/2025 Age: From 0 To 5 Total Minutes: 405 Time In: 09:45 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance for applicable childcare requirements during an annual compliance visit, I used the " Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. Your last annual compliance visit was conducted on January 7, 2025. Prior to today’s visit your compliance history was 92%. You, Misty Mullins, Director, assisted me with today’s visit. Leah Beattie, Director, also assisted. Your facility, owned by Creative Darlings Inc., was current/active as viewed on the North Carolina Secretary of State website. I observed your Five Star License, NC Child Care Summary of the Law, Safe Procedures for Arrival & Departure, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, First Aid poster, tobacco free facility signage and evacuation plans posted as required. Children were adequately supervised, and ratios were maintained during today’s visit. Adequate approved space was used, and permit restriction requirements were maintained during today’s visit. Children were engaged in free play in activity areas, outdoors, washing hands, toileting, and transitions. Today’s lunch consisted of turkey and cheese sandwiches, French fries, fruit, and milk. I observed activity areas including books, blocks, manipulatives, dramatic play, art, science, music, writing, and cozy/quiet areas. I observed toys and equipment to be developmentally appropriate in most spaces. I observed activity plans to be current and posted in each classroom. I observed two NC Pre-K classrooms. I observed the Administrator does not serve as the NC Pre-K teacher in the classroom. The assessment used is Teaching Strategies Gold. The screening tool used is the Dial-4. The curriculum is Creative Curriculum. The classrooms incorporate take home activities, parent volunteers, special programs, and other activities as part of their parent involvement. I monitored all creams, ointments and the permission to administer forms. There were no prescription medications in the facility. I monitored the equipment and materials in the outdoor play spaces. I observed all spaces supplied with a variety of age-appropriate materials and equipment. Inspections, Drills, Logs Sanitation Inspection- October 14, 2025, with an Approved rating and fifteen demerits. Fire Inspection- September 8, 2025 Playground Inspection- November 19, 2025 Fire Drill- November 20, 2025 Emergency Drill- October 7, 2025 Incident Log-Completed as required Screen Time Log-Completed as required I monitored transportation requirements for your program. I monitored a random selection of twenty-two children’s files. I monitored thirteen new staff files hired since January 7, 2025, and three existing staff files, one of which was the director, an infant teacher, and an NC Pre-K Lead Teacher. During today’s visit, we discussed the three QRIS Pathways to the Stars effective July 1, 2025. We covered enhanced ratios and space expectations, staff education including ensuring all staff have WORKS accounts, understanding the 50% requirement for lead teachers and for other educators, and how work experience may count, the Family and Community Engagement Foundational Practices, Continuous Quality Improvement (CQI) Plan for the Facility and Individuals, Self-Study and Coaching/Mentoring or Training. During today’s visit, I assisted you in locating the following information on the DCDEE website: 1) QRIS Modernization resources: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization 2) Chapter 10 General Statutes Child Care Facilities: https://www.ncleg.gov/enactedlegislation/statutes/pdf/byarticle/chapter_110/article_7.pdf 3) Chapter 9 Child Care Rules: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/Chapter_9_Child_Care_Rules_effective_November_1_2024.pdf 4) NC Child Care Commission Approved Curricula: https://ncchildcare.ncdhhs.gov/Services/NC-Pre-K-Program/Approved-Curricula 5) NC Child Care Commission Approved Formative Assessments: https://ncchildcare.ncdhhs.gov/Services/NC-Pre-K-Program/Formative-Assessment During today’s visit, I directed you to the North Carolina Rated License Assessment Project (NCRLAP) website for resources and trainings related to Environmental Rating Scales (ERS). Your signature on all forms served and will serve as verification the information provided was accurate and complete. There following violations were observed and cited during the 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 1 there was a diaper ointment with no permission to administer form. In Space 4, there was a permission to administer form which had expired. 10A NCAC 09 .0803(1)(a & b) 1329 Application for enrollment did not include all required information. One child's file did not contain all the required information regarding health care concerns, fears, or allergies. .0801(a)(1-7) 1417 The equipment and materials were not age-appropriate for the children in care. In the classroom for school aged children, more materials with a higher level of difficulty like legos, games, books and puzzles needs to be added. 10A NCAC 09 .2508(d) Today, I provided technical assistance regarding the following topics: 1. Keep files which are incomplete on your desk to ensure that items are completed in a timely manner. Review all areas of the application and enrollment packet prior to signing off on them. 2. I suggested requiring teachers to conduct a monthly audit on diaper creams and ointments to monitor for expired forms and to ensure all medications have a permission to administer form. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. Your letter may be mailed to me at: Deborah Howell Post Office Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than December 30, 2025. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation 1. As discussed today, this facility should consider the QRIS options and make a decision as to the option the facility wishes to pursue for their rated license reassessment. While this facility may begin their rated license reassessment process at any time, this facility should be prepared to submit their Application for Assessment for a Rated License no later than between April 1, 2026 and September 30, 2026. The following steps are how you can begin preparing for the Rated License process: If you choose Pathway 1: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant during the next visit. • Complete the “Environmental Rating Scale (ERS) Assessment Request” form electronically and submit to your child care consultant during the next visit. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Begin planning for your three-month self-study using the applicable ITERS-3, ECERS-3, SACERS-U, OR FCCERS-3 books. • Prepare for Environmental Rating Scale (ERS) assessments. o Access resources, trainings, and outreach via ncrlap.org. o Work with CCR&R or Smart Start for support in preparation. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • If four-year-olds are enrolled, select and implement an approved curriculum. If you choose Pathway 2: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant during the next visit. • Confirm all staff have active WORKS accounts. • If you are accredited through NAFCC, NECPA, AMS, or IMC, you may earn a three star rated license with NO Education standards evaluation. • If you are accredited through NAFCC, NECPA, AMS, or IMC and would like to earn a four or five star rated license, the Education standard evaluation will determine the star rating earned. • If you are accredited through NAEYC, NAC, COGNIA, or your facility is Head Start and/or Early Head Start Education, NO Education standards evaluation is needed. • Documentation of accreditation status and Head Start designation must be submitted to process your star rated license. 2. For additional support regarding preparations for the ERS, I suggested you contact your local Partnership for assistance. • Complete the QRIS Staff Information and Education Worksheet electronically. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • Select and implement a curriculum. (4- and 5-star centers must use an approved curriculum and formative assessment tool for all ages.) • Arranging coaching or training options for administrators and lead teachers. If you choose Pathway 3: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant during the next visit. • Ensure all staff have active WORKS accounts. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Feel free to contact me by phone at (704)798-5220 or by email at Deborah.k.howell@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have any questions. Thank you for your time today. Thank you for maintaining well organized files for children and staff. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2508 · Violation

Name of Operation: KIDS 'R' KIDS NC #13 Facility ID: 13000547 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 12/16/2025 Number Present: 136 Completed Date: 12/16/2025 Age: From 0 To 5 Total Minutes: 405 Time In: 09:45 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance for applicable childcare requirements during an annual compliance visit, I used the " Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. Your last annual compliance visit was conducted on January 7, 2025. Prior to today’s visit your compliance history was 92%. You, Misty Mullins, Director, assisted me with today’s visit. Leah Beattie, Director, also assisted. Your facility, owned by Creative Darlings Inc., was current/active as viewed on the North Carolina Secretary of State website. I observed your Five Star License, NC Child Care Summary of the Law, Safe Procedures for Arrival & Departure, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, First Aid poster, tobacco free facility signage and evacuation plans posted as required. Children were adequately supervised, and ratios were maintained during today’s visit. Adequate approved space was used, and permit restriction requirements were maintained during today’s visit. Children were engaged in free play in activity areas, outdoors, washing hands, toileting, and transitions. Today’s lunch consisted of turkey and cheese sandwiches, French fries, fruit, and milk. I observed activity areas including books, blocks, manipulatives, dramatic play, art, science, music, writing, and cozy/quiet areas. I observed toys and equipment to be developmentally appropriate in most spaces. I observed activity plans to be current and posted in each classroom. I observed two NC Pre-K classrooms. I observed the Administrator does not serve as the NC Pre-K teacher in the classroom. The assessment used is Teaching Strategies Gold. The screening tool used is the Dial-4. The curriculum is Creative Curriculum. The classrooms incorporate take home activities, parent volunteers, special programs, and other activities as part of their parent involvement. I monitored all creams, ointments and the permission to administer forms. There were no prescription medications in the facility. I monitored the equipment and materials in the outdoor play spaces. I observed all spaces supplied with a variety of age-appropriate materials and equipment. Inspections, Drills, Logs Sanitation Inspection- October 14, 2025, with an Approved rating and fifteen demerits. Fire Inspection- September 8, 2025 Playground Inspection- November 19, 2025 Fire Drill- November 20, 2025 Emergency Drill- October 7, 2025 Incident Log-Completed as required Screen Time Log-Completed as required I monitored transportation requirements for your program. I monitored a random selection of twenty-two children’s files. I monitored thirteen new staff files hired since January 7, 2025, and three existing staff files, one of which was the director, an infant teacher, and an NC Pre-K Lead Teacher. During today’s visit, we discussed the three QRIS Pathways to the Stars effective July 1, 2025. We covered enhanced ratios and space expectations, staff education including ensuring all staff have WORKS accounts, understanding the 50% requirement for lead teachers and for other educators, and how work experience may count, the Family and Community Engagement Foundational Practices, Continuous Quality Improvement (CQI) Plan for the Facility and Individuals, Self-Study and Coaching/Mentoring or Training. During today’s visit, I assisted you in locating the following information on the DCDEE website: 1) QRIS Modernization resources: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization 2) Chapter 10 General Statutes Child Care Facilities: https://www.ncleg.gov/enactedlegislation/statutes/pdf/byarticle/chapter_110/article_7.pdf 3) Chapter 9 Child Care Rules: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/Chapter_9_Child_Care_Rules_effective_November_1_2024.pdf 4) NC Child Care Commission Approved Curricula: https://ncchildcare.ncdhhs.gov/Services/NC-Pre-K-Program/Approved-Curricula 5) NC Child Care Commission Approved Formative Assessments: https://ncchildcare.ncdhhs.gov/Services/NC-Pre-K-Program/Formative-Assessment During today’s visit, I directed you to the North Carolina Rated License Assessment Project (NCRLAP) website for resources and trainings related to Environmental Rating Scales (ERS). Your signature on all forms served and will serve as verification the information provided was accurate and complete. There following violations were observed and cited during the 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 1 there was a diaper ointment with no permission to administer form. In Space 4, there was a permission to administer form which had expired. 10A NCAC 09 .0803(1)(a & b) 1329 Application for enrollment did not include all required information. One child's file did not contain all the required information regarding health care concerns, fears, or allergies. .0801(a)(1-7) 1417 The equipment and materials were not age-appropriate for the children in care. In the classroom for school aged children, more materials with a higher level of difficulty like legos, games, books and puzzles needs to be added. 10A NCAC 09 .2508(d) Today, I provided technical assistance regarding the following topics: 1. Keep files which are incomplete on your desk to ensure that items are completed in a timely manner. Review all areas of the application and enrollment packet prior to signing off on them. 2. I suggested requiring teachers to conduct a monthly audit on diaper creams and ointments to monitor for expired forms and to ensure all medications have a permission to administer form. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. Your letter may be mailed to me at: Deborah Howell Post Office Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than December 30, 2025. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation 1. As discussed today, this facility should consider the QRIS options and make a decision as to the option the facility wishes to pursue for their rated license reassessment. While this facility may begin their rated license reassessment process at any time, this facility should be prepared to submit their Application for Assessment for a Rated License no later than between April 1, 2026 and September 30, 2026. The following steps are how you can begin preparing for the Rated License process: If you choose Pathway 1: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant during the next visit. • Complete the “Environmental Rating Scale (ERS) Assessment Request” form electronically and submit to your child care consultant during the next visit. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Begin planning for your three-month self-study using the applicable ITERS-3, ECERS-3, SACERS-U, OR FCCERS-3 books. • Prepare for Environmental Rating Scale (ERS) assessments. o Access resources, trainings, and outreach via ncrlap.org. o Work with CCR&R or Smart Start for support in preparation. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • If four-year-olds are enrolled, select and implement an approved curriculum. If you choose Pathway 2: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant during the next visit. • Confirm all staff have active WORKS accounts. • If you are accredited through NAFCC, NECPA, AMS, or IMC, you may earn a three star rated license with NO Education standards evaluation. • If you are accredited through NAFCC, NECPA, AMS, or IMC and would like to earn a four or five star rated license, the Education standard evaluation will determine the star rating earned. • If you are accredited through NAEYC, NAC, COGNIA, or your facility is Head Start and/or Early Head Start Education, NO Education standards evaluation is needed. • Documentation of accreditation status and Head Start designation must be submitted to process your star rated license. 2. For additional support regarding preparations for the ERS, I suggested you contact your local Partnership for assistance. • Complete the QRIS Staff Information and Education Worksheet electronically. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • Select and implement a curriculum. (4- and 5-star centers must use an approved curriculum and formative assessment tool for all ages.) • Arranging coaching or training options for administrators and lead teachers. If you choose Pathway 3: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant during the next visit. • Ensure all staff have active WORKS accounts. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Feel free to contact me by phone at (704)798-5220 or by email at Deborah.k.howell@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have any questions. Thank you for your time today. Thank you for maintaining well organized files for children and staff. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0806 · Violation

Name of Operation: KIDS 'R' KIDS NC #13 Facility ID: 13000547 Consultant: TONI WASHINGTON Operation Type: Center Case Number: 1125-160L Visit Date: 11/24/2025 Number Present: 146 Completed Date: 11/24/2025 Age: From 0 To 5 Total Minutes: 180 Time In: 09:30 AM Time Out: 12:30 PM 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 child care requirements regarding positive staff to child interactions, sanitation, and children records pertaining to incident reports. You, Leah Beattie and Misty Mullins, Directors assisted me with my walkthrough today. You, Leah Beattie and Misty Mullins, were given a chance to reply to the allegation listed above. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions, and the outdoor environment were monitored. The license and emergency care plan were posted. Fire drills, and storage of hazardous products were also monitored. Additionally, I observed the indoor and outdoor space used by the children. I observed the teachers’ engagement with students in large group activities. I observed children in small group activities, center play, and personal care routines. Regarding the allegation that there is a concern related to positive staff-to-child interactions, I observed the classroom during the morning meeting and the transition to outside play. I observed teachers walking around and engaging with children, including interacting positively during a game in which children practiced spelling their names. I observed teachers speaking positively to each child and reinforcing positive care manners while assisting children with putting on their coats for outside play. I also observed teachers having one-on-one conversations with children about their day and about the activities planned for outside. Based on my observations of the classroom and interviews with staff and administrative personnel, the allegation regarding positive staff-to-child interactions is unsubstantiated. Regarding the allegation that there is a concern related to sanitation, I observed children engaged in personal care routines. I interviewed staff today about the potty-training procedures for the classroom. Staff stated that children are typically fully potty trained before enrollment in the Pre-K classroom. Staff also stated that parents are responsible for providing extra clothing if a child has an accident during nap time or at any other time during the day. Teachers reported that these clothes are kept in each child’s cubby and used as needed. It was stated by both the teacher and the director that the center no longer maintains extra underwear for children who have accidents and do not have clothing available in their cubby. The director stated that the center previously had extra underwear, but it was provided to children in need and has not been replenished. During interviews, the teacher reported that the child in question did have extra underwear, but it had been placed in another child’s cubby. As a result, the underwear was not provided to the child following the accident, which led to the child not having underwear on when picked up by the parent. Based on teacher interviews and information obtained during the investigation, the allegation regarding sanitation is substantiated. Regarding the allegation that there is a concern related to children’s records pertaining to incident reports, it was stated by both the administrative staff and the classroom teacher that an incident report was not provided to the parent on the day of the incident. The teacher stated that she did not complete the incident report until the end of the day, and that the report was given to the parent to sign the following day. It was also stated that the parent was not contacted at the time of the incident; however, the parent arrived shortly after the children returned to the classroom from the playground. The incident was reviewed on video footage provided by the facility. The footage showed children playing on the slide tunnel on the playground, and it did not show the child receiving an injury. Administrative staff stated that at the time of the incident the child was checked and appeared to have no injuries. The teacher similarly stated that she checked the child for injuries and the child appeared to have none. Administrative staff stated that the parent later called to inform them that the child was taken to the emergency department because the parent noticed the child was unable to move her left arm. Based on the teacher and administrative staff not having confirmation of an injury until after the parent reported the injury to the administration, and my review of video footage of the playground provided by the facility, the allegation of children’s records pertaining to incident reports is unsubstantiated. The following violation was observed and cited during today’s visit. Violation Number Comment Rule 803 There were no clean clothes available for the children to wear when children's clothes became wet or soiled. There were no underwear provided to child when changing clothes after an incident during naptime. 10A NCAC 09 .0806(b) Technical Assistance: 1.It was discussed with administrative staff that an incident report must be completed at the time the incident occurs and provided to the parent at the time the child is picked up from the facility. 2. It was discussed that it would be beneficial for the facility to keep extra clothing on hand for children who do not have spare clothing available when accidents occur. Staff were advised to be more proactive in notifying parents when their child’s cubby does not contain extra clothing. It was also suggested that the facility send reminders home to parents regarding the need to maintain extra clothing for their children. All violations cited and not corrected today must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your compliance letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature 2)Supporting documentation including the following: Please send supporting documentation such as training certificates, CBC letters, acknowledgement statements, and photographs for me to use to verify compliance. Please DO NOT send staff or child medical documents or documentation for verification as this is a violation of HIPPA protocol. If needed I will verify these documents at the next monitoring visit. I must receive your letter of compliance no later than December 08, 2025. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Your letter may be mailed to me at: Toni Washington Post Office Box 6217 Mooresville, NC 28117 For your convenience, your compliance letter may be sent by email to: toni.washington@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included in the body of the email: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff are doing to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 437-2549 or by email at toni.washington@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. Thank you for your time today. We appreciate all you are doing to serve the children and families of NC. If you have any questions, feel free to contact me by phone at (704) 437-2549 or by email at toni.washington@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: KIDS 'R' KIDS NC #13 Facility ID: 13000547 Consultant: TAMIKA POWELL Operation Type: Center Case Number: 0425-070A Visit Date: 4/21/2025 Number Present: 0 Completed Date: 4/21/2025 Age: From 0 To 0 Total Minutes: 75 Time In: 10:15 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of this unannounced visit was to follow-up regarding allegations of violations of child care requirements at this child care facility. A walk-through of the facility was not completed as the center was closed today. During the visit, I spoke with Misty Mullins and Leah Beattie, administrators. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On April 10, 2025, a staff member inappropriately touched a four-year-old child on both sides of the face with an open hand. G.S. 110-91(10) You may contact me at Tamika Powell, Investigations Consultant, (704) 330-9725, Tamika.t.powell@dhhs.nc.gov or Veronica Grant, South Central Investigations Team Supervisor, veronica.grant@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: KIDS 'R' KIDS NC #13 Facility ID: 13000547 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 1/7/2025 Number Present: 134 Completed Date: 1/7/2025 Age: From 0 To 10 Total Minutes: 345 Time In: 09:30 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance for applicable childcare requirements during an annual compliance visit, I used the " Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. Your last annual compliance visit was conducted on January 12, 2024. Prior to today’s visit your compliance history was 91%. You, Kris Parker, Director, assisted me with today’s visit. Misty Mullins, Director, also assisted. Your facility, owned by Creative Darlings Inc., was current/active as viewed on the North Carolina Secretary of State website. I observed your Five Star License, NC Child Care Summary of the Law, Safe Procedures for Arrival & Departure, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, First Aid poster, tobacco free facility signage and evacuation plans posted as required. Today, children were adequately supervised, and ratios were maintained during today’s visit. Adequate approved space was used, and permit restriction requirements were maintained during today’s visit. Children were engaged in free play in activity areas, outdoors, washing hands, toileting, and transitions. Today’s lunch consisted of corndogs, baked beans, sliced apples, and milk. I observed activity areas including books, blocks, manipulatives, dramatic play, art, science, music, writing, and cozy/quiet areas. I observed toys and equipment to be developmentally appropriate in all spaces. I observed activity plans to be current and posted in each classroom. I observed two NC Pre-K classrooms. I observed the Administrator does not serve as the NC Pre-K teacher in the classroom. The assessment used is Teaching Strategies Gold. The screening tool used is the Dial-4. The curriculum is Creative Curriculum. The classrooms incorporate take home activities, parent volunteers, special programs, and other activities as part of their parent involvement. I monitored all creams, ointments and the permission to administer forms. There were no prescription medications in the facility. I monitored the equipment and materials in the outdoor play spaces. I observed all spaces supplied with a variety of age-appropriate materials and equipment. Inspections, Drills, Logs Sanitation Inspection- October 29, 2024, with an Approved rating and twenty demerits. Fire Inspection- September 27, 2024 Playground Inspection- December 12, 2024 Fire Drill- December 23, 2024 Emergency Drill- October 9, 2024 Incident Log-Completed as required Screen Time Log-Completed as required I monitored transportation requirements for your program. I monitored a random selection of eighteen children’s files. I monitored eight new staff files hired since January 12, 2024, and three existing staff files, one of which was the director, an infant teacher, and the long term substitute for the NC Pre-K Lead Teacher. Your signature on all forms served and will serve as verification the information provided was accurate and complete. There following violations were observed and cited during the visit Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. In Space 2 plastic soft blocks had frayed corners. In Space 9 there were storage buckets with cracks which could harm a child, and ripped and torn books. In Spaces 4 and 8 the rugs had frayed corners which can be a tripping hazard. In Spaces 7 and 10 the sink in the home living areas did not have a faucet. In Space 6 there were ripped and torn books. G.S. 110-91(6); .0601(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Spaces 4 and 11 there were outlets that did not have safety covers. 10A NCAC 09 .0604(c) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Two children's files did not contain the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) Today, I provided technical assistance regarding the following topics: 1. Conduct a quarterly audit of files to ensure all required paperwork has been completed and placed in the files. 2. A morning walkthrough of each classroom prior to the arrival of children to monitor for outlets, broken toys, hazardous items, or items in disrepair would ensure that dangerous items or items which need to be removed from children’s access is completed daily. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than January 21,2024. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Feel free to contact me by phone at (704)798-5220 or by email at Deborah.k.howell@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have any questions. Thank you for your time today. Thank you for maintaining well organized files for children and staff. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: KIDS 'R' KIDS NC #13 Facility ID: 13000547 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 1/7/2025 Number Present: 134 Completed Date: 1/7/2025 Age: From 0 To 10 Total Minutes: 345 Time In: 09:30 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance for applicable childcare requirements during an annual compliance visit, I used the " Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. Your last annual compliance visit was conducted on January 12, 2024. Prior to today’s visit your compliance history was 91%. You, Kris Parker, Director, assisted me with today’s visit. Misty Mullins, Director, also assisted. Your facility, owned by Creative Darlings Inc., was current/active as viewed on the North Carolina Secretary of State website. I observed your Five Star License, NC Child Care Summary of the Law, Safe Procedures for Arrival & Departure, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, First Aid poster, tobacco free facility signage and evacuation plans posted as required. Today, children were adequately supervised, and ratios were maintained during today’s visit. Adequate approved space was used, and permit restriction requirements were maintained during today’s visit. Children were engaged in free play in activity areas, outdoors, washing hands, toileting, and transitions. Today’s lunch consisted of corndogs, baked beans, sliced apples, and milk. I observed activity areas including books, blocks, manipulatives, dramatic play, art, science, music, writing, and cozy/quiet areas. I observed toys and equipment to be developmentally appropriate in all spaces. I observed activity plans to be current and posted in each classroom. I observed two NC Pre-K classrooms. I observed the Administrator does not serve as the NC Pre-K teacher in the classroom. The assessment used is Teaching Strategies Gold. The screening tool used is the Dial-4. The curriculum is Creative Curriculum. The classrooms incorporate take home activities, parent volunteers, special programs, and other activities as part of their parent involvement. I monitored all creams, ointments and the permission to administer forms. There were no prescription medications in the facility. I monitored the equipment and materials in the outdoor play spaces. I observed all spaces supplied with a variety of age-appropriate materials and equipment. Inspections, Drills, Logs Sanitation Inspection- October 29, 2024, with an Approved rating and twenty demerits. Fire Inspection- September 27, 2024 Playground Inspection- December 12, 2024 Fire Drill- December 23, 2024 Emergency Drill- October 9, 2024 Incident Log-Completed as required Screen Time Log-Completed as required I monitored transportation requirements for your program. I monitored a random selection of eighteen children’s files. I monitored eight new staff files hired since January 12, 2024, and three existing staff files, one of which was the director, an infant teacher, and the long term substitute for the NC Pre-K Lead Teacher. Your signature on all forms served and will serve as verification the information provided was accurate and complete. There following violations were observed and cited during the visit Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. In Space 2 plastic soft blocks had frayed corners. In Space 9 there were storage buckets with cracks which could harm a child, and ripped and torn books. In Spaces 4 and 8 the rugs had frayed corners which can be a tripping hazard. In Spaces 7 and 10 the sink in the home living areas did not have a faucet. In Space 6 there were ripped and torn books. G.S. 110-91(6); .0601(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Spaces 4 and 11 there were outlets that did not have safety covers. 10A NCAC 09 .0604(c) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Two children's files did not contain the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) Today, I provided technical assistance regarding the following topics: 1. Conduct a quarterly audit of files to ensure all required paperwork has been completed and placed in the files. 2. A morning walkthrough of each classroom prior to the arrival of children to monitor for outlets, broken toys, hazardous items, or items in disrepair would ensure that dangerous items or items which need to be removed from children’s access is completed daily. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than January 21,2024. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Feel free to contact me by phone at (704)798-5220 or by email at Deborah.k.howell@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have any questions. Thank you for your time today. Thank you for maintaining well organized files for children and staff. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: KIDS 'R' KIDS NC #13 Facility ID: 13000547 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 1/7/2025 Number Present: 134 Completed Date: 1/7/2025 Age: From 0 To 10 Total Minutes: 345 Time In: 09:30 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance for applicable childcare requirements during an annual compliance visit, I used the " Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. Your last annual compliance visit was conducted on January 12, 2024. Prior to today’s visit your compliance history was 91%. You, Kris Parker, Director, assisted me with today’s visit. Misty Mullins, Director, also assisted. Your facility, owned by Creative Darlings Inc., was current/active as viewed on the North Carolina Secretary of State website. I observed your Five Star License, NC Child Care Summary of the Law, Safe Procedures for Arrival & Departure, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, First Aid poster, tobacco free facility signage and evacuation plans posted as required. Today, children were adequately supervised, and ratios were maintained during today’s visit. Adequate approved space was used, and permit restriction requirements were maintained during today’s visit. Children were engaged in free play in activity areas, outdoors, washing hands, toileting, and transitions. Today’s lunch consisted of corndogs, baked beans, sliced apples, and milk. I observed activity areas including books, blocks, manipulatives, dramatic play, art, science, music, writing, and cozy/quiet areas. I observed toys and equipment to be developmentally appropriate in all spaces. I observed activity plans to be current and posted in each classroom. I observed two NC Pre-K classrooms. I observed the Administrator does not serve as the NC Pre-K teacher in the classroom. The assessment used is Teaching Strategies Gold. The screening tool used is the Dial-4. The curriculum is Creative Curriculum. The classrooms incorporate take home activities, parent volunteers, special programs, and other activities as part of their parent involvement. I monitored all creams, ointments and the permission to administer forms. There were no prescription medications in the facility. I monitored the equipment and materials in the outdoor play spaces. I observed all spaces supplied with a variety of age-appropriate materials and equipment. Inspections, Drills, Logs Sanitation Inspection- October 29, 2024, with an Approved rating and twenty demerits. Fire Inspection- September 27, 2024 Playground Inspection- December 12, 2024 Fire Drill- December 23, 2024 Emergency Drill- October 9, 2024 Incident Log-Completed as required Screen Time Log-Completed as required I monitored transportation requirements for your program. I monitored a random selection of eighteen children’s files. I monitored eight new staff files hired since January 12, 2024, and three existing staff files, one of which was the director, an infant teacher, and the long term substitute for the NC Pre-K Lead Teacher. Your signature on all forms served and will serve as verification the information provided was accurate and complete. There following violations were observed and cited during the visit Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. In Space 2 plastic soft blocks had frayed corners. In Space 9 there were storage buckets with cracks which could harm a child, and ripped and torn books. In Spaces 4 and 8 the rugs had frayed corners which can be a tripping hazard. In Spaces 7 and 10 the sink in the home living areas did not have a faucet. In Space 6 there were ripped and torn books. G.S. 110-91(6); .0601(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Spaces 4 and 11 there were outlets that did not have safety covers. 10A NCAC 09 .0604(c) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Two children's files did not contain the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) Today, I provided technical assistance regarding the following topics: 1. Conduct a quarterly audit of files to ensure all required paperwork has been completed and placed in the files. 2. A morning walkthrough of each classroom prior to the arrival of children to monitor for outlets, broken toys, hazardous items, or items in disrepair would ensure that dangerous items or items which need to be removed from children’s access is completed daily. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than January 21,2024. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Feel free to contact me by phone at (704)798-5220 or by email at Deborah.k.howell@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have any questions. Thank you for your time today. Thank you for maintaining well organized files for children and staff. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: KIDS 'R' KIDS NC #13 Facility ID: 13000547 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 1/12/2024 Number Present: 166 Completed Date: 1/16/2024 Age: From 0 To 5 Total Minutes: 410 Time In: 09:30 AM Time Out: 04:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance for applicable childcare requirements during an annual compliance visit, I used the " Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. Your last annual compliance visit was conducted on March 16, 2023. Prior to today’s visit your compliance history was 83%. You, Kris Parker, Director, assisted me with today’s visit. Misty Mullins, Director, also assisted. Your facility, owned by Creative Darlings Inc., was current/active as viewed on the North Carolina Secretary of State website. I observed your Five Star License, NC Child Care Summary of the Law, Safe Procedures for Arrival & Departure, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, First Aid poster, tobacco free facility signage and evacuation plans posted as required. I observed children adequately supervised during today’s visit. I observed adequate approved space use and permit restrictions requirements maintained during today’s visit. I observed children engaged in free play in activity areas, outdoors, washing hands, toileting, transitions, and lunch. Today’s lunch consisted of Cheese pizza on pita bread, corn, pineapple, and milk. I observed activity areas including books, blocks, manipulatives, dramatic play, art, science, music, writing, and cozy/quiet areas. I observed toys and equipment to be developmentally appropriate in all spaces. I observed activity plans to be current and posted in each classroom. I observed two NC Pre-K classrooms. I observed the Administrator does not serve as the NC Pre-K teacher in the classroom. The assessment used is Teaching Strategies Gold. The screening tool used is the Dial-4. The curriculum is Creative Curriculum. The classrooms incorporate take home activities, parent volunteers, special programs, and other activities as part of their parent involvement. I observed a total of twenty-six diaper creams/ointments. I monitored a random selection of eight diaper creams. I observed all diaper creams labeled with the name of the child. I observed all permission to administer topical ointment slips to be current and on file. I monitored the equipment and materials in the outdoor play spaces. I observed all spaces supplied with a variety of age-appropriate materials and equipment. All the outdoor spaces will be undergoing renovations one playground at a time. A schedule has been created to ensure there are opportunities for all classes to have the required amount of time outdoors. Currently, the playground for toddlers aged children is under renovation. The facility will notify me upon completion for inspection and approval prior to use by children. I observed drills to be current and documented as required. I observed Fire and Sanitation inspections to be occurring as required. I observed menus posted in the classrooms and the kitchen. I observed monthly Outdoor Inspections documented for the past twelve months and current. I monitored transportation requirements for your program. I monitored a random selection of twenty children’s files. I monitored fourteen new staff files hired since March 16, 2023, and two existing staff files, one of which was the director and the other was the NC Pre-K Lead Teacher. Your signature on all forms served and will serve as verification the information provided was accurate and complete. There following violations were observed and cited during the visit. Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) In Space 1, infant feeding plans were not posted. 10A NCAC 09 .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 4, Hello Bello hand sanitizer, white out and batteries were not kept in locked storage as required. .2820(b) 843 A drug or medicine was administered after its expiration date. In Space 12 a tube of Desitin diaper ointment had an expiration date of 1/2020. 10A NCAC 09 .0803(1)(d) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. A photograph was missing from one of the children's emergency information forms. 10A NCAC 09 .1003(d) 9995 A violation was found for which there is no item number. In Space 8 there was no toilet paper in the girls bathroom. This is a violation of 15A NCAC 18A .2817(a). Today, I provided technical assistance regarding the following topics: Compliance Plan: 1. Infant feeding plans are required to be posted according to the rule. Therefore, anytime someone who is subbing in the classroom, they can see immediately what each child needs. 2. Consider doing periodic classroom checks to monitor for hazardous items which are required to be kept in locked storage. Hanging the “Locked Storage” poster in the classroom is another good reminder especially for newer staff. 3. Have one teacher, (maybe the Lead) in each classroom be responsible for accepting diaper creams or ointments to ensure none are brought with expired dates. 4. Keep extra toilet paper within reach so when the rolls in the dispenser run out there is some available to the children. Or, have teachers check before and after each bathroom use to make sure the dispenser is filled. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Please continue to visit DCDEE’s website to get the latest information for child care settings and child care updates at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. Feel free to contact me by phone at (704)798-5220 or by email at Deborah.k.howell@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have any questions. Thank you for your time today. Thank you for maintaining well organized files for children and staff. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0902 · Violation

Name of Operation: KIDS 'R' KIDS NC #13 Facility ID: 13000547 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 1/12/2024 Number Present: 166 Completed Date: 1/16/2024 Age: From 0 To 5 Total Minutes: 410 Time In: 09:30 AM Time Out: 04:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance for applicable childcare requirements during an annual compliance visit, I used the " Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. Your last annual compliance visit was conducted on March 16, 2023. Prior to today’s visit your compliance history was 83%. You, Kris Parker, Director, assisted me with today’s visit. Misty Mullins, Director, also assisted. Your facility, owned by Creative Darlings Inc., was current/active as viewed on the North Carolina Secretary of State website. I observed your Five Star License, NC Child Care Summary of the Law, Safe Procedures for Arrival & Departure, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, First Aid poster, tobacco free facility signage and evacuation plans posted as required. I observed children adequately supervised during today’s visit. I observed adequate approved space use and permit restrictions requirements maintained during today’s visit. I observed children engaged in free play in activity areas, outdoors, washing hands, toileting, transitions, and lunch. Today’s lunch consisted of Cheese pizza on pita bread, corn, pineapple, and milk. I observed activity areas including books, blocks, manipulatives, dramatic play, art, science, music, writing, and cozy/quiet areas. I observed toys and equipment to be developmentally appropriate in all spaces. I observed activity plans to be current and posted in each classroom. I observed two NC Pre-K classrooms. I observed the Administrator does not serve as the NC Pre-K teacher in the classroom. The assessment used is Teaching Strategies Gold. The screening tool used is the Dial-4. The curriculum is Creative Curriculum. The classrooms incorporate take home activities, parent volunteers, special programs, and other activities as part of their parent involvement. I observed a total of twenty-six diaper creams/ointments. I monitored a random selection of eight diaper creams. I observed all diaper creams labeled with the name of the child. I observed all permission to administer topical ointment slips to be current and on file. I monitored the equipment and materials in the outdoor play spaces. I observed all spaces supplied with a variety of age-appropriate materials and equipment. All the outdoor spaces will be undergoing renovations one playground at a time. A schedule has been created to ensure there are opportunities for all classes to have the required amount of time outdoors. Currently, the playground for toddlers aged children is under renovation. The facility will notify me upon completion for inspection and approval prior to use by children. I observed drills to be current and documented as required. I observed Fire and Sanitation inspections to be occurring as required. I observed menus posted in the classrooms and the kitchen. I observed monthly Outdoor Inspections documented for the past twelve months and current. I monitored transportation requirements for your program. I monitored a random selection of twenty children’s files. I monitored fourteen new staff files hired since March 16, 2023, and two existing staff files, one of which was the director and the other was the NC Pre-K Lead Teacher. Your signature on all forms served and will serve as verification the information provided was accurate and complete. There following violations were observed and cited during the visit. Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) In Space 1, infant feeding plans were not posted. 10A NCAC 09 .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 4, Hello Bello hand sanitizer, white out and batteries were not kept in locked storage as required. .2820(b) 843 A drug or medicine was administered after its expiration date. In Space 12 a tube of Desitin diaper ointment had an expiration date of 1/2020. 10A NCAC 09 .0803(1)(d) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. A photograph was missing from one of the children's emergency information forms. 10A NCAC 09 .1003(d) 9995 A violation was found for which there is no item number. In Space 8 there was no toilet paper in the girls bathroom. This is a violation of 15A NCAC 18A .2817(a). Today, I provided technical assistance regarding the following topics: Compliance Plan: 1. Infant feeding plans are required to be posted according to the rule. Therefore, anytime someone who is subbing in the classroom, they can see immediately what each child needs. 2. Consider doing periodic classroom checks to monitor for hazardous items which are required to be kept in locked storage. Hanging the “Locked Storage” poster in the classroom is another good reminder especially for newer staff. 3. Have one teacher, (maybe the Lead) in each classroom be responsible for accepting diaper creams or ointments to ensure none are brought with expired dates. 4. Keep extra toilet paper within reach so when the rolls in the dispenser run out there is some available to the children. Or, have teachers check before and after each bathroom use to make sure the dispenser is filled. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Please continue to visit DCDEE’s website to get the latest information for child care settings and child care updates at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. Feel free to contact me by phone at (704)798-5220 or by email at Deborah.k.howell@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have any questions. Thank you for your time today. Thank you for maintaining well organized files for children and staff. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1003 · Violation

Name of Operation: KIDS 'R' KIDS NC #13 Facility ID: 13000547 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 1/12/2024 Number Present: 166 Completed Date: 1/16/2024 Age: From 0 To 5 Total Minutes: 410 Time In: 09:30 AM Time Out: 04:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance for applicable childcare requirements during an annual compliance visit, I used the " Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. Your last annual compliance visit was conducted on March 16, 2023. Prior to today’s visit your compliance history was 83%. You, Kris Parker, Director, assisted me with today’s visit. Misty Mullins, Director, also assisted. Your facility, owned by Creative Darlings Inc., was current/active as viewed on the North Carolina Secretary of State website. I observed your Five Star License, NC Child Care Summary of the Law, Safe Procedures for Arrival & Departure, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, First Aid poster, tobacco free facility signage and evacuation plans posted as required. I observed children adequately supervised during today’s visit. I observed adequate approved space use and permit restrictions requirements maintained during today’s visit. I observed children engaged in free play in activity areas, outdoors, washing hands, toileting, transitions, and lunch. Today’s lunch consisted of Cheese pizza on pita bread, corn, pineapple, and milk. I observed activity areas including books, blocks, manipulatives, dramatic play, art, science, music, writing, and cozy/quiet areas. I observed toys and equipment to be developmentally appropriate in all spaces. I observed activity plans to be current and posted in each classroom. I observed two NC Pre-K classrooms. I observed the Administrator does not serve as the NC Pre-K teacher in the classroom. The assessment used is Teaching Strategies Gold. The screening tool used is the Dial-4. The curriculum is Creative Curriculum. The classrooms incorporate take home activities, parent volunteers, special programs, and other activities as part of their parent involvement. I observed a total of twenty-six diaper creams/ointments. I monitored a random selection of eight diaper creams. I observed all diaper creams labeled with the name of the child. I observed all permission to administer topical ointment slips to be current and on file. I monitored the equipment and materials in the outdoor play spaces. I observed all spaces supplied with a variety of age-appropriate materials and equipment. All the outdoor spaces will be undergoing renovations one playground at a time. A schedule has been created to ensure there are opportunities for all classes to have the required amount of time outdoors. Currently, the playground for toddlers aged children is under renovation. The facility will notify me upon completion for inspection and approval prior to use by children. I observed drills to be current and documented as required. I observed Fire and Sanitation inspections to be occurring as required. I observed menus posted in the classrooms and the kitchen. I observed monthly Outdoor Inspections documented for the past twelve months and current. I monitored transportation requirements for your program. I monitored a random selection of twenty children’s files. I monitored fourteen new staff files hired since March 16, 2023, and two existing staff files, one of which was the director and the other was the NC Pre-K Lead Teacher. Your signature on all forms served and will serve as verification the information provided was accurate and complete. There following violations were observed and cited during the visit. Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) In Space 1, infant feeding plans were not posted. 10A NCAC 09 .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 4, Hello Bello hand sanitizer, white out and batteries were not kept in locked storage as required. .2820(b) 843 A drug or medicine was administered after its expiration date. In Space 12 a tube of Desitin diaper ointment had an expiration date of 1/2020. 10A NCAC 09 .0803(1)(d) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. A photograph was missing from one of the children's emergency information forms. 10A NCAC 09 .1003(d) 9995 A violation was found for which there is no item number. In Space 8 there was no toilet paper in the girls bathroom. This is a violation of 15A NCAC 18A .2817(a). Today, I provided technical assistance regarding the following topics: Compliance Plan: 1. Infant feeding plans are required to be posted according to the rule. Therefore, anytime someone who is subbing in the classroom, they can see immediately what each child needs. 2. Consider doing periodic classroom checks to monitor for hazardous items which are required to be kept in locked storage. Hanging the “Locked Storage” poster in the classroom is another good reminder especially for newer staff. 3. Have one teacher, (maybe the Lead) in each classroom be responsible for accepting diaper creams or ointments to ensure none are brought with expired dates. 4. Keep extra toilet paper within reach so when the rolls in the dispenser run out there is some available to the children. Or, have teachers check before and after each bathroom use to make sure the dispenser is filled. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Please continue to visit DCDEE’s website to get the latest information for child care settings and child care updates at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. Feel free to contact me by phone at (704)798-5220 or by email at Deborah.k.howell@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have any questions. Thank you for your time today. Thank you for maintaining well organized files for children and staff. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: KIDS 'R' KIDS NC #13 Facility ID: 13000547 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: 1123-156L Visit Date: 11/21/2023 Number Present: 141 Completed Date: 11/21/2023 Age: From 0 To 6 Total Minutes: 285 Time In: 01:15 PM Time Out: 06:00 PM 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. The allegations are as follows: There are concerns regarding nutrition, sanitation, health, discipline, and safe environment indoors and outdoors. You, Kris Parker, Director, assisted me with the visit. Misty Mullins, the Director, also assisted me with the visit. I observed 141 children ages 0-6 present in the facility today. Staff/child ratio, group size, supervision, use of licensed space, space capacity, and license restrictions, were monitored. Upon my arrival I conducted a complete walk through of the facility and the playgrounds. I observed new carpets in rooms 300, 350, 400, 500, 550, 200 and 250. I observed appropriate interactions between staff and children. I observed sheets and blankets on all cots. I observed hand washing and diapering procedures. I observed tables being sanitized. I observed today’s snack which consisted of cheez its and canned sliced apples with water. I observed the water in the kitchen sink registering at 140 degrees Fahrenheit. Mrs. Parker stated the hot water heater had stopped working on October 27, 2023, and children were sent home early. The new hot water heater was in place on October 30, 2023. A Sanitation inspection was also conducted on October 30, 2023, with a Superior classification and 15 demerits received. I observed room thermometers for all classrooms registering between 69-72 degrees Fahrenheit. I observed the outdoor areas to be clean and free of debris. I observed gates to be latched and secured with carabiner clips between the individual playgrounds. On the playground used by two- and three-year-old children there are areas of turf which are missing, and the rubber padding is exposed which could be a choking hazard. Additionally, there are several areas around the bike track and turf which have gaps. Some are approximately three-four inches long and one-two inches wide and could cause tripping hazards for children running in the area. You stated that all playgrounds are scheduled to be resurfaced and redone beginning December 9, 2023. Orders were placed over a month ago for turf, under padding, and new equipment. During the visit you stated the playground used by two- and three-year-old children would be updated first. I requested you contact me to schedule review of each playground space to approve prior to use by children. I interviewed fifteen staff. Staff reviewed the diaper changing procedures, table sanitizing procedures, managing difficult behaviors procedures and procedure for recording incidents with me. Based on information provided by staff and my observations the allegation of nutrition is unsubstantiated. Based on information provided by staff and my observations the allegation of discipline is unsubstantiated. Based on information provided by staff and my observations the allegation of sanitation and health is unsubstantiated. Based on information provided by staff and my observations the allegation of Safe Environment Indoors is unsubstantiated. Based on my observations of missing turf in various places with exposed rubber padding and gaps between the turf and concrete creating tripping hazards the allegation of Safe Environment outdoors is substantiated. There was one violation cited or observed during the visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Turf on the playground used by two and three year old children was missing exposing the rubber padding underneath. Also, there were gaps of space between the turf and sidewalks which could create a tripping hazard for children. 10A NCAC 09 .0601(a) Technical Assistance: Once areas are observed which could become hazardous discontinue the use of those areas until it can be repaired. Your playgrounds are large enough to allow for multiple classrooms and scheduling throughout the day. I provided you with the Challenging Behaviors helpline flier, the Stand Up Changing Procedure poster and discussed staff scheduling and enrollment with you. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them to clarify or verify compliance. Your letter may be mailed to me at: Deborah Howell PO Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than December 5, 2023. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. If you have any questions, feel free to contact me by phone at (704) 798-5220 or by email at Deborah.k.howell@dhhs.nc.gov or Licensing Supervisor Erin Pickard, erin.pickard@dhhs.nc.gov. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times