Mary Frances Wall Center

NC GS 110-90 · Violation

Name of Operation: MARY FRANCES WALL CENTER Facility ID: 13000415 Consultant: BRITTANY ADAMS Operation Type: Center Case Number: Visit Date: 3/31/2026 Number Present: 194 Completed Date: 3/31/2026 Age: From 3 To 5 Total Minutes: 215 Time In: 09:55 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements during a Routine Unannounced Visit. You, Dana Stikeleather, Preschool Coordinator, assisted with today’s visit. Rebbecca Hayes, Child Care Consultant, accompanied me today. The last annual compliance visit was conducted on October 30, 2025. The last sanitation inspection was completed on November 14, 2025, with a “Superior” classification. The last fire inspection was completed on March 25, 2026, and your facility was approved for daytime care only. The program’s compliance history was ninety-four percent prior to today’s visit. The facility's five-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the environment was completed. Children were observed engaging in free choice activities, outdoor play, teacher directed activities, toileting and handwashing routines. Fire drills were completed monthly as required. The last fire drill was completed on March 25, 2026. Emergency drills are being conducted. The last emergency drill documented was a shelter-in-place completed on March 4, 2026. Your outdoor play area meets child care safety standards. The last outdoor playground inspection was completed on February 25, 2026. No concerns were observed. Materials, toys, and equipment throughout the facility were developmentally appropriate and in good repair. All medications and their permission to administer forms were monitored to be in compliance during today’s visit. All staff files were monitored for a current Criminal Background qualification letter, current First Aid and CPR training, and special training during today’s visit. The facility does not provide transportation. The following violations were documented today: Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Two staff members first aid expired on 3/18/26. .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 CPR expired on 3/18/26. .1102(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member hired on 8/8/25, did not have documentation of completing Recognizing and Responding to Suspicions of Child Maltreatment training on file for review. .1102(g) Technical Assistance was provided on the following: We discussed staff inquiring about first aid and CPR training 3-6 months in advance to prevent their certification from expiring. We discussed ensuring that staff are completing required trainings within the specified timeframe. Administrative staff can create a spreadsheet that documents new staffs 90 days of employment to ensure time sensitive items are completed. Consultation was provided on the following: The facility should begin putting dates paperwork has been completed on the staff and training worksheet instead of listing “offsite”. Although permitted to store the paperwork off-site, it must document/verify that staff have completed the paperwork per the child care requirements which would include the required timeframes. We discussed that in addition to the four activity areas that are available each day, each center shall have materials and equipment in sufficient quantity. We discussed staff being mindful of storing materials high on shelves that could be a potential falling hazard to children. We discussed staff posting their activity plan for the upcoming week on Fridays prior to leaving. This will ensure that activity plans are current and ready to be implemented. We discussed that although light fixtures are covered in space 308 limiting light, classrooms lights should remain turned on during the day and windows should expose natural lighting. We discussed that a parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. We discussed that emergency medications should not be locked, but stored five feet or higher. This is to ensure that the emergency medications that easily accessible. We discussed that materials shall be made available to the children on a daily basis and shall be offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. DCDEE WEBSITE RESOURCES: QRIS Modernization: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. 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-ProfessionalDevelopment/Health-and-Safety-Trainings Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-ChildCare/Care-for-Children-Receiving-Subsidy DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A three star licensed is required to be eligible to receive DSS subsidy. The violation(s) documented must be corrected immediately. On or before March 31, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. You can send an email and in the body of the email you can simply include the following items: Facility Name: Facility ID #: Administrator's Name: Violation Item # (List each violation item # separately): How the violation was corrected or what you will do to prevent this violation from reoccurring (List each violation correction separately under the corresponding violation item #): Please email the information to: brittany.j.adams@dhhs.nc.gov You may contact me by phone at (704) 594-0049 or by email at brittany.j.adams@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1106 · Violation

Name of Operation: MARY FRANCES WALL CENTER Facility ID: 13000415 Consultant: BRITTANY ADAMS Operation Type: Center Case Number: Visit Date: 10/30/2025 Number Present: 176 Completed Date: 10/30/2025 Age: From 3 To 5 Total Minutes: 323 Time In: 09:47 AM Time Out: 03:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Dana Stikeleather, Preschool Coordinator, assisted me with today’s visit. Rebbecca Hayes accompanied me during today’s visit. The last annual compliance visit was conducted on December 19, 2024. The last sanitation inspection was completed on March 3, 2025. The last fire inspection was conducted August 25, 2025, and your facility was approved for daytime care only. The program’s compliance history was 93% prior to today’s visit. The center's notice of compliance, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free choice activities and teacher directed activities, routine care taking, meal time and rest time. Fire drills are being completed monthly as required. Emergency drills are being conducted every three months as required. Incident logs were monitored during today’s visit. Incident reports are being filed in children’s individual files. Playground inspections are being conducted monthly. Your playground meets child care safety standards. Materials, toys, and equipment throughout the facility were developmentally appropriate and in good repair. Emergency medications, permission to administer forms and medical action plans were monitored during today’s visit and found to be in compliance. A selection of staff files and children’s files were monitored during today’s visit. This facility does not offer transportation. The following violations were cited today: Violation Number Comment Rule 1054 Documentation of staff's on-going training was not on file and/or was not current . Documentation of staff's on-going training was not on file for the following staff members hired on 8/2024 (no day listed), 8/15/2022, 8/16/2021, and 8/20/2018. 10A NCAC 09 .1106(a) 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. A staff member hired on 9/9/11 did not have a Recognizing and Responding to Suspicions of Child Maltreatment certificate on file. .1102(g) Technical assistance was provided on the following: Please review the staff and training worksheets and staff files every 30-60 days, to ensure that all items are up to date and remain in compliance. For all staff that do not currently have ongoing training certificates available for review, please ensure their ongoing trainings are completed within the next two weeks, prior to your compliance letter being submitted. Please ensure each new staff member completes child maltreatment training within 90 days after being hired, and completes the training every five years. Please ensure that any staff member that does not currently have a child maltreatment certificate on file and available for review completes this training within two weeks, prior to the compliance letter being submitted. Consultation was provided on the following: Please continue conducting a walk through of the facility throughout the day to ensure classroom teachers are speaking with and handling children in a nurturing way, and to ensure age appropriate materials are accessible to children the majority of the day. Please ensure each classroom continues to have a schedule posted, even when providing drop in care. We reviewed QRIS pathways 1-3 today, and you stated at this time you are unsure about which pathway you will be choosing. I informed you about the QRIS Modernization page on the DCDEE website under the “What’s New” tab, and informed you about section .3200 in child care rules which contains all rules pertaining to QRIS. I have listed a link to find information concerning QRIS Pathways: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A three star licensed is required to be eligible to receive DSS subsidy. The violation(s) documented must be corrected immediately. On or before November 13, 2025, I must receive a compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. You can simply send an email and in the body of the email include the following items: Facility Name: Facility ID#: Administrator's Name: Violation Item # (List each violation item # separately): How the violation was corrected (List each violation correction separately under the corresponding violation item #): The compliance letter must be sent from tracy.thiery@cabarrus.k12.nc.us. Email the information to: brittany.j.adams@dhhs.nc.gov You may contact me by phone at (704) 594-0049 or by email at brittany.j.adams@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: MARY FRANCES WALL CENTER Facility ID: 13000415 Consultant: BRITTANY ADAMS Operation Type: Center Case Number: Visit Date: 10/30/2025 Number Present: 176 Completed Date: 10/30/2025 Age: From 3 To 5 Total Minutes: 323 Time In: 09:47 AM Time Out: 03:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Dana Stikeleather, Preschool Coordinator, assisted me with today’s visit. Rebbecca Hayes accompanied me during today’s visit. The last annual compliance visit was conducted on December 19, 2024. The last sanitation inspection was completed on March 3, 2025. The last fire inspection was conducted August 25, 2025, and your facility was approved for daytime care only. The program’s compliance history was 93% prior to today’s visit. The center's notice of compliance, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free choice activities and teacher directed activities, routine care taking, meal time and rest time. Fire drills are being completed monthly as required. Emergency drills are being conducted every three months as required. Incident logs were monitored during today’s visit. Incident reports are being filed in children’s individual files. Playground inspections are being conducted monthly. Your playground meets child care safety standards. Materials, toys, and equipment throughout the facility were developmentally appropriate and in good repair. Emergency medications, permission to administer forms and medical action plans were monitored during today’s visit and found to be in compliance. A selection of staff files and children’s files were monitored during today’s visit. This facility does not offer transportation. The following violations were cited today: Violation Number Comment Rule 1054 Documentation of staff's on-going training was not on file and/or was not current . Documentation of staff's on-going training was not on file for the following staff members hired on 8/2024 (no day listed), 8/15/2022, 8/16/2021, and 8/20/2018. 10A NCAC 09 .1106(a) 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. A staff member hired on 9/9/11 did not have a Recognizing and Responding to Suspicions of Child Maltreatment certificate on file. .1102(g) Technical assistance was provided on the following: Please review the staff and training worksheets and staff files every 30-60 days, to ensure that all items are up to date and remain in compliance. For all staff that do not currently have ongoing training certificates available for review, please ensure their ongoing trainings are completed within the next two weeks, prior to your compliance letter being submitted. Please ensure each new staff member completes child maltreatment training within 90 days after being hired, and completes the training every five years. Please ensure that any staff member that does not currently have a child maltreatment certificate on file and available for review completes this training within two weeks, prior to the compliance letter being submitted. Consultation was provided on the following: Please continue conducting a walk through of the facility throughout the day to ensure classroom teachers are speaking with and handling children in a nurturing way, and to ensure age appropriate materials are accessible to children the majority of the day. Please ensure each classroom continues to have a schedule posted, even when providing drop in care. We reviewed QRIS pathways 1-3 today, and you stated at this time you are unsure about which pathway you will be choosing. I informed you about the QRIS Modernization page on the DCDEE website under the “What’s New” tab, and informed you about section .3200 in child care rules which contains all rules pertaining to QRIS. I have listed a link to find information concerning QRIS Pathways: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A three star licensed is required to be eligible to receive DSS subsidy. The violation(s) documented must be corrected immediately. On or before November 13, 2025, I must receive a compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. You can simply send an email and in the body of the email include the following items: Facility Name: Facility ID#: Administrator's Name: Violation Item # (List each violation item # separately): How the violation was corrected (List each violation correction separately under the corresponding violation item #): The compliance letter must be sent from tracy.thiery@cabarrus.k12.nc.us. Email the information to: brittany.j.adams@dhhs.nc.gov You may contact me by phone at (704) 594-0049 or by email at brittany.j.adams@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: MARY FRANCES WALL CENTER Facility ID: 13000415 Consultant: BRITTANY ADAMS Operation Type: Center Case Number: Visit Date: 5/15/2025 Number Present: 223 Completed Date: 5/15/2025 Age: From 3 To 5 Total Minutes: 330 Time In: 09:30 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Dana Stikeleather, Preschool Coordinator, assisted me with the walk through. Rebbecca Hayes, Child Care Consultant, assisted me with the visit. The last annual compliance visit was conducted on December 19, 2024. The last sanitation inspection was completed on March 3, 2025. The last fire inspection was conducted September 9, 2024. Your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 90% prior to today’s visit. The center's five star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor environment was completed. Children were observed engaged in free choice activities, story time, caretaking routines, staff/child interaction, meal time and rest time. Fire drills are being completed monthly as required. Emergency drills are being conducted every three months as required. Incident logs were monitored during today’s visit. Playground inspections are being conducted monthly. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. Medications, Permission to Administer forms, and medical action plans were monitored during today’s visit. All staff files were monitored for criminal background checks, First Aid/CPR, and Recognizing and Responding certificates during today’s visit. The following violations were documented today: Violation Number Comment Rule 1041 Prior to employment a Criminal Background Check was not completed. A staff member hired on 10/6/22 did not have a criminal background check on file and available for review. G.S. 110-90.2(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff members hired on 8/20/18 and 8/16/21 did not have Recognizing and Responding to Suspicions of Child Maltreatment certificates on file and available for review. .1102(g) Technical Assistance was provided on the following: We discussed reviewing the staff and training worksheets and staff files at a minimum of every 90 days to ensure the worksheets are kept up to date and that staff are not missing required items in their files, including but not limited to Recognizing and Responding to Suspicions of Child Maltreatment certificates and their criminal background checks. Consultation was provided on the following: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before May 29, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Email: brittany.j.adams@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (704) 594-0049 or by email at brittany.j.adams@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: MARY FRANCES WALL CENTER Facility ID: 13000415 Consultant: BRITTANY ADAMS Operation Type: Center Case Number: Visit Date: 5/15/2025 Number Present: 223 Completed Date: 5/15/2025 Age: From 3 To 5 Total Minutes: 330 Time In: 09:30 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Dana Stikeleather, Preschool Coordinator, assisted me with the walk through. Rebbecca Hayes, Child Care Consultant, assisted me with the visit. The last annual compliance visit was conducted on December 19, 2024. The last sanitation inspection was completed on March 3, 2025. The last fire inspection was conducted September 9, 2024. Your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 90% prior to today’s visit. The center's five star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor environment was completed. Children were observed engaged in free choice activities, story time, caretaking routines, staff/child interaction, meal time and rest time. Fire drills are being completed monthly as required. Emergency drills are being conducted every three months as required. Incident logs were monitored during today’s visit. Playground inspections are being conducted monthly. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. Medications, Permission to Administer forms, and medical action plans were monitored during today’s visit. All staff files were monitored for criminal background checks, First Aid/CPR, and Recognizing and Responding certificates during today’s visit. The following violations were documented today: Violation Number Comment Rule 1041 Prior to employment a Criminal Background Check was not completed. A staff member hired on 10/6/22 did not have a criminal background check on file and available for review. G.S. 110-90.2(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff members hired on 8/20/18 and 8/16/21 did not have Recognizing and Responding to Suspicions of Child Maltreatment certificates on file and available for review. .1102(g) Technical Assistance was provided on the following: We discussed reviewing the staff and training worksheets and staff files at a minimum of every 90 days to ensure the worksheets are kept up to date and that staff are not missing required items in their files, including but not limited to Recognizing and Responding to Suspicions of Child Maltreatment certificates and their criminal background checks. Consultation was provided on the following: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before May 29, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Email: brittany.j.adams@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (704) 594-0049 or by email at brittany.j.adams@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: MARY FRANCES WALL CENTER Facility ID: 13000415 Consultant: BRITTANY ADAMS Operation Type: Center Case Number: Visit Date: 12/19/2024 Number Present: 173 Completed Date: 12/19/2024 Age: From 3 To 5 Total Minutes: 425 Time In: 09:10 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Trina Wenzel, Preschool Director, and Dana Stikeleather, Preschool Coordinator assisted me with today’s visit. Carolyn Conley accompanied me during today’s visit. The last annual compliance visit was conducted on January 18, 2024. The last sanitation inspection was completed on April 30, 2024, with a “Superior” classification. The last fire inspection was conducted September 9, 2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 94% prior to today’s visit. The center's provisional license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free choice activities indoors and outdoors, story time, routine care taking, staff/child interaction, meal time, and rest time. Mrs. Wenzel stated that the other building in not currently in use, due to the lead abatement. Fire drills are being completed monthly as required. Emergency drills are being conducted every three months as required. Incident logs were monitored during today’s visit. Incident reports are being filed in children’s individual files. Playground inspections are being conducted monthly. Your playground meets child care safety standards. No concerns were observed. Materials, toys, and equipment throughout the facility was developmentally appropriate, and in good repair. I monitored medications, permission to administer forms, and medical action plans. A selection of staff files and children’s files were monitored during today’s visit. The program does not provide transportation. The facility is currently on a provisional license that expires January 12, 2025. Once a closure letter is received from the Cabarrus County Health Department that the lead remediation has been completed, a star rated license will be issued. The facility will earn the program, education, and quality points earned on the previous license. Points will be earned as follows: Program standard points: 7 Education standards points: 7 Quality Point: 1 15 points total for a five star license The following violations were documented today: Violation Number Comment Rule 1328 Children's records were not made available for review. One child's file was unable to be located during our visit. G.S. 110-91(9) 1329 Application for enrollment did not include all required information. Five children’s applications did not have the “Health Care Needs” section fully completed. Three of the five were corrected during today’s visit. .0801(a)(1-7) 1821 The EPR Plan did not include the date of the last revision of the plan. There were hand written revisions made within the plan but no date the revisions were made. .0607(d)(8) 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. One staff member that was hired on 9/16/24 did not have documentation that she completed the Recognizing and Responding to Suspicions of Child Maltreatment by 12/16/24. .1102(g) Technical Assistance was provided on the following: Administrators will create a check and balance system, and designate one person to ensure that each child has a file available for review. Ms. Stikeleather stated that she and a support staff member will work together to create a plan to ensure that all children and staff files are in tact and available for review. Monitor children applications as you receive them to ensure that all the information is documented. If there is a line item that doesn’t pertain to the child then the parent/guardian should be writing “NA”. It is important to review the EPR plan annually to ensure that the information is correct and current. You will need to go into the portal when revisions are made and print out the revised copies showing the dates the revisions were made. It may be helpful to have new staff complete the Recognizing and Responding to Suspicions of Child Maltreatment during the new staff orientation. This can be part of the orientation, but the staff would not be able to count the contact hours towards their in-service training. This would ensure that the training is completed within the required time frame of 90 days. Consultation was provided on the following: We discussed: Placing the Permission to Administer form with emergency medication in the classroom with the child, even if the document is already in the child’s file. Ensuring that all toy shelves with items for children are not turned around and are accessible to children the majority of the day. Classroom lights being turned on throughout the day, unless children are napping or there are no children in the classroom. This will assist with making sure teachers are able to properly supervise all children in the classroom. We discussed administrators continuing to conduct a walk through of the facility and provide assistance in classrooms and coaching when needed. We discussed that each application needs to include the application date, enrollment date and the signature of the administrator. We discussed substitute staff that are used throughout the school district, and you stated that you work with the main office human resources staff to ensure that all substitutes have all the required documents and trainings prior to substituting in your program. It may be helpful to add the orientation topics within the first two weeks of employment even though the substitutes may only work one or two days. This will give them more of an understanding of working with young children. 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 Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A three star licensed is required to be eligible to receive DSS subsidy. The violation(s) documented must be corrected immediately. On or before January 2, 2024 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Brittany Adams Child Care Consultant P.O. Box 47075 Charlotte, NC 28247 brittany.j.adams@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (704) 594-0049 or by email at brittany.j.adams@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: MARY FRANCES WALL CENTER Facility ID: 13000415 Consultant: BRITTANY ADAMS Operation Type: Center Case Number: Visit Date: 12/19/2024 Number Present: 173 Completed Date: 12/19/2024 Age: From 3 To 5 Total Minutes: 425 Time In: 09:10 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Trina Wenzel, Preschool Director, and Dana Stikeleather, Preschool Coordinator assisted me with today’s visit. Carolyn Conley accompanied me during today’s visit. The last annual compliance visit was conducted on January 18, 2024. The last sanitation inspection was completed on April 30, 2024, with a “Superior” classification. The last fire inspection was conducted September 9, 2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 94% prior to today’s visit. The center's provisional license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free choice activities indoors and outdoors, story time, routine care taking, staff/child interaction, meal time, and rest time. Mrs. Wenzel stated that the other building in not currently in use, due to the lead abatement. Fire drills are being completed monthly as required. Emergency drills are being conducted every three months as required. Incident logs were monitored during today’s visit. Incident reports are being filed in children’s individual files. Playground inspections are being conducted monthly. Your playground meets child care safety standards. No concerns were observed. Materials, toys, and equipment throughout the facility was developmentally appropriate, and in good repair. I monitored medications, permission to administer forms, and medical action plans. A selection of staff files and children’s files were monitored during today’s visit. The program does not provide transportation. The facility is currently on a provisional license that expires January 12, 2025. Once a closure letter is received from the Cabarrus County Health Department that the lead remediation has been completed, a star rated license will be issued. The facility will earn the program, education, and quality points earned on the previous license. Points will be earned as follows: Program standard points: 7 Education standards points: 7 Quality Point: 1 15 points total for a five star license The following violations were documented today: Violation Number Comment Rule 1328 Children's records were not made available for review. One child's file was unable to be located during our visit. G.S. 110-91(9) 1329 Application for enrollment did not include all required information. Five children’s applications did not have the “Health Care Needs” section fully completed. Three of the five were corrected during today’s visit. .0801(a)(1-7) 1821 The EPR Plan did not include the date of the last revision of the plan. There were hand written revisions made within the plan but no date the revisions were made. .0607(d)(8) 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. One staff member that was hired on 9/16/24 did not have documentation that she completed the Recognizing and Responding to Suspicions of Child Maltreatment by 12/16/24. .1102(g) Technical Assistance was provided on the following: Administrators will create a check and balance system, and designate one person to ensure that each child has a file available for review. Ms. Stikeleather stated that she and a support staff member will work together to create a plan to ensure that all children and staff files are in tact and available for review. Monitor children applications as you receive them to ensure that all the information is documented. If there is a line item that doesn’t pertain to the child then the parent/guardian should be writing “NA”. It is important to review the EPR plan annually to ensure that the information is correct and current. You will need to go into the portal when revisions are made and print out the revised copies showing the dates the revisions were made. It may be helpful to have new staff complete the Recognizing and Responding to Suspicions of Child Maltreatment during the new staff orientation. This can be part of the orientation, but the staff would not be able to count the contact hours towards their in-service training. This would ensure that the training is completed within the required time frame of 90 days. Consultation was provided on the following: We discussed: Placing the Permission to Administer form with emergency medication in the classroom with the child, even if the document is already in the child’s file. Ensuring that all toy shelves with items for children are not turned around and are accessible to children the majority of the day. Classroom lights being turned on throughout the day, unless children are napping or there are no children in the classroom. This will assist with making sure teachers are able to properly supervise all children in the classroom. We discussed administrators continuing to conduct a walk through of the facility and provide assistance in classrooms and coaching when needed. We discussed that each application needs to include the application date, enrollment date and the signature of the administrator. We discussed substitute staff that are used throughout the school district, and you stated that you work with the main office human resources staff to ensure that all substitutes have all the required documents and trainings prior to substituting in your program. It may be helpful to add the orientation topics within the first two weeks of employment even though the substitutes may only work one or two days. This will give them more of an understanding of working with young children. 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 Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A three star licensed is required to be eligible to receive DSS subsidy. The violation(s) documented must be corrected immediately. On or before January 2, 2024 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Brittany Adams Child Care Consultant P.O. Box 47075 Charlotte, NC 28247 brittany.j.adams@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (704) 594-0049 or by email at brittany.j.adams@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: MARY FRANCES WALL CENTER Facility ID: 13000415 Consultant: BRITTANY ADAMS Operation Type: Center Case Number: Visit Date: 12/19/2024 Number Present: 173 Completed Date: 12/19/2024 Age: From 3 To 5 Total Minutes: 425 Time In: 09:10 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Trina Wenzel, Preschool Director, and Dana Stikeleather, Preschool Coordinator assisted me with today’s visit. Carolyn Conley accompanied me during today’s visit. The last annual compliance visit was conducted on January 18, 2024. The last sanitation inspection was completed on April 30, 2024, with a “Superior” classification. The last fire inspection was conducted September 9, 2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 94% prior to today’s visit. The center's provisional license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free choice activities indoors and outdoors, story time, routine care taking, staff/child interaction, meal time, and rest time. Mrs. Wenzel stated that the other building in not currently in use, due to the lead abatement. Fire drills are being completed monthly as required. Emergency drills are being conducted every three months as required. Incident logs were monitored during today’s visit. Incident reports are being filed in children’s individual files. Playground inspections are being conducted monthly. Your playground meets child care safety standards. No concerns were observed. Materials, toys, and equipment throughout the facility was developmentally appropriate, and in good repair. I monitored medications, permission to administer forms, and medical action plans. A selection of staff files and children’s files were monitored during today’s visit. The program does not provide transportation. The facility is currently on a provisional license that expires January 12, 2025. Once a closure letter is received from the Cabarrus County Health Department that the lead remediation has been completed, a star rated license will be issued. The facility will earn the program, education, and quality points earned on the previous license. Points will be earned as follows: Program standard points: 7 Education standards points: 7 Quality Point: 1 15 points total for a five star license The following violations were documented today: Violation Number Comment Rule 1328 Children's records were not made available for review. One child's file was unable to be located during our visit. G.S. 110-91(9) 1329 Application for enrollment did not include all required information. Five children’s applications did not have the “Health Care Needs” section fully completed. Three of the five were corrected during today’s visit. .0801(a)(1-7) 1821 The EPR Plan did not include the date of the last revision of the plan. There were hand written revisions made within the plan but no date the revisions were made. .0607(d)(8) 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. One staff member that was hired on 9/16/24 did not have documentation that she completed the Recognizing and Responding to Suspicions of Child Maltreatment by 12/16/24. .1102(g) Technical Assistance was provided on the following: Administrators will create a check and balance system, and designate one person to ensure that each child has a file available for review. Ms. Stikeleather stated that she and a support staff member will work together to create a plan to ensure that all children and staff files are in tact and available for review. Monitor children applications as you receive them to ensure that all the information is documented. If there is a line item that doesn’t pertain to the child then the parent/guardian should be writing “NA”. It is important to review the EPR plan annually to ensure that the information is correct and current. You will need to go into the portal when revisions are made and print out the revised copies showing the dates the revisions were made. It may be helpful to have new staff complete the Recognizing and Responding to Suspicions of Child Maltreatment during the new staff orientation. This can be part of the orientation, but the staff would not be able to count the contact hours towards their in-service training. This would ensure that the training is completed within the required time frame of 90 days. Consultation was provided on the following: We discussed: Placing the Permission to Administer form with emergency medication in the classroom with the child, even if the document is already in the child’s file. Ensuring that all toy shelves with items for children are not turned around and are accessible to children the majority of the day. Classroom lights being turned on throughout the day, unless children are napping or there are no children in the classroom. This will assist with making sure teachers are able to properly supervise all children in the classroom. We discussed administrators continuing to conduct a walk through of the facility and provide assistance in classrooms and coaching when needed. We discussed that each application needs to include the application date, enrollment date and the signature of the administrator. We discussed substitute staff that are used throughout the school district, and you stated that you work with the main office human resources staff to ensure that all substitutes have all the required documents and trainings prior to substituting in your program. It may be helpful to add the orientation topics within the first two weeks of employment even though the substitutes may only work one or two days. This will give them more of an understanding of working with young children. 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 Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A three star licensed is required to be eligible to receive DSS subsidy. The violation(s) documented must be corrected immediately. On or before January 2, 2024 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Brittany Adams Child Care Consultant P.O. Box 47075 Charlotte, NC 28247 brittany.j.adams@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (704) 594-0049 or by email at brittany.j.adams@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0801 · Violation

Name of Operation: MARY FRANCES WALL CENTER Facility ID: 13000415 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 1/18/2024 Number Present: 208 Completed Date: 1/18/2024 Age: From 3 To 5 Total Minutes: 445 Time In: 09:05 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 this visit is to monitor compliance with applicable child care requirements. This program currently operates with a five-star license, issued December 20, 2017, earning 7 points in the education component, 7 points in the program standards component (meeting enhanced space and enhanced ratios) and 1 quality point. This program is part of Cohort one and will go through the rated licensing process between July 2024 and June 2025. The last annual compliance visit was conducted on February 1, 2023. Upon arrival, I was greeted by Teresa Aldridge, and she stated that you, Trina Winzel, director, would be arriving soon. You arrived shortly after me and you accompanied me during the walkthrough. I used the "Annual Compliance Monitoring Checklist for Centers" during today's visit. I observed the children during arrival procedures, morning snack, hand-washing routines, group time, teacher directed activities, free choice activities indoors and departure procedures. I observed staff/child ratios, group size and supervision in compliance. I observed positive interactions between staff and children throughout the day. I monitored the outdoor play area and the outdoor inspections. I monitored the emergency drill report to assure that drills were occurring as required. The last sanitation inspection was conducted on March 28, 2023, with 15 demerits and a superior classification. A fire inspection was conducted on September 5, 2023. You stated that the program provides transportation. The Public School Off-Site Records Verification for Transportation Requirements was on file and was dated August 10, 2023. The developmental day requirements in section .2900 of the child care rules were monitored for compliance. Children who receive developmental day services are currently cared for in all spaces except for three. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. Lead teachers assigned to each of these spaces have NC Birth-through-Kindergarten licenses and both administrators have a Level III NCECAC with over ten years’ experience. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. The staff present in the classrooms were the staff listed on the information report. The program uses Creative Curriculum and the Teaching Strategies Gold as the on-going assessment. The following are some ways that families are involved: curriculum night, back to school bash, home visits, parent teacher conferences, newsletters, take home projects and opportunities to participate in activities in the classroom. The program uses ParentSquare as a communication tool between staff and families. You stated that a transition event will be held next month. The children in the NC Pre-K program are present 8:45-3:15 and the staff are present 8:30-4:15. A sampling of children’s records was monitored today which included children enrolled in the NC Pre-K program. I will return on January 19th to monitor staff files, monitor the outdoor environment and to measure spaces 301 and 305 for space capacity. The following violations were observed during today’s visit. Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. The following classrooms had activity plans posted for the week of 1/8/24: Fish, Ladybugs and Hummingbirds. GS 110-91(12);.0508(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One substitute staff member that was hired 1/24/19 had no documentation that she received new staff orientation. .1101(a) 1303 Application was not signed by the parent. The 30 children files monitored did not have the parent's or guardian's signature on their application. 10A NCAC 09 .0801(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One substitute staff member that was hired 1/24/19 had no documentation that she reviewed EPR Plan annually .0607(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 substitute staff member that was hired 1/24/19 had no documentation that she reviewed and received the Shaken Baby Policy prior to working with the children .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. One substitute staff member that was hired 1/24/19 had not completed the “Recognizing and Responding to Suspicions of Child Maltreatment within 90 days of hire. .1102(g) TECHNICAL ASSITANCE: -Develop a system to help staff to assure that their activity plan is current and posted by Monday morning of each week. Have staff have it printed out a week before in case there are computer glitches first thing Monday morning. Add it to the morning checklist as staff are monitoring their classrooms before the children arrive. -You will need to add an area for the parent/guardian to add their signature and date on the on-line application. The signature may be electronic as long as it is verifiable as a signature. CONSULTATION: -Visit the North Carolina Rated License Assessment Project’s website: ncrlap.org. There are training and resources available for the Environmental Rating Scale (ERS) assessments. They are able to provide support during the preparation year prior to the assessment year beginning. REQUIRED RESPONSE: Violations must be corrected immediately. You shall submit a written/typed, signed and dated statement to me at the address noted below or email me detailing how the violations were corrected with exact dates and details including how you plan to prevent reoccurrence of such violations which must be received by February 1, 2024. Failure to correct the violation(s) and send the written statement by the established deadline listed above may result in an unannounced follow-up visit or an administrative action may be recommended based on Child Care Rule 10A NCAC 09 .2200. The documentation was completed electronically and reviewed with you during the visit. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have any questions, please contact me at: 704-594-0149 or carolyn.conley@dhhs.nc.gov. or my supervisor Erin Pickard at erinpickard@dhhs.nc.gov. Carolyn Conley Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box 835 Kannapolis, NC 28082-0835 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 .2200 · Violation

Name of Operation: MARY FRANCES WALL CENTER Facility ID: 13000415 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 1/18/2024 Number Present: 208 Completed Date: 1/18/2024 Age: From 3 To 5 Total Minutes: 445 Time In: 09:05 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 this visit is to monitor compliance with applicable child care requirements. This program currently operates with a five-star license, issued December 20, 2017, earning 7 points in the education component, 7 points in the program standards component (meeting enhanced space and enhanced ratios) and 1 quality point. This program is part of Cohort one and will go through the rated licensing process between July 2024 and June 2025. The last annual compliance visit was conducted on February 1, 2023. Upon arrival, I was greeted by Teresa Aldridge, and she stated that you, Trina Winzel, director, would be arriving soon. You arrived shortly after me and you accompanied me during the walkthrough. I used the "Annual Compliance Monitoring Checklist for Centers" during today's visit. I observed the children during arrival procedures, morning snack, hand-washing routines, group time, teacher directed activities, free choice activities indoors and departure procedures. I observed staff/child ratios, group size and supervision in compliance. I observed positive interactions between staff and children throughout the day. I monitored the outdoor play area and the outdoor inspections. I monitored the emergency drill report to assure that drills were occurring as required. The last sanitation inspection was conducted on March 28, 2023, with 15 demerits and a superior classification. A fire inspection was conducted on September 5, 2023. You stated that the program provides transportation. The Public School Off-Site Records Verification for Transportation Requirements was on file and was dated August 10, 2023. The developmental day requirements in section .2900 of the child care rules were monitored for compliance. Children who receive developmental day services are currently cared for in all spaces except for three. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. Lead teachers assigned to each of these spaces have NC Birth-through-Kindergarten licenses and both administrators have a Level III NCECAC with over ten years’ experience. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. The staff present in the classrooms were the staff listed on the information report. The program uses Creative Curriculum and the Teaching Strategies Gold as the on-going assessment. The following are some ways that families are involved: curriculum night, back to school bash, home visits, parent teacher conferences, newsletters, take home projects and opportunities to participate in activities in the classroom. The program uses ParentSquare as a communication tool between staff and families. You stated that a transition event will be held next month. The children in the NC Pre-K program are present 8:45-3:15 and the staff are present 8:30-4:15. A sampling of children’s records was monitored today which included children enrolled in the NC Pre-K program. I will return on January 19th to monitor staff files, monitor the outdoor environment and to measure spaces 301 and 305 for space capacity. The following violations were observed during today’s visit. Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. The following classrooms had activity plans posted for the week of 1/8/24: Fish, Ladybugs and Hummingbirds. GS 110-91(12);.0508(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One substitute staff member that was hired 1/24/19 had no documentation that she received new staff orientation. .1101(a) 1303 Application was not signed by the parent. The 30 children files monitored did not have the parent's or guardian's signature on their application. 10A NCAC 09 .0801(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One substitute staff member that was hired 1/24/19 had no documentation that she reviewed EPR Plan annually .0607(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 substitute staff member that was hired 1/24/19 had no documentation that she reviewed and received the Shaken Baby Policy prior to working with the children .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. One substitute staff member that was hired 1/24/19 had not completed the “Recognizing and Responding to Suspicions of Child Maltreatment within 90 days of hire. .1102(g) TECHNICAL ASSITANCE: -Develop a system to help staff to assure that their activity plan is current and posted by Monday morning of each week. Have staff have it printed out a week before in case there are computer glitches first thing Monday morning. Add it to the morning checklist as staff are monitoring their classrooms before the children arrive. -You will need to add an area for the parent/guardian to add their signature and date on the on-line application. The signature may be electronic as long as it is verifiable as a signature. CONSULTATION: -Visit the North Carolina Rated License Assessment Project’s website: ncrlap.org. There are training and resources available for the Environmental Rating Scale (ERS) assessments. They are able to provide support during the preparation year prior to the assessment year beginning. REQUIRED RESPONSE: Violations must be corrected immediately. You shall submit a written/typed, signed and dated statement to me at the address noted below or email me detailing how the violations were corrected with exact dates and details including how you plan to prevent reoccurrence of such violations which must be received by February 1, 2024. Failure to correct the violation(s) and send the written statement by the established deadline listed above may result in an unannounced follow-up visit or an administrative action may be recommended based on Child Care Rule 10A NCAC 09 .2200. The documentation was completed electronically and reviewed with you during the visit. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have any questions, please contact me at: 704-594-0149 or carolyn.conley@dhhs.nc.gov. or my supervisor Erin Pickard at erinpickard@dhhs.nc.gov. Carolyn Conley Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box 835 Kannapolis, NC 28082-0835 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 .2902 · Violation

Name of Operation: MARY FRANCES WALL CENTER Facility ID: 13000415 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 1/18/2024 Number Present: 208 Completed Date: 1/18/2024 Age: From 3 To 5 Total Minutes: 445 Time In: 09:05 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 this visit is to monitor compliance with applicable child care requirements. This program currently operates with a five-star license, issued December 20, 2017, earning 7 points in the education component, 7 points in the program standards component (meeting enhanced space and enhanced ratios) and 1 quality point. This program is part of Cohort one and will go through the rated licensing process between July 2024 and June 2025. The last annual compliance visit was conducted on February 1, 2023. Upon arrival, I was greeted by Teresa Aldridge, and she stated that you, Trina Winzel, director, would be arriving soon. You arrived shortly after me and you accompanied me during the walkthrough. I used the "Annual Compliance Monitoring Checklist for Centers" during today's visit. I observed the children during arrival procedures, morning snack, hand-washing routines, group time, teacher directed activities, free choice activities indoors and departure procedures. I observed staff/child ratios, group size and supervision in compliance. I observed positive interactions between staff and children throughout the day. I monitored the outdoor play area and the outdoor inspections. I monitored the emergency drill report to assure that drills were occurring as required. The last sanitation inspection was conducted on March 28, 2023, with 15 demerits and a superior classification. A fire inspection was conducted on September 5, 2023. You stated that the program provides transportation. The Public School Off-Site Records Verification for Transportation Requirements was on file and was dated August 10, 2023. The developmental day requirements in section .2900 of the child care rules were monitored for compliance. Children who receive developmental day services are currently cared for in all spaces except for three. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. Lead teachers assigned to each of these spaces have NC Birth-through-Kindergarten licenses and both administrators have a Level III NCECAC with over ten years’ experience. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. The staff present in the classrooms were the staff listed on the information report. The program uses Creative Curriculum and the Teaching Strategies Gold as the on-going assessment. The following are some ways that families are involved: curriculum night, back to school bash, home visits, parent teacher conferences, newsletters, take home projects and opportunities to participate in activities in the classroom. The program uses ParentSquare as a communication tool between staff and families. You stated that a transition event will be held next month. The children in the NC Pre-K program are present 8:45-3:15 and the staff are present 8:30-4:15. A sampling of children’s records was monitored today which included children enrolled in the NC Pre-K program. I will return on January 19th to monitor staff files, monitor the outdoor environment and to measure spaces 301 and 305 for space capacity. The following violations were observed during today’s visit. Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. The following classrooms had activity plans posted for the week of 1/8/24: Fish, Ladybugs and Hummingbirds. GS 110-91(12);.0508(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One substitute staff member that was hired 1/24/19 had no documentation that she received new staff orientation. .1101(a) 1303 Application was not signed by the parent. The 30 children files monitored did not have the parent's or guardian's signature on their application. 10A NCAC 09 .0801(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One substitute staff member that was hired 1/24/19 had no documentation that she reviewed EPR Plan annually .0607(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 substitute staff member that was hired 1/24/19 had no documentation that she reviewed and received the Shaken Baby Policy prior to working with the children .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. One substitute staff member that was hired 1/24/19 had not completed the “Recognizing and Responding to Suspicions of Child Maltreatment within 90 days of hire. .1102(g) TECHNICAL ASSITANCE: -Develop a system to help staff to assure that their activity plan is current and posted by Monday morning of each week. Have staff have it printed out a week before in case there are computer glitches first thing Monday morning. Add it to the morning checklist as staff are monitoring their classrooms before the children arrive. -You will need to add an area for the parent/guardian to add their signature and date on the on-line application. The signature may be electronic as long as it is verifiable as a signature. CONSULTATION: -Visit the North Carolina Rated License Assessment Project’s website: ncrlap.org. There are training and resources available for the Environmental Rating Scale (ERS) assessments. They are able to provide support during the preparation year prior to the assessment year beginning. REQUIRED RESPONSE: Violations must be corrected immediately. You shall submit a written/typed, signed and dated statement to me at the address noted below or email me detailing how the violations were corrected with exact dates and details including how you plan to prevent reoccurrence of such violations which must be received by February 1, 2024. Failure to correct the violation(s) and send the written statement by the established deadline listed above may result in an unannounced follow-up visit or an administrative action may be recommended based on Child Care Rule 10A NCAC 09 .2200. The documentation was completed electronically and reviewed with you during the visit. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have any questions, please contact me at: 704-594-0149 or carolyn.conley@dhhs.nc.gov. or my supervisor Erin Pickard at erinpickard@dhhs.nc.gov. Carolyn Conley Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box 835 Kannapolis, NC 28082-0835 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 .3009 · Violation

Name of Operation: MARY FRANCES WALL CENTER Facility ID: 13000415 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 1/18/2024 Number Present: 208 Completed Date: 1/18/2024 Age: From 3 To 5 Total Minutes: 445 Time In: 09:05 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 this visit is to monitor compliance with applicable child care requirements. This program currently operates with a five-star license, issued December 20, 2017, earning 7 points in the education component, 7 points in the program standards component (meeting enhanced space and enhanced ratios) and 1 quality point. This program is part of Cohort one and will go through the rated licensing process between July 2024 and June 2025. The last annual compliance visit was conducted on February 1, 2023. Upon arrival, I was greeted by Teresa Aldridge, and she stated that you, Trina Winzel, director, would be arriving soon. You arrived shortly after me and you accompanied me during the walkthrough. I used the "Annual Compliance Monitoring Checklist for Centers" during today's visit. I observed the children during arrival procedures, morning snack, hand-washing routines, group time, teacher directed activities, free choice activities indoors and departure procedures. I observed staff/child ratios, group size and supervision in compliance. I observed positive interactions between staff and children throughout the day. I monitored the outdoor play area and the outdoor inspections. I monitored the emergency drill report to assure that drills were occurring as required. The last sanitation inspection was conducted on March 28, 2023, with 15 demerits and a superior classification. A fire inspection was conducted on September 5, 2023. You stated that the program provides transportation. The Public School Off-Site Records Verification for Transportation Requirements was on file and was dated August 10, 2023. The developmental day requirements in section .2900 of the child care rules were monitored for compliance. Children who receive developmental day services are currently cared for in all spaces except for three. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. Lead teachers assigned to each of these spaces have NC Birth-through-Kindergarten licenses and both administrators have a Level III NCECAC with over ten years’ experience. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. The staff present in the classrooms were the staff listed on the information report. The program uses Creative Curriculum and the Teaching Strategies Gold as the on-going assessment. The following are some ways that families are involved: curriculum night, back to school bash, home visits, parent teacher conferences, newsletters, take home projects and opportunities to participate in activities in the classroom. The program uses ParentSquare as a communication tool between staff and families. You stated that a transition event will be held next month. The children in the NC Pre-K program are present 8:45-3:15 and the staff are present 8:30-4:15. A sampling of children’s records was monitored today which included children enrolled in the NC Pre-K program. I will return on January 19th to monitor staff files, monitor the outdoor environment and to measure spaces 301 and 305 for space capacity. The following violations were observed during today’s visit. Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. The following classrooms had activity plans posted for the week of 1/8/24: Fish, Ladybugs and Hummingbirds. GS 110-91(12);.0508(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One substitute staff member that was hired 1/24/19 had no documentation that she received new staff orientation. .1101(a) 1303 Application was not signed by the parent. The 30 children files monitored did not have the parent's or guardian's signature on their application. 10A NCAC 09 .0801(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One substitute staff member that was hired 1/24/19 had no documentation that she reviewed EPR Plan annually .0607(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 substitute staff member that was hired 1/24/19 had no documentation that she reviewed and received the Shaken Baby Policy prior to working with the children .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. One substitute staff member that was hired 1/24/19 had not completed the “Recognizing and Responding to Suspicions of Child Maltreatment within 90 days of hire. .1102(g) TECHNICAL ASSITANCE: -Develop a system to help staff to assure that their activity plan is current and posted by Monday morning of each week. Have staff have it printed out a week before in case there are computer glitches first thing Monday morning. Add it to the morning checklist as staff are monitoring their classrooms before the children arrive. -You will need to add an area for the parent/guardian to add their signature and date on the on-line application. The signature may be electronic as long as it is verifiable as a signature. CONSULTATION: -Visit the North Carolina Rated License Assessment Project’s website: ncrlap.org. There are training and resources available for the Environmental Rating Scale (ERS) assessments. They are able to provide support during the preparation year prior to the assessment year beginning. REQUIRED RESPONSE: Violations must be corrected immediately. You shall submit a written/typed, signed and dated statement to me at the address noted below or email me detailing how the violations were corrected with exact dates and details including how you plan to prevent reoccurrence of such violations which must be received by February 1, 2024. Failure to correct the violation(s) and send the written statement by the established deadline listed above may result in an unannounced follow-up visit or an administrative action may be recommended based on Child Care Rule 10A NCAC 09 .2200. The documentation was completed electronically and reviewed with you during the visit. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have any questions, please contact me at: 704-594-0149 or carolyn.conley@dhhs.nc.gov. or my supervisor Erin Pickard at erinpickard@dhhs.nc.gov. Carolyn Conley Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box 835 Kannapolis, NC 28082-0835 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: MARY FRANCES WALL CENTER Facility ID: 13000415 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 1/18/2024 Number Present: 208 Completed Date: 1/18/2024 Age: From 3 To 5 Total Minutes: 445 Time In: 09:05 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 this visit is to monitor compliance with applicable child care requirements. This program currently operates with a five-star license, issued December 20, 2017, earning 7 points in the education component, 7 points in the program standards component (meeting enhanced space and enhanced ratios) and 1 quality point. This program is part of Cohort one and will go through the rated licensing process between July 2024 and June 2025. The last annual compliance visit was conducted on February 1, 2023. Upon arrival, I was greeted by Teresa Aldridge, and she stated that you, Trina Winzel, director, would be arriving soon. You arrived shortly after me and you accompanied me during the walkthrough. I used the "Annual Compliance Monitoring Checklist for Centers" during today's visit. I observed the children during arrival procedures, morning snack, hand-washing routines, group time, teacher directed activities, free choice activities indoors and departure procedures. I observed staff/child ratios, group size and supervision in compliance. I observed positive interactions between staff and children throughout the day. I monitored the outdoor play area and the outdoor inspections. I monitored the emergency drill report to assure that drills were occurring as required. The last sanitation inspection was conducted on March 28, 2023, with 15 demerits and a superior classification. A fire inspection was conducted on September 5, 2023. You stated that the program provides transportation. The Public School Off-Site Records Verification for Transportation Requirements was on file and was dated August 10, 2023. The developmental day requirements in section .2900 of the child care rules were monitored for compliance. Children who receive developmental day services are currently cared for in all spaces except for three. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. Lead teachers assigned to each of these spaces have NC Birth-through-Kindergarten licenses and both administrators have a Level III NCECAC with over ten years’ experience. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. The staff present in the classrooms were the staff listed on the information report. The program uses Creative Curriculum and the Teaching Strategies Gold as the on-going assessment. The following are some ways that families are involved: curriculum night, back to school bash, home visits, parent teacher conferences, newsletters, take home projects and opportunities to participate in activities in the classroom. The program uses ParentSquare as a communication tool between staff and families. You stated that a transition event will be held next month. The children in the NC Pre-K program are present 8:45-3:15 and the staff are present 8:30-4:15. A sampling of children’s records was monitored today which included children enrolled in the NC Pre-K program. I will return on January 19th to monitor staff files, monitor the outdoor environment and to measure spaces 301 and 305 for space capacity. The following violations were observed during today’s visit. Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. The following classrooms had activity plans posted for the week of 1/8/24: Fish, Ladybugs and Hummingbirds. GS 110-91(12);.0508(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One substitute staff member that was hired 1/24/19 had no documentation that she received new staff orientation. .1101(a) 1303 Application was not signed by the parent. The 30 children files monitored did not have the parent's or guardian's signature on their application. 10A NCAC 09 .0801(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One substitute staff member that was hired 1/24/19 had no documentation that she reviewed EPR Plan annually .0607(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 substitute staff member that was hired 1/24/19 had no documentation that she reviewed and received the Shaken Baby Policy prior to working with the children .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. One substitute staff member that was hired 1/24/19 had not completed the “Recognizing and Responding to Suspicions of Child Maltreatment within 90 days of hire. .1102(g) TECHNICAL ASSITANCE: -Develop a system to help staff to assure that their activity plan is current and posted by Monday morning of each week. Have staff have it printed out a week before in case there are computer glitches first thing Monday morning. Add it to the morning checklist as staff are monitoring their classrooms before the children arrive. -You will need to add an area for the parent/guardian to add their signature and date on the on-line application. The signature may be electronic as long as it is verifiable as a signature. CONSULTATION: -Visit the North Carolina Rated License Assessment Project’s website: ncrlap.org. There are training and resources available for the Environmental Rating Scale (ERS) assessments. They are able to provide support during the preparation year prior to the assessment year beginning. REQUIRED RESPONSE: Violations must be corrected immediately. You shall submit a written/typed, signed and dated statement to me at the address noted below or email me detailing how the violations were corrected with exact dates and details including how you plan to prevent reoccurrence of such violations which must be received by February 1, 2024. Failure to correct the violation(s) and send the written statement by the established deadline listed above may result in an unannounced follow-up visit or an administrative action may be recommended based on Child Care Rule 10A NCAC 09 .2200. The documentation was completed electronically and reviewed with you during the visit. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have any questions, please contact me at: 704-594-0149 or carolyn.conley@dhhs.nc.gov. or my supervisor Erin Pickard at erinpickard@dhhs.nc.gov. Carolyn Conley Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box 835 Kannapolis, NC 28082-0835 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