THE Children'S Courtyard #3213

10A NCAC 09 .0514 · Violation

Name of Operation: THE CHILDREN'S COURTYARD #3213 Facility ID: 13000519 Consultant: BRITTANY ADAMS Operation Type: Center Case Number: Visit Date: 9/10/2025 Number Present: 144 Completed Date: 9/10/2025 Age: From 0 To 10 Total Minutes: 380 Time In: 10:00 AM Time Out: 04:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Kristen Fortin, Director, assisted me with today’s visit. Rebbecca Hayes, Child Care Consultant accompanied me during today’s visit. The last annual compliance visit was conducted on October 30, 2024. The last sanitation inspection was completed on July 22, 2025. The last fire inspection was conducted November 1, 2024, and your facility was approved for daytime care only. The program’s compliance history was 93% 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 and outdoor environment was completed. Children were observed engaging in free choice and teacher directed activities indoors and outdoors, 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. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. I reviewed emergency medications, permission to administer forms and medical action plans. A selection of staff files and children’s files were monitored during today’s visit. A staff and training worksheet was not updated and available for review. A staff and training worksheet was completed by Child Care Consultant Rebbecca Hayes during today’s visit while files were monitored. I informed you that one week from today’s visit, staff and training worksheets need to be updated and submitted to me. You stated 37 staff are currently employed at your facility, 2 administrators, 2 support staff and 33 caregivers. Transportation and corresponding documents were monitored today and found to be in compliance. The following violations were documented today: Violation Number Comment Rule 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. Child enrolled on 12/16/24 did not have a copy of the safe sleep policy on file and available for review. 10A NCAC 09 .0606(c) 1030 Application for employment and date of birth was not on file for all staff. Staff members hired on 9/2/25, 8/13/25, 5/5/25 (two), and 7/21/25 did not have an application for employment on file. .0302(d)(1)(A) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff members hired on 9/2/25 and 5/5/25 (two) did not have the required medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff members hired on 9/2/25, 8/13/25, and two staff members hired on 5/5/25 did not have proof of tuberculosis test or screening. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff members hired on 5/11/18, 5/23/22, 9/24/18, and 2/15/16 did not have emergency information updated. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Staff members hired on 8/13/25 and 8/28/25 have not completed a criminal background check. G.S. 110-90.2(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff members hired on 5/5/25 and 7/21/25 did not have documentation of completing their 6 week orientation. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member hired on 5/21/25 did not have a current First Aid certificate on file and available for review. .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. A staff member hired on 5/21/25 did not have a current CPR certificate on file and available for review. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. A staff member hired on 8/13/25 did not have documentation of completing the two week orientation. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff members hired on 5/23/22, 9/24/18, and 2/15/16 did not have a current annual staff evaluation on file. 10A NCAC 09 .0514(f) 1314 Emergency information did not name childs health care professional. A child enrolled on 12/16/24 did not have a hospital preference listed on their application. .0802(c)(2) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Four children' files (DOB: 3/26/20, 6/25/21, 12/4/17, and 8/20/18) that were reviewed did not list their enrollment dates on the Discipline Policy. .1804(b) 1329 Application for enrollment did not include all required information. Three children enrolled on 5/16/22, 5/19/21, and DOB 12/4/17 (w/ no enrollment date) did not have enrollment dates on their applications. .0801(a)(1-7) 1757 A valid qualification letter was not on file and available to review at the facility. Staff members hired on 5/5/25 (two), 9/2/25, 7/2/25, 8/13/25, and 8/28/25 did not have criminal background checks on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 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. Staff members hired on 5/11/18, 5/23/22, and 9/24/18 did not review the center's EPR Plan on an annual basis. .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. Staff members hired on 2/15/16, 8/28/25, 9/2/25, 8/13/25 and 7/21/25 did not have the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff members hired 5/5/25 did not have a Recognizing and Responding to Suspicions of Child Maltreatment training certificate on file. .1102(g) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. A child enrolled on 12/16/24 did not have a Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(b)(1-6) Technical Assistance was provided on the following: Please ensure all staff who do not currently have a background in the ABCMS system do not return to the facility until their background check has been completed and is on file and available for review. Also, when submitting the compliance letter, please ensure you submit all criminal background checks and certificates as well. Please ensure all orientation is completed within the required timeframe and documented. Please ensure all required documents are signed and dated prior to the dates when the required documents are due. Please review all staff files and all staff and trainings worksheets every 30 days to ensure all items are up to date and remain in compliance. We discussed restructuring your staff and children's files, utilizing the staff and training worksheet and children's file checklist to organize your files. Please complete a new staff and training worksheet as soon as possible and submit to me within one week from today’s date. The worksheet will be due by 9/17/25. Please include every staff member currently employed at the facility. Complete items 1-27 for each staff member. If an item is not applicable for a staff member type “N/A”. Consultation was provided on the following: Please continue ensuring that when the food items being served differ from items listed on the menu, the menu is updated prior to the food items being given to the children. The menu should be posted in a prominent location and the changes need to be made so parents can review the changes. Please continue ensuring name to face documents are completed as children enter the classroom, and/or are placed in the care of a staff member. Please continue ensuring that children under the age of three do not have access to loose plastic, including but not limited to plastic grocery bags. This is a choking hazard. Please continue ensuring personal belongings such as purses or handbags are not accessible to children. Please continue ensuring that classroom floors and counters are cleaned daily and free of debris. Also, bus #1 and #2 were not clean and free of debris. There were several trash items scattered on the floor. Please continue ensuring that each infant enrolled (up to 15 months of age) has a current feeding schedule posted in their classroom. The feeding schedule must be reviewed and/or updated at minimum annually. Please continue ensuring that when emergency medications are brought into the facility, the permission to administer and medical action plan forms are filled out in their entirety. The permission to administer form is only valid for six months. The medical action plan is valid for one year. Please ensure all trash cans have tops or covers on them throughout the facility. 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 September 24, 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 3213@childrenscourtyard.com. 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 .0606 · Violation

Name of Operation: THE CHILDREN'S COURTYARD #3213 Facility ID: 13000519 Consultant: BRITTANY ADAMS Operation Type: Center Case Number: Visit Date: 9/10/2025 Number Present: 144 Completed Date: 9/10/2025 Age: From 0 To 10 Total Minutes: 380 Time In: 10:00 AM Time Out: 04:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Kristen Fortin, Director, assisted me with today’s visit. Rebbecca Hayes, Child Care Consultant accompanied me during today’s visit. The last annual compliance visit was conducted on October 30, 2024. The last sanitation inspection was completed on July 22, 2025. The last fire inspection was conducted November 1, 2024, and your facility was approved for daytime care only. The program’s compliance history was 93% 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 and outdoor environment was completed. Children were observed engaging in free choice and teacher directed activities indoors and outdoors, 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. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. I reviewed emergency medications, permission to administer forms and medical action plans. A selection of staff files and children’s files were monitored during today’s visit. A staff and training worksheet was not updated and available for review. A staff and training worksheet was completed by Child Care Consultant Rebbecca Hayes during today’s visit while files were monitored. I informed you that one week from today’s visit, staff and training worksheets need to be updated and submitted to me. You stated 37 staff are currently employed at your facility, 2 administrators, 2 support staff and 33 caregivers. Transportation and corresponding documents were monitored today and found to be in compliance. The following violations were documented today: Violation Number Comment Rule 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. Child enrolled on 12/16/24 did not have a copy of the safe sleep policy on file and available for review. 10A NCAC 09 .0606(c) 1030 Application for employment and date of birth was not on file for all staff. Staff members hired on 9/2/25, 8/13/25, 5/5/25 (two), and 7/21/25 did not have an application for employment on file. .0302(d)(1)(A) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff members hired on 9/2/25 and 5/5/25 (two) did not have the required medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff members hired on 9/2/25, 8/13/25, and two staff members hired on 5/5/25 did not have proof of tuberculosis test or screening. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff members hired on 5/11/18, 5/23/22, 9/24/18, and 2/15/16 did not have emergency information updated. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Staff members hired on 8/13/25 and 8/28/25 have not completed a criminal background check. G.S. 110-90.2(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff members hired on 5/5/25 and 7/21/25 did not have documentation of completing their 6 week orientation. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member hired on 5/21/25 did not have a current First Aid certificate on file and available for review. .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. A staff member hired on 5/21/25 did not have a current CPR certificate on file and available for review. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. A staff member hired on 8/13/25 did not have documentation of completing the two week orientation. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff members hired on 5/23/22, 9/24/18, and 2/15/16 did not have a current annual staff evaluation on file. 10A NCAC 09 .0514(f) 1314 Emergency information did not name childs health care professional. A child enrolled on 12/16/24 did not have a hospital preference listed on their application. .0802(c)(2) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Four children' files (DOB: 3/26/20, 6/25/21, 12/4/17, and 8/20/18) that were reviewed did not list their enrollment dates on the Discipline Policy. .1804(b) 1329 Application for enrollment did not include all required information. Three children enrolled on 5/16/22, 5/19/21, and DOB 12/4/17 (w/ no enrollment date) did not have enrollment dates on their applications. .0801(a)(1-7) 1757 A valid qualification letter was not on file and available to review at the facility. Staff members hired on 5/5/25 (two), 9/2/25, 7/2/25, 8/13/25, and 8/28/25 did not have criminal background checks on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 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. Staff members hired on 5/11/18, 5/23/22, and 9/24/18 did not review the center's EPR Plan on an annual basis. .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. Staff members hired on 2/15/16, 8/28/25, 9/2/25, 8/13/25 and 7/21/25 did not have the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff members hired 5/5/25 did not have a Recognizing and Responding to Suspicions of Child Maltreatment training certificate on file. .1102(g) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. A child enrolled on 12/16/24 did not have a Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(b)(1-6) Technical Assistance was provided on the following: Please ensure all staff who do not currently have a background in the ABCMS system do not return to the facility until their background check has been completed and is on file and available for review. Also, when submitting the compliance letter, please ensure you submit all criminal background checks and certificates as well. Please ensure all orientation is completed within the required timeframe and documented. Please ensure all required documents are signed and dated prior to the dates when the required documents are due. Please review all staff files and all staff and trainings worksheets every 30 days to ensure all items are up to date and remain in compliance. We discussed restructuring your staff and children's files, utilizing the staff and training worksheet and children's file checklist to organize your files. Please complete a new staff and training worksheet as soon as possible and submit to me within one week from today’s date. The worksheet will be due by 9/17/25. Please include every staff member currently employed at the facility. Complete items 1-27 for each staff member. If an item is not applicable for a staff member type “N/A”. Consultation was provided on the following: Please continue ensuring that when the food items being served differ from items listed on the menu, the menu is updated prior to the food items being given to the children. The menu should be posted in a prominent location and the changes need to be made so parents can review the changes. Please continue ensuring name to face documents are completed as children enter the classroom, and/or are placed in the care of a staff member. Please continue ensuring that children under the age of three do not have access to loose plastic, including but not limited to plastic grocery bags. This is a choking hazard. Please continue ensuring personal belongings such as purses or handbags are not accessible to children. Please continue ensuring that classroom floors and counters are cleaned daily and free of debris. Also, bus #1 and #2 were not clean and free of debris. There were several trash items scattered on the floor. Please continue ensuring that each infant enrolled (up to 15 months of age) has a current feeding schedule posted in their classroom. The feeding schedule must be reviewed and/or updated at minimum annually. Please continue ensuring that when emergency medications are brought into the facility, the permission to administer and medical action plan forms are filled out in their entirety. The permission to administer form is only valid for six months. The medical action plan is valid for one year. Please ensure all trash cans have tops or covers on them throughout the facility. 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 September 24, 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 3213@childrenscourtyard.com. 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 .0701 · Violation

Name of Operation: THE CHILDREN'S COURTYARD #3213 Facility ID: 13000519 Consultant: BRITTANY ADAMS Operation Type: Center Case Number: Visit Date: 9/10/2025 Number Present: 144 Completed Date: 9/10/2025 Age: From 0 To 10 Total Minutes: 380 Time In: 10:00 AM Time Out: 04:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Kristen Fortin, Director, assisted me with today’s visit. Rebbecca Hayes, Child Care Consultant accompanied me during today’s visit. The last annual compliance visit was conducted on October 30, 2024. The last sanitation inspection was completed on July 22, 2025. The last fire inspection was conducted November 1, 2024, and your facility was approved for daytime care only. The program’s compliance history was 93% 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 and outdoor environment was completed. Children were observed engaging in free choice and teacher directed activities indoors and outdoors, 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. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. I reviewed emergency medications, permission to administer forms and medical action plans. A selection of staff files and children’s files were monitored during today’s visit. A staff and training worksheet was not updated and available for review. A staff and training worksheet was completed by Child Care Consultant Rebbecca Hayes during today’s visit while files were monitored. I informed you that one week from today’s visit, staff and training worksheets need to be updated and submitted to me. You stated 37 staff are currently employed at your facility, 2 administrators, 2 support staff and 33 caregivers. Transportation and corresponding documents were monitored today and found to be in compliance. The following violations were documented today: Violation Number Comment Rule 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. Child enrolled on 12/16/24 did not have a copy of the safe sleep policy on file and available for review. 10A NCAC 09 .0606(c) 1030 Application for employment and date of birth was not on file for all staff. Staff members hired on 9/2/25, 8/13/25, 5/5/25 (two), and 7/21/25 did not have an application for employment on file. .0302(d)(1)(A) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff members hired on 9/2/25 and 5/5/25 (two) did not have the required medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff members hired on 9/2/25, 8/13/25, and two staff members hired on 5/5/25 did not have proof of tuberculosis test or screening. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff members hired on 5/11/18, 5/23/22, 9/24/18, and 2/15/16 did not have emergency information updated. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Staff members hired on 8/13/25 and 8/28/25 have not completed a criminal background check. G.S. 110-90.2(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff members hired on 5/5/25 and 7/21/25 did not have documentation of completing their 6 week orientation. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member hired on 5/21/25 did not have a current First Aid certificate on file and available for review. .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. A staff member hired on 5/21/25 did not have a current CPR certificate on file and available for review. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. A staff member hired on 8/13/25 did not have documentation of completing the two week orientation. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff members hired on 5/23/22, 9/24/18, and 2/15/16 did not have a current annual staff evaluation on file. 10A NCAC 09 .0514(f) 1314 Emergency information did not name childs health care professional. A child enrolled on 12/16/24 did not have a hospital preference listed on their application. .0802(c)(2) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Four children' files (DOB: 3/26/20, 6/25/21, 12/4/17, and 8/20/18) that were reviewed did not list their enrollment dates on the Discipline Policy. .1804(b) 1329 Application for enrollment did not include all required information. Three children enrolled on 5/16/22, 5/19/21, and DOB 12/4/17 (w/ no enrollment date) did not have enrollment dates on their applications. .0801(a)(1-7) 1757 A valid qualification letter was not on file and available to review at the facility. Staff members hired on 5/5/25 (two), 9/2/25, 7/2/25, 8/13/25, and 8/28/25 did not have criminal background checks on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 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. Staff members hired on 5/11/18, 5/23/22, and 9/24/18 did not review the center's EPR Plan on an annual basis. .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. Staff members hired on 2/15/16, 8/28/25, 9/2/25, 8/13/25 and 7/21/25 did not have the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff members hired 5/5/25 did not have a Recognizing and Responding to Suspicions of Child Maltreatment training certificate on file. .1102(g) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. A child enrolled on 12/16/24 did not have a Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(b)(1-6) Technical Assistance was provided on the following: Please ensure all staff who do not currently have a background in the ABCMS system do not return to the facility until their background check has been completed and is on file and available for review. Also, when submitting the compliance letter, please ensure you submit all criminal background checks and certificates as well. Please ensure all orientation is completed within the required timeframe and documented. Please ensure all required documents are signed and dated prior to the dates when the required documents are due. Please review all staff files and all staff and trainings worksheets every 30 days to ensure all items are up to date and remain in compliance. We discussed restructuring your staff and children's files, utilizing the staff and training worksheet and children's file checklist to organize your files. Please complete a new staff and training worksheet as soon as possible and submit to me within one week from today’s date. The worksheet will be due by 9/17/25. Please include every staff member currently employed at the facility. Complete items 1-27 for each staff member. If an item is not applicable for a staff member type “N/A”. Consultation was provided on the following: Please continue ensuring that when the food items being served differ from items listed on the menu, the menu is updated prior to the food items being given to the children. The menu should be posted in a prominent location and the changes need to be made so parents can review the changes. Please continue ensuring name to face documents are completed as children enter the classroom, and/or are placed in the care of a staff member. Please continue ensuring that children under the age of three do not have access to loose plastic, including but not limited to plastic grocery bags. This is a choking hazard. Please continue ensuring personal belongings such as purses or handbags are not accessible to children. Please continue ensuring that classroom floors and counters are cleaned daily and free of debris. Also, bus #1 and #2 were not clean and free of debris. There were several trash items scattered on the floor. Please continue ensuring that each infant enrolled (up to 15 months of age) has a current feeding schedule posted in their classroom. The feeding schedule must be reviewed and/or updated at minimum annually. Please continue ensuring that when emergency medications are brought into the facility, the permission to administer and medical action plan forms are filled out in their entirety. The permission to administer form is only valid for six months. The medical action plan is valid for one year. Please ensure all trash cans have tops or covers on them throughout the facility. 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 September 24, 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 3213@childrenscourtyard.com. 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: THE CHILDREN'S COURTYARD #3213 Facility ID: 13000519 Consultant: BRITTANY ADAMS Operation Type: Center Case Number: Visit Date: 9/10/2025 Number Present: 144 Completed Date: 9/10/2025 Age: From 0 To 10 Total Minutes: 380 Time In: 10:00 AM Time Out: 04:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Kristen Fortin, Director, assisted me with today’s visit. Rebbecca Hayes, Child Care Consultant accompanied me during today’s visit. The last annual compliance visit was conducted on October 30, 2024. The last sanitation inspection was completed on July 22, 2025. The last fire inspection was conducted November 1, 2024, and your facility was approved for daytime care only. The program’s compliance history was 93% 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 and outdoor environment was completed. Children were observed engaging in free choice and teacher directed activities indoors and outdoors, 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. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. I reviewed emergency medications, permission to administer forms and medical action plans. A selection of staff files and children’s files were monitored during today’s visit. A staff and training worksheet was not updated and available for review. A staff and training worksheet was completed by Child Care Consultant Rebbecca Hayes during today’s visit while files were monitored. I informed you that one week from today’s visit, staff and training worksheets need to be updated and submitted to me. You stated 37 staff are currently employed at your facility, 2 administrators, 2 support staff and 33 caregivers. Transportation and corresponding documents were monitored today and found to be in compliance. The following violations were documented today: Violation Number Comment Rule 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. Child enrolled on 12/16/24 did not have a copy of the safe sleep policy on file and available for review. 10A NCAC 09 .0606(c) 1030 Application for employment and date of birth was not on file for all staff. Staff members hired on 9/2/25, 8/13/25, 5/5/25 (two), and 7/21/25 did not have an application for employment on file. .0302(d)(1)(A) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff members hired on 9/2/25 and 5/5/25 (two) did not have the required medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff members hired on 9/2/25, 8/13/25, and two staff members hired on 5/5/25 did not have proof of tuberculosis test or screening. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff members hired on 5/11/18, 5/23/22, 9/24/18, and 2/15/16 did not have emergency information updated. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Staff members hired on 8/13/25 and 8/28/25 have not completed a criminal background check. G.S. 110-90.2(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff members hired on 5/5/25 and 7/21/25 did not have documentation of completing their 6 week orientation. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member hired on 5/21/25 did not have a current First Aid certificate on file and available for review. .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. A staff member hired on 5/21/25 did not have a current CPR certificate on file and available for review. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. A staff member hired on 8/13/25 did not have documentation of completing the two week orientation. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff members hired on 5/23/22, 9/24/18, and 2/15/16 did not have a current annual staff evaluation on file. 10A NCAC 09 .0514(f) 1314 Emergency information did not name childs health care professional. A child enrolled on 12/16/24 did not have a hospital preference listed on their application. .0802(c)(2) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Four children' files (DOB: 3/26/20, 6/25/21, 12/4/17, and 8/20/18) that were reviewed did not list their enrollment dates on the Discipline Policy. .1804(b) 1329 Application for enrollment did not include all required information. Three children enrolled on 5/16/22, 5/19/21, and DOB 12/4/17 (w/ no enrollment date) did not have enrollment dates on their applications. .0801(a)(1-7) 1757 A valid qualification letter was not on file and available to review at the facility. Staff members hired on 5/5/25 (two), 9/2/25, 7/2/25, 8/13/25, and 8/28/25 did not have criminal background checks on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 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. Staff members hired on 5/11/18, 5/23/22, and 9/24/18 did not review the center's EPR Plan on an annual basis. .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. Staff members hired on 2/15/16, 8/28/25, 9/2/25, 8/13/25 and 7/21/25 did not have the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff members hired 5/5/25 did not have a Recognizing and Responding to Suspicions of Child Maltreatment training certificate on file. .1102(g) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. A child enrolled on 12/16/24 did not have a Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(b)(1-6) Technical Assistance was provided on the following: Please ensure all staff who do not currently have a background in the ABCMS system do not return to the facility until their background check has been completed and is on file and available for review. Also, when submitting the compliance letter, please ensure you submit all criminal background checks and certificates as well. Please ensure all orientation is completed within the required timeframe and documented. Please ensure all required documents are signed and dated prior to the dates when the required documents are due. Please review all staff files and all staff and trainings worksheets every 30 days to ensure all items are up to date and remain in compliance. We discussed restructuring your staff and children's files, utilizing the staff and training worksheet and children's file checklist to organize your files. Please complete a new staff and training worksheet as soon as possible and submit to me within one week from today’s date. The worksheet will be due by 9/17/25. Please include every staff member currently employed at the facility. Complete items 1-27 for each staff member. If an item is not applicable for a staff member type “N/A”. Consultation was provided on the following: Please continue ensuring that when the food items being served differ from items listed on the menu, the menu is updated prior to the food items being given to the children. The menu should be posted in a prominent location and the changes need to be made so parents can review the changes. Please continue ensuring name to face documents are completed as children enter the classroom, and/or are placed in the care of a staff member. Please continue ensuring that children under the age of three do not have access to loose plastic, including but not limited to plastic grocery bags. This is a choking hazard. Please continue ensuring personal belongings such as purses or handbags are not accessible to children. Please continue ensuring that classroom floors and counters are cleaned daily and free of debris. Also, bus #1 and #2 were not clean and free of debris. There were several trash items scattered on the floor. Please continue ensuring that each infant enrolled (up to 15 months of age) has a current feeding schedule posted in their classroom. The feeding schedule must be reviewed and/or updated at minimum annually. Please continue ensuring that when emergency medications are brought into the facility, the permission to administer and medical action plan forms are filled out in their entirety. The permission to administer form is only valid for six months. The medical action plan is valid for one year. Please ensure all trash cans have tops or covers on them throughout the facility. 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 September 24, 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 3213@childrenscourtyard.com. 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: THE CHILDREN'S COURTYARD #3213 Facility ID: 13000519 Consultant: BRITTANY ADAMS Operation Type: Center Case Number: Visit Date: 9/10/2025 Number Present: 144 Completed Date: 9/10/2025 Age: From 0 To 10 Total Minutes: 380 Time In: 10:00 AM Time Out: 04:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Kristen Fortin, Director, assisted me with today’s visit. Rebbecca Hayes, Child Care Consultant accompanied me during today’s visit. The last annual compliance visit was conducted on October 30, 2024. The last sanitation inspection was completed on July 22, 2025. The last fire inspection was conducted November 1, 2024, and your facility was approved for daytime care only. The program’s compliance history was 93% 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 and outdoor environment was completed. Children were observed engaging in free choice and teacher directed activities indoors and outdoors, 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. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. I reviewed emergency medications, permission to administer forms and medical action plans. A selection of staff files and children’s files were monitored during today’s visit. A staff and training worksheet was not updated and available for review. A staff and training worksheet was completed by Child Care Consultant Rebbecca Hayes during today’s visit while files were monitored. I informed you that one week from today’s visit, staff and training worksheets need to be updated and submitted to me. You stated 37 staff are currently employed at your facility, 2 administrators, 2 support staff and 33 caregivers. Transportation and corresponding documents were monitored today and found to be in compliance. The following violations were documented today: Violation Number Comment Rule 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. Child enrolled on 12/16/24 did not have a copy of the safe sleep policy on file and available for review. 10A NCAC 09 .0606(c) 1030 Application for employment and date of birth was not on file for all staff. Staff members hired on 9/2/25, 8/13/25, 5/5/25 (two), and 7/21/25 did not have an application for employment on file. .0302(d)(1)(A) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff members hired on 9/2/25 and 5/5/25 (two) did not have the required medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff members hired on 9/2/25, 8/13/25, and two staff members hired on 5/5/25 did not have proof of tuberculosis test or screening. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff members hired on 5/11/18, 5/23/22, 9/24/18, and 2/15/16 did not have emergency information updated. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Staff members hired on 8/13/25 and 8/28/25 have not completed a criminal background check. G.S. 110-90.2(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff members hired on 5/5/25 and 7/21/25 did not have documentation of completing their 6 week orientation. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member hired on 5/21/25 did not have a current First Aid certificate on file and available for review. .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. A staff member hired on 5/21/25 did not have a current CPR certificate on file and available for review. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. A staff member hired on 8/13/25 did not have documentation of completing the two week orientation. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff members hired on 5/23/22, 9/24/18, and 2/15/16 did not have a current annual staff evaluation on file. 10A NCAC 09 .0514(f) 1314 Emergency information did not name childs health care professional. A child enrolled on 12/16/24 did not have a hospital preference listed on their application. .0802(c)(2) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Four children' files (DOB: 3/26/20, 6/25/21, 12/4/17, and 8/20/18) that were reviewed did not list their enrollment dates on the Discipline Policy. .1804(b) 1329 Application for enrollment did not include all required information. Three children enrolled on 5/16/22, 5/19/21, and DOB 12/4/17 (w/ no enrollment date) did not have enrollment dates on their applications. .0801(a)(1-7) 1757 A valid qualification letter was not on file and available to review at the facility. Staff members hired on 5/5/25 (two), 9/2/25, 7/2/25, 8/13/25, and 8/28/25 did not have criminal background checks on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 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. Staff members hired on 5/11/18, 5/23/22, and 9/24/18 did not review the center's EPR Plan on an annual basis. .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. Staff members hired on 2/15/16, 8/28/25, 9/2/25, 8/13/25 and 7/21/25 did not have the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff members hired 5/5/25 did not have a Recognizing and Responding to Suspicions of Child Maltreatment training certificate on file. .1102(g) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. A child enrolled on 12/16/24 did not have a Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(b)(1-6) Technical Assistance was provided on the following: Please ensure all staff who do not currently have a background in the ABCMS system do not return to the facility until their background check has been completed and is on file and available for review. Also, when submitting the compliance letter, please ensure you submit all criminal background checks and certificates as well. Please ensure all orientation is completed within the required timeframe and documented. Please ensure all required documents are signed and dated prior to the dates when the required documents are due. Please review all staff files and all staff and trainings worksheets every 30 days to ensure all items are up to date and remain in compliance. We discussed restructuring your staff and children's files, utilizing the staff and training worksheet and children's file checklist to organize your files. Please complete a new staff and training worksheet as soon as possible and submit to me within one week from today’s date. The worksheet will be due by 9/17/25. Please include every staff member currently employed at the facility. Complete items 1-27 for each staff member. If an item is not applicable for a staff member type “N/A”. Consultation was provided on the following: Please continue ensuring that when the food items being served differ from items listed on the menu, the menu is updated prior to the food items being given to the children. The menu should be posted in a prominent location and the changes need to be made so parents can review the changes. Please continue ensuring name to face documents are completed as children enter the classroom, and/or are placed in the care of a staff member. Please continue ensuring that children under the age of three do not have access to loose plastic, including but not limited to plastic grocery bags. This is a choking hazard. Please continue ensuring personal belongings such as purses or handbags are not accessible to children. Please continue ensuring that classroom floors and counters are cleaned daily and free of debris. Also, bus #1 and #2 were not clean and free of debris. There were several trash items scattered on the floor. Please continue ensuring that each infant enrolled (up to 15 months of age) has a current feeding schedule posted in their classroom. The feeding schedule must be reviewed and/or updated at minimum annually. Please continue ensuring that when emergency medications are brought into the facility, the permission to administer and medical action plan forms are filled out in their entirety. The permission to administer form is only valid for six months. The medical action plan is valid for one year. Please ensure all trash cans have tops or covers on them throughout the facility. 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 September 24, 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 3213@childrenscourtyard.com. 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: THE CHILDREN'S COURTYARD #3213 Facility ID: 13000519 Consultant: BRITTANY ADAMS Operation Type: Center Case Number: 0725-192L Visit Date: 7/23/2025 Number Present: 145 Completed Date: 7/23/2025 Age: From 0 To 11 Total Minutes: 155 Time In: 10:25 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. You, Kristen Fortin, Director, assisted me with the visit. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions were monitored during today’s visit. The allegations are as follows: There is a concern regarding discipline. I visited each classroom during today’s visit. Children were observed engaging in free choice activities, story time, routine care taking and staff/child interaction. I spoke with you and asked if you had any concerns regarding discipline. You recounted an incident you previously called and informed me about regarding a staff member in the School Age 2 classroom spraying three children with a water bottle as a form of discipline. You stated initially the staff member sprayed the children in a playful manner, but then the spray bottle was used to have children leave the table and go clean up the classroom. You stated this staff member has been terminated. You stated that after this incident, you created a document and gave it to each staff member, discussing spraying children with spray bottles and water play guidelines. You spoke with each staff member individually and had each staff member sign a document stating they received the information. I was able to confirm the allegation based on information received from the administrator previously and during today’s visit. Therefore, the allegation regarding discipline was substantiated. I also spoke with you and asked if you had any concerns regarding a water play incident involving inappropriate discipline practices. You stated that you were made aware of a water play incident, by a staff member that was not present at the facility today, involving another staff member in the School Age 2 classroom spraying a child with a hose during water play as a form of discipline. You stated that the child who was sprayed was not in water play clothes. You also stated that you spoke with the staff member in School Age 2 regarding this incident and the staff member stated they did not spray the child with a hose. I spoke with two additional staff members and asked if they had any concerns regarding a water play incident involving inappropriate discipline practices. One staff member stated that one day during water play a child in the School Age 2 classroom stated that they did not want to get wet during water play and that the child did not have water play clothes on. This same staff member stated that while outdoors during water play, that same child hit another child. This same staff member went to console the child who was hit, and when the staff member turned around, they noticed that the child who hit the child that was being consoled was soaking wet, and the staff member from School Age 2 had a hose in their hand. The staff member in School Age 2 stated that on one occasion they accidentally sprayed a child that did not want to be sprayed during water play, but that the child did have water play clothes on and they did not spray the child as a form of punishment. I was unable to confirm the allegation based on information received from interviewed staff and observations during today’s visit. Therefore, concerns regarding a water play incident involving inappropriate discipline practices was unsubstantiated. The following violation was cited during today’s visit: Violation Number Comment Rule 908 Discipline was not appropriate for the child's age and development. A staff member in the School Age classroom sprayed three school age children with a water bottle to direct the children to clean up the classroom, which was not an age and developmentally appropriate form of discipline. .1803(b) Technical Assistance was provided on the following: It is highly recommended that during the facility’s next staff meeting, appropriate discipline practices are reviewed, and water play guidelines are reviewed again. Consultation was provided on the following: Due to discipline being cited today, a follow up visit may be conducted at your facility and an administrative action may be recommended based upon rule .2200. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before August 6, 2025, I must receive a compliance letter that describes accurately and in detail, how and when the violations were corrected. 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 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 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 .0701 · Violation

Name of Operation: THE CHILDREN'S COURTYARD #3213 Facility ID: 13000519 Consultant: BRITTANY ADAMS Operation Type: Center Case Number: Visit Date: 4/1/2025 Number Present: 158 Completed Date: 4/1/2025 Age: From 0 To 5 Total Minutes: 360 Time In: 10:00 AM Time Out: 04:00 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, Kristen Fortin, Director, assisted me with the walk through. The last annual compliance visit was conducted on October 30, 2024. The last sanitation inspection was completed on December 3, 2024. The last fire inspection was conducted November 1, 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, 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. Medications, Permission to Administer forms, and medical action plans were monitored during today’s visit. All new staff files and medical files were monitored during today’s visit. A portion of remaining staff files were monitored for criminal background checks, First Aid/CPR, Recognizing and Responding, ITS/SIDS and BSAC during today’s visit. The following violations were documented today: Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A staff member hired on 3/10/25 did not have a medical report on file and available for reveiw. 10A NCAC 09 .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff members hired on 4/11/22, 3/4/23, 8/9/24 and 12/9/24, did not have a First Aid certificate on file and available for review. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Staff members hired on 4/11/22 and 12/9/24 did not have a CPR certificate on file and available for review. .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 12/30/24 did not have a Recognizing and Responding to Suspicions of Child Maltreatment certificate on file an available for review. .1102(g) Technical Assistance was provided on the following: We discussed thoroughly reviewing the staff and training worksheet monthly to ensure the worksheet is up to date and all documents and training certificates are current and not expired, including but not limited to, staff medical reports, First Aid/CPR, and Recognizing & Responding to Suspicions of Child Maltreatment. Consultation was provided on the following: We discussed administrators continuing to do a walk through of the facility throughout the day to ensure toys are of sufficient quantity and accessible to children throughout the day. Toys from the shelves should not be stored in classroom closets making them inaccessible to children throughout the day. We discussed continuing to ensure cords are either tucked behind furniture or secured in a way that makes them inaccessible to children. We discussed classroom teachers continuing to monitor their classroom bathrooms to ensure it is not being used for storage of items such a books, office supplies, and/or loose clothing garments. We discussed administrators continuing to review and/or monitor emergency medication, Permission to Administer forms, and medical action plans to ensure medication and/or forms are filled out correctly upon receipt and not expired. We discussed administrators completing a walk through of the facility after rest time to ensure classrooms are following their classroom schedules and that nap time concludes around it’s scheduled time. NEW QRIS MODERNIZATION PLAN: The new QRIS Modernization Plan known as “Pathways to Success” is being added to law which included moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission will continue the rulemaking process to add the rule language to child care requirements. This process with take several months. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded any ERS assessment completed on February 1, 2025 and after will be assessed using the ERS-3 versions. DCDEE WEBSITE RESOURCES: -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-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 ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days 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 as stated in G.S. 110-90.2 & .2703(r) 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. 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 April 15, 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. Mail or email the information to: Brittany Adams, Child Care Consultant PO Box 470753 Charlotte, NC 28247 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: THE CHILDREN'S COURTYARD #3213 Facility ID: 13000519 Consultant: BRITTANY ADAMS Operation Type: Center Case Number: Visit Date: 4/1/2025 Number Present: 158 Completed Date: 4/1/2025 Age: From 0 To 5 Total Minutes: 360 Time In: 10:00 AM Time Out: 04:00 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, Kristen Fortin, Director, assisted me with the walk through. The last annual compliance visit was conducted on October 30, 2024. The last sanitation inspection was completed on December 3, 2024. The last fire inspection was conducted November 1, 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, 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. Medications, Permission to Administer forms, and medical action plans were monitored during today’s visit. All new staff files and medical files were monitored during today’s visit. A portion of remaining staff files were monitored for criminal background checks, First Aid/CPR, Recognizing and Responding, ITS/SIDS and BSAC during today’s visit. The following violations were documented today: Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A staff member hired on 3/10/25 did not have a medical report on file and available for reveiw. 10A NCAC 09 .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff members hired on 4/11/22, 3/4/23, 8/9/24 and 12/9/24, did not have a First Aid certificate on file and available for review. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Staff members hired on 4/11/22 and 12/9/24 did not have a CPR certificate on file and available for review. .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 12/30/24 did not have a Recognizing and Responding to Suspicions of Child Maltreatment certificate on file an available for review. .1102(g) Technical Assistance was provided on the following: We discussed thoroughly reviewing the staff and training worksheet monthly to ensure the worksheet is up to date and all documents and training certificates are current and not expired, including but not limited to, staff medical reports, First Aid/CPR, and Recognizing & Responding to Suspicions of Child Maltreatment. Consultation was provided on the following: We discussed administrators continuing to do a walk through of the facility throughout the day to ensure toys are of sufficient quantity and accessible to children throughout the day. Toys from the shelves should not be stored in classroom closets making them inaccessible to children throughout the day. We discussed continuing to ensure cords are either tucked behind furniture or secured in a way that makes them inaccessible to children. We discussed classroom teachers continuing to monitor their classroom bathrooms to ensure it is not being used for storage of items such a books, office supplies, and/or loose clothing garments. We discussed administrators continuing to review and/or monitor emergency medication, Permission to Administer forms, and medical action plans to ensure medication and/or forms are filled out correctly upon receipt and not expired. We discussed administrators completing a walk through of the facility after rest time to ensure classrooms are following their classroom schedules and that nap time concludes around it’s scheduled time. NEW QRIS MODERNIZATION PLAN: The new QRIS Modernization Plan known as “Pathways to Success” is being added to law which included moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission will continue the rulemaking process to add the rule language to child care requirements. This process with take several months. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded any ERS assessment completed on February 1, 2025 and after will be assessed using the ERS-3 versions. DCDEE WEBSITE RESOURCES: -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-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 ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days 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 as stated in G.S. 110-90.2 & .2703(r) 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. 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 April 15, 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. Mail or email the information to: Brittany Adams, Child Care Consultant PO Box 470753 Charlotte, NC 28247 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: THE CHILDREN'S COURTYARD #3213 Facility ID: 13000519 Consultant: BRITTANY ADAMS Operation Type: Center Case Number: Visit Date: 4/1/2025 Number Present: 158 Completed Date: 4/1/2025 Age: From 0 To 5 Total Minutes: 360 Time In: 10:00 AM Time Out: 04:00 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, Kristen Fortin, Director, assisted me with the walk through. The last annual compliance visit was conducted on October 30, 2024. The last sanitation inspection was completed on December 3, 2024. The last fire inspection was conducted November 1, 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, 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. Medications, Permission to Administer forms, and medical action plans were monitored during today’s visit. All new staff files and medical files were monitored during today’s visit. A portion of remaining staff files were monitored for criminal background checks, First Aid/CPR, Recognizing and Responding, ITS/SIDS and BSAC during today’s visit. The following violations were documented today: Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A staff member hired on 3/10/25 did not have a medical report on file and available for reveiw. 10A NCAC 09 .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff members hired on 4/11/22, 3/4/23, 8/9/24 and 12/9/24, did not have a First Aid certificate on file and available for review. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Staff members hired on 4/11/22 and 12/9/24 did not have a CPR certificate on file and available for review. .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 12/30/24 did not have a Recognizing and Responding to Suspicions of Child Maltreatment certificate on file an available for review. .1102(g) Technical Assistance was provided on the following: We discussed thoroughly reviewing the staff and training worksheet monthly to ensure the worksheet is up to date and all documents and training certificates are current and not expired, including but not limited to, staff medical reports, First Aid/CPR, and Recognizing & Responding to Suspicions of Child Maltreatment. Consultation was provided on the following: We discussed administrators continuing to do a walk through of the facility throughout the day to ensure toys are of sufficient quantity and accessible to children throughout the day. Toys from the shelves should not be stored in classroom closets making them inaccessible to children throughout the day. We discussed continuing to ensure cords are either tucked behind furniture or secured in a way that makes them inaccessible to children. We discussed classroom teachers continuing to monitor their classroom bathrooms to ensure it is not being used for storage of items such a books, office supplies, and/or loose clothing garments. We discussed administrators continuing to review and/or monitor emergency medication, Permission to Administer forms, and medical action plans to ensure medication and/or forms are filled out correctly upon receipt and not expired. We discussed administrators completing a walk through of the facility after rest time to ensure classrooms are following their classroom schedules and that nap time concludes around it’s scheduled time. NEW QRIS MODERNIZATION PLAN: The new QRIS Modernization Plan known as “Pathways to Success” is being added to law which included moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission will continue the rulemaking process to add the rule language to child care requirements. This process with take several months. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded any ERS assessment completed on February 1, 2025 and after will be assessed using the ERS-3 versions. DCDEE WEBSITE RESOURCES: -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-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 ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days 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 as stated in G.S. 110-90.2 & .2703(r) 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. 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 April 15, 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. Mail or email the information to: Brittany Adams, Child Care Consultant PO Box 470753 Charlotte, NC 28247 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

10A NCAC 09 .0803 · Violation

Name of Operation: THE CHILDREN'S COURTYARD #3213 Facility ID: 13000519 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 10/31/2023 Number Present: 126 Completed Date: 11/1/2023 Age: From 0 To 5 Total Minutes: 470 Time In: 09:20 AM Time Out: 05:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable childcare requirements during an annual compliance visit. Your last annual compliance visit was conducted on November 18, 2021. Prior to today’s visit your compliance history was 78%. You, Kristin Fortin, Director, were not present, but arrived later in the afternoon. Maggie Harrington, Associate Director, assisted me with today’s visit. I observed your Five (5) Star License, NC Child Care Summary of the Law, Safe Procedures for Arrival & Departure, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, First Aid poster, tobacco free facility signage and evacuation plans posted as required. I observed children adequately supervised during today’s visit. I observed enhanced staff-child ratios maintained during today’s visit. I observed adequate approved space use and permit restrictions maintained during today’s visit. I observed children engaged in free play in activity areas, toileting, washing hands, transitions, outdoor play, lunch, and nap. I observed activity areas including books, blocks, manipulatives, dramatic play, art, science, music, writing, and cozy/quiet areas. I observed toys and equipment to be of sufficient quantity. I observed toys and equipment to be developmentally appropriate in all spaces. I observed current activity plans posted in all classrooms. I observed bathrooms stocked with necessary supplies with handwashing procedure signs posted as required. I monitored prescription and over the counter medications/ ointments. I monitored general safety throughout the center. I observed electrical cords secured. I observed outlets covered as required. I monitored the equipment and materials in the outdoor play spaces. I observed all spaces supplied with a variety of age-appropriate materials and equipment. Sanitation Inspections are occurring as required. I observed the kitchen equipped with a stove, warmers, refrigerator, walk in freezer, and dishwashing sinks. The refrigerator temperature was thirty-six degrees Fahrenheit. I observed a lunch consisting of chicken, stuffing, broccoli, oranges, and milk. Fire and emergency drills are occurring as required. A random selection of eighteen children’s files were monitored. I monitored a total of ten staff files today. I will return later in the week to complete the visit, at that time I will monitor the remaining staff files, transportation, playground information, and fire inspections. Any additional violations will be added to this visit, and this visit will be amended. Your signature on all forms served and will serve as verification the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 4 a can of Equate aerosol sunscreen was stored in an unlocked cabinet. In Space 2, there were two batteries laying on the counter near the sink. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space 4 a bottle of Excedrin Migraine was stored in an unlocked cabinet. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Four diaper creams or ointments did not have permission to administer forms. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. One tube of Aquaphor had an expiration date of 8/2021. 10A NCAC 09 .0803(1)(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Spaces 5 and 16 each had a prescription medication which was not in its original pharmaceutical container. .0803(2)(a) 847 Parent's medication authorization did not include required information. A total of seven permission to administer forms were not complete as required. Parent signatures were missing on two forms. Name of medication was missing on one form. Two forms did not have the dosage amount. Two forms only had the child's name and the parent signature, but no other information. 10A NCAC 09 .0803(4)(6-9) 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. In space 15 there was a tube of Cortisone-10, the label indicated "not recommended for children under 12." In Space 11, there was a tube of Hydrocortisone, the label indicated "not recommended for children under 2." 10A NCAC 09 .0803(5) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Eight permission to administer forms for diaper creams/ointments had expired. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two staff with hire dates of 10/16/23 and 2/22/23 did not have medical reports on or before their first day of work. 10A NCAC 09 .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Four staff did not have documentation of First Aid certification. .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. Four staff did not have documentation of having CPR certification. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff with a hire date of 8/7/07 did not have the required number of on-going training hours documented. .1103(a) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. Bus 1 and 2 had registration/tags which had an expiration date of November 2022. .1002(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff with a hire date of 8/7/07 did not have an annual staff development plan in their file. 10A NCAC 09 .0514(f) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Two children's files did not include a medical record. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children's files did not contain a medical exam before or within 30 days after enrollment. GS110-91(1) Today, I provided technical assistance to you and your staff regarding the following topics: 1. We reviewed proper storage of medications, aerosols, cleaners, etc. 2. We reviewed the requirements for completing permission to administer forms as well as removing items once the forms expire or the course of treatment is complete. If you would like for me to conduct rules review for your staff regarding medications, I would be more than happy to do so. 3. Additionally, implementing a tracking tool for time sensitive information needed for children and employee files would be beneficial to avoid timed deadlines. 4. Inspections of vehicles is another item which can be added to the outlook calendar or tracking system for time sensitive follow-up to ensure inspections and registrations are not out of date. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. Your letter may be mailed to me at: Deborah Howell PO Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than November 14, 2023. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Feel free to contact me by phone at (704)798-5220 or by email at Deborah.k.howell@dhhs.nc.gov or Lead Consultant Erin Pickard at erin.pickard@dhhs.nc.gov, if you have any 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 .0514 · Violation

Name of Operation: THE CHILDREN'S COURTYARD #3213 Facility ID: 13000519 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 10/31/2023 Number Present: 126 Completed Date: 11/1/2023 Age: From 0 To 5 Total Minutes: 470 Time In: 09:20 AM Time Out: 05:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable childcare requirements during an annual compliance visit. Your last annual compliance visit was conducted on November 18, 2021. Prior to today’s visit your compliance history was 78%. You, Kristin Fortin, Director, were not present, but arrived later in the afternoon. Maggie Harrington, Associate Director, assisted me with today’s visit. I observed your Five (5) Star License, NC Child Care Summary of the Law, Safe Procedures for Arrival & Departure, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, First Aid poster, tobacco free facility signage and evacuation plans posted as required. I observed children adequately supervised during today’s visit. I observed enhanced staff-child ratios maintained during today’s visit. I observed adequate approved space use and permit restrictions maintained during today’s visit. I observed children engaged in free play in activity areas, toileting, washing hands, transitions, outdoor play, lunch, and nap. I observed activity areas including books, blocks, manipulatives, dramatic play, art, science, music, writing, and cozy/quiet areas. I observed toys and equipment to be of sufficient quantity. I observed toys and equipment to be developmentally appropriate in all spaces. I observed current activity plans posted in all classrooms. I observed bathrooms stocked with necessary supplies with handwashing procedure signs posted as required. I monitored prescription and over the counter medications/ ointments. I monitored general safety throughout the center. I observed electrical cords secured. I observed outlets covered as required. I monitored the equipment and materials in the outdoor play spaces. I observed all spaces supplied with a variety of age-appropriate materials and equipment. Sanitation Inspections are occurring as required. I observed the kitchen equipped with a stove, warmers, refrigerator, walk in freezer, and dishwashing sinks. The refrigerator temperature was thirty-six degrees Fahrenheit. I observed a lunch consisting of chicken, stuffing, broccoli, oranges, and milk. Fire and emergency drills are occurring as required. A random selection of eighteen children’s files were monitored. I monitored a total of ten staff files today. I will return later in the week to complete the visit, at that time I will monitor the remaining staff files, transportation, playground information, and fire inspections. Any additional violations will be added to this visit, and this visit will be amended. Your signature on all forms served and will serve as verification the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 4 a can of Equate aerosol sunscreen was stored in an unlocked cabinet. In Space 2, there were two batteries laying on the counter near the sink. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space 4 a bottle of Excedrin Migraine was stored in an unlocked cabinet. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Four diaper creams or ointments did not have permission to administer forms. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. One tube of Aquaphor had an expiration date of 8/2021. 10A NCAC 09 .0803(1)(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Spaces 5 and 16 each had a prescription medication which was not in its original pharmaceutical container. .0803(2)(a) 847 Parent's medication authorization did not include required information. A total of seven permission to administer forms were not complete as required. Parent signatures were missing on two forms. Name of medication was missing on one form. Two forms did not have the dosage amount. Two forms only had the child's name and the parent signature, but no other information. 10A NCAC 09 .0803(4)(6-9) 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. In space 15 there was a tube of Cortisone-10, the label indicated "not recommended for children under 12." In Space 11, there was a tube of Hydrocortisone, the label indicated "not recommended for children under 2." 10A NCAC 09 .0803(5) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Eight permission to administer forms for diaper creams/ointments had expired. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two staff with hire dates of 10/16/23 and 2/22/23 did not have medical reports on or before their first day of work. 10A NCAC 09 .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Four staff did not have documentation of First Aid certification. .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. Four staff did not have documentation of having CPR certification. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff with a hire date of 8/7/07 did not have the required number of on-going training hours documented. .1103(a) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. Bus 1 and 2 had registration/tags which had an expiration date of November 2022. .1002(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff with a hire date of 8/7/07 did not have an annual staff development plan in their file. 10A NCAC 09 .0514(f) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Two children's files did not include a medical record. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children's files did not contain a medical exam before or within 30 days after enrollment. GS110-91(1) Today, I provided technical assistance to you and your staff regarding the following topics: 1. We reviewed proper storage of medications, aerosols, cleaners, etc. 2. We reviewed the requirements for completing permission to administer forms as well as removing items once the forms expire or the course of treatment is complete. If you would like for me to conduct rules review for your staff regarding medications, I would be more than happy to do so. 3. Additionally, implementing a tracking tool for time sensitive information needed for children and employee files would be beneficial to avoid timed deadlines. 4. Inspections of vehicles is another item which can be added to the outlook calendar or tracking system for time sensitive follow-up to ensure inspections and registrations are not out of date. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. Your letter may be mailed to me at: Deborah Howell PO Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than November 14, 2023. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Feel free to contact me by phone at (704)798-5220 or by email at Deborah.k.howell@dhhs.nc.gov or Lead Consultant Erin Pickard at erin.pickard@dhhs.nc.gov, if you have any 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 .0701 · Violation

Name of Operation: THE CHILDREN'S COURTYARD #3213 Facility ID: 13000519 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 10/31/2023 Number Present: 126 Completed Date: 11/1/2023 Age: From 0 To 5 Total Minutes: 470 Time In: 09:20 AM Time Out: 05:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable childcare requirements during an annual compliance visit. Your last annual compliance visit was conducted on November 18, 2021. Prior to today’s visit your compliance history was 78%. You, Kristin Fortin, Director, were not present, but arrived later in the afternoon. Maggie Harrington, Associate Director, assisted me with today’s visit. I observed your Five (5) Star License, NC Child Care Summary of the Law, Safe Procedures for Arrival & Departure, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, First Aid poster, tobacco free facility signage and evacuation plans posted as required. I observed children adequately supervised during today’s visit. I observed enhanced staff-child ratios maintained during today’s visit. I observed adequate approved space use and permit restrictions maintained during today’s visit. I observed children engaged in free play in activity areas, toileting, washing hands, transitions, outdoor play, lunch, and nap. I observed activity areas including books, blocks, manipulatives, dramatic play, art, science, music, writing, and cozy/quiet areas. I observed toys and equipment to be of sufficient quantity. I observed toys and equipment to be developmentally appropriate in all spaces. I observed current activity plans posted in all classrooms. I observed bathrooms stocked with necessary supplies with handwashing procedure signs posted as required. I monitored prescription and over the counter medications/ ointments. I monitored general safety throughout the center. I observed electrical cords secured. I observed outlets covered as required. I monitored the equipment and materials in the outdoor play spaces. I observed all spaces supplied with a variety of age-appropriate materials and equipment. Sanitation Inspections are occurring as required. I observed the kitchen equipped with a stove, warmers, refrigerator, walk in freezer, and dishwashing sinks. The refrigerator temperature was thirty-six degrees Fahrenheit. I observed a lunch consisting of chicken, stuffing, broccoli, oranges, and milk. Fire and emergency drills are occurring as required. A random selection of eighteen children’s files were monitored. I monitored a total of ten staff files today. I will return later in the week to complete the visit, at that time I will monitor the remaining staff files, transportation, playground information, and fire inspections. Any additional violations will be added to this visit, and this visit will be amended. Your signature on all forms served and will serve as verification the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 4 a can of Equate aerosol sunscreen was stored in an unlocked cabinet. In Space 2, there were two batteries laying on the counter near the sink. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space 4 a bottle of Excedrin Migraine was stored in an unlocked cabinet. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Four diaper creams or ointments did not have permission to administer forms. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. One tube of Aquaphor had an expiration date of 8/2021. 10A NCAC 09 .0803(1)(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Spaces 5 and 16 each had a prescription medication which was not in its original pharmaceutical container. .0803(2)(a) 847 Parent's medication authorization did not include required information. A total of seven permission to administer forms were not complete as required. Parent signatures were missing on two forms. Name of medication was missing on one form. Two forms did not have the dosage amount. Two forms only had the child's name and the parent signature, but no other information. 10A NCAC 09 .0803(4)(6-9) 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. In space 15 there was a tube of Cortisone-10, the label indicated "not recommended for children under 12." In Space 11, there was a tube of Hydrocortisone, the label indicated "not recommended for children under 2." 10A NCAC 09 .0803(5) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Eight permission to administer forms for diaper creams/ointments had expired. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two staff with hire dates of 10/16/23 and 2/22/23 did not have medical reports on or before their first day of work. 10A NCAC 09 .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Four staff did not have documentation of First Aid certification. .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. Four staff did not have documentation of having CPR certification. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff with a hire date of 8/7/07 did not have the required number of on-going training hours documented. .1103(a) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. Bus 1 and 2 had registration/tags which had an expiration date of November 2022. .1002(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff with a hire date of 8/7/07 did not have an annual staff development plan in their file. 10A NCAC 09 .0514(f) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Two children's files did not include a medical record. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children's files did not contain a medical exam before or within 30 days after enrollment. GS110-91(1) Today, I provided technical assistance to you and your staff regarding the following topics: 1. We reviewed proper storage of medications, aerosols, cleaners, etc. 2. We reviewed the requirements for completing permission to administer forms as well as removing items once the forms expire or the course of treatment is complete. If you would like for me to conduct rules review for your staff regarding medications, I would be more than happy to do so. 3. Additionally, implementing a tracking tool for time sensitive information needed for children and employee files would be beneficial to avoid timed deadlines. 4. Inspections of vehicles is another item which can be added to the outlook calendar or tracking system for time sensitive follow-up to ensure inspections and registrations are not out of date. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. Your letter may be mailed to me at: Deborah Howell PO Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than November 14, 2023. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Feel free to contact me by phone at (704)798-5220 or by email at Deborah.k.howell@dhhs.nc.gov or Lead Consultant Erin Pickard at erin.pickard@dhhs.nc.gov, if you have any 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 .0803 · Violation

Name of Operation: THE CHILDREN'S COURTYARD #3213 Facility ID: 13000519 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 10/31/2023 Number Present: 126 Completed Date: 11/1/2023 Age: From 0 To 5 Total Minutes: 470 Time In: 09:20 AM Time Out: 05:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable childcare requirements during an annual compliance visit. Your last annual compliance visit was conducted on November 18, 2021. Prior to today’s visit your compliance history was 78%. You, Kristin Fortin, Director, were not present, but arrived later in the afternoon. Maggie Harrington, Associate Director, assisted me with today’s visit. I observed your Five (5) Star License, NC Child Care Summary of the Law, Safe Procedures for Arrival & Departure, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, First Aid poster, tobacco free facility signage and evacuation plans posted as required. I observed children adequately supervised during today’s visit. I observed enhanced staff-child ratios maintained during today’s visit. I observed adequate approved space use and permit restrictions maintained during today’s visit. I observed children engaged in free play in activity areas, toileting, washing hands, transitions, outdoor play, lunch, and nap. I observed activity areas including books, blocks, manipulatives, dramatic play, art, science, music, writing, and cozy/quiet areas. I observed toys and equipment to be of sufficient quantity. I observed toys and equipment to be developmentally appropriate in all spaces. I observed current activity plans posted in all classrooms. I observed bathrooms stocked with necessary supplies with handwashing procedure signs posted as required. I monitored prescription and over the counter medications/ ointments. I monitored general safety throughout the center. I observed electrical cords secured. I observed outlets covered as required. I monitored the equipment and materials in the outdoor play spaces. I observed all spaces supplied with a variety of age-appropriate materials and equipment. Sanitation Inspections are occurring as required. I observed the kitchen equipped with a stove, warmers, refrigerator, walk in freezer, and dishwashing sinks. The refrigerator temperature was thirty-six degrees Fahrenheit. I observed a lunch consisting of chicken, stuffing, broccoli, oranges, and milk. Fire and emergency drills are occurring as required. A random selection of eighteen children’s files were monitored. I monitored a total of ten staff files today. I will return later in the week to complete the visit, at that time I will monitor the remaining staff files, transportation, playground information, and fire inspections. Any additional violations will be added to this visit, and this visit will be amended. Your signature on all forms served and will serve as verification the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 4 a can of Equate aerosol sunscreen was stored in an unlocked cabinet. In Space 2, there were two batteries laying on the counter near the sink. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space 4 a bottle of Excedrin Migraine was stored in an unlocked cabinet. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Four diaper creams or ointments did not have permission to administer forms. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. One tube of Aquaphor had an expiration date of 8/2021. 10A NCAC 09 .0803(1)(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Spaces 5 and 16 each had a prescription medication which was not in its original pharmaceutical container. .0803(2)(a) 847 Parent's medication authorization did not include required information. A total of seven permission to administer forms were not complete as required. Parent signatures were missing on two forms. Name of medication was missing on one form. Two forms did not have the dosage amount. Two forms only had the child's name and the parent signature, but no other information. 10A NCAC 09 .0803(4)(6-9) 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. In space 15 there was a tube of Cortisone-10, the label indicated "not recommended for children under 12." In Space 11, there was a tube of Hydrocortisone, the label indicated "not recommended for children under 2." 10A NCAC 09 .0803(5) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Eight permission to administer forms for diaper creams/ointments had expired. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two staff with hire dates of 10/16/23 and 2/22/23 did not have medical reports on or before their first day of work. 10A NCAC 09 .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Four staff did not have documentation of First Aid certification. .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. Four staff did not have documentation of having CPR certification. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff with a hire date of 8/7/07 did not have the required number of on-going training hours documented. .1103(a) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. Bus 1 and 2 had registration/tags which had an expiration date of November 2022. .1002(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff with a hire date of 8/7/07 did not have an annual staff development plan in their file. 10A NCAC 09 .0514(f) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Two children's files did not include a medical record. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children's files did not contain a medical exam before or within 30 days after enrollment. GS110-91(1) Today, I provided technical assistance to you and your staff regarding the following topics: 1. We reviewed proper storage of medications, aerosols, cleaners, etc. 2. We reviewed the requirements for completing permission to administer forms as well as removing items once the forms expire or the course of treatment is complete. If you would like for me to conduct rules review for your staff regarding medications, I would be more than happy to do so. 3. Additionally, implementing a tracking tool for time sensitive information needed for children and employee files would be beneficial to avoid timed deadlines. 4. Inspections of vehicles is another item which can be added to the outlook calendar or tracking system for time sensitive follow-up to ensure inspections and registrations are not out of date. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. Your letter may be mailed to me at: Deborah Howell PO Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than November 14, 2023. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Feel free to contact me by phone at (704)798-5220 or by email at Deborah.k.howell@dhhs.nc.gov or Lead Consultant Erin Pickard at erin.pickard@dhhs.nc.gov, if you have any 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

GS 110-91 · Violation

Name of Operation: THE CHILDREN'S COURTYARD #3213 Facility ID: 13000519 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 10/31/2023 Number Present: 126 Completed Date: 11/1/2023 Age: From 0 To 5 Total Minutes: 470 Time In: 09:20 AM Time Out: 05:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable childcare requirements during an annual compliance visit. Your last annual compliance visit was conducted on November 18, 2021. Prior to today’s visit your compliance history was 78%. You, Kristin Fortin, Director, were not present, but arrived later in the afternoon. Maggie Harrington, Associate Director, assisted me with today’s visit. I observed your Five (5) Star License, NC Child Care Summary of the Law, Safe Procedures for Arrival & Departure, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, First Aid poster, tobacco free facility signage and evacuation plans posted as required. I observed children adequately supervised during today’s visit. I observed enhanced staff-child ratios maintained during today’s visit. I observed adequate approved space use and permit restrictions maintained during today’s visit. I observed children engaged in free play in activity areas, toileting, washing hands, transitions, outdoor play, lunch, and nap. I observed activity areas including books, blocks, manipulatives, dramatic play, art, science, music, writing, and cozy/quiet areas. I observed toys and equipment to be of sufficient quantity. I observed toys and equipment to be developmentally appropriate in all spaces. I observed current activity plans posted in all classrooms. I observed bathrooms stocked with necessary supplies with handwashing procedure signs posted as required. I monitored prescription and over the counter medications/ ointments. I monitored general safety throughout the center. I observed electrical cords secured. I observed outlets covered as required. I monitored the equipment and materials in the outdoor play spaces. I observed all spaces supplied with a variety of age-appropriate materials and equipment. Sanitation Inspections are occurring as required. I observed the kitchen equipped with a stove, warmers, refrigerator, walk in freezer, and dishwashing sinks. The refrigerator temperature was thirty-six degrees Fahrenheit. I observed a lunch consisting of chicken, stuffing, broccoli, oranges, and milk. Fire and emergency drills are occurring as required. A random selection of eighteen children’s files were monitored. I monitored a total of ten staff files today. I will return later in the week to complete the visit, at that time I will monitor the remaining staff files, transportation, playground information, and fire inspections. Any additional violations will be added to this visit, and this visit will be amended. Your signature on all forms served and will serve as verification the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 4 a can of Equate aerosol sunscreen was stored in an unlocked cabinet. In Space 2, there were two batteries laying on the counter near the sink. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space 4 a bottle of Excedrin Migraine was stored in an unlocked cabinet. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Four diaper creams or ointments did not have permission to administer forms. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. One tube of Aquaphor had an expiration date of 8/2021. 10A NCAC 09 .0803(1)(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Spaces 5 and 16 each had a prescription medication which was not in its original pharmaceutical container. .0803(2)(a) 847 Parent's medication authorization did not include required information. A total of seven permission to administer forms were not complete as required. Parent signatures were missing on two forms. Name of medication was missing on one form. Two forms did not have the dosage amount. Two forms only had the child's name and the parent signature, but no other information. 10A NCAC 09 .0803(4)(6-9) 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. In space 15 there was a tube of Cortisone-10, the label indicated "not recommended for children under 12." In Space 11, there was a tube of Hydrocortisone, the label indicated "not recommended for children under 2." 10A NCAC 09 .0803(5) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Eight permission to administer forms for diaper creams/ointments had expired. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two staff with hire dates of 10/16/23 and 2/22/23 did not have medical reports on or before their first day of work. 10A NCAC 09 .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Four staff did not have documentation of First Aid certification. .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. Four staff did not have documentation of having CPR certification. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff with a hire date of 8/7/07 did not have the required number of on-going training hours documented. .1103(a) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. Bus 1 and 2 had registration/tags which had an expiration date of November 2022. .1002(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff with a hire date of 8/7/07 did not have an annual staff development plan in their file. 10A NCAC 09 .0514(f) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Two children's files did not include a medical record. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children's files did not contain a medical exam before or within 30 days after enrollment. GS110-91(1) Today, I provided technical assistance to you and your staff regarding the following topics: 1. We reviewed proper storage of medications, aerosols, cleaners, etc. 2. We reviewed the requirements for completing permission to administer forms as well as removing items once the forms expire or the course of treatment is complete. If you would like for me to conduct rules review for your staff regarding medications, I would be more than happy to do so. 3. Additionally, implementing a tracking tool for time sensitive information needed for children and employee files would be beneficial to avoid timed deadlines. 4. Inspections of vehicles is another item which can be added to the outlook calendar or tracking system for time sensitive follow-up to ensure inspections and registrations are not out of date. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. Your letter may be mailed to me at: Deborah Howell PO Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than November 14, 2023. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Feel free to contact me by phone at (704)798-5220 or by email at Deborah.k.howell@dhhs.nc.gov or Lead Consultant Erin Pickard at erin.pickard@dhhs.nc.gov, if you have any 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

GS110-91 · Violation

Name of Operation: THE CHILDREN'S COURTYARD #3213 Facility ID: 13000519 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 10/31/2023 Number Present: 126 Completed Date: 11/1/2023 Age: From 0 To 5 Total Minutes: 470 Time In: 09:20 AM Time Out: 05:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable childcare requirements during an annual compliance visit. Your last annual compliance visit was conducted on November 18, 2021. Prior to today’s visit your compliance history was 78%. You, Kristin Fortin, Director, were not present, but arrived later in the afternoon. Maggie Harrington, Associate Director, assisted me with today’s visit. I observed your Five (5) Star License, NC Child Care Summary of the Law, Safe Procedures for Arrival & Departure, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, First Aid poster, tobacco free facility signage and evacuation plans posted as required. I observed children adequately supervised during today’s visit. I observed enhanced staff-child ratios maintained during today’s visit. I observed adequate approved space use and permit restrictions maintained during today’s visit. I observed children engaged in free play in activity areas, toileting, washing hands, transitions, outdoor play, lunch, and nap. I observed activity areas including books, blocks, manipulatives, dramatic play, art, science, music, writing, and cozy/quiet areas. I observed toys and equipment to be of sufficient quantity. I observed toys and equipment to be developmentally appropriate in all spaces. I observed current activity plans posted in all classrooms. I observed bathrooms stocked with necessary supplies with handwashing procedure signs posted as required. I monitored prescription and over the counter medications/ ointments. I monitored general safety throughout the center. I observed electrical cords secured. I observed outlets covered as required. I monitored the equipment and materials in the outdoor play spaces. I observed all spaces supplied with a variety of age-appropriate materials and equipment. Sanitation Inspections are occurring as required. I observed the kitchen equipped with a stove, warmers, refrigerator, walk in freezer, and dishwashing sinks. The refrigerator temperature was thirty-six degrees Fahrenheit. I observed a lunch consisting of chicken, stuffing, broccoli, oranges, and milk. Fire and emergency drills are occurring as required. A random selection of eighteen children’s files were monitored. I monitored a total of ten staff files today. I will return later in the week to complete the visit, at that time I will monitor the remaining staff files, transportation, playground information, and fire inspections. Any additional violations will be added to this visit, and this visit will be amended. Your signature on all forms served and will serve as verification the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 4 a can of Equate aerosol sunscreen was stored in an unlocked cabinet. In Space 2, there were two batteries laying on the counter near the sink. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space 4 a bottle of Excedrin Migraine was stored in an unlocked cabinet. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Four diaper creams or ointments did not have permission to administer forms. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. One tube of Aquaphor had an expiration date of 8/2021. 10A NCAC 09 .0803(1)(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Spaces 5 and 16 each had a prescription medication which was not in its original pharmaceutical container. .0803(2)(a) 847 Parent's medication authorization did not include required information. A total of seven permission to administer forms were not complete as required. Parent signatures were missing on two forms. Name of medication was missing on one form. Two forms did not have the dosage amount. Two forms only had the child's name and the parent signature, but no other information. 10A NCAC 09 .0803(4)(6-9) 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. In space 15 there was a tube of Cortisone-10, the label indicated "not recommended for children under 12." In Space 11, there was a tube of Hydrocortisone, the label indicated "not recommended for children under 2." 10A NCAC 09 .0803(5) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Eight permission to administer forms for diaper creams/ointments had expired. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two staff with hire dates of 10/16/23 and 2/22/23 did not have medical reports on or before their first day of work. 10A NCAC 09 .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Four staff did not have documentation of First Aid certification. .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. Four staff did not have documentation of having CPR certification. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff with a hire date of 8/7/07 did not have the required number of on-going training hours documented. .1103(a) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. Bus 1 and 2 had registration/tags which had an expiration date of November 2022. .1002(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff with a hire date of 8/7/07 did not have an annual staff development plan in their file. 10A NCAC 09 .0514(f) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Two children's files did not include a medical record. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children's files did not contain a medical exam before or within 30 days after enrollment. GS110-91(1) Today, I provided technical assistance to you and your staff regarding the following topics: 1. We reviewed proper storage of medications, aerosols, cleaners, etc. 2. We reviewed the requirements for completing permission to administer forms as well as removing items once the forms expire or the course of treatment is complete. If you would like for me to conduct rules review for your staff regarding medications, I would be more than happy to do so. 3. Additionally, implementing a tracking tool for time sensitive information needed for children and employee files would be beneficial to avoid timed deadlines. 4. Inspections of vehicles is another item which can be added to the outlook calendar or tracking system for time sensitive follow-up to ensure inspections and registrations are not out of date. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. Your letter may be mailed to me at: Deborah Howell PO Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than November 14, 2023. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Feel free to contact me by phone at (704)798-5220 or by email at Deborah.k.howell@dhhs.nc.gov or Lead Consultant Erin Pickard at erin.pickard@dhhs.nc.gov, if you have any 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